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Posted By Sovay Shaw
Can anyone help with specific advice for employer of young apprentice who suffers from seizures (epileptic type fits)?
We want to keep him working, but he works with both hot metals and with animals. Has anyone had any direct experience of this type of situation who can give me some useful advice or examples of similar cases? Insurance company and occupational health both say he's okay to continue working.
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Posted By Bob Youel
Your advisers are not the ones who end up in court etc - from personal experience - its you as the controller/employer who is in charge and its your risk assessment that dictates if somebody works or not - the others are only supports to the employer
I look after many such suffers who work in high/medium risk areas without much trouble - reasonable adjustment comes to mind - biggest problem is where a seizure comes on without warning - as happens to one person I work with - the others all get some kind of indicator and the rest of the workforce -the person concerned can 'make-ready'
Think logical and rational when undertaking your assessment - you may need fall over / stillness alarms etc [as we have] as one control - get all concerned involved and personal medical information will probably be needed and lone working may not be reasionable
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Posted By Fred Pratley
I would only add slightly to Bob's advice - also from experience - the "indicators" of an onset of a fit vary in time as does the individual's immediate reaction.
Of those I know, 1 normally had under 5 seconds warning - just long enough to ditch himself off his racing bike out of the way of traffic (he trained himself to take positive action), but every few years he has no warning. Another went some 30 months without problems and then had a series of minors.
We assume the worse case and work back from that point, involving the person concerned, however an apprentice will only have limited experience so perhaps you could get someone he routinely works with to act as his mentor and guardian angel for "riskier" situations?
Fred
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Posted By garyh
Depends on the person involved - talk to him or her and find out what happens in their case, and take it from there.
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Posted By David-J-Jones
Sovay
try this link
I find their info comprehensive but still clear and as they are a research foundation upto date.
http://www.erf.org.uk/ab...ublications_leaflets.htm
I am guessing when you say hot metals and animals that it may be a trainee blacksmith, my only concern would be if the aura (warning) is brief or not recognised by the individual, then hot metal plus controlling a potentially panicking animal in a confined space could lead to problems
good luck
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Posted By Glyn Atkinson
Assumption -
If the apprentice is indeed a trainee blacksmith, over 18, technically not in need of 100% supervision, has anyone thought of the scenario if the fit pitches him / her forwards into the hot coals instead of backwards to the floor or via the anvil en route to the floor?
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Posted By Glyn Atkinson
Sorry , should have also asked if the sufferer keeps a daily diary of episodes to give a pattern of fits or out of normal awareness / dream events?
It is then possible to find good / bad times or intervals when fits are likely in some sufferers.
The newly diagnosed person is of course the hardest to gain good information on patterns from as they have no illness history to call on.
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Posted By Seth
Hi,
As a sufferer of epiliepsy (without prior warning), I have found that a detailed individual Risk Assessment is required. You should utilise the sufferers knowledge of the condition (it was a bit easier for me, as I'm the safety advisor, therfore I could risk assess myself). Again this may be an assumption, but from personal experience I would think that the sufferer would be well aware of the potential harm and would do their upmost to avoid this i.e. full co-operation and honesty. I must admit that I have been a victim of bravado (trying to defy all guidelines that specialists recommended) but I think this is maybe a denial or sheer determination not to be affected (be normal) by the condition. Maybe you could consult the sufferers specialist/consultant for additional information. It is difficult to guard against seizures with no prior warning as the first thing the sufferer is aware of is lying on the floor feeling very confused. To set the scene, try imagining walking down the street - next thing - a crowd of people asking if you're ok and you've not a clue what's going on. Other side effects can be severe headaches, temporary paralysis, loss of speech. This response probably doesn't answer your question but, hopefully gives you insight to the sufferers point of view.
Best regards
Seth
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Posted By Pat Hannaway
You might like to check information on the official "Epliepsy Action" site.
http://www.epilepsy.org.uk/
Regards
Pat H
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Posted By LTN
I'm reviewing a situation where this suspected condition is undeclared and following an incident I've been told that the individual says that their condition is unconfirmed and they are reluctant to go to OH because there is still a stigma surrounding it - a case of culture differences I think. In this case, I am assessing it with as much information as I can get from the individual.
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Posted By Sovay Shaw
Thank you colleagues. I'd done as much research as I could on the actual condition, thro' my own experience as a First Aid instructor and thro' websites on epilepsy, etc. But as I'm still in my first year of H & S, I appreciate all the help and advice I can get. I'll no doubt be back for more help!
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