PDO Medical examinations specification SP1230

Petroleum Development Oman LLCRevision: 3.0Effective: 16 Apr 20079.11 Appendix K: Specific Conditions Which May Affect Fitness To Work9.11.1 Infectious DiseasesActive infectious disease is unacceptable. Catering staff require special examination toexclude acute or chronic disease involving gastrointestinal tract, chest, ear, nose, throatand skin.9.11.2 Malignant NeoplasmFrank malignant disease is usually unacceptable. Each case should be consideredindividually and the natural history and prognosis of the neoplasm taken into account.The progress and likelihood of complications of the disease or its treatment must becarefully evaluated.9.11.3 Diseases of Digestive SystemDentures or other orthodontic appliances should be well fitting and functional.History of digestive disorders causing severe or recurrent symptoms requiring specialdiet or medication (e.g. esophagitis, gastritis, cholelithiasis, inflammatory or parasiticbowel disease) is unacceptable until satisfactorily treated and reassessed.Acute gastric erosion is unacceptable. The case can be reconsidered following healing,demonstrated by endoscopy, with absence of symptoms.Proven active peptic ulceration is unacceptable. Where there is a past history of pepticulceration a person may be acceptable provided that the Examining Physician issatisfied that the risk of complications is reduced to an absolute minimum by successfulsurgery or the use of appropriate medication. Healing is assessed by endoscopy.Diaphragmatic hernia is only unacceptable if disabling symptoms are present. OtherHernias are unacceptable until satisfactorily surgically repaired.Haemorrhoids, fistulae and fissures causing intractable pain, or recurrent bleeding, areunacceptable unless treated. Abscesses and fistulae are unacceptable.A person with an uncomplicated stoma is usually acceptable, but the ExaminingPhysician should be satisfied that the underlying cause is compatible with the interiorwork, and that the patient's personal management of the condition is acceptable withinthe confines of an interior community.9.11.4 Diseases of Liver and PancreasChronic or recurring pancreatitis is unacceptable.Diseases of the liver are unacceptable where the condition is serious progressiveand/or where complications such as oesophageal varices are present. This includeschronic active Hepatitis B.Asymptomatic Hepatitis B carriers may be acceptable.Page 61 SP-1230 : Specification for Medical Examination, Treatment & Facilities Printed 25-Sep-08The controlled version of this CMF Document resides online in Livelink®. Printed copies are UNCONTROLLED.