Abstract

Consequetly, one million deaths from 14% of fatality due to occupational accidents caused harmful substances in the year 2015; therefore, it increases of more than 90000 workers when compared to 2011. Company XYZ with workers about 2500 people is a company that provides special electroplating (chrome plating) service to repair vessels within industry.
 This study aims to recommend a strong policy that can be applied to monitor chrome plating workers’ health in Company XYZ. The method used in this study is a qualitative approach with analysis methods, strategic assumption surfacing and testing (SAST) and to obtain decisions about recommendations to be taken using the exponential comparison method (ECM). The results shows that the level of exposure of chromium on workers in company XYZ was at high risk level, which may affected worker’ health, 2 of 13 workers have a rate of chromium in blood 1.11ug/L and 1.10ug/L. Therefore the expert recommendation of the medical surveillance program for this research study; that all workers are required to do periodic medical assessment every 6 months, and the medical assessment for worker prior joining in the chrome plating project is must. In addition, focused medical assessment will include complete blood count, liver function, renal function, chromium serum in blood and urine, spirometry, chest x-ray, integument and respiratory system. Deep interview on medical and occupational history, such as the presence of chromium exposure in the past, current and anticipated future exposures are also required to support the data for evaluation purpose. The ability to use respirators assessment considers as additional assessment to protect the workers accordingly. The health practitioner will summarize all medical reports, discuss and provide recommendation to employee as well as to the employer.

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