Abstract: In order to investigate the occupational health status of dust workers in Binhai New Area of Tianjin,and to provide scientific basis for the formulation of occupational disease prevention strategies,data on on-the-job physical examinations of dust workers in Binhai New Area in 2022 were collected and analyzed using Excel 2016 and SPSS 22.0. The results showed that a total of 22,428 dust workers were included in the physical examination in 2022. Among them,43 were abandoned in the examination of high kV chest X-ray or DR chest X-ray,19 were abandoned in the examination of lung function,and a total of 22,367 were included. 2 cases （0.009%） were found to be suspected of pneumoconiosis,85 cases （0.38%） were found to be occupational contraindications,and 1 case （0.004%） were found to be pneumoconiosis. The abnormal detection rate of chest radiograph was 30.5%,and the abnormal detection rate of lung function was 0.058%. The detection rate of abnormal lung function and chest radiograph of dust workers in this area increases with the increase of exposure years. Attention should be paid to the prevention of occupational pneumoconiosis by strengthening the publicity and education of dust workers in large enterprises,especially for workers with long working years to prevent the occurrence of occupational pneumoconiosis.

Key words: dust, occupational health examination on the job, lung function, pneumoconiosis