2021年度四川省25家职业卫生技术服务机构职业病危害因素定期检测报告的质量分析  

Quality analysis of periodic testing reports on occupational hazards of 25 occupational health technical service institutions in Sichuan Province in 2021

作　　者：沈月华[1] 杜洪凤[1] 储卫忠 SHEN Yuehua;DU Hongfeng;CHU Weizhong(Sichuan Center for Disease Prevention and Control,Chengdu 610041,Sichuan Province,China)

机构地区：[1]四川省疾病预防控制中心,成都610041

出　　处：《预防医学情报杂志》2023年第12期1492-1497,共6页Journal of Preventive Medicine Information

摘　　要：目的了解四川省职业卫生技术服务机构职业病危害因素定期检测报告的质量及检测过程存在问题。方法抽取四川省25家职业卫生技术服务机构,在其2021年度完成的职业病危害因素定期检测报告中,每家机构各抽取1份检测报告进行专家评审,并对定期检测过程中54个核查点存在的问题进行汇总,采用SPSS 21.0软件统计分析,率的比较采用卡方检验,以P<0.05为差异具有统计学意义。结果技术服务合同及合同评审、现场调查、检测计划/方案、现场采样和测量、检测报告、实验室分析的不符合发生率分别为12.9%、46.9%、40.8%、32.7%、41.1%和39.3%。各部分不符合发生率不完全一致(χ^(2)=69.004,P<0.001)。除技术服务合同及合同评审外,其余部分的不符合发生率均较高。企业基本情况、工艺和设备、防护设施、个体防护用品调查,检测计划/方案内容,原辅材料调查,工作日写实调查,检测报告中职业病危害因素识别分析,用人单位存在主要问题的对策和建议等13个方面的问题突出。结论四川省应重点加强对职业卫生技术服务机构的现场调查、现场采样及检测的培训及监督,从而提高四川省职业病防治的整体水平,更好保护劳动者身体健康。Objective To investigate the quality of periodic occupational hazard testing reports and problems in the testing progress of occupational health technical service institutions in Sichuan Province.Methods Expert review was performed on one periodic occupational hazard testing report completed in 2021 from each of the selected 25 occupational health technical service institutions in Sichuan Province,and the existing problems in 54 check points during periodic testing were summarized and analyzed.Statistical analysis was performed by SPSS 21.0.Rates were compared by Chi-square test,with P<0.05 indicating the presence of a statistically significant difference.Results The non-conformity rates in technical service contracts and contract reviews,on-site investigations,testing plans/protocols,on-site sampling and measurements,testing reports and laboratory analysis were 12.9%,46.9%,40.8%,32.7%,41.1%and 39.3%,respectively.The non-conformity rates in various parts were not fully consistent(χ^(2)=69.004,P<0.001).Except for technical service contracts and contract reviews,the non-conformity rates in other parts were relatively high.Problems were salient in the following 13 aspects:basic situation of the enterprise,process and equipment,protective facilities,investigation of personal protective equipment,content of testing plans/protocols,investigation of raw and auxiliary materials,practical investigation of working days,identification and analysis of occupational hazards in testing reports,countermeasures and suggestions of the main problems existing in the employers,etc.Conclusions The training and supervision of on-site investigation,on-site sampling and testing of occupational health technical service institutions should be strengthened,so as to improve the overall level of occupational disease prevention and treatment and better protect the physical health of workers.

关 键 词：职业卫生技术服务机构 定期检测报告 质量分析 

分 类 号：R135[医药卫生—劳动卫生]