MODERNIZATION OF THE CHILEAN OSH SYSTEM The chilean strategy on occupational safety and health PEDRO CONTADOR A. Subsecretaría de Previsión Social October 2011
A ‐ GENERAL INFORMATION ABOUT THE INSURANCE OF OCUPACIONAL INJURIES AND DISEASES 2
CHARACTERISTICS CHARACTERISTICS ‐ Full intergrated social insurance ‐ Protects both dependent and independent workers ‐ It covers working of occupational injuries and diseases ‐ This insurance is administered by public and private entities. ‐ Focuses on a preventive spirit 3
WHO IS PROTECTED BY THIS INSURANCE WHO IS PROTECTED BY THIS INSURANCE • Dependent workers: public servants and employees of private sector, domestic workers and apprentices. • Independent workers • Students • Union leaders 4
RISKS COVERED BY THIS INSURANCE RISKS COVERED BY THIS INSURANCE OCCUPATIONAL ACCIDENTS Any type of injury suffered by a person at work that can cause disability or death. Other types of working accidents are those originated during commuting or those who occur during the practice of students and union leaders. OCCUPATIONAL DISEASES Are those originated by the practice of a profession or work, which can produce disability or death. 5
INSURANCE BENEFITS INSURANCE BENEFITS Cash benefits Cash benefits Medical care Medical care Risk Risk prevention prevention benefits benefits 6
ECONOMIC ALLOWANCE ECONOMIC ALLOWANCE i. Loss of earning capacity. Compensation. ii. Disability allowance: part, total and full disability. iii. Survival compensation: corresponds to widowhood or orphanhood allowance. 7
RISK PREVENTION BENEFITS RISK PREVENTION BENEFITS ‐ Grants technical assistance ‐ Provides technical assistance to safety and hygiene committees ‐ provides courses and training ‐ Includes environmental supervision programs and workers health supervision programs ‐ Elaborates informative guidebooks 8
MEDICAL BENEFITS MEDICAL BENEFITS ‐ Medical assistance ‐ Surgery and odontology ‐ Medicines ‐ Pharmaceutical products ‐ Hospitals ‐ Prosthetics and orthopedic parts and their repair ‐ Professional re education ‐ Physical rehabilitation 9
10 INSURANCE INDICATORS B ‐
COVERAGE OF THE ACCIDENT AND COVERAGE OF THE ACCIDENT AND PROFESSIONAL DISEASES INSURANCE PROFESSIONAL DISEASES INSURANCE 220010 • Population : 17.094.270 inhabitants (estimated at June 30th 2010). • Economically active population (PEA): 7.762.632. • Active work force (FTO): 7.130.583 (91,9% PEA). • Not working: 632.049. Source: INE 11
COVERAGE OF THE WORKING ACCIDENT AND COVERAGE OF THE WORKING ACCIDENT AND PROFESSIONAL DISEASES INSURANCE PROFESSIONAL DISEASES INSURANCE Population Active work force covered insurance Law 16.744 67,7% 4,83 Milions of 7,13 Milions of workers (2010)* workers (2010)** Sources: *INE, **SUSESO 12
COVERAGE OF THE WORKING ACCIDENT AND COVERAGE OF THE WORKING ACCIDENT AND PROFESSIONAL DISEASES INSURANCE PROFESSIONAL DISEASES INSURANCE (*) the descent shown in the coverage of the insurance in year 2007 is due to the decrease in the amount of workers under the ISL insurance. (**) since 2010 there is a new work survey that shows more active people than in the previous one. 13
ACCIDENT STATISTICS ACCIDENT STATISTICS Accident rate evolution Source : SUSESO, ISL not included 14
ACCIDENT STATISTICS ACCIDENT STATISTICS Tasa de Mortalidad Mutuales Tasa por cada 100.000 trabajadores Source: SUSESO 15
During year 2010 466 workers died and 4.8 millions of During year 2010 466 workers died and 4.8 millions of working days were lost working days were lost Mutuales and ISL (*) 2010 Mutuales and ISL 2010 Nº of working accidents 320.994 Nº of fatalities 466 Working accidents 259.900 Working accidents 335 Commuting accidents 61.094 Commuting accidents 131 Nº of days lost 4.791.718 Source : SUSESO Working accidents 3.686.573 Commuting accidents 1.105.145 Source: SUSESO Nota (*): includes ISL estimation 16
FATAL ACCIDENT NOTIFICATIONS YEAR 2011 1ST TERM FATAL ACCIDENT NOTIFICATIONS YEAR 2011 1ST TERM JANUARY TO JUNE JANUARY TO JUNE Gender Total Economic Activity Male Female Agriculture, stock breeding, hunting and forestry 34 1 35 fishing 7 0 7 Mines and quarry Exploitation 11 0 11 Manufacturing industries 32 0 32 Electricity, gas and water supply 0 0 0 Construction 54 0 54 Retail; vehicles, motorbikes, personal effects and domestic appliances repair 16 2 18 Hotels y restaurants 7 3 10 Transportation,storage and communication 48 3 51 finance intermediary 1 0 1 Real estate , enterprises and rent activities, 22 2 24 public administration and defense; social safety planning of compulsory affiliation 3 0 3 Teaching 1 1 2 Other activities of community social and personal services 6 1 7 Private homes with domestics workers 4 3 7 Not protected by the insurance Law N ° 16.744 11 0 11 Total 257 17 274 17 Source: Social Security Superintendence and the Labour Inspection
These differences between economic sectors can also These differences between economic sectors can also be verified in the mortality rate be verified in the mortality rate También podemos constatar esas diferencias entre sectores económicos en la tasa de mortalidad 6,5 Source: SUSESO, ISL not included 18
ACCIDENT RATE STATISTICS ACCIDENT RATE STATISTICS Source: SUSESO, ISL not included 19
Even if there are not great variations Even if there are not great variations between 2 years… between 2 years… ECONOMIC ACTIVITY T.A. 2009 T.A. 2010 Transport 7,7 7,8 Agriculture (y fishing) 7,2 6,9 Construction 5,7 5,4 Mining 2,2 2,0 Industry 7,4 7,7 Services 3,8 4,0 Trade 5,7 6,0 Rate per every 100 workers 20
However, when we observe a series of 5 years there is a However, when we observe a series of 5 years there is a remarkable improvement in high risk sectors like construction remarkable improvement in high risk sectors like construction and agriculture and agriculture TASA DE ACCI DENTABI LI DAD POR ACCI DENTES DEL TRABAJO Accident rate in more risky working accidents MUTUALIDADES 2002 ‐ 2010 ACTI VI DADES MÁS RI ESGOSAS MUTUALI DADES 2 0 0 2 - 2 0 1 0 x 100 Trabajadores 12,0 1 7,9 % 2 6,9 % 32,0% 10,6 46 ,9 % 10,2 10,1 9,5 10,0 7,8 7,7 8,0 6 ,9 6,0 5,4 4,0 2,0 0,0 Transporte Industria Agricultura y Pesca Construcción 2002 2003 2004 2005 2006 2007 2008 2009 2010 No incluye accidentes de trayecto. 5 Gobierno de Chile | Superintendencia de Seguridad Social 21
RATE OF ACCIDENTS STATISTICS RATE OF ACCIDENTS STATISTICS Small (1 – 25) Big (101– and more) Source: SUSESO, ISL not included. commuting accidents not included 22
tendency that is repeated during the last tendency that is repeated during the last years…… years…… Rate of working accidents according to the size of the TASA DE ACCI DENTABI LI DAD POR ACCI DENTES DEL TRABAJO SEGÚN TAMAÑO DE EMPRESA enterprise MUTUALIDADES 2006 – 2010 MUTUALI DADES 2 0 0 6 - 2 0 1 0 2006 2 4 % Per 100 workers 2007 x 100 Trabajadores 1 6 % 2008 9.0 8 .5 2009 8 .0 8.0 2010 1 3 % 6 .7 7.0 6 .5 6.0 5 .6 4 .9 5.0 4.0 3.0 2.0 1.0 0.0 Pequeñas (01 a 25) Medianas (26-100) Grandes (101 y más) Small (1 – 25) Medium (26 – 100) Big (101 and more) No incluye accidentes de trayecto. No incluye accidentes de trayecto. Commuting accidents not included 7 Gobierno de Chile | Superintendencia de Seguridad Social 23
C. REFORMS TO THE OCCUPATIONAL SAFETY AND HEALTH SYSTEM 24
The government aim is to decrease the accident rate to a 4% The government aim is to decrease the accident rate to a 4% (2015) and the mortality rate to 5 every 100 thousand workers (*) (2015) and the mortality rate to 5 every 100 thousand workers (*) 2015 2015 Mortality rate Prevent 100 annual fatalities rate of accidents decrease to 90.000 annual accidents Note: (*) commuting accidents not included 25
REFORM OF THE OCCUPATIONAL SAFETY REFORM OF THE OCCUPATIONAL SAFETY AND HEALTH SYSTEM AND HEALTH SYSTEM What is being done – Technical and sector boards for the revision of OSH regulations – Regional work safety boards – System of risk self evaluation guide – Inclusion of prevention of risks topics at union training schools and a bonus for owner/manager of small enterprises – Creation of a consultative council of OSH(tripartite) – Creation decree committee of OSH ministers – Ratification of the OIT Convention Nº 187 – Modification to the Social Security Superintendence organic law (at parliament) – New mining law (at parliament) 26
Reform a Seguridad Laboral THE OCCUPATIONAL SAFETY AND HEALTH THE OCCUPATIONAL SAFETY AND HEALTH REFORM REFORM II. Changes in process of implementation: – National policy of OSH. Tripartite discussion. – Reformation to the law of work accident and professional diseases. Central axis: prevention of risks (self evaluation, map of risks, hygiene monitoring, accident survey, training in preventive management, prevention planning, etc.). – Reformation of “mutualidades” (private administrators of the insurance). Corporative governments. – Labor Law: a new supervision structure and sanctions regimes. Labor Inspection with better faculties and with coordination instructions in the supervision of other control entities of OSH regulations. 27
D. LESSONS OF THE SAN JOSE MINE RESCUE 28
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Thanks.
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