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#1 Posted : 04 March 2009 10:28:00(UTC)
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Posted By David Bannister I have noticed in my everyday work and on reading postings on these forums that there seems to be a reluctance by some to deal with the first part of H&S and a greater level of comfort in the safety bit. Perhaps this is partly to do with the fact that we can rapidly see the results of our safety interventions and failures, whilst those from health related interventions and omissions are often not apparent until later. Maybe too it is that our training and education is more focussed on safety. I made the decision some time ago that my education was at that time lacking in health issues and took steps to improve it. What do others think?
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#2 Posted : 04 March 2009 10:34:00(UTC)
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Posted By stephen d clarke Hi, Usually perhaps because the medics/occy health take the lead on health related issues with our support. Steve
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#3 Posted : 04 March 2009 11:05:00(UTC)
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Posted By JimE There is no occy health where I am H&S adviser.Colleagues rarely come to me about health issues that may be work-related. I don't know if it is embarrassment,unsure of relevance to H&S or reluctance because of fear of losing their job (I know that shouldn't happen but the fear still exists in some folks minds). I would gladly take on more training and expand my knowledge and even my role in this small business but finances rule it out at the moment. Heres to the future.... JimE
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#4 Posted : 04 March 2009 11:46:00(UTC)
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Posted By Ron Hunter It is I think clear that a large number of posts are about safety issues, however the entry level NEBOSH Certificate syllabus covers COSHH, Manual Handling, DSE, Noise in some detail (from my recollection) and may these days include more on HAVS and Asbestos. All the above have a focus on health and not just acute injuries. I don't think the training is particularly at fault. From an employer's p.o.v., it may be that there is a comfort zone in dealing with "today's problem today" (i.e. the immediate safety risk) and maybe employers (not practitioners) need more education on the longer term health issues. That said, we have a key role in educating the employer on these areas of preventative strategy?
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#5 Posted : 04 March 2009 12:08:00(UTC)
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Posted By CFT Isn't this being taken a bit to literally? If you help manage the safety of others to prevention and elimination are we not therefore protecting the health? Does not COSHH controls that we have protect health? Do we not safely manage asbestos to protect health? What of safely accessing drains via man-entry and taking potential gas reading, breathing equipment, is not health based as well as safety for the individual? What of epidemiological studies that we may carry out? DSE & eyesight, is this not health? Manual handling, healthy bodies, keeps them safe and also healthy, no strains, breaks, fractures by limiting loads creating engineered controls etc. Smoking (oh no did I really mention that one?) Who in your organisation was tasked with dealing with recent legislative changes, is this not to the health benefit? Lepto/legionella; what of health surveillance, and so on and so forth. For me the two are so closely interlinked I never really bother to separate them. CFT
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#6 Posted : 04 March 2009 12:45:00(UTC)
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Posted By Ron Hunter I think the point is well made. The HSE continue to put major effort into improving health and welfare and construction (for example). Whereas Projects may complete without Major Injury or any significant entry in the Accident Book,and the PC and Client Organisations may have a perception of a "good" safety record, the transient workforce may well continue to be exposed to dust, noise, vibration etc. on that and subsequent Projects. HSE and others recognise that highly skilled workers are being lost prematurely from the construction (and other) industry due to easily preventable work-related ill-health, and the significant societal costs of that loss are widely acknowledged.
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#7 Posted : 04 March 2009 12:58:00(UTC)
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Posted By Ali I think you and some of the comments below have hit the nail on the head. Many managers I come across are competent when it comes to safety issues, investigating accidents etc. When it comes to noise, vibration etc and health surveillance their eyes glaze over. Training is a key issue and for that I am deeply indebted to Salford Uni, where I studied for my Post Grad diploma in OSH. The safety part maybe "common sense", but Occ Health is about knowledge.
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#8 Posted : 04 March 2009 13:43:00(UTC)
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Posted By Jay Joshi I do not think "frightened" is the way to express it. It may be that we do not fully appreciate that "health & well being" at work requires a multidisciplinary approach that involves a wide range of "occupational health professionals" Occupational Hygienists, Ergonomists, Physicians, Nurses, Physiotherapists, Psychologists, General Practitioners and also HR professionals
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#9 Posted : 04 March 2009 14:43:00(UTC)
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Posted By water67. Hi my job our section is health, safety and well-being.. given that absence for "accidents" is less than "ill health" includes mental health. The answer must be yes, I am heavily involved in the health and well-being of staff. Cheers
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#10 Posted : 04 March 2009 17:27:00(UTC)
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Posted By Chris Packham I think one of the problems with "health" is, as already stated, that it is frequently a chronic problem. In other words what we do today may not reveal its consequences for years. Furthermore, it can be complex. For example, take COSHH and exposure to chemicals that can cause systemic damage. The routes of uptake can be inhalation, ingestion and dermal. The effect can be a combination of the three. In other words, the concern is only about the total dose reaching the vulnerable organ irrespective of the route of uptake. Furthermore, the chemical - and thus the hazard - can change as part of the process of uptake, so that you may be attempting to assess a completely different chemical and hazard to that which came into contact with the person. And even when the problem becomes apparent it is often (a) too late to do anything much about it and (b) difficult, perhaps even impossible, to identify what caused it. For example, irritant contact dermatitis is never to a single chemical but as a result of repeated contacts with many different chemicals both in the workplace and at home. I can well understand why some people do not feel comfortable with the "health" part. As was already said, it often ends up being a team effort involving different people with different skills. Chris
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#11 Posted : 05 March 2009 14:27:00(UTC)
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Posted By David Bannister Thanks for some great and thought provoking responses. JimE, I have no knowledge of your organisation but would be surprised if there is a complete absence of health risks. Whilst no issues may be raised by colleagues are there possible exposures that are unrecognised? Ron, I agree that we should be educating employers but how many of us have the confidence and up to date knowledge to do so? CFT, the issues you have mentioned are exactly those which I believe are tackled by only a small proportion of organisations, i.e. those who have access to truly competent advice in these areas. My experience is that most smaller organisations will make a reasonable job of recognising the obvious safety risks and show willingness to tackle them when reminded, but have a worrying lack of understanding of the health risks of some of the substances they have present, the nature of noise and vibration risks, repetitive motions, manual loads etc and all too often stress is seen as a joke. In my work I often draw attention to health risks that have previously been unrecognised, provide advice on how to control them but have no executive powers to implement the controls. Too often the advice remains “on file” partly I believe because current managers (and exposed employees) are likely to have moved on when the affects may become apparent, partly because health is seen as belonging to the medical profession, partly because there is an unwillingness to accept that the work may be causing harm and partly “ostrich syndrome”. In some cases I accept that my persuasive powers may be inadequate and sadly I have no authority to kick the exposed posteriors. Looking forward to some more views and opinions on the subject.
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#12 Posted : 05 March 2009 23:22:00(UTC)
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Posted By Ron Hunter And stating the blindingly obvious David, these hazard effects are more often than not entirely missing from the relevant task/process Risk Assessments. Risk Assessments which are not then "suitable and sufficient".
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#13 Posted : 06 March 2009 11:32:00(UTC)
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Posted By Brian Hagyard I will not name the offending programme again but a Local Authority Officer was criticised on this forum not so long ago when shown on TV for trying to deal with the glues used in nail bars. Some members of this forum thought she was being petty! Brian
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#14 Posted : 06 March 2009 17:00:00(UTC)
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Posted By Liz Maw Hello I have recently attended a pilot course run by IOSH in conjunction with the DWP which was all about occupational health intereventions. It was aimed at safety practitioners and covered MSDs, work place stress, skin and lung conditions. All of which fall firmly into the realm of health and safety. I often get involved in case reviews with staff who have ergonomic problems aggrevated by work or have back injuries. I am increasingly trying to involve GPs but often have to refer cases to our Company Doctor. There is a big drive to try and keep people in work, get them back to work when they have been absent and try and adjust jobs and tasks temporarily if needed. Being at work keeps people healthy - there's plenty of evidence to confirm this - it can be a difficult area to deal with but I find it interesting and incredibly diverse. Don't be frightened of it - embrace it!
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#15 Posted : 06 March 2009 22:34:00(UTC)
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Posted By Garry Adams David Very interesting Post, I have worked for numerous Scaffold Organisations over the years and have raised the issue of repetitive strain injury and the chronic cumulative trauma associated with the prolonged use of the manually operated Scaffold Spanner. I acknowledge that there has been a marked improvement in the ergonomic design of the Spanner in recent times. However, I would rather see further developments include a hand held powered Spanner. The general consensus of opinion within the ranks of the Scaffold Erectors is favourable...however, the Board Room Policy and Decision Makers cannot recognise the long term benefits, as many contributors to this thread have identified, education is the answer at both Shop Floor and Board Room Level. Health and Morals are just a relevant as Safety. Garry...
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#16 Posted : 07 March 2009 07:38:00(UTC)
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Posted By Chris Packham Gary Good point! What manager does not have his car serviced at the appropriate intervals, rather than wait for it to break down on the motorway? Preventative maintenance! Many organisations will practice preventative maintenance on buildings, plant and machinery. Yet that most important asset, without which nothing happens, i.e. people, seem to be a lower priority when it comes to preventative maintenance, i.e. keeping them in optimum working condition. And isn't that what occupational health is all about? Actually, I have found that presenting OH in this way can sometimes make senior management rething their approach. Chris
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#17 Posted : 07 March 2009 10:05:00(UTC)
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Posted By Raymond Rapp David I think that the health bit is the 'bridesmaid' of this industry for several reasons. First of all, it easier to focus on the more immediate risks that safety presents. There is some overlap of course. Many health issues are not typical of a practitioners working day and therefore some new learning may be required or in some cases refreshing. Some health issues require a degree of knowledge that may be beyond your average practitioner. For example, I have been assisting a student put together a cogent report for MMA welding. I know nothing of the hazards, LEV, RPE or OELs required for the activity, but with some research I could understand those issues. Difficulties include occupational exposure limits, which require a degree of knowledge and expertise to make sense of the data. Finally, for some aspects of occupational health the use of an expert in that field is more desirable than someone fudging around with issues that they are not familiar with. As I have said before, this is a very diverse industry dealing with health, safety, quality, risk, environmental issues and so on. You can't be an expert in every one of them. So, no I am not frightened of health issues, but I am also acutely aware of my limitations and time constraints. Ray
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#18 Posted : 07 March 2009 10:51:00(UTC)
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Posted By andy.c. the organisation i work for employ an O.H nurse for each site, have company Physio's for each area etc etc, if employee's have a health issue they will obviously prefer to attend a professional in the health field, to that extent the "H" has been separated from the "S". However, on a recent R/A it was not just the input from my local O.H. that was necessary, due to the nature of the assessment advise was sought from several medical consultants (via O.H), with their information i could confidently work with the O.H to provide a competent R/A and protect "AFARP" the Health and Safety for the task concerned. I am not scared of Health issues but accept that there are other people with more medical knowledge whose opinions carry more weight than my own, likewise, i wouldn't want to see my O.H nurse driving a FLT. Just my opinion Andy
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#19 Posted : 07 March 2009 12:31:00(UTC)
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Posted By John Richards That bad looking then ?
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