Legal basis: labor ability appraisal of the disability level of workers with work-related injuries and occupational diseases 4. General regulations.
4. 1 Judgment basis
4. 1. 1 Comprehensive judgment
According to organ damage, dysfunction and dependence on medical care and daily life care, combined with social and psychological factors caused by disability, the degree of disability is comprehensively judged and graded.
Appendix A is the grading standard of industrial injury and occupational disability.
Appendix B provides instructions on the correct use of this standard.
4. 1.2 Organ damage
Organ injury is the direct result of industrial injury, but occupational diseases do not necessarily have organ defects.
4. 1.3 dysfunction
The degree of dysfunction after industrial injury is related to the location and severity of organ defects, and the organ dysfunction caused by occupational diseases is related to the severity of diseases. The judgment of dysfunction should be based on the evaluation of disability grade and the results of medical examination during technical appraisal, and determined one by one according to the disabled objects.
4. 1.4 medical dependence
Classification of medical dependence judgment:
A. Special medical dependence refers to those who need to receive special drugs, special medical devices or devices for lifelong treatment after being injured and disabled at work;
B. General medical dependence refers to the need to receive long-term or lifelong drug treatment after work-related injuries.
4. 1.5 self-care disorder
The scope of self-care mainly includes the following five items:
A. eating: you can't eat independently at all, and you need to rely on the help of others;
B. turn over: you can't turn over by yourself;
C. defecation: you can't act independently, and you need help from others;
D. dressing and washing: I can't dress and wash myself, and I rely entirely on others' help;
E. autonomous action: unable to walk autonomously.
Nursing dependence is divided into three levels:
A. complete self-care disorder: life is completely unable to take care of itself, and the above five items need nursing;
B. Most self-care obstacles: most people can't take care of themselves, and three or four of the above five items need nursing;
C. partial self-care disorder: some people can't take care of themselves, and one or two of the above five items need nursing.
4.2 Promotion principle
Multiple injuries to the same organ or system, or injuries to different parts of more than one organ at the same time, should be identified first. Several disability levels are different, and the severe ones are graded; If two or more levels are the same, they will be promoted by one level at most.
4.3 Treatment of original disability and complications
In the process of labor ability appraisal, if there are complications after work-related injuries or occupational diseases, the assessment of disability level shall be based on the actual disability outcome at the time of appraisal.
If the organ damaged by industrial injury has original disability or history, that is, single or double organs, such as eyes, limbs, kidneys or system damage, this appraisal should check whether the injury aggravates the original disability, and if it aggravates the original disability, it will be based on the actual disability outcome; If the injury is lighter than the original disability, the appraisal will be based on the disability result of the injury.
The original disability treatment is applicable to the initial or re-appraisal, and the re-appraisal is not applicable to these rules.
4.4 classification
According to the principle that clinical medicine branches and disciplines are interrelated, the judgment of disability can be divided into five categories.
A. neurology, neurosurgery and psychiatry.
B. orthopedics, plastic surgery, burn department.
C. ophthalmology, otolaryngology and stomatology.
D. general surgery, thoracic surgery, urogenital department.
E. internal medicine of occupational diseases.
4.5 Division of projects
According to the five categories in 4.4, 530 disability items are listed according to the category and degree of disability, using the grading series from 1 to 10 in Table C. 1 ~ C.5 and Appendix C.
4.6 classification
According to the classification principle of the items and degree of disability caused by work-related injuries, and considering the balance of various categories, the disability level is divided into one to ten levels. The heaviest is level 1, and the lightest is level 10. For unlisted individual disabilities, refer to the corresponding scoring principles in this standard for scoring.