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HSERegulations&EnforcementDirectorate
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I
ContentsSubject Page Chapter 1 Occupational Health.. ...................... 1
........................................Section 1 Ordinary Working Hours ................... ..1
.................................Working Hours In Open Places During
Summer.2
..........
Section 2 Employment of Juveniles ... ............ 3
.....................................Section 3 Employment of Women.. .................... 4
.......................................Section 4 The Medical Care Of Workers in theFacilities .............................................................. .5
.............................................................Section 5 Requirements and Specifications ofSuitable Accommodation for Workers............. 8
...............................................................Section 6 Work Injuries and TheirCompensation..12
....Section 7 The Periodic Medical Examination forWorkers Exposed To the Occupational DiseasesRisks......................14
.........................................Section 8 Protective Precautions against Risks ofChemical, Hazardous & DeleteriousMaterials.22
......................................Section 9General Services....23 ...................................Section 10Public Hygiene....24 ...................................Section 11 Protection from InfectiousDiseases.25
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II
Health measures to prevent infectiousdiseases.26
..............Section 12Protection from Radiation..27 ........................First:Protection against Industrial Exposure..27 : .............................Second:Protection from Medical Exposure.37 : .............................Section 13 Terms, Specifications and Health
Fittings that should be Available in Private Clinics.53
............................................................
Section 14 Combating Narcotics and DangerousPsychotropic Substances..........................57
.............................................................Import, export and transport...........57 .......................................Possession of narcotic drugs and dangerouspsychotropic substances and their medicalprescription.....58
..........................................................Section 15Human Food Control...60 ...................
Section 16Autopsy of Human Corpses...61 ................Chapter 2 Safety....63
.............................................Section 1 Fire Risks.......63 .....................................Section 2 Machinery Risks........69
.....................................Section 3 Electricity Risks.....73 ...................................Section 4 Risks of Chemicals and HazardousRadioactive Materials.......76
.............................................................Section 5 Safekeeping Precautions WhenHandling, and Storing Materials and WorkTools....78
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III
Section 6 Facilities and Work PlacesRisks....82
................Section 7Protection of Offshore Facilities, Traffic,Risks of Incidents and RescueOperations......88
..............................................................Section 8General Provisions............98 ........................................Chapter 3 Environment Protection........101 .......................................
Section 1 General Provisions...101
........................................Section 2Protection from Radiation.......104 .............................Section 3Healthcare Waste Management...110 .......Section 4Radioactive Waste Management..120
..........................Section 5Protection from Chemical Weapons..130
....Section 6 Protection of the MaritimeEnvironment.133
.........................Section 7 Consent to Operate....138 ................................Section 8 Environmental Emergency Planningand Mitigation...................................144
........................................................Section 9 Protection of Air Environment fromPollution........148
............................................................Annexes.. .......150 ........................................................Annexed No. 1The Medical Care Of the Workersof the Institutions....150
...........................................................Annexed No. 2Reporting an Injury....152 .............................Annexed No. 3 Work-Related Injury Statistics.......152
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IV
Annexed No. 4 Statistics of Injuries of SeriousAccidents ...156
..........................................................Annexed No. 5 Statistics ofOccupational Diseases......158
.............................................................Annexed No. 6Occupational Diseases..160
.........................Annexed No. 7....164
...................................................Annexed No. 8....166
...................................................Annexed No. 9....167
...................................................Annexed No. 10.170 .................................................Annexed No. 11.....182 .................................................Annexed No. 12..184
.................................................Annexed No. 13..187
.................................................Annexed No. 14.....189 ................................................References..191 ..........................................................
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Chapter 1Occupational Health
Section 1 Working Hours
((ORDINARY WORKINGHOURS))
(( ((
Article 1
The maximum limit of the ordinaryworking hours shall be 48 hours perweek, at the rate of eight hours dailythroughout all the months of the yearexcept Ramadan, where it shall bethirty-six hours per week, at the rateof six hours per day, at most.
.
The time spent by the worker intransportation to and from the workplace and residence is not considered
as part of the working hours.
.
The working hours shall include aninterval or more for prayer, rest andmeals, which shall not be less thanone hour and not be more than threehours; these intervals shall not beconsidered part of the working hours;In determining the intervals it is to betaken into account that, the workershall not work for more than five
consecutive hours. The works whichmay continue without stoppage for thepurpose of rest are determined by aministerial decision.
. .
Article 2The workers may work additionalhours to the working hours specified
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in the previous article, provided that
the total actual working hours per dayshall not exceed ten hours unless thiswork is necessary to prevent a severeloss or dangerous accident or repairor reduce the effect of this loss oraccident.
.
As an exception, the workers maywork 12 hours per day at the offshoreOperations sites.
.
((WORKING HOURS IN OPENPLACES DURING SUMMER))
(( (( Article 3
The number of working hours relatedto works carried out under the sun orin open working places must notexceed five hours; provided that themorning working hours do not gobeyond eleven and a half a.m. andthat the evening shift does not startbefore three o'clock in the afternoon.
. .
Article 4Every employer must put down aschedule that shows the daily workinghours in accordance with theprovisions of the previous article.
Also, he must put the said schedule ina place that can be easily seen by allworkers and also by labor inspectorsduring their inspection visits.
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Section 2EMPLOYMENT OFJUVENILES
Article 5Juveniles may not be employed in thefollowing types of works:
:
1. The work that exposes them toradioactive materials and X-rays.
.
.
2. The oil extraction and refiningindustries.
.
.
3. Petrochemical industry. . .4. Works related to chemical substances
or compounds. .
.
5. Mining, smelting and refining. . .6. Welding using Oxygen, acetylene and
electricity. .
.
7. Deco Paint. . .8. Works in cranes. . .9. Civil Engineering works. . .10. Industry of filling cylinders with
compressed Gas. .
.
11. Carrying weights that exceed 20 Kg. . .
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Section 3
EMPLOYMENT OF WOMEN
Article 6Women shall not be employed indangerous, arduous works, worksdetrimental to their health and moralsor other works specified by aministerial decision.
.
Article 7Women shall not be employed intimes other than the specified by aministerial decision.
.
Article 8A female worker who completed oneyear of service with her employershall be entitled to maternity leave
with full pay for a period of forty daysat least; such leaves shall include theperiod before and after the deliveryprovided that the period after deliveryshall not be less than thirty-five days.This leave shall be granted subjectto a medical certificate issued by alicensed physician stating the likelydate of delivery.
. .
If the remaining period of the leave
after delivery is less than thirty days,the female worker may be given acomplementary leave from her annualleave, or the complementary periodshall be considered leave without pay.
.
If the medical condition of the femaleworker prevents her from resumingher work after completion of her leave
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referred to in previous paragraphs,
the female worker can be consideredin leave without pay provided that theduration of her absence from workshall not exceed sixty continuative orintermittent days and provided that amedical certificate on her medicalcondition shall be produced from alicensed physician.
.
The obtaining by the female worker ofher maternity leave shall not detracther entitlement from other leave.
.
Article 9The breast-feeding female workershall have the right to choose a dailybreast-feeding hour for one yearstarting from the end of the maternityleave in addition to her right of a restperiod provided for in article (1)above, and she can not utilize this
hour during the month of Ramadan,where the working hours are low.
)(
.
The breast-feeding period shall becalculated as a part of the workinghours and shall not reduce the wage.
.
Section 4THE MEDICAL CARE OF
WORKERS IN THE FACILITIES
Article 10The medical care for workers in thefacilities shall include:
:
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1. Medical examination. . .2. Performing laboratory analysis and X
rays. . .
3. Offering the necessary medicines topursue the cure process outside thehospital.
. .
4. Maternity care for the female workersduring the pregnancy period.
. .5. Immunizing workers against the
infectious diseases pursuant to theinstructions issued by the SupremeCouncil of health.
.
.
6. Preparing the precautionary programsto protect the workers from thehazards of occupational diseases todetect them early and follow up theirdevelopments and cure.
.
.
7. Supervising the food supplied to the
workers, the health utilities and thepersonal precaution missions of theworkers and provide them with thehealth awareness.
.
.
8. Studying the working conditions of theworkers to improve them. This studycan be used as guidance whenconducting the medical examination.
.
.
9. Preparing a medical file for each
worker indicating the results of thepreliminary medical examination andthe medical conditions such as(normal, occupational, injuries), inaddition to the absence from work andthe treatment stages.
( ( ..
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Article 11The employer shall prepare themedical first aid boxes furnished withmedicines, tools, kits and equipmentsand at the quantities specified in theattached table no. (1). The first aidboxes shall be distributed to all worksites of the same employer.Moreover, in the facilities thatcomprise between 5 and 25 workers,the employer shall train one of theworkers in addition to his normal duty,to provide first aid medical services. Ifthe number of workers exceeding 25workers, a box shall be specified foreach group of workers ranging from 5to 25 workers.
)( . .
Article 12If the numbers of the workers in the
facilities exceed hundred workers, theemployer shall appoint a full timemedical nurse in the establishment inaddition to the first aid box. If thenumbers of the workers exceed 500workers, the employer shall designatea clinic in the work place employing atleast a physician and a nurse, inaddition to a first aid room.
.
Article 13In addition to their work in the
facilities, an appropriate number ofworkers shall be trained in order toprovide the first aid medical servicesfor the injured person until the arrivalof the first aid man or the doctor.
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Article 14
The place designated as workersclinic must have enough ventilation,lighting, hygiene and comfort andsupplied with necessary tools andequipments.
.
Section 5REQUIREMENTS ANDSPECIFICATIONS OF
SUITABLE ACCOMMODATIONFOR WORKERS
Article 15The employer shall provide theworkers with the accommodationoutside the urban areas if the natureand systems of the work at the facilityrequires it taking into considerationthe health requirements and
specifications as follows:
:
1. The space inside the shared roomallocated to one person shall not beless than four meters of the freespace.
.
.
2. One room shall not accommodatemore than four workers in theresidential complex and eight workersin the temporary accommodations.
.
.
3. The entrances, passages, rooftops orvaults shall not be used as rooms toaccommodate workers.
. .
4. The windows of the building shall notpermit the dust leakage. They shall becovered by a metal mesh that avoidsthe entry of insects.
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5. All rooms shall be well- ventilated:with natural lighting as well assufficient artificial lighting.
.
.
Article 16The employer shall provideaccommodation with the followingbasic furnishings:
:
1. Bed supplied with appropriate
blankets for every worker. It isforbidden to use the double deckerbeds.
. .
2. Cupboards for clothes. . .3. Air conditioners. . .4. Water cooler. . .
Article 17The walls of the kitchens shall becovered with porcelain. The followingequipments shall be provided in thekitchen:
:
1. Water filters. . .2. Ventilators. . .3.
Refrigerator. . .4. Gas cooker. . .5. Rubbish containers. . .
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Article 18The employer shall provide one fullequipped toilet for every eight workerssubject to the following conditions:
:
1. Its walls shall be covered withporcelain and its floor shall be non-slippery.
. .
2. The water heater shall be providedoutside the toilet.
. .3. It shall be well - ventilated and with
lighting and in compliance withgeneral hygiene condition.
. .
Article 19The employer shall do the periodicmaintenance for the accommodationfacilities in general:
:
1. The ceilings, walls, floors (if they wereexposed to humidity, leakage orcracks.
. .
2. The electrical connections, extensionsand boxes taking into considerationthe requirements of security andsafety.
. .
Article 20The temporary accommodation forworkers shall provide the following:
:
1. Dining Rooms furnished with thesuitable equipments to the workersnumber who reside in the temporaryaccommodation and shall be supplied
.
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with the fly mesh for doors and
windows in addition to the insecttraps.
2. A room equipped with first aid and anurse if the number of workersexceeds (100) workers.
. .
3. The necessary means to get rid offthe house waste, sanitation inaccordance with the standardsapplied in the state.
.
.
Article 21It is absolutely forbidden to use orutilise the workers' accommodation forother than the specified purposes.In case of storage of food for workers,the health requirements for thestorage of food shall be taken intoconsideration according to thecompetent authorities' instructions.
.
Article 22The employer shall provide therelevant fire extinguishers and alarmsystems as determined by the civildefense department.
.
Article 23The accommodation shall be providedwith the necessary first aid boxes,furnished with the medicines, thebandages and antiseptics inproportion with number of residents atthe accommodation.
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Article 27
The worker who sustains a work injuryshall be entitled to receive treatmentappropriate to his condition at theexpense of the employer according tothe decision of the competent medicalauthority.
.
Article 28If a dispute arises between the workerand the employer concerning theability of the worker to resume hiswork or any medical matters related tothe injury or the disease or treatmentprescribed there of or the appliedtreatment, the department shall referthis matter to the competent medicalauthority and its decision in thematters within its competency shall befinal.
.
Article 29The employer shall provide every sixmonths to the Labor Department thestatistics of injuries, serious accidentsand occupational diseases inaccordance with the annexed Forms(3, 4& 5).And not to exceed the limitfor sending, the 15th of the followingmonth, after expiry of six monthsreferred to. A copy of it should be keptat the plant.
)( .
Article 30The average work-related injury,occurred at the plant, is calculated atthe end of every 6 months or everycalendar year in accordance with thefollowing:
:
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Average of injuries frequency=Number of injuries occurred X one millionhoursNumber of actual working hours
x =---------------------------------------
Average of injuries intensity=Number of absent days from work due toinjuries X one thousand hoursNumber of actual working hours
x =-----------------------------------------
Article 31The employer shall establish logs ofto the required data for each statisticand record its data at firsthand; andthat the injury statistics, seriousaccidents and the occupationaldiseases will be under the supervisionand responsibility of each of theoccupational health and safetyspecialist and the plants doctor, ifhe/she is available.
.
Section 7THE PERIODIC MEDICAL
EXAMINATION FORWORKERS EXPOSED TO THEOCCUPATIONAL DISEASES
RISKS
Article 32The employer shall perform a primarygeneral medical examination to everynominated worker exposed to anoccupational disease as stated in theattached Table no. (6), at theemployer expenses, and by the
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medical commission. This is to verify
the nominated workers health andmental fitness to perform this work,provided that this examination takesplace before hand over the work. It isto be taken into consideration in thismedical examination the nature of thework and the type of disease exposedto by the nominated worker.
.
Article 33The employer shall perform theperiodic medical examinations to theworkers exposed to any of theoccupational diseases, by thespecialized medical commission andduring regular periods and thefollowing items are to be observed:
:
First: Performance of the periodicexaminations once in every sixmonths to the workers exposed to thefollowing diseases:
: :
1. The chrome poisoning and itscomplications- if the nature of thework exposes them to the chromefumes.
- . .
2. The nickel poisoning and itscomplications- if the nature of thework exposes them to the nickelfumes.
- . .
3. The carbon monoxide poisoning and
its complications. .
.4. The Cyanuric acid poisoning and its
complications. .
.
5. The Chlorine, fluorine, bromine andtheir composites poisoning and their
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diseases.
6. The tetrachloroethylene andtrichloroethylene poisoning, and otherhalogen composites.
. .
7. The chloroform and the fourth chlorinecarbon poisoning.
.
.
8. The sulfur poisoning and itscomplications - if the type of the workexposes them to the sulfur fume.
- . .
9. The cadmium poisoning. .
.10. The barium or any of its composites .
.11. Nitrite fume poisoning. .
.12. Niated navasline Chlorine poisoning .
.13. Dioxin poisoning. .
.14. The lead poisoning and its
complications. If the nature of thework exposes them to the Leadfumes.
- .
.
15. Arsenic poisoning and itscomplications. If the work natureexposes them to the Arsenic fumes.
- . .
16. Mercury poisoning and itscomplications. If the of the worknature exposes them to the Mercury
fumes.
- .
.
17. Antimony poisoning and itscomplications. If the nature of thework exposes them to the Antimonyfumes.
- . .
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18. Phosphor poisoning and its
complications. If the of the worknature exposes them to the phosphorfumes.
- .
.
19. Petroleum poisoning and itscomplications. If the nature of thework exposes them to the Petroleumfumes.
- . .
20. Manganese poisoning and itscomplications. If the nature of thework exposes them to the Manganesefumes.
- .
.
21. Occupational deafness. .
.22. Writing muscular Spasm of the arm
and hand muscles. . .
23. Legs varicose disease. .
.24. Cystitis Cancer and the urinary
system. .
.
25. Pathological symptoms resulting fromexposure to high frequencies.
.
.
26. The diseases and the pathologicsymptoms that result from radium andsimilar substances of radiation activityand X rays.
..
Second:Performance of the periodicexaminations once per year to the
workers exposed to the followingdiseases:
: :
1. Lead poisoning and its complications-In Other than the operations and theworks that expose the workers to thelead fumes.
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2. Arsenic poisoning and its
complications- In Other than theoperations and the works that exposethe workers to the lead fumes.
- .
.
3. Mercury poisoning and itscomplications- In Other than theoperations and the works that exposethe workers to the mercury fumes.
- . .
4. Antimony poisoning and itscomplications- In Other than theoperations and the works that exposethe workers to the Antimony fumes.
- . .
5. Phosphor poisoning and itscomplications- In Other than theoperations and the works that exposethe workers to the phosphor fumes.
- . .
6. Petroleum poisoning and itscomplications- In Other than theoperations and the works that exposethe workers to the Petroleum fumes.
- . .
7. Manganese poisoning and itscomplications- In Other than theoperations and the works that exposethe workers to the manganese fumes.
- . .
8. Sulfur poisoning and itscomplications- In Other than theoperations and the works that exposethe workers to the Sulfur fumes.
- . .
9. Chromium poisoning and its
complications- In Other than theoperations and the works that exposethe workers to the chromium fumes.
- .
.
10. Nickel poisoning and itscomplications- In Other than theoperations and the works that expose
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the workers to the nickel fumes.
11. Skin Cancer and chronic dermatitisand ophthalmitis.
.
.
12. Eye effect due of the temperature andlight exposures and all complicationsthat could result from them.
.
.
13. Poisoning from fourth chlorine ethyland trichloroethylene and otherhalogen composites of thehydrocarbon composites of thealevative group.
.
.
Third: Performance of the periodicexaminations once every two years tothe workers exposed to the remainingdiseases as stated in the attachedTable of the Occupational diseasesno. (6).
: )(.
Article 34The periodic medical examinationshall observe:
:
1. The status of the blood, the nervous,the respiratory, and the psychologicalsystems status.
.
.
2. The status of internal organs of thebody such as the heart, liver, bloodvessels and lungs.
.
.
3. The bones status. .
.4. The blood, skin and eyes status. . .5. Any other data decided by the
competent medical authority. .
.
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Article 35The primary and periodic medicalexamination results of every workershall be noted and registered againsteach name in his personal medicalfile.
.
Article 36The employer shall notify the labordepartment the worker's name whosemedical report shows infection of theworker with one of occupationaldiseases within three days from thedate of having knowledge of medicalexaminations result.
.
Article 37The medical authority in charge of theprimary and periodical medicalexamination may reexamine anyworker exposed to the risk of theoccupational disease when his healthcondition requires that, within a periodless than the periods stipulated in thearticle (33).
)( .
Article 38Every worker infected by anoccupational disease shall be keptaway from the source of infection bygiving him a sick leave, or changing
his work place if the medical authorityin charge of the examination sees anyrisk to his health if he continues hiswork.
.
Any worker infected with anoccupational disease shall not be
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returned to his work unless the
medical examination proves his healthfitness to resume his work. If thecondition of the worker permits it, themedical authority in charge of theexamination may recommendassigning him another work suitablefor the workers health conditionprovided that it shall be far from thesource of infection of occupationaldisease.
.
Article 39The results of the medicalexamination shall be kept confidential.These information may not bedeliberated except among thespecialists. The worker may be givena copy of the data pursuant to writtenrequest from him.
.
Article 40
The employer shall pay the wage forthe duration of the periodic medicalexamination process, and provide allfacilities and data required by theauthority in charge of the examinationat the required dates.
.
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Section 8PROTECTIVE PRECAUTIONS
AGAINST RISKS OFCHEMICAL, HAZARDOUS &DELETERIOUS MATERIALS
Article 41The employer shall take necessaryprecautions to protect the workersand the working environment againstthe risks of chemicals and theirinteractions whether they are solid,liquid or gas materials, taking intoconsideration not to exceed theauthorized limit of their concentrationin the work environment.
.
Article 42Safe means of prevention should betaken to eliminate dust, fumes, gases,vapors and other harmful materials attheir production sources, by usingsuction equipment, or using artificialventilation system or by any othersuitable engineering means.
.
Article 43The employer shall take all necessaryprecautions and measures to protectthe workers against hazardous and
deleterious materials preventing theexposure of workers to them, takinginto consideration the use of any othersuitable engineering means replacingthe harmful raw materials.
.
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Article 44It is an obligation to prevent theaccumulation of dust on the floor andmachinery on a regular basis, alongwith cleaning the place by sweepingafter wetting or using electricvacuums, in order to limit the spreadof deleterious materials.
.
Section 9GENERAL SERVICES
Article 45The employer is committed to thefollowing:
:
1. Allocating places, for the rest ofworkers or eating, in every facility inwhich the nature of work necessitates
that.
.
.
2. Allocating places to change clothing. .
.3. Arranging suitable bathrooms for
showering at an appropriate numberwith the number of workers, andsupplying them with the necessarycleaning materials.
.
.
4. Supplying enough amount of colddrinking water.
.
.
5. Provide a sufficient number of toilets,in every facility, at an appropriatenumber with the number of workers.
.
.
6. Using appropriate means, to get rid ofthe waste in accordance with themeasures to be specified by the
. .
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competent authorities.
Section 10PUBLIC HYGIENE
Article 46
It is prohibited to dump, place, leave,make flow or excrete in squares,roads, streets, passages, lanes,
footpaths, beaches, empty lands,rooftops, walls, balconies, homeskylights and other places, whetherthey are public or private, any of thefollowing materials or objects:
:
1. All types of garbage and waste suchas fecal materials, dung, leftovers,peels, trash, rubbish and wastepaper;domestic, bathing, laundry andsewage waters; and in absorption
pits, sinks and others.
.
.
2. All, whether movable, an animal, amaterial or an object, that would blockthe traffic, impede the pedestrians,occupy the public road, distort the citylandscape and its beauty and thebuilding facades and their balconies;or disrupt the requirements of publichealth, environment protection andprevention of its pollution such as the
leftovers of gardens, tree leaves, orbranches, cars, vehicles, othermachinery and machines and theirparts; the remnants of excavationwork, demolition, sands, stones,building materials and their unloading,mixing and transferring; carpetcleaning, covers and their like;washing of cars and , vehicles and
.
.
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their like; and possess animals and
housing them.
Excluded from the precedingprovisions are areas and placesaccording to the terms, conditions,specifications, deadlines andnecessary licenses specified by theMunicipal Council.
.
Article 47The means of transporting rubbish,waste, materials vulnerable to fallingand flying apart, liquid and otherwaste of all kinds, shall be in goodcondition and covered firmly sonothing of their contents may fall, spillor flow, and should be in accordancewith the terms, specifications andtiming specified by the MunicipalCouncil and in agreement with thecompetent authorities.
.
Section 11PROTECTION FROM
INFECTIOUS DISEASES
Article 48Infectious diseases which are appliedby the provisions of this section areshown in the annexed table no. (7).
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((HEALTH MEASURES TOPREVENT INFECTIOUSDISEASES))
(( ((
Article 49If a person was infected or suspectedof having an infectious disease, itshall be notified immediately and bythe fastest possible means thenearest medical center or hospital inaccordance with the law, decisionsand its executive lists. The medicalcenter or the hospital shall report tothe competent health authority.
. .
Article 50The mentioned reporting in theprevious article is the duty of thedoctors of the oil and gas facilities.
.
In the absence of doctors in these
facilities, the reporting is theoperators duty or his representativeon duty.
.
Article 51The competent health authority mayisolate the infected or the suspectedof having an infectious disease orimpose him and his contacts to thehealth monitoring. It may take the
measures which it deems appropriatefor the infected and its contacts.
. .
Article 52The competent health authority mayisolate the infected, the suspected ofhaving an infectious disease and their
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contacts from practicing their jobs. It
is prohibited for the isolated from hisjob to return to work withoutpermission from the competent healthauthority, and the operator or hisrepresentative on duty will be theresponsible of that.
.
Article 53It is prohibited to transport theinfected by an infectious disease ortheir belongings which may cause thespread of infection, from one place toanother without authorization from thecompetent health authority specifyingthe means of transport.
.
Article 54The licensed health authority mayorganize vaccination campaignsagainst the infectious diseases. Thelicensed doctors at the oil and gasfacilities may vaccinate within theirscope of competence granted bySupreme Council of Health.
.
.
Section 12PROTECTION FROM
RADIATION
First: Protection Against IndustrialExposure
:
Article 55Only medically, technically andPractically qualified individuals shallbe able to work in the field of ionizingradiation.
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b.
Install reliable signs at the appropriateentry points. .
.
Article 57Special Terms on ServiceConditions:
:No employee less than 18 years ofage shall be exposed to more thanthe annual radiation exposure rate of(0.3), unless for training purposes.No employee less than 16 years ofage shall be exposed to more thanthe annual radiation exposure rate of(0.3).
)( . .
Article 58Special Terms for PregnantWomen:Each pregnant working woman shallnotify about her pregnancy to theemployer once she is aware of it whoshall take all necessary measures inorder to transfer her to anothersuitable position, if needed thusensuring that the fetus enjoys thesame prevention methods set for thepublic
: .
Article 59Local Supervision Rules:The licensee shall comply with the
following supervision rules:
: :
1. Designate officer in charge ofprotection against radiation.
.
.
2. Set the rules and procedures in alanguage well understandable to theworkers.
.
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3.
Provide the workers with informationabout radiation and occupationalexposure and required training.
.
.
4. Raise awareness among workingwomen about the risks that may harmthe Fetus in case of pregnancy.
.
.
5. Provide necessary instructions toconcerned workers on emergencyplan.
.
.
6. Keeping records on training sessions
of each employee. .
.
Article 60Dose limits of Exposure toRadiation:
:Radiation exposures whetherpertaining to workers, public andmedical applications are monitoredwhereas they shall not exceed the
rates set by the Ministry ofEnvironment according to thetechnical studies as well as to theinternational adopted rates, in thisarea.
.
Article 61Measurement of Radiation:
All designated individuals for theprotection against radiation shall
make the following measurements ineach area and do documentation ofall results in special records:
: :
1. Carry out a routine periodical surveyin order to verify classification of thedifferent areas.
.
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2. Measure the radiation exposure rates
of all workers in a given area whomay be exposed to radiation dosesdue to the operation of radioactivemachines within that same area.
.
.
3. Install measuring instruments ofdoses like those are carried by theemployees such as detectors andfilms inside the working premises, andtake their readings on a regular basis.
.
.
Article 62Obligations of the licensee in thefield of protection againstoccupational exposures:
:The licensee party shall undertake thefollowing:
:
1. Provide medical treatment at his ownexpense for all individuals exposed todoses of radiation exceeding thepermitted limits set by the Ministry ofEnvironment. In the event of radiationcaused injury of any individual leadingto partial or total disability or deathdue to the negligence of the licenseeor not complying with the rules ofradiological protection, the relevantlaws shall be applied.
. .
.
2. Report to the Ministry ofEnvironment, the civil defense and theDirectorate HSE Regulations and
Enforcement or any of them by phoneas soon as possible upon theoccurrence of any incident whichcaused or could lead to the exposureof any individual to a radiation rateexceeding the permitted dose limits,or at any loss of any source ofionizing radiation or its damage or
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any loss of control over it with full
statement of the details and of theincident as well as the reasons thatled to the incident within a period notmore than 20 hours from the time ofincident provided that the telephonereporting to the Ministry is to befollowed by a notification in writingwithin a maximum period of threedays.
.
3. Install the appropriate warning signsand pictures for the control areas asrecognised internationally accordingto the booklet of warning signs relatedto radioactivity issued by the Ministryor any other signs decided by theMinistry, in a clear andunderstandable manner todemonstrate the size and the natureof the risk exposure.
.
.
4. Establish a physical supervisionprogram which shall determine thenature of the necessary precautionsto be taken in order to verify theimplementation of the instructionsrelated to the determination of dosesof exposure, evaluate the efficiency ofthe set precautions and define thenecessary preventive measuresaccording to the size of suitableexpected risks.
.
.
5. Establish a physical supervision
program to determine precautions andmeans of prevention to be taken.
.
.
6. Establish a medical supervisionprogram at the licensed facility inorder to verify the health of theworkers and to verify continuouscompatibility between the interest of
.
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the work and the health of the worker,
and provide all necessary relatedinformation in case of accident or ofoccupational disease.
7. Medical supervision for workers at thefacility according to the generalprinciples of occupational medicine, inaccordance with the present or pastexposure conditions of the saidworkers to any toxic chemicals or anyother physical circumstances withhealth risks.
.
.
8. Do not employ or do not continue toemploy any worker in a work involvingexposure to ionizing radiation or non-ionizing in contravention of themedical rules.
.
.
9. Make sure that the occupationalmedical examination is being done onall workers periodically and in thecase of occurrence of any industrialinjuries or diseases.
.
.
10. Provide suitable atmosphere for themedical supervisor designated by theMinistry of Environment and HSERegulations and Enforcement or anyone of them or any other competentauthority or any personal authorizedfor performing occupational medicalsupervision by any other body. Also toprovide requested information
including the personal file and adetailed job description for any workerworking in the facility.
.
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Article 63Records:The licensee shall maintain thefollowing records:
: :1. Records of radioactive sources. . .2. Individual records for each employee,
as well as a record of incidentswhether related to individuals orequipments.
.
.
These records should be seen by theMinistry of Environment and HSEregulations and EnforcementDirectorate in a period not later thanone month from the end of the year.
Also, those records should beendorsed.
.
Those records are confidential andmaintained for a period not less than30 years. If the activity of the facilityends before the term, the recordsshall be transferred to the Ministry ofEnvironment.
.
Records must contain theseinformation:
:
1. Previous radiation history of eachemployee.
.
.
2. Type of the current work and type of
the radiation which might be exposedat the work place.
.
.
3. Cumulative exposure doses of theworker in current job.
.
.
4. Registration of the measurements ofdoses taken by the detectors and
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films carried by the employee.
5. Total monthly cumulative doses ofradiation for each worker.
.
.
6. Periodical medical test results foreach employee.
.
.
7. Cumulative total dose rate for eachworker during his carrier.
.
.
Article 64Evaluation of Exposure:
:The licensee shall undertake to adoptall necessary measures for theevaluation of the occupationalexposure of workers to radiation aswell as to carry out appropriateprocedures in coordination with theconcerned and competent authoritiesfor the measurement of suchexposure under an adequate programfor the control of quality.
.
Individual monitoring will be carriedout for each worker in the controlarea. Evaluation in the supervisionarea can be performed according tothe results of monitoring of the workplace or workers.
. . .
The nature and frequency of themonitoring of radioactivity shall beproportionate to the evaluation of the
levels of exposure and possiblechanges of these values . Thequality of radiation monitoringmeasurements and the calibration ofthe used equipments shall be verifiedperiodically.
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The licensee shall determine workers
exposed to the danger of internalpollution and to provide them thesuitable monitoring ensuring theefficiency of the measures ofprotection as well as the rightevaluation of the doses of internalexposure.
.
Article 65Personal Protection Equipments:
:The licensee shall ensure to provideworkers with appropriate andsufficient protection equipment, whichshall include protective and shieldsuits, gloves, protective shields for allorgans of the body in addition to allspecial protective equipment formonitoring provided that the workersbe informed of the characteristics ofthe provided protection.
( ( .
The licensee shall reduce to the leastminimum the extent of reliance on thesaid personal protection equipmentfor protection and safety purposesduring regular operational activities byproviding well designed restrictionsand convenient working conditions.
.
Second: Protection from MedicalExposure
: Article 66
Responsibilities:The licensee shall ensure thefollowing:
: :
1. Not to expose any patient to anyradiation exposure for the purpose ofmedical diagnosis or treatment unless
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prescribed by a medical practitioner.
2. Medical practitioners commitment, totake over all the necessary protectionand safety measures whenprescribing and during theperformance of the medical radiationexposure.
.
.
3. Medical practitioners verification thatthe medical exposure of patient is theminimum necessary to perform therequired diagnosis.
.
.
4. Medical practitioners verification ofusing appropriate equipment andmachines.
.
.
5. Provide medical personnel andassistants as needed provided thatthey are medical professionals or thatthey have got enough training in orderto properly carry out the assigneddiagnosis and treatment proceduresprescribed by the medical practitioner.
.
.
6. Put the requirements of calibration,measurements of doses and qualityassurance by a qualified expertspecialized in the field of medicalphysics or under his supervision in thecase of use of radioactivity fortreatment purposes such as inexternal and internal radiotherapy.
.
.
7. In respect of the diagnostic uses of
radiation execute the requirementsrelated to radiography and qualityassurance in consultation with aqualified expert specialized in thephysics of diagnostic radiography orof nuclear medicine as required.
.
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8. Medical practitioner to notify the
registrar or the licensee of anydeficiencies or needs regardingcompliance with the standards ofradiation protection in terms ofprotection and safety of patients andtake the necessary action to ensuretheir protection.
.
.
Article 67Justification of Medical Exposures:
:Medical exposures to radiation shallbe justified through the comparison ofrealized diagnostic or therapeuticbenefits with the radiation damagethat might happened taking intoconsideration the benefits and risks ofthe available alternative technologieswhich do not involve medicalexposure to radiation and subject tothe following:
:
1. Related guidelines such as thosedefined by the World HealthOrganization.
.
.
2. No radiological examination shall becarried out for occupational, legal orhealth insurance purposes regardlessof clinical purposes unless after dueverification of the availability of alluseful information on the healthsituation of the individual undergoingexamination.
) ( .
.
3. No intensive radiological examinationshall be performed for groups unlessthe expected benefits for theexamined individuals or for the totalas a whole can compensate for allincurred economic and social costsincluding radiation damage of this
.
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test.
4. No human being shall be exposed toradiation in medical research unlessin compliance with the provisions ofthe Helsinki declaration of theeighteenth international medicalconference as well as with theparticular guidelines of its applicationissued by the Council of InternationalOrganizations for Medical Sciences,the World Health Organization as wellas any other national medicalorganisation designated, by theMinistry of Environment.
.
.
Article 68Protection Requirements In CaseOf Diagnostic Exposure:
:
The licensees shall verify thefollowing:
:
1. Diagnostic medical exposures ofpatients to be the lowest level andreasonably achievable, taking intoconsideration rules of acceptablequality images as defined by theconcerned occupational bodies andrelevant guidance levels for medicalexposures.
.
.
2. Considering consultation in casedoses exceed the guidance levels setby the committee.
.
.
3. Considering all relevant information ofpast examinations in order to avoidany unnecessary additional tests.
..
4. Verifying that the medical practitioner,technical expert or any other staffmember of the radiography
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department determines radiography
conditions including the number ofradiograms as well as the body partsor organs or others to be examined,where the combining of them willresult in minimum possible exposurerate susceptible of ensuring goodradiogram quality and realizing the setclinical objective of the patientconsistent with the required quality ofthe images and intended clinicalexamination especially in the case of
examination of children.
.
5. Avoiding tests that cause radiationexposure of the stomach or basin ofany pregnant woman or that are likelyto be pregnant unless there werestrong accounted clinical reasons so.
.
.
6. Planning any radio diagnosis of thestomach or basin of any woman ableto reproduce so that it results in thelowest possible dose to the fetus, ifany.
.
.
7. Providing radio protectors forradiosensitive body organs such asthe reproductive organs, the lens ofthe eye, the breast and the thyroidgland as appropriate and whereverpossible.
.
.
Article 69
Prevention Requirements in thefield of Nuclear Medicine:
:
Licensees shall take intoconsideration the requirements ofprevention in the field of nuclearmedicine and particularly verify thefollowing:
:
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1. Ensure that the medical practitioner
who prescribes or performsradioactive nuclides diagnosis verifythe following:
:
.
a. Exposure of patients to the minimumnecessary limit to achieve therequired diagnostic purpose.
.
.
b. Taking into consideration of allrelevant information obtained by pastexaminations in order to avoid anyunnecessary additional tests.
..
c. Taking into consideration the relevantguidance levels set by the Ministry ofEnvironment regarding medicalradiation exposure.
.
.
2. Verify that the medical practitioner,technical expert or any other radiologystaff works in order to reduceexposure of patients to the minimumrate as which is consistent withacceptable quality of images bymeans of the following:
:
.
a. Appropriate selection of the bestradioactive pharmaceutical productsavailable and the potential of theirradioactivity paying attention tospecial requirements for children, andpatients who suffer from imbalance inphysiology.
.
.
b.
Use of methods to prevent absorptionof radioactive products in the organsnot subject to investigation, and useof accelerated methods of excretionfrom the body of these products whenneeded.
.
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c. Collection and processing of images
on optimal manner.
. .3. Avoid use of radioactive nuclides in
diagnostic procedures or treatmentwith radiation during pregnancy andfor women who are likely to bepregnant unless there are clinicalstrong reasons.
) ( ..
4. Recommending foster mothers tosuspend breast feeding untiltermination of secretion of thatamount of the pharmaceuticalradioactive product which could betransferred to the newborn as anunacceptable active radiance dose.
..
5. Limitation of prescription ofradioactive nuclides diagnosis forchildren only with cases of extremenecessity, and taking intoconsideration of reducing the use ofradioactive dose in proportion to theweight and body surface area of thechild or other appropriate standards.
.
.
Article 70Prevention Requirements in thefield of Therapeutic Exposure:
: The licensees should take intoconsideration the requirements ofprevention in case of therapeutic
exposure, particularly, verify thefollowing:
:
1. Maintain exposure of the healthytissue during radiation therapy to aminimum reasonable rate and asconsistent with the transfer of therequired dose to the size chart for
.
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treatment, and the use of shielding
organs wherever feasible andappropriate.
2. Avoid procedures causing theradiation therapy expose to the bellyor basin of a pregnant woman, or whois likely to be in carrying case, unlessthere were strong clinical reasons.
) ( .
.
3. Avoid the use of radioactive nuclidesfor therapeutic procedures forpregnant woman who is likely to be inpregnancy or breast feeding womenunless there were strong clinicalreasons.
) ( .
.
4. Plan any remedial action for pregnantwoman so that the lowest possibledose will be transferred to the fetus.
.
.
5. Notify the patient of any potentialrisks.
.
.
Article 71Fluorescence Endoscopy DevicesAt The Clinics For Chest DiseasesAnd Internal Medicine:
:It is prohibited use of verticalFluorescence Endoscopy devices inclinics for chest diseases and internalmedicine and in the clinics ofpracticing physicians.
.
The use of non-vertical fluorescenceendoscopy is not permitted in thespecialized clinics unless the followingconditions are realized:
:
1. To be available in the device,possibility of normal photographyusing films in addition to fluorescence
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endoscopy in addition to the device
used for local radiograms takenduring radioscopy.
.
2. Availability of necessary means fordeveloping films, and should not beused fluorescence endoscopy as ameans to save the cost of films anddarkrooms facilities where therequired information can be obtainedby less radiation dose using theregular imaging methods.
.
.
3. Availability of competent person towork on the machine and secure thebest prevention for patients, otherworkers and the public in addition tothe person himself.
.
.
Article 72Measurement of clinical radioactivedoses:
:Licensees shall measure the clinicalradioactive doses and ensure theidentification and documentation ofthe following:
:
1. Typical values for surface entrydoses, position of dose, dose ratesand exposure times for adult patientswith typical body size, or of organdoses in the case of radiologicalexaminations.
.
.
2. The minimum and maximu absorbeddoses transmitted to the planned sizefor treatment in addition to absorbeddose transferred to the related pointas planned size of the treatment aswell as the dose transferred to therelevant points selected by the
.
.
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medical practitioner who prescribe the
treatment for each patient treated byexternal radiation therapy devices.
3. The absorbed doses at related pointsselected for each patient in the caseof treatment by closed radioactivesources.
.
.
4. Typical absorbed doses received bypatients upon diagnosis or treatmentby open (not closed) sources.
) (.
.
5. Absorbed radioactive dosestransferred to all related organs in alltypes of radiotherapy.
. .
Article 73Calibration Requirements:
: Licensees shall take intoconsideration requirements ofcalibration and in particular verify thefollowing:
:
1. The possibility of assigning calibrationof sources used in medical exposuresto a laboratory of standards formeasuring doses.
.
.
2. Calibration of the equipment used forradiotherapy with regard to the qualityof radiation, its power, absorbed doseor absorbed dose rate at apredetermined distance under certain
circumstances according to therecommendations issued by theinternational institutions or bodiessuch as the International AtomicEnergy Agency.
.
.
3. Calibration of sealed sources used inthe treatment of internal radiotherapy
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in terms of radioactivity, or reference
rate for the kinetic energy of the
substance in air (kerma dose), or therate of absorbed dose in a determinedplace at determined distance and fordetermined reference date.
( ( .
4. Calibration of the closed sources usedin nuclear medicine in terms of activityof radiant pharmaceutical productrequired to give provided that thevalue of radioactivity should bedetermined and recorded at the timeof use.
.
.
5. Make the calibration upon preparationof the unit for operation and after anymaintenance procedure which couldaffect calibration also as often asdetermined by the Ministry ofEnvironment.
.
.
Article 74Quality Assurance:
: Licensees shall establishcomprehensive program for qualityassurance in medical exposures withthe participation of qualified experts inrelated fields such as radiologicalphysics, radiological pharmacy ormedical physics in accordance withthe principles set by relevant
organizations such as the WorldHealth Organization and Pan
American Health Organization.