Previous step (mandatory for all workplaces).
Register on the web portal INPSASEL then forming the Committee on Safety and Health at Work. Failure to do this step in determining the disease will not be able to take any steps.
Step 1: the alleged occupational disease.
A simple look like this can make a difference in a legal dispute or misunderstanding against an inspector INPSASEL.
First, a multidisciplinary team (occupational medicine, hygiene, ergonomics and safety) must participate. If the disease is related to an ergonomic problem then you should involve a ergonomist. If the disease is related to a hygienic problem (noise, heat stress, lighting, vibration, chemicals and others) then you must engage a hygienist. The occupational physician involved performing the analysis of the relationship between what happened (deficiency causes ergonomics, hygiene) and developed pathology, and verifying the necessary paraclinical interconsultations specialists before reaching a conclusion. There are other data that must be provided by the department of human resources (eg, employment history including holidays). Once completed filling the report is discussed among members of the security service and occupational health (medical doctors, nurses, hygienists, ergonomists and safety) and the health and safety committee at work. The report must be delivered to INPSASEL as instructed by the website.
It is essential that the team conducting the investigation of occupational disease is trained on it and have previous experience, to avoid improper filling and waste of time. The work of the department of safety and health at work is to determine only a suspicion or presumption of occupational disease and relate the findings obtained during the investigation. Only physicians INPSASEL can determine whether a relationship or nonoccupational after reviewing the report previously approved by the committee of safety and health at work.
You need moderation by medical doctors to write medical reports evaluations. The NT-02-2008 states that there should be five criteria for establishing occupational relationship. The work of the Occupational Safety and Health at Work is to investigate this relationship, placing what is considered relevant to the case in the format of declaration of occupational disease INPSASEL and if five criteria are met then conclude on the presumption of occupational disease send the report and allow physicians INPSASEL finally determine whether or not occupational.
Step 2. Conduct research on the five criteria of occupational disease.
The NT-02-2008 establishes a clear and simple way how to perform this procedure. There is also the Instructions for Filling the Research Report Occupational Disease.
It is therefore essential to recognize that this step is an investigation and make no presumption or suspicion to the end of it.
In short the five criteria are:
-Clinical criteria: is the determination of the pathology by the occupational physician. In most cases it is not necessary to make reference to occupational specialists (psychiatrists, orthopedic surgeons, neurologists, internists, general surgeons, urologists, dermatologists, otolaryngologists, etc.) and the information must be transformed caring the words used. From here the occupational research most of the time.
-Paraclinical criteria: when appropriate, refers to tests performed, for example, blood lead, spirometry, audiometry, x-rays, EKG, EMG, CT scans, MRI, etc.. But not only the review, is its cross-sectional and longitudinal interpretation, for example, in the case of disorders of hearing, one audiometric exam is performed, but it is analyzed as mandated by COVENIN 1565:1995 standard should be compared with audiometry base.
-Hygiene criteria: examining working conditions, hazardous processes, means and objects, personal protective equipment, work environment, technical reference values, etc.. For example, in the case of a worker with hearing impairment, determine the occupational noise (Leq), verify the personal protective equipment if necessary (hearing protection), source controls, if the Leq exceeds 82 decibels (85 decibels half) you need to start performing measurements on the source and behavior of workers, etc.. This includes criteria relating to ergonomics.
If the employer has to date assessments of jobs, this step quickly and cheaply meets further assessments jobs are intended to prevent occupational disease and accident.
Epidemiologic criteria: refers to morbidity (statistics) of the pathologies in the workplace recorded by the Department of Safety and Health at Work. Today is not justified that a workplace has not updated quarterly statistics. In some cases it is necessary to supplement with national and international statistics. If none exist, the team must perform a study surveys the affected population, which does not benefit the majority of the time the employer.
Legal criteria: refers to a set of steps mandatory, such as the presence of an active Safety Committee and Health at Work, existence of a Programme on Safety and Health at Work active, fulfilling the steps and time for disclosure of research and occupational disease, training plans, plans for addressing hazardous processes, the presence of Department of Safety and Health at Work active, medical evaluations (pre-employment, prevacaciones, posvacaciones, discharge, etc..).
General conclusions end of the case: at this point participants can perform a brief analysis about the case and the possible relationship of pathology criteria.
Step 3: Perform the 24-hour declaration establishing disease suspicion or presumption of occupational disease.
The filling of the form must be compulsorily performed by members of the Department of Safety and Health at Work. Should involve all social actors involved: prevention delegates, representatives of the employer, the worker concerned, members of the Occupational Safety and Health at Work, lawyers, representatives of the Department of Human Resources. This step is done quickly if the investigation of the case was made well in advance. It is impossible to do everything in 24 hours if the occupational physician establishes a presumption without sufficient knowledge of the case.
The employer is responsible for carrying out this process within 24 hours of issuance of presumption or suspected occupational illness has passed.
Step 4. Provide evidence of having declared the occupational disease to the corresponding online DIRESAT.
The employer or his representative must personally bear the certification issued by the online system to the respective DIRESAT (INPSASEL), which should require signature or seal as evidence of having been delivered.
Bases and legal foundations
The INPSASEL published a Research Report Instructions of Occupational Diseases. To access the portal INPSASEL can do so via the link:
The link button that says "Register as user" allows you to open an account with username and password as the email, along with additional data. Do not lose this password as it is important to notify and report accidents and illnesses on the "Login as user".
The Formal Declaration of Accidents and Occupational Diseases is based on article 73 of the LOPCYMAT: The employer must report the accident at work immediately before the INPSASEL, the Committee on Occupational Safety and Health and the unions. Formal notification of occupational accidents and occupational diseases must be made within 24 hours following the accident or the diagnosis of the disease.
The Technical Standard for Occupational Disease Statement (NT-02-2008) INPSASEL specifies in detail what to do, what documents should be used, actions and requirements for notification and investigation of occupational diseases to the INPSASEL by centers work to ensure that workers' rights enshrined in the LOPCYMAT.
Field of application according to the same technical standard
Applicable to all the work done as a dependent, on behalf of an employer, whatever their nature, the place is run, whether or not for profit, public or private, and generally all personal services, where there is employer, workers, whatever form it takes, within the territory of the Bolivarian Republic of Venezuela.
Also who perform their work in cooperatives or other associations, community, productive character and service, whatever their nature, where to run, whether or not for profit, will be covered by the provisions of this Standard.
The law and the technical standard, defined occupational disease as follows:
They are incurred or aggravated during work or exposure to the environment in which the worker is required to work, such as those attributable to the action of physical and mechanical agents, not ergonomic, weather, chemical, biological disease states, psychosocial and emotional factors, which manifest themselves by an organic lesion, enzymatic or biochemical disorders, functional disorders or mental, temporary or permanent imbalance.
Investigation of occupational disease
Elements to be considered for the investigation of occupational disease to his statement
1. The following information of the worker:
2. Data Management Safety and Health at Work:
3. Occupational hygiene criteria:
4. Epidemiological data:
5. Clinical judgment:
6. Criterion paraclinical:
Responsibility of the Department of Safety and Health at Work in Investigation of occupational disease