Medical facilities assessment

Checklist for medical professionals

in the oil and gas industry

Health

THE GLOBAL OIL AND GAS

INDUSTRY ASSOCIATION
FOR ENVIRONMENTAL AND
SOCIAL ISSUES

www.ipieca.org
IOGP Report 588

© IPIECA-IOGP 2017 All rights reserved.

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Medical facilities assessment
Checklist for medical professionals
in the oil and gas industry

The global oil and gas industry association for environmental and social issues
14th Floor, City Tower, 40 Basinghall Street, London EC2V 5DE, United Kingdom
Telephone: +44 (0)20 7633 2388 E-mail: info@ipieca.org Website: www.ipieca.org

International Association of Oil & Gas Producers

Registered office
14th Floor, City Tower, 40 Basinghall Street, London EC2V 5DE, United Kingdom
Telephone: +44 (0)20 3763 9700 E-mail: reception@iogp.org Website: www.iogp.org

Brussels office
Boulevard du Souverain 165, 4th Floor, B-1160 Brussels, Belgium
Telephone: +32 (0)2 566 9150 E-mail: reception@iogp.org

Houston office
10777 Westheimer Road, Suite 1100, Houston, Texas 77042, United States
Telephone: +1 (713) 470 0315 E-mail: reception@iogp.org
Introduction

Oil and gas operations take place in a variety of countries
where the quality of medical infrastructure and
specialities differs. Assuring optimized medical care for oil
and gas employees is important for a healthy workforce.
For this reason, medical professionals need to assess local
health facilities to ensure that they can provide the
necessary healthcare for their workers.
Health facilities that may be available for an operational
oil and gas location should be assessed well before the
start-up of the operation and every 3–4 years thereafter.
They should be assessed by a company-approved health
professional who has experience and a technical
background in this type of assessment.
Since the assessment of a medical facility remains a
subjective exercise, this checklist is not intended to be
used as a scoring tool. It aims purely at providing a
qualitative evaluation of the medical facility. As such,
completed checklists should be used to guide internal
company decision making only.
In all cases, only one checklist should be completed for
each medical facility that is assessed. The initial
evaluation should be used as a reference document by
the company’s approved health professional when
performing a follow-up assessment of the same
medical facility.

This document provides guidance on the assessment of

medical facilities to help companies:
l identify the best medical facility in the operational oil
and gas location;
l comply with company HSE requirements to assess
medical facilities; and
l integrate health facilities that meet the company’s
medical standards within the company’s emergency
response plan.

This checklist is intended to aid medical professionals in

assessing local health facilities, by guiding the user
through the key elements that should be considered. The
checklist is a series of Yes/No, scale and open answer
questions and will provide clarity and structure to the
individual undertaking the assessment. Companies will
determine the best use of this checklist and may use it in
whole or in part.

2 — Medical facilities assessment

Details of person performing the assessment
Last name, first name

Title and qualification

Contact details:

Email

Telephone (including country code) +

Mobile

Date assessment was performed

General information concerning the medical facility

DETAILS

Full name of the medical facility

Full address:

Street name and number

City

Country

Main telephone number (including country code) +

Main fax number

Website

Is the facility a private or public clinic/hospital?

Which language(s) are spoken?

Name and position of contact person

Mobile number (including country code) +

Email

3 — Medical facilities assessment

Logistic information
YES/NO DETAILS

Distance (km/miles) from work location to

medical facility

Travel time from work location to medical facility

Is there a paved road to the medical facility?

Is the location of the medical facility clearly

indicated on road signs?

Is in-house parking available?

Is a helipad available?

Is a backup generator available?

Is a refrigerated morgue available?

Administrative information
YES/NO DETAILS

Does the medical facility work with international

assistance companies?

Does the medical facility have quality certifications

(e.g. ISO 9001, OHSAS 18001, JCIA, etc.)?

Does the facility have affiliations with international

hospitals?

Which methods of payment are accepted?

Is a guarantee of payment required?

Does the medical facility work with insurance

companies?

Does the medical facility require a contract with

the oil and gas company?

Are medical records computerized?

Is telemedicine access available for second

opinions?

4 — Medical facilities assessment

Cleanliness, hygiene and safety
YES/NO DETAILS

Is clinical waste disposed of in accordance with

international standards?

Is a sewage system available and in working

condition?

Are infectious control services available (including

blood-borne pathogen protocols)?

VERY POOR POOR GOOD VERY GOOD EXCELLENT

Drinking water

Catering staff hygiene

Air conditioning and ventilation

Patient and facility security

Personal safety (e.g. consider whether fire exits

are clearly marked, and whether fire extinguishers/
hoses are available)

Overall appearance of facility (cleanliness,

organization, equipment, rooms, etc.)

Staff
YES/NO DETAILS

Number of local/expatriate specialists/doctors

Have these specialists/doctors undergone

training abroad?

Number of additional assisting medical staff?

Have the assisting medical staff undergone

training abroad?

VERY POOR POOR GOOD VERY GOOD EXCELLENT

Overall impression of medical staff

5 — Medical facilities assessment

Outpatient services: Medical and surgical
YES/NO

Are outpatient consultations available? If the answer to this question is ‘No’, proceed to the next checklist.

YES/NO DETAILS

Outpatients consultation hours

Is an outpatient clinic available at the weekend/at night?
Is a waiting room available?
Is a GP available? If so, how many?
Does the GP have standard diagnostic equipment?
Is physiotherapy available?
Are specialists available in the following fields:
Anaesthesiology
Cardiology
Dermatology
Ear, nose and throat (ENT)
Endocrinology
Gastroenterology
Infectious/tropical diseases
Internal medicine
Neurology
Obstetrics and gynaecology
Oncology
Ophthalmology
Paediatrics
Psychiatry (local and English speaking)
Urology
Are the following types of surgery available:
Cardiac surgery
General surgery
Neurosurgery
Orthopaedics
Thoracic surgery
What other specialties are available?

6 — Medical facilities assessment

Outpatient services: Dentistry
YES/NO

Is dentistry available? If the answer to this question is ‘No’, proceed to the next checklist.

YES/NO DETAILS

Number of dentists
Have the dentists undergone training abroad?
If so, in which country/countries?
Is an autoclave available for sterilization?
Are dental prosthetic treatments available?
Are orthodontic treatments available?

VERY POOR POOR GOOD VERY GOOD EXCELLENT

Cleanliness and hygiene
Appearance of staff
Overall impression of the dental facility and
the services it provides

Outpatient services: Pharmacy

YES/NO

Is a pharmacy available? If the answer to this question is ‘No’, proceed to the next checklist.

YES/NO DETAILS

Are adequate quantities of medicine available for

the size/operation of the facility?
Are the available medications sourced locally or
imported? Provide details.
Is appropriate storage provided for all medications?
Does the pharmacy comply with local laws relating
to controlled drugs?
Are disposable needles/syringes available?
Are emergency drugs available, e.g. adrenaline,
atropine etc.?

VERY POOR POOR GOOD VERY GOOD EXCELLENT

Overall impression of pharmacy services

7 — Medical facilities assessment

Outpatient services: Laboratory
YES/NO

Is a laboratory available? If the answer to this question is ‘No’, proceed to the next checklist.

YES/NO DETAILS

Are the following laboratory services available:

Bacteriology

Chemistry

Histopathology

Immunology

Parasitology (malaria)

Serology

Is a blood bank available?

Are blood tests available for HIV, hepatitis, syphilis, etc.?

Can drug tests be performed?

Are protocols in place for dealing with bloodborne

pathogens?

VERY POOR POOR GOOD VERY GOOD EXCELLENT

Overall impression of the laboratory

8 — Medical facilities assessment

Outpatient services: Radiology and other examinations
YES/NO

Is radiology and other testing available? If the answer to this question is ‘No’, proceed to the next checklist.

YES/NO DETAILS

Are the following test procedures available:

Cardiac stress test

Catheterization lab/angiography

CT scan

Densitometry

Electrocardiogram

Electroencephalography (EEG)

Electromyography

Lithotripsy

Magnetic resonance imaging (MRI)

Nuclear medicine

Ultrasound

X-ray

Is an in-house technician/doctor available?

VERY POOR POOR GOOD VERY GOOD EXCELLENT

Overall impression of the services provided

9 — Medical facilities assessment

Outpatient services: Occupational health
YES/NO

Are occupational health services/

If the answer to this question is ‘No’, proceed to the next checklist.
specialists available?

YES/NO DETAILS

Are fitness-to-work examinations performed

(e.g. on the catering crew, firefighters, etc.)?

Are mandatory vaccinations available?

Are other vaccinations available?

Is drug testing performed where legal?

Is audiometry testing carried out?

Is spirometry testing carried out?

Is visual acuity and colour vision testing carried out?

VERY POOR POOR GOOD VERY GOOD EXCELLENT

Overall impression of the services provided

10 — Medical facilities assessment

Inpatient accommodation
YES/NO

Is inpatient accommodation available? If the answer to this question is ‘No’, proceed to the next checklist.

YES/NO DETAILS

What is the total number of hospital beds?

Are single rooms available? If so, how many?

Are double rooms available? If so, how many?

Are hospital wards available? If so, how many beds

are there per ward?

Do rooms have the following amenities:

Air conditioning/heater

Hot water

Internet access

Private telephone

Private toilet

Safe deposit in the room

TV

Do the wards and double rooms have privacy

curtains?

Is there a bed available for visiting family?

Does the facility provide food for the patient?

VERY POOR POOR GOOD VERY GOOD EXCELLENT

Overall impression of inpatient accommodation

11 — Medical facilities assessment

Surgical services
YES/NO

Is surgery available? If the answer to this question is ‘No’, proceed to the next checklist.

YES/NO DETAILS

Which of the following services are available

(also state number of procedures per year):

Cardiac surgery

General surgery

Neurosurgery

Orthopaedics

Thoracic surgery

Other

Number of theatres/operating rooms

Is a recovery room available?

Is sterilization equipment available, with autoclave?

VERY POOR POOR GOOD VERY GOOD EXCELLENT

Overall impression of the surgical department

12 — Medical facilities assessment

Intensive care unit (ICU)
YES/NO

Is there an ICU? If the answer to this question is ‘No’, proceed to the next checklist.

YES/NO DETAILS

How many beds are there?

Are ICU specialists available?

Is the following critical equipment available:

Defibrillator/electrocardiograph (ECG)

Shock trolley with emergency medication

Suction/ventilator/intubations tray
and oxygen supply

Is patient monitoring carried out by the nursing

station?

Is emergency medication available

(e.g. streptokinase)?

VERY POOR POOR GOOD VERY GOOD EXCELLENT

Overall impression of the ICU

13 — Medical facilities assessment

Accident and emergency (A&E) unit
YES/NO

Is there an A&E unit? If the answer to this question is ‘No’, proceed to the next checklist.

YES/NO DETAILS

How many beds are there?

Are medical staff available 24/7?

Is a triage system in place?

Is the following equipment available:

Defibrillator/electrocardiograph (ECG)

Dressings, bandages and other supplies

Immobilization sets (neck collars, splints, slings,

and stretcher with restraints)

Shock trolley with emergency medication

Suction/ventilator/intubations tray
and oxygen supply

Are emergency protocols posted?

VERY POOR POOR GOOD VERY GOOD EXCELLENT

Overall impression of A&E

14 — Medical facilities assessment

Ambulance
YES/NO

Is an ambulance service available? If the answer to this question is ‘No’, proceed to the next checklist.

YES/NO DETAILS

Does the facility have an ambulance in-house?

Is an ICU ambulance available, and is it fully

equipped?

Does the facility have a four-wheel drive

ambulance?

Are there dedicated and trained medical staff?

Is there a dedicated and trained driver?

Is the following equipment available in the

ambulance:

Defibrillator (provide details)

Suction unit (manual or electric)

Oxygen cylinder with flowmeter

Crash bag and emergency medication

(well stocked)

Splints, cervical collar

Vacuum stretcher

Is the communication system working?

Does the ambulance have adequate internal

lighting ?

Are the road lights and siren in working condition?

VERY POOR POOR GOOD VERY GOOD EXCELLENT

Overall impression of the ambulance service

15 — Medical facilities assessment

Conclusions
YES/NO DETAILS

Level of medical care available:

Primary medical care

Secondary medical care

Tertiary medical care

Does the facility suffer from overcrowding?

VERY POOR POOR GOOD VERY GOOD EXCELLENT

Overall impression of the medical staff

Overall level of cleanliness and hygiene

Overall impression of the emergency

medical services

Overall impression of this facility

Additional comments:

This facility is recommended for treating the following medical problems:

16 — Medical facilities assessment

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IPIECA is the global oil and gas industry association for environmental and social issues. It
develops, shares and promotes good practices and knowledge to help the industry
improve its environmental and social performance, and is the industry’s principal channel
of communication with the United Nations.
Through its member-led working groups and executive leadership, IPIECA brings together
the collective expertise of oil and gas companies and associations. Its unique position
within the industry enables its members to respond effectively to key environmental and
social issues.

IOGP represents the upstream oil and gas industry before international organizations
including the International Maritime Organization, the United Nations Environment
Programme (UNEP) Regional Seas Conventions and other groups under the UN umbrella.
At the regional level, IOGP is the industry representative to the European Commission and
Parliament and the OSPAR Commission for the North East Atlantic. Equally important is
IOGP’s role in promulgating best practices, particularly in the areas of health, safety, the
environment and social responsibility.

IPIECA
14th Floor, City Tower
40 Basinghall Street
London EC2V 5DE
United Kingdom

Tel: +44 (0)20 7633 2388

E-mail: info@ipieca.org

IOGP
14th Floor, City Tower
40 Basinghall Street
London EC2V 5DE
United Kingdom

Tel: +44 (0)20 3763 9700

E-mail: reception@iogp.org

© IPIECA-IOGP 2017 All rights reserved.