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本文引用的文献

1
Transition of occupational health issues associated with stabilization and decommissioning of the nuclear reactors in the Fukushima Daiichi Nuclear Power Plant through 2013.截至2013年福岛第一核电站核反应堆稳定化及退役相关职业健康问题的转变
J Occup Environ Med. 2014 Nov;56(11):1145-52. doi: 10.1097/JOM.0000000000000306.
2
Reconstruction of the Radiation Emergency Medical System From the Acute to the Sub-acute Phases After the Fukushima Nuclear Power Plant Crisis.福岛核电站危机后辐射应急医疗系统从急性期到亚急性期的重建
Japan Med Assoc J. 2014 Feb 1;57(1):40-8.
3
How Occupational Health can contribute in a disaster and what we should prepare for the future--lessons learned through support activities of a medical school at the Fukushima Daiichi Nuclear Power Plant in Summer 2011.职业健康如何在灾难中做出贡献,以及我们应该为未来做哪些准备——2011 年夏季某医学院在福岛第一核电站开展的支援活动中得到的经验教训。
J Occup Health. 2013;55(1):6-10. doi: 10.1539/joh.12-0134-cs. Epub 2012 Nov 27.

持续改进福岛第一核电站稳定和退役作业人员的适任性管理计划。

Continuous improvement of fitness-for-duty management programs for workers engaging in stabilizing and decommissioning work at the Fukushima Daiichi Nuclear Power Plant.

机构信息

Department of Occupational Health Practice and Management, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health.

Health Center, University of Occupational and Environmental Health.

出版信息

J Occup Health. 2018 Mar 27;60(2):196-201. doi: 10.1539/joh.17-0150-CS. Epub 2017 Dec 6.

DOI:10.1539/joh.17-0150-CS
PMID:29213010
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5886888/
Abstract

BACKGROUND

Numerous workers have participated in recovery efforts following the accident that occurred at the Tokyo Electric Power Company (TEPCO) Fukushima Daiichi Nuclear Power Plant after the Great East Japan Earthquake. These workers, belonging to various companies, have been engaged in various tasks since the accident. Given the hazards and stress involved in these tasks and the relatively long time required to transport sick or injured workers to medical institutions, it became necessary to quickly implement a more stringent management program for fitness for duty than in ordinary work environments.

CASE

It took considerable time to introduce and improve a fitness-for-duty program because of several concerns. Various efforts were conducted, sometimes triggered by guidance from the Ministry of Health, Labour and Welfare (MHLW), but the implementation of the program was insufficient. In April 2016, a new program was initiated in which all primary contractors confirmed that their subcontractors had achieved five conditions for workers' fitness for duty on the basis of guidance from the MHLW and occupational health experts. TEPCO confirmed that all primary contractors had implemented the program successfully as of the end of November 2016.

CONCLUSION

Following a disaster, even though the parties concerned understand the necessity of fitness-for-duty programs and that companies in high positions have responsibilities beyond their legal requirements, it is highly possible that they may hesitate to introduce such programs without guidance from the government. It is necessary to prepare a governmental framework and professional resources that introduce these stringent management programs quickly.

摘要

背景

在东日本大地震后,东京电力公司(TEPCO)福岛第一核电站发生事故,许多工人参与了事故后的恢复工作。这些工人来自不同的公司,自事故发生以来一直从事各种任务。鉴于这些任务的危害和压力以及将生病或受伤的工人运往医疗机构所需的相对较长时间,有必要比在普通工作环境中更快地实施更严格的适任管理计划。

案例

由于存在一些担忧,因此引入和完善适任计划需要相当长的时间。根据厚生劳动省(MHLW)的指导意见,进行了各种努力,但计划的实施仍不充分。2016 年 4 月,启动了一项新计划,所有主要承包商根据 MHLW 和职业健康专家的指导,确认其分包商已满足工人适任的五个条件。截至 2016 年 11 月底,TEPCO 确认所有主要承包商均已成功实施该计划。

结论

灾难发生后,即使有关各方理解适任计划的必要性,并且高层公司的责任超出了法律要求,但如果没有政府的指导,他们很可能会犹豫是否引入此类计划。有必要准备一个政府框架和专业资源,以便快速引入这些严格的管理计划。