Table 2

List of prescribed hazards and specific medical tests required for workers exposed to these hazards (Singapore)

Prescribed hazardMedical test(s) required
Source: Guidelines for designated factory doctors, 3rd edn. The Factories (Medical Examinations) Regulations, Singapore, 1997.
Arsenic and compoundsPre-employment and annual early morning urine arsenic level, pre-employment liver function test, and chest x ray examination
AsbestosFull size chest x ray examination (pre-employment and once in 36 months)
BenzenePre-employment and annual haemoglobin, full blood count, peripheral blood film, and mid-week end of shift urine phenol
Cadmium and its compoundsPre-employment and annual blood cadmium, urine β2 microglobulin
Compressed air (frequency depends on working pressure)Pre-employment and annual audiometry, lung function test, x ray examination of shoulder, hip and knee joints, electrocardiogram (for those >35 years), pre-employment chest x ray examination
CottonPre-employment and annual lung function tests: FEV1 and FVC
Lead (inorganic) and its compoundsPre-employment and six monthly blood lead and haemoglobin levels
Manganese and its compoundsPre-employment and annual early morning urine manganese
Mercury and its compoundsPre-employment and annual early morning urine mercury
NoisePre-employment and annual audiometry
OrganophosphatesPre-employment and six monthly red blood cell acetylcholinesterase
PerchloroethylenePre-employment and annual mid-week end of shift urine trichloroacetic acid, pre-employment liver function tests
Free silicaFull size chest x ray examination (pre-employment and once in 36 months)
TrichloroethylenePre-employment and annual mid-week end of shift urine trichloroacetic acid, pre-employment liver function tests
Vinyl chloride monomerPre-employment and annual liver function tests