Petrochemical Related Health Surveillance Medicals

Workplace Hazards in the Petrochemical Industry

Petroleum refineries, fuel terminals, chemical plants and gas processing facilities handle large volumes of hydrocarbons and process chemicals. Most exposures are controlled by closed systems, but workers can be exposed during maintenance, sampling, tank cleaning, turnarounds, loading and unloading, and when there is a leak or loss of containment.

Common hazards for petrochemical workers in Australia include:

  • Benzene: present in crude oil, petrol, refinery streams and aromatic chemical production. Benzene is listed in Schedule 14 of the model WHS Regulations.
  • Other aromatic and aliphatic solvents: such as toluene, xylene, ethylbenzene and n-hexane, used or produced in refining and chemical manufacture.
  • Polycyclic aromatic hydrocarbons (PAHs): found in heavy residues, coke, bitumen, coal tar products and some catalyst and furnace maintenance work. PAHs are also listed in Schedule 14.
  • Hydrogen sulphide and other toxic gases: an acute hazard in sour crude processing, sewers, tanks and confined spaces.
  • Noise: from compressors, pumps, furnaces, flares and pressure relief systems.
  • Legacy hazards: asbestos insulation and gaskets in older plant, and lead residues in some older tanks and equipment.
  • Heat, confined spaces and shift work: particularly during shutdowns and turnarounds.

Which Petrochemical Workers May Need Health Monitoring?

Under the model WHS Regulations, health monitoring must be provided when a worker carries out ongoing work with a Schedule 14 hazardous chemical and there is a significant risk to their health. In petrochemical work, the workers most likely to need monitoring include:

  • process operators and sampling technicians working with benzene-containing streams
  • tank cleaners, maintenance fitters and turnaround crews who open process equipment
  • workers in bitumen, coking or heavy oil areas exposed to PAHs
  • laboratory staff handling solvents and hydrocarbon samples
  • workers in noisy areas who are frequently required to wear hearing protection
  • contractors who remove or disturb asbestos-containing materials during maintenance

The decision about who to include should be based on the site’s risk assessment and exposure monitoring results, not job title alone.

Health Monitoring for Petrochemical Workers

Employees Health doctors design monitoring around the substances present on your site. Depending on the exposures, a program may include:

Benzene Health Monitoring

  • medical and occupational history, including past exposure to benzene and other solvents
  • records of personal exposure
  • physical examination
  • a baseline blood sample for a haematological profile (full blood count)
  • where appropriate, urinary S-phenylmercapturic acid, a benzene metabolite suggested in Safe Work Australia guidance

PAH and Solvent Health Monitoring

For PAH exposure, Schedule 14 monitoring includes history, physical examination with attention to the skin, records of personal exposure and health advice about photosensitivity and skin changes. Urinary 1-hydroxypyrene may be used as a biological marker of PAH exposure. Read more about PAH health monitoring and solvent exposure medicals.

Hearing and Respiratory Checks

Workers who are frequently required to wear hearing protection must have audiometric testing within three months of starting that work and at least every two years after that. Where workers wear respirators or have respiratory exposures, a respiratory questionnaire and spirometry may also be included.

Onsite Health Monitoring for Refineries and Chemical Plants

Employees Health can deliver petrochemical health monitoring onsite anywhere in Australia, including metropolitan refineries and terminals, regional processing plants and remote gas facilities. Our team works around continuous operations, 12-hour rosters and night shift, and can schedule sessions before or during planned shutdowns so contractors and turnaround crews are assessed while they are on site. Workers can also attend one of our clinics.

A baseline assessment before a worker starts exposed work gives a reference point for later results. Periodic monitoring then follows at intervals set by the supervising doctor based on the substance and level of exposure.

Supporting Employers in the Petrochemical Industry

The PCBU must inform workers about health monitoring, arrange for it to be carried out by or under the supervision of a registered medical practitioner with experience in health monitoring, and pay for it. Health monitoring does not replace controls such as closed sampling, ventilation, gas detection and personal protective equipment, but it can show whether those controls are working. Our team can help you decide which workers and tests to include. This is practical guidance, not legal advice, and requirements can differ between states and territories.

Confidentiality and Reporting

Individual medical information is handled confidentially. The supervising doctor provides a health monitoring report to the employer stating whether the worker can continue the work and any recommended changes to controls, and each worker receives their own results. Health monitoring records must be kept confidentially for at least 30 years.

To arrange petrochemical health monitoring, call 1300 880 804, email our team or contact our team.

We work in accordance with state legislation

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Frequently Asked Questions

Are petrochemicals harmful to human health?

Some can be, depending on the substance, the level of exposure and how it occurs. Benzene, found in crude oil and petrol, is a known human carcinogen, and other hydrocarbons and solvents can irritate the skin and lungs or affect the nervous system. Controls, exposure monitoring and health monitoring help manage these risks.

What are the health hazards associated with petroleum work?

Petroleum workers may be exposed to benzene and other volatile hydrocarbons, hydrogen sulphide, PAHs from heavy fractions, and skin contact with oils and fuels. Short-term effects can include headaches, dizziness and skin irritation, while some substances carry longer-term risks such as blood disorders or cancer.

What health monitoring is required for benzene exposure?

Benzene is listed in Schedule 14 of the model WHS Regulations. Health monitoring must include a medical and occupational history, records of personal exposure, a physical examination and a baseline blood sample for a haematological profile. The supervising doctor may recommend further blood tests over time.

Is petroleum toxic to the human body?

Petroleum products are mixtures, and their toxicity depends on the components and the route of exposure. Inhaling vapours can cause dizziness and nausea, prolonged skin contact can cause dermatitis, and some components such as benzene are carcinogenic. A doctor experienced in health monitoring can advise what testing suits your workers’ exposures.

Can health monitoring be done at refineries, terminals and remote sites?

Yes. Employees Health delivers health monitoring onsite at refineries, fuel terminals, chemical plants and remote facilities anywhere in Australia. Programs can cover benzene, PAHs, noise and other exposures in one visit.

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