2. MLC 2006
The relevance of
Maritime
Occupational Health
Services
Dr. Arne J. Ulven, Specialist in occupational medicine, Research Director NCMM

3. HSE

4. Reality or….?

5. H SE

6. ?

7. Why this big S?

8. No interwal between exposure and effect
Important in the process of prequalification
High attention from media
Great impact on reputation/image
High economical costs

9. Why this medium E?

10. Small/medium interval between
exposure and effects
High focus globally
Strong NGOs

11. High level of care for sea-birds,
fishes, beaches, plancton,
microorganisms ++
Great impact on reputation/image
The «pollutor» must pay (huge
sums)

12. Why this small H ?

13. Often 20-30 years between exposure
and disease
Often not discovered before
retirement
Often not discovered at all

14. Might not yet be discovered by the
occupational health professionals
Small and weak NGOs
Small or no economical
consequences for the responsible
company

16. “Out of
sight, out of
mind”
ITF report dated 2006

17. :
“Out of sight, out of mind”
ITF report dated 2006

18. “..., it is clear that in spite of the
international framework of human rights
declarations and associated conventions,
fine words……….
“Out of sight, out of mind”
ITF report dated 2006

19. …….do not translate into real protections
unless they are incorporated into national
legislation and effectively
implemented.”
“Out of sight, out of mind”
ITF report dated 2006

20. “Seafarers and fishers are routinely made
to work in conditions that would be
unacceptable in civilised society.”
“Out of sight, out of mind”
ITF report dated 2006

21. “These cases occur in spite of the existence
of an extensive body of international
instruments in the form of conventions,
treaties, codes and recommendations,……”
“Out of sight, out of mind”
ITF report dated 2006

22. “Both seafarers and internationally
operating fishers are dependent on the
ratification and effective implementation
of international conventions
to protect their fundamental rights.
They rely on the responsible engagement
of flag States, port States and labour
supply States.”
“Out of sight, out of mind”
ITF report dated 2006

23. “The new ILO Maritime Labour Convention
(2006), when in force, will broaden the
scope of inspections from the largely
technical, to include minimum standards for
seafarers’ employment and social rights.”
“Out of sight, out of mind”
ITF report dated 2006

24. “It is time to raise the profile of the human
element of these global industries.
Seafarers and fishers must not be
disregarded as out of sight, and out of
mind.”
“Out of sight, out of mind”
ITF report dated 2006

26. MLC 2006

27. All the following quotations
from MLC 2006 are from the
compulsory
A-code

28. Regulation 4.3
MLC 2006

29. Purpose:
To ensure that seafarers’
work environment on board
ships promotes occupational
safety and health
MLC 2006

30. Each Member
shall…..
MLC 2006

31. ...ensure that seafarers on ships that
fly its flag are provided with
occupational health protection and
live, work and train on board ship in a
safe and hygienic environment.
MLC 2006

32. …develop and promulgate national
guidelines…
…adopt laws and regulations…
…set standards for occupational safety
and health protection…
MLC 2006

33. Standard A 4.3
…shall include….
MLC 2006

34. …occupational safety and health
policies and programmes…
MLC 2006

35. ...reasonable precautions to
prevent occupational accidents,
injuries and diseases on board
ship…
MLC 2006

36. …including measures to reduce and
prevent the risk of exposure to
harmful levels of ambient factors
and chemicals…
MLC 2006

37. …as well as the risk of injury or
disease that may arise from the use
of equipment and machinery on
board ships…
MLC 2006

38. …continous improvement…
MLC 2006

39. …involving…
…engineering and design control…
…substitution of processes and
procedures…
…inspecting, reporting and correcting
unsafe conditions…
MLC 2006

40. …relevant international instruments …
protection in general…specific risks….
…clearly specify the obligation of
shipowners…to comply with the
applicable standards…
…specify the duties of the master…to
take specific responsibility for
…implementation and compliance…
MLC 2006

42. Occupational Health
Services
?

43. The ” Vetting ”
is satisfactory

44. Does that mean a
sufficient level of
HSE
?

45. What is the
evidence-base
for the
«Vetting-process»
?

46. Our
Key-persons
have
5 days
HSE- and MLC-
training

47. Does that assure
a sufficient level of
Competence
?

48. Health Certifiction
every second year..

49. Does that assure
a sufficient
Occupational
Health
Surveillance
?

50. Certification
=
Status
vs.
Criteria

51. Surveillance
=
Status
vs.
Historical Status

52. Blood is analysed…

53. Can blood analysis
predict
work-related
diseases
?

54. Can blood analysis
be used as a
monitoring of
exposure
?

55. Data on different
physical parameters
established
for
«As built»

56. «As built»
is not
«As is»

57. «As is»
on my ship is…
?

58. Seafarers are like
this :
(my words)
“….are afraid to complain or seek
assistance from trade unions or
welfare organisations for fear of
blacklisting.”
“Out of sight, out of mind”
ITF report dated 2006

59. Could there be a
change
?

60. Could a case of
possible
occupational disease
be taken to court
?

61. Would you be
prepared
if …
?

63. Do you think
Maritime
Occupational Health
Services
would be of any help
?

64. To prevent
occupational
diseases
?

65. To make you aware
of health risks
?

66. To establish and
document hard facts
?

67. To perform
risk assessments
?

68. To propose adequate
measures
?

69. To facilitate
human-friendly
engineering
?

70. To make you a
preferred employer
?

71. To create
a happy ship
?

72. To meet the
requirements of MLC
2006
?

73. ??????????
??????????
??????????
??????????

74. Depending on all relevant
dedicated and responsible
stakeholders……..

75. MLC 2006
can make the change…

76. From:
«Out of sight, out of mind»
To:
«Out of sight, still in mind»

77. «ad salutem nautarum»

78. «ad salutem nautarum»