1. | Occupations involving the use or handling of or exposure to the fumes, dust or vapour of — |
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(a) | arsenic or any of its compounds |
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| (i) | A clinical examination for signs and symptoms of arsenic poisoning, skin cancer and lung cancer |
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| (ii) | Urine arsenic estimation |
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(b) | cadmium or any of its compounds |
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| (i) | A clinical examination for signs and symptoms of cadmium poisoning |
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| (ii) | Blood cadmium estimation |
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| (iii) | Urine Beta2‑microglobulin estimation |
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(c) | lead or any of its compounds |
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| (i) | A clinical examination for signs and symptoms of lead poisoning |
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| (ii) | For inorganic lead exposure, haemoglobin and blood lead estimation |
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| (iii) | For organic lead exposure, urine lead estimation |
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(d) | manganese or any of its compounds |
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| (i) | A clinical examination for signs and symptoms of manganese poisoning |
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| (ii) | Urine manganese estimation |
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(e) | mercury or any of its compounds |
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| (i) | A clinical examination for signs and symptoms of mercury poisoning |
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| (ii) | Urine mercury estimation |
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2. | Occupations involving the use or handling of or exposure to the fumes or vapour of — |
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| (i) | A clinical examination for signs and symptoms of benzene poisoning |
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| (ii) | Urine phenol estimation |
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| (iii) | Haemoglobin estimation and full blood count |
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| (iv) | Peripheral blood film |
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| (i) | A clinical examination for signs and symptoms of perchloroethylene poisoning |
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| (ii) | Urine trichloroacetic acid estimation |
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| (i) | A clinical examination for signs and symptoms of trichloroethylene poisoning |
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| (ii) | Urine trichloroacetic acid estimation |
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| (i) | A clinical examination for signs and symptoms of organophosphate poisoning |
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| (ii) | Red blood cell acetycholinesterase estimation |
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(e) | vinyl chloride monomer |
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| (i) | A clinical examination for signs and symptoms of vinyl chloride effects |
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| (ii) | Liver function tests including serum bilirubin, alkaline phosphatase, gamma glutamyl transpeptidase, alanine and aspartate aminotransferase estimations |
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3. | Occupations involving the use or handling of or exposure to tar, pitch, bitumen or creosote |
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| A clinical examination of the skin and lungs |
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4. | Occupations involving the use or handling of or exposure to the dust of — |
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| (i) | A clinical examination for signs and symptoms of asbestosis, lung cancer and mesothelioma |
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| (ii) | A full size chest x-ray examination |
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| (i) | A clinical examination for signs and symptoms of byssinosis (cotton dust disease) |
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| (ii) | Lung function tests (FEV1 and FVC) before and after 6 hours of exposure to cotton dust on the same day |
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| (i) | A clinical examination for signs and symptoms of silicosis and tuberculosis |
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| (ii) | A full size chest x-ray examination |
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5. | Occupations involving exposure to excessive noise |
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| An audiometric examination (where the air conduction is abnormal, to include bone conduction testing and auroscopic examination) |
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6. | Occupations involving work in a compressed air environment |
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| (i) | A clinical examination for signs and symptoms of compressed air illness and fitness for work in a compressed air environment |
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| (a) | Not less than once in every 3 months for working pressures not exceeding one bar |
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| | (b) | Not less than once in every 4 weeks for working pressures at or exceeding one bar |
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| | (c) | Not more than 3 days prior to re-employment in a compressed air environment — |
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| | (i) | after a worker has not been employed in a compressed air environment for more than 14 consecutive days |
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| | (ii) | after a worker has suffered from a cold, chest infection, sore throat or earache |
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| | (iii) | after a worker has suffered from any illness or injury necessitating absence from work for more than 3 consecutive days. |
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| (ii) | Radiographic examination of shoulder, hip and knee joints (for working pressures at or exceeding 1 bar) |
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| Once in every 12 months or just before stopping work, whichever is earlier. |
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| (iii) | Electrocardiogram (for working pressures at or exceeding 1 bar) |
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| Not less than once in every 12 months for workers who are 35 years of age and over. |
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| (iv) | An audiometric examination (where the air conduction is abnormal, to include bone conduction testing and auroscopic examination) |
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| (v) | Lung function tests (FEV1 and FVC) |
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