Peter J Hand – CBH Operations Director

30th September 2010

What is CBH?

“A not-for-profit professional organisation

for the UK construction industry; working
in partnership with the occupational health
community to deliver solutions for the
pro-active management of construction specific
work related health”
Who we are...

Trevor Walker Bob Blackman MBE Alan Ritchie Phil Russell MBE Rosemary Beales Dr Geoff Davies
Chairman UNITE UCATT FMB CECA OH Physician

Michelle Aldous Peter Hand Wendy Stimson Mandy Wickenden

CEO Operations Director OH Director Scheme Manager

UK Construction Industry

2.2 million workers

226,000 Construction Companies

80% of Companies employ 5 or less

Safety

There were 151

workers fatally
injured in 2009/10,
of which 41 were
construction
workers.

Approximately 1
worker per week –
killed on a
construction site!
Health - Tip of the Iceberg?

Over 1500 deaths a year

• 1.7 million working days lost in 2008/9

• Cost of £760 million

• 10% of bricklayers leave industry after being diagnosed with

dermatitis

• 20 tradesmen /week die from asbestos related disease

• 500 deaths/year from cancer related to silica exposure

CBH are….
Working with the Construction Industry and OH community
to prevent workers having to live (or not!) with these….
Asbestos

• 1.7 million working dys lost in 2008/9

• Cost of £760 million

• 10% of bricklayers leave industry after being diagnosed with

dermatitis

• 20 tradesmen /week die from asbestos related disease

• 500 deaths/year from cancer related to silica exposure

 SILICA
the new
ASBESTOS?
What is the Problem?

One of the most abundant materials on earth

Found in varying amounts in many materials:

Sandstone (>70%)
Sand, gravel, flint (up to 70%)
Cement, mortar, concrete (25 to 70%)
Brick (up to 30%)
What is the Problem?
 Why is it a Problem?

Particles need to be “respirable”

to cause harm
Issue is Respirable Crystalline
Silica or RCS
RCS particles can penetrate to
deep lung
Usually invisible under normal
conditions
Why is it a Problem?
Why is it a Problem?

Main concern is SILICOSIS

Lung Disease
Reduced lung function
Can cause death
Disease continues to develop when exposure
has stopped
Can also cause lung cancer and COPD
Why is it a Problem?

Statistics are imprecise:

Affects 10 – 20 % of construction workers???

Over 500 silica related deaths in 2004 –

» Over 10 a week

Research suggests silica is the second most

important cause of occupational lung cancer after
asbestos
Why is it a Problem?

Industry appreciation of the risk is poor:

People not aware of these health risks
Think that it is ‘just dust’

Underestimation of exposure levels

Require convincing that control measures
work
How Much is a Problem?

COSHH sets WEL for RCS at 0.1mg/m3 (8hr

TWA)
How Much is a Problem?

15 years daily exposure to Risk of developing silicosis

RCS dust at average airborne within 15 years following
concentrations (for an 8-hour cessation of prolonged daily
shift) of: exposure
0.02 mg.m-3 0.25%
0.04 mg.m-3 0.5%
0.1 mg.m-3 2.5%
0.3 mg.m-3 20%
How Much is a Problem?
How Much is a Problem?

15 min SLAB CUTTING (40% silica) in open air, no

Control
Diamond blade = RCS exposure of 1.6 mg/m3
Resin blade = RCS exposure of 4.8 mg/m3
Control Solutions

• Can the risk be eliminated?

• Can a ‘dust free’ method of work be used
Control Solutions

Water Suppression
Control Solutions

Water Sources
 Control Solutions

Water Suppression has other

advantages:
• Extends the life of expensive
diamond blades
• Helps prevent build up of dust
in the machine workings
 Control Solutions

Issues associated with water suppression use:

• Marking the cut line
• Slurry generation
• Wet legs
Control Solutions

On-Tool LEV is
also an option
What about RPE?

Disposable (FFP3) Power Assisted

PF = 20
 More information

Time to Clear the air – free leaflet

http://www.hse.gov.uk/pubns/misc830.pdf

Time to clear the air! Using cut-off saws for

cutting kerbs and flag paving – DVD
http://www.hse.gov.uk/construction/cleartheair/index.htm
CBH Website
CBH Publications
The National Scheme
 CBH Model

KNOWLEDGE PLATFORM Industry Standards

Dedicated helpline
Website
Training & Education
CHAT Industry Knowledge
Service Delivery Network
REFERRAL
Accredited OHSP &
REHABILITATION
Risk management
link to COHME Data Management
DATA PLATFORM
National Database
CBH/CSCS Card
Data Distribution
Construction Industry
Standards
Industry Standards

• Accredited OH Service provision – ensuring

competence
• Outlines legal – recommended – good practice for
health surveillance and checks
» Job role
» Hazards potential
» Risks associated
» Defines ‘safety critical’
• Currently working in partnership with HSE to develop
risk management standards
How do the Standards apply?

• Defines for the first time ‘safety critical’ in construction

‘where the ill health of an individual may compromise their
ability to undertake a task defined as safety critical, thereby
posing a significant risk to the health and safety of others’
» Plant operations
» Asbestos Licensed Removal
» Roadside
» Railtrack-side
» Tunnelling / confined spaces
» Working at extreme height, i.e. abseiling – rope specialists
» Others as identified via risk assessment process
CBH Website
FFT Check Data
Display
CSCS & CBH working together
 Example Data Display for Principal Contractors
(Site)

{Name of Employer} Construction Company has undertaken to manage an occupational health programme for

{Name of
Mr Andrew N Other
Employee}

If Employer displayed here is incorrect, please refer to current employer, as this may indicate that a valid and appropriate occupational health programme is not in place

Health Assessment for Safety Critical Tasks:

Date completed: Date valid until: Recommendations:

Should not undertake track side Work (Please refer to Manager)

Should not undertake work in confined spaces (Please refer to Manager)

Should not undertake lone working (Please refer to Manager)

Should not undertake asbestos licensed removal work (Please refer to Manager)
10th December 2009 9th December 2012
 

Statutory Medicals:

  Date completed: Date valid until: Recommendations:

Asbestos 10th December 2009 9th December 2012 Should not undertake asbestos licensed removal work (Please refer to Manager)

Ionising Radiation      

Lead      

Compressed Air      
 Example Data Display for Employers

Routine Health Surveillance

Type Date completed: Date valid until: Recommendations:

Skin Suitable and efficient Personal Protective Equipment should be used in the
09/12/2009 08/12/2010 event of any exposure to any substances hazardous to skin, i.e.
sensitisers. Skin care regime should be implemented

Respiratory 09/12/2009 08/12/2010  

Noise 09/12/2009 08/12/2010  

Vibration 09/12/2009 08/12/2010 Vibration exposure should be reduced so far as is reasonable practicable

Manual Handling      

Health Assessment for Safety Critical Tasks:

Date completed: Date valid until: Recommendations:

Should not undertake track side Work

Should not undertake work in confined

Should not undertake lone working

09/12/2009 08/12/2012
 

Statutory Medicals:

  Date completed: Date valid until: Recommendations:

Asbestos 09/12/2009 08/12/2012 Should not undertake lone working (Please refer to Manager)

Ionising Radiation      

Lead      

Compressed Air      
Aims and Objectives of CHAT

• To provide a cost effective OHMS for

employers
• To provide Principal Contractors (PC) with a
demonstrable way of ensuring the supply chain
management of OH
» “although PCs have no legal responsibility to provide the health
surveillance they could be expected to demonstrate that subcontractors
had made appropriate arrangements”
• HSE Solicitors Office (CDM 2007 and HSW Act 1974. )
What is CHAT?

• A secure web-enabled software package enabling contractors to

manage the risk of work related health at organisational and site
level
• Enables supply chain to demonstrate OH management
• Production of company and individual action programmes for
» Training and awareness raising for work related health risks (TBTs)
» Health surveillance programme linked to Industry Standards (by
trade/hazard exposure)
• Delivers the full suite of CBH tool box talks:
» According to individual action plan
» Recordable – audit trail
» Interface to a smartcard solution for demonstration of training/CPD
CBH Contractor Membership
Corporate Membership

Fees: Annual Annual

Turnover Membership
<£250k £250

£250k - £2m £500

£2m - £5m £850

£5m - £10m £1,200

£10m - £50m £2,400

>£50m £3,800

Self Employed £25

All fees exclude the cost of Occupational Health checks and are exclusive of VAT
Corporate Membership

Benefits: > CBH Database & Membership Cards

> General Helpline & website
> Construction Health Action Toolkit (CHAT)
> Dedicated helpline
• Legal
• Case management
• Impartial OH advice
• Policies & procedures
> OHSP pre-contract advice
> Discounted training events/conferences
> Pilot study involvement
• on site health promotions, i.e skin cancer awareness

> Preferential access to:

• Discounted CBH publications
• Key stakeholder/working groups on future OH policy/strategy
Individual Membership

Fees:
£51.75 (For 3 years membership)
All fees exclude the cost of Occupational Health checks and are exclusive of VAT
Individual Membership

Benefits: > CBH Database & Membership Cards

> General Helpline & website
In Summary
Why the CBH Scheme?

• Demonstrates a forward thinking approach

• Enhances perception by prospective clients
• CDM compliance solution (Regulation 13&22)
• Visible investment in your people
• Strengthens your supplier partnerships
• Pushes corporate responsibility to the next level
• Reduces potential of litigation and claims

How Healthy is your company Health & Safety policy?

What are the Real Benefits?

• Reduction in unplanned working days lost due to

work related illness
• Worker’s Occupational Health data travels with
them
• Better staff retention = Reduction in recruitment and
training costs
• Enhanced industry reputation as a good employer
• Potential reduction in liability insurance premium

Have you dealt your workforce the right cards?

Successes
• Industry Recognition
» Occupational Health Journal – Overall Winner 2008
» National Business Awards 2009 Finalist
• Clients
» Sainsbury’s – Pilot
» Environment Agency - Framework
» Highways Agency – Poster Campaign
» ProCure 21
» Asda Walmart
» Crossrail
• Some of our Contractor Members
» Jackson Civil Engineering
» Erith
» Rhodar
» Birse
» BAM Nuttall
CBH are…

Putting
HEALTH
into
Health & Safety
…are you planning to?