Circular No. 28/2016/TT-BYT guides the management of occupational diseases.

CIRCULAR

GUIDELINES FOR THE MANAGEMENT OF OCCUPATIONAL DISEASES

Pursuant to the Labor Code No.No. 10/2012/QH13 dated1June 8, 2012;

CamendPursuant to the Law on Social Insurance No.n l58/2014/QH13 dated November 20, 2014;;

Pursuant to the Law on Occupational Safety and Health No.No. 84/2015/QH13 dated June 25, 2015;

Pursuant to the Decree No. 63/2012/NĐ-CP dated August 31 , 2012 of the Government stipulating the functions, tasks, powers, and organizational structure of the Ministry of Health;The Minister of Science and Technology issues this Circular on the issuance of "National Technical Regulations on Gasoline, Diesel Fuel and Biofuel"health environment;yThe Minister of Health promulgates this Circular guiding the management of occupational diseases.

Amending and supplementing Clause 4, Article 4 of Circular No. 06/2011/TT-BYT as follows:ýThis Circular guides the file, content of pre-employment health check-ups, occupational disease detection for workers, regular check-ups for workers with occupational diseases, investigation of occupational diseases, and reporting procedures.

1. Workers exposed to harmful factors that may cause occupational diseases or engaged in heavy, hazardous, dangerous, or particularly heavy, hazardous, dangerous jobs including apprentices, trainees, retired workers, or workers who have transferred jobs and no longer work in occupations with a risk of occupational diseases, as stipulated in Clause 1 and Clause 4, Article 2 of the Law on Social Insurance No. 58/2014/QH132. Heads of units under the Ministry of Justice, Provincial Legal Departments, and relevant agencies and organizations are responsible for implementing this Circular.

PART I

GENERAL PROVISIONS

Article 1. Scope of Regulation

still retaining social insurance payment periods or having a decision to stop working pending retirement benefit resolution.đ2. Enterprises, agencies, organizations, cooperatives, households, individuals employing or using labor as stipulated in Clause 1 of this Article (hereinafter referred to as employers).

Article 2. Applicability

3. Medical facilities meeting the conditions for occupational disease diagnosis under the law on medical examination and treatment shall carry out pre-employment health check-ups, occupational disease detection for workers, and regular check-ups for workers with occupational diseases (hereinafter referred to as occupational disease diagnosis facilities).developmentArticle 3. Subjects and time for pre-employment health check-ups đ1. The subjects of pre-employment health check-ups are workers as stipulated in Clause 3, Article 21 of the Law on Occupational Safety and Health.

2. The health check-up for workers as stipulated in Clause 1 of this Article must be conducted before assigning them to work involving harmful factors.ắ1. The employer's introduction letter shall be implemented according to the model prescribed in Appendix 1 attached to this Circular; in cases where the employer has many workers who need pre-employment health check-ups, the employer shall prepare a list and fill in information about the job and harmful factors at the workplace to be sent along with the introduction letter.

2. The health check-up form shall be implemented according to the model prescribed in Appendix 2 attached to this Circular.ắArticle 5. Content of health check-ups

Chapter II

PRE-WORK MEDICAL EXAMINATION

1. Pre-employment health check-ups shall be carried out according to the content of the health check-up form prescribed in Appendix 2 attached to this Circular.

p entities that receive and use state budget funds; foreign loans and grants must open accounting books to track the receipt of budget estimates and the use of state budget funds in detail according to the fiscal year, state budget classification, and other management requirements.No.2. In addition to the contents stipulated in Clause 1 of this Article, the examining physician may order specialized examinations appropriate to the worker's job position.

3. Based on the worker's job position and the specialized examination orders of the head of the examination team, the person conducting the specialized examination may order appropriate clinical laboratory tests (tests, imaging, functional examinations) suitable for the worker's job position.ỏ4. In cases where workers have undergone health check-ups according to the guidelines of Circular No. 14/2013/TT-BYT dated June 5, 2013 of the Ministry of Health (hereinafter referred to as Circular 14/2013/TT-BYT), the results of the health check-up within its validity period shall be used, and specialized examinations shall be conducted according to the provisions of Clause 2 of this Article.

Article 4. Medical records for pre-work medical examination

Article 6. Subjects for occupational disease detection1. The Ministry of National Defense shall base on this Decision to establish housing standards for active-duty military personnel, defense workers, and civil servants, coordinating with the Ministry of Construction to unify the criteria, conditions, and standards, and quotas for official housing before submitting to the competent authority for review and decision.1. The subjects for occupational disease detection are workers as stipulated in Clause 1, Article 2 of this Circular.Pursuant to Decree No. 24/2018/NĐ-CP dated February 27, 2018 of the Government on handling complaints and reports in the fields of labor, vocational education, dispatching Vietnamese workers abroad under contracts, employment, occupational safety and health;2. Workers not covered by Clause 1 of this Article who transfer to jobs with a risk of occupational diseases.

2. The health examination form shall be implemented according to the model prescribed in Appendix 2 attached hereto.

Article 5. Content of Examination

1. Pre-employment health examination shall be conducted according to the content of the health examination form prescribed in Appendix 2 attached hereto.ỏe before being assigned to work shall be carried out according to the content of the health examination form prescribed in Appendix 2 attached hereto.ỏe prescribed in Appendix 2 attached hereto.

2. In addition to the contents prescribed in Clause 1 of this Article, the medical team may designate specialized examinations appropriate to the job position of the worker.ỹ||| I. REGARDING EXPORT TAXES FOR COMMERCIAL GOODSin3. Based on the job position of the worker and the designated specialized examination by the Head of the Medical Team, the person conducting the specialized examination may determine to perform clinical laboratory tests (tests, diagnostic imaging, functional examinations) appropriate to the job position of that worker.

4. In case the worker has undergone a health examination in accordance with the guidelines set forth in Circular No. 14/2013/TT-BYT dated June 5, 2013 of the Ministry of Health (hereinafter referred to as Circular 14/2013/TT-BYT), then the results of the health examination still within validity shall be utilized and specialized examinations shall be conducted in accordance with Clause 2 of this Article.||| dated November 26, 2013 of the Government stipulating the functions, tasks, powers, and organizational structure of the Ministry of Agriculture and Rural Development; abolishing previous regulations that conflict with this Decree.1. The subject for occupational disease detection examination is the worker prescribed in Clause 1 of Article 2 of this Circular.||| dated November 26, 2013 of the Government stipulating the functions, tasks, powers, and organizational structure of the Ministry of Agriculture and Rural Development; abolishing previous regulations that conflict with this Decree.2. Workers not covered under Clause 1 of this Article who switch to jobs or positions with risk of occupational diseases.rime Minister cc acute occupational diseases or at the request of the employer or the worker, the time for occupational disease detection examination shall be arranged according to the proposal of the organization or individual making the request.n l1. Occupational Disease Detection Examination Procedure

a) Prior to conducting an occupational disease detection examination, the employer or the worker must provide the occupational disease examination facility with the file as prescribed in Article 8 of this Circular;FUNCTIONS, DUTIES, POWERS, ORGANIZATIONAL STRUCTURE, OPERATIONAL REGULATIONS, AND RELATIONSHIPS OF MANAGEMENT BOARDS; DUTIES, POWERS OF THE CHAIRPERSON, VICE CHAIRPERSON (IF ANY), SECRETARY, AND MEMBERS OF MANAGEMENT BOARDSb) After receiving the file, the occupational disease examination facility shall notify the employer or the worker of the time, location, and other necessary information related to the occupational disease detection examination;ỏc) Conduct the initial occupational disease detection examination in accordance with the provisions of Clause 2 of this Article;ỏd) Upon completion of the examination period, the occupational disease examination facility shall have the responsibility to record all relevant information in the occupational disease detection health examination book and compile the results of the occupational disease detection examination period in accordance with the model prescribed in Appendix 10 attached hereto;

ChapterIII

OCCUPATIONAL DISEASE DETECTION

Article 6. Subjects of occupational disease detection

đ) In case the worker is diagnosed with an occupational disease, the occupational disease examination facility must establish an Occupational Disease File in accordance with the model prescribed in Appendix 7 attached hereto and prepare a report on the worker's occupational disease in accordance with the model prescribed in Appendix 9 attached hereto;n le) After organizing the occupational disease detection examination, within twenty working days, the occupational disease examination facility must return to the employer or the worker the documents specified in points d and đ of Clause 1 of this Article.

2. Contents of Occupational Disease Detection Examination

Article 7. Time for occupational disease detection examination for workers

1. The time for occupational disease detection examination for workers shall be carried out in accordance with Clause 1, Article 21 of the Labor Safety and Health Law.

2. In cases where there is suspicion of acute occupational diseases or at the request of the employer or worker, the time for occupational disease detection examination shall be conducted according to the proposal of the organization or individual making the request.ắa) Collecting full personal information, current health status, past illnesses of the individual and family, and the duration of exposure to harmful factors that can cause occupational diseases recorded in the occupational history section of the occupational disease detection health examination book;ầb) Conducting a comprehensive examination according to the provisions of Appendix 4 attached hereto and specialized examinations to detect occupational diseases listed in the Occupational Diseases List regulated by Circular No. 15/2016/TT-BYT dated May 16, 2016 of the Ministry of Health regarding occupational diseases covered by social insurance;

Article 8. Occupational Disease Detection Examination Files

1. Health check-up form before being assigned to work in accordance with the model prescribed in Appendix 2 issued together with this Circular; in case the worker has been working before the Circular takes effect, the most recent health check-up result shall be used.FUNCTIONS, DUTIES, POWERS, ORGANIZATIONAL STRUCTURE, OPERATIONAL REGULATIONS, AND RELATIONSHIPS OF MANAGEMENT BOARDS; DUTIES, POWERS OF THE CHAIRPERSON, VICE CHAIRPERSON (IF ANY), SECRETARY, AND MEMBERS OF MANAGEMENT BOARDS2. Occupational disease detection health check-up record book implemented in accordance with the model prescribed in Appendix 3 issued together with this Circular.ỏ3. A valid copy of one of the following documents:

a) Results of workplace environmental monitoring. For cases where the worker has been exposed to microorganisms in the workplace and the environmental monitoring was conducted before Decree No. 44/2016/NĐ-CP dated May 15, 2016 of the Government detailing certain provisions of the Labor Safety and Health Law on technical safety inspection activities, training in labor safety and hygiene, and environmental monitoring, the file must include the Exposure Assessment Form for Microorganisms issued by the competent authority before July 1, 2016;FUNCTIONS, DUTIES, POWERS, ORGANIZATIONAL STRUCTURE, OPERATIONAL REGULATIONS, AND RELATIONSHIPS OF MANAGEMENT BOARDS; DUTIES, POWERS OF THE CHAIRPERSON, VICE CHAIRPERSON (IF ANY), SECRETARY, AND MEMBERS OF MANAGEMENT BOARDSb) Confirmation record of exposure to harmful factors causing acute occupational diseases implemented in accordance with the model prescribed in Appendix 5 issued together with this Circular for cases of acute occupational diseases where the level of exposure to harmful factors could not be determined at the time of occurrence;

4. A valid copy of discharge certificate or summary of medical records related to occupational diseases (if applicable).

1. Occupational disease detection examination procedurea) Before conducting the occupational disease detection examination, the employer or worker must provide the occupational disease examination facility with the files as stipulated in Article 8 of this Circular;b) After receiving the files, the occupational disease examination facility will notify the employer or worker of the time, location, and other necessary information related to the occupational disease detection examination;ắc) Conduct the initial occupational disease detection examination in accordance with the provisions of Clause 2 of this Article;d) Upon completion of the examination period, the occupational disease examination facility is responsible for recording all relevant information in the occupational disease detection health check-up record book and compiling the results of the occupational disease detection examination in accordance with the model prescribed in Appendix 10 issued together with this Circular;đ) In cases where the worker is diagnosed with an occupational disease, the occupational disease examination facility must establish an occupational disease file in accordance with the model prescribed in Appendix 7 issued together with this Circular and prepare a report on the occupational disease case in accordance with the model prescribed in Appendix 9 issued together with this Circular;Pursuant to Decree No. 24/2018/NĐ-CP dated February 27, 2018 of the Government on handling complaints and reports in the fields of labor, vocational education, dispatching Vietnamese workers abroad under contracts, employment, occupational safety and health;e) After organizing the occupational disease detection examination, within twenty working days, the occupational disease examination facility must return to the employer or worker the documents specified in points d and đ of Clause 1 of this Article.

2. Content of occupational disease detection examinationFUNCTIONS, DUTIES, POWERS, ORGANIZATIONAL STRUCTURE, OPERATIONAL REGULATIONS, AND RELATIONSHIPS OF MANAGEMENT BOARDS; DUTIES, POWERS OF THE CHAIRPERSON, VICE CHAIRPERSON (IF ANY), SECRETARY, AND MEMBERS OF MANAGEMENT BOARDSa) Fully collect personal information, current health status, past illnesses, family history, and duration of exposure to harmful factors that may cause occupational diseases recorded in the occupational history section of the occupational disease detection health check-up record book;ớicaseIn the course of implementation, if there are difficulties or obstacles, please reflect them to the Ministry of Health for consideration and resolution./.nationalb) Conduct a comprehensive examination in accordance with the provisions of Appendix 4 issued together with this Circular and specialized departments to detect occupational diseases listed in the Occupational Disease List covered by social insurance as prescribed in Circular No. 15/2016/TT-BYT dated May 16, 2016 of the Ministry of Health;

d) For female workers, additional gynecological examinations must be conducted;ắđ) If the worker has undergone regular health checks in accordance with Circular No. 14/2013/TT-BYT, the valid health check results shall be utilized, and supplementary examinations of the remaining items as stipulated in points b and đ of Clause 2 of this Article shall be conducted;policiese) For occupational diseases not included in the Occupational Disease List covered by social insurance, comprehensive specialized examinations as directed by the occupational disease physician must be conducted.

Article 9. Procedure and Content of Occupational Disease Detection Examination

For female workers, additional gynecological examinations must be conducted;

d) Performing other relevant laboratory tests related to harmful factors in the workplace (if necessary);n ltođổđ) In case the worker has undergone regular health check-ups in accordance with Circular 14/2013/TT-BYT, the valid results of the health check-up shall be utilized and the remaining contents shall be supplemented in accordance with the provisions of points b and d of Clause 2 of this Article;

e) For occupational diseases not included in the Occupational Diseases List covered by social insurance, a comprehensive examination of all relevant specialties as directed by the doctor conducting the occupational disease examination must be performed.The Minister of Science and Technology issues this Circular on the issuance of "National Technical Regulations on Gasoline, Diesel Fuel and Biofuel"n, occupational vibration diseases, and cases exceeding the expertise of the doctor, the decision shall be made by the Chairman of the Expert Review Board.

n, the conclusion shall be completed and recorded in the Expert Review Report on Occupational Diseases in accordance with the model prescribed in Appendix 8 attached hereto.ệArticle 11. Subjects and Time for Regular Examinations of Workers with Occupational Diseases

b) Occupational Disease File.The Minister of Science and Technology issues this Circular on the issuance of "National Technical Regulations on Gasoline, Diesel Fuel and Biofuel"a) Before conducting regular examinations for workers with occupational diseases;, amended and supplemented by Decree No. 109/2025/NĐ-CP and Decree No. 193/2025/NĐ-CPd) Upon completion of the examination period, the occupational disease examination facility shall have the responsibility to record the results of the regular examination of workers with occupational diseases in the occupational disease file; compile the results of the regular occupational disease examination in accordance with the model prescribed in Appendix 11 attached hereto and return the results to the employer within twenty working days.FUNCTIONS, DUTIES, POWERS, ORGANIZATIONAL STRUCTURE, OPERATIONAL REGULATIONS, AND RELATIONSHIPS OF MANAGEMENT BOARDS; DUTIES, POWERS OF THE CHAIRPERSON, VICE CHAIRPERSON (IF ANY), SECRETARY, AND MEMBERS OF MANAGEMENT BOARDS2. Contents of Regular Occupational Disease Examination:

a) Conducted in accordance with the provisions of points a, b, d of Clause 2 of Article 9 and the guidance provided in Appendix 6 attached hereto;rime Minister cb) Supplementing clinical and laboratory examination contents for each occupational disease based on the progression and complications of the disease as directed by the doctor.ng tra;ắe) Other members determined by the Head of the Investigation Team when necessary.FUNCTIONS, DUTIES, POWERS, ORGANIZATIONAL STRUCTURE, OPERATIONAL REGULATIONS, AND RELATIONSHIPS OF MANAGEMENT BOARDS; DUTIES, POWERS OF THE CHAIRPERSON, VICE CHAIRPERSON (IF ANY), SECRETARY, AND MEMBERS OF MANAGEMENT BOARDS3. The final central-level occupational disease investigation team shall be established by the Minister of Health upon the proposal of the Inspector General of the Ministry of Health or the Director of the Central Administration of Occupational Health, including:

a) One representative from the leadership of the Ministry of Health's Inspectorate serving as the head of the team;

b) One specialist doctor in occupational diseases from a preventive healthcare institute serving as the secretary;

d) One representative from the Ministry of Labor, Invalids, and Social Affairs;ửđ) One representative from the Vietnam Social Security agency;n le) Other members determined by the Head of the Investigation Team when necessary.ể determined when necessary.

3. Publicizing the Investigation Report on Occupational Diseases:The Minister of Science and Technology issues this Circular on the issuance of "National Technical Regulations on Gasoline, Diesel Fuel and Biofuel"The occupational disease investigation team shall organize a meeting immediately after completing the investigation to publicize the investigation report on occupational diseases at the investigated facility, the meeting participants include:n lo hidevelopmenta) The head of the occupational disease investigation team, chairing the meeting;

c)b) Members of the occupational disease investigation team;for female workers, additional obstetric and gynecological examinations shall be conducted;

d) Conduct other tests related to harmful factors in the workplace environment (if necessary);

đ) In cases where workers have already undergone regular health check-ups pursuant to Circular 14/2013/TT-BYT, the results of such valid health checks shall be utilized, and supplementary examinations according to points b and d of Clause 2 of this Article shall be carried out;

e) For occupational diseases not included in the List of Occupational Diseases covered by social insurance, comprehensive specialized examinations as directed by the physician shall be performed;n lock;a) Before conducting the occupational disease detection examination, the employer or worker must provide the occupational disease examination facility with the files as stipulated in Article 8 of this Circular;occupational disease examination;

Article 10. Provisions on consultation for diagnosing occupational diseases

1. Consultation shall be conducted for cases diagnosing pneumoconiosis, occupational vibration disease, and other cases exceeding the professional capacity of medical personnel.n ln, occupational vibration disease, and other cases exceeding the medical expertise of the physician;a) Before conducting the occupational disease detection examination, the employer or worker must provide the occupational disease examination facility with the files as stipulated in Article 8 of this Circular;occupational disease examination;

2. Composition of the Consultation Board:

The head of the occupational health examination facility decides to establish the Occupational Disease Consultation Board, consisting of the following components:

a) One representative from the leadership of the occupational health examination facility serving as the Chairman of the Board;

b) One specialist doctor in occupational diseases;

c) One specialist doctor related to the occupational disease requiring consultation;

d) One Secretary of the Board: Appointed by the Chairman of the Board;||| dated November 26, 2013 of the Government stipulating the functions, tasks, powers, and organizational structure of the Ministry of Agriculture and Rural Development; abolishing previous regulations that conflict with this Decree.t of the Council's decision;

e) In case of necessity, the Chairman of the Board decides to request an expert in the field requiring consultation.The Minister of Science and Technology issues this Circular on the issuance of "National Technical Regulations on Gasoline, Diesel Fuel and Biofuel"|||đetermine the matter of requesting an expert opinion on the required field for consultation;

3. The conclusion of the consultation is completed and recorded in the Consultation Report for Occupational Diseases implemented according to the model prescribed in Appendix 8 issued together with this Circular.rime Minister c|||无效|||n l|||rime Minister c||||||eworking according to the model prescribed in Appendix 8 issued together with this Circular;FUNCTIONS, DUTIES, POWERS, ORGANIZATIONAL STRUCTURE, OPERATIONAL REGULATIONS, AND RELATIONSHIPS OF MANAGEMENT BOARDS; DUTIES, POWERS OF THE CHAIRPERSON, VICE CHAIRPERSON (IF ANY), SECRETARY, AND MEMBERS OF MANAGEMENT BOARDSArticle 11. Subjects and time for regular health check-ups for workers suffering from occupational diseases

4. In cases exceeding professional capacity, the occupational health examination facility completes the Consultation Report and the Occupational Disease File and transfers them to the higher level for a definitive diagnosis.1. The Ministry of National Defense shall base on this Decision to establish housing standards for active-duty military personnel, defense workers, and civil servants, coordinating with the Ministry of Construction to unify the criteria, conditions, and standards, and quotas for official housing before submitting to the competent authority for review and decision.REGULAR CHECK-UP FOR WORKERS SUFFERING FROM OCCUPATIONAL DISEASESn lArticle 11. Objectives and time for regular check-up for workers suffering from occupational diseasesdevelopment1. Workers who have been diagnosed with occupational diseases.

Chapter IV

2. The time for regular check-up of occupational diseases is carried out according to the provisions stipulated in Appendix 6 issued together with this Circular.

b) Occupational disease records;

Article 12. Files for regular check-up for workers suffering from occupational diseases

1. Employers prepare files for regular check-up for workers suffering from occupational diseases including:

a) An introduction letter from the employer according to the provisions stipulated in Appendix 1 issued together with this Circular;

b) The occupational disease file.

2. In cases where workers have ceased employment, resigned, or retired, the workers themselves prepare the occupational disease file.

a) Prior to conducting regular health check-ups for workers;

Article 13. Procedures and contents of regular check-up for workers suffering from occupational diseases||| dated November 26, 2013 of the Government stipulating the functions, tasks, powers, and organizational structure of the Ministry of Agriculture and Rural Development; abolishing previous regulations that conflict with this Decree.1. Procedures for regular check-up for workers suffering from occupational diseases:||| dated November 26, 2013 of the Government stipulating the functions, tasks, powers, and organizational structure of the Ministry of Agriculture and Rural Development; abolishing previous regulations that conflict with this Decree.a) Before conducting a regular check-up for workers suffering from occupational diseases, employers or workers must submit relevant documents as prescribed in Article 12 of this Circular to the occupational health examination facility;

b) After receiving all necessary files, the occupational health examination facility informs the employer or worker about the time, location, and other related matters concerning the regular check-up for workers suffering from occupational diseases;

c) The occupational health examination facility organizes the check-up for workers suffering from occupational diseases;ắd) Upon completion of the check-up session, the occupational health examination facility is responsible for recording the results of the regular check-up for workers suffering from occupational diseases in the occupational disease file; compiling the results of the regular check-up for occupational diseases according to the model prescribed in Appendix 11 issued together with this Circular and delivering the results to the employer within twenty working days.

d) Upon completion of the examination period, the occupational disease examination facility is responsible for recording all results of the regular health check-up for those suffering from occupational diseases in their occupational disease records; compiling the results of regular occupational disease examinations according to the model prescribed in Appendix 11 issued together with this Circular, and delivering the results to the employer within twenty working days;ắ2. Contents of regular check-up for occupational diseases:

a) Carried out according to the provisions at points a, b, d Clause 2 Article 9 and the guidance provided in Appendix 6 issued together with this Circular;

b) Additional clinical and paraclinical examinations for each occupational disease based on the progression and complications of the disease as directed by the physician.

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2. Contents of regular occupational disease examinations:

a) Conducted in accordance with the provisions of points a, b, and d of Clause 2 of Article 9 and the guidance provided in Appendix 6 issued together with this Circular;

b) Supplemental clinical and paraclinical examinations for each occupational disease based on the progression and complications of the disease as directed by the physician;Granite, gabbro, decorative stone...|||organize credit institutions, foreign bank branches are responsible for organizing the implementation of this Circular.|||

Chapter V

PROFESSIONAL DISEASE INVESTIGATION

Article 14. Cases for Professional Disease Investigation

1. Initial professional disease investigation applies to the following cases:

a) Workers requesting professional disease investigation related to their own health but not yet resolved according to laws on labor safety and hygiene;n lb) Employers requesting professional disease investigation;

c) Identification of many acute professional disease cases or many people falling ill simultaneously at a workplace;registeredd) Workplace environmental monitoring results exceeding permissible limits without any workers being diagnosed with professional diseases or the workplace not conducting environmental monitoring and health examinations for workers;

đ) Social security agencies requesting professional disease investigation;n l2. Re-investigation of professional diseases applies to the following cases:

a) Organizations or individuals making recommendations regarding the results of professional disease investigations;|||b) To serve periodic or spot-check activities of authorized agencies.

3. Final investigation of professional diseases applies to cases where organizations or individuals make recommendations regarding re-investigation results of professional diseases.n lo hidevelopmentArticle 15. Authority to Establish Professional Disease Investigation Teams

1. The initial professional disease investigation team is established by:

a) The Director of the Department of Health, Leaders of Ministries and Sectors deciding to establish the team upon the proposal of the Department of Health Inspectorate or the head of the health agency of the Ministry or Sector for cases stipulated in Clause 1, Article 14 of this Circular;

b) The Director of the Medical Environment Management Department - Ministry of Health deciding to establish the team for cases stipulated in points c and d of Clause 1 of this Article or cases exceeding the investigation capacity of the initial professional disease investigation team stipulated in point a of this Clause.

2. The re-investigation professional disease investigation team is established by the Director of the Medical Environment Management Department for cases stipulated in Clause 2, Article 14 of this Circular.

3. The final professional disease investigation team is established by the leadership of the Ministry of Health for cases stipulated in Clause 3, Article 14 of this Circular.

Article 16. Composition of the Professional Disease Investigation Team

1. The composition of the initial professional disease investigation team stipulated in point a, Clause 1, Article 15 of this Circular includes:

a) One representative of the Leadership of the Department of Health Inspectorate, Health Leadership of Ministries and Sectors serving as team leader;

b) One physician with a professional disease certificate serving as secretary member;

c) One specialist physician related to the investigated professional disease;

d) One representative of the Department of Labor, Invalids and Social Affairs;

đ) One representative of the Provincial Trade Union;

e) One representative of the provincial social insurance agency, Ministry or Sector;

g) Other members decided by the team leader when necessary.

2. The composition of the initial professional disease investigation team stipulated in point b, Clause 1, and the re-investigation professional disease investigation team stipulated in Clause 2, Article 15 of this Circular includes:

a) One representative of the leadership of the Medical Environment Management Department - Ministry of Health serving as team leader;

b) One physician with a professional disease certificate serving as secretary member;

c) One representative of the Legal Affairs Department - Ministry of Health;

đ) One representative of the Department of Labor, Invalids and Social Affairs at the location where the investigation is conducted;

e) Other members decided by the team leader when necessary.

3. The central final professional disease investigation team is established by the Minister of Health upon the recommendation of the Chief Inspector of the Ministry or the Director of the Medical Environment Management Department, including:ina) One representative of the leadership of the Ministry of Health Inspectorate serving as team leader;

b) One professional disease specialist physician from a preventive medical institute serving as secretary member;ức) One representative of the Ministry of Labor, Invalids and Social Affairs;

2. The composition of the initial professional disease investigation team stipulated in point b, Clause 1, and the re-investigation professional disease investigation team stipulated in Clause 2, Article 15 of this Circular includes:

đ) One representative of the Vietnam Social Insurance Agency;

e) Other members decided by the team leader when necessary.|||

e) Other members determined by the Head of the Investigation Team when necessary;in3. The final central-level occupational disease investigation team shall be established by the Minister of Health upon the request of the Inspector General of the Ministry or the Director of the Central Environmental Health Administration, including:

a) One representative from the leadership of the Ministry of Health's Inspectorate serving as the head of the team;inb) One specialist physician in occupational diseases from a preventive healthcare institute serving as the secretary of the team;Article 24un ld) One representative from the Ministry of Labor, Invalids, and Social Affairs;

đ) One representative from the Vietnam Social Security;

e) Other members determined by the Head of the Investigation Team when necessary;

2. The composition of the initial professional disease investigation team stipulated in point b, Clause 1, and the re-investigation professional disease investigation team stipulated in Clause 2, Article 15 of this Circular includes:

|||2. Carry out state management functions over cooperatives and cooperative unions within their assigned tasks and powers(Decision No. 55/2016/QĐ-TTg dated December 26, 2016 of the Prime Minister)

3. Publicizing the occupational disease investigation report:2. Carry out state management functions over cooperatives and cooperative unions within their assigned tasks and powersThe occupational disease investigation team shall convene a meeting immediately after completing the investigation to publicize the occupational disease investigation report at the investigated facility, with the meeting participants including:

a) The head of the occupational disease investigation team, chairing the meeting;

Article 17. Responsibilities of Members of the Occupational Disease Investigation Team

1. The Head of the Occupational Disease Investigation Team shall be responsible for:

a) Organizing and directing the activities of the investigation team, assigning tasks to members of the investigation team;

b) Organizing discussions within the team to reach consensus when members of the investigation team have unresolved issues. If consensus cannot be reached, the Head shall make the decision and bear responsibility for it;n lc) Publishing the occupational disease investigation report.in2. Members of the Occupational Disease Investigation Team shall be responsible for:

a) Fulfilling assigned tasks by the Head and being accountable to the Head for the results of their assigned work;n lb) Having the right to reserve opinions. Reserved opinions must be fully recorded in the investigation report.

3. It is not permitted to disclose information or documents during the investigation process before the investigation report is published.

Article 18. Time Limit, Procedure for Investigation and Publication of the Investigation Reportin1. Time limit for investigation: Not exceeding 45 days from the date the decision establishing the Occupational Disease Investigation Team becomes effective.in2. The Occupational Disease Investigation Team conducts investigations and prepares reports according to the following procedure:

b) Collecting physical evidence and documents related to occupational diseases (taking samples of harmful factors at workplaces for analysis and assessment as a basis for determining causative factors);

d) Conducting direct interviews with workers, employers, and other relevant parties involved in labor hygiene management, worker health, and occupational diseases at the workplace;

e) Other contents determined by the Head of the Occupational Disease Investigation Team as necessary.

3. Publishing the Occupational Disease Investigation Report:

The Occupational Disease Investigation Team shall organize a meeting immediately after completing the investigation to publish the occupational disease investigation report at the investigated workplace, with the meeting participants including:

a) Inspect the workplace scene;

a) The Head of the Occupational Disease Investigation Team, chairing the meeting;ứb) Members of the Occupational Disease Investigation Team;

c) Review the labor hygiene management records, worker health status, and occupational disease records of the workplace;

c) Employers or persons authorized in writing;đd) Representatives of the Trade Union Committee of the workplace or Temporary Trade Union Committee or a person chosen by the workforce if the workplace has not yet met the conditions for establishing a trade union;đ) Persons requesting the investigation, witnesses, and those with responsibilities and interests related to occupational diseases;đe) Representatives of the directly superior administrative agency (if any);

e) Organize necessary examinations and tests for suspected occupational disease cases (if necessary);

g) Preparing minutes of the meeting with signatures of all attendees. In cases where organizations or individuals requesting the investigation or those under investigation disagree with the content of the occupational disease investigation report, they may record their opinions in the investigation report but still must sign and stamp (if applicable) the investigation report and comply with recommendations of the Occupational Disease Investigation Team;inh) The Occupational Disease Investigation Team must send the occupational disease investigation report and minutes of the meeting announcing the investigation report to agencies included in the Occupational Disease Investigation Team, social security agencies, employing entities, and victims within five working days from the date of publication of the investigation report.||| dated November 26, 2013 of the Government stipulating the functions, tasks, powers, and organizational structure of the Ministry of Agriculture and Rural Development; abolishing previous regulations that conflict with this Decree.b) Members of the occupational disease investigation team;

occupational disease must submit the occupational disease investigation report and the minutes of the meeting to the employer within ten days from the date of publication of the report;Pursuant to Decree No. 24/2018/NĐ-CP dated February 27, 2018 of the Government on handling complaints and reports in the fields of labor, vocational education, dispatching Vietnamese workers abroad under contracts, employment, occupational safety and health;|||

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c) The employer or the person authorized in writing;

d) The representative of the Trade Union Executive Board at the workplace or the Temporary Trade Union Executive Board or the person chosen by the collective of workers when the workplace has not yet met the conditions to establish a trade union;

đ) The applicant, witness, and persons with responsibilities or interests related to occupational diseases;

e) The representative of the direct superior administrative agency of the workplace (if any);

g) Prepare minutes of the meeting with signatures of all participants. In cases where the organization or individual requesting investigation or the organization or individual being investigated do not agree with the contents of the occupational disease investigation report, they must record their opinions in the investigation report but still sign and stamp (if applicable) on the investigation report and implement the recommendations of the occupational disease investigation team;

h) The occupational disease investigation team must send the occupational disease investigation report and the minutes of the meeting to announce the occupational disease investigation report to the agencies belonging to the investigation team, social security agency, the workplace using labor, and the victims within five working days from the date of announcement;Article 4. Agencies and units with headquarters outside the reception locations specified in Clauses 2 and 3 of this Article shall proactively arrange a reception room suitable for the nature and activities of their unit.|||Article 4. Agencies and units with headquarters outside the reception locations specified in Clauses 2 and 3 of this Article shall proactively arrange a reception room suitable for the nature and activities of their unit.|||n lof the meeting announcing the occupational disease investigation report to the agencies belonging to the occupational disease investigation team, the social security agency, the workplace using labor, and the victims within five working days from the date of announcement;liệu trong trường hợp có sự cố.from the date of announcement;ể |||Pursuant to Decree No. 24/2018/NĐ-CP dated February 27, 2018 of the Government on handling complaints and reports in the fields of labor, vocational education, dispatching Vietnamese workers abroad under contracts, employment, occupational safety and health;|||n lb) Having the right to reserve opinions. Reserved opinions must be fully recorded in the investigation report.

Article 19. Documents for Occupational Disease Investigation

1. On-site investigation record of the workplace.

2. Relevant materials.ứHealth management files, worker health status, occupational disease records of the workplace.

3. Direct interview records with workers, employers, and other relevant parties concerning workplace hygiene management, worker health, and occupational diseases.

4. Examination and testing results for suspected occupational disease cases (if applicable).ỏOccupational disease investigation report.n lMeeting minutes announcing the occupational disease investigation report.

5. Other related documents pertaining to the occupational disease investigation process.|||The retention period for occupational disease investigation documents is fifteen years at the employer's workplace and the investigating team's agencies.

6. Article 20. Ensuring Funding for the Occupational Disease Investigation Team

7. If the occupational disease investigation team is established by a specialized state management agency, the State shall ensure funding for its activities in accordance with current laws.

8. Nh12. Leather shoesIf the occupational disease investigation team is formed upon request from organizations or individuals seeking an investigation, the funding for the team's activities shall be borne by the requesting organization or individual.

9. Article 21. Responsibilities of Workers

Truthfully report medical history and occupational exposure during health examinations.

1. Participate in pre-employment health checks, periodic health checks for occupational disease detection, and regular occupational disease check-ups (if applicable), organized by the employer.n lFully comply with doctors' instructions and treatment plans following each examination.n lMaintain health management records when ceasing employment, taking leave, or retiring (occupational disease records, reports on individual occupational disease cases, and related documents from healthcare facilities) to serve as a basis for future diagnosis and assessment of occupational diseases if they occur after cessation of exposure; transfer health management records to new agencies in case of job transfers.

2. Article 22. Responsibilities of Employers

Chapter VI

RESPONSIBILITIES FOR IMPLEMENTATION

Establish and manage health records and occupational disease records throughout the worker's employment period; provide these records to the worker when transferring to another agency or ceasing employment.

1. Coordinate with occupational health facilities to plan and organize pre-employment health checks, periodic health checks for occupational disease detection, and regular health checks for workers with occupational diseases.

2. Facilitate workers' access to treatment, convalescence, and functional recovery as stipulated by law.

3. Complete and refer workers diagnosed with occupational diseases for medical assessment within twenty working days after treatment, convalescence, or functional recovery for treatable occupational diseases, or within twenty working days after detecting non-treatable occupational diseases.||| dated November 26, 2013 of the Government stipulating the functions, tasks, powers, and organizational structure of the Ministry of Agriculture and Rural Development; abolishing previous regulations that conflict with this Decree.Improve working conditions, prevent occupational diseases, and implement labor protection benefits and material allowances for workers as prescribed.

4. Arrange work positions suitable to workers' health conditions.12. Leather shoesIn the course of implementation, if there are difficulties or obstacles, please reflect them to the Ministry of Health for consideration and resolution./.Provide information and cooperate with the occupational disease investigation team.Report regularly and promptly to the local health administration agency according to laws on labor safety and hygiene.developmentIn cases where workers suffer from occupational diseases, the workplace is responsible for:

Reporting occupational diseases in accordance with this Circular.

1. Informing workers about occupational disease situations comprehensively to prevent recurrence of such diseases.n lOrganizing meetings to announce accident investigation records.|||Article 23. Responsibilities of the Occupational Disease Investigation Team

2. PartNo.Not specified in the provided text.Pursuant to Decree No. 24/2018/NĐ-CP dated February 27, 2018 of the Government on handling complaints and reports in the fields of labor, vocational education, dispatching Vietnamese workers abroad under contracts, employment, occupational safety and health;arrange work positions and health check-ups for detecting occupational diseases for workers, regular health check-ups for workers suffering from occupational diseases;ỏCreate conditions for workers to seek treatment, convalesce, and recover functions according to the provisions of the law;

3. Complete the file and introduce workers diagnosed with occupational diseases for medical examination and appraisal within twenty working days after treatment, convalescence, and functional recovery for those occupational diseases that can be treated or after detection of occupational diseases for those that cannot be treated;

4. Implement improvements in working conditions, prevention of occupational diseases; implement labor protection regulations and material allowances for workers according to the provisions;无效N ||| declaration of customs import procedures.Provide information and cooperate with the occupational disease investigation team.Arrange work positions suitable to the health condition of workers;12. Leather shoesProvide information and materials and cooperate with the Occupational Disease Investigation Team;

5. Report periodically and urgently to the state management agency on health in the locality according to the laws on safety and hygiene at workplaces;n lWhen there are workers suffering from occupational diseases, the workplace shall have the responsibility to:

6. Report occupational diseases according to the provisions of this Circular;

7. Inform fully about the situation of occupational diseases to workers under its jurisdiction to prevent the recurrence of occupational diseases;registeredOrganize a meeting to announce the minutes of the accident investigation;

8. Replace or amend and supplement;n lThis Circular takes effect from August 15, 2016;

9. Circular Jointly Issued 08/1998/TTLT-BYT-BLDTBXH dated April 20, 1998, jointly issued by the Ministry of Health and the Ministry of Labor, Invalids and Social Affairs guiding the implementation of regulations on occupational diseases and Circular No. 12/2006/TT-BYT dated November 10, 2006, of the Ministry of Health guiding the examination of occupational diseases cease to be effective from the date this Circular takes effect;

a)During the implementation, if there are difficulties, organizations, units, and individuals are requested to promptly reflect to the Ministry of Health (Health Environment Management Department) for research, consideration, and resolution./;

b)VPCP (Office of Governmental Affairs, Gazette, Official Website of the Government);The Minister of Science and Technology issues this Circular on the issuance of "National Technical Regulations on Gasoline, Diesel Fuel and Biofuel"|||

c)|||n l|||

Article 23. Responsibilities of occupational health examination facilities

1. Shall be responsible for coordinating with employers when requested regarding: planning and conducting pre-employment health examinations, occupational disease detection health examinations for workers, and regular health examinations for workers suffering from occupational diseases as prescribed.ỏOrganizing consultations on occupational diseases (if necessary) and bearing legal responsibility for the diagnosis of occupational diseases.

2. Participating in medical appraisal councils at various levels to appraise occupational diseases (upon request).n l chrime Minister cSummarizing and reporting the situation of occupational health examinations to the Department of Health or Ministry of Health's health sector before July 5th for the mid-year report and before January 10th of the following year for the annual report according to the guidance in Appendix 9 and Appendix 12 issued together with this Circular.

3. Article 24. Responsibilities of the Department of Health

4. Directing occupational health examination facilities to implement health examination work before employment and regular health examinations for workers suffering from occupational diseases, and organizing self-investigations of occupational diseases within the scope assigned to manage.ớPublicly announcing on the Department of Health’s electronic information portal while sending the list of occupational health examination facilities that have been granted permission to operate to the Ministry of Health (Health Environment Management Department) within three working days from the date of granting permission to operate.

Conducting regular or surprise inspections of the operations of occupational health examination facilities that have been granted permission to operate.

1. Summarizing and submitting comprehensive reports on the situation of occupational diseases in the province and within the sector to the Ministry of Health (Health Environment Management Department), reports submitted before July 15th each year for the mid-year report and before January 15th of the following year for the annual report according to the provisions in Appendix 9 and Appendix 12 issued together with this Circular.Pursuant to Decree No. 24/2018/NĐ-CP dated February 27, 2018 of the Government on handling complaints and reports in the fields of labor, vocational education, dispatching Vietnamese workers abroad under contracts, employment, occupational safety and health;arrange work positions and health check-ups for detecting occupational diseases for workers, regular health check-ups for workers suffering from occupational diseases;ỏArticle 25. Responsibilities of the Health Environment Management Department - Ministry of Healthn lDirecting and organizing the implementation of health examination work before employment and regular health examinations for occupational disease detection, regular health examinations for workers suffering from occupational diseases, and investigations of occupational diseases nationwide.

2. Building an occupational disease database including the following contents:CPhysical infrastructure, equipment, human resources serving occupational health examination work;n lHarmful factors in the workplace environment;ể Workplaces with workers suffering from occupational diseases;

3. Number of workers suffering from occupational diseases;

4. e) Situation of occupational diseases;无效Implementation of policies for workers suffering from occupational diseases.Family Planning) for consideration and resolution./.Announcing occupational health examination facilities that have been granted permission to operate on the Ministry of Health’s electronic information portal.

Directing affiliated Preventive Medicine Institutes and Medical-Dental Universities to develop content and organize training on occupational diseases.

1. Coordinating with related units to guide the implementation of this Circular and conduct inspections of the activities of occupational health examination facilities.Pursuant to Decree No. 24/2018/NĐ-CP dated February 27, 2018 of the Government on handling complaints and reports in the fields of labor, vocational education, dispatching Vietnamese workers abroad under contracts, employment, occupational safety and health;arrange work positions and health check-ups for detecting occupational diseases for workers, regular health check-ups for workers suffering from occupational diseases;ỏIn cases where referenced documents in this Circular are replaced or amended, they shall be applied according to the replacing or amended documents.

2. This Circular takes effect from August 15, 2016.

a)Joint Circular No. 08/1998/TTLT-BYT-BLDTBXH dated April 20, 1998, jointly issued by the Ministry of Health and the Ministry of Labor, Invalids and Social Affairs guiding the implementation of regulations on occupational diseases and Circular No. 12/2006/TT-BYT dated November 10, 2006, issued by the Ministry of Health guiding occupational health examinations cease to be effective from the date this Circular takes effect.

b)During the implementation process, if there are difficulties, organizations, units, and individuals are advised to promptly reflect them to the Ministry of Health (Health Environment Management Department) for research, consideration, and resolution./.Pursuant to Decree No. 24/2018/NĐ-CP dated February 27, 2018 of the Government on handling complaints and reports in the fields of labor, vocational education, dispatching Vietnamese workers abroad under contracts, employment, occupational safety and health;VPCP (Department of Legal Affairs, Official Gazette, Official Portal of the Government);

c)Provincial People's Committees set specific pricesPursuant to Decree No. 24/2018/NĐ-CP dated February 27, 2018 of the Government on handling complaints and reports in the fields of labor, vocational education, dispatching Vietnamese workers abroad under contracts, employment, occupational safety and health;Ministry of Justice (Department of Legal Drafting);

d)Minister (for reporting);

Units under the Ministry of Health;

e)People's Committees of provinces;

3. Departments of Health of provinces;, amended and supplemented by Decree No. 109/2025/NĐ-CP and Decree No. 193/2025/NĐ-CPHealth sectors of ministries;

4. Centers for Preventive Medicine of provinces;

5. Centers for Occupational Health and Environmental Medicine of provinces, centrally governed cities;

Chapter VII

EFFECTIVE DATE OF IMPLEMENTATION

Article 26. Cross-referencing Provisions

Ministry of Health’s Official Portal;n lTo be filed: VT, PC, MTn l|||

Article 27. Effective Date

1. ||||||This Circular takes effect from August 15, 2016;

2. Joint Circular 08/1998/TTLT-BYT-BLDTBXH dated April 20, 1998, jointly issued by the Ministry of Health and the Ministry of Labor, Invalids, and Social Affairs guiding the implementation of regulations on occupational diseases, and Circular No. 12/2006/TT-BYT dated November 10, 2006, issued by the Ministry of Health guiding occupational disease examinations, shall cease to be effective from the date this Circular takes effect;Pursuant to Decree No. 24/2018/NĐ-CP dated February 27, 2018 of the Government on handling complaints and reports in the fields of labor, vocational education, dispatching Vietnamese workers abroad under contracts, employment, occupational safety and health;|||FUNCTIONS, DUTIES, POWERS, ORGANIZATIONAL STRUCTURE, OPERATIONAL REGULATIONS, AND RELATIONSHIPS OF MANAGEMENT BOARDS; DUTIES, POWERS OF THE CHAIRPERSON, VICE CHAIRPERSON (IF ANY), SECRETARY, AND MEMBERS OF MANAGEMENT BOARDS|||FUNCTIONS, DUTIES, POWERS, ORGANIZATIONAL STRUCTURE, OPERATIONAL REGULATIONS, AND RELATIONSHIPS OF MANAGEMENT BOARDS; DUTIES, POWERS OF THE CHAIRPERSON, VICE CHAIRPERSON (IF ANY), SECRETARY, AND MEMBERS OF MANAGEMENT BOARDS|||ng|||

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