Mandatory reporting of stress-related injuries

An OHS colleague of mine, Col Finnie, has posted a comment to a recent SafetyAtWorkBlog article on depression.  As I work out the technicalities of having Col as a regular contributor to this blog, I felt that his comment warranted a little more prominence.  The original comment can be viewed HERE)

I find the whole issue of what is being done about work stress intriguing. Last time I looked stress claims outstripped manual handling injuries in the UK (if I recall right, that was about a year ago). You’d imagine that trend will also happen here in time.

I wonder if it might be worth considering getting doctors to report to their local OH&S agency when they have evidence that a particular business appears to be the source of an unusual number of stress related patients?

If it’s legitimate for the police or emergency wards to be a source of reports of info on apparent work related physical injuries, why shouldn’t that be legitimate for other types of injuries?

There is no reason for this idea to be considered a “witch-hunt”. I’d consider it an opportunity for a regulator to pitch in on getting a business on-track with how it’s dealing (or not dealing) with managing stress stuff. Clearly, the reporting approach would have to be handled carefully. It’s quite likely it wouldn’t work as a mandatory requirement. But guidance and an info program could be worked up to make sure the complex issue of stress is dealt with sensibly.”

When a safety campaign is not a safety campaign

Last Friday the Australian Jockeys Association issued a media release in support of their safety campaign for increased compensation.  The campaign was surprising on a number of points.

The safety campaign is aimed to “help jockeys manage the risks inherent in their work”.  Over the last few years there has been a marked increase in safety work in this area.  In December 2005 media reported the following

“Safety helmet to be demonstrated in Melbourne
The prototype of a full face jockeys’ helmet designed to minimise head and facial injuries will be demonstrated at the Moonee Valley meeting in Melbourne on Friday.
Sydney riders got a look at helmet at Rosehill last Saturday and several adjustments have since been made. The helmet, which has been developed by Mark Bryant of Safety Helmet Systems, gives 40 per cent more protection and has a rear locking device enabling it to be removed easily in the case of suspected neck injury.”

This developed from the work undertaken by John Saxon and the National Jockey Safety Review Steering Committee established in early 2005.

WorkSafe Victoria supported a research project in March 2006 (which included the Victorian Jockeys Association) that made recommendations on the following OHS areas

  • HAZARD MANAGEMENT
  • INCIDENT REPORTING
  • CONSULTATION
  • HAZARD CONTROL
  • DESIGN ADVICE & GUIDES
  • TRACK EQUIPMENT
  • RIDING GEAR
  • EDUCATION, TRAINING AND MENTORING
  • INDUCTION AT TRACKS
  • BREAKING IN AND HORSE EDUCATION STANDARDS
  • PERSONAL HEALTH
  • INDUSTRY OH&S IMPROVEMENT ACTION PLAN

In June 2007 WorkSafe Victoria published a guide on HORSE STABLES AND TRACK RIDING SAFETY, which includes a section specifically related to horse riding and track safety.

The media release makes no mention of workers’ compensation yet compensation seems to be what they were requesting.

AJA CEP Paul Innes says, in the release,

“Under our plan, one per cent of race money would be directed to the AJA. This money would be used to: cover jockeys’ compulsory Public Liability premiums; fund a national Personal Accident Scheme for jockeys; support jockeys and their families in financial hardship due to death, illness and injury through the National Jockeys’ Trust; and fund other welfare programs”

The AJA website acknowledges that jockeys do receive workers compensation.  It says

“As Workers Compensation entitlements for jockeys depend on specific state and territory legislation, a jockeys entitlements to benefits in respect to a workplace injury, differs quite considerably throughout Australia.
The AJA has been recently in the process of making representations to the Principal Racing Authorities in those states that have inadequate compensation entitlements.”

So what the recent campaign is about is not necessarily reducing the risk to jockeys but an expression of dissatisfaction with current workers compensation arrangements.  If this is the case, why is this not explained in the media release and why not redirect the protest resources to the national reviews of OHS and workers compensation to which the current Federal government is committed?

In the AJA campaign booklet, Paul Innes emphasises on page 2 that

“… the overwhelming majority of jockeys aren’t highly paid. Quite the opposite, with a survey of our members showing that 50 percent gross no more than $50,000 per annum. That’s before paying for their equipment, transport costs, public liability and other insurance, as well as GST and income tax.
Disturbingly, surveys of our membership reveal many jockeys experience periods of financial hardship.”

The booklet further stresses that “jockeys are leaving the industry in large and unsustainable numbers. In the past nine years, jockey numbers have declined 43 percent” with the implication that it is financial pressures and not risks to health that are the more important concerns.

The campaign is entitled “Racing for Our Lives – A Plan to Protect Australian Jockeys”.  It is described by the AJA as a “safety campaign” – IT IS NOT.  This campaign is about income.  To label it as anything to do with safety is misleading and the Australian Jockey’s Association should be roundly criticised for misrepresenting this campaign.

Note: I tried to contact Paul Innes today for clarification.  He was unavailable but his staff said that he will contact me in a few days.  I will publish his response.

Workplace depression approaches are too narrow

Further to other SafetyAtWorkBlog posts concerning Ms Paula Wriedt’s sacking, Ms Wriedt has issued a statement expressing her disappointment at Premier David Bartlett’s decision.

One comment from a newspaper columnist struck me as odd but worthy of note.  The columnist said that Paula Wriedt’s public statements have followed the line pushed by beyondblue, a depression support and lobby group.  I have had no dealings with beyondblue but note that newspaper articles often end with “For further information on depression contact…..” similarly television news reports.

beyondblue has been a spectacular success in self-promotion and, hopefully, increasing awareness of depression.  In the context of the Premier’s decision on Paula Wriedt, David Bartlett contacted the chair of beyondblue (and former Victorian Premier) Jeff Kennett, prior to his decision.  The Weekend Australian newspaper reported

“I have not taken this decision lightly; in fact, decisions don’t come any tougher than this,” Mr Bartlett said. He received support from former Victorian Liberal premier Jeff Kennett, the chairman of depression support group Beyondblue.

After speaking to Mr Bartlett, Mr Kennett told The Weekend Australian he believed the decision was a very tough call for the Premier, but added: “When you balance up all his responsibilities, the correct one. It might just be what Paula needs to start rebuilding her health.  That is, she doesn’t have other ministerial responsibilities now and she can now focus more directly on her recovery.”

beyondblue does admirable work and has acheived much but it is dominating the discussions on psychosocial issues in the workplace.  It is difficult for other groups to raise matters that are just as relevant to the workplace, if not more so, such as occupational violence, stress, dignity at work, and so on.

We are not yet clear on all the circumstances of Paula Wriedt’s suicide attempt, and we may never know.  We do not know if work stresses or private stresses caused her self-harm but that is not necessarily the point.  Occupational health and safety long ago left the confines of the workplace and controlling workplace hazards, particularly psychosocial issues, needs a bigger canvas.  There must be an approach that assists the individual in work and non-work contexts. 

Some countries and States are trying this through work/life balance initiatives but the approaches are usually skewed to focus on interventions on the individual rather than looking at the social structures.  In OHS we look at the “system of work” to determine the most effective interventions.  To affect true and lasting change, we must apply the “system of living”.  We must be careful not to over-emphasise the individual and be distracted from the cultural initiatives.

Politician who attempted suicide is “sacked”

In early August 2008, Paula Wriedt, Tasmanian MP, tried to commit suicide.  Six weeks later the Tasmanian Premier has sacked her from Cabinet, according to an ABC report.

Premier David Bartlett denies this is a sacking, more a “withdrawal of commission”.  He says it is for the good of the government and for the good of Ms Wriedt.

Ms Wriedt was asked to resign her Cabinet position but the Premier says she was “not in a position to make such a decision”.

An audio interview with the Premier put to him that his decision was “despicable” and “reflects the way the state deals with people with mental health problems”.

Ms Wriedt’s suicide attempt had already raised discussion on the workplace issues of stress, compensation, workloads and mental health.  The listener’s question in the audio interview will reflect the majority of the community’s response to the Premier’s decision and Premier Bartlett will have a difficult time explaining how his decision was for Ms Wriedt’s benefit.

Ms Wriedt’s current situation and future career decisions will provide an interesting illustration on how the public service and Tasmanian politics manages an employee with mental health issues, particularly when, on OHS matters, the public service should be exemplars.

“National cuisine” threatens work health promotion

For many years, workplaces in Australia have been promoting healthy diets as a way of improving the general health of the workforce and hopefully reduce illness.  This strategy was easier to develop when there was large manufacturers who had in-house canteens but it was always a struggle.

In 2008, the Victorian Government launched WorkHealth, a program that it claimed was a world-first, and will focus on improving general health by targeting the workplace.  It is understood that the pilot program of worker health assessments begins on Monday, 1 September 2008.

The Herald-Sun newspaper on 26 August 2008 illustrates a major cultural barrier that the workplace health initiative faces.  In an article entitled “Aussie blokes bite back with humble pie”, the marketing manager of Patties (Australia’s biggest pie manufacturer), Mark Connolly said 

“Blokes are sick of being told what they can and can’t eat. They’ve had a gutful of it and are going back to living by their own rules. If they feel like having a pie and a few beers, they’ll have a pie and a few beers.” 

In 2008, Patties has seen a 10% increase in pie sales and an 8.6% increase in profit. Patties has made available a nutritional comparison of their products.  Perhaps, WorkHealth can seek additional sponsorship support from a pie maker.

Senior executive – leave of absence

Regularly glossy business magazines and newspapers focus on the CEO or senior corporate executive who has decided to take a year or so off in their middle age. These profiles are often accompanied by an image of the executive casually dressed standing in the shallows of a beach on a sunny day.

The glossy profiles are annoying because they promote the idea that one must work excessively long hours and amass considerable wealth before stopping suddenly for a period of time, rather than promoting a balanced approach to workload and career that allows for adequate leisure. Good OHS management would advocate adequate leave throughout one’s working life to allow for a reduced risk of health problems, to minimise stress and to allow for a good amount of family time.

David van Aanholt

Too often high-profile corporate managers, and particularly politicians, need to resign to “spend more time with the family” – that’s if kids recognise them and the family dog doesn’t attack the intruder. The phrase quoted above is quickly becoming PR shorthand to cover a large range of matters.

In the Australian Financial Review on 21 August 2008, it was reported that the Asia Pacific CEO of Goodman Group, David van Aanholt, is taking a six-month sabbatical “to spend more time with his family”. This could be corporate spin but taking it as meant, Mr van Aanholt should be congratulated for sacrificing some corporate time for the benefit of the bigger picture. The article says that he intends to return to the company because of the long and strong relationship he has with the company and its founder.

The Work/Life Collision
The Work/Life Collision

Barbara Pocock, in “the Work/Life Collision” discusses a possible option of taking a pay rise in time rather than money, sort of a non-monetary salary sacrifice. She says that this concept has not taken off in the US, where it was first proposed, but felt it could work in Australia. Of course this requires the quantum leap in understanding the OHS benefits of regular leave and sensible workload expectations.

Working Alone in the Sex Industry

One of the strongest qualities that a consultant has is to provide a new perspective on an existing process. For over 10 years, I provided OHS advice to the Victorian sex industry. It started in response to a call for first aid advice from a dominatrix in Melbourne. I provided advice on the best treatment for scorch marks on nipples and how to best clean a leather paddle which may have had a small amount of the client’s blood in the seams.

My work culminated in drafting a book on OHS in the adult sex industry for CCH Australia. The company was restructured and my book was dropped. However much of the information in the 40,000 words already written is still valid and I was happy to allow part of it to be reproduced by RhED in the latest issue of their magazine for sex workers.

The strength of any OHS publication and guideline from the government is its applicability to those occupations on the fringes of society.  The sex industry inhabits that fringe but few governments have provided OHS advice for the sector, although I admit that Australia is a leading provider of sex industry safety information.

In Red magazine, I have interpreted the Western Australian OHS guidelines on working alone to the sex industry. The guidelines were surprising useful.

As with many health work sectors or fringe industries, workers and employers don’t often look beyond the advice that is available from their industry association or government department. As such information from OHS regulators doesn’t always get to the industries where it is best needed. More guidelines in the sex industry need to come from a coalition of government departments. For instance, in Victoria, safety in the sex industry overlaps the Department of Human Services, the Department of Justice and the WorkCover Authority.

Safety in the sex industry seems to rely on consultants like myself (and you could count them on one hand) or organisations like RhED, the Inner South Community Health Service, and the Scarlet Alliance, to pull together these disparate safety guidelines in to a suitable package.

(For those interested in the sex worker industry, $pread Magazine in the US sometimes has useful safety tips and case studies)

UPDATE – 6 October 2008

RhED has posted an interesting profile on sexworkers in Victorian brothels.  The statistics provide a very useful background to some of the information above.

UPDATE – 9 January 2008

The Red magazine article on working alone is now available online.

Kevin Jones

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