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In Indonesia, a hiperkes doctor (dokter hiperkes) is a doctor who has completed training in industrial hygiene and occupational health, known by the Indonesian abbreviation hiperkes. A hiperkes paramedic is a nurse or other health worker who has completed similar training. The training prepares them to run occupational health services for a company, not just to treat patients. The duty to provide occupational health services sits with the employer, so it is the company that has to make sure its doctors and paramedics have this competence. Recent health rules reinforce the point: Government Regulation No. 28 of 2024 requires occupational health competence for medical and health workers, and the occupational health clinic standard in Minister of Health Regulation No. 11 of 2025 requires competence in both occupational health and medical emergencies.
This article is for HR, HSE, and site managers who hire or place medical staff at company clinics, especially on sites that run on rosters.
What does an occupational health service do?
The duty comes from manpower regulation. Minister of Manpower and Transmigration Regulation No. PER.03/MEN/1982 on Occupational Health Services, still listed as in force on the Ministry of Manpower's JDIH portal, gives every worker the right to occupational health services and requires management to provide them (Article 3). Article 2 lists twelve core tasks, including:
- pre-employment, periodic, and special health examinations;
- guiding and overseeing how work is adapted to workers;
- guiding and overseeing the work environment, sanitation, and workers' health equipment;
- preventing and treating general illness and occupational disease;
- first aid for accidents and training for first aiders;
- advice on workplace design, choice of personal protective equipment, and workplace nutrition;
- supporting rehabilitation after accidents or occupational disease;
- regular reports to management.
Some of these tasks, such as overseeing the work environment and matching jobs to workers' health, rarely come up in everyday clinical practice. That is why extra training is needed even for experienced clinicians.
Article 4 allows the service to be run by the company itself, through an arrangement with a doctor or another health service, or jointly by several companies. Article 5 states that the service is led and run by a doctor approved by the Director referred to in the regulation. Article 6 requires management to respect that doctor's professional independence, including access to workplaces for examinations.
The rules on doctor and paramedic competence
Several regulations connect here. This table sums up the ones that can be checked on official JDIH portals:
| Regulation | What it covers |
|---|---|
| PER.03/MEN/1982 | Core tasks of occupational health services; the lead doctor is approved by the Director |
| PER.02/MEN/1980 | Worker health examinations are done by a doctor appointed by the employer who meets requirements under ministerial regulation and other requirements accepted by the director general |
| GR 28/2024, Article 236 | Medical and health workers in occupational health need competence gained through education and/or training, which may include occupational medicine or occupational health training |
| GR 28/2024, Article 241(2)(b) | Applying occupational health standards to workers in companies is governed by manpower ministry regulation |
| MoH Regulation 11/2025 | Medical and health workers at an occupational health clinic need competence in occupational health and medical emergencies |
| KEP.324/MEN/XII/2011 | National competency standard (SKKNI) for OHS paramedics |
The rules that specifically require hiperkes training for company doctors and company paramedics are usually cited as PER.01/MEN/1976 and PER.01/MEN/1979. PER.02/MEN/1980 refers to PER.01/MEN/1976 in its preamble, and the OHS paramedic SKKNI lists PER.01/MEN/1979 on compulsory training in industrial hygiene, occupational health, and safety for company paramedics. However, we could not find the text of either regulation on the Ministry of Manpower's JDIH portal. Before relying on them in writing, confirm their status and content with the local manpower office.
Note also that MoH Regulation 11/2025 does not use the word hiperkes. It refers to occupational health competence. Whether a hiperkes training certificate is accepted as proof of that competence is worth confirming with the health office that verifies your clinic licence.
Is a hiperkes doctor the same as an occupational medicine specialist?
No. Hiperkes is training for doctors and paramedics working in companies, while an occupational medicine specialist completes specialist education. Article 236 of GR 28/2024 says occupational health competence can come through education and/or training, and that the training may be in occupational medicine or occupational health. The standard for a Type 2 occupational health clinic in MoH Regulation 11/2025 offers several doctor combinations, one of which is one doctor plus one doctor with occupational medicine competence. For Type 1, the minimum is one doctor, who like the other staff needs occupational health and medical emergency competence.
A training certificate is not a practice licence
A common mix-up is treating a hiperkes certificate as if it were a licence to practise. They are different things:
- A practice licence (SIP) allows a clinician to practise at one location. Under Article 682 of GR 28/2024, a SIP for Indonesian medical and health workers is valid for five years and for one practice location only. Renewal requires a registration certificate (STR), a practice location, and enough professional credit points (SKP).
- An occupational health training certificate is proof of additional competence. Its validity period is not set in any regulation we found. Claims that it lasts for life, or must be renewed after a set number of years, should be checked with the training provider and the relevant authority.
Article 683 says SKP can be earned through training and competence development activities, among other routes, under standards set by each profession's collegium. Occupational health training can therefore count towards SIP renewal, but how much it counts depends on that collegium's rules.
One practical point for site clinics: a SIP is tied to a practice location. A doctor moved from a city clinic to a site clinic needs a SIP for that site clinic. MoH Regulation 11/2025 also requires licensed clinics to arrange SIPs for their medical and health workers.
If medical staff lack occupational health competence
MoH Regulation 11/2025 provides a route when an occupational health clinic applies for its licence. One of the documents to upload is a signed commitment to build occupational health and medical emergency capacity for medical and health workers who do not yet have those competences. Licensed occupational health clinics must also add occupational health and emergency competence for the staff working there.
Turn that commitment into a real training schedule with names, course types, and target dates, and keep it with the clinic's licence documents.
Scheduling training for staff on rosters
Site clinic staff work rosters just as tight as everyone else's. Sending a doctor to a course in the city means that doctor is not on site. If staffing is thin, the clinic can drop below the minimum for its type. For a Type 1 occupational health clinic, for example, the minimum is one doctor, one nurse, and one administrator, as set out in our article on mine site clinics.
Two approaches are common:
- Training during off-roster time, with pay and travel arrangements agreed in advance.
- Relief staff while the doctor or nurse attends training, with a SIP already issued for that clinic.
Both are easier if training needs are built in when you calculate headcount. How to allow for leave, training, and evacuation escorts is covered in our article on calculating medical staff for a roster.
Documents to keep for the site medical team
Keep a file for each person that can be shown during licence verification, an SMK3 audit, or a labour inspection:
- STR;
- SIP for that site clinic;
- occupational health training certificate, such as hiperkes for doctors or paramedics;
- emergency care training certificate;
- capacity-building commitment for anyone who lacks one of the competences above;
- the clinic owner's letter appointing the doctor in charge.
This competence is used every day. A doctor with an occupational health background assesses fitness for work against the demands of the job, as explained in our article on fit to work for site workers, and reads MCU results as data for improving hazard controls.
Our medical center service places medical staff whose competence and practice licences have been checked, with training scheduled so that clinic services continue across the roster.
