02/01/2018 Improving occupational health in construction Andrew Percy Business Development Manager – Construction Services 12 December 2017 About B&CE 75 years’ construction industry experience Not-for-profit Three values: Creating Simplicity, Showing Compassion, Keeping Promises Acquired CBH in April 2016 Expanding our occupational health capability 1
02/01/2018 Our proposed occupational health model Worker Employer Digital OHSP Registered Accredited portable with Scheme by Scheme record Underpinned by Education, guidance Research initiatives The framework and campaigns and best practice What’s the problem with occupational health in the industry? It’s time to focus on health: 1.3 million 13,000 100 times deaths each year linked more likely to die from an workers suffering from a to dust, chemicals and occupational disease work-related illness other hazards than from an accident HSE and HCLG statistics - 2015/16 2
02/01/2018 What is occupational health? Occupational health: The protection and promotion of the health and wellbeing of people at work • Effect of health on work E.g. diabetes, musculoskeletal issues, high blood pressure, eyesight • Effect of work on health Health Work E.g. NIHL, asthma, eczema, dermatitis, HAVS • Promotion of good health E.g. healthy lifestyle, work/life balance Occupational health in construction The core principles Identify hazards resulting in risks to health Employer reassesses Eliminate or reduce control measures risks Record and report Health surveillance results to individual for residual risks and employer 3
02/01/2018 Occupational health in construction The core principles Identify hazards Risk, not role resulting in risks to method health Employer reassesses Identify emerging Eliminate or reduce Industry challenge health issues control measures risks Industry Framework Record and report Health surveillance Database in B&CE (how a health issue results to individual for residual risks OH product is identified) and employer Why move to a risk-based approach? The industry agrees… Which, if any, of the following risks and hazards 81% of contractors are your workforce exposed to? agree health assessments should Construction dust 91% be based on risks, rather than job role Noise 83% Vibrations 73% Cement dust 63% 4
02/01/2018 The list of complex actions an employer must take Frequency Hazard Legislation Requirement Necessity Health and Safety at Work etc. Act 1974 Post job offer but before Pre-placement questionnaire - check if current health issues may impact on or be impacted by hazards exposed to in role Health affecting work Management of Health and Safety at Work Regulations 1999 Essential job start and that may require reasonable adjustments Equality Act 2010 Health and Safety at Work etc. Act 1974 Assessment (if required) - check current health issues that may impact on ability to perform role or be impacted by role and Pre-placement Work affecting health Management of Health and Safety at Work Regulations 1999 Essential that may require reasonable adjustments e.g. vision, balance, mobility, blood pressure Equality Act 2010 Before exposure to Various including: Any hazard to health Baseline assessment - health surveillance checks/measurements e.g. Lung Function, Audiometry, Skin, HAVS symptoms Essential hazards Control of Substances Hazardous to Health Regulations 1999 (2002) Regular Dusts, chemicals, liquids - skin Self checks Control of Substances Hazardous to Health Regulations 1999 (2002) Essential Annual exposure Questionnaire 12 weeks then Dusts, chemicals, liquids - Questionnaire Control of Substances Hazardous to Health Regulations 1999 (2002) Essential Annual respiratory exposure Lung Function test (if high risk) Annual Vibration from hand held or Questionnaire Control of Vibration at Work Regulations 2005 Essential Every 3rd year guided power tools - HAVS Face to Face assessment Annual for 2 years then Questionnaire Noise Control of Noise at Work Regulations 2005 Essential Both every 3rd year Face to Face assessment Rail legislation - Railways and Other Guided Transport Systems (Safety) Assessment of health to a specific standard to evidence Fitness to Work in a role where a sudden negative health incident Every 3 years 'Safety Critical Worker' Essential Regulations 2006 (as amended) (ROGS) could result in major accidents/injuries beyond the individual (Specific age based frequencies for Rail Industry) Not specified Working at Height Working at Height Regulations 2005 Not specified. Often Questionnaire, may require health assessment Desirable Not specified Confined Space Confined Space Regulations 1997 Not specified. Often Questionnaire, may require health assessment Desirable Health and Safety at Work etc. Act 1974 Not specified Lone Working Not specified. Often Questionnaire, may require health assessment Desirable Management of Health and Safety at Work Regulations 1999 Regular basis Night Work Working Time Regulations 1998 (as amended) Health assessment must be offered. Often questionnaire Essential Health and Safety at Work etc. Act 1974 Not specified Health affecting work Management of Health and Safety at Work Regulations 1999 No requirement but often blood pressure, vision, urinalysis often conducted as part of Safety Critical Medical Desirable Equality Act 2010 As required by DVLA Health affecting work DLA Fitness to Drive HGV/LGV Statutory Medical Essential Asbestos Control of Asbestos at Work Regulations 2012 Lead Control of Lead at Work Regulations 2002 As required by ACOP Statutory Medical Essential Ionising Radiation Ionising Radiation Regulations 1999 Compressed Air Working in Compressed Air Regulations 1996 Regular intervals Work affecting health Health and Safety (Display Screen Equipment) Regulations 1992 DSE - Eye and eyesight test on request Essential Risk, not role based approach 38 down to 5… Health assessment: 1. Blood pressure 2. Vision Health surveillance: 3. Hearing 4. Respiratory 5. Skin +/- HAVS 5
02/01/2018 Simplified into a 3 year plan So what’s next? Key areas we’re addressing • Market engagement and industry research – Understanding and taking on board the industry’s views • Exploring pricing model – Giving value for money for customers • Investigating portability – How to put the model in workers’ hands • Brand development for new model – CBH name will be going; model will be a B&CE product • Transition strategy – How to bring our customers along the journey 6
02/01/2018 Thank you Any questions? Stay up to date with our occupational health developments and sign up to our newsletter: www.bandce.co.uk/occupational-health 7
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