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FILE NAME: Abex (ABX) DATE: 1944 Oct DOC#: ABX257 DOCUMENT DESCRIPTION: NTA Bulletin Article - Company Health Survey
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\ 3 A 'a o \ i L n V 3 H h n v w o j
/C o m p a n y H e a lth S u r v e y
*"yy Health Program to R.och
Worktrt In St Pianti, 23 States and Canada--X-ray Alt
employ**.
1
I f L l HAMUN, MJJ.
' IX KEEPING with food lfidns1 trial medical u d hygiene pne Us tbs American Brake Shot Com-
gear la 1942 adeptad a p ra m s to pretest tht health of tmploy* aad aka its plaata btttar plaeaa la vUefc to work. Believing that
teaithr, aatiafled workers art oat sf lla greatest suets, management fits top atcan rta dewa haa firm
tba Wu enthusiastic support aad naalti have beta wtD worthwhile.
Ih t company haa a rather unique argiaixaticm aad It la thl feature which makes the present program
f tht atdieal departaeat oaaaual. Than an 59 plant! in the company
bated in 23 (tatu and Canada Plaata art m oped la aint divi-
aiesa, tach of which operatea u aa bdapaadut unit racnisf it* own affair* bat lubjeet to feaeril com pany policia aad adrict from a headquarters division. Tht operatlac aaita vary ia sis. tome haTiaf 40 to 50 employoM while others hate u many u 1,000. Tha major ity hate from 175 to 600 worker*.
* P la Chirac
Ic 1942 a medical department
***
1* Chicard because of
Iti eantni location aad the fact
that inn plant* are operated ia
" **area. At first the unit consist-
td of * medieal director, industrial
hyfieaiit and clinical laboratory
aad X-ray technician. The late
Donald E. Cummings, profraaor of
industrial hygiene at the Univar-
Colorado, waa retained aa
adriier and consultant Beeanaa of
tba fraat variety of operationa and
Baaufietured product*, It w ae
bought edviaabit to eoneantnta on
repreaeoUdve planu in tach divi-
on su tu res adopted at one
would apply generally to otheri in
4 am gronp. Carrying the Id a
further, thoa dirialon* which of-
ferad th t gm taat oeeopationa] bu u d a, ouch aa lead pollening and Ulcaela, wan studied first
Two Part r* m * im
One of the first steps waa the
initiation of an adequate phyaical
laction systam both for appli
cants for work and alio for th u a
alm dy on tha payroll. The physi
cal exnminntioa record conaiat* of
two parti. Part oat, on white
peper, eoataiiii complete personal
data, a record of prerioue employ
ment from the time the indiridual
etarted to work up to the prom t,
along with dates of itrrie t and tho
type of work performed. Space ia
presided for proposed employment
(Is the case of new applicants),
!*t ti.'ie line* beginning work,
family history and contact with
tubereuloaia.
.
On the reverse i(de of the form
ie a series of qoeationa comprising
a history of pm ent complainta and
ymptoma. These are moatly "yes
or no" questions. The form is filled
out by the personnel department
interviewer, after which the ippli-
cant or employee signs the record
and authorise* the local examiner
to report finding! to the company
medical director. The interviewer
then witnesses the signature.
P art two, on blue paper, la tha
phyeieal examination record aad ia
filled la by the examining physi
cian. Both forma are made out in
duplicate and given to the applicant
to take to tha doctor in a scaled
envelop. This la tee doctor's au
thority to proceed with the exam ination.
top, Oe CUds
Whan the doctor completes the examination ho classifies the appli cant or employee as to his fiteeas far work. This ia dene by mesne
d red color orda. "HlhJu, if "P * "
S i!? ? * S T ;
f *4*'
* tetoment indieatiag
that he has bean examined u of
that day. la signed by the doctor
and placed in an envelope. The
aaled envelope la then riven to
the applicant to take back to the
panonnel director, who immediate
ly knows from tea color of the card
whether or not tee BULB
employed. If the applicant returna
with a yellow or "caution" eard. the
penonnd director know* some de
feet exists which win not aecee-
lorfly prevent the m u 'i being em
ployed but which will require a dis-
rasaioa with tha doctor to deter
mine the type of work at which he
may bo placed. Bed earda are for
"rejection" casa and are not given
to the applicant tinea he would net
bother to return them if be had not
passed the phyeieal examination.
The doctor sends th ae directly to
the pononndl manager.
U Tmpliyiie X-taerU
Tha color cards a rt filed by the panonnel director and constitute his only record of the phyeieal con ditions of the men. He knows he
muet not transfer a man dauified
THE AUTHOR
0*. L L HamlM, wrm Ml* uw iiary ( W* MM BWI|
h an elvt laeuMiW
teeini smeiwai, mi
m * sweitei ana. C M AMHnn
Itek Ik Cas per, CMca. tinea mv a iim w ii m MIClM 1 IIMUn).
vwu>r 1 Tarawa.
M. Mean* MM tinU M tfM Par k*SVCawaany, Iran
M aanteln, m iu i., *" *** w e. * was m utm n bi sw im uw e m liw MMMf (M o a ir Matsital. w iT T , w o - owe w a ts m i. h WNW X Ma Aaaflran cx iaea X
-->. x umu x m tmm t-ci-tr. I WMCaauXHaa aa Mutlrtx TMkanuIatlt
X um NeUanX TM arM iiU ktM cixian. < X BM M n iM T j Imm feunaetian.
THl NTA IUILITIN FOR OCTOSU. 1** [351)
1
local aeetidee
uad . here iven . very lita- f
--in- I F r
no
Ipt
it
u
tk
it
:b
:
1
f
i-
7 h
t 4 i-
i
l
I
1
on reflow or red eard to o tW
*PProT1J oi the 3 2 * L,<IttJi w v ` M entirt
a * ffl.KnddCo^d..da*wmtl,BoeriJWt- ^llMnunnBtouaa-
2fo5oti-n*e "uriig*AJ*ym11oy hemoglobin' u d
E" j| employee, -pre-employment or otherwise, 1, v m . cheat
rt7 - cent r u n , due to exM ire labor turnover, appUcaata for work may not bo X-rayed for period of SO days, depending on local plant preference. I t e n j Ployee rem ain^on the Job beyond ^1* period hU fver, he muat be X-rayed. All X-raya and phyaieal " Munetiona are filed in the Bedcal department and checked peronally by the medical director. imployeea are notified of the reeuits of phyaieal examination* by
" 2 ^ f Pnted slips, which are
n jd e
.T h * ^dividuri *
Ws personal pfayi-
d S e F *dV5"
" " `ion of
tmlt and tube stead M ___ `
r * ?-L? * *bat they fit t o S j b l . S S S
a a t la transported In a at,TM ***> * Single films {14, " 5 " n.d and, in the 'hands of a P>i t e c h n i c , highly satia/ac tory roentgenograms are obtain,?
X-ray technician is also a mmi. tad clinical laboratory man. a
and rontme n d u ____ ..
i r ThWB ` "barcnloaia is r~oover*d, the employee is asked
Phyairi^ 4 hi* doctor' " d the local pUot Bar" *rJu" t`
^ r e ^ V ^ " d n atio n t e H n ^ ?f 2ed Che#t ^ c or aana.
ho8piU1 where
d financial aid ia given ^ u g h plant welfare funds. Every
S T Tn
rehabiUU-
***** Interrtew.
'
When evidence of occupational
J e* i* discovered, the e S p S 1* Interviewed personally by the niedical director. H i. coiditfon U
* ^ m d frank* ,, d he i a a i ^
I ? **" ' ?iadhlf explained
he
be CW ""dem and and
he ia informed that he will be keut
u*J!jer observation. Employee re-
"fabwle?.thT~hpeolmiceTn*s"incbe*relyoana-t PMCiate being told of their p^yT
" Ptive and are made l n n of
? " * f t* " Pay la taking'
X ii.*5?*ta *BI*/
*** * areearta *B Ptantt, the interval
d*PndIng on th T S -
AA r^eSpoorti roif tShfe08apm#thmy 1ia haaexnatrdtao. ; nperi8tndnt and oper
ating head of the dhririon. ^
department technician is Provided with a mobile (G.E.D.-8) X-ray umt, especially designed for Bold work. The tube h u * w S
^ y . i riiBS n, fl S r*
mmni " ononflmj In avo llab l. , 2 ,,
--
..... ...
2 * ,r
aW
blood ...,, ona mb|ta X-ray ,,,,a . Equip.
g e = l= ^
2S2
tarti me per.
formed only when indicated.
Aid If Needed
BmW the survey t f 2 , p^ a ta u Pertat]dentand
Sta/fp^ hhySiiieiaeli ^ exmCnti0nrattioonpa#.rfoSrheAeelmon all records and see. that
tfaqr are properly made out and for.
S hT ilL 40 0edlcltJ department
^
*?** the technician In
hU clinical work mid cooperat
* re to see that worked re referred for *^*Tr1netion to the doeter or technician.
drtaminate Infection, individuals ba allowed to work under au-
perriaion and obaanration. Recheck
" tatervals of a w three to six months. All such f" *f *" corded on a tickler file
jLctoj Sria`*of?ficteUeynd111itti *ia^dhieeraldudtiv-
taM tH 7 the w io u . location, with
to subsequent X-raya,
^ two year, the
apwy has added a staff 0f 14
nnr.0. to it, personnel. A s u irin -
2*"""" iSin She aum,a ' Program and deals with nurses' local plant prob.
* * *yTMtapegit;
****!
JO B iC f PROMPTS RETURN O f SEAL MONEY
Pr. ?*rap. t* . <m other (UMy,
Apparently p w piid bp p u |i
' COUdSSC* letter
a
Jsetributioa of |4 w u notatip re-
[.tiNd bp the St. Load* (Ho.} To-
ixreuloeii u d Health Society. Tba
war, exactly u raelived, fellows:
Gatierna:
The a d o ra n is what would probibIp bo eaOed eooaeicnet
aooop. Youa u p poor Soelctp
o t sobs ftampe to o p aotbor
od I old tb aa to tbo neighbors
u d kept tbojponep. So I u s
tdda* tbo opfom altp of auk-
lor food mp miitobo. I raid
" nroot Out tbo ptrson ho
fP tblo lottor poto tbo Booop
"** trorauip whirs It rightlulip belongs, op esas dsp tbor
MBodaeo asp catch op with taca so mino h
Sincerely poors, {<i|Bod> Ja m Doe?
Com pany Hoalth Survey * * * Coothwwd / pm ptf m
k ai in eoopontiea wltb tbo o u -
gamut. In esrtaln citi eao
Boy sen s two company
Plrati, wbothor of tbo obbo divi.
lioa op not Recently a conference
wu held la Chieifo at whleb all
the eaapaap bbpboo mot to diaeuao'
tbo guard profraa and iron ont
local difficulties. Tbo meeting wu
m ouccauful that It w u decided to
aako It aa annual affair. **
plant paid all expenses for ita pop.
tieslar nun. Hanarestent h u bo-
eoao definitely awan of tbo valuo
tbo induetrial bu m and It ia ax.
P*ctad that Bare wiB bo addad ir
tbo
~
Heat Servage ;
A Boat la p o rtu t part of tbo medical d e p a rta a t ia tba induetrial hpfiene laborotorp. Unde tba
direction of a birblp coapctaat induetrial hygienist plant oumpo are carriad out to dataraiao m patioaal baxardi. whethw dua to dtut chemicals, aoebaaieal eendi-
tioaa or otherwise. Air aaapUap bp maaae of tbo im plare, electro static precipitator aad
ia dona tbrourb n atica ra m p i and spacial hasarda aro ahechad fro-
quontp. Load conditions tro ob aorvod eonatutiy by n u a a of
urine determinations natas tba polarograph. By tbia matbod u manp u 400 taots ara doae aaatblp by two laboratory workers. Bec-
omaeadatiooi for g u a n i aad exbauat t u tilatiod a n aada and initallatio u approved by the indus trial hygienist, Findings of tbie dopartaont a n checked-with tba m u lti of medical surveys and tbo
isp e o of correlation !' often n r p rillar u well u Intonating. For instance, ia one plant a w w u
oaployad dusting molda with silica floor. Tbo count showed a high
eoDoutratiaa of dangmus^isod p artid u at tba bm tbiag love). Tba industrial bygiaaiat informed tbo p lu t ouperintudut that If ha bad sap c u es of aliicosii among his w orkin bo Btigbt aspect It ia tbia oae. Several months la te an X-ny u m p of tba group nvaalod onlp mo cu e of sillcool*--tho m u who lusted tbo molds! A utiofoctory sprsp Bothod soon eoaplotaly cHm-
inatad this particular hasard. Since 1942 periodic survey! have
bora carriad out in M p lu ta u d m u m p s la two other*. B esasiaatiosa have b o a dean ea a largo a u a b e of aaplopaoo wbooa X-npo Indicated e v i d e n c e of disease, bother occupational or not la surveys completed thus far tight ca m of active tuberculosis have boon discovered aad placed under treatm ent Seventeen cases of in determinate tubereuleue infection a n u d e r observation u d 46-eaployoae whose cheat X-rape indi cated haded infection are being watched.
H u hrPttin
The war h u edmplicatad the pro gram considerably u d labor turn over h u added a great burden. Uke all other agudas the medical d e p a ito u t b u experienced loss la Personnel which have interrupt ed the work to some extent, but p lu s a being made for further developmants ia the set too d istu t future. These include a esntrd i t with adequate quartan for bousing medical, auning, hygiene, aafetp tad insurance departments. It la felt that each u arrangement wiB m u lt ia better coopention aaaoag the various groups, each of which ia vitally interested in the ork of ail.
THI NTA IUUITIN POI OCTOlil, 14< j m j