Norway

Fit to work

Dedicated to the health of all workers

Estimate the GCC OH score of your health care facility

Find out how your hospital handle the occupational health standards. Take the GCC OH Survey!

For each one of the 11 standards, choose whether it is fully implemented, partially implemented, or did not implement in your health care facility at all.

OH1A1.

Responsible person or unit on OH issues is located and integrated in the organizational structure of

the hospital or healthcare facility with clear role and responsibilities, as well as the mission, vision

and values.


OH1B1.

Employers should ensure that responsibilities are clarified at all levels of
the organization and that the activities of everyone involved in managing health are well
coordinated.


OH1C1.

The schedule and assigned tasks to the staff are completed.


OH1A2.

The function responsible for OH will report directly to the CEO of the healthcare facility.


OH1B2.

There are sufficient competent and trained persons on OH issues to provide health referral to the hospital or HCF.


OH1C2.

Plans or documents that improve safety and quality exist. Register containing responses to safety and quality issues is in place and functional.


OH1A3.

Plans, targets and evaluation are set for improving the health of workers.


OH1B3.

Representatives from Infection Control, Patient Safety, Healthcare Waste Management and an occupational health professional are present in the OH/SHE committee.


OH1A4.

The OH/SHE committee is present and meets regularly and as needed agreed within the committee. Sufficient time is provided to enable full discussion of the subjects. Dates of future meetings are planned well in advance with minutes of meetings/reports well communicated within the HCF.


OH1B4.

Staff has equity of access as far as is practical with regard to location, shift patterns
and the availability of trained staff with worker centered care concept.


OH2A1.

Policy and procedures detailing occupational health services provided to hospital staff (permanent, temporary, already existing and new employees)


OH2B1.

Competent and confidential services are provided


OH2C1.

Occupational health service is adequately staffed and resourced to carry out the essential
occupational health services.


OH2B2.

Clear indication on allocation of adequate budget for occupational health services.


OH2C2.

A staff clinic with essentials medical tools is available to offer primary and occupational
health cares.


OH2A3.

Written procedures/ process/protocol dealing with key issues in Occupational health includes but not limited to serious communicable diseases, night workers health assessment, workplace temperature and work equipment exist.


OH2B3.

Occupational health operational policy is implemented.


OH3A1.

An employee health program has a designated person/ persons to manage the program.


OH3B1.

Personal health file includes all components of health program.


OH3C1.

List or schedule of annual review on policies, procedures and/or protocols is in place and functional.


OH3A2.

Policies and procedures describing a comprehensive employee health program.


OH3B2.

The employee health program conforms to the current legislation.


OH3C2.

A staff clinic with essential medical tools is available to offer both primary and occupational healthcare services.


OH3B3.

All existing and new employees are covered by the employee health program.


OH3C3.

Register or log of completed annual reviews on polices and procedures including dates, changes made and outcomes of changes is in place and functional.


OH3B4.

Notes, memos, and minutes of meetings that review policies, procedure and/or protocols on employee health program are accessible to concerned persons.


OH3B5.

Employer of contracted workers must provide equivalent job-related health program.


OH4A1.

Policy and procedure as well as risk assessment forms are present to identify and deal with

occupational hazards.


OH4B1.

The occupational risk assessment covers, but not limited to the following:
see the requirements list


OH4C1.

Procedures are developed where needed to control and prevent the risk.


OH4A2.

The healthcare facility has completed and documented an occupational hazards/risk assessment and management.


OH4C2.

Occupational exposure data are used to support the introduction of safety devices and
equipment to minimize risks to the work force and patients.

OH4A3.

Action/s is/are taken on identified hazards including needle sticks and other
exposures including latent allergy to decrease risk.

OH4A4.

Risk assessments are regularly reviewed, recorded, documented and the outcomes shared with all appropriate staff.

OH5A1.

Policy and procedure define the extent and frequency of the employee health and physical

assessment, testing, actions to be taken including the reporting of occupational hazards for staff.


OH5B1.

Each new employee has a complete pre-placement evaluation as relevant to the occupational hazards for each department and jobs, as required by the current legislation and by the organization policy


OH5C1.

Personal protective equipment provided fit for purpose.


OH5A2.

Medical assessment and post exposure assessment with proper investigation and management on emergency exposure, e.g. needle sticks injury, radiation exposure, or
chemical spill.


OH5B2.

When screening results or investigations are positive, advise or intervention as necessary; the employee is made aware of these results and provided with counseling and interventions as might be needed.


OH5C2.

Monitoring and risk management of healthcare workers who may be potentially infected
or colonized with an infectious agent.


OH6A1.

Training needs on OH issues are assessed.


OH6B1.

HCFs’ staff is educated, be aware and be trained in occupational health hazards and safety procedures. The training is included in initial orientation and additional training is
provided when new procedures or equipment present or new job assignment.


OH6C1.

Adequate information is available to employees and their representatives to allow for decision making on preventative and protective measures.


OH6A2.

Policy and procedure defining training programs for the staff on OH issues is developed.


OH6B2.

Attendance record of staff who have completed training and competency assessments in the use of personal protective equipment.


OH6C2.

Attendance records of education and training of staff in safety and quality matters are kept.


OH6A3.

MSDS for the chemicals in use are present and communicated to the employees.


OH6C3.

Education resources for orientation and ongoing training for staff roles and responsibilities are available


OH6C4.

Feedback from staff on the benefit of the training program is documented.


OH7A1.

Policy and procedures defining preventive and control options towards hazards prioritized according

to hierarchy of control are developed.


OH7B1.

Record or reviews of the usage of personal protective equipment.


OH7C1.

Special work arrangement for specific physiologic conditions e.g. pregnancy, persons with special needs is in place and functional.


OH7A2.

Vaccination policy and program consistent with current MOH immunization guidelines.


OH7B2.

First aid kit with regularly checked supplies and trained attendants ready to help.


OH7A3.

Available Post exposure prophylaxis, immunization and vaccination services against communicable diseases.


OH7B3.

Developing and implementing a system for use and management of invasive devices based on the current national guidelines for preventing and controlling infections in
health care (Safe devices).


OH8A1.

Policy and procedures defining treatment, rehabilitation and compensation are developed.


OH8B1.

Guidelines for treatment of staff from occupational and work- related illnesses are available.


OH8B2.

Provide access to a comprehensive OH service which meets the minimum service
delivery standards set out by the MOH.


OH8B3.

Provide access to a rehabilitation OH service which meets the minimum service delivery standards set out by the MOH/ /authorized health bodies, agencies or authorities.


OH8B4.

Referral system of occupational or work-related disability for compensation is available.


OH8B5.

Provide advice on “Return to Work”, following sick leaves, and accommodation
of employees with special needs e.g. Pregnancy and disability is provided.


OH9A1.

Incident reporting, recording, analysis/ investigation, statistics are in place and functional with

suitable action taken.


OH9B1.

Guidelines on recognizing adverse health effect, incident / accident investigation,
analysis and reporting are developed and being followed.


OH9C1.

Education resources for adverse events, incidents and near misses are available.


OH9A2.

Surveillance record of exposure and effects should be reviewed and appropriate
preventive measures taken when indicated e.g. TLD in radiation exposure.


OH9B2.

Incident / accident investigation and reporting forms are available and being used.


OH9C2.

Promote a just, fair, and blame- free safety culture.


OH9A3.

There is a communication process between infection control officers/ personnel
and occupational health team.


OH9B3.

Trained personnel on incident/accident investigation and analysis are available and functional.


OH9A4.

Contingency/ Emergency plans are developed in dealing with all hazards including
incidents of violence and aggression.


OH9B4.

Reports on incident/ accident investigation and analysis are present.


OH9A4.

Contingency/ Emergency plans are developed in dealing with all hazards including
incidents of violence and aggression.


OH9B4.

Reports on incident/ accident investigation and analysis are present.


OH9B5.

Register or log of adverse events, incidents and near misses is available.


OH10A1.

Availability of documentation and record keeping mechanism on OH issues,respecting confidentiality

and blamefree removing barriers for reporting.


OH10B1.

Policies, procedures and consistent with national guidelines and jurisdictional
legislation are developed.


OH10C1.

Documented risk assessment system for managing healthcare worker who do not meet
immunization requirements, for example within the practice’s infection control
or occupational health and safety manuals.


OH10A2.

Record of healthcare workers’ immunization status at commencement of employment and throughout their period of employment.


OH10B2.

Record of immunization refusals and the responses to refusals.


OH10C2.

Review and updates of documentation, reports, of safety and quality plans and strategies
are in place.


OH10C3.

Review of incident reports and related comments.


OH10C4.

Register or log of adverse events, incidents and near misses including actions to address issues identified.


OH10C5.

Notes, memos, minutes or reports of meetings or other forms of communication to staff
about their responsibilities.


OH11A1.

Periodic review of the entire system including planning, organization, control and monitoring to

guarantee continued effectiveness of the system.


OH11B1.

Prevention, control, and management for occupational health should be based on sound evidence and when evidence is lacking research should be considered.


GCC OH Score:

Level

 

Recommendations