989 Interdisciplinary committee to support employees with work restrictions in a public hydroelectric power plant in brazil

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Ageing population and the increasing of job complexity elucidate the challenge of social and business politics to maintain employee fitness to work and to provide access to occupational rehabilitation for employees with work restrictions. The objective of this study is to describe the results of an interdisciplinary committee organised in a public company in Brazil in order to support the rehabilitation of employees with work restrictions.


A retrospective study was conducted on occupational health records of all 69 employees with work restrictions accompanied by the interdisciplinary committee between 2009 and 2017 in a hydroelectric power plant in Brazil. The committee was composed by 2 occupational physicians, 1 occupational health nurse, 1 organisational psychologist and 1 social worker. The information analysed was gender, illness, sickness absence, conducts achieved and agreement between suggested committee approach and conduct adopted by the National Institute of Social Security (INSS).


From the 69 employees, 51 (73,9%) were men and 18 (26,1%) women. The most frequent group of diseases were related to musculoskeletal and connective tissue (33,3%), followed by mental disorders group (28,9%), consequences of external causes (10,1%) and neoplasms (8,7%). The most frequent diagnoses were back pain (11,5%) and depression (7,2%). From the total, 20,2% of workers had no sickness absence during follow-up. Conducts achieved were 46,3% of workers exercising their same activities as before the attendance committee, 24,6% rehabilitated for different activities, and 20,2% retired due to disability. There was an agreement by the INSS for all 21 suggested committee approachs, distributed between disability retirement (14) and occupational rehabilitation (7).


The establishment of the interdisciplinary committee led the company to a better management of workers’ health restrictions. Also, the committee improved the conduction of the occupational rehabilitation process, considering the agreement by the INSS in all cases.

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