Literature review describes approaches to evaluate workers' fitness, emphasizing medical examinations and vibration assessment.
A comprehensive search was conducted for literary sources devoted to the problem of assessing the professional suitability of workers in contact with industrial vibration and noise in the international database PubMed (Medline) and the scientific electronic library Library. The search was conducted by keywords: professional aptitude examination, medical examinations of employees, general and local vibration, industrial noise. The selection criteria were full-text articles published over the past 25 years, 48 of these articles were published in the last 10 years. Of the 91 sources found, 46 papers that met the selection criteria and 1 article published in 1999 (which is fundamental and reveals the features of the pathogenesis of vibration disease) were used to conduct this analytical review. Based on the analysis of literature data and regulatory documents, information is provided on the domestic experience in determining the professional suitability of employees. Information is given on the main stages of the formation and improvement of the system for determining the professional suitability of workers with physical factors. Modern approaches to rationing and special assessment of the working conditions of workers in contact with vibration and noise are described. The issues of assessing medical contraindications for performing work with vibration and noise in the process of mandatory medical examination and professional aptitude examination in the conditions of a medical commission are considered. An algorithm for assessing the professional aptitude of workers in contact with vibration and noise is proposed.
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Gorblyansky et al. (2025) studied this question.
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