Empowerment

Accountable

Responsive

Lt. Col. (R) Dr Mohd Hatta Usul Group Health Adviser, PETRONAS

Occupational Diseases Process safety

Personal Injuries

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Workers off work at least 1 month due to accidents at work and workrelated health problems in the past 12 months 3.5 3
% of Workers

2.5 2 1.5 1 0.5 0 15-24 25-34 Accident 35-44 45-54 55-64
Age Group

Health Problems

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http://epp.eurostat.ec.europa.eu/cache/ITY_OFFPUB/KS-SF-09-063/EN/KS-SF-093 063-EN.PDF

Main Findings • 3.2% of workers in the EU-27 had an accident at work during a one year period, which corresponds to almost 7 million workers. • Approximately 10% of these accidents were a road traffic accident in the course of work. • 8.6% of workers in the EU-27 experienced a work-related health problems in the past 12 months, which corresponds to 20 million persons. • Bone joint or muscle problems and stress, anxiety or depression were most prevalent. • 40% of workers in the EU-27, i.e. 80 million workers, are exposed to factors that can adversely affect physical health. • 27% of workers, i.e. 56 million workers, are exposed to factors that can adversely affect mental well-being.
DMHU July 2011
http://epp.eurostat.ec.europa.eu/cache/ITY_OFFPUB/KS-SF-09-063/EN/KS-SF-09-063EN.PDF

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• 1.3 million people who worked during the last year were suffering from an illness with 555,000 of these were new conditions which started during the year. • 2,249 people died from mesothelioma in 2008 and thousands more from other occupational cancers and diseases. • 152 workers were killed at work. • 233 000 reportable injuries occurred, according to the Labour Force Survey. • 28.5 million days were lost overall (1.2 days per worker), with 23.4 million due to work-related ill health and 5.1 million due to workplace injury.
HSE UK

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(HSE UK Statistics)

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Source: SOCSO Report 1995-2005 7

Occupational Diseases Reported to SOCSO 1999-2003

Probable Cases of Occupational Diseases Among MOH Hospital Admission 1999=2003

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* Difficulty in recognizing occupational diseases * Long latent period between exposure and disease * Low awareness among employees and employers * Intentional under reporting * Exclusion of certain group of workers * Competency of HSE and medical practitioners * Reporting process

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Health hazards and risks not adequately managed

Emergence of new issues and challenges

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*

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*Low level of awareness *Lack of legal push *Low on enforcement *Lack of economic push *Perceived low ROI *Lack of resources *Lack of infrastructure *Low in competency

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Health hazards and risks not adequately managed

Emergence of new issues and challenges

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• 99.2% or 518,996 of total establishments in the three main economic sectors of manufacturing, services and agriculture. • 65% of total workforce or 3 million for the 3 sectors
(DOS Malaysia, 2005 Census)

• Low budget/expenditure operations • No proper OSH management system • No resources

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*Drive for more productivity, increasing pace of
work, shorter deadlines.

*People are working harder and for longer hours, with
implications for both physical and mental health.

*While traditional physical hazards still dominate in high
risk sectors such as construction, psychosocial risks have assumed greater importance in the public and white collar sectors.

*
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*Reproductive health issues *Domestic issues *Sexual harassment *Work-life balance issues

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*
• Unskilled and poor OHS awareness • Social problems • Communicable diseases • Mental health • Use of public resources

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• Lifestyle diseases • Occupational diseases • Mental health • Burden on medical care and OH services

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*Better delivery of OH services *Better reporting and data *Increased awareness among
employees, employers and public

*Better infrastructure to provide support to
industries

*Laws and regulations *Better competency among OH professionals *More impactful OH programs

*
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*OH programs targeted to change mindset and
work culture

*Enforcement with support *Priority of focus areas

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*National level *Industry/ enterprise level

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1.
* Caucus of OH practitioners, enforcement
agencies and employers

* Develop medium and long term plan to develop
and enhance OH management practices

* Determine target and performance indicators * Development of required infrastructure * Provide support to industries especially the SME

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http://osha.europa.eu/en/publications/e-facts/efact50

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*Improve processes in reporting and data gathering
* Collaboration of public and private agencies * Self reporting on occupational diseases * Incentive for reporting by OHD

*Set realistic target and KPI *Company to report performance

2.
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*
www.hse.gov.uk/statistics/ DMHU July 2011

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Social Discipline Window

*Laws and regulation
with clear instruction on compliance

CONTROL

*Punitive enforcement
with restorative action

SUPPORT

3.
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* OH professionals and OSH officers should be provided
with basic knowledge on business management

* OHD provided with in-depth knowledge on core OH
management knowledge

* Improve quality and delivery of OH training

4.
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*National level *Industry/ enterprise level

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* To promote and create awareness in employers and employees of
the benefits of work and of a positive working;

* To reduce the prevalence and incidence of work-related illness and
disease and improve the health and well-being;

* To put in place programs designed to enhance the health and wellbeing of workers through promotion, prevention and rehabilitation;

* To define the information and data required for monitoring
workplace health and well-being, including key indicators and collection methodologies

*
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Occupational Health Programs Workplace OH Management

Voluntary Health Practices

Organizational Culture

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* Programs targeted at changing mindset and
work/ organization culture

* Improve delivery of OH services
* Competency * Resources * Planning * Data and information gathering * Monitoring and review

*
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* Focus on human behavior
* Behavior based health program * UA-UC program

* Increase awareness among employees & management
* Tool-box meeting, HAZOP, HEMP

* Enhance competency
* OSH officers trained on OH management * Access to OH expertise

* Supportive organizational culture
* Management participation * Proactive programs * Guidelines and procedures * Performance indicators

*
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Control

Support

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* Occupational diseases will be a major concerns to
government and industries in the near future

* We need workable strategies and enhance OH services
delivery to reduce foreseeable impacts

* Achievement depends on collaborative efforts from all
stakeholders the government, the industry, the OH professionals and the employees

*
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Question? Change now or later

*
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