Department of Social and Preventive Medicine
P.U.(A) 128/2004
OCCUPATIONAL SAFETY AND HEALTH
(NOTIFICATION OF ACCIDENT, DANGEROUS OCCURRENCE,
OCCUPATIONAL POISONING AND OCCUPATIONAL DISEASE)
REGULATIONS 2004
THIRD SCHEDULE
[Regulation 7]
OCCUPATIONAL POISONING AND OCCUPATIONAL DISEASE
   
Description of occupational poisoning or disease Nature of activity/occupation
   
POISONING
 
1. Poisoning by:  
(a) Acrylamide monomer Any activity
(b) Alcohols, glycols, ketones or aldehyde

The use or handling of, or exposure to, the fumes s or vapour of alcohols, glycols, ketones or aldehydes.
(c) Antimony
The use or handling of, or exposure to, the fumes, dust or vapour of antimony or a compound of antimony or a substance containing antimony.
(d) Arsenic The use or handling of, or exposure to, the fumes, dust or vapour of arsenic or a compound of arsenic or a substance containing arsenic or exposure to any solution containing arsenic or a compound of arsenic.
(e) Benzene or a homologue The use or handling of, or exposure to, the fumes, dust or vapour containing benzene or any of its homologues and their amino and nitro derivatives.
(f) Beryllium or one of its compounds The use or handling of, or exposure to, the fumes, dust or vapour of beryllium or a compound of beryllium or a substance containing beryllium.
(g) Cadmium The use or handling of, or exposure to, the fumes, dust or vapour of cadmium or a compound of cadmium or a substance containing cadmium.
(h) Carbon disulphide

The use or handling of, or exposure to, the fumes, dust or vapour of carbon disulphide or a compound of carbon disulphide or a substance containing carbon disulphide.
(i) Carbon monoxide gas The use or handling of, or exposure to, carbon monoxide gas, and any process involving the use of—


(a) dynamite and gunpowder for blasting in subterranean galleries;
  (b) illuminating gas;
  (c) power or producer gas;
  (d) blast furnaces, furnaces and stoves for the burning of charcoal coke and other fuel;
  (e) gas engines.
(j) Carbon dioxide gas Blasting, the manufacture of mineral waters, fermentation in breweries and the formation of lime in lime kilns.
(k) Chromium The use or handling of, or exposure to, the fumes, dust or vapour of chromium or a compound of chromium or a substance containing chromium.
(l) Diethylene dioxide (dioxane) The use or handling of, or exposure to, the fumes of, or vapour containing diethylene dioxide.
(m) Ethylene oxide Any activity.
(n) Fluorine The use or handling of, or exposure to, the fumes, dust or vapour of fluorine or a compound of fluorine or a substance containing fluorine.
(o) Hydrogen cyanide or hydrogen sulphide gas The use or handling of, or exposure to, the fumes or vapour of hydrogen cyanide or hydrogen sulphide.
(p) Lead or compound of lead The use or handling of, or exposure to, the fumes, dust or vapour of lead or a compound of lead or a substance containing lead.
(q) Manganese or its compounds The use or handling of, or exposure to, the fumes, dust or vapour of manganese or a compound of manganese or a substance containing manganese.
(r) Mercury or one of its compound The use or handling of, or exposure to, the fumes, dust or vapour of mercury or a compound of mercury or a substance containing mercury.
(s) Methyl bromide Any activity.
(t) Nitrochlorobenzene, or nitro, amino or chloro-derivative of benzene or of a homologue of benzene Any activity
(u) Nickel The use or handling of, or exposure to, the fumes, dust or vapour of nickel or a compound of nickel or a substance containing nickel.
(v) Nitrous fumes The use or handling of nitric acid or exposure to nitrous fumes.
(w) Organochlorine, organophosphate, carbamate, nitrophenol, , pentachlorophenol, dimethyldithiocarbamate or compounds of The use or handling of organochlorine, organophosphate, carbamate, nitrophenol pentachlorophenol, dimethyldithiocarbamate, or compounds of chlorophenoxy and dipyridyl for the destruction of pests or vermin
chlorophenoxy. and dipyridyl
(x) Phosphorus The use or handling of, or exposure to, the fumes, dust or vapour of phosphorus or a compound of phosphorus or a substance containing phosphorus.
(y) Rengas wood The manipulation of rengas wood or any process in or incidental to the manufacture of articles therefrom.
(z) The halogen derivatives of aliphatic or aromatic hydrocarbons
The production, liberation or use of hydrocarbons of the aliphatic series or aromatic series and their halogen derivatives
   
INFECTIONS  
   
2. Anthrax Any occupation involving the handling of wool, hair, bristle, hides or skins or other animal products or residues, or contact with animals infected with anthrax.
3. Glanders Any occupation involving contact with equine animals or their carcasses.
4. Leptospirosis Any occupation involving work in rat or other rodent infested places and any occupation involving the care or handling of dogs, cattle, swine and horses or any other infected animals.
5. Tuberculosis or leprosy
Any occupation involving close or frequent contact with a source or sources of tuberculosis or leprosy infection by reason of employment—
  (a) in the medical treatment or nursing of a person or persons suffering from tuberculosis or leprosy or in a service ancillary to such treatment or nursing;
  (b) in attendance upon a person or persons suffering from tuberculosis or leprosy where the need for such attendance arises by reason of physical or mental infirmity;
  (c) as a research worker engaged in research in connection with tuberculosis or leprosy; or
  (d) as a laboratory worker, pathologist or post-mortem worker, where the occupation involves working with material which is a source of tuberculosis or leprosy infection or in any occupation ancillary to such employment.
6. Viral hepatitis Any occupation involving—
  (a) close and frequent contact with human blood or human blood products; or
  (b) close and frequent contact with a source of viral hepatitis infection by reason of employment in the medical treatment or nursing of a person or persons suffering from viral hepatitis, or in a service ancillary to such treatment or nursing.
7. Any illness caused by a pathogen Work involving a pathogen which presents a hazard to human health.
8. Acquired Immunodeficiency Syndrome (AIDS) Any occupation involving—
  (a) close and frequent contact with human blood or human blood products; or
  (b) close and frequent contact with a source of AIDS infection by reason of employment in the medical treatment or nursing of a person suffering from AIDS, or persons infected with a Human Immunodeficiency Virus (HIV), or in a service ancilliary to such treatment or nursing.
9. Acne Work involving exposure to mineral oil, tar, pitch or arsenic.
10. (a) Ulceration of the corneal surface of the eye Any occupation involving the use or handling or exposure to, tar, pitch, padi husk, bitumen, mineral oil (including paraffin), soot, organic dust or any residue of any of these substances.
(b) Localised new growth of the skin, papillomatous or keratotic  
(c) Epitheliomatous cancer or ulceration of the skin due, in any case, to tar, pitch, padi husk, bitumen, mineral oil (including paraffin), soot or any compound, product, or residue of any of these substances  
11. Folliculitis Work involving exposure to mineral oil, tar,pitch or arsenic.
12. Skin cancer Work involving exposure to mineral oil, tar, pitch or arsenic.
13. Chrome ulceration Any occupation involving the use or handling of chromic acid, chromate or bichromate of ammonium, potassium, zinc or sodium, or any preparation or solution containing any of these substances.
14. Inflammation, ulceration or malignant diseases of the skin or subcutaneous tissues of the bones or leukaemia, or anaemia of the aplastic type, due to X-rays, ionizing particles, radium or other radioactive substances or other forms of radiant energy Any occupation involving exposure to X-rays,ionizing particles, radium, or other radioactive or subcutaneous tissues of the substances or other forms of radiant energy.
15. Subcutaneous cellulitis or acute bursitis arising at or about the causing severe or prolonged friction or pressure knee (Beat knee)
Any occupation involving manual labour causing severe or prolonged friction or pressure at or about the knee.
16. Subcutaneous cellulitis of the hand (Beat hand) Any occupation involving manual labour causing severe or prolonged friction or pressure on the hand.
17. Subcutaneous cellulitis or acute bursitis arising at or about elbow (Beat elbow) on the elbow. Any occupation involving manual labour the causing severe or prolonged friction or pressure on the elbow.
18. Occupational dermatitis Any occupation involving the handling of mineral oils, acids, alkalis, dusts or any other external agents capable of irritating the skin.
19. Skin disease caused by Rengas wood The manipulation of Rengas wood or any process in or incidental to the manufacture of articles therefrom.
   
LUNG DISEASES  
   
20. Lung cancer or mesothelioma caused by asbestos or handling of materials containing asbestos. Any occupation involving the mining, processing or handling of materials containing asbestos.
21. Broncho pulmonary disease Any occupation involving the substantial exposure to the inhalation of hard-metal dust, cotton dust, flax or hemp or sisal or tea leaves or padi husk dust.
22. Pulmonary irritation Any occupation involving the inhalation of sulphur oxides, chlorine, phosgene, ammonia, bromine, ozone, or nitrogen dioxide.
23. Occupational asthma caused by sensitising agents or irritants Any occupation involving the exposure to the inhalation of mineral dusts such as cement, copper, zinc, animal dusts, such as bone or hair, or dusts of plant origin such as cotton, wood, flax, jute, padi husks, cork, spices, hemp, sisal, tobacco, tea, flour, or gases or vapours of toluene diisocyanate or formaldehyde or any other agent that can cause asthma.
24. Pneumoconiosis (silicosis,asbestosis, anthracosilicosis, stannosis, siderosis or siderosilicosis) Any occupation involving—
  (a) the mining, quarrying or working of silica siderosilicosis) rock or the working of dried quartzose sand or any dry deposit or dry residue of silica or any dry admixture containing such materials;
  (b) the handling of any of the materials specified in subparagraph (a) in or incidental to any of the operations mentioned therein or substantial exposure to the dust arising from such operations;
  (c) the breaking, crushing, or grinding of flint or the working or handling of broken, crushed or ground flint or materials containing such flint or substantial exposure to the dust arising from such operations;
  (d) sand blasting by means of compressed air with the use of quartzose sand or crushed silica rock or flint or substantial exposure to the dust arising from such sand blasting;
  (e) the grinding of mineral graphite, or substantial exposure to the dust arising from such grinding;
  (f) work in a foundry or the performance of, or substantial exposure to the dust arising from, any of the following operations:
  (i) the freeing of steel castings from adherent siliceous substance;
  (ii) the freeing of metal castings from adherent siliceous substance;
  (g) the manufacture of china or earthenware (including sanitary earthenware, electrical earthenware tiles), and any occupation involving substantial exposure to the dust arising therefrom;
  (h) the dressing of granite or any igneous rock by masons or the crushing of such materials or substantial exposure to the dust arising from such operations;
  (i) the use, or preparation for use, of a grindstone or substantial exposure to the dust arising therefrom;
  (j) boiler scaling or substantial exposure to the dust arising therefrom;
  (k) the working or handling of asbestos or any admixture of asbestos, or the manufacture or repair of asbestos textiles or other articles containing asbestos, or substantial exposure to the dust arising from any of the foregoing operations;
  (l) work in any mine (underground or aboveground) in which one of the objects of the mining operations is the getting of any minerals, or the working, or handling of any mineral extracted therefrom, or any operation incidental thereto;
  (m) the manufacture of carbon electrodes for use in the electrolytic extraction of aluminium oxide, and any occupation involving substantial exposure to the dust arising therefrom;
  (n) exposure to the inhalation of dust containing iron and silica or haematite;
  (o) exposure to the inhalation of tin dust or fumes; the use or handling of, or exposure to, dust of talc or a substance containing talc;
  (p) the use or handling of, or exposure to, the fumes, dust or vapour of aluminium or a substance containing aluminium.
25. Extrinsic alveolitis (farmer's lung) Exposure to moulds, including fungal spores or heterologous proteinsduringworkin—
(a) agriculture, horticulture, forestry, cultivation of edible fungi or malt-working;
  (b) loading or unloading or handling in storage mouldy vegetable matter or edible fungi;
  (c) caring for or handling birds;
  (d) handling bagasse; or
  (e) the use or handling of, or exposure to, padi husk or dust or a substance containing padi husk.
26. Byssinosis Work in any room where any process up to and including the weaving process is performed in a factory in which the spinning or manipulation of raw or waste cotton or of flax, or the weaving of cotton or flax, is carried on.
27. Cancer of a bronchus or lung Work in a factory where nickel is produced by decomposition of a gaseous nickel compound which necessitates working in or about a building or buildings where that process or any other industrial process ancillary or incidental thereto is carried on.
28. Fibrotic diseases Any occupation involving lung, the use or handling of, or exposure to, the fumes, dust or vapour of coal or a substance containing coal.
   
OTHER CONDITIONS  
   
29. Cancer caused by—  
Any occupation involving—  
(a) 4-aminobiphenyl the use or handling of, or exposure to, the fumes, dust or vapour of 4-aminobiphenyl or a substance containing 4-aminobiphenyl;
(b) Arsenic the use or handling of, or exposure to, the fumes dust or vapour of arsenic or a substance containing arsenic;
(c) Benzene the use or handling of, or exposure to, the fumes, dust or vapour of benzene or a substance containing benzene;
(d) Benzidine the use or handling of, or exposure to, the fumes, dust or vapour of benzidine or a substance containing benzidine;
(e) Bis-chloro methyl ether the use or handling of, or exposure to, the fumes, dust or vapour of bis-chloro methyl ether or a substance containing bis-chloro methyl ether;
(f) Chromium the use or handling of, or exposure to, the fumes, dust or vapour of chromium or a substance containing chromium;
(g) Haematite the use or handling of, or exposure to, the fumes, dust or vapour of haematite or a substance containing haematite;
(h) Mustard gas the use or handling of, or exposure to, mustard gas or a substance containing mustard gas;
(i) â-naphthylamine the use or handling of, or exposure to, the fumes, dust or vapour of â-naphthylamine or a substance containing â-naphthylamine;
(j) Nickel the use or handling of, or exposure to, the fumes, dust or vapour of nickel or a substance containing nickel;
(k) Soots, tars and oils the use or handling of, or exposure to, soots, tars and oils;
(l) Vinyl chloride the use or handling of, or exposure to, the fumes, dust or vapour of vinyl chloride or a substance containing vinyl chloride;
(m) Particulate polycyclic aromatic hydrocarbon the use or handling of, or exposure to, the fumes, dust or vapour of polycyclic aromatic hydrocarbon or a substance containing polycyclic aromatic hydrocarbon;
(n) Acrylonitrile the use or handling of, or exposure to, the fumes, dust or vapour of acrylonitrile or a substance containing acrylonitrile;
(o) 1,2-dibromoethane (ethylene dibromide) the use or handling of, or exposure to, the fumes, dust or vapour of ethylene dibromide or a substance containing ethylene dibromide;
(p) Wood dust the use or handling of, or exposure to, wood dust arising from the manufacture of wood products;
(q) Benz-o-pyrene the use or handling of, or exposure to, the fumes, dust or vapour of benz-o-pyrene or a substance containing benz-o-pyrene;
(r) Formaldehyde the use or handling of, or exposure to, the gas of formaldehyde.
30. Heat radiation cataract Any occupation involving frequent or prolonged exposure to the glare of, or rays from, molten glass or molten or red-hot metal or frequent or prolonged exposure to radiation.
31. Heat cramp or heat stroke Any occupation involving excessive exposure to heat.
32. Inflammation of the synovial lining of the wrist joint and tendon sheaths Any occupation involving manual labour or frequent or repeated movement of the hand or wrist.
33. Cramp of the hand or forearm due to repetitive movements Any occupation involving prolonged periods of hand writing, typing or other repetitive movements of the fingers, hand or arm.
34. Compressed air illness or its sequelae Any occupation or process carried on in compressed air or under water.
35. Hearing impairment caused by noise Any occupation involving excessive exposure to industrial noise of high sound pressure level in excess of 85 decibels over 8-hour period.
36. Diseases caused by vibration (disorders of muscles, tendons, bones, joints, peripheral blood vessels or nerves)
Any occupation involving subjection to vibration.

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The Occupational Medicine Clinic is a referral clinic for occupational diseases and is open on every Monday and Thursday from 2pm to 5 pm at Specialist Clinic, Ground Floor, University Malaya Medical Centre.