職業衛生醫護人員於臨廠服務(basic occupational health services, BOHS)時，應協助職場辨識與瞭解職業危害與健康風險，並提供預防或控制的方法與建議。本文主要以某光電廠目檢站員工為例，透過工作現場評估、員工健康情形與作業相關之健康狀況關聯性調查，提供臨廠服務具體改善建議。職業衛生醫護人員於臨廠調查時發現目檢員工中高達77.3%有眼睛方面不適的症狀；眼睛外不適症狀者有90.9%；對工作現場光線感受方面，有13.6%覺得有刺眼強光會造成困擾；同時有眼睛和眼睛外兩種症狀與是否有上夜班有關 (φ=.447, p<.05)。進行邏輯斯回歸分析後，發現夜晚睡眠平均時數每增加一個小時，目檢員工有眼睛疲勞現象的勝算將會減少80.9%。透過此臨廠服務，建議：1.調整目檢區工作現場照度皆維持在300米燭光以上，且仰頭區光線皆在視角300以上；2.配合身高及身長調整工作平台或顯微鏡，以減少聳肩及頸部前彎超過300的機會；3.針對睡眠時間較少者的員工，建議能睡滿6小時至7小時，若必要時可轉介相關醫療單位，以改善睡眠狀況，減少眼睛疲勞。

Occupational healthcare workers identify the specific/potential occupational hazards to theworkers and provide preventive measures to workers, while performing basic occupational healthservices (BOHS) at workplace. This report examines potential occupational risks faced by workers ofvisual inspection station at a photonics enterprise. Association among working environment, workers’health conditions and their job content were examined and recommendations for work environmentimprovement were also provided. The assessment shows that 77.3% of the visual inspection stationworkers reported to have discomfort in eyes; 90.9% have other physical symptomsother than of theeyes; 13.6% felt the glare of light causes distress; night shift work is significantly associated withworkers having both discomforts in eyes and other physical discomforts(φ = .447, p<.05). Results ofthe logistic regression analysis show that workers having every one hour increase in sleep duration atnight, would lower the risk of having discomforts in eyes (OR=0.19). With the above fi ndings fromBOHS, we therefore recommend the following: 1. to adjust the visual inspection work site illuminationto over 300 lux and angular for exclusion zone should be over 30 degrees; 2. to consult physicaltherapist on the preventive measures by performing stretching exercises, height adjustment of workingplatform and/or microscope, or to provide appropriate backrest seat to reduce chances of havingshoulder shrugging and neck bending forward angle to be larger than 30 degrees; 3. for the workers who have less than 6-hours of sleep, necessary consultation and education should be given, to ensure/encourage at least 6-7 hours of sleep duration a day.