Dra cucueco - osh ateneo grad school oct 2011

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Are Our Workers and Workplaces Safe and Healthy? Occupational Safety and Health in

the Philippines

Ma. Teresita Somera-Cucueco, MD, MOH Executive Director Occupational Safety and Health Center

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

OSH SITUATIONER International and Philippine Data

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Global OSH Data

•  337M accidents causing > 4 days absence

•  360,000 work-related fatal accidents

•  1.95M work-related fatal diseases

•  2.31M total fatal accidents & diseases

•  320,000 die from exposures to biological risks (viral, bacterial, insect or animal-related risks)

•  170,000 agri workers die per year Source: Safework- Introductory Report - 2008

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Key Local OSH Data

Data Sources: •  2001-2005 Work Accidents/Illnesses Summary – BWC based on mandatory reporting requirements of the OSH Standards (OSHS)

•  Occupational Injuries Summary –BLES based on survey done every other year

•  NSO Household Survey Data

•  OSHC Database

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Work Accident Summary Number of Work Accident Cases (2001-2005)

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

NCR CAR RI RII RIII R IV RV RVI RVII RVIII RIX RX RXI RXII CARAGA ARMM

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

  BLES Integrated Survey (BITS) is conducted by the Bureau of Labor and Employment Statistics in coordination with the DOLE Regional Offices.

  As a vital supplementary source of data to administrative-based statistics on occupational safety and health in DOLE, the BITS is a nationwide survey.

  For 2007, BITS covered 6,460 sample nonagricultural establishments with 20 or more workers.

  2007 Occupational Injuries Survey – magnitude of establishments affected by occupational accidents, count of accidents, number and type of cases of injuries due to these accidents

BLES Integrated Survey (BITS)

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

52,515

Occupational Accidents and Injuries: 2003 and 2007

Source: 2003/2007 OIS of the BITS

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Occupational Injuries: 2007

Source: 2003/2007 OIS of the BITS

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

KEY LOCAL DATA:

• Manufacturing had the highest number of reported accidents followed by

agriculture & wholesale/retail trade

•  121,624 man-days were lost which could have been used productively!

Source: 2005 Work Accidents/Illness Summary

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Profile of the Most-Commonly Injured Worker

•  Male •  Married •  26-30 years old •  1-5 years of service •  Assigned in the first shift

Source: BWC WAIR

pattern the same for so many years!

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Cases of Occupational Injuries with Workdays Lost by Cause of Injury: 2003 and 2007

Source: 2003/2007 OIS of the BITS

Exposure to or contact with electric current

Others

8,104

6,167

3,943

2,283 2,088 1,579 1,787 1,662 1,534

2,814

1,494

831 1,414

475 480

1,802 1,478

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Frequency Rates of Cases of Occupational Injuries with Workdays Lost by Major Industry Group: 2003 and 2007

Source: 2003/2007 OIS of the BITS

4.07

5.96

0.31 0.33 0.21 0.83

0.15

3.59

0.47 1.05

4.37

0.71 0.91

5.24

3.75 3.11

1.87

4.24

5.38

3.53

5.87

3.53 2.79

6.46

2.41 1.67

Al - All Industries C - Mining and Quarrying D - Manufacturing E - Electricity, Gas & Water Supply F - Construction G - Wholesale & Retail Trade; Repair of Motor Vehicles, Motorcycles & Personal & Household Goods H - Hotels & Restaurants

I -Transport, Storage & Communications J - Financial Intermediation K - Real Estate, Renting & Business Activities L - Private Education Services M - Health & Social Work except Public Medical, Dental & Other Health Activities N - Other Social & Personal Services Activities

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Cases of Occupational Diseases by Major Industry Group: 2003 and 2007

Major Industry Group

2003 2007 Percent Change

All Industries 55,413 47,235 -14.8 Mining & Quarrying 1,350 51 -96.2 Manufacturing 35,956 26,284 -26.9 Electricity, Gas & Water Supply 1,112 526 -52.7 Construction 149 370 148.3 Wholesale & Retail Trade 5,241 4,342 -17.2 Hotels & Restaurants 2,195 1,697 -22.7 Transport, Storage & Communications 3,828 6,176 61.3 Financial Intermediation 594 700 17.8 Real Estate, Renting & Business Activities 761 2,926 284.5 Call Center N/A 1,175 - Private Education Services 2,694 2,204 -18.2 Private Health & Social Work Services 839 1,233 47.0 Other Community, Social & Personal Service Activities 695 728 4.7

Source: 2003/2007 OIS of the BITS

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Cases of Occupational Diseases by Type of Occupational Disease: 2003 and 2007

Type of Occupational Disease 2003 2007 Percent Change

Total 55,413 47,235 -14.8 Occupational Dermatitis 5,028 5,965 18.6 Bronchial Asthma 6,742 8,759 29.9 Acute Poisonings 202 189 -6.4 Heat Stroke, Cramps, Exhaustion 631 577 -8.6 Chilblain, Frostbite, etc. 150 112 -25.3 Deafness 510 172 -66.3 Infections 7,825 6,517 -16.7 Cataract 634 284 -55.2 Cardiovascular Diseases 1,454 854 -41.3 Essential Hypertension 5,708 6,152 7.8 Peptic Ulcer 5,347 4,135 -22.7 Work-Related Musculoskeletal Diseases 20,603 13,296 -35.5

Others 579 222 -61.7 Source: 2003/2007 OIS of the BITS

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Occupational safety and health trainings/seminars Provided

  First aid – 72.6%   Safe work procedures – 65.9%   Safety drills (e.g. fire, earthquake, etc.) – 62.4%   Safety management – 58.5%   Good housekeeping (e.g., 5S+1) – 58.0%

Source: 2007/2008 OIS of the BITS

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

OSH System In DOLE (Who are Involved?)

PREVENTION EO 307 (OSHC)

ENFORCEMENT Admin. Code, 1987

COMPENSATION REHABILITATION

P.D. 626 (ECC)

UPDATING of Health and Safety Standards & Other Related OSH Policies

Admin. Code 1987

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

OCCUPATIONAL HEALTH

Definition adopted by the Joint ILO/WHO Committee on Occupational Health (1950)

Aims at the: –  promotion and maintenance of the highest degree of physical,

mental and social well-being of workers in all occupations

–  prevention amongst workers of departures from health caused by their working conditions

–  protection of workers in their employment from risks resulting from factors adverse to health

–  placing and maintenance of the worker in an occupational environment adapted to his physiological and psychological capabilities

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Hospital Hazards

•  Infectious/ Biological •  Chemical •  Psychological/Psychosocial •  Physical •  Environmental •  Mechanical/biomechanical

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Infection/Biological Hazards

Infectious/biological agents, such as: •  bacteria •  viruses •  fungi •  parasites may be transmitted by contact with infected patients or contaminated body secretions/fluids

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Chemical Hazards

•  Various forms of chemicals used in the hospital that are potentially toxic or irritating to the body

•  medications, solutions, and gases

Cleaning chemicals

Gases

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Physical Hazards

•  Radiation •  Lasers •  Noise •  Electricity •  Extreme

temperatures

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Psychological Hazards

•  Violence •  Hostage •  Bomb threat •  Fire

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Environmental and Biomechanical Hazards

•  Tripping hazards •  Unsafe/unguarded equipment •  Air quality •  Slippery floors •  Confined spaces •  Construction hazards •  Cluttered work areas •  Obstructed passageways

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Controlling the Hazards in the Hospital

•  Infection Control Policies •  Security Guidelines •  Admitting Policies •  Safety and Health

Guidelines

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Controlling the Hazards in the Hospital

–  Trained personnel on Disaster Preparedness

–  Biosafety features of the building •  HEPA filter •  Positive and negative pressure zoning •  Level 5 antibacterial paint

–  Safety features of the building •  Building Management System (BMS) •  Fire rated walls/doors •  Smoke compartmentalization •  Structural design is 200% above Phil.

Code

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Controlling the Hazards in the Hospital

•  Security/Admitting Procedures –  Screening visitors /wearing of ID –  Visiting Hours –  No smoking policy –  Alcoholic beverages not allowed –  Electrical appliances not allowed –  Designated restricted areas –  Security surveillance in various areas/CCTV –  Door lock policy

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Occupational SAFETY Programs

• Hazardous Materials Policy • Hazard Surveillance & Risk

Assessment • Contractors Safety Policy •  Incident/Accident Reporting • Disaster Preparedness Plan • Safety Trainings

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

– Chemical inventory – MSDS – Proper storage, labeling – Proper handling – PPE – Spill response program – Proper disposal

Hazardous Materials Policy

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

"  To identify deficiencies "  To identify potential events or risks "  To improve safety policies & procedure

Hazard Surveillance & Risk Assessment

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

– Work Permitting – Hot Works Monitoring –  Incident Reporting – Safety Orientation of contractors

Contractors Safety Policy

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

– Fire Drill – Earthquake Drill – Fire/Life Safety Equipment Monitoring – Disaster Preparedness Training

Disaster Preparedness Plan

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Book IV, Title I – Medical, Dental and Occupational Safety

Occupational Safety and Health Standards,

(OSHS)1978

OSH LAWS & ISSUANCES

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Flagship program on work safety & health

OSH indicators & productivity

OSH-MS international safety rating

system

Deliver OSH services to individuals/establishments/institutions

Thru DOLE ZAP focal persons and others trained in

OSH

OSH linked to productivity

Advocacy thru OSH promotions,

policies and resources

LSEF; Injury and Illness Reporting Capacity

Building

Work Improvement;

Establishment of safety and health

committees

Improved workplace Reduced incidence of accidents/illnesses

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

+ ADDS to your Troubles

- SUBTRACTS from your Profits

x MULTIPLIES your Losses

/

%

DIVIDES worker from Manager

DISCOUNTS your Successes

Mathematics of Accidents

OCCUPATIONAL SAFETY AND HEALTH CENTER Department of Labor and Employment

Recent DOLE Issuances

•  D.O. 13- 98 - Construction Safety •  D. O. 16 - 01- Rule 1030 •  D. O. 53-03 - Drug-free Workplace •  D. O. 57-04 - New Labor Standards Enforcement Framework •  D.O. 73-05 - TB Prevention at the Workplace •  D. C. 01-08 - OSH in Call Centers •  D.C.01-09 - Ship-Building Industry •  D.O. 102-10 – Prevention and Control of HIV-AIDS

in the Workplace •  D.A. 05-11 – Prevention and Control of Hepatitis B

in the Workplace •  A.O. 56-11 – Transfer of Accreditation to OSHC