Pemeriksaan Kesehatan Khusus (Special Occupational Health Examination) in Indonesia

Under Article 1(c) of Permenakertrans No. PER-02/MEN/1980, Pemeriksaan Kesehatan Khusus (Special Health Examination) is one of three statutory worker health examination types alongside pre-employment and periodic check-ups (Article 1(a)-(b)). It is defined as a medical examination conducted specifically by a doctor on certain workers. Intended to assess the effects of specific work on a worker or group of workers (Article 5(1)).

Position in Indonesian Occupational Health Law

While Article 8 of Law Number 1 of 1970 on Work Safety explicitly mentions pre-placement and periodic examinations, PER-02/MEN/1980 details special examinations. More recently, PP Number 28 of 2024 places worker health examinations and fitness-for-work assessments within preventive occupational health efforts (Article 233(5)(d)-(e)).

When a Special Health Examination Is Triggered

Under Article 5(2) of PER-02/MEN/1980, special health examinations are also conducted for:

• Workers who have experienced an accident or illness requiring more than two weeks of medical care.
• Workers over age 40, female workers, workers with disabilities. Furthermore, Young workers performing specific tasks (a 1980 provision enacted before non-discrimination rules in Law Number 13 of 2003 Articles 5 and 6).
• Workers suspected of experiencing specific health disorders requiring targeted assessment.

Article 5(3) adds further triggers: complaints among workers, observations by labor safety inspectors, assessments by the Hyperkes and Work Safety Center, or public concern. Covered companies must include special examinations in their formal examination plan (Article 6(1)).

Biological Exposure Monitoring in Permenaker 5/2018

Article 20(6)-(7) of Permenaker Number 5 of 2018 also uses this term for chemical hazard monitoring. Chemical exposure in workers is measured through a special health examination of bodily specimens. Furthermore, Compared against the Biological Exposure Index (Indeks Pajanan Biologi or IPB) in the regulation's Annex.

Legal basis: Permenakertrans No. PER-02/MEN/1980 Articles 1(a)-(c), 5, and 6(1). Law Number 1 of 1970 Article 8. PP Number 28 of 2024 Article 233(5)(d)-(e). Permenaker Number 5 of 2018 Article 20(6)-(7). Law Number 13 of 2003 Articles 5 and 6.