the project leonardo da vinci project ref. nl/99/2/09131/pi/ii.1.1.a/fpc communication of...
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The project
LEONARDO DA VINCI PROJECT
Ref. NL/99/2/09131/PI/II.1.1.a/FPC
Communication of occupational
physicians with workers
on health and safety issues
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The project
Communication …
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The project
… of Occupational Physicians …
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The project
… with workers ….
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The project
… on health …
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The project
… and safety issues …
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Project Planning (1)
EASOM Proposal 1999:Phase 1. Duration 4 months.
Inventory of current situation of workers’ instruction about risks at work:
* available courses and materials
* demands and needs of employers, workers, professionals and schools.
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Project Planning (2)
Phase 2. Duration 12 months.
Development and practical test of teaching method and materials for workers. Specific elaborations for 3 branches of industry.
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Project Planning (3)
Phase 3. Duration 10 months.
Development and practical test of training for OPs.
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Project Planning (4)
Phase 4. Duration 4 months.
Dissemination of products to Schools of Occupational Medicine and OHSs in the EU Member States
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Project Planning (5)
Phase 5. Duration 18 months.
Project and product evaluation.
Final report.
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Project Planning (6)
Total duration 18 months.
Phase 1. Months 1 thru 4.
Phase 2. Months 3 thru 14.
Phase 3. Months 5 thru 14.
Phase 4. Months 15 thru 18.
Phase 5. Months 1 thru 18.
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Phase 1: the inventory: contents (1)
A. Current situation about:
1. workers’ instruction about health and safety risks at work
2. available training courses and materials within schools of occupational medicine
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Phase 1: the inventory: contents (2)
B. Demands and needs of:
Employers
Workers
Professionals
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Phase 1: the inventory: respondents (1)
Sweden / NIWL, Solna
Finland / FIOH, Helsinki
Poland / NIOM, Lodz
Great Britain / Medical School, Newcastle
Belgium / Catholic University Leuven
Belgium / IDEWE Leuven
Netherlands / NSOH Amsterdam
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Phase 1: the inventory: respondents (2)
Italy / University of Bari
Italy / University of Brescia
Italy / University of Modena
Switzerland / Institut für Hygiene und Arbeitsphysiologie, Zürich
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1a. Does the legislation about health, safety and well-being at work contain specific regulations about communication, instruction and information to workers?
Yes 10
Data about the workers’ instructions (1)
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1b. Who is charged with these tasks by the law?
The employer is responsible; in Italy the OP is responsible too.
Data about the workers’ instructions (2)
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2a. Who are the providers of this instruction and information within the company?
* the OHS 9
* the employer 6
* the hierarchical line 6
the OP 6
Data about the workers’ instructions (3)
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2a. Who are the providers of this instruction and information within the company?
* specialised service (PL, UK, I/Modena)
* Prevention and Protection Service (I/Brescia)
* employer’s prevention adviser 1 (B)
Data about the workers’ instructions (4)
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2b. Who are the providers of this instruction and information outside the company?
governmental institutions 9
SF: FIOH
PL: Labor Inspection, Sanitary Inspection
UK: Government agencies (HSE, Ministries)
B: Provincial Institute of Safety (Antwerp)
Data about the workers’ instructions (5)
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2b. Who are the providers of this instruction and information outside the company?trade unions 8
employers’ organisations (branches) 6
non-governmental institutions 3
professional associations 3
insurance companies 2
Data about the workers’ instructions (6)
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3a. What types of health risks information are frequently given to the workers?
information on work related health risks 10
health data from clinical examinations 6
laboratory and instrumental data 4
health advice 4
Contents and types of the workers’ instructions (1)
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3a. What types of health risks information are frequently given to the workers?
information and advice about work accidents and safety risks 9
general (non-work related) health information 7
Contents and types of the workers’ instructions (2)
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3b. In what form this information is presented to the workers?
oral explanation 10
written forms (brochures/leaflets/posters) 10
digital / electronic forms: e-mail, websites 5
Contents and types of the workers’ instructions (3)
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4. Does the OP have a formal task of providing information about health and safety risks to workers and employers?
Yes 4
No 4
No clear answer 2
Position and role of the occupational physician (1)
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5. How much of his time (% or hours/month) he usually spends to this task?PL: 20 – 30 ( - 100) %
I/Brescia: 10 – 20 %
CH/Zurich: 10 – 20 %
I/Modena: 20 %
NL/Amsterdam: < 5 %
Position and role of the occupational physician (2)
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Working conditions / exposure:Ergonomics/working posture/movements
Psychosocial stress
Noise
Chemicals
Shift work
Most frequent issues of workers’ risk information (1)
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Specific health and safety risks:Musculo-skeletal
Mental ill health
Skin protection
Respiratory
Audiological
Long term health effects after exposition to carcinogenics and infrared radiation
Most frequent issues of workers’ risk information (2)
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Improvement of health and safety behavior at work:Use of personal protective devices
First aid in workplaces
Influencing the personal risk behaviour
Rights and duties
Most frequent issues of workers’ risk information (3)
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Health status and life style:Safety and health risk in general
Describing the personal risk situation
Explanation and providing a copy of clinical data
Raising the awareness of early signs and symptoms
General health surveillance
Most frequent issues of workers’ risk information (4)
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6. Who is triggering the information task of the OP?
occupational physician 7
Committee for safety and health 6
employer 5
individual worker 5
the trade unions 3
Position and role of the occupational physician (3)
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7. Has the OP received aformal training for his communication task?Yes 3during his specialist training 2 during continuing education programs 0 during his in practice training within the
OHS service 2other (e.g. self learning) 0
Possible 2No 5
Training of the occupational physician (1)
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8. Are there courses or materials available,also specifically used by OPs?
Yes 6No 2
Training of the occupational physician (2)
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9a. Demands of workers* occupational risks in their job
why they have to be visitedimportance of the clinical analysisprevious health problems in their task anywhere elseimportance of protection device
and their better useimportance of the exposure for future risks
Demands for risk information & instruction (1)
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9b. Demands of employers
* how to improve health prevention* the real importance of the health surveillance in their firm
* appropriateness of health surveillance* what is legally obligatory?
Demands for risk information & instruction (2)
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9c. Demands of occupational physicians
* better integration between the actors* demand of more investment in tools
useful for health management * what is legally obligatory?
Demands for risk information & instruction (3)
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9d. Demands of other occupational health professionals
More Power!
Demands for risk information & instruction (4)
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10a. Needs of workersMore information and instruction by
employers, hierarchical line and occupational physician
Needs for risk information & instruction (1)
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10b. Needs of employersOccupational health professionals (other
than OP) should be more competent
Needs for risk information & instruction (2)
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10c. Needs of occupational physicansProfessional guidelines based on
scientific evidence of the approach
Needs for risk information & instruction (3)
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10d. Needs of other occupational health professionalsContinuous education
Needs for risk information & instruction (4)
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10e. Who is making the needs assessment?
Governmental agenciesWorkers’ unionsEmployers and their unionsOccupational safety coordinators of the companiesPhysicians and OP associationsOccupational hygienistSafety engineerOrganisational psychologistAccount manager of OHS
Needs for risk information & instruction (5)
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Conclusions
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BACKGROUND
In all surveyed countries, there is a legalobligation to inform and instruct workers abouthealth and safety risks at work.
The employer is responsible.
Conclusions (1)
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PRACTICE
In most cases, information and instruction ofworkers about health and safety risks at work isprovided by OHS professionals and companystaff.Oral instruction and printed materials are mostfrequently applied.
Conclusions (2)
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TRAINING
Only 2 out of 10 respondents indicate thattraining in risk communication is a regular partof the specialist training in occupationalmedicine.
Conclusions (3)
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APPRAISAL
Employers: doubts about effectiveness and competencies
Employees: risk information is perceived insufficient
Professionals: practice is not evidence-based
Conclusions (4)
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ACTIONS (to be discussed)
Employers: to enable employees …
Employees: should be trained to assess and control their own health and safety risks
Professionals: to train the employees in risk assessment, evaluation & control
Conclusions (5)