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Further to its observation, the Committee requests the Government to provide additional information on the following points.
Article 3(1) and (2) of the Convention. Progressive establishment of occupational health services for all workers. For a number of years the Committee has been requesting information on Instruction No. 24 concerning occupational health services and notes the fact that the preparatory work culminated in NOM-030-STPS-2006 instead of the adoption of this instruction. The Committee notes that paragraph 4.6 of this standard establishes that preventive occupational safety and health services (SPSST) are those provided by staff who have been trained to implement prevention, protection and control functions, and also to advise the employer, the workers and their representatives with regard to occupational safety and health, and these services may be internal, external or a mixture of both. It also notes that, according to paragraph 7 of this standard, workplaces are classified in category A or category B, according to the level of risk. The Committee requests the Government to provide information on the following:
(i) whether, in conformity with this Article of the Convention, the SPSST cover all the health services functions provided for in the Convention or whether some functions are shared with or performed by other organizations;
(ii) whether the SPSST cover all workers, including those in the public sector and the members of production cooperatives, all branches of economic activity and all undertakings;
(iii) the establishment of the SPSST in practice, indicating in particular the sectors in which the SPSST already exist and function and those in which they still have to be established. In the latter case – sectors or undertakings in which the SPSST still have to be established – please indicate the plans which have been drawn up to establish such services in consultation with the most representatives as laid down by Article 3(2) of the Convention.
Article 5(b), (d) and (e)–(h). Functions to be performed by the occupational health services. The Committee notes the Government’s indication that NOM‑030-STPS-2006 gives effect to the abovementioned subparagraphs. The Committee notes that paragraph 9 of this standard contains the list of preventive measures and provides for the setting up of an occupational safety and health programme. It is the Committee’s understanding that the general wording of the standard could give effect to Clauses (b), (d), (e) and (g). However, the Committee observes that this Standard does not appear to contain any provisions which give effect to the following Clauses: (f) (surveillance of workers’ health in relation to work) and (h) (contribution to measures of vocational rehabilitation). The Committee therefore requests the Government to supply information on the application in practice of Clauses (b), (d), (e) and (g) of this Article. It also requests the Government to indicate the provisions which give effect to the abovementioned Clauses (f) and (h) and to supply information on their application in practice.
Article 7. Different forms of organization of occupational health services. In the first paragraph of this comment, the Committee noted that, according to paragraph 4.6 of NOM-030-STPS-2006, the SPSST may be internal, external or a mixture of both. The Committee requests the Government to indicate the basis for prescribing that occupational health services may be internal, external or a mixture of both, including information on the application thereof in practice.
Article 8. Cooperation between the employer and the workers and their representatives. The Committee requests the Government to indicate the manner in which the cooperation and participation of the employer and the workers and their representatives is ensured with regard to implementation of organizational and other measures relating to occupational health services on an equitable basis.
Article 9. Multidisciplinary nature of occupational health services and cooperation between the latter and other services in the undertaking. The Committee notes the provisions mentioned by the Government but it is unclear whether these ensure the full application of this Article of the Convention in the country. However, it notes that the report indicates that in certain cases, such as the Mexican Social Security Institute (IMSS), multidisciplinary SPSST have been established and the participation of other entities such as occupational safety and health committees and bodies dealing with staff matters, economic and social benefits, and other external entities, is being contemplated. The Committee requests the Government to supply detailed information on the manner in which the multidisciplinary nature of the SPSST (Article 9(1)), cooperation with other services in the undertaking, including production services (Article 9(2)), and coordination (Article 9(3)), are ensured in law and in practice.
Article 15. Requirement to inform occupational health services of occurrences of illness and absence from work for health reasons. With reference to its previous comments, the Committee notes that, according to the report, effect is given to this Article of the Convention by means of paragraphs 5.4 and 6.3 of NOM-030-STPS-2006. However, the Committee notes that these provisions do not give effect to this Article, which states that occupational health services shall be informed of occurrences of ill health amongst workers and absence from work for health reasons, in order to be able to identify whether there is any relation between the reasons for ill health or absence and any health hazards which may be present at the workplace. The Committee therefore again requests the Government to provide information on:
(i) the provisions which give effect to the duty to inform the occupational health services of occurrences of ill health amongst workers and absence from work for health reasons;
(ii) the provisions which ensure that personnel providing occupational health services are not required by the employer to verify the reasons for absence from work; and
(iii) their application in practice.
Part VI of the report form. Application in practice. The Committee requests the Government to give a general description of the manner in which the Convention is applied in the country, including, for example, information on the number of workers covered, on procedures for application, and in particular on the practical application of NOM-030-STPS-2006.
The Committee notes the communication from the Single Union of Workers of the Government of the Federal District (SUTGDF), which was sent to the Government in May 2009. The Committee notes that, according to the communication, the Government, inter alia, is violating the present Convention but that the nature of the violation is not stated. The Committee therefore considers that it does not have the necessary information on which to base any examination of this claim and considers the matter closed unless the SUTGDF provides further information on what it regards as a possible infringement of the Convention.
Legislation. The Committee notes with satisfaction the adoption of Mexican Official Standard NOM-030-STPS-2006 concerning occupational safety and health services, which lays down the guidelines for developing and promoting such services and the adoption of which has been requested by the Committee for a number of years with reference to Instruction No. 24, which formed the basis for this Mexican Official Standard. The Committee notes, however, that it requires more detailed information in order to clarify certain points, which will be dealt with in a direct request.
The Committee is raising other points in a request addressed directly to the Government.
The Committee notes the information supplied by the Government in its reports. It notes the legal instruments adopted in recent years, particularly the Federal Regulations on Occupational Safety and Health and the Working Environment (RFSHMAT), issued by the Ministry of Labour and Social Welfare and published on 21 January 1997.
The Committee notes with interest the information on the measures taken to give effect to the provisions of Article 7, paragraph 1 (organization of health services), Article 10 (professional independence of occupational health services personnel) and Article 12 (regular surveillance workers’ health during working hours).
1. The Committee notes the Government’s reference to section 3, title XI of the Federal Law on Metrology and Standardization. It requests the Government to indicate whether the draft of Instruction No. 24 has been adopted and, if so, to provide a copy of it.
2. Article 5(b), (d), and (e) to (h) (functions to be performed by the occupational health services). The Committee notes the information that, pursuant to section 143 of the RFSHMAT, the operation of the occupational health services shall be conducted in accordance with the corresponding standard, which establishes the following general functions: implementation of the preventive health programmes established in enterprises, in coordination with the preventive occupational safety and health service; issuing opinions on the degree of incapacity and the origin of the occupational disease or accident; advising the employer on occupational health; sending the employer the results of medical examinations to ascertain the fitness of workers; and, cooperating in the guidance or, where appropriate, training of workers in occupational risk prevention. The Committee requests the Government to specify the standard referred to in its report and to provide a copy of it, if available.
3. Article 9 (multidisciplinary nature of occupational health services and cooperation between the latter and other services in the undertaking). The Committee notes that a preliminary draft of a standard (Instruction No. 24) provides for coordination between the preventive medicine services and the preventive occupational safety and health services, and establishes that the services must be multidisciplinary and determined on the basis of potential risk. The Committee requests the Government to indicate the provision that gives effect to this Article of the Convention.
4. Article 15 (requirement to inform occupational health services of occurrences of illness and absence from work for health reasons). The Committee notes that the preliminary draft of a standard (Instruction No. 24) impose on employers the requirement to notify any absence on health grounds to the preventive occupational medicine services. The Committee requests the Government to indicate the provision that gives effect to this Article of the Convention.
The Committee notes the information provided in the Government's latest report, particularly as concerns the numerous practical steps taken by the competent authority with respect to the monitoring of the working environment and the preventive measures to improve working conditions. It further notes that the draft Instructions (No. 24) concerning occupational health services prepared by the Instructions Subcommittee of the National Consultative Committee on Occupational Safety and Health have not yet been published in the Official Bulletin, thus its application has not yet been possible. The Committee hopes that this Instruction will be published in the near future and that it will provide measures for the continual development of occupational health services for all workers, in accordance with Article 3 of the Convention. The Government is requested to indicate the measures taken to ensure the functions, organization and conditions of operation of the occupational health services along the lines of its previous comments on the following Articles of the Convention:
Article 5 (b), (d) and (e) to (h). The Committee would recall that this Article of the Convention sets forth the functions which occupational health services should be empowered to carry out. These functions do not, however, prejudice the rights and responsibilities of other authorities in the field of occupational safety and health, such as the labour inspectorate or the Joint Occupational Safety and Health Committees of the enterprise. The Committee hopes that the new Instruction on occupational health services will ensure that such services have the following functions: to survey sanitary installations, canteens, housing; to test and evaluate equipment; to advise on protective equipment; to survey workers' health for a particular job prior to assignment; to promote adaptation of the work to the worker; and to contribute to measures of vocational rehabilitation.
Article 7, paragraph 1. The Committee hopes that measures will be taken to establish occupational health services for enterprises with less than 100 workers.
Article 9. The Committee hopes that the new Instruction will establish the co-ordination between the services for preventive medicine and the services for prevention of occupational safety and health and that the Instructions will also provide that these services be multidisciplinary.
Article 10. In its previous comments, the Committee noted the indication in the Government's report for the period ending 30 June 1991 that the personnel of occupational health services were part of the enterprise which pays them. The Committee hopes that the new Instruction will provide the necessary measures to ensure the professional independence for the occupational health service personnel.
Article 12. The Committee notes the information provided by the Mexican Institute of Social Security with the Government's report that workers may go to medical services at any time in the course of their work. It recalls that this provision of the Convention concerns the regular medical examinations forming part of the surveillance of workers' health. It hopes that the necessary measures will be taken to ensure that, as far as possible, the regular surveillance of workers' health in relation to work takes place during working hours.
Article 15. The Committee notes the indication in the Government's latest report that the National Advisory Committee on Occupational Safety and Health, along with the Sub-Committee on Information and Statistics have set the establishment of an Integrated System for the Information of Occupational Hazards as a fundamental objective. The Committee hopes that the necessary measures are taken to ensure that the occupational health services are regularly informed of occurrences of ill health amongst workers and absence from work for health reasons so that they might be able to identify whether there is any relation between the reasons for ill health or absence and any health hazards which may be present at the workplace.
Point VI of the report form. The Committee notes the statistics provided in the Government's report concerning the number of Joint Occupational Safety and Health Committees created up to November 1992. The Committee requests the Government to provide statistics on the number of occupational health services established by virtue of section 213 of the General Occupational Safety and Health Regulations (RGSHT) and the number of workers who have access to these services.
The Committee notes with interest the information provided in the Government's report, in particular as concerns the matters raised in its previous direct request with regard to the application of Articles 2, 14 and 16 of the Convention. It further notes with interest that the Instructions Subcommittee of the National Consultative Committee on Occupational Safety and Health is preparing draft Instructions concerning occupational health services. According to the Government, these instructions will be in complete conformity with the Convention and will facilitate the progressive development of occupational health services for all workers, in accordance with Article 3.
Furthermore, the Committee notes with interest from the Government's report the indication made by the Mexican Workers Confederation concerning the importance it places on this Convention and that the trade unions affiliated to it are going to introduce occupational health services in their collective agreements. The Government is requested to provide copies of any such agreements as they concern occupational health services, as requested in the report form under Article 6.
The Committee requests the Government to indicate, in its next report, the progress made in ensuring the application of the following Articles of the Convention:
Article 5(b), (d) and (e) to (h). The Committee would recall that this Article of the Convention sets out the functions which should be attributed to occupational health services and which are adequate and appropriate to the occupational risks of the undertaking. These functions do not, however, prejudice the rights and responsibilities of other authorities in the field of occupational safety and health, such as the labour inspectorate or the Joint Occupational Safety and Health Committees of the enterprise which were mentioned in the Government's report. In order for the occupational health services created to be able to fulfil their role as a preventive service, depending on the workplace, they will need to be able to carry out the following functions: survey sanitary installations, canteens, housing; test and evaluate equipment; advise on protective equipment; survey workers' health for a particular job prior to assignment; specifically promote adaptation of the work to the worker; and contribute to measures of vocational rehabilitation. The Government is requested to indicate the measures taken or evisaged (such as in the Instructions concerning occupational health services) to ensure that, where appropriate, occupational health services have the mandate to carry out these functions.
Article 7, paragraph 1. The Committee notes from the Government's report that for enterprises with over 100 workers, occupational health services are established for the single undertaking. It further notes the Government's indication that the Instruction being drafted will be able to establish that several enterprises may have a common occupational health service. The Government is requested to indicate the progress made in this regard so that enterprises with less than 100 workers may also benefit from occupational health services.
Article 9. The Committee notes from the Government's report that the Instruction being drafted will establish the co-ordination between the services for preventive medicine and the services for prevention of occupational safety and health and that the Instructions will also provide that these services be multidisciplinary. The Government is requested to indicate the progress made in this regard.
Article 10. The Committee notes the indication in the Government's report that the personnel of occupational health services are part of the Administration which pays them. It notes with interest the Government's indication that the draft Instruction will take into account the need to ensure professional independence for the occupational health service personnel. The Government is requested to indicate the progress made in this regard.
Article 12. The Committee notes the information provided in the Government's report and requests the Government to indicate the measures taken to ensure that, as far as possible, the surveillance of workers' health in relation to work takes place during working hours.
Articles 15. The Committee notes the information provided in the Government's report. The Committee would recall, however, that it is essential that occupational health services be informed of occurrences of ill health amongst workers and absence from work for health reasons so that they might be able to identify whether there is any relation between the reasons for ill health or absence and any health hazards which may be present at the workplace. The Government is, therefore, requested to indicate the measures taken or envisaged to ensure that occupational health services are provided with this information.
Point VI of the report form. The Committee notes the information provided by the Government concerning occupational health services generally which do not have a preventive function. The Committee requests the Government to provide statistics, as soon as they have been collected, of the number of preventive occupational health services and the number of workers who have access to these services.
1. The Committee notes with interest the information provided in the Government's first report on the application of the Convention and requests the Government to provide further information, in its next report, on the following points:
Article 2. The Committee notes with interest that the National Advisory Commission on Occupational Safety and Health (CCNSHT) conducts studies concerning particular occupational safety and health issues, and that the Directorate General for Preventive Medicine promotes national policy for the prevention and control of occupational diseases and health risks. It further notes that the General Regulations on Occupational Safety and Health (RGSHT) establishes a policy for the promotion of occupational health services. The Committee requests the Government to indicate any recent measures taken by the Directorate General for Preventive Medicine, or any other agency, for the implementation and review of the national policy specifically concerning occupational health services.
Article 3. The Committee notes with interest the measures taken by the Government to develop progressively occupational health services for all workers. It requests the Government to continue to supply information concerning plans to further promote the establishment of occupational health services.
Article 5(b), (d), (e), (f), (g) and (h). The Committee notes the authority granted to occupational health services by virtue of sections 213-220 of the RGSHT. It requests the Government to indicate the measures taken to ensure that such services have the authority to: survey sanitary installations, canteens, housing; test and evaluate equipment; advise on protective equipment; survey workers' health for a particular job prior to assignment; specifically promote adaptation of the work to the worker; and contribute to measures of vocational rehabilitation.
Article 6. The Committee notes that an occupational health service has been established for the Mexican Petrol Industry (PEMEX). It requests the Government to supply copies of the provisions of the PEMEX collective agreement, and any other collective agreements which are relevant to the authority of occupational health services in a particular industry.
Article 7, paragraph 1. The Committee requests the Government to indicate whether occupational health services tend to be organised for a single undertaking or whether such services are common to a number of undertakings.
Article 9. The Committee notes that the Central Office for Occupational Medicine Services has changed its name to the Central Office for Occupational Health Services in order to reinforce the nature of its functions. It requests the Government to indicate the procedures established for promoting co-operation between the services for preventive medicine and the services for prevention of occupational safety and health risks, thereby reinforcing a more coherent and multidisciplinary policy for occupational health services at the level of the undertaking.
Article 10. The Committee notes the information provided by the Government concerning the "professional secrecy" to be maintained by occupational health service personnel. It would point out, however, that professional independence is to be enjoyed by occupational health service personnel in all aspects of their work which would cover not only the confidentiality of medical records, but also the ability to make determinations concerning hazards in the working environment independent from the opinions of employers or workers. It requests the Government to indicate the measures taken to ensure that occupational health service personnel enjoy full professional independence.
Article 12. The Government has indicated that section 510 of the Labour Code provides that the safety and health committees at the enterprise shall perform their duties during working hours at no cost to the members of these committees. The Committee would recall, however, that Article 12 of the Convention concerns the occurrence of medical examinations for the surveillance of the workers' health in relation to work. It requests the Government to indicate the measures taken to ensure that such examinations involve no loss of earnings for the workers, are free of charge and take place during working hours.
Article 14. The Committee notes the information provided by the Government concerning the employers' responsibility to inform the competent authority of any known or suspected factors in the working environment which may affect the workers' health. It requests the Government to indicate the measures taken to ensure that the appropriate occupational health service, where such service exists, will also be informed of these factors.
Article 15. The Committee requests the Government to indicate the measures taken to ensure that the appropriate occupational health service, where such service exists, is informed of occurrences of ill health among workers and that occupational health service personnel are not required by the employer to verify the reasons for absence from work.
Article 16. The Government has indicated that the Labour and Health Secretaries and the Mexican Social Security Institute are responsible for the operation of occupational health services. The Committee requests the Government to provide information on the specific responsibilities granted to these authorities as concerns providing advice to these services once they have been established.
2. Point VI of the report form. The Committee requests the Government to provide information concerning the practical application of this Convention. In particular, please indicate the number and nature of occupational health services already established, as well as the number of workers having access to these services.