PROSEDUR STANDAR OPERASIONAL

STANDARD OPERATING PROCEDURE

Topik PENGATURAN PEMERIKSAAN KESEHATAN KARYAWAN
Subject REGULATION OF EMPLOYEE HEALTH EXAMINATION
Tanggal Efektif Nomor Dokumen
July 01st, 2021 SHE.SHE.SOP.020.R03
Effective Date Document Number

LAMPIRAN - B ATTACHMENT - B
MATRIKS PEMERIKSAAN KESEHATAN KARYAWAN MATRIX OF EMPLOYEE MEDICAL EXAMINATION

Cluster by Risk Category and Work Location

Office Workshop &
Parameter Laboratory Warehouse Worker Note
Worker Field Operation
PP P PP P PP P PP P
Basic Examination
General History X X X X X X X X
Complete Physical Examination X X X X X X X X
https://www.topendsports.com/testing/tests/home-
Physical Fitness Evaluation X X X X step.htm
Laboratory Tests

Complete Blood Count (Hb, haematocrit,

MCV, MCH, MCHC, White blood cell X X X X X X X X
count, Platelet (thrombocyte), LED

Blood Chemistry Tests

Fasting Glucose X X X X X X X X

2hr - Post Prandial Glucose (TBA OHD)

Total Cholesterol X X X X X X X X
HDL X X X X X X X X
LDL X X X X X X X X

This procedure is classified as ‘uncontrolled’ when printed. Prior to reference of a printed copy, please check the ‘controlled’ version of the
procedure on PTTU network in order to ensure that the relevant section is at the correct issue number. Halaman / Page 15 of 46
 PROSEDUR STANDAR OPERASIONAL
STANDARD OPERATING PROCEDURE
Topik PENGATURAN PEMERIKSAAN KESEHATAN KARYAWAN
Subject REGULATION OF EMPLOYEE HEALTH EXAMINATION
Tanggal Efektif Nomor Dokumen
July 01st, 2021 SHE.SHE.SOP.020.R03
Effective Date Document Number

LAMPIRAN - B ATTACHMENT - B
MATRIKS PEMERIKSAAN KESEHATAN KARYAWAN MATRIX OF EMPLOYEE MEDICAL EXAMINATION
(Lanjutan) (Continued)

Cluster by Risk Category and Work Location

Laboratory Workshop & Field
Parameter Office Worker Warehouse Worker Note
Officer Operation
PP P PP P PP P PP P
Blood Chemistry Tests
Triglyceride X X X X X X X X
SGOT X TBA OHD X TBA OHD X TBA OHD X TBA OHD

SGPT X X X X X X X X
Gamma GT TBA OHD

Alkaline Phosphatase TBA OHD

Ureum X TBA OHD X TBA OHD X TBA OHD X TBA OHD

Creatinine X X X X X X X X
Uric Acid X TBA OHD X TBA OHD X TBA OHD X TBA OHD

Immune and Serology Test

HbsAg X TBA OHD X TBA OHD X TBA OHD X TBA OHD

Anti-Hbs TBA OHD

Anti- HAV TBA OHD

This procedure is classified as ‘uncontrolled’ when printed. Prior to reference of a printed copy, please check the ‘controlled’ version of the
procedure on PTTU network in order to ensure that the relevant section is at the correct issue number. Halaman / Page 16 of 46
 PROSEDUR STANDAR OPERASIONAL
STANDARD OPERATING PROCEDURE
Topik PENGATURAN PEMERIKSAAN KESEHATAN KARYAWAN
Subject REGULATION OF EMPLOYEE HEALTH EXAMINATION
Tanggal Efektif Nomor Dokumen
July 01st, 2021 SHE.SHE.SOP.020.R03
Effective Date Document Number
LAMPIRAN - B ATTACHMENT - B
MATRIKS PEMERIKSAAN KESEHATAN KARYAWAN MATRIX OF EMPLOYEE MEDICAL EXAMINATION
(Lanjutan) (Continued)

Cluster by Risk Category and Work Location

Laboratory Workshop &
Parameter Office Worker Warehouse Worker Note
Officer Field Operation
PP P PP P PP P PP P
Urine Test
Complete Urinalysis X TBA OHD X TBA OHD X TBA OHD X TBA OHD

Urine Culture TBA OHD

Stool Test
Stool Analysis TBA OHD

Stool Culture TBA OHD

Urine Drug test

Amphetamine
Cannabinoid
Benzodiazepine TBA OHD

Opiate
Cocaine
Biomarker Test
BTX
Lead TBA OHD

Chromium

This procedure is classified as ‘uncontrolled’ when printed. Prior to reference of a printed copy, please check the ‘controlled’ version of the
procedure on PTTU network in order to ensure that the relevant section is at the correct issue number. Halaman / Page 17 of 46
 PROSEDUR STANDAR OPERASIONAL
STANDARD OPERATING PROCEDURE
Topik PENGATURAN PEMERIKSAAN KESEHATAN KARYAWAN
Subject REGULATION OF EMPLOYEE HEALTH EXAMINATION
Tanggal Efektif Nomor Dokumen
July 01st, 2021 SHE.SHE.SOP.020.R03
Effective Date Document Number
LAMPIRAN - B ATTACHMENT - B
MATRIKS PEMERIKSAAN KESEHATAN KARYAWAN MATRIX OF EMPLOYEE MEDICAL EXAMINATION
(Lanjutan) (Continued)

Cluster by Risk Category and Work Location

Laboratory Workshop &
Parameter Office Worker Warehouse Worker Note
Officer Field Operation
PP P PP P PP P PP P
Biomarker Test
Cadmium TBA OHD

Dermal irritant & sensitizer

Hand arm Vibration TBA OHD

Whole Body Vibration

Supporting Examination
Chest X-Ray X 3 year X 3 year X X X X
with CVD risk with CVD risk

with CVD risk with CVD risk

with CVD risk with CVD risk

with CVD risk with CVD risk

with CVD risk with CVD risk

with CVD risk with CVD risk

with CVD risk with CVD risk

with CVD risk with CVD risk

≥ 35 yo or

≥ 35 yo or

≥ 35 yo or

≥ 35 yo or

≥ 35 yo or

≥ 35 yo or

≥ 35 yo or

≥ 35 yo or
ECG
≥ 45 yo or

≥ 45 yo or

≥ 45 yo or

≥ 45 yo or

≥ 45 yo or

≥ 45 yo or

≥ 45 yo or

≥ 45 yo or
Treadmill Test

Spirometry X X X X X X

Audiometry X X X X X X

This procedure is classified as ‘uncontrolled’ when printed. Prior to reference of a printed copy, please check the ‘controlled’ version of the
procedure on PTTU network in order to ensure that the relevant section is at the correct issue number. Halaman / Page 18 of 46
 PROSEDUR STANDAR OPERASIONAL
STANDARD OPERATING PROCEDURE
Topik PENGATURAN PEMERIKSAAN KESEHATAN KARYAWAN
Subject REGULATION OF EMPLOYEE HEALTH EXAMINATION
Tanggal Efektif Nomor Dokumen
July 01st, 2021 SHE.SHE.SOP.020.R03
Effective Date Document Number

LAMPIRAN - B ATTACHMENT - B
MATRIKS PEMERIKSAAN KESEHATAN KARYAWAN MATRIX OF EMPLOYEE MEDICAL EXAMINATION
(Lanjutan) (Continued)

Cluster by Risk Category and Work Location

Laboratory Workshop &
Parameter Office Worker Warehouse Worker Note
Officer Field Operation
PP P PP P PP P PP P

Note
PP Pre-Placement
P Periodic
TBA OHD To be Advised by OHD

Rincian Cluster berdasarkan Kategori Risiko dan Lokasi Kerja mengacu pada Lampiran E.
Detail Cluster by Risk Category and Work Location refer to Attachment E.

This procedure is classified as ‘uncontrolled’ when printed. Prior to reference of a printed copy, please check the ‘controlled’ version of the
procedure on PTTU network in order to ensure that the relevant section is at the correct issue number. Halaman / Page 19 of 46