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目的分析一起特殊作业人员职业健康监护工作中存在的问题,为加强特殊作业职业卫生监管工作提供参考。方法通过基本情况调查和案例分析,对发生于某公交公司的一起特殊作业职业卫生行政诉讼案进行调查,并针对监管工作的不足之处提出意见和建议。结果该公交公司未按法规要求落实公交车驾驶员上岗前和在岗期间的职业健康检查,涉嫌违反了《职业病防治法》等法律法规,但由于公交公司所在地的特殊作业职业健康检查机构缺失,导致安全生产监督管理部门无法追究其法律责任,也无法进行职业禁忌证的认定;这与浙江省目前对特殊作业人员的职业健康监护工作较为滞后,特殊作业用人单位和劳动者的职业卫生法律意识淡薄有关。结论卫生计生行政部门应加强特殊作业职业健康检查能力建设;安全生产监督管理部门要加强对职业卫生监管人员职业健康监护监管工作的指导和培训,加强对特殊作业用人单位的职业卫生监管和对劳动者职业健康检查知识的宣传培训。
Objective To analyze the problems existing in the occupational health supervision of special operators and provide reference for strengthening the occupational health supervision of special occupations. Methods Based on the investigation of the basic situation and the case analysis, we investigated the case of a special case of occupational health administrative litigation in a bus company and put forward opinions and suggestions on the inadequacies of supervision. Results The bus company failed to implement the occupational health examination before and during bus driver’s accusation according to the requirements of laws and regulations. It allegedly violated the laws and regulations such as Law on Prevention and Control of Occupational Diseases. However, due to the lack of occupational health examination institutions for special operations of bus companies, Production safety supervision and management departments can not pursue their legal responsibility, nor the identification of occupational contraindications; This is currently in Zhejiang Province and special occupational health monitoring work lags behind, special operations employing units and workers in the legal awareness of occupational health is light related. Conclusion The administrative department of health planning and family planning should strengthen the capacity building of occupational health examination for special occupations; the work safety supervision and administration department should strengthen the guidance and training on the occupational health supervision and supervision of occupational health supervisors, strengthen the occupational health supervision and control of occupational health units, Occupational health examination knowledge of the propaganda and training.