research – Page 177 – SafetyAtWorkBlog

Managing Safety After A Vacation

On 4 January 2009, the Sunday Age contained a curious article based around some quotes from Eric Windholz, acting executive director of WorkSafe Victoria. The article reports Eric as saying that when workers return to work after a holiday break they can be careless.

“People come back, they’ve taken their mind off the job, they’ve had a well-earned holiday and sometimes it takes them a little while to do the basics of making sure they’re working safe….. Recommissioning their equipment, starting plant, starting at construction sites again, people may not have their minds on the job and they get hurt.”

WorkSafe has advised SafetyAtWorkBlog (and provided the original media statement) that

Mental support research

In SafetyAtWorkBlog in 2008 there have been several posts concerning suicide. There is a growing research base on the matter and The Lancet adds to this through an article published in December 2008.

Researchers have found that the type of mental health services provided to the community can affect the rate of suicide. This is important research even though SafetyAtWorkBlog regularly questions the applicability of research undertaken in Scandinavian countries to the rest of the world. Bearing the cultural differences in mind, the research will stir debate and, hopefully, localised research along the same lines.

Below is the text of the press release about the research:

WELL-DEVELOPED COMMUNITY MENTAL-HEALTH SERVICES ARE ASSOCIATED WITH LOWER SUICIDE RATES

Well-developed community mental-health services are associated with lower suicide rates than are services oriented towards inpatient treatment provision in hospitals. Thus population mental health can be improved by the use of multi-faceted, community-based, specialised mental-health services. These are the conclusions of authors of an Article published Online first and in an upcoming edition of The Lancet, written by Dr Sami Pirkola, Department of Psychiatry, Helsinki University, Finland, and colleagues.

Worldwide, the organisation of mental-health services varies considerably, only partly because of available resources. In most developed countries, mental-health services have been transformed from hospital-centred to integrated community-based services. However, there is no decisive evidence either way to support or challenge this change.

The authors did a nationwide comprehensive survey of Finnish adult mental-health service units between September 2004 and March 2005. From health-care or social-care officers of 428 regions, information was obtained about adult mental-health services, and for each of the regions the authors measured age-adjusted and sex-adjusted suicide risk, pooled between 2000 and 2004 – and then adjusted for socioeconomic factors.

They found that, in Finland, the widest variety of outpatient services and the highest outpatient to inpatient service ratio were associated with a significantly reduced risk of death by suicide compared to the national average. Emergency services operating 24 hours were associated with a risk reduction of 16%. After adjustment for socioeconomic factors, the prominence of outpatient mental-health services was still associated with a generally lower suicide rate.

The authors conclude: “We have shown that different types of mental-health services are associated with variation in population mental health, even when adjusting for local socioeconomic and demographic factors. We propose that the provision of multifaceted community-based services is important to develop modern, effective mental-health services.”

In an accompanying Comment, Dr Keith Hawton and Dr Kate Saunders, University of Oxford Department of Psychiatry, UK, say: “The message to take from these findings must be that while well thought out and carefully planned new developments that increase access to secondary care services for mental-health patients are to be encouraged, measured progress towards flexible community care, not rapid ongoing change, should be the order of the day.”

A history of Australian trade unionism

Occupational Health and Safety in Australia is invariably related to the role of the trade union movement. OHS legislation legislates a presence for the Health and Safety Representative in most jurisdictions and historically, the HSR has been a union member.

I suspect that union members still make up the largest proportion of HSR training courses. HSRs are the shopfloor OHS enforcers. Lord Robens acknowledged that a constant worksite presence was an important element of safety compliance and the union movement jumped at the chance of formal legislated presence.

Tom Brambles, the author of the article on the right, has just written a book entitled “Trade Unionism in Australia – A history from flood to ebb tide” (pictured below). The book covers the union movement over the last 40 years and details some of the political campaigns that may have contributed to their decline.

Significantly for Australian workplaces, Bramble points out that union membership now lies at just under 20%. In May 2008, Tasmanian Premier Paul Lennon resigned as his personal approval rate hit 17%. Brendan Nelson hit a 17% approval rating in August this year while he was Opposition Leader. 17% is a political benchmark for change and the union movement is approaching that figure.

For years, I have been questioning whether the political influence of the Australian trade union movement is justified; whether tripartism is of more historical relevance than contemporary; and how workplace safety can be adequately policed on the shopfloor when there are so few police.

Tom Bramble’s book is not about OHS but about the waning of an important societal element that was very important to OHS management systems. Yes it’s about industrial relations but it is also about human resources and social campaigns and may provide some tips on how the safety profession should, and should not, go about building a national presence and spreading its influence with key decision-makers.

Kevin Jones

This post first appeared in a slightly longer version in SafetyWeek – Issue 166 in early October 2008

A transcript of short piece that Tom Bramble read for Australia’s Radio National is available at http://www.abc.net.au/rn/perspective/stories/2008/2412452.htm

“Pilgrim’s Plague” and workplace absenteeism

Last year, Sydney Australia hosted World Youth Day (WYD). In some ways Australia had not seen such a large influx of people from so many countries for a single event before. The Sydney Olympics had a high proportion of locals attending and the 1956 Melbourne Olympics never had the infrastructure to provide so many overseas visitors.

For several months after the 2008 World Youth Day, it was rumoured that the level of absenteeism in workplaces was very high. At the time of WYD there were several reports of quarantined pilgrims and the risk to public health of the Sydney population was assessed. (Peter Curson, professor of population and security in the Centre for International Security Studies at the University of Sydney wrote a discussion piece on this)

There were reports of influenza and viral gastroenteritis amongst pilgrims who were required to be quarantined.

The Medical Journal of Australia has released a report into the impact of World Youth Day on the emergency departments of hospitals (MJA 2008; 189 (11/12): 630-632). This study found minimal impact in this sector of the hospital care.

However, SafetyAtWorkBlog is not aware of any research having been done on the impact of World Youth Day on workplace absenteeism. The EMJA study correlates World Youth Day with hospital admissions but it would be useful to see a comparative study of workplace absenteeism in the weeks after WYD, during the incubation period of influenza in particular.

World Youth Day did seem to overlap with the existing flu season in Australia’s winter but those statistical peaks are well-established and it would be interesting to see if those peaks had increased just after World Youth Day.

If there were a correlation, cost estimates for hosting the event may need adjusting to include the reduced productivity due to the “pilgrim’s plague”.

Safe Driving and OHS management impacts

SafetyAtWorkBlog has always been critical of those OHS professionals who try to explain OHS in comparison with driving. They are different processes in different environments with different purposes and different rules.

However, there is a section of overlap and this relates to those whose work environment is transport and driving.

Worksafe Victoria has released a “Guide to safe work-related driving“. This is essential reading for fleet managers, in particular, but good fleet managers would already have OHS as part of their driving policies.

For those of us who have not known how to interpret OHS obligations for our company vehicles, WorkSafe has issued these clarifications:

purchasing and maintaining a safe and roadworthy feet
ensuring employees have the relevant appropriate driver licences
scheduling work to account for speed limits and managing fatigue
providing appropriate information and training on work related driving safety
monitoring and supervision of the work related driving safety program.

In this type of workplace, workers seem to have as many obligations as employers but WorkSafe has listed for following as employee duties:

holding a current, valid drivers licence
abiding by all road rules (eg speed limits)
refraining from driving if impaired by tiredness or medication
reporting any incidents required by the employer’s program
carrying out any routine vehicle checks required by the employer.

There are many areas of contemporary life where the OHS obligations can seem absurd but work-related driving has always been a neglected area of workplace safety. Every time SafetyAtWorkBlog receives notification of traffic incidents, the emergency services are asked whether the vehicle was being used for work purposes. Unless it is a bus or a chemical tanker, the question is rarely asked or the information recorded at the scene of the crash. As a result, the data on work-related driving incidents is scant and WorkSafe has done well in applying what there is.

The guide is terrific but it won’t raise the awareness of these necessary business and employee obligations until WorkSafe’s enforcement and investigative resources are included in traffic incidents and until a case law of OHS prosecutions for work-related driving is established.

The practice of having police and criminal prosecutions replacing OHS prosecutions for work-related incidents must end. A transport vehicle is a mobile workplace and should be treated as such by having prosecutions under the road transport legislation AND OHS laws. If not, we will be getting more airbags and less hazard elimination.

Beware the OHS hype on chronic obstructive pulmonary disease

World COPD day was held on 17 November 2008. COPD Stands for chronic obstructive pulmonary disease. As with many of these health-related days there is more hyperbole than substance and often the most relevant information appears after the hype has died down. This is the case with a report just released by the Occupational And Environmental Medicine. [[Chronic obstructive pulmonary disease mortality in railroad workers Online First Occup Environ Med 2008; doi 10.1136/oem/2008.040493]]

According to a media statement that accompanied the report:

They wanted to gauge the long term effects of diesel exhaust on the risks of developing chronic obstructive pulmonary disease (COPD), an umbrella term for progressive lung diseases, such as emphysema and bronchitis.

In 1946, just 10% of rolling stock was diesel powered; by 1959, virtually all rolling stock was.

The researchers checked the health records of the US Railroad Retirement Board, which has maintained digital records of all its employees since 1959, including a yearly listing of all job codes and time spent in post.

Anyone working on the trains (conductors, engineers, brakemen) was considered to have been exposed to diesel exhaust.

Those working in ticketing, signalling, maintenance, admin, and as station masters, were regarded as not having been exposed.

The results showed that those who had been exposed to diesel exhaust were more likely to die of COPD than their peers who had not been so exposed.

The risks increased by 2.5% with each year of employment among those who were recruited after conversion from steam to diesel locomotives.

This risk fell only slightly after adjusting for smoking, a known risk factor for COPD.

Of all the reports that were released in the last two weeks, this one is the clincher because it shows that smoking did not have an appreciable effect on the health findings. There is a direct relationship between a work activity in a work environment and worker health.

This correlation is sadly lacking from other COPD data which reads primarily as a new spin on anti-smoking campaigns.

According to the International COPD Coalition (“a nonprofit organization composed of COPD patient organizations around the world, working together to improve the health and access to care of patients with chronic obstructive pulmonary disease”)

World COPD Day 2008 features new patient and health professional initiatives that address the misconceptions and lack of awareness surrounding chronic obstructive pulmonary disease (COPD). These misconceptions – revealed in a global survey, the International COPD Coalition (ICC) Report – include poor public awareness that smoking is the main cause of COPD, a failure to diagnosis COPD in its early stages, when medication can be used to prevent further lung deterioration, and a mistaken belief that initial COPD symptoms, like coughing and shortness of breath, are a normal consequence of aging.

We may be unaware smoking leds to COPD but we are well aware that smoking can kill you. Whether it is emphysema, lung cancer, heart disease or COPD doesn’t change the fact that smoking increases the risk of premature death. It is insulting that a “World Anti-Smoking Day” needs to masquerade under a new health risk.

For those workers who have suffered work-related respiratory problems the Queensland governmenthave released a very good guide for those who have breathing difficutlies or for those who look after them – the Better Living With COPD – A Patient Guide (pictured below)

Latest Australia workplace fatalities data

The latest official, but not comprehensive, data for Australian workplace fatalities has been released. The Australian Safety & Competition Council has published the Notified Fatalities Statistical Report July 2007 to June 2008.

Chairman Bill Scales AO said that this report provides analysis of notified fatalities across Australia for the full financial year. “There were 16 fewer notified worker fatalities in 2007-08 (131 worker fatalities) than in 2006-07 (147 worker fatalities), a decrease of 11 per cent. While this suggests that we are taking steps in the right direction to reduce work-related fatalities, every death in the workplace is still one death too many.”

Some other key findings of the report include:

In 2007-08 there were 150 notified work-related fatalities (131 worker notified fatalities and 19 bystander notified fatalities). 137 of these fatalities were of males.
Four industries accounted for eight out of every ten notified work-related fatalities: construction (24 per cent), transport and storage (23 per cent), agriculture, forestry and fishing (18 per cent) and manufacturing (13 per cent).
The most common causes of fatalities were vehicle accidents (44 fatalities), being hit by falling objects (23 fatalities), being hit by moving objects (21 fatalities), falls from a height (16 fatalities) and being trapped by moving machinery (12 fatalities).
Construction workplaces recorded a consistently high number of notified worker fatalities over the period 2003-04 to 2006-07 (ranging from 18 in 2004-05 to 36 in 2007-08).
There was a notable decrease in the number of notified worker fatalities in agriculture, forestry and fishery workplaces (42 fatalities in 2003-04 to 25 in 2007-08).
There was a notable decrease in the number of notified worker fatalities in mining workplaces (4 fatalities in 2007-08 compared with 13 fatalities in 2006-07).

The ASCC has also released the Work-Related Traumatic Injury Fatalities, Australia, 2005-06 report. Some key findings of this report for 2005-06 include:

270 people died from injuries sustained while working for income.
123 persons died from injuries incurred while travelling to or from work.
41 persons were killed as a bystander to work activity.
The agriculture, forestry and fishing industry and transport and storage industry recorded the highest number of deaths while working for income (55 deaths each) followed by the construction industry (43 deaths).
Vehicle accident was the cause of 40 per cent of the working for income deaths. The next most common cause was being hit by moving objects (14 per cent) followed by falls from a height (13 per cent).
Vehicle accidents accounted for 18 bystander deaths, of those, 13 involved trucks, semi trailers or lorries.

Other statistical reports are available at SafetyAtWorkBlog by entering the search term “statistics” in the search box below or by clicking HERE and HERE

Category: research

Managing Safety After A Vacation

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Mental support research

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A history of Australian trade unionism

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“Pilgrim’s Plague” and workplace absenteeism

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Safe Driving and OHS management impacts

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Beware the OHS hype on chronic obstructive pulmonary disease

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Latest Australia workplace fatalities data

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