Regulation On Occupational Health Screening

Original Language Title: Verordnung zur arbeitsmedizinischen Vorsorge

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Ordinance on occupational health care (arbMedVV)

unofficial table of contents

arbMedVV

date of delivery: 18.12.2008

full quote:

" health care regulation of 18 December 2008 December 2008 (BGBl. 2768), as last amended by Article 1 of the Regulation of 23 June 2008. October 2013 (BGBl. I p. 3882) "

:Last modified by Art. 1 V v. 23.10.2013 I 3882

For details, see the menu under Notes

Footnote

(+ + + Text evidence: 24.12.2008 + + +)

The V has been referred to as Article 1 of the V v. 18.12.2008 I 2768 decided by the Federal Government after consultation of the Central Commission for Biological Security with the consent of the Bundesrat. She's gem. Article 10, first sentence, of this V entered into force on 24.12.2008. Non-official table of contents

§ 1 Objective and scope

(1) The purpose of the regulation is to take action in the field of occupational health care to recognise and prevent work-related illnesses, including occupational diseases, at an early stage. Occupational health care is also intended to contribute to the preservation of employability and to the development of occupational health protection.(2) This Regulation shall apply to occupational health care in the scope of the Employment Protection Act.(3) This Regulation makes other preventive measures in the workplace, in particular in accordance with the German Labour Protection Act (Arbeitsschutzgesetz) and the law on occupational physicians, safety engineers and other occupational safety and health workers (Labour Safety Act), unaffected. unofficial table of contents

§ 2 definitions

(1) occupational health care within the meaning of this regulation
1.
is part of the occupational health prevention measures in operation;
2.
is used to assess the Individual interactions between work and physical and mental health and the early detection of work-related health disorders, as well as the identification of an increased health hazard in the exercise of a given activity
3.
includes a medical consultation with anamnesis, including work history, as well as physical or clinical investigations, to the extent that they are intended for the individual education and counselling are required, and the employee or employees do not reject these investigations;
4.
includes the use of knowledge from the Risk assessment and other occupational health and safety measures;
5.
does not include evidence of health fitness for occupational health and safety. Requirements according to other regulations or individual or collective agreements.
(2) compulsory preventive measures are occupational health precaution which must be initiated in certain particularly hazardous activities.(3) Offer prevention is occupational health precaution, which must be offered for certain hazardous activities.(4) Wish prevention is occupational health precaution, which must be made possible in the case of activities in which a health damage cannot be ruled out, at the request of the employee or employees. Non-official table of contents

§ 3 General obligations of the employer

(1) The employer has on the basis of the risk assessment for a adequate occupational health care. In doing so, it shall comply with the provisions of this Regulation, including the Annex, and shall take account of the rules and findings made known in accordance with Article 9 (4). In the event of compliance with the rules and findings referred to in the second sentence, it must be assumed that the requirements laid down are met. Occupational health care can also include other measures of health care provision.(2) The employer has to hire a doctor or a doctor in accordance with § 7 for the purpose of carrying out the occupational health care provision. If a company doctor or a company doctor is appointed according to § 2 of the German Labor Security Act (Arbeitssicherheitsgesetz), the employer is to give priority to this or to the occupational health care provision. The doctor or physician shall provide all necessary information on the conditions of employment, in particular on the cause of occupational health and safety, and on the results of the assessment of the risks, and on the commission of the workplace. . He or she shall, on request, be granted access to the documents referred to in the first sentence of paragraph 4.(3) occupational health care should take place during working hours. It shall not be carried out in conjunction with examinations intended to demonstrate the suitability for health of professional requirements, unless there are operational reasons for this; in this case, the employer shall have the doctor or the To oblige a doctor to disclose the different purposes of occupational health care and aptitude examination in relation to the employee or the employee.(4) The employer shall have a precarer's party with information that, when and on what occasions occupational health care has taken place; the card may be run in an automated manner. The information shall be kept up to the end of the employment relationship and shall subsequently be deleted, unless legislation or the rules referred to in Article 9 (4) determine otherwise. The employer shall forward to the competent authority a copy of the precarer ' s party. In the event of termination of the employment relationship, the employer of the data subject shall issue a copy of the information in question; § 34 of the Federal Data Protection Act shall remain unaffected. Non-official table of contents

§ 4 Compulsory precaution

(1) The employer has to arrange for the employees in accordance with the provisions of the Annex. Compulsory provision must be made before the start of the activity and subsequently at regular intervals.(2) The employer shall be allowed to carry out an activity only if the employee or employees has participated in the compulsory provision.(3) (omitted) unofficial table of contents

§ 5 Offer precaution

(1) The employer shall have the employee's offer provision in accordance with the provisions of the Annex to offer. Offer prevention must be offered prior to the start of the activity and subsequently at regular intervals. The provision of an offer does not release the employer from the obligation to continue to offer offer provision on a regular basis.(2) In the event that the employer is aware of any illness which may be related to the activities of the employee or employees, he or she shall immediately offer him or her offer provisions for the provision of offers. This also applies to employees with comparable activities where there is evidence that they may also be at risk.(3) In accordance with the provisions of the Annex, the employer shall provide employees and former employees with subsequent care after completion of certain activities in which, after prolonged periods of latency, health disorders may occur. At the end of the employment relationship, the employer shall transfer this obligation to the competent statutory accident insurance institution and transfer the required documents to him in copy, provided that the employee or employees have consented. Non-official table of contents

§ 5a Wish precaution

The employer has the employees at their request, in addition to the provisions of the Annex. Allow occupational health care in accordance with § 11 of the German Occupation Protection Act (Arbeitsschutzgesetz) on a regular basis, unless the assessment of the working conditions and the protective measures taken are not to be expected to result in health damage. Non-official table of contents

§ 6 Obligations of the doctor or the doctor

(1) In the case of occupational health care, the doctor or doctor has the following: comply with the provisions of this Regulation, including the Annex, and take account of the rules and findings corresponding to the state of occupational medicine. Before carrying out occupational health care, he or she must obtain the necessary knowledge of the workplace conditions. Before carrying out physical or clinical examinations, the physician or the doctor must check the necessity of the medical examination in accordance with a medical judgement and the person or employees concerning the contents, purpose and risks of the examination. to educate. Investigations in accordance with the third sentence may not be carried out against the will of the person or persons employed. The doctor or the doctor must observe the medical confidentiality.(2) Biomonitoring is an integral part of occupational health care, as far as it is available for work medically recognized analysis methods and suitable values for evaluation. Biomonitoring must not be carried out against the will of the person or persons employed. Vaccinations are part of the occupational health care and the employees, as far as the risk of infection is caused by an infection and is increased in comparison with the general population. Sentence 3 shall not apply if the employee or employees already has sufficient immune protection.(3) The doctor or doctor shall have
1.
to record the result and the findings of the occupational health care provision in writing and to the staff or employees advise,
2.
to provide the employee or employees with the result at his or her request, as well as to
3.
the employee and the employer to issue a precautionary agreement on the fact that, when and on what occasion, a medical check-up took place
(4)
doctor or doctor has to evaluate the findings of occupational health care. If there is evidence that the measures taken in the field of employment protection are not sufficient for the employee or employees or other employees, the physician or the doctor shall inform the employer and the measures taken by the employer to: To propose occupational health and safety. If, for medical reasons, the doctor or the doctor considers that a change of activity is necessary for medical reasons which are solely in the person of the person or persons employed, such communication shall be required by the employer of the consent of the person or persons concerned. Employees. Non-official table of contents

§ 7 Requirements to the doctor or doctor

(1) Without prejudice to other provisions in the appendix for individual occasions The doctor or the doctor must have the right to maintain the term "occupational medicine" or the additional name "occupational medicine". He or she must not carry out an employer's role in relation to the employee or employees. If, in the case of certain examination methods, the doctor or the doctor referred to in the first sentence does not have the necessary specialist knowledge or the specific recognitions or equipment, he or she shall be required to add doctors or doctors who are Meet requirements.(2) The competent authority may grant exemptions from the first sentence of paragraph 1 for doctors or doctors in justified cases. Non-official table of contents

§ 8 measures after the occupational health care provision

(1) In the case of § 6 (4) sentence 2, the employer has the following: To review the risk assessment and to immediately take the necessary measures of occupational safety and health. Where a change of activity is proposed, the employer shall, in accordance with the provisions of the service and employment regulations, assign the person or persons employed to another activity.(2) The measures taken shall be communicated to the operational or staff council and to the competent authority.(3) If the employee (s) or the employer (s) hold the result of the evaluation in accordance with § 6 (4) to be inaccurate, the competent authority shall decide upon request. Non-official table of contents

§ 9 Committee on Occupational Medicine

(1) At the Federal Ministry of Labour and Social Affairs, a Committee on Occupational Health , in which expert representatives of employers, trade unions, state authorities, statutory accident insurance and other experts, in particular science, are to be represented. The total number of members shall not exceed twelve persons. An alternate member shall be designated for each Member. The membership of the Committee for Occupational Medicine is voluntary.(2) The Federal Ministry of Labour and Social Affairs shall convene the members of the Committee and the alternates. The committee shall adopt its rules of procedure and elect the chairman or chairperson from his centre. The Rules of Procedure and the election of the Chairman or the Chairperson shall require the approval of the Federal Ministry of Labour and Social Affairs.(3) The tasks of the Committee include:
1.
Rules relating to the state of occupational medicine and other established medical findings on the subject of occupational medicine identify
2.
to determine rules and findings, such as the requirements set out in this Regulation, in particular on the content and scope of duty, offer, or
3.
To prepare recommendations for occupational health care,
4.
Recommendations for further health care measures, in particular for operational health programs,
5.
To determine the rules and findings on other occupational health prevention measures in accordance with § 1 (3), in particular for general medical advice on occupational health and safety. Employees,
6.
the Federal Ministry of Labour and Social Affairs on all issues of occupational health care as well as on other issues of medical care
the work programme of the Committee on Occupational Health and Safety is coordinated with the Federal Ministry of Labour and Social Affairs. The committee works closely with the other committees at the Federal Ministry of Labour and Social Affairs.(4) The Federal Ministry of Labour and Social Affairs can announce the rules and findings as well as recommendations in the Joint Ministerial Gazet.identified by the Committee on Occupational Medicine.(5) The Federal Ministries as well as the supreme state authorities may send representatives to the meetings of the Committee. On request, the latter shall be given the floor at the sitting.(6) The operations of the Committee shall be carried out by the Federal Institute for Occupational Safety and Health. Non-official table of contents

§ 10 Administrative Offences and Crime

(1) Contrary to the law in the sense of Section 25 (1) (1) of the German Labor Protection Act (Arbeitsschutzgesetz) who intentionally or negligently does
1.
contrary to § 4 para. 1, does not make a compulsory provision or does not make it in good time,
2.
contrary to § 4 paragraph 2, an activity can be exercised,
3.
contrary to § 3, paragraph 4, sentence 1, half-sentence 1 Pre-ordering party not, not correct or not complete, or
4.
contrary to § 5 (1) sentence 1, offer a provision of offer not or not in good time
(2) Those who endanger the life or health of one or more employees by means of an intentional act referred to in paragraph 1 shall be punishable under Article 26 (2) of the German Employment Protection Act (Arbeitsschutzgesetz). Unofficial Table Of Contents

Attachment to Work Medical duty and offer provision

(Fundstelle: BGBl. I 2008, 2771-2775;
of the individual amendments, cf. Footnote)

Part 1
Hazardous Materials Activities

(1) Compulsory precaution at:
1.
Activities with the hazardous materials:
-
acrylonitrile,
-
alkyl-mercury compounds,
-
Alveolengänene Staub (A-Staub),
-
Aromatic nitro and amino compounds,
-
Arsen and Arsenic connections,
-
asbestos,
-
benzene,
-
beryllium,
-
lead tetraethyl and lead tetramethyl,
-
cadmium and cadmium compounds,
-
chrome-VI connections,
-
dimethylformamide,
-
Inbreathable dust (E-dust),
-
fluorine and inorganic fluorine compounds,
-
glyceryl trinitrate and glycoldinitrate (nitroglycerin/nitroglycol),
-
hardwood dust,
-
carbon disulfide,
-
carbon monoxide,
-
methanol,
-
nickel and nickel connections,
-
Polycyclic aromatic hydrocarbons (organic material pyrolysis products),
-
whiter Phosphorus (Tetraphosphorus),
-
Platinum Connections,
-
Mercury and inorganic Mercury Compounds,
-
Hydrogen Sulfide,
-
Silicogenic Dust,
-
styrene,
-
tetrachloroethene,
-
toluene,
-
trichloroethene,
-
vinyl chloride,
-
xylene (all isomers),
if
a)
is the workplace limit for the hazardous substance is not complied with in accordance with the Hazardous Substances Ordinance,
b)
a repeated exposure cannot be excluded and the hazardous substance is a Carcinogenic or mutagenic substances or a preparation of category 1 or 2 within the meaning of the Hazardous Substances Regulation, or the activities with the hazardous substance as carcinogenic activities or processes Category 1 or 2 in the sense of the Hazardous substances regulation or
c)
the hazardous substance is skin-resorptive and a health hazard cannot be ruled out by skin contact
2.
Other hazardous materials:
a)
regularly four hours or more wet work per day,
b)
Welding and cutting of metals Exceeding an air concentration of 3 milligrams per cubic meter of welding smoke,
c)
Activities with exposure to grain and feed dusts at Exceeding an air concentration of 4 milligrams per cubic metre of breathable dust,
d)
Activities with exposure to isocyanates, in which a regular Skin contact cannot be ruled out or an air concentration of 0.05 milligrams per cubic meter is exceeded,
e)
activities with exposure to Health hazards caused by laboratory animal dust in animal shelters and plants,
f)
Activities using natural rubber glove gloves with more than 30 micrograms Protein per gram in the glove material,
g)
Activities of dermal risk or inhalation exposure to health risk caused by components uncured epoxy resins, in particular by spraying epoxy resins,
h)
activities with exposure to lead and inorganic lead compounds at Exceeding an air concentration of 0.075 milligrams per cubic metre,
i)
High-temperature activities, as far as they are carcinogenic category 1 or 2 in the
c)
j)
activities involving exposure to flour dust in the event of exceeding of a maximum amount of fibre. Flour dust concentration of 4 milligrams per cubic metre of air.

(2) Offer precaution at:
1.
activities with the hazardous substances referred to in paragraph 1 (1) if an exposure cannot be ruled out and the employer does not have to be required to do so has;
2.
Other hazardous substances:
a)
Pest control according to the Hazardous Substances Ordinance,
b)
Begasungen after the Hazardous Substances Regulation,
c)
Activities with the following substances or mixtures thereof: n-hexane, n-heptane, 2-butanone, 2-hexanone, methanol, ethanol, 2-methoxyethanol, benzene, Toluene, xylene, styrene, dichloromethane, 1,1,1-trichloroethane, trichloroethene, tetrachloroethene,
d)
Activities with a hazardous substance, unless the hazardous substance is referred to in paragraph 1 point 1, a repeated exposure cannot be excluded and
aa)
Hazardous substance is a carcinogenic or mutagenic substance or a preparation of category 1 or 2 in the sense of the Hazardous Substances Ordinance or
bb)
the activities with the hazardous substance as carcinogenic activities or processes category 1 or 2 in the sense of the Hazardous Substances Regulation
e)
wet work of regularly more than two hours per day,
f)
Welding and separation of metals in compliance with an air concentration of 3 milligrams per cubic metre Welding smoke,
g)
Activities with exposure to grain and feed dusts when an air concentration of 1 milligram per cubic metre is exceeded Inhalable dust,
h)
Activities with exposure to isocyanates in which skin contact cannot be ruled out, or an air concentration of 0.05 Milligrams per cubic meter,
i)
Activities with exposure to lead and inorganic lead compounds in compliance with an air concentration of 0.075 milligrams per cubic meter,
j)
Activities with exposure to flour dust in compliance with a flour dust concentration of 4 milligrams per cubic metre air,
k)
activities involving exposure to other respiratory sensitising or skin-sensitising substances for which, in accordance with paragraph 1, point 1, or Point a to j is not provided for occupational health care.
3.
(omitted)

(3) Occasions for follow-up care:
1.
Activities with exposure to a hazardous substance, if
a)
the hazardous substance is a carcinogenic or mutagenic substance or a preparation of category 1 or 2 within the meaning of the Hazardous Substances Regulation, or
b)
the activities with the hazardous substance as carcinogenic activities or processes Category 1 or 2 in the sense of the Hazardous Substances Regulation
2.
Activities with exposure to lead or inorganic lead compounds;
3.
High-temperature activities as specified in paragraph 1 (2) (i).

(4) Deviations:

Do not require the following paragraphs 1 to 3, or , if and to the extent that the rules determined on the basis of Article 9 (3), first sentence, point 1 and known in accordance with § 9 paragraph 4, determine otherwise.

Part 2
Activities with biological agents, including Genetic engineering work with human pathogenic organisms

(1) Compulsory precaution at:
1.
targeted Activities with a biological agent of risk group 4 or with
-
Bacillus anthracis,
-
Bartonella bacilliformis,
-
Bartonella henselae,
-
Bartonella quintana,
-
Bordetella pertussis,
-
Borelia burgdorferi,
-
Borelia burgdorferi sensu lato,
-
Brucella melitensis,
-
Burkholderia pseudomallei (Pseudomonas pseudomallei),
-
Chlamydophila pneumoniae,
-
Chlamydophila psittaci (aviary tribes),
-
Coxiella burnetii,
-
Francisella tularensis,
-
Early Summer Meningoencephalitis (FSME) virus,
-
Yellow fever virus,
-
Helicobacter pylori,
-
Hepatitis A Virus (HAV),
-
Hepatitis B Virus (HBV),
-
Hepatitis C Virus (HCV),
-
Influenzavirus A or B,
-
Japanenzephalitisvirus,
-
Leptospira spp.,
-
Masernvirus,
-
Mumpsvirus,
-
Mycobacterium bovis,
-
Mycobacterium tuberculosis,
-
Neisseria meningitidis,
-
Poliomyelitisvirus,
-
rubivirus,
-
Salmonella typhi,
-
Schistosoma mansoni,
-
Streptococcus pneumoniae,
-
Tollwutvirus,
-
Treponema pallidum (Lues),
-
Tropheryma whipplei,
-
Trypanosoma cruzi,
-
Yersinia pestis,
-
Varizelle-Zoster-Virus (VZV) or
-
Vibrio cholerae;
2.
untargeted activities with Biological Agents of Risk Group 4 when it is possible to contact infected samples or suspicions or diseased or Suspect persons or animals, including their transport, as well as
3.
non-targeted activities listed below
a)
in research facilities or laboratories: regular activities with Possibility of contact with infected samples or suspected samples, animals or animals suspected of being infected or contaminated or contaminated objects or materials with regard to a biological agent According to point 1;
b)
in tuberculosis departments and other pulmological facilities: activities with regular contact to diseased or Suspect persons with regard to Mycobacterium bovis or Mycobacterium tuberculosis;
c)
in medical examination facilities, Treatment and care of humans:
aa)
Activities with regular direct contact to diseased or
-
Bordetella pertussis,
-
Hepatitis A Virus (HAV),
-
Masernvirus,
-
Mumpsvirus or
-
rubivirus,
bb)
Activities where it can come regularly and on a larger scale to contact body fluids, bodily excretions or body tissues, especially activities with increased Risk of injury or danger of injection and aerosol formation, with regard to
-
Hepatitis B Virus (HBV) or
-
hepatitis C virus (HCV);
this also applies to areas that are related to the supply or maintenance of these facilities
d)
in facilities for the medical examination, treatment and care of children, excluding facilities exclusively for the purpose of: Care of children: activities with regular direct contact with sick or suspected children with regard to Varizelella Zoster Virus (VZV); point (c) remains unaffected;
e)
in facilities exclusively for the care of people: activities where it regularly and on a larger scale to contact with body fluids, body excretion or body tissue may occur, in particular activities with an increased risk of injury or risk of injection and aerosol formation, with regard to
-
Hepatitis A Virus (HAV),
-
Hepatitis B Virus (HBV) or
-
Hepatitis C Virus (HCV);
f)
in pre-school care facilities of children: activities with regular direct contact with children with regard to
-
Bordetella pertussis,
-
measles virus,
-
mumpsvirus,
-
Rubivirus or
-
Varizella-Zoster-Virus (VZV); letter e remains unaffected;
g)
in emergency and rescue services: activities in which it is regularly and on a larger scale to contact body fluids, body excretion or body tissue may occur, in particular activities with an increased risk of injury or risk of injection and aerosol formation, with regard to hepatitis B virus (HBV) or hepatitis C virus (HCV);
h)
in pathology: activities where there can be regular and greater contact with bodily fluids, body excretions or body tissue, in particular, activities with increased risk of injury or danger of spraying and aerosol formation, with regard to hepatitis B virus (HBV) or hepatitis C virus (HCV);
i)
in sewage treatment plants or in sewerage: activities with regular contact with faecal waste water or with faecal contaminated objects with regard to Hepatitis A virus (HAV);
j)
in establishments for the rearing and keeping of birds or for poultry slaughtering: regular activities with the possibility of contact with infected samples or suspected samples, animals or animals suspected of being infected or contaminated or contaminated objects or materials, if the transmission path is in this case, with regard to Chlamydophila psittaci (avian tribes);
k)
in a rabies prone district: activities with regular contact to live animals with regard to rabies virus;
l)
in or near bat: activities with close contact to bats with regard to European Fledermaus-Lyssavirus (EBLV 1 and 2);
m)
on open spaces, in forests, parks and gardens, animal gardens and zoos: regular activities in Lower Vegetation or direct contact to live animals with regard to
aa)
Borrellia burgdorferi or
bb)
in Endemiefields Early summer meningoencephalitis (FSME) virus.

(2) Offer precaution
1.
If the employer does not have to be required to make a compulsory provision in accordance with paragraph 1, he must have the employee Offer offer prevention at
a)
targeted activities with biological agents of the risk group 3 of the Biosubstance Regulation and non-targeted activities that are to be assigned to the protection level 3 of the Biosubstance Ordinance or for which there is a comparable risk,
b)
targeted activities with biological agents of risk group 2 of the Biochemical Ordinance and non-targeted activities to be assigned to the protection level 2 of the Biostoffverordnung , or where there is a comparable risk, unless the risk assessment and the protective measures taken are not considered to be at risk of infection;
c)
Activities with exposure to sensitising or toxic biological agents, for which no occupational health care is required under paragraph 1, point a or b
2.
§ 5 (2) applies accordingly when as a result of exposure to biological agents
a)
has to be reckoned with a serious infectious disease and measures of the postexposition Prophylaxis is possible or
b)
an infection is done
3.
At the end of a In the case of activities in which a compulsory provision was to be made in accordance with paragraph 1, the employer shall offer a provision for the provision of offers.

(3) Genetic engineering works with human pathogenic organisms:

The requirements of paragraphs 1 and 2 are mandatory and Offer precautions shall apply in the case of genetic engineering work with human pathogenic organisms.

Part 3
Activities with physical agents

(1) Compulsory precaution at:
1.
Activities with extreme heat stress, which lead to a particular hazard
2.
Activities with extreme cold load (-25 ° Celsius and colder);
3.
Activities with noise exposure when the upper release values of Lex, 8h = 85 dB (A) or
LpC, peak = 137 dB (C) are reached or exceeded. Trigger values as set out in the first sentence shall not take into account the dusk effect of a personal hearing protection of the employees;
4.
activities with exposure Vibrations when the exposure limits
a)
A (8) = 5 m/s2 for activities with Hand-arm vibration or
b)
A (8) = 1,15 m/s2 in X or Y direction or A (8) = 0.8 m/s2 in Z direction for activities with
-body vibration
5.
Activities under water in which the employee or employees are using a dipping device with breathing gas (diving);
6.
Activities with exposure to incoherent artificial optical radiation, when exposure limits in accordance with § 6 of the Occupational health and safety regulation on artificial optical radiation of 19. July 2010 (BGBl. I p. 960) in the version currently in force.

(2) Offer precaution at:
1.
Activities with noise exposure when the lower trigger values of Lex, 8h = 80 dB (A) or LpC, peak = 135 dB (C) are exceeded. When applying the trigger values by set 1 shall not take into account the dashing effect of a personal hearing protection of the employees;
2.
Activities with exposure to vibration, if the triggering values are from
a)
A (8) = 2.5 m/s2 for activities with hand-arm vibration or
b)
A (8) = 0.5 m/s2 for work with whole-body vibration
exceeded;
3.
Activities with exposure to incoherent artificial optical radiation, if at work the exposure limit values according to § 6 of the Occupation Ordinance on artificial optical radiation Radiation from 19. July 2010 (BGBl. 960) can be exceeded in the current version;
4.
Activities with significantly increased physical strain, which are related to health hazards for the musculoskeletal system is connected by
a)
Load handling during lifting, holding, carrying, pulling or pushing loads,
b)
repetitive manual activities or
c)
Working in Forced bodily postures in your knees, in long-lasting bowing or turning or in comparable compulsions.


Part 4
Other activities

(1) Compulsory precaution at:
1.
Activities that require the wearing of Groups 2 and 3 respirators;
2.
Activities in tropics, subtropics, and other stays abroad with special climatic stress and infection hazards. By way of derogation from § 3 (2) sentence 1 in conjunction with § 7, physicians or doctors who are entitled to lead the additional designation Tropenmedizin may also be assigned.

(2) Offer precaution at:
1.
Activities on display devices
The offer provision contains the offer on an appropriate Examination of the eyes and vision. If a medical examination proves necessary on the basis of the offer provisions, it shall be possible. Section 5 (2) shall apply in accordance with the terms of vision. The employees must be provided with special visual aids for their work on display devices to the extent necessary, if the result of the offer is that special visual aids are necessary and normal visual aids are not suitable
2.
Activities that require the wearing of Group 1 respirators;
3.
On the At the end of an activity in which, in accordance with paragraph 1 (2), a compulsory pension was required, the employer shall offer a provision for the provision of offers.