(2) Periodic job-related examinations. These examinations are an essential
component of the health examination program. The inventory of health hazard
assessments is the basis for this program because the examination will be specific to
the exposure, operation, or physical fitness requirements involved.
(3) Administrative examinations. Fitness for duty, disability retirements, and
other administrative health examinations will be provided as needed and will include
(4) Voluntary health maintenance examinations. The majority of man-day
losses are attributable to non-occupational illnesses and injuries. Accordingly, any
examination, which can reduce absenteeism and promote health is cost effective.
Health maintenance examinations are of value for the early detection of disease and
consequent reduction in disability. Such examination may be provided when resources
permit and may be accomplished in a number of ways, including the use of the nursing
(5) Physical examination coordination. All occupational related
examinations for active duty (AD) military and civilian employees should be coordinated
through the occupational health service to ensure performance of all required tests and
review of results with referral to the occupational health physician as indicated.
(6) Follow-up. A follow-up system should be developed and maintained for
all health examination and screening programs to identify and report on their
effectiveness and ensure indicated counseling and referral support.
d. Treatment of Illness and Injuries. The care of the acutely ill and injured is
the third principal element of an occupational health program. Civilian employees on
TDY as well as personnel assigned to the local installation are eligible for such
(1) Job-related illnesses and injuries. Employees with job-related illnesses
and injuries are provided emergency and follow-up care in accordance with AR 40-3
and AR 40-5. In cases of traumatic injury, a specific determination will be made and
noted on appropriate U.S. Department of Labor Compensation (USDLC) forms as to the
degree and probable duration of disability.
(2) Non-occupational illnesses and injuries. Emergency treatment or limited
palliative treatment of non-occupational conditions is authorized by AR 40-5 and will be
provided to prevent loss of life, relieve suffering, or reduce absenteeism. Employees
requiring definitive treatment of non-occupational health problems should be referred to
their personal physician or other appropriate health resources.