common failings in managing construction health risks and ...hse chief inspector : “ we recognise...
TRANSCRIPT
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Health and Safety Executive
Health and Safety Executive
Common failings in managing
construction health risks and how to
put them right
Lucy McDonnell
Health Risk Management Unit
HSE Construction Division
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What I’ll do…..
• What’s the problem ?..........
• What inspection priorities are HSE taking
forward….
• What’s next ????
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Together, we can make a difference
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Background
• HSE Chief Inspector :
“ We recognise the construction sector’s progress in reducing the number of people killed and injured by its activities. But it is clear from these figures why there is an unacceptable toll of ill-health and fatal disease in the industry. We will make sure the construction industry thinks health, as well as safety. “
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Accident v Ill Health Fatals
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Occupational Cancer:
THE biggest risk to construction workers
What’s the problem … ?
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Burden of occupational cancer
Lesley Rushton et al
Imperial College
London:
http://www.nature.com/
bjc/journal/v107/n1s/index.html
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Where’s the problem ? – in construction
• Asbestos
• Solar radiation
• Silica
• Painters
• Diesel engine exhaust emissions
• PAHs – Coal tars / pitches
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What’s causing the problem ?
0
500
1000
1500
2000
2500
3000
3500
4000
4500
Asb
estos
DEE
Lead
PAH
's
Painters
Silic
a
Solar R
adiatio
n
Woo
d du
st
Other
Nu
mb
ers
aff
ecte
d
Total Registrations
Construction Registrations
Construction Deaths
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Where’s the problem in construction –
Not all fatal diseases, but…
• Lifting and Carrying
– Handling is most common over 7-
day injury in the industry.
– Skilled construction and building
trades have one the highest
estimated rates of back and upper
limb disorders
• Noise and Vibration
– Industry has one of the largest
number of new disablement benefit
claims cases.
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HSE Inspection initiatives
• ‘Health initiative’
• Refurbishment initiative
– What are we looking at…..
– What aren’t we looking at…..
•
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HSE inspection initiatives
• 2014 -15 Health initiative
– 2 week focus on health interventions
– Monday June 23- 4 July
– 500 inspections
– Operational guidance detailing enforcement
expectations issued on leading health risk
issues
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HSE inspection initiatives
• Focus on :
– Respiratory risks from silica / dusts
– (other) Hazardous substances
– Manual handling
– Noise
– Vibration
• Whilst maintaining push on :
– Asbestos risks
– Welfare
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HSE plan of work
Thereafter, have been focusing a
consolidated effort on :
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HSE plan of work
• Silica
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HSE plan of work
• Other hazardous substances
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HSE plan of work
• Manual handling
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HSE plan of work
• Noise and vibration
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HSE plan of work
• Welfare
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HSE plan of work
• Asbestos
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Is there still a problem ?
2014 Health initiative ??:
• 570 site visits
• 13 Prohibition Notices
• 108 Improvement Notices
• 267 Notices of Contravention
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2014 Health initiative
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Is there still a problem ?
2014 refurbishment initiative:
• Commonest health issues :
– Dust – 12%
– Welfare – 12%
– Asbestos – 10%
• Health related enforcement action carried out:
– 46 PNs were served out of a total of 314
– 92 INs were served out of a total of 221
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2014 (Health in ) Refurbishment
Inspection Initiative - Enforcement
• Asbestos : PNs 24, INs 24
• Dust : PNs 21, INs 31
• Manual handling : PN 1
• Welfare : 33 Ins
• Vibration : 3 Ins
• Noise : 1 IN
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2014 Health Initiative
• 13 Prohibition Notices;
• 108 Improvement Notices
• 267 Notices of Contravention issued at 146 sites
Notices of Contravention
Dust
Welfare
MSD
Vibration
Other Substances
Noise
Improvement Notices
Dust
Welfare
MSD
Vibration
Other Substances
Noise
Other (Management)
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2014 Refurbishment Initiative
• Health and Safety Inspection of smaller refurb sites:
– 537 Notices (including 2 ELCI)
– 314 PNs (including 46 on health)
– 221 INs (including 92 on health)
52% 46%
2%
Prohibition Notices
Asbestos Dust Manual Handling
26%
34%
1%
3%
36%
Improvement Notices
Asbestos Dust Noise Vibration Welfare
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2014 Health Inspection Initiatives -
Conclusions : dusts
• Most significant enforcement area but
still an improving picture:
• Contractors starting to look more at
removing risk or improving available
controls.
• Risk awareness amongst larger
contractors is generally high but let down
by application.
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2014 Health Inspection Initiatives
- Conclusions : dusts
• Focus has moved on from silica to include other dusts.
• Much greater appreciation / use of extraction systems
but not always to the correct standard and dry
sweeping remains an issue.
• Reliance on RPE
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2014 Health Inspection Initiative
- Conclusions : other substances
Fewer mentions. Most related to:
• Asbestos: missing surveys and
instruction / training.
• Lead: Roofing and old paint
• Dichloromethane / Solvents: e.g.
as a carpet adhesive.
• Dermatitis: Rendering, cement etc.
• Isocyanate products: Manually
applied rather than sprayed.
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2014 Health Inspection Initiatives -
Conclusions : noise and vibration
• General focus on management
arrangements than specific
controls
• Sites placing a lot of reliance
on monitoring / recording
vibration trigger time
• Reliance on hearing protection
for noise
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2014 Health Inspection Initiative
- Conclusions : manual handling
• Broader discussions covering both management
arrangements and specific controls
• Earlier work on kerbs and paving seems embedded.
• More evidence of good practice References made to MAC
tool, lifting solutions and designing out.
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2014 Health Inspection Initiatives
- Conclusions : manual handling
• There were some recurring problems:
– Heavy Plasterboard
– Heavy glazing / installation problems
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What to do .….?
Occupational Risks v Lifestyle Issues
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What to do …..?
Surveillance/Monitoring? Risk Control?
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What to do …..?
• ‘Control the risk not the symptoms’
– Monitoring and health surveillance are not enough
on their own. The first priority is to stop people
being harmed
• ‘Manage risk, not lifestyle’
– Helping workers tackle lifestyle issues may be
beneficial but is not a substitute for preventing work-
related ill health.
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http://www.hse.gov.uk/construction/healthrisks/index.htm
HSE website guidance :
How healthy is your business?
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CONIAC occupational health guidance
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IOSH : campaign on occupational cancer
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IOSH - No time to lose ….
• 50+ work-related carcinogens – focusing on :
–Diesel engine exhaust
–Solar radiation
–Silica
–Shiftwork
–Asbestos
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What’s next ?
Think Health!
– Greater focus on health, not just by HSE…
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Thank you for listening
any questions ? Lucy McDonnell
Visiting Officer
Health Risk Management Unit
Construction Division
HSE
0117 988 6016