MINISTRY OF HEALTH SOCIALIST REPUBLIC OF VIETNAM

-------- Independence - Freedom - Happiness

---------------
No: 19/2016/TT-BYT Hanoi, June 30, 2016

CIRCULAR
GUIELINES FOR OCCUPATIONAL HEALTH AND SAFETY MANAGEMENT

Pursuant to the Labor Code dated June 18, 2012 by the National Assembly;
Pursuant to the Labor on occupational health and safety dated June 25, 2015 by the National
Assembly;
Pursuant to the Government’s Decree No. May 15, 2016 detailing a number of Articles of the
Law on occupational health and safety;
Pursuant to the Government’s Decree No.44/2016/ND-CP dated May 15, 2016 detailing a
number of Articles regarding inspection of occupational safety of the Law on occupational
health and safety, occupational health and safety training and workplace monitoring;
Pursuant to the Government's Decree No. 63/2012/ND-CP dated August 03, 2012 defining
the functions, tasks, powers and organizational structure of the Ministry of Health;
At request of the Director of Health Environment Management Agency;
The Minister of Health hereby issues this Circular providing guideline for occupational
health and safety management.

Chapter I
OCCUPATIONAL HEALTH AND SAFETY MANAGEMENT
Article 1. Scope of management
1. Occupational health and safety management covers:
a) Record making and updating;
b) Workplace monitoring;
c) Provision of health examination before employees start work, periodic examination for
occupational disease detection and occupational disease periodic checkups.
d) Workplace hazards prevention, control and mitigation;
dd) Hygienic-related disease prevention, food safety and occupational health improvement;
e) Fulfillment of hygienic works and utilities in workplaces as prescribed in Annex 1 attached
hereto;
g) Provision of first-aids and emergency services in workplaces in case occupational accidents
occur and necessary medical equipment for first-aid and emergency treatment.
2. Every business establishment shall prepare an annual occupational health and safety
management plan which is incorporated into the occupational health and safety plan.
Article 2. Requirements for occupational health and safety
1. Occupational health management and occupational disease prevention shall be applied as
the worker is employed and during their working time in the workplace.
2. Employers shall assign, recruit or allocate employees to take on responsibilities with the
consideration of employee’s health and the following requirements:
a) The employer shall not allocate employees suffering from occupational diseases to work in
positions where they must come into contact with occupational hazards which are beyond the
control or mitigation;
b) The employer should not assign/allocate those suffering from chronic diseases to take on
tasks that contain hazards which may affect their diseases. Where it is unavoidable, the
employer shall provide the assigned employee who suffers from chronic disease with a
detailed explanation about health hazards and shall assign tasks only after obtaining the
employee’s written consent.
Article 3. Occupational health records
1. The occupational health record includes:
a) An employee’s personal health record; and
b) Health monitoring records of all employees in the workplace (hereinafter referred to as
“health monitoring record”)
2. The employee’s personal health record includes:
a) A health certificate or health examination form if the job requires to contact with hazards
that may cause occupational diseases, or where the employee is required to take charge of
high-skilled jobs, heavy or dangerous, risky or hazardous tasks under current regulations of
laws;
b) A periodic health examination or health examination for detection of occupational diseases
where the employee is required to take charge of high-skilled jobs, heavy or dangerous, risky
or hazardous tasks under current regulations of laws;
c) Occupational disease records (if any)
d) A hospital discharge form, sick leave or relevant documents (if any)
3. Health monitoring records shall be made using the form in Annex 2 attached hereto.
Article 4. Management of emergency treatment records in case of occupational accidents
1. In case of occupational diseases and intoxication, the emergency treatment record is
required.
2. The emergency treatment record shall be made using the Annex 3 attached hereto and shall
be kept at the workplace under current regulations of laws.

Chapter II
FIRST AID AND EMERGENCY TREATMENT IN WORKPLACES
Article 5. Requirements for first aid and emergency treatment
1. Personnel administering first aid and emergency, first aid kits and medical equipment shall
be available according to the following elements:
a) Types of production and nature of hazards;
b) Number of employees, shifts and shifting time;
c) Risks of occupational accidents in the workplace;
d) Distance from the workplace to the nearest medical facility;
dd) Occupational accident statistics (if any).
2. Where poisonous and toxic chemicals or corrosive substances are applied, emergency
showers and eyewash stations shall be installed in accessible places inside the workplace and
shall be maintained in accordance with manufacturer’s manual or regulations of laws (if any).
3. Where hazardous chemicals classified under regulations of laws on chemicals are used, a
chemical safety inspection checklist which is made in Vietnamese and specifies guidelines for
first aid and emergency treatment in case of intoxication of such chemicals shall be put up
next to emergency, first aid kits. Where antidotes are available, such antidotes and their use in
Vietnamese shall be enclosed with emergency, first aid kits.
4. First aider and emergency personnel (hereinafter referred to as “emergency response team”)
shall meet all requirements prescribed in Article 7 hereof.
5. The location and quantity of first aid kits, medical equipment, medical rooms or emergency
rooms and lists of emergency response team members shall be publicly put up in the
workplace.
6. First aid kits, emergency equipment and quantity of emergency response team members
shall be regularly checked to ensure the compliance with provisions hereof.
Article 6. Requirements for first aid kits
1. First aid kits shall be available in the workplace, at accessible and visible positions, with
Red Cross symbol thereof.
2. Quantity of first aid kits and items thereof shall be conformable to Annex 4 hereof.
Article 7. Emergency response teams
1. The emergency response team includes:
a) Employees who are assigned to work in the emergency response team by their employer
shall:
- Meet health requirements and voluntarily join emergency response teams;
- Be able to promptly present at accident scenes in working time
- Complete training courses in first aid and emergency treatment prescribed in Article 9
hereof.
b) Medical officers at the business establishment
2. Business establishments involving majors that require a strict application of occupational
health and safety, employers shall recruit and allocate personnel to join emergency response
team as follows:
a) Where there are under 100 employees, at least one of them shall be assigned to participate
in emergency response team;
b) One more employee shall be assigned to participate in emergency response team for every
additional 100 employees.
3. For other establishments, employers shall recruit and allocate personnel to join emergency
response team as follows:
a) Where there are under 200 employees, at least one of them shall be assigned to participate
in emergency response team;
b) One more employee shall be assigned to participate in emergency response team for every
additional 150 employees.
4. There shall be staff in charge of emergency response available for every flexible shift or
workgroup.
Article 8. Requirements for first aid treatment areas
1. Where more than 300 employees work in a premise, the first aid area shall be available.
2. The first aid area shall:
a) be large enough to put stretchers and sickbeds and be well-ventilated, well-lit and be
symbolled with the Red Cross;
b) Be situated near restrooms in an accessible area that facilitates emergency and first aid
treatment or transport of patients
c) The List of necessary equipment in the first aid treat area shall conform to Annex 5
attached hereto.
Article 9. Emergency first aid training
1. Entities that are provided emergency first aid training are as follows:
a) Employees, except for those obtaining the certificate of completion of occupational health
and safety training;
b) Individuals assigned to participate in emergency response teams.
2. Start date and duration of the training course, curricula and provision of annual extra
training courses shall be conformable to Annex 6 attached hereto.
3. Trainers shall sign logbooks made using Annex 7 attached hereto. In case an employee
obtains the certificate of completion of occupational health and safety training course, the
signature to the logbook is not required but a copy of the certificated shall be stored.

Chapter III
REPORTING
Article 10. In business establishments
1. Reporting entities and report contents:
a) Business establishments shall submit occupational health reports made using Annex 8
attached hereto;
b) Medical facilities of districts or health stations of communes shall submit reports on
patients of occupational accidents receiving treatment at the medical facility using the form
prescribed in the Government's Decree No.39/2016/ND-CP dated May 15, 2016 detailing a
number of Articles of the law on occupational health and safety (hereinafter referred to as
“Decree No.39/2016/ND-CP).
2. Recipients:
a) Medical facilities of districts/provincial cities where the business establishment is located.
b) Health authorities in case the business establishment is under the administration of the
regulatory authority;
3. Reporting period:
a) By July 05th of every year in case of first-six-month reports;
b) By January 10th of the immediately following year in case of annual reports.
Article 11. In districts
1. Reporting entities and report contents:
a) The medical facility shall submit occupational health reports made using Annex 9 attached
hereto;
b) Medical facilities of province shall prepare reports on patients of occupational accidents
receiving treatment at the medical facility using the form prescribed in the Government's
Decree No.39/2016/ND-CP.
2. Recipients: The Department of Health
3. Reporting period:
a) By July 10th of every year in case of first-six-month reports;
b) By January 15th of the immediately following year in case of annual reports.
Article 12. In provinces
1. Reporting entities and report contents:
a) The Department of Health and health supervisory authorities shall submit occupational
health reports made using Annex 10 attached hereto;
b) The Department of Health shall submit a list of entities qualified to conduct workplace
monitoring within the province made using Annex 11 attached hereto.
2. Recipients: The Health Environment Management Agency – Ministry of Health.
3. Reporting period:
a) Regarding occupational health reports:
- By July 15th of every year in case of first-six-month reports;
- By January 25th of the immediately following year in case of annual reports.
b) Regarding lists of entities qualified for workplace monitoring: Within 03 working days
from the date of publishing of the list of entities qualified for workplace monitoring on the
website by the Department of Health.

Chapter IV
IMPLEMENTATION
Article 13. Responsibilities for emergency and first aid treatment of emergency response
teams
Every emergency response team shall:
1. Periodically examine and inspect the provision of first-aid and emergency treatment,
medical equipment, and number of staff at the workplace.
2. Manage and provide training courses for workers and those who are assigned to participate
in the emergency response team under Article 9 hereof.
3. Request the employer to:
a) Recruit first aiders or emergency personnel if any member of emergency response team
quit or move to other workplaces.
b) Supplement, replace, maintain and examine first-aid kits and emergency equipment.
Article 14. Responsibilities of employers
Every employer shall:
1. Make, manage and update occupational health and safety records, occupational disease
records (if any), occupational emergency and first aid treatment records (if any) and records
of monitoring of employee’s health who suffers from occupational diseases.
2. Allocate personnel with the consideration of employees’ health as stipulated in clause 2
Article 2 hereof.
3. Equip hygienic works and utilities in workplace.
4. Provide sufficient necessary medical equipment and first aid treatment, set up emergency
response teams, make out written work allocation for emergency first aid management, and
provide emergency and first aid training.
Article 15. Responsibilities of health stations of communes
Every health station of commune shall:
Administer primary first aid and/or emergency in case of occupational accidents, intoxication
or other accidents occurring within the commune upon request.
2. Disseminate and provide education on health and hygiene for occupational disease and
epidemic prevention and control;
3. Produce statistics on business establishments and workplace hazards to prepare healthcare
measures.
4. Inspect the implementation of occupational health and safety within the commune.
Article 16. Responsibilities of health stations of districts
Every health station shall:
1. Manage, examine and inspect the implementation of occupational health and safety by
business establishments within the district.
2. Inspect and provide business establishments with guidance and training courses on
occupational health and safety (including occupational disease prevention), first aid and
emergency treatment.
3. Exchange professional knowledge with emergency response teams of business
establishments within the administration and update legislative documents and cooperate to
manage occupational health and safety once every six month.
Article 17. Responsibilities of preventive healthcare providers and occupational health
and environmental protection centers of provinces
1. Manage, examine and inspect the implementation of occupational health and safety by
business establishments within the administration.
2. Submit plans for occupational health and safety management and improvement,
occupational disease prevention and first aid and emergency training to the Department of
Health for review for approval and implementation.
3. Inspect and provide business establishments with guidance and training courses on
occupational health and safety (including occupational disease prevention), first aid and
emergency treatment.
4. Exchange professional knowledge with emergency response teams of business
establishments within the administration to improve skills and update legislative documents
and cooperate to manage occupational health and safety once every six months.
Article 18. Responsibilities of health authorities
Every health authority shall:
1. Submit plans for occupational health and safety management and improvement,
occupational disease prevention and training courses in first aid and emergency treatment to
the competent authority for review for approval and implementation.
2. Supervise, inspect and provide instructions on occupational health and safety training
(including occupational disease control) and first aid and emergency treatment.
3. Research and propose to amendment to the list of occupations, heavy, dangerous and
hazardous jobs; health standards by occupation and health standards for elderly workers
working in heavy, dangerous and hazardous jobs under the administration of the regulatory
authority.
Article 19 Responsibilities of Departments of Health
Every Department of Health shall:
1. Provide instructions and allocate personnel to take charge of occupational health and safety
management and occupational disease control within the administration.
2. Disseminate and provide guidance and training courses on occupational health and safety
(including occupational disease prevention), first aid and emergency treatment.
3. Supervise and inspect the performance of entities qualified for workplace monitoring,
occupational healthcare providers, occupational health and safety certificate issuers, and first
aid and emergency treatment training within the administration.
Article 20. Responsibilities of preventive healthcare providers, universities having
medicine, public health and occupational heal faculties
1. Provide training in occupational health and safety, workplace monitoring, occupational
diseases, and first aid and emergency treatment.
2. Prepare training documents and provide training courses and issue certificates in workplace
monitoring and occupational diseases surveillance according to Annex 12 attached hereto.
The workplace monitoring certificate shall be made using Annex 13 attached hereto.
Review certificates in workplace monitoring issued by the effective date of this Circular as
the basis for issue of certificate in workplace monitoring whose training curricula program is
similar to that in the Annex 12 hereof.
3. Monitor workplaces and provide occupational healthcare in industrial zones according to
the allocation by the Ministry of Health.
4. Disseminate, supervise and provide guidance and training courses on occupational health
and safety (including occupational disease prevention), first aid and emergency treatment.
5. Propose health standards for workers by occupation, and health standards applicable to
elderly workers who do heavy, dangerous and hazardous jobs, and propose to amend the list
of heavy, dangerous and hazardous occupations in the field of healthcare.
Article 21. Responsibilities of Agency for Medical Service Administration – Ministry of
Health
The Agency for Medical Service Administration shall:
1. Provide instructions on health examination for grant of health certificates and periodic
health examination within the jurisdiction.
2. Provide instructions on occupational disease treatment and functional rehabilitation
nationwide.
3. Publish the list of medical facilities qualified to provide periodic health examination and
functional rehabilitation on the website of the Ministry of Health. Aggregate and report
figures on periodic health examination and functional rehabilitation nationwide.
4. Request the competent authority to introduce regulation and occupational health
classification; regimens of medical treatment and rehabilitation.
5. Examine and inspect the operation of medical facilities under clause 3 of this Article.
Article 22. Responsibilities of Health Environment Management Agency – Ministry of
Health
The Health Environment Management Agency shall:
1. Submit national plans for occupational health and safety management and improvement,
occupational disease prevention and training courses in first aid and emergency treatment to
the competent authority for review for approval and implementation.
2. Take charge of occupational health and safety management, occupational disease
prevention and first aid and emergency treatment nationwide.
3. Make information on entities qualified for workplace monitoring and medical facilities
qualified to issue occupational health and safety certificate and provide training courses in
first aid and emergency treatment publicly available on the website of the Ministry of Health.
4. Examine and inspect the performance of workplace monitoring agencies, medical facilities
eligible to issue occupational health certificate nationwide and medical facilities that provide
emergency and first aid training nationwide.
5. Consolidate figures about occupational health and safety, workplace monitoring, and
occupational diseases and accidents of which patient received treatment at their facility.

Chapter V
IMPLEMENTATION
Article 23. Terms of reference
Where any document referred to this Circular is amended or replaced, the new one shall
prevail.
Article 24. Transitional provision
Employee’s health monitoring records and occupational accidents records which are made in
accordance with the Circular No.19/2011/TT-BYT dated June 06, 2011 by the Ministry of
Health providing guidelines for occupational health and safety management and occupational
disease control by the effective date of this Circular are still valid but must be completed
under this Circular by December 31, 2017.
Article 25. Implementation
This Circular enters into force from August 15, 2016.
The Circular No.19/2011/TT-BYT dated June 06, 2011 by the Ministry of Health guiding the
management of occupational health and safety and occupational diseases, and Circular
No.09/2000/TT-BYT on guidelines for labor healthcare in small and medium-sized enterprises
shall expire from the effective date of this Circular.
Any issue arising in connection to the implementation of this Circular should be promptly
reported to the Health Environment Management Agency- Ministry of Health. /.

PP. MINISTER
DEPUTY MINISTER

Nguyen Thanh Long

 ANNEX 1
(Issued together with the Circular No.19/2016/TT-BYT dated June 30, 2016 by the Minister of Health)
HYGIENIC WORKS IN WORKPLACES
This regulation applies to businesses and those where contains risks that may cause
occupational diseases. Other workplaces should comply with this Circular.
Hygienic utilities Per shift Number of employees
1. Urinals 11 – 20 persons/urinal < 300
21 – 35 persons/urinal >300
2. Urinals 11 – 20 persons/urinal < 300
21 – 35 persons/urinal >300
3. Bathrooms 1 – 20 persons/bathroom 1 – 300
21 – 30 persons/bathroom 301 – 600
30 persons/bathroom >600
4. Menstruation rooms 1-3 female/room 1 – 300
30 female/room >300
5. Handwash taps 15 – 20 persons/tap < 300
35 persons/tap >300
6. Wardrobes 1 person/drawer or small Apply to businesses and
cabinet or hook workplaces where workers
contact with dangerous,
hazardous and poisonous
factors that may cause
occupational diseases
7. Drinking water 1.5 liter/shift
 ANNEX 2
(Issued together with Circular No.19/2016/TT-BYT dated June 30, 2016 by the Ministry of Health)
SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom - Happiness
-----------
EMPLOYEE’S HEALTH MONITORING RECORDS
Business name: _________________________________________________________
Business lines: _________________________________________________________
Address: ______________________________________________________________
Tel: ____________________________ Fax: _________________________________
E-mail:________________________________ Website: ________________________
Contact person:_________________________________________________________
[Year]_________

Form 1: EMPLOYEE’S HEALTH MONITORING RECORDS PRIOR TO WORK

ALLOCATION
Number of Health assessment
employees
Date undergoing Total
health I II III IV V
examination
Male:
Female:
Male:
Female:
Male:
Female:
Male:
Female:
Male:
Female:
Male:
Female:
Male:
Female:
Male:
Female:
Male:
 Female:
Male:
Female:
Male:
Female:
Male:
Female:

Form 2: EMPLOYEE’S HEALTH MONITORING RECORD ACCORDING TO

PERIODIC HEALTH EXAMINATION
Periodic Health assessment
Date health Total
examination I II III IV V
Male:
Female:
Male:
Female:
Male:
Female:
Male:
Female:
Male:
Female:
Male:
Female:
Male:
Female:
Male:
Female:
Male:
Female:
Male:
Female:
Male:
Female:
Male:
Female:
Form 3: DISEASES SUFFERED WITHIN REPORTED PERIOD
No. Name of diseases First quarter Second Third quarter Fourth quarter
quarter
Common diseases:
1 pulmonary
tuberculosis
2 Lung cancer
3 Sinusitis, Acute
nasopharyngitis ,
aryngitis
4 Chronic Sinusitis,
nasopharyngitis ,
aryngitis
5 Acute bronchitis
6 Chronic bronchitis
7 Pneumonia
8 bronchial asthma,
bronchiectasis and
allergies
9 Diarrhea, gastritis
10 Endocrine
11 Mental diseases
12 Central nervous
system diseases and
peripheral nervous
system disorders
13 Eye diseases
14 Ear diseases
15 Heart disease
16 Stomach and
duodenum diseases
17 Liver disease and
biliary diseases
18 Kidney diseases,
urany diseases
19 Gynaecology
20 Miscarriage/ number
of female employees
who get pregnant
21 Skin diseases
22 Osteoarthritis and
muscle disease
23 Malaria
24 Other (specify)
-
- ...
Total
II Occupational diseases
occupational
diseases
III occupational Injured dead Injured dead Injured dead Injured dead
accidents
Occupational
accidents
Total
The statistics herein is made according to the health examination results of employees who
voluntarily take health checkups themselves or periodic health examination or early detection
of occupational diseases at the workplace.
 Form 4:
STATISTICS ON DAYS-OFF WORK DUE TO SICKNESS, OCCUPATIONAL ACCIDENTS AND OCCUPATIONAL DISEASES
1. Frequency of days off work:
2. Number of days off work:
Date Sickness Occupational accidents occupational diseases Total
Average Average Average Average
Total Number Total Number Total Number Total
number number number number
Number days of days of days of days
Quarter [Month] % of days % of days % of days % of days
of off of employees off employees off employees off
off off off off
work off work off works off works
work work work work
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17)
1
I 2
3
4
II 5
6
7
III 8
9
10
IV 11
12
Per
annum
Notes:
- (3) and (15): a percentage (%) of the total employees
- (7): a percentage (%) of the total employees directly participating in production
- (11): a percentage of the total employees contacting with hazards.
- (5), (9), (13), 17): average number of days-off work( total days off work / total employees who are off from work)

Form 5:
CHRONIC DISEASES (*) MONITORING
Age, gender Experience Medical treatment Health Remarks (for job
Workplaces Name of patients Chronic diseases
Male Female years methods status allocation)

(*)Where multiple chronic diseases exist, it shall be monitored by using Form 06.
Form 6:
CHRONIC DISEASES MONITORING BY TYPE OF DISEASE
Chronic disease*: …………………………………………………………………………………………….
Age, gender Experience Medical treatment Health Remarks (for job
Workplaces Name of patients
Male Female years methods status allocation)

(*) Each disease shall be monitored in a separate page.

Form 7:
OCCUPATIONAL DISEASE MONITORING
Number of Number of
Number of employees who are employees whose
employees taking diagnosed with occupational Occupational disease assessment results
Date health examination occupational diseases are
Occupational diseases
(*) diseases assessed
<5% 5 - <31% >=31%
Total Female Total Female Total Female
Total Female Total Female Total Female

Total
(*) Date on which occupational disease is detected shall be specified.
Form 8:
LIST OF EMPLOYEES SUFFERING OCCUPATIONAL DISEASES
Age, gender Occupation
Date of
because of Name of Medical Percentage of Remarks (for
Name of Experience detection of Current
No. which the occupational treatment loss of work job
patients Male Female occupational years occupational occupation
disease methods capacity allocation)
diseases
is caught
1
2
…

Total
ANNEX 4
(Issued together with the Circular No.19/2016/TT-BYT dated June 30, 2016 by the Minister of Health)
REGULATION ON FIRST AID KITS IN WORKPLACES
1. General provisions
- The quantity of first aid kits is up to the number of employees as specified in section 2.
- Each floor or mobile team shall be provided with a first aid kit.
- Every first aid kits shall contain all necessary items thereof under section3. Do not use first aid kits for other purposes.
- The quantity of first aid kits and items thereof shall be regularly checked.
2. Quantity of first at kits in workplaces
No. Number of employees Quantity and type of first aid kits
1 ≤≤ At least 01, class A
2 26- 50 At least 01, class B
3 51- 150 At least 01, class C
*Notes: 01 class-B first aid kit equals to 02 class - A first aid kit, and 01 class-C first aid kit equals to 02 class-B first aid kit.
3. Items included in a first aid kit
No. Items Class-A Class-B Class-C
1 Adhesive tape roll 02 02 04
2 Adhesive tape roll 5 x 200 cm 02 04 06
3 Adhesive tape roll 10 x 200 cm 02 04 06
4 Adhesive tape roll 15 x 200 cm 01 02 04
5 Triangular bandage 04 04 06
6 Elastic bandage 04 04 06
7 Absorbent gauze ( 10 pads/pack) 01 02 04
8 Absorbent cotton (pack) 05 07 10
9 Esmarch bandage 6 x 100 cm 02 02 04
10 Esmarch bandage 4 x 100 cm 02 02 04
11 Bandage scissors 01 01 01
12 Medical pincer, straight, size 16 - 18 cm 02 02 02
13 Medical pincer, bent, size 16- - 18 cm 02 02 02
14 Medical gloves (pairs) 05 10 20
15 Proper surgical masks 01 01 02
16 Saline NaCl 9 ‰ ( 500ml bottle) 01 03 06
17 Antiseptic (bottle)
- Surgical spirit 70° 01 01 02
- Betadine 01 01 02
18 Safety pins (all size) 10 20 30
19 Waterproof nylon pads 02 04 06
20 First aid treatment regimen 01 01 01
21 Safety goggles 02 04 06
22 List of items in the first aid kit 01 01 01
23 Neck Splints (unit) 01 01 02
24 Arm splints (pairs) 01 01 01
25 Forearm splints (pairs) 01 01 01
26 Thigh splints (pairs) 01 01 02
27 Shin splints (pairs) 01 01 02
(*) *Notes: items No.24 to 27 shall be stored in the same place where first aid kits are stored.
 ANNEX 5
(Issued together with the Circular No.19/2016/TT-BYT dated June 30, 2016 by the Minister of Health)
LIST OF MEDICAL ITEMS IN FIRST AID AREA
1. First aid kits
2. Handwash sinks with fresh water
3. Paper towels
4. Nylon aprons
5. Filing cabinets
6. Flashlights
7. Clean cloths
8. Thermometers
9. Beds, pillows, blankets
10. Hard stretchers
11. Handwash and/or soap
Hazardous and non-hazardous waste containers
13. Bedpans
14. Chairs
15. Cabinets used for storage of medical equipment, first aid and emergency facilities…
 ANNEX 6
(Issued together with the Circular No.19/2016/TT-BYT dated June 30, 2016 by the Minister of Health)
FIRST AID TRAINING IN WORKPLACES
The first training
Duration of training
- For workers: 4 hours; For emergency response team: 16 hours ( 02 days).
1. Principles on on-the-spot first aid and emergency
2. Wound dressing (principles of dressing and items used for dressing)
3. Temporary hemostasis (hemostasis principles and methods)
4. Temporary fixation of fractures (principles and methods of fixation)
5. Cardiopulmonary resuscitation (signs and symptoms of respiratory arrest, instructions on
respiratory support and cardiopulmonary resuscitation)
6. Burn remedy treatment (causes and serious of burn, on-site treatment)
7. Patient transport with and without stretchers
8. Emergency cases:
- Electrocution
- Drowning
- Intoxication
9. Usage of first aid kits
10. Practice
II Annual training
The training content is the same as that in section 1.
Duration:
- For workers: 2 hours;
- For emergency response team: 8 hours ( 01 days).
 ANNEX 7
(Enclosed with the Circular No.19/2016/TT-BYT dated June 30, 2016 by the Minister of Health)
SPECIMEN OF LOGBOOK FOR EMERGENCY FIRST AID TRAINING AT WORK
[Year]………..
I. General information
1.1. Name of training facility: …………………….…………………….
…………………………
1.2. Date of training (first training/annual training) …………………….
…………………….…………………….…………………….…………………….
…………………
1.3. Trainer(s)
- …………………….…………………….…………………….…………………….
………………..
- …………………….…………………….…………………….…………………….
………………..
-…
2. List of trained workers
Date of birth Job
No. Full name Trainee’s signature
Male Female position
1
2
3
...
(*)Logbooks and workers’ certificates of completion of training courses in occupational
hygiene and safety shall be retained.
3. List of emergency response team’s members provided with training
Date of birth Job
No. Full name Trainee’s signature
Male Female position
1
2
3
...

Certification by employer Certification by first-aid training facility

(Sign and seal) (Sign and seal)
 ANNEX 8
(Issued together with the Circular No.19/2016/TT-BYT dated June 30, 2016 by the Minister of Health)
[Name of reporting entity] SOCIALIST REPUBLIC OF VIETNAM
………………. Independence - Freedom - Happiness
-------- -----------
No:……………../BC……. ……………….……………..[Location and date]

To: ……………………………………..
REPORT
ON OCCUPATIONL HEALTHCARE BY [NAME OF REPORTING ENTITY]
[Month/year]…………..
(The report shall be submitted to the medical center (preventive medical center) of district.
Entities affiliated to the regulatory authority shall submit 01 more report to the health
authority)
I. Information
1. Business name: _______________________________________________________
2. Affiliated to Province □ regulatory authority □
3. Address: ____________________________________________________________
Tel: __________________________________________________________________
Email: ______________________________ Fax: _____________________________
4. Main products, services: _______________________________________________
5. Number of employees:
5.1. Total ________________ including ________________female
5.2. Number of employee directly participating in production: _Including_________________
female
5.3. Number of employees taking on heavy, dangerous and hazardous work activities: ____
including ____female
6. Is the occupational health and safety record made in accordance with Decree
No.39/2016/ND-CP:
Yes □ No □
7. Healthcare team
7.1. healthcare officer(s): Yes □ No □
If yes, please specify healthcare staff’s information
Contact Certificate in occupational
No. Full name Qualifications
number health and safety (yes/no)
1
2
3
…
7.2. Health stations/medical rooms/clinics/hospitals Yes □ No □
If yes, please specify forms of organization: __________________________________
7.3. Enter into agreements with health service providers Yes □
No □
If yes, please specify:
- Name of service provider: _______________________________________________
- Address: _____________________________________________________________
- Tel: _________________________________________________________________
- Provided services: _____________________________________________________
- Duration: ____________________________________________________________
8. Emergency response teams in the workplace (for business establishments) ________
Number of emergency response team members _______________________________
Including: ____________ female. Inspection of occupational health and safety, and
occupational disease prevention and control during the reported period by the competent
authority.
Date of
No. Inspecting authority Scope of inspection Remarks
inspection
1
2
3
…
II. Working conditions and number of workers contacting with hazards
Number of
employees
Unsatisfactory contacting with
No. Monitored characteristics Total samples
samples hazards
Total Female
1 Temperature
2 Humidity
3 Wind speed
4 Thermal radiation
5 Light
6 Dust silicon Other silicon Other
- Total dust
- Respirable dust
- Other
7 Noise
8 Vibration
9 Noxious gases

…
10 Radiation
11 electromagnetic field
12 Hazards
 …
Assessment of physiology,
13 psychology and
ergronomics

…
14 Other

…
Total
III Days off work due to sickness, occupational accidents and occupational diseases
Date Sickness Occupational accidents occupational diseases Total
Numb Numb Numb Numb
Number Number Number Number
er of er of er of er of
of Perce Perce of Perce Perce of Perce Perce of Perce Perce
Quart [Mont days days days days
employe nt nt employe nt nt employe nt nt employe nt nt
er h] off off off off
es off es off es off es off
work work work work
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16)
…
Total
Notes:
- (2) and (14): a percentage (%) of the total employees
- (6): a percentage (%) of the total employees directly participating in production
- (10): a percentage of the total employees contacting with hazards.
- (4), (8), (12), 16): average number of days off work ( total days off work / total employees off)
IV. Occupational diseases under the insurance coverage
1. Statistics on occupational diseases
Number of
Number of employees Number of
employees
whose occupational employees whose
diagnosed with Occupational disease assessment results
disease is detected by occupational
occupational
No. Name of occupational diseases health examination disease is assessed
diseases
<5% 5 - 30% >=31%
Total Female Total Female Total Female
Total Female Total Female Total Female
1
2
3
...
Total
2. List of employees suffering occupational diseases
Age Occupation because
Name of
of which Experience Date of detection of Percentage of loss of Current
No. Name of patients occupational
Male Female occupational years occupational disease work capacity occupation
disease
disease is caught
1
2
3
…
V. Employees' health and occupational accidents
No. Name of diseases First quarter Second Third quarter Fourth quarter
quarter
Common diseases:
1 pulmonary
tuberculosis
2 Lung cancer
3 Sinusitis, Acute
nasopharyngitis ,
croup
4 Chronic Sinusitis,
nasopharyngitis ,
aryngitis
5 Acute bronchitis
6 Chronic bronchitis
7 Pneumonia
8 bronchial asthma,
bronchiectasis and
allergies
9 Diarrhea, gastritis
10 Endocrine
11 Mental diseases
12 Central nervous
system diseases and
peripheral nervous
system disorder
13 Eye diseases
14 Ear diseases
15 Heart disease
16 Stomach and
duodenum diseases
17 Liver disease and
biliary diseases
18 Kidney diseases,
urany diseases
19 Gynaecology
20 Miscarriage/ number
of female employees
who get pregnant
21 Skin diseases
22 Osteoarthritis and
muscle disease
23 Malaria
24 Other (specify)
 -
- ...
Total
II. Occupational diseases
occupational
diseases
III. Occupational accidents Injured dead Injured dead Injured dead Injured dead
Occupational
accidents
Total
The statistics herein is made according to the health examination results of employees who
voluntarily take health checkups themselves or periodic health examination or early detection
of occupational diseases in the workplace.
VI. Employee health assessment
Number of
employees taking
Total Class I Class II Class III Class IV Class V
periodic health
examination
Male
Percent %
Female
Percent %
Total
Percent %
VII. Training
Number of employees provided training
No. Training contents
Total Female
1 Emergency first aid treatment.
2 Occupational safety
3 First aid
4 Others
(Specify)
VIII. Funding for occupational health and safety
No. Activities Amount Remarks
1 Periodic health examination
2 Examination for detection of occupational diseases
3 Occupational disease periodic examination
4 Occupational health and safety training
5 Emergency first aid training
6 Workplace monitoring
7 Compensation for occupational accidents
8 Occupational disease compensation
9 Expenses for common disease treatment at the
workplace
10 Other relevant expenses
Total
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

[Heads of the reporting entity] Prepared by

(Signature, full name and seal) (Full name and position)