The evidence on first aid treatment of burns

The treatment of burns in a workplace setting has always been a contentious matter between first aid trainers and equipment suppliers.  First aid says that initial treatment of burns should be the application of cold running water but equipment suppliers often include burn treatment creams.  What’s the evidence for burn creams?

In December 2010, the Cochrane Library produced a collection of reviews concerning the treatment of burns.  Some of the information in the collection  should be of great use and interest to workplace first aiders.

One report states:

“In the early management of minor burn injury,do silver based products improve burn infection control and healing?

There is not enough evidence to decide whether silver based products improve healing, infection control, pain or other outcomes in people with minor burns.” Continue reading “The evidence on first aid treatment of burns”

Quad bike safety issues continue with no end in sight

SafetyAtWorkBlog has been following the discussions about safety of all-terrain vehicles and quad bikes for some time.  This is because the use of these vehicles encapsulate so many of the issues that workplace safety needs to deal with:

  • Safe design
  • Personal protective equipment
  • Hierarchy of controls
  • The line between private activity and work activity
  • Personal responsibility
  • The “nanny state”
  • Regulatory safety guidance
  • Industry-based codes of practice

On 19 December 2010, the New Zealand Sunday Star Times ran a feature article on quad bikes, written by Amanda Cropp (I can’t find the article online but please send a link if you can) entitled “Risky Business”.  The article is a fair summation of many of the perspectives and attitudes to quad bike safety.

For those readers who like statistics, Cropp writes that

“The annual ACC [Accident Compensation Corporation] bill for quad bike-related injuries is around $7 million, and Hobbs’ claim was among 2533 in 2009, a sizeable increase on the 457 new claims accepted in 2000.” [link added] Continue reading “Quad bike safety issues continue with no end in sight”

How much significant information do workplace fatalities provide?

Workplace fatalities are terrible, lingering tragedies that generally don’t teach anything new about OHS failures.  I couldn’t find anything new in the frightening detail in the article below (dated 14th December 2010) or in scores of Google searches of industrial/occupational fatalities; though disease fatality epidemiology can be  informative.

If all workplace fatalities in Australia were stopped overnight, most workers wouldn’t notice a single improvement in their own workplace.  They’d still be working in the same cluster of hazards, useless risk assessments and a regular sprinkling of near misses and daily shortcuts.  Despite regulators’ and politicians’ shrieks of dismay at workplace deaths, such fatalities don’t represent the main OHS problem at work.

If any regulator was informed in advance – in some detail – that in a particular industry there would be three fatalities in the next three months (or even intolerable risk) they wouldn’t know how to prevent them.  Example?  Think of the insulation program, which still has some way to go and a few more surprises in store.  Example?  Over the next six months there are likely to be 3-6 quad bike-related fatalities in Australia, mostly as a result of rollovers.

Or think of the value of risk assessments:  example?  Consider the 60,000-80,000 barrels (10,000 tons) of the most dangerous hexachlorobenzene (HCB) waste stockpiled and being repackaged (ultimately, drum to drum) by workers in a primitive work process at Botany Bay Industrial Park, Sydney.  One of the world’s largest stockpiles of such dangerous wastes that no one around the world is prepared to handle.   This is the only place I’ve ever had to wear two layers of protection to inspect. What has the regulator done? Continue reading “How much significant information do workplace fatalities provide?”

The Social Media is the Message

Melody Kemp in Vientiane writes:

The apoplectic brouhaha that greeted Wikileaks in the past few months has shown us the power of the internet to upstage, discomfit and enrage.  Governments like corporations operate under a variety of ‘commercial-in-confidence’ scores, the cadence of which changes with the degree of self interest at hand.  That Wikileaks has been disclosing documents for years is of no consequence to our reactionary leaders.  Just as labour groups and activists, long been warning industry about workplace hazards, have been greeted with similarly leaden ears.

Earlier this year, a delegation of international labour activists and trade union leaders visited Laos.  While being taken around various work sites by Lao trade union and government officials, they were horrified to find bags of asbestos labeled Produced In China in one roofing tile fabrication shop.  They should not have been surprised.  The nominal communist bloc states of Asia have close trade, military and strategic ties.  In that bloc the proletariat has little status and, like mushrooms, are generally kept in the dark.

One of Lao’s four Vice Presidents is known to foster and enjoy close and at times unseemly business relationships with Yunnan, Continue reading “The Social Media is the Message”

Mental health initiative needs broader remit

One of the fastest growing areas of occupational health and safety is psychological wellbeing. This goes under many different titles, brands and trademarks but mental health seems to be the dominant term at the moment. On 22 December 2010, the Australian Government faced the reality of the issue and created a mental health working group that includes many of the government’s harshest critics, including 2010 Australian of the Year, Professor Paddy McGorry.

This is a positive initiative but as with much of the recent criticism of mental health, workplace mental health often draws the short straw. There is a belief that social policies flow to the workplace but we know that this is not the reality.   If it was, OHS laws would not have been required, as social morality would have ensured that workers were safe without governmental intervention. Continue reading “Mental health initiative needs broader remit”

Of stunning, short-lived cactus flowers and quad bikes

The smoke from the mine:

It has been a frighteningly bad month in the mining industry internationally.  OHS meetings I attended during this period have been hushed as a result of the New Zealand tragedies.  Discussions about OHS have become more pertinent and more accurate – for the time being.  But this, like stunning but short-lived cactus flowers, will quickly disappear.

Because I’ve had close involvement with the Beaconsfield Gold Mine rockfall that killed Larry Knight, and years earlier with the Esso Longford explosions and fires in Victoria, the CrossCity tunnel fatality in Sydney… and many other tragedies or near misses, such events, like a sudden cramp, re-focus my thinking on current issues.  Another OHS failure that we didn’t stop.

Quad bike safety:

One such issue I’ve been involved in for some time has been the quad bike safety issue. The fatality statistics I have on these machines in Australia show that over the last 10 years 13 people (on average) are killed per year.  130 people, most of whom, the industry will have you believe, were ‘mis-users’ of the machines (see below).  The trend is up not down.

I have just resigned from the TransTasman Quad Bike safety committee created by the regulators last year.   The OHS and quad bike interest group in the community may be interested in some of the difficulties I see with the current work on this issue.

The obvious and useless in practice:

I think a much greater degree of transparency and openness – including a high level public conference – ought to take place.  And neither the regulators nor industry will be interested in that; Continue reading “Of stunning, short-lived cactus flowers and quad bikes”

OHS harmonisation documents released for public comment

Late on 7 December 2010 Safe Work Australia released draft OHS regulations and Codes of Practice for public comment.  The documents released are:

According to a Safe Work Australia media release, not yet available online:

“As part of the development of the Consultation Regulatory Impact Statement (RIS), Access Economics on behalf of Safe Work Australia, is surveying businesses across a range of sizes, industries and regions in an effort to obtain data on anticipated compliance costs and safety benefits of the model Work Health and Safety Regulations.   Continue reading “OHS harmonisation documents released for public comment”

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