Defibrillators in public places

official20portrait_oct07_sm-brumbyThe Victorian Premier, John Brumby, “unveiled” publicly accessible defibrillators at the Southern Cross station in Melbourne on 6 January 2008.  Australia has been relatively slow in the take-up of defibrillators as part of the non-professional first aid role.  Partly this was due to the initial expense of each unit but also because workplace first aid legislation took some time to accommodate technology.

In most States of Australia, this was exacerbated by the emphasis on allocating first aid resources on the basis of need rather than a prescriptive basis and, anyway, how can you gauge where people will have heart attacks?

SafetyAtWorkBlog is wary about relying on technology to solve problems simply because it seems simpler.  In the long-term, technology can be become cumbersome, unnecessarily expensive to maintain and often increasingly unreliable.  It is suggested that a cost/benefit exercise of the new defibrillators in Southern Cross Station would show them to be an unnecessary expense.  Direct cause and effect in terms of first aid is difficult to quantify.  But then again, according to the Premier’s media statement:

“In the 2007/08 financial year, Ambulance Victoria responded to 133 emergency cases at Southern Cross Station, including five cardiac arrest incidents.”

Defibrillators were obviously not applied as quickly in those incidents as can be in the future but for those first aiders in this blog’s readership the following statistic can be quite useful.

“Victoria has the best cardiac arrest survival rate in Australia, with 52 per cent of patients arriving alive at hospital.”

Let’s hope that these defibrillators will stop the Southern Cross Station from being a “terminal”.

Kevin Jones

Different political approaches to level crossing safety

In the Melanie Griffiths movie, Working Girl, her character gained inspiration by linking an article in the social pages of a newspaper with a business article in the paper, much to Sigourney Weaver’s professional embarrassment.  This week SafetyAtWorkBlog received a similar confluence of information.

Following a fatal level crossing collision in Queensland between a passenger train and a garbage truck, the latest in several crossing incidents, the Queensland Transport Minister, John Mickel, issued a media statement outlining his plans.

QR [Queensland Rail – a government-owned rail company] will target priority level crossings in North Queensland with $10 million approved today to start work immediately on implementing improvements identified by a joint QR Task Force involving train drivers and rail unions.
QR will also step up its community education and public awareness campaigns about the need for motorists to be vigilant when using level crossings.
Transport Minister John Mickel said the urgent funding allocation and expanded community education campaigns would put greater focus on the on-going issue of level crossing safety.

A similar type of announcement was made over 12 months ago by the Victorian Transport Lynne Kosky.  In The Age on 6 January 2009, an article reported that the government has agreed to provide the roads authority with a $700,000 grant to paint 

“new yellow markings at more than 50 intersections around the city.”

Connex [a private rail company whose contract is up for renewal] has reported a big increase in near misses at level crossings in 2008 at the same time it

“demanded the Government prevent cars queueing dangerously on roads at rail crossings after drivers and other Government agencies reported the rising problem.”

The yellow markings are to “indicate cars must not stop there”.  

Apparently the government believes that drivers who push through traffic and get stuck on a clearly signposted level crossing are more likely to change their behaviour because there are now yellow lines painted on the road.  The hierarchy of controls is not big in government policy thinking.

The New South Wales government (the State between Queensland and Victoria) instigated a program of grade separation in the 1930’s almost eliminating the problem of collisions.  This required a vision of the future that is no different from the current circumstances – more people, more vehicles, more demand for public transport.  That government chose to plan for the long-term benefit of the community that live beyond the next election cycles.

Let’s hope that the Queensland government looks for sensible safety planning from the State next door and not the one down South.

Kevin Jones

The following links on Victorian rail crossing incidents can be used as a starting point for a greater understanding of the safety and political issues:

St Albans

Ambulance Officer

Kerang

Kerang Investigation Report

Mobile Phones and Driving

Work tools, such as the company car and the mobile phone, can be fun and functional but when used at the same time, the combination is deadly. 

According to media reports a study by the Federal Department of Transport survey of 1500 drivers has shown that 

[in Victoria] about 61 per cent said they had used a mobile while driving, up from 47 per cent in 2005…. More than one-quarter admitted reading a text message while driving, while 14 per cent said they had sent one.
Yet 42 per cent of drivers nationally supported any law banning the use of hands-free mobiles while driving.
Victoria Police caught more than 1800 drivers for mobile phone offences during the holiday period.

SafetyAtWorkBlog has mentioned previously that road safety research rarely logs whether a vehicle is being used for work purposes.  The full survey report is  not yet available and, to a large extent, the media reports have focused on activities related to the Australian h0liday season – alcohol use as well as texting.  

When it is available, SafetyAtWorkBlog will report on any data that could indicate the use of work vehicles as it is inaccurate to simply use road safety data as an overlay of occupational activities.

The use of company vehicles is a complicated area due to the status of the vehicles changing depending on whether the vehicle is a “pool vehicle” or whether the vehicle is able to be used for private purposes.  The one vehicle could be both a work vehicle and private vehicle at different times of the day.  This is the challenge for OHS professionals – to deal with a workplace and an employee who is neither of these 100% of the time.  Unless this status is clarified, any potential policy on mobile phone use whilst driving remains problematic.  Yet the hazard remains.

safe_driving-coverWorkSafe Victoria released a safe driving guide in November 2008 that acknowledges the hazard but clearly leaves it up to the employer to determine the appropriate policy:

The TAC  (Transport Accident Commission) and WorkSafe recommend that hands free calls be kept to a minimum and reserved for emergency type calls.
Handheld mobile phone use is illegal and should not be considered under any circumstances while driving.  Texting or reading texts or caller ID should not be done at any time whilst driving.

Without definitive advice from regulatory bodies but with mounting evidence of the heightening risk of injury and property damage, it will be a brave company that bans the use of mobile phones whilst driving (the ideal OHS control measure).  However, this is one of the risks faced when evidence of hazards is called for but we don’t like the evidence.

HSE Podcast – December 2008

England’s Health and Safety Executive monthly podcasts are an interesting variation on the obligation of OHS regulators to communicate with its clients.  These podcasts follow the format of a corporate newsletter

  • Introduction
  • News
  • Special interview/s
  • Further information

Most of the news will be familiar to those who regularly visit the HSE website or subscribe to one of their RRS feeds but the podcast is a good summary of the regulator’s activity.

The feature interview/article is a good mix of talking with regular business operators, visitors to the HSE exhibition stand at Aintree racecourse, and promotion of HSE links.

The secondary article focusses on the use of vehicles at work, such as delivery vans.  The article supports a vehicle-at-work website but, as has happened in some of the Australian States, safety in this sector has often not been seen as an OHS obligation, or at least a difficult one to implement, and has been dominated by transport and road safety legislation. Some of this advice is a diversification of the forklift and transport yard safety practices to a broader audience and application.

As a teaser and a signpost to online resources in the HSE website, the podcast works well.  For those outside of the UK there is probably more to learn from the podcast construction and its existence, than the information content.  

Many safety professionals are so internet-savvy in 2009 that their state-of-knowledge on OHS (or at least the information in their PC that they have yet to get around to) has rarely been higher.

The podcast should be heard for lots of reasons.  A major one for me in Australia was to hear the accents of people in my hometown.  Some listeners who are unfamiliar with scouse may want to read parts of the transcript.

Kevin Jones

OHS Podcast with Andrew Douglas

One of the services that Workplace Safety Services (the company behind SafetyAtWorkBlog) provides to its clients are podcasts.

The Safety Institute of Australia had a podcast produced principally to promote its Safety In Action Conference, which is in Melbourne Australia on 31 March to 2 April 2009, that includes an interview with Andrew Douglas.  Andrew is speaking at the SIA09 conference and is a director of Douglas Workplace and Litigation Lawyers.

In the podcast he discusses making OHS a core business function, the OHS role in small business and the not-for-profit sector, and how important it was for him personally and professionally to be involved with the Safety In Action conference.

The podcast is a short promotional one but you may find Andrew’s comments of interest and use.

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

Continue reading “Managing Safety After A Vacation”

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.”

 

Concatenate Web Development
© Designed and developed by Concatenate Aust Pty Ltd