Occupational health law: detailed implementation procedures

Occupational health legislation is evolving! Discover the strengthened prevention measures for workplace health, particularly regarding the DUER.

Fabien Gélisse
Consultant HSE
Publication : 
06.04.2022
Table of Contents
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Please note: This article concerns French legislation. The requirements described may not apply in other countries.

Law No. 2021-1018 of August 2, 2021, known as the Occupational Health Law, aims to strengthen workplace health prevention, modernize prevention and occupational health services, and bridge the gap between public health and occupational health.

In particular, it has revised the procedures for developing and updating professional risk assessments (the single risk assessment document and chemical risk assessment) and has supplemented and adapted medical monitoring for certain categories of workers.

Two implementing decrees detailing these changes were published in March 2022. Here is what these two new texts entail.

Professional risk assessment

Decree No. 2022-395 of March 18, 2022, specifies the following:

Before 31 March 2022 From 31 March 2022
Frequency and process for updating the DUERP

Annual update for all companies.

Also updated:

  • Following any significant workplace change that alters health, safety or working conditions and triggers CSE consultation;
  • When additional information relevant to the risk assessment of a work unit is obtained.
Annual update for all companies with more than 11 employees.

Also updated:
  • Following any significant workplace change that alters health, safety or working conditions without necessarily triggering CSE consultation;
  • When additional information relevant to a risk assessment comes to the employer's attention
Documents derived from the DUERP

For companies with more than 50 employees:

Annual occupational risk prevention and working conditions improvement programme derived from the DUERP, which must contain:
  • A detailed list of measures to be taken over the coming year;
  • For each measure, its implementation conditions and estimated cost.

For companies with fewer than 50 employees:

Define, based on the DUERP, risk prevention and employee protection actions
For companies with 50 or more employees:
Annual prevention programme derived from the occupational risk assessment based on the DUERP, to be supplemented with:
  • A detailed list of measures to be taken over the coming year;
  • Identification of the company resources that can be mobilised;
  • An implementation timeline.
=> The annual occupational risk prevention and working conditions improvement programme must be updated with each DUERP update, where necessary

For companies with fewer than 50 employees:
Define, based on the DUERP, risk prevention and employee protection actions
  • The list of these actions must be recorded in the DUERP and its updates
  • The list of prevention and protection actions must be updated with each DUERP update, where necessary
Making the DUERP available

The DUERP must be kept available to:

  • Workers;
  • Members of the CSE staff delegation;
  • The occupational physician and health professionals;
  • Labour inspectorate officers;
  • Prevention service officers of social security bodies;
  • Officers of occupational health, safety and working conditions bodies;
  • Radiation protection inspectors (exposure to ionising radiation).

Digital filing on an online portal:

  • Companies with fewer than 150 employees: set by decree, by 1 July 2024 at the latest;
  • Companies with more than 150 employees: from 1 July 2023.
Until this requirement comes into force, the employer must keep successive versions of the DUERP within the company (paper or digital).

The DUERP and its previous versions must be kept for a minimum of 40 years and made available to:

  • Current and former workers (for the versions in force during their period of employment). Access to previous versions may be limited to the elements relevant to the requester's role;
  • Members of the CSE staff delegation;
  • The occupational health and prevention service;
  • Labour inspectorate officers;
  • Prevention service officers of social security bodies;
  • Officers of occupational health, safety and working conditions bodies;
  • Radiation protection inspectors (results of exposure to ionising radiation).
Chemical risk assessment The employer must assess the health and safety risks for workers exposed to chemical hazards The employer must assess the health and safety risks for workers exposed to chemical hazards, taking into account, where there is successive or simultaneous exposure to several chemical agents, the combined effects of all of these agents.

Medical monitoring for workers currently or previously under enhanced medical supervision

Decree No. 2022-372 of March 16, 2022, specifies the following:

Before 31 March 2022 From 31 March 2022
Post-employment and post-exposure medical follow-up Medical examination before retirement

A medical examination must be organised for workers who are receiving or have received enhanced individual health monitoring, or workers who received specific medical monitoring due to their exposure to one or more of the following risks prior to the implementation of the enhanced individual monitoring scheme:
  • Asbestos
  • Lead, under certain conditions (set out in Article R. 4412-160 of the Labour Code)
  • Carcinogenic, Mutagenic or Reprotoxic agents
  • Group 3 and 4 biological agents
  • Ionising radiation
  • Risk of falls from height during scaffold erection and dismantling.
Þ The employer informs the Occupational Health Service, as soon as they become aware of it, of a worker's departure or retirement. They inform the worker concerned.

Þ The occupational physician provides the worker with a health record and recommends post-employment monitoring.

Note: If a worker believes they are eligible for this medical examination and has not been informed by their employer, they may, during the month before their departure, request it directly from their occupational health service. In that case, they inform their employer of this step.
Medical examination before retirement and after exposure ends

A medical examination must be organised for workers who are receiving or have received enhanced individual monitoring (SIR) of their health, or workers who were exposed to one or more of the following risks prior to the implementation of the enhanced individual monitoring scheme:
  • Asbestos
  • Lead, under certain conditions (set out in Article R. 4412-160 of the Labour Code)
  • Carcinogenic, Mutagenic or Reprotoxic agents
  • Group 3 and 4 biological agents
  • Ionising radiation
  • Risk of falls from height during scaffold erection and dismantling.
=> The employer informs the Occupational Health and Prevention Service of a worker's departure or retirement and, as soon as they become aware of it, of the end of a worker's exposure to particular health or safety risks warranting Enhanced Individual Monitoring. The employer must also notify the worker concerned without delay that this information has been transmitted.

=> The occupational physician provides the worker with a health record and sets up post-employment or post-exposure monitoring where applicable

Note: If a worker believes they meet the conditions to be eligible for this medical examination and has not been notified by their employer that this information was transmitted, they may, during the month before the end of exposure or their departure and up to six months after the end of exposure, request this examination directly from their occupational health service.
Pre-return-to-work examination A pre-return-to-work examination may be organised for workers on sick leave lasting more than 3 months, at the initiative of the treating physician, the social security medical adviser, or the worker. A pre-return-to-work examination may now be organised for workers on sick leave lasting more than 30 days.

It is therefore no longer systematic for all periods of sick leave lasting more than three months, and no longer necessarily needs to be initiated by the treating physician, the social security medical adviser, or the worker.
Return-to-work examination The worker undergoes a return-to-work examination by the occupational physician:
  • After maternity leave
  • After absence due to occupational illness
  • After an absence of at least 30 days due to a workplace accident, illness, or non-occupational accident
The worker undergoes a return-to-work examination by the occupational physician:
  • After maternity leave
  • After absence due to occupational illness
  • After an absence of at least 30 days due to a workplace accident,
  • After an absence of 60 days due to non-occupational illness or accident.

(*): The provisions relating to pre-return and return-to-work medical examinations are not modified for employees covered by the agricultural scheme.

For a comprehensive overview of all the changes introduced by the Occupational Health Law, please refer to the previous article published in November 2021.

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