目的了解南京钢铁矿业公司在生产过程中存在的职业病危害因素,调查该企业接触职业病危害因素工人的健康状况、职业病防护设施、个人防护用品配备和使用情况,以采取有效的防控措施,保护从业人员的身体健康。方法采用现场职业卫生调查、职业卫生检测、职业健康监护等方法。结果该企业主要的职业病危害因素监测合格率:噪声为82.9%,粉尘为63.6%,噪声(个体)为0,粉尘(个体)为75%;接害工人职业健康检查异常检出率为97.91%,以高血压、心电图异常、脂肪肝等为主,未发现与粉尘相关的异常情况。结论该公司作业现场中粉尘和噪声危害较严重,对作业人员的健康造成了一定程度的影响,须加强职业病危害治理和个人防护,切实保护工人的身体健康。 Objective To understand the occupational hazards that exist in Nanjing Iron and Steel Corporation during the production process and investigate the health conditions, occupational disease protection facilities and personal protective equipment in workers exposed to occupational hazards in order to take effective prevention and control measures to protect practitioners Personnel’s health. Methods The methods of field occupational health survey, occupational health examination and occupational health monitoring were adopted. Results The qualified occupational disease risk factors of the enterprise were qualified as follows: the noise was 82.9%, the dust was 63.6%, the noise (individual) was 0 and the dust (individual) was 75%; the detection rate of occupational health checkup was 97.91% , With hypertension, abnormal ECG, fatty liver, etc., found no abnormalities associated with dust. Conclusion The dust and noise in the operation site of the company are more serious and have a certain degree of impact on the health of workers. Occupational hazards and personal protection should be strengthened to effectively protect the health of workers.