郭爱萍, 聂笠, 张力, 沈斌, 张霞, 宁勇, 刘艳. 上海市浦东新区职业病危害因素定期检测报告质量评估[J]. 职业卫生与应急救援, 2024, 42(6): 772-775, 821. DOI: 10.16369/j.oher.issn.1007-1326.2024.06.014
引用本文: 郭爱萍, 聂笠, 张力, 沈斌, 张霞, 宁勇, 刘艳. 上海市浦东新区职业病危害因素定期检测报告质量评估[J]. 职业卫生与应急救援, 2024, 42(6): 772-775, 821. DOI: 10.16369/j.oher.issn.1007-1326.2024.06.014
GUO Aiping, NIE Li, ZHANG Li, SHEN Bin, ZHANG Xia, NING Yong, LIU Yan. Quality assessment of reports of occupational hazards periodic monitoring in Shanghai Pudong New Area[J]. Occupational Health and Emergency Rescue, 2024, 42(6): 772-775, 821. DOI: 10.16369/j.oher.issn.1007-1326.2024.06.014
Citation: GUO Aiping, NIE Li, ZHANG Li, SHEN Bin, ZHANG Xia, NING Yong, LIU Yan. Quality assessment of reports of occupational hazards periodic monitoring in Shanghai Pudong New Area[J]. Occupational Health and Emergency Rescue, 2024, 42(6): 772-775, 821. DOI: 10.16369/j.oher.issn.1007-1326.2024.06.014

上海市浦东新区职业病危害因素定期检测报告质量评估

Quality assessment of reports of occupational hazards periodic monitoring in Shanghai Pudong New Area

  • 摘要:
    目的 了解上海市浦东新区用人单位的职业病危害因素识别、评价情况,为职业卫生技术服务机构提高服务质量,以及政府部门完善机构管理提供技术依据。
    方法 2023年6—12月,通过编制《浦东新区职业病危害因素定期检测报告质量评估表》,并结合用人单位职业卫生现场调查结果,对抽取的50份职业病危害因素定期检测报告进行复核、评分。
    结果 50份职业病危害因素定期检测报告的平均得分为(6.69 ±0.51)分,其中原甲级机构与原乙级机构、公立机构与民营机构,以及报告涉及的不同规模企业的报告得分差异均无统计学意义(均P > 0.05)。各检查项目得分率的中位数在50.0%~100%之间,得分率差异有统计学意义(P < 0.05),其中得分率较低的检查项目主要包括工程分析、职业病防护设施分析、职业病危害因素检测结论及建议、技术服务真实性(影像资料)等。普遍存在的问题包括生产工艺及原辅料信息不全、职业病危害因素识别及接触情况不准确、职业病危害防护设施描述不清、职业病危害因素检测方案信息不全、职业病危害防护建议缺乏针对性、影像资料缺失或不规范等,存在这些问题的报告比例达到74.0%~100%,机构比例达到84.2%~100%。
    结论 当前浦东新区职业病危害因素定期检测报告的质量水平总体较低,存在的问题主要与用人单位对职业病危害因素识别、评价工作不重视,职业卫生技术服务机构专业能力不足有关,应从强化用人单位的职业病防治主体责任、加强职业卫生技术服务机构培训学习、提高职业卫生技术服务机构监管效能等方面提高机构的服务质量。

     

    Abstract:
    Objective To understand the work on identifying and evaluating occupational hazards by employers in Shanghai Pudong New Area and to provide technical support for occupational health technical service institutions to improve service quality and for government departments to enhance institutional management.
    Methods From June to December 2023, 50 periodic monitoring reports of occupational hazards were reviewed and scored, based on both self-compiled "Quality Evaluation Form of Occupational Hazards Regular Testing Report in Pudong New Area" and occupational health surveys on-site.
    Results The average score of the 50 regular testing reports was (6.69 ±0.51) points, in which the differences in the scores of the reports between former Class A and former Class B organizations, public and private organizations, and the different sizes of enterprises involved in the reports were not statistically significant (all P > 0.05). The median score rate for each inspection item ranged from 50.0% to 100%, with statistically significant differences among different items (P < 0.05). The inspection items with relatively low scores included mainly the engineering analysis, the analysis of protective facilities against occupational hazards, the conclusions and suggestions of occupational hazards measurement, and the authenticity of technical services (for example, image data). Common issues included incomplete information on production processes and raw materials, inaccurate identification and exposure status of occupational hazards, unclear descriptions of protective facilities against occupational hazards, incomplete information on planning occupational hazards measurement, lack of targeted prevention suggestions against occupational disease, and missing or non-standard image data. The proportion of reports with these deficiencies ranged from 74% to 100%, and the proportion of service providers with these deficiencies ranged from 84.2% to 100%.
    Conclusions The overall quality of regular testing reports on occupational hazards in Pudong New Area was relatively low. The main deficiencies were related to employers' lack of attention to the identification and evaluation of occupational hazards and insufficient professional capacity of occupational health technical service institutions. Service quality should be improved by strengthening employers' responsibility for occupational disease prevention, enhancing training and learning for occupational health technical service institutions, and improving the regulatory efficiency of these institutions.

     

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