quy duonyg windy ‘ND. quer 41 ML DA “SUL NVOS Nad AM OH Sunaz, yur upandy “Su, Wog uBA UQANBN “SL, eSy Any] uDANBN SL'S9d d31q word uAn3N SESOd ovg Ang ugin3y S1."SDd uéos ugiq weg Buona, wey 03N HHL, WELL SL'SOd NVos a NV 1H 903N uvod “SL’SDd Nga MHD Hae ew SsMUC LUC BAI 1: DAI CUONG VE AN TOAN VE SINH LAO DONG... = BAI 2: DIBU KIEN LAO DONG, QUAN TRAC CAC YEU TO CO HAI TRONG MOI TRUONG LAO DONG, BIEN PHAP PHONG NGUA........ 20 BAI3: CHAM SOC SUC KHOE CHO NGUOI LAO DONG... 33 BAI 4: QUAN LY BENH NGHE NGHIEP..... eee 45 BAI 5: TAL NAN LAO BONG VA.CAC BIEN PHAP PHONG CHONG. BAI 6: THONG TIN, TUYEN TRUYEN, GIAO DUC VA HUAN LUYE! TOAN VE SINH LAO BONG BAI 7: HUONG DAN LAP KE HOACH THUC HIEN CONG TAC Y DONG TAI CO SG. 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Fudp ov] Fudny oj %g Buvoyy “Sun ip Kes Uuyet oF) QOOE, YA 09 nny Mg ‘SQW WPL “uRUN YS 4 INL IA EM 1A BL 964, UIs upyu 9¥1 00g SupoHy ‘Gury ue 9p IeYS SURE eI Teo] Og AUvOU, “Fup ns o6np ney 9pyP{ IBY VOY 180] O00'OT BUOY o9 rep Udy Fugp ov] ZugNN fou Buoy, ‘BUOp ov] ubu ey Avs 99 knit 9} ng& op9 YA nuoKoTOg eA Budp op] A] quIs we) Yury UE TuEMY SUED O} nk BA yuIs 1A POY “Ig “AT TBA OF ND wos ong ddrysU YSU Tey 9p) 01 NYK OB) daiysu aye tey avy 98 Sudp ov] wonu oyo Buoa n} Aes sy wey Suop ov Jondu Qo4y ons oYD 15-99 SuOoyY Suony Yur ogoy Zuony uyqo Avs “udp ov] Suga PPL 949 WEY UIE] 9514 LB] Jou o BUD ov] up ueMb uaH] 99 9} NZX o¥9 vO IL v9 oq 94 Buy A UdIY Jey “UBOP ULYD dnp BUMP, GIN BA NNE 979 wOL UEYA {A 10g, §, du 2 HIP te Out Ly (INL) Budp ov] ubu ws va (Ne) dBIuTU 9yBU yUdg 19U ou 9 IO TuON LOHFU oD QA wwYp Uo} JAS JOA Buomp Zuom “9 Tugy>, ; Bunyu el Aq -BuOp On| Op UIA. yULA TE) UE) iq %O1 BA YUN UE YUdq TEIN Ov = OF 9 Buon ‘dary oysu yudq ovr Sugp ov] 1onu doy Sugnn, ng OIL Tuvoyy oo wreu fou yuN oof) “BuOp ov] UBL Ie) op Buona f iq rondu nou; OI QUE YoNSU-HOO‘00e HOY 9D tuEU SUEY “(OLTAL) 1918 9MN 91 A aN 91 OOM, 4018 Qu) WAAL NOG OV'LHNIS A NYOLNV BNI HNEL ‘T ONAGION “Suop ov] 98 09 16] 34 A ap} Bugs wy] tonBu pno a nYSu pa ugknb a6np dog yuuy “p | :Bugp opp gs 09 14 21 & ubyd Oq vn9 Budp on] rendu aoyy ans 298 uipya pa Budp ov] yurs $a Kj upNb Sunp 16u pa Bupu anys adnp Avg yurey, °§ GISALY 24 wbyd inb ung ups va oma 01 3uoys 34 a6np uN °Z “upon ly 24 ug 09 wudtu ipHyy 200 BA Rubin ay) BONP UDR’ -T Sup ov} yui 28 UDIA 904] 1eq Buox 964 1 neg 28) 904 nay aay NOG OVTHNIS JA NYOL NV JA NOD IVE TIVEKhodng chat, Luyén kim, Co khi....& nguyén nhan chinh kim gia ting s6 ngudi lao dong mic vi ti vong do_tai nan trong qui trinh Lim vige. Dae bigt 6 edie nude ngheo, chim phat trién, ké ca nhiing nuée dang phat trién tai cdc khu vac Chau A, Chau Phi, Chau Mj-La tinh, s6 ngudi lao d6ng bj tai nan hing nim ghi nan duge cao gp 3-4 lan so véi cdc nude phat trig. 1.2. ‘Tai Vigt Nam 6 Vigt Nam hang nim 6 trén 500.000 doanh nghigp, co sé lao dOng ding ky kinh doanh, lao dng. Lye lugng lao déng 6 nude ta khoang hon 40 trigu ngui Theo bao céo thang ké ciia B> Lao dng-Thuong binh va XA hdi, hing nam ed khoang 500 truémg hop tr vong do tai nan lao déng va 1000 trudmg hop mic méi nghigp. Téng sé ngudi lao dong duoc gidm dinh mic BNN va duge Bio higm xa hdi chi tra, cng din cho dén nim 2015 Ki hon 28.000 tru’mg hop. Cdn mot phan rit 1én ngudi lao dong nong nghiép, ngu nghiép, cdc, doanh nghiép tu nhan, fic xa, trang trai...hau nhu khong duge 16 chic kham phat hign ’€ TNLD vi. BNN hoac khéng duge huéng cac ché d6 bdi duéng cic ché d@ dam bio ATVSLD khic. Bao cao cia nginh y té nam 2015, cac co so di diéu kién do, kiém tra méi trudng lao ddng da tién hanh do, kiém tra méi trudng lao dong cho cic co sé lao dng dat 823,250 miu, ting 0,5 lan so véi cing ky nim 2014. S6 mu do, kiém tra méi trudng lao dong nam 2015 vugt gidi han cho phép 1a 10;25% tap trung vio cae yéu 16 én (17,46%), anh sing (15,84%), phong xa, dign tir trdng (19.9%), vi kl ingu (9.1%). : Trong nim 2015, cdc co sé y 16 da kham site khde dinh ky cho 1,993,523 ngudi lao dong, ting 82,2% so véi cling ky nam 2014. Vé bénh nghé nghigp, cho dén nay da cé 34 loai BNN nam trong danh muc BNN duge bio hiém-va dén bi, Hang nim, cdc co s6 y 16 tién hinh khdm phat hign BNN cho ngudi lao d6ng tai cac co sé c6 nguy co cao nhwkhai théc khodng san, sin xuit vat ligu x4y dung, co khi, luyén kim, sin xudt héa chit va & nhiing co so xtie voi cdc yéu t6 vi sinh vat, tiéng dn, chat phong xa v.v. 86 ligu béo céo’cée trugng hgp duge khim BNN nim 2015; cae dia phuong va cde BO, nganh da tién hanh khdm 25 loai BNN véi 167.532 trudng hop duge kham, tang 56,4% so voi cling ky nim 2014, Da phat hign duge 8.966 truing hop nghi mic BNN (ting 31,9%) tap trung vao bénh bui phdi silic (1.369 trudng hop), bénh dige nghé nghigp (6.567 truvmg hop), bénh sam da nghé nghiép (280 trudng hap), bénkt nhiém de TNT nghé nghiép (185 trudng hop), bénh nhiém de cl t cia chi (181 trudng hop), viém phé quan nghé nghigp (127 h 2015 tong s6 ngudi lao dong mac bénh nghé nghigp duge dén bi va cép s6 14 636 trudmg hop (tang 45,6% so 2014) Vé tai nan lao dong, theo bio céo cua céc co $6 y té cia 51 tinh, thanh phd trong toan quéc ude tinh nam 2015 c6 199.916 trudng hgp bj tai nan lao déng, trong 6 c6 537 trudng hyp tit vong. Theo BO Lao dng - Thuong binh va X@ hgi, nim 2015 da xy ra 7620 vu INLD, trong d6 c6 629 vy lam chét ngudi c6 666 ngudi bi tir vong do TNLD va i bj thuong ning. Neth xay dung chiém 32% tng s6 vu TNLD, 37,9% 1. Nganh co khi chiém 8,8% tng s6 vy TNLD, 8,1% s6 ngudsi chét. Nguyen nhan tai nan: ngi tir trén cao 28,1%; dign git 18,9%; vat roi, 46 sip 16,8%. Céc vu tai nan lam thigt hai 153,97 ti déng tién chi phi tién thudc, mai tang, tién béi 4“db nyu guysu yudq Sugyo Tugyd ‘Soy ons 1A lop rey ov Ng UTES dey HA rp Lou 18) BuOp ovy Suan row Fuos g7 NYA ovo BugN] Op ndI yp ‘yon ueyd ‘dey ny Supp weoy e| Supp ov] Sugnsy row ap4y ung “4 wdiq 9s 03 y Sudp ov] 1onBu 1A rp Bubp oy) darysu udu eno rey 99 Sugp.ovj udsL{ NgLp op yUus IYyd Yudq BI dsyBU aysu yusq ~6 ‘Bugp ov] Ha WIE ‘oG1a ug UsLY OMY 951A LOA ugH] Uys “BUdP ov] yuuy enb Buon er Avs “Fudp oF] 1NTu oy uoA mM ALB ako gx) 09 END ou Suu ongyo “weyd Oq 44 1q oy Suonmp ugy kes UU Tea eI Hupp on) uoW mL °g “Buoy vip “yuvop quny yns gi soy Suonyd vip ‘on Suyu wppp nA va Fuds udip uN ws APX “up| Supp ovf yuIs. TEN AY 99 sis wl Suds woIySu Sudp ony yuu ugnn iow pa vs te) TenZu wos o4o rey 191 KET oD KnBu 99 soy wy ISIyI AEB A BuOp oF] uty pnb duo ex Xex ‘dayd oyp yényp £ ugor ue uey Lord pub rOna yeyo ‘M1 IBA “iq 1otun ‘put eno Suoy ny ey Susp ony yurs da ‘upor un jue ADB pyr Sy 09 219 “9 Sup ov quen en Buon WAU uos Joy ONS uNEIT ANS IE] Ves YUdq AEB OY NYA RI IY 99.07 NEE —°S ugp on] y BuoA m Kos o80y BuonyY uo we “UyOI Ue WUE Ky pnb Sion 1enBu wos oy> 24 ef migny. nde “Fugp ov] YUEN yb Zuo wNsu vod oyo aoyy ons uNpIA An WHEL IE 99 01 n9K wad Budp o¥ Sugys Suoud deyd ws yp Fugp ovp yus 34 -¢ yudg Avs rey, ‘Budp oy] yu pnb Suox w9nsu uo tpA top Storm. 48) Buon vi Apex Buoyy wep ov wey 1 ABU} NK 9D END BUOP 9H) BuoYD ‘Fugyd deyd twa y udp ony upo; uy “z “yuvop Yury unx ues Bubp roy ony 91 999 A Yup eIB OY ‘eX oy doy ‘dgryU YUEOP EL Yunop Yury DHX UBS V8.) “T swig $10Z-GISALY 107] Buon yoy 13 OONP GISALY UgP uenb UpT] WIE WHY o> “BuOp ov] YuIS 4 ‘uRO) Ue -gA dpNU ‘equ f] wend eA Bugp ory yuts SA “ue ue 9¥1 Bug UDP ueNb UoH UYU YO “ONYD OF ovo eno uey ugAnb BA WSIYU YPN “ ju yudg “Supp ov] ueu 1 1D OP QUO “YoRS YuIYD ‘Bubp ov} y ep o7q 991A quip Anb eu yor] 10¢ . OFA BUYS NYO 10 E NOG OV'THNIS JA NYOL NV FA WIN TVHM © ‘KedU GL9'66 EL BUOP Ov] ubU Te} Op 1YBU AYU Qs Bug} ‘Suop n.96TT BL ues Ter QA Toy IGN ‘Buony iq ronu Funyu eA yoyo wondu yup ws oyo Tugntp POY BUD SONU IOY 9nd “CTOZ WRU 90 TuyY) Cz ALIN,QUYEN VA NGHIA VU VE AN TOAN VE SINH LAO BONG Quyén va nghia vu iia nguéi lao dong, ngudi chi lao dng vé ATVSLD duge qui dinh tai cic Diéu 6, Digu 7 ciia Ludt An toan, vé sinh lao dng 2015 nhur sau: 3.1.1. Ngwii lao dong lam vige theo hop dang lao dgng: A. Quyén han: Duge bao dam cic digu kign Lim viée cng bang, an toan, vé sinh lao d6ng; yéu ciu ngudi sir dung lao dng cé trich nhigm bao dam diéu kign lim vige an ton, vé sinh lao dng trong qué trinh lao dng, tai noi kim vig b) Duge cung cp thong tin day du vé cdc yéu t6 nguy hiém, yéu td c6 hai tai noi kim vige vi nhiing bién phap phong, chéng; duge dio tao, hudn luyén vé an toan, vé sinh lao déng; ong bao hiém tai nan lao déng, V6i ngudi bi tai nan lao dong, h nghé aahigpe duge tra phi kham giim dinh throng tat, bénh tat do tai nan lao d6ng, bénh nghé nghiép; duge cht dong di khim gidm dinh mite uy giam kha ning Jao dGng va duge tra phi khim gidm dinh trong trudng hop két qua khim gidm di 4) Yéu cdu ngudi sit dung lao déng bé tri céng vige phit hop sau khi diéu 4n dinh do bj tai nan lao dong, bénh nghé nghi 4) Tu chdi lam céng viée hoac ri bd noi lim vige ma van duge tra dit tién Iuong va khéng bi coi li vi pham ky ludt lao dng khi thay 16.c6 nguy co xay ra tai nan lao déng de doa nghiém trong tinh mang hode site khée eva minh hung phai bio ngay cho ngudi quan ly truc tiép dé e6 phuong an xir ly; chi tigp tue Lim vige khi ngudsi quan ly truc tiép va ngudi phy tréch céng t4¢ an toan, vé sinh lao dong da khic phuc cic nguy co dé bio dam an toan, vé sinh lao dong; Khoi e) Khiéu nai, t6 cdo hod B. Nghia va a) Chap hanh ni quy, quy trinh va bign php bao dam an toain, v¢ sinh lao Ong tai noi kim vige; tuan thi cdc giao két vé an toan, vé sinh lao déng trong hgp dong lao dong, théa ude lao dng tap thé; én theo quy dinh cia php luét ) Sit dung va bio quin céc phuong tin bio vé ef nhin di drge tang cdp; cc thiét bj bio dam an toan, vé sinh lao d6ng tai a ©) Bao céo kip thai véi ngudi c6 trich nhiém khi phat hign nguy co xay ra si 6 ky thuat gay mat an toan, v@ sinh lao dng, tai nan lao dng hoe ben nghe nighigp; chi dong tham gia cdp cttu, khiie phye st ¢6, tai nan lao déng theo phurong 4n xir ly su c6, img ciru khén cp hoic khi cé lénh cua ngudi sir dung lao déng hodc co quan nha nude e6 thim quyén,L porn 1A wiéyd oOnyy o914 wry] Low re) Budp ov] YuIs SA “uLO} UE WEP ovg 931A SUON onyp 91 ‘tenb 09 2¢9 19a doy toyd Budp nyo wa udry ariep any o1 “Buulp ke (e App nos na nyu 99 Sudp ov] Suip ns wonBy Z'e's ‘Sudp ov] ueu rey ‘go sis ofiyd ony “dys upey{ nyo Bun eB une Sudp oF] ronBu Fudp Angy (p “yeny deyd eno quip Anb oamp udp, Uy 804 oF on “rEU Nar (2 sSugp ov] yurs 9a ‘ueoy ue usty oxy 991A Suo wReyd 1A Bugp ov] 1onsu inj 44 eA 191 queY deyo Bubp ov] yondu Suny voy (q {991A wre] fou 1) Suop ov] yUIs ga “uRO} UE WEP OvG deyd udiq ‘yun Anb “nb su ayo yuey deys yeyd Sudp ov] rondu nyo ng.Q (e “App nos inb 03 Sudp on) Suip ns ionSy “1-7'€ SALLY 24 HA wiysu BA Ugind “7 nyd yur eno yulp Anb oayp uty omy 96np gnu gyau yudg “Sudp ony uu re) WKY ovq EFF UN 9 BA | uvoy Te yuip Anb aoe a lon3u 19s op AYU Bu Sudp og] Sup as yondu eno G7 99 Budp oF] Sump ns Lonsu oy Oia wre 9p 2 2 “Bugp ov qurs da ‘uyo} ue yur Avs 14. yuRY 9e0 1oKn dix-utyo uns deyd udiq 99 ap Suonyd ip upknb qurys t9A ovq Buoy, (0 ‘ugp ov] quun pnb Buon uenb ugh] 99 fondu Bunqu 1A op Bug ov quIs 4 “uEO} ue cuep ovg (4 ‘eny deyd ents yulp kab oayy usry osiyp yuu op 991A Bug9 1A top Sugp ov] yuIs 94 “UNO. UP _gQA WATE Yous niyD (e POTN ‘yonj deyd eno yuip Anb ooyp UgP} LOY Boy Ovo o} TEU NITY (P fuddn8u my any uy oo Fudp ov] weU 1} wgHY vq BuO WOH HH QY 991A 9AI9H HYD Yup Anb ny YUTYD “Oy OM BUM Buon Sonu BYU Yous UPSU BUyU EYP “TOY EX= 9} UY UN Yd UdLy NgIp OA NO UE quip Anb nyd yury op ugdnau sh ony Yury oom Sudp ov] ubU Te) WQIY Ov SuONY vA wis UIE (9 SBugp ov] yurs da ‘uyoy ue ga 188 wQIysU nny ng 99 9914 Bugo 9¥9 wie] IY SuOp ov] YUIS 9a “ULO} Ue USN] UYNY dnp “Fuop og] yuIs 94 “uRO) Ue o1 BuO: fog] yurs 3a “ueoy ue TugnA iow Buon, 9914 wHLT ap UDP NgIp of YUIP wT YA TOY EX ‘ont YN 96Np udp op] YUIS 4a “UROY UR UDHY NIP Suoy 91a wel 96g (e Tan TgIG Sudp ony Sugp doy ooys Sugyy 2914 wy} Sugp ov] SN “TLEnhigm cia minh cho ngudi lao dong va nhing ngudi cé Lign quan; déng bao hiém tai nan lao d6ng, bénh nghé nghigp cho ngudi lao dong; b) T6 chite hudn Iuyén, hudng din céc quy dinh, ndi quy, quy trinh, bign php bio dim an toan, vé sinh lao dng; trang bi day dit phurong tign, cng cu lao dong ng; thye hign vige cham sée site khée, kham phat c hign day dui ché 46 d6i véi ngudi bi tai nan lao dOng, lao dong; n bénh nghé nghiép; bénh nghé nghiép cho ngw c) Khéng duge bude ngudi lao dong tiép tuc lam céng viée hoae tré lai noi lam vige khi c6 nguy co xay ra tai nan lao déng de doa nghiém trong tinh mang hoi site khoe cia ngudi lao déng; im sat, kiém tra viée thyc hién ndi quy, quy trinh, bién php noi kim viée theo quy dinh ciia phap Iu: 4) Cir ngudi bao dim an toan, vé sinh lao dng tai 4) B6 tri b6 phan hogec ngudi kim céng tic an toan, vé sinh lao dong; phéi hop v6i Ban chip hanh cng doan co sé thanh lap mang ludi an todn, vé sinh vién; phan dinh trach nhigm va giao quyén han vé c6ng tac an toan, vé sinh lao d6ng; ’) Thyte hign vige khai bao, diéu tra, thong ké, bio a nghé nghigp, s¥-¢6 ky thugt gay mat an to’n, vé sinh lao dng nghiém trong; thong ké, béo cdo tinh hinh thyc hién e6ng tac an toan, vé sinh Iao dong; chap hanh quy¢t dinh cia thanh tra chuyén nganb vé an toin, vé sinh lao d6ng: g) Lay ¥ kién Ban chap hanh cng doan.co sé khi xdy dung ké hoach; ndi quy, quy trinh, bign phap bio dam an toan, vé sinh lao déng. IV. HE THONG TO CHUC.VAN BAN QUI PHAM PHAP LUAT VE ATVSLD 4.1, Hé théng t6 chite va trach nhigm quan ly nha nuée vé ATVSLD 4.1.1. He thong 16 chite ATVSLD trung wong HE THONG TO CHUC AN TOAN VE SINH LAO DONG BO LAO DONG TONG LIEN DOAN THUONG BINH BOYTE LAO DONG VA XA HOL (MOH), VIET NAM (MOLISA) (vGCL) Cue Quan Iy moi trudng y té“Bugp ov] yurs 94 98 ren] doyd onp ov ‘ugIq oyd “ugknN UKM “Bugp oF] YUIS ga ga UdKM] uEMY Sunp su Sup Avex 1Oy BX vA Yul Suonyy, - Sup ov Og 19a doy 194d “S Sugp ov] 20up4 ans os ou 6} uenb “diisu gus yudg “Bugp op] ubu ye Iq Jupp oB| NFU IDA 10p Suyu anys Suop ov] Tuyu ey werd Ans our yup werd dgysu guau yusq UOP Ov] IQNBu doyy ons wIPYY O91A UEP BUONH “> Hye YSU yUdq Buoys Bugyd “Fugp or] yuss $a $1 urnb oy Bugs upsnb wey oom wep Bunty “¢ SBugp 07] Suan tow Buon upp Ov] YUIS 94 OF NOX oB9 ga vB donb yen 4 uENYD Anb “ueNYO ngN BusIp AVX °Z -Buop ov] Zugny row oz uenb anya oy *fE ueNb ‘991A urep tom Wy rey 99 Or NYA eo {| UENb BOS WHHL “PIF quEP sBugp oF] Suan ow sen denb 9a why dyyd weqd Anb w upknb wep oom yuey tieg 904 yuey Weg LOX wey) gO spnU EAU END O9 yu “BU eX] (G8 N2I@) 21.4 94 PN CISALY 24 99MU DyU § uonb diy YOK, “ET “Bugp ov qus da ‘ugoy uv ga-9y 90nb opt doHT“g wd 11 N5IY Np 99 Buop on a Aynx Sugp ob yuls 9a “uyoy uv 9A EN tad “urdyd 14] nx ‘en, wg ‘en ie e ‘Sugp or] wnsu eno oq 9a Supp yulys Yor 10] ‘ugdnb 3a ovg. yuu “9 -dpiyaiu gysu yudg ‘Budp ovy ubu wi “GTSALY wut Avs Ven LF 9928 eNSU Sugyd ‘GISALV 9A Fen] deyd otip o13 “ug! oyd “udn Uany Udy oxy ONY QI EN NYD “s dxq8u gysur yugg ‘Bugp ov] ueu re) 9p Iq) ue doy Bugnn Suon-4 nx deyd udiq quip gsnb nyd yu “yup Anb ooyp Sugp ov yuts 94 ‘ugO} Ue ga 9¥ Sugyp ‘Sugp ov] yUIs 44 “uO Ue 9A tH BHO des Bund “dix BuO} “Op COLL “p quip Anb oar Sugp ov] yus 94 “upo) Uv QA vi oN NYY 4 upngo Anb ‘upnys ney ovo ugknb we oom UDTY { wIF WEY ofoY Sup kX “g “Budp ov] uyoy ue ga y8dU wigiyaur nys ng 90 m1 A ‘Iq roIKA “AU Heo] ovO YuIp wIpry Budp Oy LA GISALV ‘n] ugny Sup Toy 9A LP d9nu EYL fy wend o¢ BuOD I NYD | ISALV 9A 183U wgiyfu nyo ng 99 Wyo ‘ny WA “Tq II ‘AeuE HoT oy of ECL YUEY WEEE “Z ISALY 94 818 oonb 0s OY ABI “CFISA.LY 94 wid dONb YUL Buonyo “yotoy 9¥ “Yous yUNyD ‘TeN| deud Udy omy nb urgyy oot quEY weg obo yy eq UAKn urpYY 99 SONU EYEE EN 99 YUEN Bun eX HH NUD “T (ATSALY 190 T-F8 N2IG) 19Y BX VA yuiq Suonyy - Sudp ov 6g PN? GTSALV 24 9pnU DYU M] upNb wsIYyU YORAL TT_ 6. Xay dung, ban hinh va dinh ky ra sodt stra déi, bé sung Danh myc bénh nghé nghiép; t6 chite giém dinh bénh nghé nghiép; xy dung va ban hinh tiéu chuén site khoe cho timg logi nghé, cdng vid 7. Theo di, ting hop, cung cp théng tin vé c6ng tic vé sinh lao dng; thing ké, xay dung co sé dir ligu vé bénh nghé nghigp; quan ly ste khée ngudi lao dong. tai noi Lim vie, 8. Phéi hop véi BG Lao dng - Thuong binh va Xa hdi xdy dymg tiéu chi dainh gid cho Danh mye nghé, cdng vige ning nhc, de hai, nguy hiém va die bigt ning nhge, dc hai, nguy hiém. 9. Phéi hgp vi BO Lao d6ng - Thuong binh va X4 hGi thanh tra, kiém tra chip hanh php luat vé vé sinh lao dng theo quy dinh cia phap | 10, Hing nam, gii BG Lao dng - Thuong binh va Xa hgi bao cdo vé tinh hinh thyc hign chinh sich, phap luat vé an toan, vé sinh lao déng trong linh vue quin ly, 4.1.4. Hé thong t6 chite Y té lao dong céc tuyén BOY TE Cuc Quan ly mdi trudng y t6 P= Vign Sire khoe nghé nghigp va Moi trang. Vign Pasteur Nha Trang Fi Vign VSYTCC TP. HCM. Y TE BOINGANH Vien Vi ch t@ Tay Nguyén, SSTRUNG TAMY TE ‘STRUNG TAM BAO VE 5 QURONOTINGTE. {| SUCRIOELAD DONG ITTRING TAM Sip TIT foci nb) OLTRUONG tg co Dying ee ue) TRUNG TAM Y TE. QUAN/HUYEN/THI BO PHANY TE TAICOSO SAN XUAT KINI DOANH Y TE XA PHUONG 4.2.76 chite, Didu kign, nhigm vu, quyén cia ngudi Lam eéng tic y té, bo phan y té tai cde co sé sin xudt, kinh doanh (Diéu 37- Nghi dinh sd 39/2016/NB-CP va Diéu 73-Luat ATVSLD) 4.2.1. 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Os _D (e ep OvA,8.99 18) 91 K MENA 6q ony of yd Sugp ov] Buip as igniu Susip dex ngy rae ney eAYD ens BA Suop ‘Hoy wry yn ues “Bugray rut aus 2 9a ‘ndiy ud Quo Wey ‘onseid va ns ovo :ny wayyd uys yynx ues “TpqD voY YN us ‘99D MEK YYNX UES “AE “ep “Cw 9p we tuys px ups “Suponpy ripy “ues top mM wagyA as 9¥9 vA UES Aan TEN O¥4 “Y gud yuedu ‘ovis yun 9¥9 Buon yuOP YUTY AMX UPS HS 09 FTUNy IA tod”4.2.3 Nhiém vu ngwoi lam cong tic y té, b6 phan y té Negusdi lam céng tac y té, b6 phan y té cé nhiém vu tham mun, gitip ngudi sir dung lao déng va tryc tiép thyc hign vige quan ly strc khée ctia ngudi lao dng, véi ngi dung chi yéu sau day: a) XAy dmg phwong An, phurong tign so crtu, eAp etm, thude thiét yéu va tinh hudng cap ciru tai nan lao dng, t6 chite tp hudn céng tic so city, cap ciru cho ngudi lao ddng tai co s6; b) Xay dung ké hoach va td chite kham site khée, kham phat hign bénh nghé nghigp, gidm dinh y khoa xc dinh mite suy gidm kha nang lao dong khi bj tai nan lao d6ng, bénh nghé nghigp, diéu dudng va phuc hdi chite nang lao déng, tu vin cdc bign phap phong, chdng bénh nghé nghiép; dé xuat, bé tri vi tri céng viée phi hop vai site khoe nguisi lao déng; c) T6 chitc khém bénh, chita bénh théng thing tai co sé va so ciru, edp cxru ngutdi bi nan khi xy ra tai nan lao dong, sur c6 ky thudt gay mat an toan, vé sinh lao dGng theo quy dinh; nh 4) Tuyen truyén, pho bién théng tin vé v6 sinh lao dong, phong, ehéng bg nghé nghigp, nding eao strc khée tai noi Kim vige; kiém tra vige chap hanh dieu I vé sinh, t6 chite phong, chéng dich bénh, bio dam an toan, vé sinh thye phim cho ngudi lao déng tai co so; t6 ehire thyte hign bdi dudng hign vat theo quy dinh; 4) Lap ya quan Jy théng tin vé edng tie vé sinh, lao dOng tai noi lim vige; t6 chite quaii tric m6i truving lao dng dé danh gid cdc yéu t6 6 hai; quan ly h6 so sire khde ngudi lao déng, hd so site khoe cia ngudi bi bénh nghé nghigp (néu ¢6); ¢) Phdi hop véib6 phan an toan, vé sinh lao déng thc hign cc nhiém vu cd Jién quan quy dinh tai khoan 2 Diéu 72 cia Ludt ATVSLD 4.2.4, Nguoi lam cong tac y té, bp phén y té cé quyén sau day: a) Yéu cau ngudi phy trach bé phan sin xudt ra 1énh dinh chi cdng.vige hoi 6 thé quyét dinh vige tam dinh chi céng vige trong trang hop khan cap khi phat hign ede dit higu vi pham hose ic nguy eo gay sinh hisimg sire khoe, bénh tat, 6 dau cho ngudi lao dong, dng thi phai bio c4o ngudi sir dung luo dong v trang nay; quan ly trang thiét bi y 16, thudc phuc vu so’eitu, cp citu tai noi lim vige; hurdng dan so etru, cap exru cho ngudi lao dng tai caso; v6i co quan y té dia fice hole y 16 bs, ‘inh & 8 nang cao hgp cOng tac. 4.3. Ndi dung quan If V¢ sinh lao dgng va Sire khde ngudi lao dong Théng tw sé 19/2016/TT-BYT cia BO trrdng BO Y 16 ky ngay 30/6/2016 hhucng dan quan ly vé sinh lao dng va site khée ngudi lao déng nhw sau: a) Lap va cp nhat hé so vé sinh lao déng cita co sé lao dong; b) Quan tric méi trudng lao dong; 12€l HLOZ/IO/SO | 5Knp ayq nyd YuIYD FuOM NYE EN ZLI-Gd/SO 98 quip 19nd | 9 -9107 wbop 113 Budp ov qupS Ga “uROH Ue QA wT donb YUN SuONYD nyd quyyD Suny ayy, end quip 34nd S1OZ/SO/ST | quip wary Bugp roy 9a Susp ov] Yuls 4a ‘weO} ue IBN] end nop gs | yOu 19H IYO Yup And nyd YAFYD eNO dD-GN/910Z/PP 9S quip YSN eal Buop ovy yurs 54 ‘uyoy ue yen] eNO np gs xu ued | Sudp ov] Sugny row sen wenb BA Sudp ov] yurs 9A ‘uvo} ue UBAny UPNY ‘SUdp oF] UO) Ue TENYD 4, 19H Tyo yuip And oyd yuIYD end dI-GN/910Z/6E OS quip iyN | 910z/S0/SE | BUdp ov uss 9. dng 1uq dbuysu gutu yudq “Fugp ov] UBU Ye LHpLY ov “upon ue In’] eno NeEp Os dw YuRY MH UEP Suny | ¢ PATON yD Yup Ang Nyd YUIYD eID dD-GN/OTOZ/LE 98 MUD 1YIN quip yay stozee | Bugp ov| yurs ga ‘uyos weary |Z Zio i © Bugp ov see ba | 1 vn u| quet, A i ueq ua nd YL], eq eB daIHON HON HN ONOHO ONOHd ‘DNOE OVI HNIS “A ‘NYOL NV IA BNYH NaH LV0'T dVHd WVHd ANO NY@ NYA AW HNVG @ISALY 24 360] deyd weyd nb ueq ux, “pp “Bugp ov] 95.09 194 1op urU Suey Bubp ov] yUIS ga Uyo} UE Yotoy gy Buon days Tuo} 3udp ov] LoNTu ooyy ans {[ uENb “Sugp ov] yuls ga {| uenb sunp 1Ou Sup Avy (y “ino dgo ‘nno os iq rotp Buen wep o¥q EA (tipo deo ‘nO os EL 1H 108 Kep nos) 991A wry] Jou 1 Supp ov] wea re NNO deo ‘no os Suony on ony QL, B 291A ung] Lou rey LO] onyd “yuEs $4 yuEN Bugd ga nyo nos Sun dep wep og (9 fO91A we] Lou 12 29N, dy © S9QUpY ONS 19A 1op Zudp ov] Suan tour Fun} Tey 99 9} NK eno SugNY YUE FunyU NIM WHIT ga eNsu FuoYd ‘Ipos UIQry (P Ay u p ong “Unk sdorySu gysu qudq 44 quip weyy ea dorqdu gysu yudq udry wyd wpIpY “HY yUip aoxp ons wupYP| “HET 991A I oq MP] INN doy ons wuPyY (9Negay ban TT ‘Trich yéu vin bin haah 2020 Quyét dinh sé 1037/QD-TTg cia Thi tung Chinh phi Thanh lip 7 | gi ding Quée sia vé an toan, vé sinh lao dong Dehetedd Thong te cia BG Y 6 g | Thong te 6 142016/TT-BYT Quy dinh chi i thi hinh mot sé nel ig cia Ludt bao hiém xa hoi thude Tinh vue y g. | Thong tr s6 15/2016/TT-BYT Ban hinh danh myc va ite, din 15162016 chan doan, gidm dinh bénh nghé nghigp dugc bao hiém Thong tu sé 19/2016/TT-BYT Hudng din quin ly vé sinh lao 10 | dong va site khoe ngudi lao dong Sees 1 | Thong wr $6 28/2016/TT-BYT Hudng din quin ly bénb’nghe | 56/6916 nghigp Thong te 86 21/2016TT-BYT uy inh Quy chun kg chat use 12 | gia ‘ @ é 30/6/2016 13, 30/6/2016 Théng tur s6 23/2016/TT-BYT Quy dinh Quy chuan ky thuat qué 14 | gia vé bite xa tir ngoai - Mite tigp xiie cho phép bite xa tir ngoai tai | -. 30/6/2016 noi kim vige 15 | Thong tw s6.24/2016/1T-BYT Quy dinh Quy. shud ky thuat qude | s6,6/9916 sia ve tigng On = Mite cho phép tgp xtc tiéng dn tai no Tam Thong tu s6 25/2016/TT-BYT Quy dinh Quy chufin ky thudt quée 16 | gia ve dign tir truimg tin s6 cng nghigp - Mite cho phép tigp xic | 30/6/2016 ign tir trudmg tan s6 cong nghiép tai noi 1am vige 17 | Thong tr s6 26/2016/TT-BYT Quy dinh Quy chuan ky thuat quéc 30/6/2016 gia ve vi khi hu - Gi tr} cho phép vi kh hau tai noi lam vige 1g | Thong tw s6 27/2016/TT-BYT Quy dinh Quy chudn ky thudt qude | sygo16 gia vé rung - Gi ti cho php tai noi lam vige 19 | Thong tu 6 29/2016/TT-BYT Quy dinh Quy chun ky thuat quée} 30/6/2016 ia vé bite xq ion héa - Gidi han liu tiép xiie bite xa ion héa ta 4st “L107 WEN “62 OU weg 12UN/OHAVOTL 99} dy quLN SuonyS oq ou vA una dorysu YuEop 2P> Buon ug 09 ZUgp ov] YUIS 94 “uRO) UY Ha Yi] YuLY osm Up uON]L,, NSH WL “€ ayy, que, Ml :UaIG_ NYE “Bugo Bug 91 A oy we “Budp oe] yuIs da “UROL UW YUEN OMI °Z ue OO3N fy URILUOIG NYS “goOT HIBU ‘OY A URG IENX RUN *JUGp ov] tonu soyyY ons 90s wMRYD BA FUOp ov] Yurs 9a 4[ UENE,, YORS “| FowIpy ure NgH MeL, 5 ugiy Ansa “1ey op ‘ooyUL ZOT/ELIZ | Bubu x1g ofp vA wigty Anzu yey 9p ‘ody Fugu obra Sup UU | pz ovr yup Buns 9a HUY Hes HXELLATE-LUCIOZINE 98 SuoK, udp ov] quis 94 “ueO) ue Qa g#BU wgxETU MGA NK 90 991A | 9107/9191 gugo ofr yup YUuEY Wee HXKLLGTEALL/OIOZIEL 98.) Bu0KL, - ' Sun wioryu Supp oe] yus Qa uRO) uw ye KET yb 44 go eR BUOD | S1OZ/S/ST | ow) ueu tey yur yun 9A PIS quYp “9g BuOD “dyo Fund “doy Buoy ‘nn "an “den nar 291 vp Supny] HXALETE-LL/9 107/80 98.1 BuouL, yusop qury ‘vemx 91OZ/SISL | UBS Os 99 1A Lop Budp oF] YyuTS 5A “UyO} Ue oy HugD UDIY OH ONY | 1Z gi Sunp ru quip And HXALGTE-LL/910Z/L0 98 ™ Buoy, = 104 BX BA quig Suonyy, - Sugp ov] dg wn ny Su . ; 81k o10z/9/0¢ | wey sow ry x en ex ong anx dyn nay UeY ID - X HBX ong gn eis | OZ sgnb yyy £4 uenyo Ang quip And LRE-LL/ITOZ/O€ 9S B00. 991A wry] Jou. ae weg wea nga yout, | ueq ken,CAU HOL TRAC NGHIEM Cau 1. Khai nigm vé An toan lao dng nao dudi day li ding? A. An toin lao dOng li gidi phap phong, chéng tac dng ciia cic yéu té nguy hiém nhim bao dim khong xay ra thuong tt, tir vong déi véi con ngudi trong qui trinh Ino dng. B. An toan lao déng Li giai phap phong, chéng tac déng ciia yéu td c6 hai gay bénh tit, lim suy gidm strc khée cho con ngudi trong qué trinh lao dong. C. Chai dip an tren, Cau 2: Khai nigm vé V¢ sinh lao dng nao duéi day 1a ding? A. Vé sinh lao déng 1a giai phap phong, chéng tac déng ctia yéu 16 c6 hai gay bénh 131, lam suy giim strc khée cho con nguti trong qué trinh lao d6ng. B._Vé sinh lao d0ng 18 gia php phong, chéng téc dong cia eée yéu 16 nguy hiém nhim bao dim khong xay ra thuong tat, tir vong d6i véi con ngudi trong qué trinh lao‘dng. C. Cahai dap an trén, Cau 3: Yéu td A. Yéu td 6 hai 1a yéu t6 gay mat an toan, lim tén thuong hode gay tir vong cho con ngudi trong qua trinh lao dng. 6 hai la gi? B. Yéut6 c6 hai la yéu t6 gay bénh tat, lim suy gidm site khée con ngudi trong qua trinh lao dong. C. Cahai dap An trén, ; Neudi lao déng lim vige theo hop ding duge hudmg cée quyén nio'sau day c stic khoe lao dong? A. Burge thu hign ché' 46 bao hd lao dong, chim séc site Khde, Khim phat hign bénh nghé nghigp; B. Duge nguvi sit dung lao dong déng bao hiém tai nan tao dong, benh nghé nghigp; duge hurdng day du ché 46 ddi véi ngudi bi tai nan lao dng, bénh nghé nghigp; C. Duge ngutdi sit dung lao dong chi tra phi khém giém dinh throng tat, bénh. tt do tai nan lao dong, bénh nghé nghiép; kham gidm dinh mite suy gidm kha ning lao déng va dug iam dinh trong trudng hop két qua khém gidm dinh di di kign dé diéu chinh ting mite huéng trg cp tai nan lao déng, bénh nghé nghigp; Cau 5: Vige 16 chite bé phan y 18 46i véi nig co sé sin xudt, kinh doanh trong efe sin phim tir thly sin kai khong, sin xual sin phim dt, may, da, sidy, sin xudt than céc, san xuat héa chat, sin xudt san phém tir cao su va plastic, tdi ché phé ligu, vé sinh moi trudmg, sin xudt kim loai, déng va sita chifa tau bién, sin xudt vat ligu xay dung, ngudi sit dung lao déng phai bio dim céc yéu cdu ti thiéu nao sau day: 16a As 931A Tyo YUIP WE, ogoy/eA udp ory jonFu oy nep wo wr yudq ‘sou ans Suony yup AeB 90 knBu ovo ogoy wréyd 1A ndIy Nep de> WOT BEd HPL 291a Bugo IY YUP wey O31A yUip 19Xnb gyp 9 dys upyy doy Sugny Suo1L “_ SSugp ov quis 9a ‘yoy ue ga quip Anb wep ovq 3uoyy yey ovo Surip ns o91a 1y9 yurp seoy Suop or] onSu oys nep wo Te) yudq ‘oyy ons Suony yu kvd oo Andu ovo soy weyd 1 ndwy nep ovo udIy Yd HY 991A Sug 1yo YUP yud] ws INX UBS UY Oq Youn Hyd 1eNBu neo NEA “W =Aep nes ou ugAnb Sunyu go 91 A uayd Oq 91 A981 Bugd We] LONIN AED SBuop ov] 1ondu a9yy ans 0s gH $1 wen “124 99 ong 299 yIB YuRP 9p Budp oF] SuQNA roU! den UENb ony 9} {991A ure YoU 18) BOP oR] YUIS dA o~1 HUQ ga uN Buoys] ueN eA dey “a 0s 09 18) 3uOp ov] Lonu oyo weyd ony yuts 9a ‘Ugo UE LHEp ova, “quaq yoip Sugyo “Bugyd onyo gr “quis 94 9 NoIp yuRY deyo 991A ve Wary “G 1A WIR] LOU Tey OU oNIs ovo Suey “darysu aysU yudq Buoys “Buoyd “Bubp ov] YUIS Sa A UN FuOM Ugtg oud “usNN URN], “Cd Syaip ib oatp Bubp on] ys 1 Kv yng A 09 sly “Buop ov] wou rw} wx Kee ty ueu tq tonsu bs PA.98'09 fei Suan Sug YUdq eNYO “yudq wey ONY OL, “O) fu udu qudq Bugp ov were) iq py Sudp ov] Suew eyy weIs Ans onw yuip opx voyy A quip werd “daysu udu yudg udty iwyd uNpYy ‘SONY ONS PY NYO OF BA YoboY gy Bump ALX “eI ‘ugoy ue nyo depo ‘nn S091 ure Lou 18) Sugp 08 ueu rey nino dys ‘nno os fq 19HKp Sure) wep ovg vA Budn] 914] ONY OL °V {aH HA wiyu Tuy 90 Fuop ov] 91 K-41 Bugo wul Oq UPD GAR & uBYd OE “THE “91 K3y1 Bugs twp] (onBu yy 94 wea Suoyy Sudp ov] 1onsiu QO Lonp Sullp ns yUCop yury ‘IENX UES Os. 99 “D £68 9¥q Op yuLN 99 91.4 9¥1 BuOd UB] 1ONdU 19 req 1 99 reyd BuOp ov LeNFu OOE tonp Turip Ns YuLOp yULy VWNX UES OS OD “EL dgo Sunn op yutn 99 91-4 98) Bug9 ump Londiu 19 aeyu 9 yd Sugp ov] tenfu Oo¢ Lop utip ns yuvop Yury YeNX UES OS.0D “Vy -Budp og] rnSu oog wnp Sump ins yueop yury ywnx ups Os 09 16) 9) £98) TuOD wrE| TON oMYD } 9A NYO NDA TAP -qudq eno “qu9q uupypy ga y8n deyd wno yuip dnb doy nyd onyo oy one yury odxp 91K 9S 09 bj yuep wud up] ox Bugp ov] QOO'T AY Butip ns yuLop Yury ‘Nx US O8 0 “C, ‘go Suna Op yuts 9994 P OOS weyd'3 Buop or] 1gnSu OOS | tonp ugp o0¢ uy Suap ns yuvop yuny Synx ues 98 0D "a sdpo Sunn Op yun 99 91 £ 971 Bugo wey toNSu 10) rwyU IY 99 reYd BuOp oF] 19NU ODE LON Sunp ns YuLop Yury “WwNX UES OS OD “Ydung céc chit khéng bao dim quy dinh vé an toan, vé sinh lao dng. Déng thoi phai bao céo ngudsi sir dung lao dng vé tinh trang nay; C. Quan Iy trang thiét bi y té, thude phuc vy so citu, cp ctu tai noi Lim vige; hudng dan so citu, cp etru cho ngudi lao d6ng tai co s6; D. Dirge neuisi sit dung lao déng bé tri thai gian tham gia fe eude hop, héi nghi va giao dich véi co quan y té dia phuong hode y té b, nginh dé ning cao nghigp vu va phdi hop cong tic. Cau 9: Ngudi lam céng tac y té lao déng phai cé trinh 46, gidy chimg nhan hodc chting chi véi céc chuong trinh huan luygn ndo sau day? A, Co trinh 6 chuyén mén vé y té& B. Co gidy chimg nban duge hudn luyén An toan, Vé sinh lao dng; chimg chi chimg nhan duge hudn luyén chuyén mén Y D. Ca ba dap ain trén. ‘du 10: Ngudi lam e6ng tac y té lao dng phai thyc hién vige cap nhat kién thite ve Y té lao dng sau bao nhiéu nam ké tir ngay duge cip Chimg chi? A. 02 niin B. 03 nim Cc, 04nam D. 05 nam lao dong.BAI2 DIEU KIEN LAO DONG, QUAN TRAC CAC YEU TO CO HAL ‘TRONG MOI TRUONG LAO DONG, BIEN PHAP PHONG NGU'A Mye tigu hge tap: ‘Sau khi hoc xong bai nay, hgc vién c6 thé: 1. Trink bay duge khdi niém diéu kién lao dong, moi trudng lao déng va od 16 tic hai déi voi stic khoe nghé nghiép. 2. Trinh bay duge quy trinh thie hién quan trac méi tréng lao déng. 3. Trinh bay duge cde bién phép phong ngita yéu 16 €6 hai. 4. Hiéu biét va dp dung dugc cach lap va quan bi hé so V8 sinh lao d6ng. NOLDUNG. I. DIEU KIEN LAO DONG VA YEU TO. HAI SUC KHOE NGHE 1. Cae khai nigm 1.1. Diéw ign lao dong éu t6 ky thudt, t8 chire tao déng, kinh 16, xd héi, tw nhién, thé hién qua qué trinh cng nghé, c6ng eu lao dOng, di twong lao Ong, moi trudng lao dong, ngudi lao déng va sy téc dong qua Igi gitta ching tao diéu kign can thiét cho hoat déng ciia con ngudi trong qué trinh lao déng, sdn xual. n lao'd6ng 14 tong thé cae Theo khai nigm trén, cdc yéu t6 edu thinh nén didu kign’an toan, vg sinh lao dong bao g61 iy méc, thiét bi, cong cu lao ‘inh trang an toin cia quy trinh cong nghé, - T6 chite lao-d6ng: bé tri sir dung ngudi lao dong theo ca kip lam yige; cudng thoi gian, tu thé, vi trilao dong - Nang lye lao dong: sy linh nghé déi voi cong vide; ky ming phong trinh cic yeu t6 tic hai trong qué trinh lao déng ‘inh trang co so vat chat, nha xuong bao ham sy tuan tha cdc qui dink, tiéu inh an todn lao dng, thiét ké xy dumg, phing chay chita chay.. ~ Cae yéu t6téc hai nghé nghigp trong moi truvng lao dng, hui "Méi trudng bao gém cdc yéu 16 ty nbign va in tg0 quan hg mat thiét v6i nhau, bao quanh con ngudi, cé anh n tai, phat trién eta con ngudi va thign nhién.” yéu 16 vat chi hudng (6i doi song, sin xual, sir Xuit phat tir khai nigm trén, mdi trudng lao dng la khong gian noi con ngudi lao dong bao gém cde yéu t6 moi truvmg ty nhién va céc yéu t6 moi trudng phat sinh trong qué trinh lao déng, co quan h¢ m§t thiét va Anh hudng dén sir phat trién cia ngudi lao déng va qué trinh lao déng, sin xuat. 20Iz “Guns vno gs up) ova 96nup ATy Og otto Suns op dgrysu gyTU yudg sgoy ug) uo} Suns op doysu gysu yudq Avs oy) go Sumy (LAE. LL90Z/LZ NAQO) OY NgIP Buyy ogy VOY NaI oxp GO BUOp ov “SUdp oD] rio Turip vA dow AyuE eno 09 Bugp m quis yd 964 09 ZuOp oep Sunyu yj udnyo Sunx Koy Sumy Buny (2 agip Au8 gu) 99 eA ony HUNK wel nyu vonu os aoWp{ aNS UP EX ey 991 AVB o8oy niyo OU, AVS QM 99 “ONAL tuo wo yen ups Yeoy YuIS BuOp roy seo MI us YEU YOM ur RL UO TULL up BSuany (4 “1ondtruoa eno f] yuIs 1a dow nud “quip weyu uey 1918 0 ov IED reyd eu OF NK 9%) “CLAEAL.L/9IO9Z NADO) Bp ovj ionsu 197 yuenb Zunx ig rrp eA BuAp wa yu gq av eno Op III sqyy Buoyy end BUudp ugAnyo Op.o9) “we Op “Op WS1qU OF NOX a¥o eNO doy Bug) Budp op} sis WQS 991A we] Lou Buens our eno SudM. ff USP] Nop vp MBE TPA TA, npy et IA (0 Gp 1B4 oF nak nD TT tuouodoq wa Sugp ov] Aj yuIS UH oF MEX OB *S WEA YuIS FA 1 NIK 9B “y suo ovq ‘woyu ¢ quem ueyd onp Sudp ov] Sugnn Tou Suon 18y 99°91 NX oyo ‘yuIS IwYd HONTU vA IeyD YUN “WPI 9p OOH udp 08] Sugnay you Huon rey go gy ngs ayo WOU ULNA “Z “daqyBu gua yudq Bugyo “Fugyd “Ooup{ ons 19d top 18y api nT WPT deyd udig 90 9p 9314 wy Lou Hy Zugp ov] Tugnay rout ZuoH OF NK ayo FugN] Op NOI 98 93 yupp “Yon uy “dexp YF HuOp roy w| Bugp ov] Fugny, ow 9BN wENg yun “PT ‘Buop ov] yurn enb> Suon rnsu wos soy] ons HIT Ans NE] “TEI YUdG ALF 1 NK EI HY 99 ¢ Budp on] Sugnay tom upp oF] yun yb Buon 19nd wo9 Oyo Bua m Ky ofoy Suonyp uoy wy] “UROY TE IU AVT OF NgK EL m~NY ABU OF HEA ~ anes nyu rey ngX pa WIy Anzu OF NK ga WHOLE YEH “IBY O9 OF NOK BA LUNLY ANU QF NA BL YUN dips gysu rey ov 3 WONT TOY ZION on 11 99 Fagp dy tonsa * agnx ups ‘Budp ov] yUEH pnb Buoy ‘¢[OZ WU Fudp ov] YUIS ga ‘Ugo UY WN] O94, -dgrydu oyu rey ov) OF N9K EI 103 Buoa my Avs yo wey I 77 “Budp ovj zens Suge Tuxy tow Fuop “dorysu gus yudq ea Fudp op uéu rey yuys our Guu Buoyo ‘ost yp ga ovg a8 doy yor Tuys npry.> BuOp ovy ueU 1} ra KU gp “Buop ov wns Bupu weld “ueyd gud dur. wel guy 99 oF wep Buoy Buys NOIyD “ot Upyu Suys Noro vy 103 o8) upyU Buys que ugnu ogo Sup ns my “WORE A) Sues ngIYD Bf 108 (-~"TuyS Upknx day UI ‘os end “19 osu Supp oe[) udp ov] yuy vnb Suos ugiyu sy Buys yup Sup ng (oe Uupyu Buys yup) ex 08) gnu UoD op Buys uoNBu ‘ow ABUL ‘tio Sutip ‘Uap reo] 979.0) boy (ugrye st Suys yay) 1901 ur Budny SuEU uonsu my ex yd dnp Sups Yury ‘Sups yuy (8 Buon my ‘up un “quis ‘on ‘npr noi) kes Suonyy uo} iq NpUE O® uENb 9 “op dor d80y Zuoq iq OVA NOIYD Bx ‘suoyd tou ‘duon sung Yury EYE BND Zt Hp WET IOF yu UeW oBoY Yu ded 9op Wugiyu Xe8 Subp tonp Fudp ov] 1onFu gy) 09 ugp Tey 9P1 Avs Bx Buoy eM ov ‘bx Suoyd oy ugknsu YI 103 op o1 UaANSU BugYN “ey yBa voy VOL Bupa wIp 99 YA OF UOXNU os IU LO. UBkNSU UEYU Véy SUON UIQ 19p UDIG Lis Op ea qwyd bx Suoyd wy, “bx ong eno 81q dep Bubp yf (POY uor Bx ang) Hx Buoyi) Gay bién ddi gen; k) Dée d6i véi sinh sin; 1) Tich lug sinh hoe; m) O nhiém hitu co kho phan huy; n) Dgc hai dén méi trudng, Héa chat déc c6 thé 6 trong trang thai rin, long, khi, bui....tiy theo diéu kién nhigt d va dp suat, Hod chat dc thudmg duge phan loai thanh ee nhém sau ~ Nhém 1: Chai - Nhém 2: Chat S0,,, - Nh6m 3: Chat gay ngat nhur cae oxit cde bon (CO, CO), mé tan (CHL). - Nhém 4; -Tée dung 1én hé than kinh trung wong nhu HS (mii trimg thdi), xing. iy bong, kich thich da nhu axit dic, kiém. ich thich duéng hé hap nhw clo, amonia - Nhém 5: Chit gay déc cho hé théng co thé nhu“hydrocacbon cae loai (gay +ho nhiéu co quan), benzen, phenol, chi, asen .... doc _ Ha chat dc €6 thé gay anh hudng 161 ngudi lao déng dudi dang nhiém dd cp tinh, nhiém ddc man tinh, Khi tiép xiic voi héa chat doc, ngudi lao déng cé thé bj nhiém adc qua dudng tiGu héa, dung hé hap ho&e qua da. Trong dé, theo dudng ho hap li nguy hiém nhat va chiém 161 95% trudng hop nhiém déc. 2.4. Cc yéu to vi sinh vat: Mot s6 nghé ngudi lao dng. vind, ky’ sinh tring, e6n tring, nam méc nhu cde nghé ché bién thyc phim, ngudi Kim vé sinh d6 thi, ngudi lam lam nghigp, nong nghi¢p, nguisi phuc vu tai cdc bénh vign, khu g nie ning, cdc nghia trang...Vi sinh vat ¢6 hai co thé gay ra_mgt-S6 bénh nghé-nghigp nhw Leptospira, lao, viém gan vi nit, HIV/AIDS,... ld mé gia site, 2.5. Cie yéu té tam sinh Ii lao dong va ecgonomi - Tu thé lao déng go b6, khong tw nhién nhu dimg, ngdi qué lau, di lai nhidu, cdi khom, veo nguti. ‘Tinh don digu cita cng vige, thao tae cng vige lap di lp lai, chu ky ngéin. - Ap Ine cing vige lén, céng vige nham chén, phai tap trung chi ¥ cao gay cing thang vé than kinh tim ly. ~ Gi’ gidc kim viée kéo dai, ca kip khong phit hop. ~ Quan hé trong lao dng. Il. QUY TRINH QUAN TRAC MOI TRUONG LAO DONG. Tién hanh quan trac méi trudng lao déng theo cae bude co ban sau diy: 1. Tiép nhan yéu cau, thu thap théng tin 24st ‘Bugp ov] 9s 09 USIP 8p eno YS WIS eS wIEMP sts O9 UR dep op ‘neu AT yURY WOH YUEN EN Suosy, nyu Ayy Sép op yuRY UDELL “E “bp op ‘nyt App uy Suonyd ‘oxy uyyUC Iq wENGD - - “Koy uyo nyu Buon] gg. - -ngut Ap| ‘op 1m ia “WigID BiG - © mur Avy weld roy, - “yon ueyd ‘new ky] ‘op deyd Suonyg - “npur Ag] ‘Sep op “Pi yugp uvo gr NgK 9% - ps uiptd ‘o6p op weld LOU - squip ovx “dey nyp un dugu Sunyu os ‘99 UH wip Fugp oF] Sugny rou! yIS yuyp neur Ayl “ep op Tunp ru “Yokoy gy, Bugp or Sugnsy ru 9¢4) ueNb Bunp you yaeou 94 dE T“z “udp ov] Sugny jour yes wes Buon new gy snp ua Suphy yuip ep Fuss wenb un Suoy Bunqu ey kV (99 ) yp uy wee Sunyu Buon TuSp obf wnsu aoyy 99 vA Sugnuy tout o#p Op ga NSIT OS 99 ~ SuOp ov] Oy ovg ig rOHp Burp ns at Fudn] 1wyYo “Budny gs ‘seo, Bunyo 9a Buop ovy Oy ovg ig 1g vO Iq Fueay, :Bugp ov] Oy ovq ay1 BUQD - -Sunp dv deyd udiq eno Bugp reoy enb ndry + Sup de oonp ep ovu deyd udiq Suny + “Fugp ov] Sugny rout LugIYU 9 Pos WIpHy “Bubp oF Hupp oF] YUIS $4 UO} UE EMI 4 dey UDIq 98 ~ -ubop Sugo Zum 0 09 Knéu 91 NIK 1A aNx dan Budp ov] JondU 9g yNx us ugnyp Kvp Huon ubop Buo9 Fumo Yuls wy gM 99.09 Anu OF NOK 9H + “udp obf 9s 09 eno Sup ov] Zugny ow. sen uenb yotoy gy BA Bugp ov yurs da Os OH Suan usr gH dun END UPd Fey] 99 O} NYA Oy + gmx ups UE) Ang) + ‘Bugp ov] 9s 09 ga Sunyo un SuoYy + :nvs un Sugyp ovo wap wy) uenb uy “Buop ov] ‘95.09 eno Suop ov] ugny 1our 9zM wen Yovoy gy A TUOP ov} YUIS $4.08 OF - “9s 09 181 don om ays ovyp{ enb dey nyy Subp ov] Sugns row. oa uenb ugiy ostyy any gy 204 dyo Zuno Sugp ov] 9s 09 op gu 99 UN BUOY udp ony Buqnn Yow sen un udiy o¥iyp anyo o1 ga Bugp ov] 98 09 uno IPG BuoMp Ais 99 eUE UY oxy YoHOM, 9X1 udp ov Tug row oe uenb Udy om ap 19H INP “gp Aa yoRoY 9x dB BuO Oe] Bugny row! ven UeNb USIY oxiKp aNYD or “BUdp OF] 98 09 wNO MI Nox 99 HH “iA uop rey uenb ugtt UN Sugyp ovo vA Sud ov YuES 9A Os OF] NS 09 Ua YET iA Up oy Sudp ov] Suony iow sen uenb yotoy gy Twp Avx Sudp ov] gs oo wee FayKiém tra xée dinh vi tri i cde dia diém kiy mau da duge xac dinh trong ké hoach ly miu, iy mau cy thé va tién hanh ly mau. - Lay mau trong théi gian co sé lao dong dang hoat déng binh thudng. = Do dac va My mu: Cac yéu 16 vat ly, bui, hoa hoc... theo cde tiéu chuan phirong phan ky thit cita time di va ghi chit diéu kign + hoat dong cia may méc, thao tac ciia ngudi lao dng. Mét sé yéu t5 khi do dae tai Vi khi hu, anh sing, tié trudng, cd két qua ngay va duge ghi lai nhu: @ hign truéng, mau dirge bao quan va dem vé phan tich tai phong thi nghigm nhw mau bui, hoi khi de, vi sinh...Phan tich theo cée tigu chuan phuong phap ky thugt cua timg chi tiéu da duge céng bé. Cac s6 ligu két qua durge xit ly théng ké. Két qua thu durge so sinh véi quy chuan, tigu chuan cho phép. 5. Dé xudt kién nghi ~ Dé xuit kién nghj cai thign diéu kign lao dOng, bio vg site khoe nuit lao dong. Néw tai vi tri Jao dong c6 yéu t6 nguy co vugt quy chun, tiéu chuan vg sinh lao dong cho phép thi phai néu nguyén nhan va dé ra bien phap khiie phuc. Cée bign phap dura ra phai kha thi, duy tri durgc lau dai va duge chap nhdin 6 noi lam viée. ~ Dé xudt bd sung cdc yéu 16 c6 hai cin danh lay mau néu dur doan hoae phat hign cée yéu 16 6 hai trong méi tring, lao dong chua dugc quan tric, 16 chite thye hign quan tric méi tring lao dong dé nghi co 86 lao déng b6 sung cdc yéu 16 nay vio Hé so vé sinh lao dng dé quan tric trong théi gian toi. rong qui trinh khdo sét, do 6. Bao cao két qua thye hign quan tric méi trudng lao dong Té chite thy n quan trie méi_trudng lao déng lap bio céo két qui thye hign quan trée moi truég lao dong. Mau bio cdo theo mau s6.04, Phy Ive II Ban hanh kem theo Nehi dinh 44/2016/ND-CP ngay 15 thing S nim 2016. Béo céo duge lap thanh 02 ban, 01 ban giri co s6 lao dng va OL ban hru tai hign quan trie m6i truvgng lil. BIEN PHAP PHONG NGUA CAC YEU TO CO HAI TRONG MOI TRUONG LAO DONG 1. Cae bign php ky thugt vé sinh lao dong - Khic phyc digu kign vi : Théng gid (ty nhién hoje nhdn tao) va digu hhoa khéng khi. Lam kin dé chéng lanh, che nang, che mua khi phai thye hign cde cng vige 6 ngoai tréi; trng cay. Co gidi héa, ty dong héa ~ Bign php xt ly bui: Giam phat sinh bui 6 ngay ngudn gay bui; khéng ché ngudn phat sinh 6 nhiém nhu che chin, sir dung cdc thiét bj loc bui, hit bui, phun nude lam gidm Iugng bui trong khéng khi, tréng céc hang rao cay. ~ Chéng tiéng dn: Bam bio khoang céch quy dinh tir nguén dn dén noi ngudi lao dGng kim vige; giam ngay tiéng én tir nguén gay én bing dich lap rip cdc may, 26ira ‘yd yur eNO 91 OZ WU ¢ SUEY CT AYBU AO-GN/ITOZ/6E 9S TUIp IBN oy HAY YuRY WEG “| om] tly OOM Budp ory ys 94.08 OH NEW “AT UeNb eA Buns oq “de Subp oF] OS 09 op Bubp Ov] YUIS 94 0S OH - S$ OH Op ov uuys $a 08 9 SH uwAd °Z nus nyu N13 nny va Suns oq reyu deo “dey odnp Supp ory yus 3a 8 Bugp ov] wNsu ooyy ans da ovg “dd1ysu aysiu yudq Buoys Fugyd ey 99 91 NK ovo Bugyo Sugyd ‘og1a wie] udPy nip uty) Wo ‘Sudp ov] TuQN tour 9B UENb YoRoY, 94 Surip Avx ap os 09 BI ‘ia uop eno Sup ov] yuIs ga {J UENb 951A udry gy A] dey ugg uga yl “47 uenb ga Buns oq ‘dey Subp ov] os 09 op Budp ory yuis 3A Os OTT Budp ov yuys 54.08 gy dey “1 (OG OVT HNIS 1A OS QH ATNYNO YA dV'T'AL Bugp ov] ueu rey no deo ‘nno os onyo OF, - BuOp ov] 1gnBu oyo doysu gysu yusq-udry wyd wrerpy “Sudp ov] wondu oys Ay Yui pr Adeyd ude “py “quip nb oonu ey eno Budn] yey aynyo non Buyp oaxp nyyy déyut o8oy wen x51. 183 1wMx ues o6np uEYU vO 94 o8q uN Suonyd ox. “doy YOM ULGU Yo 44 ONG Iq 191K BUEN Woy apo uANx Tuy Tuip ns pa dys 3un> uyqu vo $4 08g udy Suonyd iq Suey, “¢ 2s pies 291A wie] JOU aus oA “up vf fondu rout oyp 9K ap Sugyy Busy ony yond uno $1 yurs toa dow nud reyd iq spnyp ‘our dypy ~ -Bugp ov] udxy ngxp udup res wary Buys Any rwyd oy) 09 nap Bubp nu youu yD ovq wp {Sugp ov] Zuo 9M} doy “eoy Hey dy URN FuMAp key - “fj doy upp ov Bugs ueyd ony “1 doy 1oSu pysu pA 914 wuR] Qs LOY on jUOP Ov ‘quis $a upo} ue 9A Zudp ov] NSU YA Bugp ov] Bunip ns vondu oys upny upnyy - 2964 wou BUGp OFT NYP OL Z Buys nyu Bugg FuM wos “19s wno “gs eno Sugyp dy Suyq 1on yew Suys yur Burp ns ugs Sudny Suew Suga Bum oop ry Sudp ov] 1onSu oyo 931A wie] tou Ve Buys yuR np oq weg :4] doy Buys ngryD - "ugg rut Suns ny ‘| yous ‘Buru ugdny Sugnp yuen Funp 4 {A top Aeyp Buns ‘Bt AY ypyD {pur nna Ruma AF yd Gq oy 1A URYD ‘OA ThYD MN “OK Ip ofoy spf BugHpy “ox gy ‘9"q “WH ns ov NYU Fun SuoYD ngT a Suxip ns yoo Sugg Suna upknun Sugys ‘Fury ayy o8oy Suna werd wel gtp oC) :BuMU Buoy ~ -A‘A “way yous Sugng opo “Wry YoPD doy ogo wey nyu ugkny ue] UO SugH ures deyd ud1q oy stoy UO A dun ‘Ap yoro deyd udtq ovo Sutip de ‘ugknx Sugny Sugnp ogg “Fubny 7 rmCo sé lao dng phai khai bio day dit, chinh xae cae yéu té c6 hai noi lam viée vio hé so vé sinh 1ao dOng; cp nhgt két qui quan trie moi trang lao dong hing nam vao hé so vé sinh lao déng; bé sung céc yéu 16 c6 hai cin quan 0 v6 sinh lao d@ng trong cdc truong hop sau: + CO thay d6i vé quy trinh cong nghé, quy trinh sin xual hod kh c ig cdp co sé lao r sire khée ngudi * To chite quan tric méi trading lao dong dé xuat bd sung khi thye hign quan tric méi trudng lao dong. © Theo yéu cdu ciia co quan nha nude cé thim quyén. TAL LIEU THAM KHAO. 1. Lugt An toin, vé sinh lao dng, Ludt $6 84/2015/QHI3, Ha N thang 6 nim 2015, Nehi dinh s637/2016/ND-CP ngay 15/5/2016 Quy difth. chi thi hanh mt 86 diéu cua Ludt An toan, vé'sinh lao dong nan lao dong, bénh nghé nghiép bat budge. 3. Nghj dinh s6 39/2016/ND-CP ngay 15/5/2016 Quy dinh chi tiét m6 cia Ludt An toan, vé sinh lao déng. 4. Nghi dinh s6 44/2016/ND-CP ngay 15/5/2016 Quy dinh chi tiét mét sé diéu tia Ludt An todn, vé sinh lao dng vé hoat déng kiém dinh ky thuat an toan Jao dng, hudin Iuyén an todn, vé sinh lao dong va quan. tric moi trudng lao dong 5. ‘Thong tw s6 15/2016/PT-BYT ngay 15 thang 5 nm 2016 Quy dinh-vé bénh nghé nghiép duge hudng bao hiém xa hoi 6. Thing tu s6 19/2016/TT-BY'T ngay 30 thang 6 nam 2016 Huéng din quan ly vé sinh lao dong va strc khoe ngudi lao dong 7, ‘Thong tu s6 28/2016/TT-BYT ngay 30 thang 6 nam 2016 Huéng din quan ly bénh nghé nghigp. 8. Tiéu chuan Vé sinh lao déng theo Quyét dinh s6-3733/2002/QD-BYT ngay 10/10/2002 cia BO trudng BO Y té. 9. Dé Ham, Vé sinh lao dong va Bénh nghé nghiép, NXB Lao dong Xa héi 1999, 10. Tran Thi Ngoc Lan, Dich vu lao déng y té co ban trong chim séc ste khoe ngudi lao dong néng nghiép, 2011 11. QCYN vé cde yeu t6 vat ly theo Théng tur tir 86 21/2016/TT-BYT dén Thong tu s6 30/2016/TT-BYT ngay 30 thing 6 nim 2016 (rir Thong tur s6 28/2016/1T-BYT vé Hung din quan ly bénh nghé nghigp). 28(4 Bunp x ep tonp ogu Sugp ov] Sugnn sow sen uenb wru wy :O TED ugp ov] yuyn ynb Buon 1ondu vos soyy ons werd Ans urey ‘181 Yudq KET on Na FI HEY 99 OV NA “A Sugp ov] rendu goyy ons ugp Nex Bugp ov1 Tudp ov] Fugnn iu Fuon go 91 NX BI ey OD OL NEA "Vv wo SHED roniiu yo 980 Buonyp upyo wel “ugo) ue WUE ALT 09 ANSU 99 OF NIK BL LHQIY AnBU OI NDA “EL -Budp ovj yun pnb Buon 19ndU woo oyo Buoa ny Ae ogoy Suonys ugr wel ‘ugoy ue yur AVF OF NOK HI QTY ANBU QI NO, “y {Sunp vf Aep tonp ovu rey 99 91 9K wg) éSunp Bf Aep tonp ogy wry Andu o1 nox wistU ey “FAG “3uop of] gnu yo 181 Yudq “Buonmp ueyo ugp wep gu 99 UE WH MeqU UZANBU YL BA 1] HERI Buoy Suop ov] usy ngip vn or nk Sunyu yf dorysu gudu rey ov OF NDA “A dguysie gyder rey 9¥1 91 N9K BI 108 SuoA.m Av yO WHE “BUOP OF] ronda ooyy ons Og 19] 99 BugMpy Huony que ofoy Tuonp-uvyo Kes ‘Budp ov] Buu BEY gy UeY ct D910 UNE] LOU O Ley DOP “WIAIY ANU OF NOK 999 LOBE “V IY UES UBT noxp of Funys eNIT 18] enb udp ov) sis va Bugp ov] kondu udp ov] Zugny 19ws “Fugp ov] udm, lop ‘Budp ory to Fu “SyFu Sus yur enb enb udwy guy ‘uoryu sh Wy ex “31 yuPY ‘Budp oe] onyo oF WOM 44 QI NA ovo gu Bug} E Supp or] UDH{ NgIG "Vv Sunp gL Aep tonp opu Bugp ov] usry ngip wor wYyy FT AED Sunp uy dyp ayo woyp wit] *] NVHd WAIHON DY IOH YDA. Quan tric méi trudng lao dong 1a hoat déng thu thap, phan tich, danh gia sb ligu do hudng cc yéu té trong méi trading lao déng tai noi lam vige dé 6 bién phap gi dc hai d6i véi site khoe, phong, chéng bénh nghé nghiép. B. Quan tric mdi trudng lao déng li phuong phap do dae, léy mau, phan tich dé xée din mie €6 6 nhiém moi trudmg Tao dng va dénh gid higu qua cia cde bid Cau 7: Kh niém vi khi hau nao dudi day 1a dang? A.Vi khi hau li digu kign khi twong cia méi trudng trong cdc co sé sin xudt. DO 1a sw tac dng téng hop cdc yéu t6 nhigt 46, 46 Am, tbc 49 chuyén dong c1 kh6ng khi va nbigt d6 bé mat cdc vat bao che cae thiét bi ky thudt ti co thé nguiii lao dong. B. Vi khi hau la diéu kign khi-tugng ctia méi trudng noi 1a 'c, gam sur tic dong ting hop ctia cde yéu t6 nhiét do, d6 am, téc 46 chuyén dong cia khong khi, nhigt 9 cia céc bé mat vat dung va thiét bi xung quanh t6i nguisi lao dong. Cau 8: Khai niém tiéng 6n nao dudi day 1a ding? A. Tiéng 6n la am thanb phat ra tir céie hoat déng sinh hoat,sin xuat cia con ngudi, co thé gly khé chiu hode gay tac hai xdu dén site khde con ngudi nh gid thinh lite va c6:thé gay diée. B, Tiéng-6n sinh-ta do am thanh phat ra tir cde hoat dOng, sinh hoat, sin xuat cua.con ngudi ob thé gay kh6 chiu hode gay tic hai xau-dén site khoe con ngudi nhur gay suy gid thinh Iuc va c6 thé bi diée. C. Ca hai dp An trén Céu 9: Khai nigm rung ndo dudi day 14 ding? A. Rung chuyén la nhiing dao dong co hoc phat sinh tir ede dia chin, dng co va dung cu lao dng, Nhiing dao déng dé la dao d6ng diéu hoa ho&e khong diéu hoa. B. Rung hay rung chuyén Li nhiing dao dong co-hoe phat sinh tir dong co cua may mde va dung cy lao dong, Dao déng co thé diéu hoa hoe khong digu hoa. C. Ca hai dip an trén Céu 10: Khai nigm phéng xa (Bite xa ion héa) nao dusi day 1a ding? A. Phong xa Ii dang dc bigt cia bite xa. Tia phéng xa phat ra do sir bién d6i bén trong hat nhan nguyén tt ela mOt s6 nguyén t6 va 6 kha ning ion hod vat chat. Nhimg nguyén t6 dé goi la nguyén 16 phéng xa. B. Phéng xq la hign tung thay ddi bén trong hat nhan, khéng can c6 tac dong ciia cde yéu 16 bén ngoai, ty phat ra cdc bite xa lién tue va khéic nhau ma kh6ng c6 tic nhan nao lam nhanh hode cham lai hign tugng 46. Cau A. Bui la cdc hat chat rin nhé, theo quy uéc céc hat nay cé duéng kinh nhé hon 50m, King dong duéi trong long riéng cia ching nhung cé thé con lo img trong khéng khi m@t thoi gian, Khai nim bui nao dudi day 1a ding? 30ae: 91 4 deyd ugig “o) f90y voyy Sudp ov onyo or deyd ud “Bugp ov] yurs a yenyp £¥ deyd ugiq 97D “y ‘AEP nes ovu ded udiq Bunip dy reyd upo Budp ov] 1onu soy ons 1A 19p 184 91 OF N9X Buoy BuQYd aq 99nd L'a 2gnq 9“ pong ¢ “ oonq 6 -V udp ov] Sugny row sen uenb yuLN Anb Buon o9nq 9x9 DT AED woyu 9“ wioyu ¢ “9 wou p “€ oyu ¢ “Vv D9 Iw voy WoyEE MEY ST woyu 9 “a uigyu s “ uioytp “EL woyu€ “y Buop ov] Suan tou Buon rey o9 oF n9K ovo toyU Ud FPL AED “ug up dyp wen 85 “a Budp ov] Buoy dy wend “a dou, nyd Buoys diy v9 “Fep 094 991A wey 9B ‘Ap tuey yary ut pup 9A Sueyp Tues Ava ovo § nip Suzy dy reyd “eyo wupyu 991A Sug9 “Up] O31A Bu 0 oii} dy “2 uyu 44 nyo “tb dby 1p dey 81a Bug9 ov} ovyp ‘ota Bug vNd NOIP Wop YUL “el “gnu oda «woyy no “naiyu 12] yp “ney pnb 1o8u Sunp nyu uoryu sy Buoys ‘oq QF Bugp ov guy My "Vy {Suny j wou ugsnyo UHL arp ‘nyo Nx WEP ov YUdG eAYD “Yudg WHEY Os 09 rey ddIYsU QuaU yUDq qeyd wpyy ‘Bugp oF] ronFu oy soyp{ ons weYY onyo oF Budp ov] Butip ns wNnBN “p Bugp ov] Suey yyy weld Aus onut quip weit weyy voyy £ uop 1p] 96np ep doy Sugny ny ‘991A wy 18] Qn oy soupy ons roy onyd vp ddiysu aySu yudq “Fuop ov] wou 1) iq Hy Nes ofoy UoY Wty Anu ‘ey obp ‘ooyu Bugu o51a Suga ‘gyu we] Sues ugdnyo ry opm BA G14 We 1 94.19} 9 BUpp ov] LOMBU oY aompy aN UUPYY oNYD 1 BUOP or] Sup NS ONIN “¢ “dgiysu ous yudq Udy reyd wayyPY odnp rH d5IysU QuTU YUdq KYB 00 AnBU 99 QF Np apo toa onx dan Sudp ov] Tugnsy ;w Fuos 91a wey Nu “ues Hyd vowpy ugnyo WHEY donp reyd gu Bugp ov] ‘Apu gig’ | uRoXpY 11 yuip Arb oaxp soupy ons wuPEp HIE “Z ug] 19uH BupLp 90 wWYL YY 99Upy ons unyyp] 96np 19M] OD Bugp ov] Londu Suge YEP ENyD Fudp ov] }onSu “By aA} oI Anu “ey o6p ‘ooyu Bugu 191g o8p o8oy wigny Ansu P Ov] LONTU 19A Lop !Bugp or] NSU oyD u Sugp or] ronsu “rey 9p ‘oyu Bt yy Our TEU DOU ons LUPY oNYD OF reYA UOP oF] Fup ns Yondu ‘weU Fay] Sudp ov] rendu oys drysu gysu yusq iy ngIp eA 99yy ans wEIY “TZ NIG NOG OS WYHD ONOG LVOH DNA ION DVO ‘I OVTIQ.NON AQHM & NOG OV'TIO.09N OHD AOHM 2.8 908 WYHD Edae bigt nang nhoc, doc hai, nguy hiém va ngudi lao dong cé site hoe kém duge digu dudng phuc hdi site khée. Didu 27. Quin Ij sire khde ngudi lao dong 1, Nguoi str dung lao dng phai cin eit vao tigu chuan site khée quy dinh cho timg Jogi nghé, cng vige va két qui kham site khoe dé sip xép cng vige phi hgp cho ngudi lao dng, 2. Nguidi sit dung lao dng cé trich nhigm lip va quan ly hé so site khée chia ngudi lao déng, hé so strc khée ciia ngudi bi bénh nghé nghiép; thong béo két qua kham site khée, kham phat hién bénh nghé nghiép dé ngudi lao déng biét; hing nam, bio rc khée ngudi lao dng thudc tréch nhigm quan ly cho co quan t6 c6 tham quyén. cdo vé vise quan ly quin ly nha nude vé y Dieu 73. BO phan y té Neuti Lim céng téc y té c6 nhiém vu tham muu, gitip ngudi sir dung lao dong va truc tigp thy hién viée quan ly stre khée nguii lao dong véi nhiing ndi dung rit cu thé, Dé li viée x4y dung phuong an, phuong tién so citu, cp etru, thudc thiét yéu va tinh hudng cép ctru tai nan lao d6ng, t6 chire tap hudn céng tac so cdp citu cho ngudi lao dong tai co so. C6 trich nhigm xay dung ké hogch va 16 chic kham ste khde, khdm phat hign bénh nghé nghiép, gid mire d9 suy gidm kha nang lao dong khi bi tai nan, bénh nghé nghigp, diéu dudng va phye hdi chife nang lao d6ng, tw vin cdc bign phép phong, chéng bénh nghé nghiép; dé xuat, bé tri vi tri céng vige phi hgp véi site khée nguisi lao dong. Can bd y té cdn c6 so cp etru ngudi bi sinh lao déng. Cé trich nhigm tuyén inh lao dong, phong, chéng bénh nghé tai nan, su cé ky thuat gay mat an toan vi tuyén truyén, phd théng tin vé vé s nghigp, nfng cao site khée tai noi Ii 16 chire phing, chéng dich bénh, bio dam an toan, vé sinh thre phim cho ngudi lao Ong tai co sd; 6 chire thye hién bdi dudng hién vat theo quy dinh. Lap va théng tin vé céng tac vé sinh, lao d9ng, td chite quan tric méi truéng lao déng, quan ly hi so site khoe ngudi lao dong, hé so sire khée cita ngudi bi bénh nghé nghiép néuc6, 1.2. Cae vin bin php luat vé khdm, quan ly sie khoé cho ngudi lao dong 1, Thong tur sé 14/2013/TT-BYT ngay 05/6/2013 huéng din khém sitc khoé 2. Quyét dinh 1613/QD-BYT vé Tiéu chudn phan loai sire khoé khi khém strc Khoé tuyén dung va khém site khoé dinh ky. 34Se ngTyu go Sudp oF] 9s 09 doy Sugnn ‘Ayu my Bugs, oop wy YuRY WEG | iy Hyg Te quip Anb ngur ooyp udty ositp 3udp oF] SuAp ns rgnBu eno ngiKD WHF AyD “T 1A WHET 14 Oq TUPY 90K} JOUY INS UIYTP.OS OH “Z rey] 09 91 ngA 99 991A Bugd ovo wrE] OBA TUOp OF] LONSU J2 Qq WPF 99NN UdTH oxy OOM Fey Apu nai | upoyyy 18 quip Anb Bugp ov] LenFu oyp goyy ons WPM 991A °Z “Bugp oF] yurs 3a ‘upon ue ENT 17 NIG ¢ UVOYy! 18 YUP Anb coy Budp ov] oNBU yy 991A WET EH Og MHPY 29M JOM INS IBY BUM 10g “| D914 WHET 1 4 TY DONA) JOY ans UEYY UTES LOY EA Budny 1G “L O1OT myU 9 Suny og AV8U LAT-LL/910Z/8C Mm Sugy ond yuip dnb ayy OdIA WY'T RL O8 TEDT 20.NUL AON D.9S WYEN “IL ANS Wey [GU op fA dop vho nop WIS Avid oom Woy quLN nx ‘go"P] ons pIpy 9s 09 194 don asin. $y UgHT MRE BUM Op Op :27 UOp ZoYrY Ins YY - uop “uenb 09 18) Key ¥SM 98.09 rey wUPHPY any Or 9p o44y TUBE NP 99 20uy} ons uigyy Bup ugkm Buna dot 20yy ons wpyy - ‘Sudp ov wUpIp]-98 09 19A Sf gy] udp ov] ONS Oyo A yu BP} 20Wpf ons wPEPL 9 Ny 99 FA Wop “tend 09 91 Say HUEY ZOD + OU] Ins wUEHP| IY QP NK HULL “ST “SOU Sms tUyEpy Budmy 1op ou coyy Ons WHEY 1d weoy queqy 3ugp oF] Zunp ns 0s 09 vA par HpD don ama TOU ons MPHY BUONT IOP OP 29yy Ons UY Jyd ‘aI Wop 4y yUip-o0 “yuey udty yd ud tp ona ooyp yd dou Bubp oF] Butip ns os 09 yp (Buns dey ayy ans wyy) Budp oe] onda op £1 quip 20uy{ ans UiKYD| Bump UKM TY OOMFoMS MEY A TOG + ue ny yd USLA nD yd on OaKp Fy dou Soyy ons wURYY BUSN, Lop op ooWP| ya Bump un) NY “UKN) AP Os OY WXEL PY OOYPH INS LUT 1A TOG « 204] ONS MED Md “PT 91. O€L tno quip Anb ooyp dow ons wuPypy doyd dyo odnp up .os 0D 20U INS UNIDOS 09 1A Ryo MYA “ET ‘9107/9/0¢ Avsu “udp ov] ronsu OO ONS RA Sup ov] YUIs 9a {J UYNb Up SuoNY LAG-LL/IL0Z/61 M FuQYL “y “OLOT/IOE Avdu ‘dgnydu gysu yugq 4] uenb uyp Buony LAC-LL/ILOT/8T 9S M BUOY], “€site khoé truée khi bé tri lam vige thi ngudi sit dung lao déng lip danh sich va dién cic théng tin vé nghé, céng viée chudn bi bé tri, yu t6 c6 hi ni lam vige gti kém theo Gidy gidi thigu 2. Phiéu khém sire khoé thye hign theo mau quy dinh tai Phy Iue 2 ban hank kéin theo Thong tu nay. 3. Ngi dung kham 1, Kham site khoé truée khi bé tri Lim vige thye hign theo ni dung cia miu Phiéu khdm site khoé quy dinh tai Phy Ie 2 ban hanh kém theo Théng tu nay, 2. Ngoai cde noi dung quy dinh tai Khoan 1 Digu nay, bac s¥ Trudng doin kham chi dinh kham chuyén khoa phit hop vdi vi tri im.vige cia ngudsi lao dong 3. Cin cit vj tri Kim vige ciia ngudi lao dong va chi dink: khdm chuyén khoa cia Trudng doin khim, riguéithyc hién kham chuyén.khoa’cé thé chi dinh thye m, chan don hinh anh, thm da chite ning) hign xét nghigm can lam sing (xétn phi hop véi vi tri lim vige cia ngudi lao dong a6: 4, Truong hop ngudi lao dong da duge Khim site khoé theo huéng din Thong tws6 14/2013/TT-BYT ngay 05 thing 6 nim 2013 cia BO Y té hudng din khdm site khoe (sau day goi tit la Thong tw 14/2013/TT-BY'T) thi sir dung két qua Kham site khoé con gia tri va the hién khdm chuyén khoa theo quy dinh tai Khoan 2 Didu nay. I. KHAM SUC KHOE BINH KY. Kham site khoé dinh ky 1a kham site khoé cho ngudi lao ddng qui dinh theo thai gian: 1 nim m6t lin-hodc 6 thang mét lan déi véi cae nghé nang nhoc, déc hai, nguy 1. Qui dinh phap luat n a) Ngubi Ino dng lam vige ta ede co 96 sir dung lao dong pha duge kham ste cong vige 46 Ching 9) : b) Kham site khée dinh ky hing nam cho ngudi lao dong, ké ca ngudi hoc nghé, thyc tap nghé. Kham stic khoe dinh ky 6 thing 1 Lan cho déi tugng lam nghé, céng vige ning nhge, dc hai, nguy hiém va dic bigt nfing nhgc, dc hai, nguy hiém theo quy dinh cia B6 truéng B6 Lao déng - Thuong binh va Xa hoi; ©) Quy trinh khdm site khde dinh ky va vige ghi chép trong Sé khém site khée dink ky thue hign theo quy dinh cua Théng tu sé 14/2013/TT-BYT ngay 05/6/2013 cita B6 Y té vé hudng din kham site khoes 36Le :nes ngo ngk ovo Sun dep 19m) Sugp Sugp oF] Jou eno dou ons yun Yu 19a doy nd reyd uel o9t4 41 tA dax des ‘un 4 931A °Z “udp ov] 98.09 18) 951A wre] YUEN pnb ons Buon pa Burip upkm aonp udp oF] 1ondu wap 19M MM UDI axtyD 98Np FEU Bubp ov] 1gndu ous doiyTu gysu yudq Buoys Sugyd “ooup{ 9M 995 WEYD “f| WEND 931A “1 OdIA WY'1 ION IV.L HOI HNAd DNOHO ONOHA ‘AL *2QU ONS URNYO NOH Np Tugyy nou) doy nyd opyyy 2914 Bugo upknyo Buop ov] Bunp ns.os o9 nyo ngé “(99 ngu) doryTu gut yugg wayyy “yu9q Ln ngIp 9p voyy, uDsNYD WHY BuyU onyo roy syd “LH naz YUP IY9 99 UQD 9 (BW pH OUN Ho 14S) o54a BaQS “QUA YUL OND IO1A UI “AEE 204 9P 90uR1 aS NP Suguyy Key Np ve udIY SoU ONS ro] dox <(qudq LOH gWp Ho 143) yudq oEU Avy YUEUE ONY CEN] 19% wWoTU “44 GUIP comp ons LayIPY PL wuip 204 ans urpYY Nb 994 UENT IY “Ss NAS wPYY 98 94 SuoN NY LeU nop HYP] Lop BuON USMY oxy dnp Ep tn Nop dyyd udig ogo ‘widysu tox “WiPyY eNb IY “wyU Sup Ay UIP SOUP ONS OS OH “LAT SLI/E10c/P Lm Tuoy,, 8 upp Fupny oom udHY oMt HENS WELEL OS OH NENT AL quip sour ans WEE OS OH *p supp 19 Sup 9 onyo oF wyd Ay yuip aoyy ans Sug op9 urey Budp ov] Lou 19a 1oq. uyypy “tgIy Ande rey 9Op 96qu Fuku 99 (Suvi pz) weM Z pnb Sugyy wayyy UL] Z EMIS Yovo Tuporyy “uy] Ow weU | YE ©} quip oowp] ons WipYPT 96np nop Budp Ov] Lonu Low vo IW) yj Sungo yulp Ine) OL quip o9uy Ns WEY NYO NYX UeY LOWE “€ Buop ov] ronda eno dogs gysu ugp uenb ug yudg ea doigse gusu yudq “Tuan 1q doy ons Suen yup wos upy wyd ooyy ons oy ueYd “PIS YURP URRYL EL AY YUip 204; Ons MIPIPY ENO YORP onpY “Budp ov] LonSu soy ons UP Op OF PX oo eno ZuoNY que ga Sugp ov] Tugn tow! Fuon wy ov1 O NgK ov 1A onx don Op onut ovA o6nyy tiyd “quip inb werd rem oop wy RL Bugp ov] ronBu oyo £y yulp coyy ons wy $51 quip ooupyy ans wey yorp diy °Z “61 M BugY, oom Wig YuRY UEQ ¢ no 9 BA ¢ “h OS NEUE NTE Ooty Bubp OB] LONBU LND doUPy aN 4] UENb o S61 m Suguy, oom wg YURH HEA E QS DAY Kye BND € OS BA Z Os NUE ngtg oat) Anb Suxy Sudp ov} ;onTu vno y61 yudg Yury YUH oy Buoy) va Ay ued (pa) Khong bé tri ngudi bj bénh nghé nghigp vao kim vige tai céc vj tri lao dong c6 tigp xii véi yéu 16 06 hai giy bénh nghé nghigp dé Ki chura kiém sost hose giam thiéu durge vige tigp xtc véi cae yéu t6 c6 hai nay; b) Han ché bé tri nguisi lao dng bi cae bénh man tinh lim vige tai nhiing vi tri lao dgng 6 yéu t6é c6 hai lién quan dén bénk dang mic. Trudng hop phai bd tei ngudi lao déng bi cac bénh man tinh lam vide tai nhiing vi tri lao déng c6 yéu t6 c6 hai lién quan dén bénh dang mic thi ngwdi str dung lao dOng phai gidi thich day dii cc yéu t6 c6 hai déi véi site khée ciia ngudi lao dng dé. V. AN TOAN VE SINH THUC PHAM TAI NOI LAM VIEC DIEU KIEN SUC KHOE CUA NGUOT LAO DONG. Dieu 3. Danh muc cae bénh hoje ching bénh truyén nhiém ma ngwdi lao dong khéng duge phép tiép xtc true tiép trong qua trinh ché bién thy phim bao g6i sin, kinh doanh thye pham in ngay 1. Lao tién trién chura duge diéu tri 2. bénh tiéw hay: ta, ly, thuong han 3. Cle chimg s6n’ dai, sén phan (ri loan co vong bang quang, hau mén), ia chay 4, Viém gan virut (viém gan virut A, E) 5. Viém dung hé hap céip tinh 6. Cac t6n thuong ngoai da nhiém tring 7, Nguoi Kinh mang tring. Ditu 4, Yéu citu ve kham site khoé d6i i ngudi lao dong 1. Ngudi lao ding phai duge kham stic khoé trade khi tuyén dung, khm sic khoé dinb ky va chiu sw quan 1¥- nha nude theo quy dinh eiia BO Lujt Lao dong va cae van ban quy pham php nat khde c6 lin quan. 2. Dinh ky hing nim, ngudi sit dung lao dng phai t6 chite kham, xét nghi¢m phan tim ngudi Linh mang tring cho ngudi lao d6ng tiép xéc trye tiép trong qué trinh én thyre pham it nhat 6 thing mot lan déi v va cic co sé kinh doanh dich vy an udng, sudt an sin; it nhét méi nim mét Kin bi vi cdc co si h doanh thyc pham quy dinh tai Khoan 1, Diéu 1 cde co sé ché bign sit 3. Ngudi sit dung lao déng chi duge phan céng ngudi khong mic cic bénh hote nhiém duge quy dinh tai Diéu 3 cia Quy dinh nay vao Kim i tri tiép xtc true tiép véi dung cu ché bién thyc phim, nguyén ligu, ban thanh pham va thinh pham chua bao goi trong qué trinh sin xuat, kinh doanh thy pham. 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H6 so quan ly tinh hinh sic khée va bénh tat thyre hign theo mau quy dinh tai Phu luc 2 ban hinh kém theo Thong tur nay. AU HOI TRAC NGHIEM Hay khoanh tron vio chit edi trude edu tra loi ding, Cau 1. Ngudi sit dung lao dgng phai t6 chite khém site khoe cho ngudi lao déng it nhat mét lan trong thei gian: A. 6 thing B. 1 nam C. 2 nim D. 3 nam “du 2. Neudi lao dng Kim nghé, eéng vige ning nhoc, doc hai, nguy hiém ho’c dic bigt ning nhge, déc hai, nguy hiém duge khim ste khoe it nhat mt lan trong thei A. 3 thang B, 6 thing C. 9 thing D. 12 thing Cau 3, Ngudi lao déng duge khim phat hi bénh nghé nghiép. A. Nguoi kim vige c6 nguy co gay tai nan lao dng B. Ngudii kim vige trong méi trudng lao ddng cé yéu 16 6 hai c6 nguy co gay bénh nghé nghigp. C. Ci 2 phuong d6i tugng trén Cau 4, Kham site khée cho ngudi lao déng truée khi bé tri kim viée khi: A. Trude khi bé tr Jam ngh8, céng vige ning nhoc, de hai, nguy hiém hon; B. Sau khi bi tai ngn lao déng, bénh nghé nghiép da phyc hoi site khée, tiép tue ‘rd | inh mite suy gidm kha ning lao dong; C. Trude khi chuyén sang lim nghé, céng vige ning nhoe, déc hai, nguy hiém hon; D. Ca 3 phuong an trén. Cau 5. Ngudi lao déng duge khém phat hign bénh nghé nghiép tai: A. Tat cd céc co sé Ikhm chita bénh; B. Tt cd cae phong da khoa; C. Co sé khim bénh, chita bénh bao dim yéu clu, digu kign chuyén mon ky thuat, Cau 6. Ngudi lao déng durge chan don mic bénh nghé nghiép duge digu tri: 40