MSFC NASA MPR 1810 1 REV I-2008 MSFC OCCUPATIONAL MEDICINE《马歇尔太空飞行中心职业医学》.pdf

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1、CHECK THE MASTER LIST at https:/repository.msfc.nasa.gov/directives/directives.htm VERIFY THAT THIS IS THE CORRECT VERSION BEFORE USE MPR 1810.1 REVISION I EFFECTIVE DATE: October 3, 2008 EXPIRATION DATE: October 3, 2013 MARSHALL PROCEDURAL REQUIREMENTS AS01 MSFC OCCUPATIONAL MEDICINE Provided by IH

2、SNot for ResaleNo reproduction or networking permitted without license from IHS-,-,-Marshall Procedural Requirements AS01 MSFC Occupational Medicine MPR 1810.1 Revision: I Date: October 3, 2008 Page 2 of 18 CHECK THE MASTER LIST at https:/repository.msfc.nasa.gov/directives/directives.htm VERIFY THA

3、T THIS IS THE CORRECT VERSION BEFORE USE DOCUMENT HISTORY LOG Status (Baseline/ Revision/ Canceled) Document Revision Effective Date Description Revision E 11/30/99 History Log added with this revision; previous history contained in Directives Managers Reference File. Revision F 6/22/01 Changed appl

4、icability in P.2 to all MSFC employees. Deleted authority documents that are already referenced in NPD 1810.2 to prevent redundancy; paragraph 2.1.3 - replaced NFS citations with the correct one; paragraph 2.3.1 - added “MPG 8715.1 and MWI 8621.1”; paragraph 2.4.1, added “and MWI 8621.1”; added to p

5、aragraph P.4 - MWI 8621.1, “Close Call and Mishap Reporting and Investigation Program”; changed paragraph 4, Records to: The following medical records are maintained and dispositioned for the duration of employment plus 30 years. The MSFC Medical Center maintains the records for the duration of empl

6、oyment for both civil service and applicable contractor employees. Following termination of Government service, civil service records are forwarded to the Office of Personnel Management for archival maintenance. Medical records of terminated contractor employees are maintained electronically by the

7、MSFC Repository. These records are either maintained for historical purposes or destroyed following the required retention period; added A.2.2.4, Pre-placement and return to work physical examinations will be conducted only when determined to be essential by the Personnel Office or by the MSFC Medic

8、al Center Director; and added A.2.2.5, Other examinations including mental health and FAA flight physicals are also provided as required. Revision G 10/28/2004 Update authority document reference. Changed all references to NPGs from “NPG” to “NPR.” Changed all occurrences of “NASA Procedures and Gui

9、delines” to “NASA Procedural Requirements”. Changed all references to MPGs from “MPG” to “MPR.” Changed all occurrences of “Marshall Procedures and Guidelines” to “Marshall Procedural Requirements.” Clarified paragraphs in Section 2.3. Eliminated existing Appendix B (Medical Information Card informa

10、tion) and renamed Appendix C to Appendix Z; changed all references of Appendix C to Appendix Z. Moved Appendix A to Procedures; deleted MSFC Form 3790-1, “Respiratory Protection Program Record for Army” and deleted MSFC Form 3498, “Privacy Act Statement” from section 4; added NPR 1800.1, “NASA Occup

11、ational Health Program Procedures” to P.5. Revision H 12/11/2006 Update organizational changes. Added 2.2.3 “Ensure employees working in job categories requiring monitoring or medical surveillance receive their annual mandatory physical exam.” Added to 3.1.1 “hepatitis vaccination required by job ac

12、tivities,” Removed supervisors responsibility to ensure that employees returning to work after prolonged illnesses or injuries report to the MSFC Medical Center before returning to duty. 2.1.4 2.1.13, formerly the responsibility of MSFC and MAF Medical Centers, are now EEOH. Added 2.3.4, employees a

13、re responsible for keeping scheduled physical exam appointments or rescheduling the exam should a conflict arises. 2.4, additional responsibility for MAF to establish and monitor an Occupational Medicine Program. 2.7, requirement added for the Office of Procurement. Revision I 10/3/2008 Revised 2. A

14、pplicability statement to address the applicability of this directive to the Michoud Assembly Facility. Provided by IHSNot for ResaleNo reproduction or networking permitted without license from IHS-,-,-Marshall Procedural Requirements AS01 MSFC Occupational Medicine MPR 1810.1 Revision: I Date: Octo

15、ber 3, 2008 Page 3 of 18 CHECK THE MASTER LIST at https:/repository.msfc.nasa.gov/directives/directives.htm VERIFY THAT THIS IS THE CORRECT VERSION BEFORE USE TABLE OF CONTENTS Preface P.1 Purpose P.2 Applicability P.3 Authority P.4 Applicable Documents P.5 References P.6 Cancellation Document Conte

16、nt 1. Definitions 2. Responsibilities 3. Procedure 4. Records 5. Flow Diagram Appendix Z GUIDELINES FOR INTERNATIONAL TRAVEL AND USE OF THE CONTENTS OF MEDICAL TRAVEL KITS Provided by IHSNot for ResaleNo reproduction or networking permitted without license from IHS-,-,-Marshall Procedural Requiremen

17、ts AS01 MSFC Occupational Medicine MPR 1810.1 Revision: I Date: October 3, 2008 Page 4 of 18 CHECK THE MASTER LIST at https:/repository.msfc.nasa.gov/directives/directives.htm VERIFY THAT THIS IS THE CORRECT VERSION BEFORE USE PREFACE P.1 PURPOSE The purpose of this Marshall Procedural Requirements

18、(MPR) is to describe the occupational medical services available to Marshall Space Flight Center (MSFC) and Michoud Assembly Facility (MAF) employees and to delineate the method by which these services are provided to employees. P.2 APPLICABILITY This MPR applies to the personnel, programs, projects

19、, and activities at MSFC and MSFCs Michoud Assembly Facility (MAF), including contractors and resident agencies to the extent specified in their respective contracts or agreements. (“Contractors,” for purposes of this paragraph, include contractors, grantees, Cooperative Agreement recipients, Space

20、Act Agreement partners, or other agreement parties.) P.3 AUTHORITY NPD 1810.2, “NASA Occupational Medicine Program” P.4 APPLICABLE DOCUMENTS a. NPD 1382.17, “NASA Privacy Policy” b. NPR 1810.1, “Health Services for International Travel or Assignment” c. NASA FAR Supplement (NFS) Subpart 1823.7001Saf

21、ety and Health d. MPD 1840.1, “MSFC Environmental Health Program” e. MPR 8715.1, “Marshall Safety, Health, and Environmental (SHE) Program” f. MWI 8621.1, “Mishap and Close Call Reporting and Investigation Program” P.5 REFERENCES a. NPR 1800.1, “NASA Occupational Health Program Procedures” b. NPR 14

22、41.1, “NASA Records Retention Schedules (NRRS)” Provided by IHSNot for ResaleNo reproduction or networking permitted without license from IHS-,-,-Marshall Procedural Requirements AS01 MSFC Occupational Medicine MPR 1810.1 Revision: I Date: October 3, 2008 Page 5 of 18 CHECK THE MASTER LIST at https:

23、/repository.msfc.nasa.gov/directives/directives.htm VERIFY THAT THIS IS THE CORRECT VERSION BEFORE USE c. MPD 1840.1, “MSFC Environmental Health Program” P.6 CANCELLATION MPR 1810.1H dated December 11, 2006 Original signed by David A. King Director Provided by IHSNot for ResaleNo reproduction or net

24、working permitted without license from IHS-,-,-Marshall Procedural Requirements AS01 MSFC Occupational Medicine MPR 1810.1 Revision: I Date: October 3, 2008 Page 6 of 18 CHECK THE MASTER LIST at https:/repository.msfc.nasa.gov/directives/directives.htm VERIFY THAT THIS IS THE CORRECT VERSION BEFORE

25、USE 1. DEFINITIONS Occupational Medicine. That portion of the medical field devoted to the maintenance and improvement of the health of employees with emphasis on the prevention, diagnosis, treatment, and care of illnesses and injuries caused or aggravated by the work environment. This includes stud

26、ies directed toward a better understanding of the causes and mechanisms of prevention and care as related to the employee population. 2. RESPONSIBILITIES 2.1 The Environmental Engineering and Occupational Health Office (EEOH), shall: 2.1.1 Establish and monitor the MSFC Occupational Medicine Program

27、. 2.1.2 Ensure that medical care of MSFC personnel located at stations away from Huntsville is provided. 2.1.3 In accordance with NFS 1823.7001, advise and assist the contracting officer in selecting the provisions to be included in proposed procurements; in evaluating prospective contractor health

28、programs; and in determining, in coordination with the cognizant program or project manager, the need for, and adequacy of, contractor safety and health plans. 2.1.4 Provide the medical services described herein and as prescribed in the pertinent contracts. 2.1.5 Conduct special surveys and investig

29、ations or assist in their conduct where health and medically-related matters are concerned. 2.1.6 Maintain proper relations with health authorities, medical practitioners, medical societies in the local and surrounding communities, and the Department of Army Health Center on Redstone Arsenal. 2.1.7

30、Coordinate medical activities with MSFC organizations to ensure recognition, investigation, and evaluation of the health relationship of specific matters falling within the functions of those offices and organizations and recommend appropriate action. 2.1.8 Consult with appropriate supervisors, as d

31、irected, regarding employees, who in the judgment of a physician, may be allowed to work with limitations to their physical activity. 2.1.9 Ensure that written consent of parent(s) or legal guardian is on file prior to treatment (other than emergency) of a minor child. Provided by IHSNot for ResaleN

32、o reproduction or networking permitted without license from IHS-,-,-Marshall Procedural Requirements AS01 MSFC Occupational Medicine MPR 1810.1 Revision: I Date: October 3, 2008 Page 7 of 18 CHECK THE MASTER LIST at https:/repository.msfc.nasa.gov/directives/directives.htm VERIFY THAT THIS IS THE CO

33、RRECT VERSION BEFORE USE 2.1.10 Collect data from clinical and environmental health programs. These data shall be reviewed for epidemiological significance, utilized for determining where preventive medicine program changes are needed, and coordinated with the appropriate MSFC office. 2.1.11 Maintai

34、n medical records that shall be accessed only by authorized personnel. Confidentiality shall be maintained in accordance with Office of Personnel Management Regulations and the NASA Privacy Act Regulations (NPD 1382.17). Upon receipt of a request signed and presented by an employee, or upon receipt

35、of a notarized designation by an employee for a third party to receive access to the employees medical record, such access shall be permitted and/or a copy of the record furnished to the employee or third party so designated. Employees requesting, in person, a copy of their own medical records shall

36、 be furnished a copy of those records without signing a release request. 2.1.12 Submit medical reports and data as requested by the Director, Office of Chief Health and Medical Officer, NASA Headquarters. 2.1.13 Perform pre-travel physical examination or a review of the employees medical chart prior

37、 to international travel by an employee. The employees travel orders shall be signed or processed electronically through Travel Manager by medical center personnel indicating medical clearance for intended travel. 2.1.14 Notify employees when mandatory physical exams are due. 2.2 Supervisors at MSFC

38、 shall: 2.2.1 Report any job-related illness or injury in accordance with MPR 8715.1 and MWI 8621.1. 2.2.2 Notify the MSFC Medical Center when it is considered likely that employees may have been exposed to serious infectious diseases, toxic substances, or physical hazards that concern employees at

39、their workplace and provide a list to the MSFC Medical Center of exposed employees. The MSFC Medical Center shall offer these persons individual or group consultation or tests as determined appropriate. 2.2.3 Ensure employees working in job categories requiring monitoring or medical surveillance rec

40、eive their annual mandatory physical exam at the MSFC Medical Center. 2.3 Employees shall: 2.3.1 Report any job-related illness or injury in accordance with MPR 8715.1 and MWI 8621.1. 2.3.2 Notify their supervisor and the MSFC Medical Center when it is considered likely they may have been exposed to

41、 serious infectious diseases, toxic substances, or physical hazards within their workplace. Provided by IHSNot for ResaleNo reproduction or networking permitted without license from IHS-,-,-Marshall Procedural Requirements AS01 MSFC Occupational Medicine MPR 1810.1 Revision: I Date: October 3, 2008

42、Page 8 of 18 CHECK THE MASTER LIST at https:/repository.msfc.nasa.gov/directives/directives.htm VERIFY THAT THIS IS THE CORRECT VERSION BEFORE USE 2.3.3 Obtain a pre-travel physical examination/clearance in a timely manner prior to international travel. 2.3.4 Be responsible for keeping scheduled phy

43、sical exam appointments or rescheduling the exam should a conflict arises. 2.4 MAF shall establish and monitor an Occupational Medicine Program commensurate to the program stated in paragraph 2.1. 2.4.1 MAF civil servants shall report as required by their local regulations. 2.5 Contractor personnel

44、at all locations shall report accidents and illnesses as required by the contracts, company policy, and applicable Government regulations. 2.6 MSFC Office of Human Capital or a Contractors Human Resources Office shall: 2.6.1 Upon hiring a minor, obtain written consent of parent(s) or legal guardian

45、authorizing treatment to their minor child and furnish it to the MSFC Medical Center Director. 2.6.2 If selection of personnel for certain positions is to be contingent upon medical findings, the selectee shall be informed of this policy prior to examination and arrangements made with the MSFC Medic

46、al Center for such required examination. 2.7 Office of Procurement shall: 2.7.1 Ensure existing or new on-site contracts which involves tasks requiring applicable personnel to obtain mandatory physical exams indicate that those exams shall be provided by the MSFC and MAF Medical Center 3. PROCEDURE

47、3.1 General 3.1.1 Onsite Contractors at MSFC in Huntsville shall not be furnished routine medical services except for emergencies, job-related injuries and illnesses, medical monitoring examinations required by regulatory agencies, blood pressure screenings, influenza vaccinations, hepatitis vaccina

48、tion required by job activities, and allergy injections. 3.1.2 Policies, procedures, and standards required for medical support of approved flight missions and mission-related research and technology programs shall be covered by directives issued by the cognizant program office. Provided by IHSNot f

49、or ResaleNo reproduction or networking permitted without license from IHS-,-,-Marshall Procedural Requirements AS01 MSFC Occupational Medicine MPR 1810.1 Revision: I Date: October 3, 2008 Page 9 of 18 CHECK THE MASTER LIST at https:/repository.msfc.nasa.gov/directives/directives.htm VERIFY THAT THIS IS THE CORRECT VERSION BEFORE USE 3.1.3 MS