Cart 0

Work At Height Medical


Working at Height 

Medical

These medicals are designed to detect and assess any medical conditions that may compromise safety by creating a risk of falling or sudden incapacity requiring rescue and assure capability for regular climbing of vertical ladders and for working in hot and/or confined spaces. 


Together these ensure an individual’s fitness to work within the wind turbine environment.


SOP-Pre –Employment Medical Examination Working at Height 

Purpose: 

Working at height is defined as work undertaken at any place above or below ground level(1.5 mtrs and above).the dangerous activities carried in the construction, maintenance and facilities management industries. It exposes the worker to fall from height and cause serious injuries. To undertake these activities the person require suitable stamina, mobility, strength and should be medically fit.


fixit-banner


Objectives :

Zero Accident
Place right person at right job


Scope :

All the workers executing work at height


Medical Examination :

As soon as person selected for above category should be sent health centre/OHC for detailed medical examination which includes: 

  1. General physical examination 

  2. Clinical examination 

  3. History of medical condition 

  4. History of Medication 

  5. Vision check-Near/distant/binocular/depth of   vision/squint/diplopia/colour vision 

  6. Hearing Status 

  7. Neurological examination 

  8. Physical stamina, general body and flexibility 

  9. Body mass


Medical Examination 2 :

Check hernia/Hydrocele 
Limb Function 
Whisper test 
Step-Test—Chester test/Heart rate monitoring 
Grip strength test 
Heel to toe walking test 
Physical fitness test 
Blood Pressure 
Peak flow meter test 
Cardiac and lung function status


Medical conditions-Attention to be paid :

Diabetes 
Sleep Disorders 
Epilepsy 
Vertigo 
Acrophobia 
Heart disease 
Lung Disease 
Kidney disease


Investigations :

ECG 
Audiometry 
Blood Sugar 
Urine R/M 
CBC 
Pulmonary function test 
EEG 
Liver & kidney profile Stool R/M


Medical Condition-Disqualification

Insulin dependent diabetes 
Uncontrolled diabetes 
Vertigo 
Positive Acrophobia test 
Psychiatric illness 
Epilepsy 
Impaired Vision 
Impaired Hearing 
Indirect Hernia 
Cardiac disease 
Lung disease 
High Blood pressure Obesity


Step Test

Instrument required-Chester step, Heart rate monitor, Graphical data sheet 
Ensure medical conditions 
H/O Medication 
Fit heart rate Monitor 
Start the test in progressive manner-the step is no longer than 30 cm and candidate has to manage his body weight in controlled manner 
Increase gradually after every 2 mins 
Check heart rate every 2 mins 
Calculate Mx. Heart rate (220-age) 
Continue the test till heart rate reaches 80% of its maximum 
Plot the aerobic capacity on graphical data sheet.


rescue_plan_fall_protection_3.jpg


Self certification


 

Particulars

Yes

No

Do you suffer from any heart disease? 



Do you have height phobia?



Are you diabetic?



Are you on medication?



Are you suffering from epilepsy?



Do you ever suffered from lung disease? 



Do you have claustrophobia?



Do you suffer from hearing problem?



Do you suffer from CNS disorder?



Are you suffering from psychiatric illness?




Self Certification-2

Do you know any other reason to consider yourself unfit? 
If answer is yes to any of the above question. you should not undertake climbing activities until you have consulted Medical expert. 
Certification: I CONFIRM TO THE BEST OF MY KNOWLEDGE THAT I AM IN GOOD PHYSICAL CONDITION AND HAVE THE PHYSICAL STRENGTH AND STAMINA TO UNDERTAKE THE CLIMBING ACTIVITY.


work at height medical.pdf



Older post