ABSTRACT

Framework developed to improve occupational health and safety performance (Cagno 2011) don’t consider the medical exam as levers intervention, this impairs with one of the of the conclusions of the European Commission strategy applied during the year 2007 to 2012 (COWI 2013), that remarks that a new strategy should focus clearly on musculoskeletal disorders, stress and occupational cancer deaths and should target in particular the challenges related to the implementation of the legal framework with an explicit focus on SMEs and micro-enterprises.