PPE

The diagnosis and identification process of occupational noise deafness

1. Materials needed to apply for diagnosis of occupational noise deafness. The content of occupational history certification should be calculated from the time of starting to work with noise, including the type of work, length of service, noise exposure mode or operation characteristics, daily or monthly exposure time, continuous exposure to noise, environmental conditions of workplace, noise reduction facilities and their effects, noise detection data of workplace over the years, personal protection, etc

the employer shall truthfully provide the occupational history and occupational hazard exposure history of workers, and the detection results of occupational hazard factors in the workplace, etc., which are required for the diagnosis and identification of occupational diseases; The work safety supervision and administration department shall supervise, inspect and urge the employing units to provide the above information; Workers and relevant institutions should also provide information related to the diagnosis and appraisal of occupational diseases2. 1n the process of occupational disease diagnosis and identification, what should employers do if they do not provide relevant information

in the process of occupational disease diagnosis and identification, if the employer does not provide the test results of occupational hazard factors in the workplace, the diagnosis and identification institution shall combine the clinical manifestations, auxiliary examination results, occupational history and occupational hazard exposure history of the laborer, and refer to the laborer’s self statement and occupational hazard exposure history 1f the laborer fails to provide the proof of occupational history, the laborer can submit the labor relationship proof materials as evidence. The proof of labor relations shall be based on the labor contract, arbitration award or court judgment of labor relations and the materials admitted by the employer< When applying for occupational disease diagnosis, if the employer denies the labor relationship with the laborer, the laborer shall provide any of the following certificates for confirmation by the labor department, Occupational disease diagnosis institutions can be used as the basis for the diagnosis of occupational noise deafness: data that can prove the labor employment relationship, such as wage payment certificate or record (wage payment roster), records of various social insurance premiums paid, etc; 1nformation that can show the identity of workers, such as “1D card” and “work card” issued by employers to workers; 1nformation that can prove the recruitment relationship, such as the recruitment records of employers such as “registration form” and “application form” filled in by workers; Attendance records and testimony of more than three other workers 3. What to do with the data provided by the employer if the laborer disagrees with the data such as the test results of occupational hazards in the workplace provided by the employer, or the laborer’s employer is dissolved or bankrupt, and the employer does not provide the above data, the diagnosis and appraisal institution shall submit it to the work safety supervision and administration department for investigation. The work safety supervision and administration department shall, within 30 days from the date of receiving the application, make a judgment on the data with objection or the situation of occupational disease inductive factors in the workplace, and the relevant departments shall cooperate in case of any dispute over labor relations, type of work, post or working time, the employee can apply to the local labor and personnel dispute arbitration committee for arbitration. The labor and personnel dispute arbitration commission shall accept the application and make an award within 30 days if the laborer is unable to provide the evidence related to the arbitration claim held by the employer, the arbitration tribunal shall require the employer to provide it within the specified time limit; 1f the employer fails to provide it within the specified time limit, it shall bear the adverse consequences if the laborer is not satisfied with the arbitration award, he can bring a lawsuit to the people’s court according to law< Where to diagnose occupational noise deafness according to the national regulations, the diagnosis of occupational noise deafness must be carried out by the medical and health institutions undertaking occupational disease diagnosis approved by the administrative department of health of the people’s Government of the province, autonomous region or municipality directly under the central government. Laborers may undertake occupational disease diagnosis and health care institutions in the locality of the employer, registered residence or common residence in accordance with the occupation occupation law, and carry out occupational noise diagnosis. 5. Diagnosis and grading of occupational noise deafness continuous working experience of noise for more than 3 years, pure tone audiometry for sensorineural deafness, hearing loss showed high-frequency decline type, according to the average hearing threshold of good whispering frequency (500Hz, 1000Hz, 2000Hz), the diagnosis grading was made< 6. What are the essential factors for the diagnosis of occupational noise deafness have a clear history of occupational noise exposure; There were symptoms of hearing loss or tinnitus. Pure tone audiometry was sensorineural hearing loss; Combined with the data of occupational health examination over the years and on-site hygiene investigation; 1f there is no evidence to deny the necessary relationship between noise and noise induced deafness, it should be diagnosed as occupational noise deafness< 7. What to do if there is any objection if workers have any objection to the diagnosis of occupational noise deafness, they can apply to the health administrative department of the local people’s Government where the medical and health institution makes the diagnosis for identification the administrative department of health of the local people’s government at or above the municipal level shall, according to the application of the parties concerned, organize an occupational disease diagnosis and 1dentification Committee to conduct identification if the laborer still refuses to accept the appraisal conclusion of the municipal occupational disease diagnosis appraisal committee divided into districts, he can apply to the health administrative department of the people’s Government of the province, autonomous region or municipality directly under the central government for re appraisal. The provincial occupational disease diagnosis appraisal is the ultimate appraisal< 8. Principles of treatment for patients diagnosed as occupational noise deafness the observation objects do not need to be transferred from the noise workplace, except those with tinnitus at the same time; The patients with mild, moderate and severe noise deafness should be transferred from the noise workplace, and those who need to carry out labor ability appraisal should be dealt with according to the “labor ability appraisal worker injury and occupational disease disability level”; Patients with severe noise deafness should wear hearing aids; Those who are sensitive to noise (i.e. hearing is normal before work, working in noise environment for one year, any frequency of 3000 Hz, 4000 Hz, 6000 Hz in high frequency, 65 dB (HL) in any ear) should be transferred from the noise workplace< 9. Treatment of occupational noise deafness there is no effective treatment for occupational noise deafness at present, so it is very important to carry out early hearing protection, choose noise reduction earmuffs or earplugs according to the working environment, and strengthen the prevention and control measures we solemnly declare that this article is an original article of China labor insurance network. 1f you need to reprint it, please indicate the source

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