DEVELOPING OH CULTURE AND PRACTICE - PDO’s EXPERIENCE
Nasser Al Maskery
Chief Medical Officer
Petroleum Development Oman
• Overview of H & OH in Industry
• Impact of OH on Productivity
• Business Case for OH
• Managing OH hazards/HPI
• Way Forward
OBJECTIVES
Health is a state of complete physical,
mental and social well-being and not
merely the absence of disease or infirmity
WHO
The promotion of the highest degree of physical, mental and social wellbeing of workers in all occupations
The prevention among workers of departures from health caused by their working conditions
The protection of Workers in their employment from risks resulting from factors adverse to health
The placing and maintenance of the workers in an occupational environment adapted to his/her physiological and psychological condition WHO
WHAT IS OH
HEALTH
Living and working conditions
Psychologica
l
enviro
nmental
Edu
cati
on
Catering services
Physical
environment W
ater and
sanitatio
n
Medical services
Housing
HEALTH DETERMINANTS
Patient
Friends and neighbours
Hospital nurses
District nurses
Health visitors
Social workers
Home helps
Housing department staff
Voluntary organisation workers Chaplains
Employment officers
Dieticians
Chiropodists
Speech therapist
Occupational therapists
Physiotherapists
Psychologists
General practitioners
Medical consultants
Family
HOLISTIC APPROACH
Heredity (what we are)
Lifestyle (what we do)
Environment (where do we do it)
HEALTH OF PEOPLE AT WORK
WORK AND HEALTH
FACTS AND FIGURES
Global Labour Force 2837 millionNew cases of work-related illness 160 million per yearOccupational accidents 268 million per yearWork-related deaths 2.2 million per year
• Deaths due to work-related accidents and diseases make up 3.9% of all deaths
• 15% of the world’s population suffers from a work-related accident or disease in any one year
ILO 2005
WHAT IS AN OCCUPATIONAL ILLNESS?
A Work Related Abnormal Health
Condition or Disorder which is caused
(or Mainly Caused) by Exposure to
Health Hazards at Work.
Affected, But No Symptoms
Symptoms, But No Medical Attention Sought
Medical Attention Received, But Relationship of Illness to
Work Not Recognised
Recognised as being Related to
Work
The “iceberg” of Occupational Disease
REPORTED
NOT REPORTED
Obvious
CAUSAL ASSOCIATED EXTERNAL
Noise Malaria Cold and Flue
Dust Medical Treatment Relationship with Family
Heat Food Poisoning Artificial Society
Benzene Stress Lack of Privacy
H2S Communicable Diseases, HIV?
Inability to Support Domestic Crisis
Vibration Disease Transmitting Insects
Disrupted Home/Social Life
WORK HEALTH HAZARDS
• E & P Oil/Gas Company
• Concession area : 100971 km2
• 120 Fields
• 2700 Wells
• 2879km Pipelines
• 49 Gathering Stations
PETROLEUM DEVELOPMENT OMAN
• 12000 contracted staff
• < 4700 employees
• Different Work Schedules
• Operates 9 airstrips
• Maintains > 6000 km of roads
• Operates 8 camps (no families)
• Employs 23 rigs
PETROLEUM DEVELOPMENT OMAN
Our commitment is to:
• Protect the health and safety of staff, contractors’ employees and other persons affected by our activities.
PETROLEUM DEVELOPMENT OMAN
INDIVIDUAL WORK
• Effect of Work on Health
• Effect of Health on Work
OCCUPATIONAL HEALTH
EVALUATE
INVESTIGATE
FORMULATE
MANDATE AND EDUCATE
THE HEALTH MANAGEMENT CYCLE
PlanPlan
The PDOQuality
ManagementSystem for HSE
The PDOQuality
ManagementSystem for HSE
FeedbackFeedback DoDo
Monitor /Check
Monitor /Check
OCCUPATIONAL HEALTH PRACTICE TO SEEKS TO
•Predict Health
•Promote Health
•Protect Health
And thus improve the availability of Employees for Work
Proactive HPI
• Health Risk Assessment
• Workplace Listed Carcinogens
• Measured Personal Exposures
• Potential Personal Exposures
• Findings Health Surveillances
• Occupational Health Roadshows
Reactive HPI
• Sickness Absence
• Occupational Illness
• Medical Retirements
• A & D Consultations
• Non Accidental Death Cases
• Health Related Legal Claims
HEALTH PERFORMANCE INDICATORS
Health Risk Assessment50 HRA in place assessed by industrial hygienists. Exposure monitoring conducted as need.
Monitoring and Incident Reporting & Investigation
TROIF data published monthly. Non-accidental death investigation process recognized as best practice.
Health Impact AssessmentCompetence training required. Identify HIA consultants. Consolidate HIA with EIA
Human Factors Engineering in New Projects
Requirement in procedures is in place, however application is inconsistent.
Product Stewardship Chemical Management Guidelines, Chemical Advisory Panel and SHOC card system in place.
Fitness to WorkMinimum medical fitness standard, App. 5, Chapter 12 of HSE-Sm, in place. Policies for A&D, Smoking, Sickness Absence in place.
Local Health Facilities and Medical Emergency Response
Clinic with qualified doctors and nurses available. Emergency Response procedures and equipment in place.
Minimum Health Management Standards
PETROLEUM DEVELOPMENT OMAN
• Demonstrate MT Responsibility for Health
• Measurement of Performance Against Targets
• Promote Health
• Help to Set Priorities
• Information for Stakeholders
• Facilities Benchmarking
PURPOSE OF HPIs
“Poor health is more than just a consequence of low
income; it is also one of its fundamental causes”.
WHO
HEALTH AND WEALTH
Costs (Rx, Insurance etc.)
Accidents
Sickness Absence
Litigation
Experience/Expertise
Morale
Reputation
POOR OH RESULTS IN
THE BENEFITS OF EFFECTIVE OH MANAGEMENT INCLUDE:
• Eliminating illness related to work
• Managing medical care
• Healthy workforce
• Optimising business performance & reputation
• Meeting legal requirements
• Cost effectiveness
• Leading on OH recognition/Culture
• Communication with employers/employees
• Encourage site visits
• Monitor health status/developments/Technology
• Initiate/participate in OH research
• Influence Legislation
WAY FORWARD
Medical Profession
SOCIETY
INDUSTRYGOVERNMENT
A TRI-POLAR WORLD
THANK YOU
KEEP HEALTHY
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