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Occupational medicine: what is enhanced individual tracking?
Verified 31 March 2022 - Legal and Administrative Information Directorate (Prime Minister)
Postponement of medical visits during the health emergency
Published on 25 March 2022
The occupational physician may postpone certain medical visits that expire on or before July 31, 2022. Such visits may be carried out by July 31, 2023.
Employees exposed to particular risks to their health or safety, that of their colleagues or third parties, benefit from enhanced individual monitoring (CRS) of their health status.
This follow-up includes a pre-employment medical examination for which the occupational physician has issued a notice of fitness or unfitness.
This review shall be renewable.
It ensures that the employee is medically fit for the job to which the employer plans to assign him.
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Employees exposed to particular risks to their health or safety or to those of their colleagues benefit from enhanced individual monitoring (CRS) of their health status.
Enhanced Individual Monitoring (CRS) covers employees exposed to particular risks to their health and safety.
It shall include a pre-employment medical examination by the occupational physician, which shall replace information and prevention visit (Vip).
This medical examination shall be renewed at least every 4 years. The occupational physician may choose a shorter interval for renewal.
An intermediate visit shall be made by health professional no later than 2 years after the visit with the occupational physician.
These medical examinations make it possible to ensure that the employee is fit for work to which the employer intends to assign it.
They also make it possible to find out if he is not suffering from a condition that poses a danger to other employees and propose changes to the position or assignment to other posts.
They finally allowinform on risks related to his/her work station and the necessary medical follow-up and raising awareness about prevention to be implemented.
The CRS shall be implemented in private companies, Epic: titleContentand Epa: titleContent employing private law staff.
Employees exposed to a particular risk
These are employees assigned to a position exposing them to particular following:
- Lead by occupational exposure values
- Carcinogens or agents that may cause genetic mutations or impair reproductive function (agents CMR: titleContent)
- Ionising radiation
- Biological agents in groups 3 and 4
- Height drop during scaffold assembly and disassembly operations
Employees assigned to a particular position
These are employees assigned to positions subject to a specific aptitude test and in particular:
- Employees who have an authorisation to drive hazardous equipment issued by the employer (e.g. lifting gear)
- Youth under 18 on prohibited work that may require waivers
- Employees authorised by the employer to carry out operations on powered electrical installations
Employees assigned to an employer-defined position
These are the employees who may be affected by the list of positions which present particular risks to their health and safety.
Employer complete this list, after the opinion of the doctor at work and CSE: titleContentconsistent with risk assessment and company.
The employer must provide written reasons for listing any position on this list.
This list is updated annually.
It shall be transmitted to the Prevention and Health at Work Service and made available to the Prevention Services of the Social Security Agencies and the Dreets: titleContent.
The employer shall not organise the medical examination of a newly recruited employee if the following conditions are met:
- Similar use with equivalent exposure risks
- Occupational physician in possession of the employee's last fitness notice
- No Employee Disqualification Notices in the past 2 years
- No individual measures to transform the employee's workstation or to adjust his/her working time in the last 2 years
special conditions exist for seasonal workers.
During the medical check-up, a medical record in occupational health shall be compiled by the occupational physician.
After the medical examination of aptitude (initial and periodic), the doctor of work shall a notice of fitness (or unfit) to the employee.
The notice is appended to the employee's occupational health record.
If deemed necessary, the occupational physician may propose to the employer individual measures such as a transfer or a change of position.
The employer shall take into consideration the proposals of the occupational physician and, in case of refusal, shall state its reasons.
Some employees are examined by the occupational physician in the following situations:
- Employees receiving or having received enhanced individual health monitoring during their careers
- Employees who have been exposed to 1 or more of the particular risks prior to the implementation of the enhanced individual monitoring system
The employer shall request this visit from the occupational health and prevention service to which he is a member. He shall immediately inform the employee.
This visit shall take place under the following conditions:
- As soon as possible after the end of the exhibition employee at particular health or safety risks
- Before the employee's voluntary departure or retirement
An employee who believes that he or she can benefit from such a visit and who has not been informed by his or her employer may request the organisation of such a visit directly from the occupational health and prevention service.
An employee shall make an application for such a permit during the month preceding the date of termination of the risk exposure or during the month preceding the employee's departure from the company.
This request must be made no later than 6 months after the end of this exhibition.
The employee informs the employer of his or her approach.
This review provides a summary and follow exposures to 1 or more occupational risk factors to which the employee has been subjected.
This assessment shall be drawn up on the basis of the information contained in the employee's occupational health record, his declarations and those of his successive employers.
The occupational physician shall carry out special medical supervision if he/she finds that the employee has been exposed to dangerous risks, including chemical risks, during his/her career.
This supervision of the employee known as "post-exposure" or "post-professional", is carried out in conjunction with the attending physician and the medical consultant of the social security agencies.
It shall take into account the nature of the risk to which the employee was exposed, the state of health and the age of the person concerned.
The occupational physician shall inform the employee of the steps to be taken to benefit from this follow-up.
Seasonal employees exposed to particular risks to their health or safety or to those of their colleagues benefit from enhanced individual follow-up (CRS).
Special conditions exist for seasonal workers.
An acting employee who is exposed to particular risks to his or her health or safety or to those of his or her colleagues shall benefit from enhanced individual follow-up (CRS).
Special conditions exist for acting employees.
- Labour Code: Article L4624-2-1Pre-retirement medical visit for employees who have benefited from enhanced individual follow-up
- Labour Code: Article L4624-2Actions and resources of members of multidisciplinary occupational health teams
- Labour Code: Article R4624-22Enhanced individual monitoring of workers' health
- Labour Code: Article R4624-23Definition of risk positions
- Labour Code: items R4624-24 to R4624-27Medical Examination of Aptitude for Hiring
- Labour Code: Article R4624-28Increased individual follow-up frequency
- Labour Code: items R4624-28-1 to R4624-28-3Post-exposure or post-professional monitoring
- Labour Code: Article R4624-34Visits at the request of the employer or worker
- Labour Code: items R4625-12 to R4625-14Enhanced individual monitoring of the health status of temporary workers
- Labour Code: R4323-56Driving authorisation for use of certain mobile work equipment or for lifting loads
- Labour Code: R4153-40Exemption for young people in vocational training
- Labour Code: R4544-10Workers authorised to perform operations on or in the vicinity of electrical installations
- Labour Code: Article R4624-21Adapting individual monitoring of workers' health
- Labour Code: Article R4412-60Special provisions for dangerous chemical agents that are carcinogenic, mutagenic or toxic to reproduction
- Labour Code: R4412-160Lead and its compounds
- Occupational medicineService-Public.fr
- Security and the right to withdraw from the civil serviceService-Public.fr
- Private sector employee night workService-Public.fr
- Preventive Business Account (C2P)Service-Public.fr
- Work-related risksNational Research and Security Institute (INRS)