Document GKVy918gw6KgaQB2o8Vyq5m4V

Mobil Oil Canada, Ltd. Dr. H. A. Sinclair.' Medical Director SO* too uuwr, ajlbATA nr zjj Tiuniow 7*-7w 19 74 MEDICAL Llf.PARTKEXT OSJZCTIYES - Mobil Oil Canada, Ltd., Mobil Paint Ctapany, Mobil VOM*-: cal Piss Lies Canada Led., Mobil KstStpg Limited, i. audiometrIc program A. Mobil Oil Canada .1. Conduct audf metric testing on all field employees, 2 Have all ahnomol audiograms assess ed by an audioloftl8t and .arrange for referrals as he recommends. 3. Correlate sbriarasl audiograss La occupational sound level exposures and try to ensure that exposure do-e not exceed The recOffiSsended level. f.. Mobil Paint, Mobil Chemical and Plastics, and Mobil Estates 1. Arrange for audioaetric surveys lor above companies. 2. Arrange ior assessment and correlation of abnormal audiograms as for HOCAN. C. Audimetri r. Records 1. Set vp a filina ?y?ton of a udi cambric records for current employees of all Companies. 2. Retrieve audloxetric records ot\ terminated essployecs and set up (Separate file ao that lui'c-rrsation will be readily available, if required by the Workmen's Compensation Hoard, 3. - Code audioceLiic ke&riuy losses of Current employees on cna puter program and adapt the program lor continuing cllow~Up. TT, TMPRiATSiEXT QF KF.UICAI. CAPE ST/MIDABJDS: Ensure: that a high standard of sedieal care is being provided for all Companies. A. More ei'fferivr s-rrvrf 11 ano-t- of medical reports to ensure that Company Standards are being net by contract physicians. 1. Improved cctmunication with Contract doctors concerning Company requirements 2. Control of nedical budgets 30 that paysaent is contingent an meeting the above recuiresents - A. Kuecuraae tanage-aeut training programs for supervisors on dealing with alcoholic problems. B. buCOursae Supervisors to identify and refer suspected alcoholics to Med. Oopartsscn 0. Follow Corporate Medical Policy on alcoholism for all referra]?, TV, Start reporting medical staCisCiCS OQ the OPS'CAb reporting systree. VI- report these on the OPSCAH system, Continue to promote sigmoidoscopy eXaainatlOus for all sale, employees over 40 years of age to increase the acceptance rete of this procedure. Present acceptance rats P. A. Shelton^ R.k. for W. R. t'.rledale, M.D 002GC9 184304 A co;;rc]us.r;-: j t:-.;; lr'7d .........--.CiV/di 1. To Provide a continued high quality of preventive medicine within, the approved manpower and collar Vudoets, to all divisions of the Corporation in accorance with unproved Corporate Medical Policies. 2. In accordance with Corporate Policy, provide and maintain a hi oh ~v.nlitv and comcrohensive ore-Tram in industrial hygiene, toxicology ano product safety for all divisions of the Corpor ation. .'stablish a IcxicolO'-'y _.or-ar trout and centralize oersonnnl. "r'h'icp ciid^s on `'eulth and _industrial ilynior.e subiocts ns federal reoualtions apeear re latino to Uom*. and hicjb. 3. Introduce t;-?-:' -ledicnl visit sheet throughout Canada. ,::-:olcro i to ocusiblc use in rreat '-.ritian. and A. Kovinu t' j-St v~with the . ui;. ^ana^e^on.t, : and Industri < versons "-dical rrooram. -'xrlore the use of cil : rector for t ' o rnterr-atiori? 1 -.".vision ^ ti'T'.a j. . --->i,)yr..5 : e Leti;. r.s oerar event nnc vo] 1 as the need for a recional Medical director "yrienist for thQ for _rs.u. c ---l..------ - a. per?c-r~* ?.c antes study to d^tor-1 i n if asbestesis in a cco**r'-i c m ref;.''<",rv i^rsonr.^1 or is confmea to insula tors. ; <7 j.y ` i', *7'">'?* .T r` S -v IT' r.nf Z.nniT IPS J a ccrrt.-'jtivn tudv v; to otivor companies is hema further explored r-s t cop. os contract rropoeoi is- received. h. v;th __ ' thv rossihl" ^artici -?tion with CC.-.-V in a v "ud" on the effects of root stress on the (^v^pepri \,y* > \ - ro r* c. continue the studv of tho results of regular exercise on fi.' '-oalth of carticirarts (i.o. fitness unit.; d. continue study of cardiovascular disease amoncst ' obi 1 * s don-jet ic `foci.nel. e. rr suits of --todies snores ted above. fi. In c.rd'T to - oru effectively prcnuca morbidity and '"ortality data fCC.dX aoreer-onts) , introduce CF..C.1. morbidity and mortality for'"- a nr cn,'Tutr nrci-'raob. introduce tneir use :r Cans..'? m' o'n'l' t'- ui.-iro in urr -*, -tucy a r.ctu.iod of re^rt ' n.rr eorhldity : n a "leld location (:-.anten^stor office) in collarc ration wj.fi the local . -. > .'ployr-.o rela tions staff. 7. Incr^aco the Medical ; e^artmont1s offectivness m its osycr.c-socia 1 responsibilities in/! Guide r n1-** " ^ n p r-- c .t _ . \ i > c o /-. ^ T v- a \ 002640 184305 2 Fronram, Establish r.arti citation m trogram. . sur"r'a r J ?.e -.-J present bo ranacement data concerning a procedure for screen-:.'.' eroicyees and their decendents f..o....r......a...s..s...i.o...n...m...e...n...t. ov__e__r_s_e_a__s__ fComplete the necessary interviews flamed for 1^73 if not already accomplished,} t ' 10 ^ l c. '''cent:ves aforoc c;ir:c- fifty suffer from a heighten ing of c^neral fears of obsolescence. Complete a survey and rmort to management on this stress amoncr Headquarters e.vpcut; vec . -ucoestions will then he made for use in manac".*~e.''t pouoati ;n and career development Planning. (no c^sh 'utlav;, l d. relo <Jeve loo a prerram to pretare '-'ey executives For retirement. 'rhis woula include a consideration of toe f.ealtm aim1 behavioral strains experienced in antic ipation cf retirement, as well as preparation for the inevitable stress reaction that occurs foloowing retire ment. meppreurd ':ata '/ill include 1. a eur.rary of interviews with executives at endcarter:.- , ~!, ^ survey of medical records smc 3, interviews Wx.th amuitauts to learn frc,rl their "tcen-rtce. e. rewrite .-'edical department s-ooklet explaining our services for cm^lcveos and introdue_l.k- chapters on job hazards and safe work oructices. ,,ork with .-uj and "obil chemical on methods of distribution. f. consider the tounsnii-nc faction, especially for (Jruo anuuers. shoujd it be expanded by addinc more r-vc'u'tin. ix. ie anu/or r.cssioly .ari:-..' * f ill-time csvcr.iatr ic social worter I (preferably ir. the '-'edical bernirt.-enc at .--eacauartors . ; 7. rtudy, with the he It of ...-oi and i-obil Chemical, i-'obil's mart 'i on in : - pror-r v-.-: as an organizer, a particioant, as a purchaser of service^, or a cc-:c.ir.at ion of these. . hi th the massage of ..ational health Law, be prepared to charm t"-'> -'othod nf delivery of he'.ILh c.mp 10, f.stahlish a small inolaat detxirtment with r.art-time nurses ana mart-time physician at ; obil dhc-pical, Covincton, Ceocia f'-'lastics .lantj. vCap..tal costs >iC-v., estimated annua 3 buciret excuse 3:1.5:n. ; 11. Imcrovs stcrace of medical records tnrouoh microfilmina. (420m.) 12. Kxmand our 'resent ":'>ical *-:-c i.na t :cn call-up system to the f'-'emical Company emolcyees. .-ir.'.ultuneousiv, it would h-e vise to cor: to--l-'to -a jer ch.uic-pj in enteral call-up systems marine mrovisiens for cnll-uo for special type exam- inat: or.n, narV'aiInr'y for these er"*~'loyees with jobs havmo hazardous exposures or oxnosures coverned by recusations -! cr;iinH r>r t'-'' V'-> i ; -1 C 'll ' / . f IP,--,. / 002641 184306 3 13. explore the possibility of using a nurse practitioner or a .''.v'- i c: . js tar-.t for oxarinino the healthy at the time of periodic re-examinations, a beoinniric, examin ations of these patients under 30 or 35 should be explored, 14. continue to encourace professional staff participation in professional societies ana require post-graduate educa tion, and wherever possible, membership on hospital staffs for all doctors. 15. require 'orenoncy ..os- rofror.her course for all f.T. y. - :v:\ -ul ~.;.ca :'.r iv.ru . Vrnrauc a:ia su.roly necessary equipment, ;.o. defibrillator ^orutorLnc: novices. 16. p.aVo rerortn on -dicnl and industrial hygiene surveys more succu.ct and relevant for the clients for whom these services are performed. 17. conr ' _,r r '"crf.l nr cvv company -'-cbica.l clinics. z m large', _ji--plant 002642 184307 CORPORATE MEDICAL DEPARTMENT 1974-OBJECTIVES 1. To provide a continued high quality of preventive medicine within the approved manpower and dollar budgets, to all divisions of the Corporation in accordance with approved Corporate Medical Policies. 2. In accordance with Corporate Policy, frovide and maintain a high quality and comprehensive program in industrial hygiene, toxicology and product safety for all divisions of the Corporation. Establish a Toxicology Department and centralize personnel. Produce guides on Health and Industrial Hygiene subjects as Federal regulations appear relating to OSHA and NIOSH. 3. Introduce OPSCAN medical visit sheet throughout USA and Canada. Explore its possible use in Great Britain. 4. Rewrite Medical Department booklet explaining our services for employees and introducing chapters on job hazards and safe work practices. Work with NAD and Mobil Chemical on methods of distribution. 5. Explore the possibility of using a nurse practitioner or a physician's assistant for examining the healthy at the time of periodic re-examinations. As a beginning, examinations of those patients under 30 or 35 should be explored. -otcecs 184303