通过两起职业病再鉴定案例鉴定前的现场职业卫生学调查,发现职业病鉴定申请资料中存在职业史失真的现象。虽然职业病鉴定资料已经诊断和首次鉴定机构审核,但职业病再鉴定前的现场职业卫生学调查对确定职业接触史、明确致病因素仍是重要的和必要的。同时,为确保现场环境检测结果的准确性,职业卫生服务机构应加强检测体系全过程的质量保证。 Through two occupational disease re-identification of cases before the identification of occupational health survey, found that there is occupational history identification of occupational disease distortion phenomenon. Although the identification of occupational diseases has been diagnosed and the first time the accreditation body audits, but occupational disease re-accreditation on-site occupational hygiene survey to determine the history of occupational exposure, a clear pathogenic factors is still important and necessary. At the same time, in order to ensure the accuracy of on-site environmental test results, occupational health service agencies should strengthen the quality assurance of the whole process of the testing system.