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Empowerment      Accountable     Responsive




       Lt. Col. (R) Dr Mohd Hatta Usul
     Group Health Adviser, PETRONAS
Occupational
                                             Diseases

                            Process safety




                 Personal
                 Injuries




DMHU July 2011                       2
Workers off work at least 1 month due to accidents at work and work-
            related health problems in the past 12 months
                 3.5

                  3

                 2.5
  % of Workers




                  2

                 1.5

                  1

                 0.5

                  0
                       15-24     25-34           35-44              45-54              55-64       Age Group
                               Accident       Health Problems
                                   http://epp.eurostat.ec.europa.eu/cache/ITY_OFFPUB/KS-SF-09-063/EN/KS-SF-09-
DMHU July 2011                     063-EN.PDF           3
Main Findings
 • 3.2% of workers in the EU-27 had an accident at work during a one year
   period, which corresponds to almost 7 million workers.
 • Approximately 10% of these accidents were a road traffic accident in the
   course of work.
• 8.6% of workers in the EU-27 experienced a work-related health
  problems in the past 12 months, which corresponds to 20 million persons.
• Bone joint or muscle problems and stress, anxiety or depression were
  most prevalent.
• 40% of workers in the EU-27, i.e. 80 million workers, are exposed to
  factors that can adversely affect physical health.
• 27% of workers, i.e. 56 million workers, are exposed to factors that can
  adversely affect mental well-being.
                             http://epp.eurostat.ec.europa.eu/cache/ITY_OFFPUB/KS-SF-09-063/EN/KS-SF-09-063-
                             EN.PDF
DMHU July 2011                                4
• 1.3 million people who worked during the last year were suffering from an
  illness with 555,000 of these were new conditions which started during the
  year.

• 2,249 people died from mesothelioma in 2008 and thousands more from
  other occupational cancers and diseases.

• 152 workers were killed at work.

• 233 000 reportable injuries occurred, according to the Labour Force
  Survey.

• 28.5 million days were lost overall (1.2 days per worker), with 23.4 million
  due to work-related ill health and 5.1 million due to workplace injury.
                                                                      HSE UK



DMHU July 2011                          5
(HSE UK Statistics)




DMHU July 2011   6
DMHU July 2011   Source: SOCSO Report 1995-2005
                                7
Occupational Diseases Reported to SOCSO 1999-2003




                            Probable Cases of Occupational Diseases Among
                                  MOH Hospital Admission 1999=2003




DMHU July 2011                         8
* Difficulty in recognizing occupational diseases
      * Long latent period between exposure and disease
      * Low awareness among employees and employers
      * Intentional under reporting
      * Exclusion of certain group of workers
      * Competency of HSE and medical practitioners
      * Reporting process




DMHU July 2011                   9
Health hazards and risks not adequately managed


                 Emergence of new issues and challenges




DMHU July 2011                    10
DMHU July 2011   11
*


DMHU July 2011   12
*Low level of awareness
     *Lack of legal push
     *Low on enforcement
     *Lack of economic push
     *Perceived low ROI
     *Lack of resources
     *Lack of infrastructure
     *Low in competency



DMHU July 2011                 13
Health hazards and risks not adequately managed


                 Emergence of new issues and challenges




DMHU July 2011                    14
• 99.2% or 518,996 of total establishments in the three main
  economic sectors of manufacturing, services and
  agriculture.
• 65% of total workforce or 3 million for the 3 sectors
                                                 (DOS Malaysia, 2005 Census)


• Low budget/expenditure operations
• No proper OSH management system
• No resources


 DMHU July 2011                15
*Drive for more productivity, increasing pace of
    work, shorter deadlines.
  *People are working harder and for longer hours, with
    implications for both physical and mental health.
  *While traditional physical hazards still dominate in high
    risk sectors such as construction, psychosocial risks have
    assumed greater importance in the public and white
    collar sectors.



            *
DMHU July 2011                 16
DMHU July 2011   17
*Reproductive health issues
                 *Domestic issues
                 *Sexual harassment
                 *Work-life balance issues



DMHU July 2011       18
*
    • Unskilled and poor OHS
      awareness
    • Social problems
    • Communicable diseases
    • Mental health
    • Use of public resources




DMHU July 2011             19
• Lifestyle diseases
• Occupational diseases
• Mental health
• Burden on medical care and
      OH services




DMHU July 2011            20
*Better delivery of OH services
         *Better reporting and data
         *Increased awareness among
           employees, employers and public
         *Better infrastructure to provide support to
           industries
         *Laws and regulations
         *Better competency among OH professionals
         *More impactful OH programs

                            *
DMHU July 2011                   21
*OH programs targeted to change mindset and
    work culture

  *Enforcement with support
  *Priority of focus areas




DMHU July 2011               22
*National level

                 *Industry/ enterprise level




DMHU July 2011          23
1.
                 * Caucus of OH practitioners, enforcement
                  agencies and employers
                 * Develop medium and long term plan to develop
                  and enhance OH management practices
                 * Determine target and performance indicators
                 * Development of required infrastructure
                 * Provide support to industries especially the SME



DMHU July 2011                          24
http://osha.europa.eu/en/publications/e-facts/efact50




DMHU July 2011   25
*Improve processes in reporting and data gathering
          * Collaboration of public and private agencies
          * Self reporting on occupational diseases
          * Incentive for reporting by OHD
  *Set realistic target and KPI
  *Company to report performance

                   2.
DMHU July 2011                         26
*

                      www.hse.gov.uk/statistics/

DMHU July 2011   27
Social Discipline Window




                                   CONTROL
   *Laws and regulation
     with clear instruction
     on compliance
                                                      SUPPORT
   *Punitive enforcement
     with restorative action


                 3.
DMHU July 2011                28
* OH professionals and OSH officers should be provided
  with basic knowledge on business management

* OHD provided with in-depth knowledge on core OH
  management knowledge

* Improve quality and delivery of OH training


                 4.
DMHU July 2011                  29
*National level

                 *Industry/ enterprise level




DMHU July 2011          30
* To promote and create awareness in employers and employees of
  the benefits of work and of a positive working;
* To reduce the prevalence and incidence of work-related illness and
  disease and improve the health and well-being;
* To put in place programs designed to enhance the health and well-
  being of workers through promotion, prevention and rehabilitation;
* To define the information and data required for monitoring
  workplace health and well-being, including key indicators and
  collection methodologies



                                        *
DMHU July 2011                     31
Occupational                         Voluntary
      Health Programs                    Health Practices

                          Workplace
                        OH Management




                        Organizational
                           Culture




DMHU July 2011                 32
* Programs targeted at changing mindset and
           work/ organization culture

         * Improve delivery of OH services
                 * Competency
                 * Resources
                 * Planning
                 * Data and information gathering
                 * Monitoring and review

                                                *
DMHU July 2011                            33
* Focus on human behavior
                 * Behavior based health program
                 * UA-UC program
         * Increase awareness among employees & management
                 * Tool-box meeting, HAZOP, HEMP
         * Enhance competency
                 * OSH officers trained on OH management
                 * Access to OH expertise
         * Supportive organizational culture
                 * Management participation
                 * Proactive programs
                 * Guidelines and procedures
                 * Performance indicators

                            *
DMHU July 2011                                 34
Control




                 Support




DMHU July 2011             35
* Occupational diseases will be a major concerns to
       government and industries in the near future


     * We need workable strategies and enhance OH services
       delivery to reduce foreseeable impacts


     * Achievement depends on collaborative efforts from all
       stakeholders the government, the industry, the OH
       professionals and the employees


                                       *
DMHU July 2011                    36
Question?
    Change now or later



                       *

DMHU July 2011        37

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Workplace OH Management by Dr Mohd Hatta Usul

  • 1. Empowerment Accountable Responsive Lt. Col. (R) Dr Mohd Hatta Usul Group Health Adviser, PETRONAS
  • 2. Occupational Diseases Process safety Personal Injuries DMHU July 2011 2
  • 3. Workers off work at least 1 month due to accidents at work and work- related health problems in the past 12 months 3.5 3 2.5 % of Workers 2 1.5 1 0.5 0 15-24 25-34 35-44 45-54 55-64 Age Group Accident Health Problems http://epp.eurostat.ec.europa.eu/cache/ITY_OFFPUB/KS-SF-09-063/EN/KS-SF-09- DMHU July 2011 063-EN.PDF 3
  • 4. Main Findings • 3.2% of workers in the EU-27 had an accident at work during a one year period, which corresponds to almost 7 million workers. • Approximately 10% of these accidents were a road traffic accident in the course of work. • 8.6% of workers in the EU-27 experienced a work-related health problems in the past 12 months, which corresponds to 20 million persons. • Bone joint or muscle problems and stress, anxiety or depression were most prevalent. • 40% of workers in the EU-27, i.e. 80 million workers, are exposed to factors that can adversely affect physical health. • 27% of workers, i.e. 56 million workers, are exposed to factors that can adversely affect mental well-being. http://epp.eurostat.ec.europa.eu/cache/ITY_OFFPUB/KS-SF-09-063/EN/KS-SF-09-063- EN.PDF DMHU July 2011 4
  • 5. • 1.3 million people who worked during the last year were suffering from an illness with 555,000 of these were new conditions which started during the year. • 2,249 people died from mesothelioma in 2008 and thousands more from other occupational cancers and diseases. • 152 workers were killed at work. • 233 000 reportable injuries occurred, according to the Labour Force Survey. • 28.5 million days were lost overall (1.2 days per worker), with 23.4 million due to work-related ill health and 5.1 million due to workplace injury. HSE UK DMHU July 2011 5
  • 7. DMHU July 2011 Source: SOCSO Report 1995-2005 7
  • 8. Occupational Diseases Reported to SOCSO 1999-2003 Probable Cases of Occupational Diseases Among MOH Hospital Admission 1999=2003 DMHU July 2011 8
  • 9. * Difficulty in recognizing occupational diseases * Long latent period between exposure and disease * Low awareness among employees and employers * Intentional under reporting * Exclusion of certain group of workers * Competency of HSE and medical practitioners * Reporting process DMHU July 2011 9
  • 10. Health hazards and risks not adequately managed Emergence of new issues and challenges DMHU July 2011 10
  • 13. *Low level of awareness *Lack of legal push *Low on enforcement *Lack of economic push *Perceived low ROI *Lack of resources *Lack of infrastructure *Low in competency DMHU July 2011 13
  • 14. Health hazards and risks not adequately managed Emergence of new issues and challenges DMHU July 2011 14
  • 15. • 99.2% or 518,996 of total establishments in the three main economic sectors of manufacturing, services and agriculture. • 65% of total workforce or 3 million for the 3 sectors (DOS Malaysia, 2005 Census) • Low budget/expenditure operations • No proper OSH management system • No resources DMHU July 2011 15
  • 16. *Drive for more productivity, increasing pace of work, shorter deadlines. *People are working harder and for longer hours, with implications for both physical and mental health. *While traditional physical hazards still dominate in high risk sectors such as construction, psychosocial risks have assumed greater importance in the public and white collar sectors. * DMHU July 2011 16
  • 18. *Reproductive health issues *Domestic issues *Sexual harassment *Work-life balance issues DMHU July 2011 18
  • 19. * • Unskilled and poor OHS awareness • Social problems • Communicable diseases • Mental health • Use of public resources DMHU July 2011 19
  • 20. • Lifestyle diseases • Occupational diseases • Mental health • Burden on medical care and OH services DMHU July 2011 20
  • 21. *Better delivery of OH services *Better reporting and data *Increased awareness among employees, employers and public *Better infrastructure to provide support to industries *Laws and regulations *Better competency among OH professionals *More impactful OH programs * DMHU July 2011 21
  • 22. *OH programs targeted to change mindset and work culture *Enforcement with support *Priority of focus areas DMHU July 2011 22
  • 23. *National level *Industry/ enterprise level DMHU July 2011 23
  • 24. 1. * Caucus of OH practitioners, enforcement agencies and employers * Develop medium and long term plan to develop and enhance OH management practices * Determine target and performance indicators * Development of required infrastructure * Provide support to industries especially the SME DMHU July 2011 24
  • 26. *Improve processes in reporting and data gathering * Collaboration of public and private agencies * Self reporting on occupational diseases * Incentive for reporting by OHD *Set realistic target and KPI *Company to report performance 2. DMHU July 2011 26
  • 27. * www.hse.gov.uk/statistics/ DMHU July 2011 27
  • 28. Social Discipline Window CONTROL *Laws and regulation with clear instruction on compliance SUPPORT *Punitive enforcement with restorative action 3. DMHU July 2011 28
  • 29. * OH professionals and OSH officers should be provided with basic knowledge on business management * OHD provided with in-depth knowledge on core OH management knowledge * Improve quality and delivery of OH training 4. DMHU July 2011 29
  • 30. *National level *Industry/ enterprise level DMHU July 2011 30
  • 31. * To promote and create awareness in employers and employees of the benefits of work and of a positive working; * To reduce the prevalence and incidence of work-related illness and disease and improve the health and well-being; * To put in place programs designed to enhance the health and well- being of workers through promotion, prevention and rehabilitation; * To define the information and data required for monitoring workplace health and well-being, including key indicators and collection methodologies * DMHU July 2011 31
  • 32. Occupational Voluntary Health Programs Health Practices Workplace OH Management Organizational Culture DMHU July 2011 32
  • 33. * Programs targeted at changing mindset and work/ organization culture * Improve delivery of OH services * Competency * Resources * Planning * Data and information gathering * Monitoring and review * DMHU July 2011 33
  • 34. * Focus on human behavior * Behavior based health program * UA-UC program * Increase awareness among employees & management * Tool-box meeting, HAZOP, HEMP * Enhance competency * OSH officers trained on OH management * Access to OH expertise * Supportive organizational culture * Management participation * Proactive programs * Guidelines and procedures * Performance indicators * DMHU July 2011 34
  • 35. Control Support DMHU July 2011 35
  • 36. * Occupational diseases will be a major concerns to government and industries in the near future * We need workable strategies and enhance OH services delivery to reduce foreseeable impacts * Achievement depends on collaborative efforts from all stakeholders the government, the industry, the OH professionals and the employees * DMHU July 2011 36
  • 37. Question? Change now or later * DMHU July 2011 37