Medical Surveillance Exam Completion Report

Medical Surveillance Exam Completion Report Instructions With Visual Examples October 2014 General Information The Medical Surveillance Exam Completion Report spreadsheet will take about 10 to 15 seconds to open.

Not all of the medical surveillance exams listed in the Completion Report spreadsheet are applicable to every command. Most commands may have less than 10 applicable exams. Industrial commands (maintenance depots, shipyards, etc.) will have a greater number of exams applicable to their personnel.

Military and Federal civilian personnel should be included in the data input. Do not alter the spreadsheet format. Do not move, reorganize, or delete rows or columns.

Be careful to not accidentally delete the formulas contained in columns D and E in the green Master worksheet tab. The PASTE SPECIAL function must always be used (instead of the usual Paste function) when entering direct report subordinate command inputs to build a Consolidated Completion Report

See the Building a Consolidated Medical Surveillance Exam Completion Report section for more info on the PASTE SPECIAL function) The Completion Report spreadsheet will automatically calculate the following: Total number of command personnel requiring medical surveillance or certification exams Total number of command personnel within exam periodicity

Medical surveillance exam completion rate (compliance) for each individual program Overall medical surveillance completion rate for all subordinate commands (in the ISIC consolidated report) Overall completion rate for each program category (chemical hazards, physical hazards, mixed exposures, certification exams) Gathering the Data Commands may use whatever electronic or manual method they currently use for medical surveillance program management to obtain the

data needed to fill out the Medical Surveillance Exam Completion Report spreadsheet Examples of some tracking systems or methods include:

ESAMS- Enterprise Safety Applications Management System SAMS- SNAP Automated Medical System MRRS: Medical Readiness Reporting System OSHSYS: Occupational Safety and Health System MES: Medical Events Scheduling

Excel spreadsheets Access databases Medical Surveillance Programs Selection of personnel for medical surveillance programs is based primarily on the results of the Industrial Hygiene (IH) survey and is driven by exposures to chemical and/or physical hazards. This is "hazard-based" medical surveillance Specialty exams are intended to ensure that persons working in positions with

assigned medical standards are healthy enough to perform their assigned duties and tasks The requirements for Specialty exams can come from a variety of different sources such as civilian position descriptions, Navy rate or specialty requirements (such as aviation or diver), OSHA regulations, etc., and the medical examiner is asked to determine whether or not a worker is medically capable of performing the duties of the job Specialty Examinations are generally not discussed within the command Industrial Hygiene survey

See Chapter 7 of the Medical Matrix (NMCPHC-TM 6260) or contact your supporting Medical Department Representative (MDR) or Occupational Health clinic for more information Download a Blank Completion Report Download the Medical Surveillance Exam Completion Report at the following link: http:// www.public.navy.mil/navsafecen/Documents/OSH/MedicalSurv/NavM

edSurvExamCompRpt.xlsx Save the file using the format Command Name_Medical Surveillance Completion Report Ex. USS Neversail_Medical Surveillance Completion Report Entering Medical Surveillance Exam Completion Data

Building a Consolidated Medical Surveillance Exam Completion Report (for ISICs) Resources Naval Safety Center maintains various tools to help commands properly complete the Medical Surveillance

Exam Completion Report and help manage an effective medical surveillance program Be sure to check out our new Safety and Supervisors Guide to Medical Surveillance! Naval Safety Center Medical Surveillance Toolbox

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