Occupational health and accidents
Occupational health care
Occupational health care - Ingressi
Every employee is entitled to occupational health care, regardless of the nature and duration of the employment relationship. Occupational health care is a service provided and paid for by the employer. Occupational health care promotes a healthy workplace environment and safe working conditions. The aim of occupational health care is to support an employee’s work capacity throughout his/her working career.
Occupational health care - Yleistä
All employees who work are entitled to occupational health care.
The content of and measures taken in occupational health care, appropriate to the needs of the workplace, are jointly planned by the employer, a personnel representative and the occupational health care service provider. They also monitor and evaluate the effectiveness and implementation of the occupational health care service.
The aims of occupational health care are
- providing a healthy and safe working environment
- preventing work-related illnesses
- maintaining and promoting employees’ work capacity and functional capacity.
The occupational safety authority controls that employers have organised and provided the statutory occupational health care services.
Occupational health care - Työntekijälle
An employer is required by law to provide preventive occupational health care even if there is only one employee. Providing medical care, on the other hand, is voluntary. Statutory occupational health care includes work-related health examinations, workplace surveys, supporting work capacity, and investigating illnesses and symptoms that are connected to work.
Consult your employer to find out about at least the following matters concerning occupational health care:
- where the occupational health care agreement is located in your workplace
- which services are included in your occupational health care and in which situations can you turn to the occupational health care services
- which occupational health care offices can you visit and can you use the services outside your working hours (e.g. during the weekend)
- who is the occupational health care nurse and physician designated to your workplace.
Occupational health care examinations monitor your health in at-risk work
Your employer is required by law to organise regular health examinations for you in occupational health care if the work you do involves special health risk factors defined in legislation (e.g. noise, flour dust or solvents) or is otherwise hazardous. It is your obligation as an employee to attend statutory health examinations.
If you work includes factors causing a special risk of illness, the occupational health care service will give you a health examination when you start the work. Its purpose is to find out whether you have any deformity, injury, illness or sensitivity that
- might get worse in your work
- requires special protection against the hazards and harmful effects of the work
- prevents you from starting the work in question.
Occupational health care provides periodical health examinations to assess and plan how to maintain and support your work capacity throughout your career.
If necessary, your health and work capacity will be evaluated through measurements, performance tests or laboratory tests. The occupational health care service will advise you on the health risks of your work and how to promote your own health.
Health examinations to investigate an identified health risk
Your occupational health care service must give you a health examination when it is suspected that your work involves a health risk, for instance because of unbalanced physical loads or psychosocial overload. You yourself may request a health examination from occupational health care if there is a justifiable cause to investigate your workload.
Health examinations also help support the early identification and prevention of substance abuse and referrals to treatment or support services.
As an employee, you are required to attend occupational health care health examinations arranged by your employer for a justifiable cause.
Occupational health negotiations supporting capacity for work
If you struggle with work capacity, it is possible to organise an occupational health negotiation to discuss your work capacity and your ability to cope at work. Participants in an occupational health negotiation include you, your employer and representatives from occupational health care.
Occupational health care - Työnantajalle
An employer is required by law to provide preventive occupational health care for employees
The employer may acquire occupational health care services from
- occupational health care units at public health centres
- municipal enterprises and companies providing occupational health care
- occupational health care centres jointly operated by several employers (occupational health care associations)
- occupational health care units at private medical centres.
The employer may also provide in-house occupational health care services.
The employer must sign a written service agreement with the occupational health care service provider and draw up a plan detailing how the services are to be implemented. The foundation of occupational health care is the workplace survey, which the occupational health care service provider performs and writes up in a report.
Matters emerging in the workplace survey must be taken into account when drafting and updating the occupational health care plan. In addition, the employer and the occupational health care service jointly prepare a written description of procedures for work capacity management, monitoring and early support.
The employer can get compensation for the costs of statutory preventive occupational health care and non-mandatory health care from the Social Insurance Institution (KELA) when
- the service is provided by personnel qualified for occupational health care as required in the Occupational Health Care Act
- the employer has a valid occupational health care service agreement
- the occupational health care service plan is up to date, and the planned functions are being implemented.
Guidance and advice as workplace support
Providing information, guidance and advice are key statutory functions of occupational health care. Their purpose is to provide employers, employees and other actors at the workplace with information and skills concerning occupational safety and health, and further to promote the adoption of attitudes and practices conducive to occupational health at the workplace.
Occupational health care - Lainsäädäntö
- Factors that cause a special risk of illness are defined in the annex