3 FAM 7130
MEDICAL
(CT:PER-537; 05-09-2005)
(Office of Origin: HR/OE)
3 FAM 7131 PREEMPLOYMENT MEDICAL
EXAMINATIONS
3 FAM 7131.1 Responsibility of
Head of Overseas Establishment
(CT:PER-537; 05-09-2005)
(Applies to Agencies and Establishments Under Chief of Mission Authority)
(Applies to Locally Employed Staff)
Heads of overseas establishments ensure that a candidate
for employment as Locally Employed Staff
is examined before employment to determine
whether the candidate meets the minimum fitness for duty requirements of the
position and is free from any disease that could be contagious in the
workplace. The examination will be conducted in accordance with these
regulations and with joint regulations prescribed locally based upon the
medical standards for employment prevailing among progressive local employers.
3 FAM 7131.2 Medical Examination
(CT:PER-537; 05-09-2005)
(Applies to Agencies and Establishments Under Chief of Mission Authority)
(Applies to Locally Employed Staff)
A culturally appropriate
local physician who is knowledgeable in local language and host country
occupational examination requirements ideally conducts the medical
examination. The Regional Medical Officer may be consulted to assist in the
selection of this individual and, where appropriate, to support, or supplement
this examination in case of questions. The Embassy will contract to pay a
fixed fee at a rate based on those prevailing locally for such examinations.
Competitive bidding is not required; the standard prevailing fee for
examinations given locally to visa applicants is used as a guide.
3 FAM 7131.3 Required Tests
(CT:PER-537; 05-09-2005)
(Applies to Agencies and Establishments Under Chief of Mission Authority)
(Applies to Locally Employed Staff)
The medical examination
includes consideration of current and previous medical problems, current
medication requirements, allergies, previous surgeries, and hospitalizations. A
complete physical examination is performed with directed assessment made of the
individuals physical fitness using the criteria to perform the specific duties
of the position being considered. Based on local prevailing medical practices
and the findings on history and physical examination, laboratory tests and
other tests including blood and urine may be obtained. A chest x-ray and
assessment for active tuberculosis are required. Additional tests for
contagious disease may be obtained as indicated by the local situation and
local laws. Where appropriate, input from the Regional Medical Officer can be
solicited for agreement with local medical examination policies. HIV testing
cannot be performed for purposes of determining eligibility for employment.
The examining physician may use any report form that the physician customarily
uses for these types of examinations unless directed to use a specific
examination form designed for assessment of specific position duties and
capabilities.
3 FAM 7131.4 Report to Head of
Overseas Establishment
(CT:PER-537; 05-09-2005)
(Applies to Agencies and Establishments Under Chief of Mission Authority)
(Applies to Locally Employed Staff)
The examining physician advises the head of the overseas
establishment of findings of fitness for duty,
including a statement of whether the examinee is free of disease that could be contagious in the workplace, so
that appropriate action may be taken.
3 FAM 7132 SUBSEQUENT MEDICAL
EXAMINATIONS
(CT:PER-537; 05-09-2005)
(Applies to Agencies and Establishments Under Chief of Mission Authority)
(Applies to Locally Employed Staff)
A medical examination subsequent to employment is required
of Locally Employed Staff at any time the
head of an overseas establishment judges it necessary to determine:
(1) Whether an employee has a disease that could be contagious in the workplace;
if so, the employee will be placed on appropriate leave until the condition is
no longer contagious and the employee is able to return to work; or
(2) Whether the employee continues to meet the minimum
fitness for duty requirements of the
position. See 3
FAM 7712 if the employee is believed disabled for further service.
3 FAM 7133 IMMUNIZATION AND HEALTH
UNIT FACILITIES
(CT:PER-537; 05-09-2005)
(Applies to Agencies and Establishments Under Chief of Mission Authority)
(Applies to Locally Employed Staff)
Subject to such limitations as may be prescribed locally,
all immunizations authorized for U.S. citizen employees at an overseas
establishment may be extended to Locally Employed
Staff.
3 FAM 7134 OTHER BENEFITS
(CT:PER-537; 05-09-2005)
(Applies to Agencies and Establishments Under Chief of Mission Authority)
(Applies to Locally Employed Staff)
Apart from employment examinations or work-incurred
injuries or illnesses, Locally Employed Staff
are not eligible for medical benefits under section 904 of the Foreign Service
Act. (For work-incurred injury or illness, see 3 FAM 7710,
specifically 3
FAM 7712.)
3 FAM 7135 THROUGH 7139 UNASSIGNED