Download Certificate of Fitness Form-4 Karnataka Factories Rules

Hi all,
Fitness of employees working in hazardous processes is to be issued in Form-4 as per the Karnataka Factories Rules-1969. You can download it here in the attachments. I have given it in both pdf and .docx formats.

Download pdf format here

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Ideal OHC Dashboard

Hi all,
Many occupational health physicians wonder what we should be doing in OHC?, what are long term targets?, How to measure improvement in employees's health? etc.. 

In order to answer these questions I have prepared a IDEAL OHC DASHBOARD in which, the long term goals are set. We have to make many programs, plans to achieve these goals.

Download here

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Excel sheet for presbycusis (age factor) correction in audiometry using Robinson Sutton Formula

Hi all, 
Please use attached excel sheet to calculate the presbycusis (age factor) correction in audiometery readings. I have tried to make the calculations simpler. It will be useful if somebody ask if downward(worsening) trend in audiometry is because of age or due to noise. We may have to discount age factor. We may have to keep this in mind while analysing audiometry results.

Download the Excel Sheet Here

Download the book here

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Canteen Survey Checklist

Hi all,
It is difficult to remeber what are the points to be looked when conducting canteen survey. To ease this situation, I have made a checklist. Please go through & use.

Download Here

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Know these facts about Bio-medical waste disposal from OHC

Steps for disposing biomedical waste

1. Enroll with the Polltion Control Board(PCB) for generating BioMedical Waste by submitting an application in Form-2.

2. PCB will provide authorization Form-3

3. Enroll with the PCB authorized Common BioMedical Waste Treatment Facility for disposing off the biomedical waste generated in the OHC

4. Store BioMedical waste in color coded waste bins as per schedule 2 of the BioMedical Waste Rules 2016

5. BioMedical waste should be handed over to the treatment facility for disposal within 48 hours of generation

6. Maitain waste generation and diposal register. Signature of the person collected the waste to be taken on the register.

7. Submit Annual report to PCB in Form-4 before June 30th.

8. Publish Annual Report in the company website also.

9. Submit a report of any injuries happened while handling biomedical waste to the PCB in Form-1 along with annual report. The injury report should be submitted even if no injuries have happened.

BioMedical Rules

4. Duties of the Occupier

It shall be the duty of every occupier to-

a) take all necessary steps to ensure that bio-medical waste is handled without any adverse effect to human health and the environment and in accordance with these rules;

b) make a provision within the premises for a safe, ventilated and secured location for storage of segregated biomedical waste in colored bags or containers in the manner as specified in Schedule I, to ensure that there shall be no secondary handling, pilferage of recyclables or inadvertent scattering or spillage by animals and the bio-medical waste from such place or premises shall be directly transported in the manner as prescribed in these rules to the common bio-medical waste treatment facility or for the appropriate treatment and disposal, as the case may be, in the manner as prescribed in Schedule I;

c) pre-treat the laboratory waste, microbiological waste, blood samples and blood bags through disinfection or sterilisation on-site in the manner as prescribed by the World Health Organisation (WHO) or National AIDs Control Organisation (NACO) guidelines and then sent to the common bio-medical waste treatment facility for final disposal;

d) phase out use of chlorinated plastic bags, gloves and blood bags within two years from the date of notification of these rules;

e) dispose of solid waste other than bio-medical waste in accordance with the provisions of respective waste management rules made under the relevant laws and amended from time to time;

f) not to give treated bio-medical waste with municipal solid waste;

g) provide training to all its health care workers and others, involved in handling of bio medical waste at the time of induction and thereafter at least once every year and the details of training programmes conducted, number of personnel trained and number of personnel not undergone any training shall be provided in the Annual Report;

h) immunise all its health care workers and others, involved in handling of bio-medical waste for protection against diseases including Hepatitis B and Tetanus that are likely to be transmitted by handling of bio-medical waste, in the manner as prescribed in the National Immunisation Policy or the guidelines of the Ministry of Health and Family Welfare issued from time to time;

i) establish a Bar- Code System for bags or containers containing bio-medical waste to be sent out of the premises or place for any purpose within one year from the date of the notification of these rules;

j) ensure segregation of liquid chemical waste at source and ensure pre-treatment or neutralisation prior to mixing with other effluent generated from health care facilities;

k) ensure treatment and disposal of liquid waste in accordance with the Water (Prevention and Control of Pollution) Act, 1974 ( 6 of 1974);

l) ensure occupational safety of all its health care workers and others involved in handling of biomedical waste by providing appropriate and adequate personal protective equipments;

m) conduct health check up at the time of induction and at least once in a year for all its health care workers and others involved in handling of bio- medical waste and maintain the records for the same;

n) maintain and update on day to day basis the bio-medical waste management register and display the monthly record on its website according to the bio-medical waste generated in terms of category and colour coding as specified in Schedule I;

o) report major accidents including accidents caused by fire hazards, blasts during handling of biomedical waste and the remedial action taken and the records relevant thereto, (including nil report) in Form I to the prescribed authority and also along with the annual report;

p) make available the annual report on its web-site and all the health care facilities shall make own website within two years from the date of notification of these rules;

q) inform the prescribed authority immediately in case the operator of a facility does not collect the bio-medical waste within the intended time or as per the agreed time;

r) establish a system to review and monitor the activities related to bio-medical waste management, either through an existing committee or by forming a new committee and the Committee shall meet once in every six months and the record of the minutes of the meetings of this committee shall be submitted along with the annual report to the prescribed authority and the healthcare establishments having less than thirty beds shall designate a qualified person to review and monitor the activities relating to bio-medical waste management within that establishment and submit the annual report;

s) maintain all record for operation of incineration, hydro or autoclaving etc., for a period of five years;

t) existing incinerators to achieve the standards for treatment and disposal of bio-medical waste as specified in Schedule II for retention time in secondary chamber and Dioxin and Furans within two years from the date of this notification.

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OHC Ambulace Contents List (Occupational Health Center)

	Items	Expiry/Calbr	Min Qty	Checked on
1	A wheeled stretcher with folding and adjusting devices, with the head of the stretcher capable of being tilted upward
2	Long spine boards
3	Folding Stretcher
4	Suction unit with equipment
5	Fixed oxygen supply with equipment
6	Fire extinguisher dry powder type
7	Flares with life of 30 minutes - Floodlights & Extra Batteries
8	Portable oxygen unit
9	Thomas knee splint
10	Padded Pelvic Support
11	Cervical collar
12	Automated External Defibrillator
13	Heavy Scissor
14	IVF NS
15	Waste Bins
	Water kit
1	Drinking water
2	Glass
	Emergency Drug Kit
1	Inj.Adrenaline 1ml amp
2	Inj. Atropin 1 ml amp
3	Inj. Lasix 40mg amp
4	Inj. Dopamine
5	Inj. Hydrocort 100mg
6	Inj. Betnesol
7	Inj. Avil 2 ml Amp
8	Inj. Calmpose 10mg (2ml amp)
9	Inj. Tramazac 2ml amp ( 100mg)
10	Inj. Ketorol 1ml amp ( 30mg)
11	Inj. Voveran
12	Inj. Fortwin 1ml (30mg)
13	Inj.Buscopan
14	Inj.Vomikind
15	Inj Deriphyllin
16	T.Ecospirin 325mg
17	T. Clodrel 75mg
18	T. Sorbitrate 5mg
19	T. Alphadopa L
20	Dispo Syringe 2ml
21	Spirit swab
	IV kit
1	IVF-NS
2	IVF-RL
3	IVF-25D
4	IV drip set
5	Scalp vein set 22
6	Tourniquet
7	Surgical tape
8	IV Cannua no 20
9	Needles
	Airway kit
1	Airway No. 3
2	Laryngoscope
3	Laryngeal mask
4	ET tube
5	Syringe 10ml
6	LOX 2% jelly / Lignocane gel 30gm
7	Magill's forcef
8	Tracheostomy adapters
9	Mouth gags
10	Ambu Bag
	Examination kit
1	Torch
2	Stethoscope
3	Tongue depressor
4	Knee Hammer
5	BP Appratus
6	Prescription pad with pen
7	Thermometer
8	One touch ultra strip for glucometer
9	Pulse oximeter
	Dressing Kit
1	Steri Pad
2	Eye Pad
3	Band- Aid
4	Roller Bandage 15cm
5	Elastocrep 10cm
6	Savlon Antiseptic lotion 100ml
7	Scissor
8	Mupirocin Oint. 15gm
9	Omnigel Spray
10	Silverex Oint
11	Bandage sheets
12	Safety pin
13	Surgical tape
14	Aluminium foils
15	Surgical Gloves no 7
16	Long arm U Splint
17	Short arm U Splint
18	Wire ladder splints
19	Insulated gauntlet gloves
20	Triangular Bandage
21	Artery forceps - Large
22	Artery forceps - Small
23	Curved Artery forceps - large
24	Curved Artery forceps - Small
25	Curved Scissor
26	Needle holder - Large
27	BP Handle
28	Surgical Blade-No. 11
29	Sanitizer
	Catheters kit
1	Foley's catheter no 18
2	Ryles tube adult No 16
	Regular medicine KIT
1	T. Paracetamol 500mg
2	T. Cyclopam
3	T. Stemetil MD
4	T. Eldoper
5	T. Nexpro-40
6	T. Vomikind
7	T. Cetrizine 10mg
8	T. Dulcolax
9	T. Imol plus
10	T. Dolozox
11	T. Leon 750
12	T. Azicip 500mg
13	T. Phenargan 10
14	T. Cof-Q
15	ORS
16	Ocurest Eye drop
17	Asthalin Inhaler
18	Myolaxin
19	C. Pan-D
	Blanket Kit
1	Pillow with case
2	sheets
3	Blankets
4	Towels
	Emesis kit
1	Emesis bag
2	Bed pan
3	Urinal can

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