Why employers spend money on employee health: Interviews with occupational health and safety professionals from British Industry

ObjectivesTo better understand the information that is used in business cases for employee health activities.MethodsInterviews with 18 occupational health and safety professionals at major organisations in the UK were conducted to explore attitudes, motivations, behaviours and information needs about employee health investment.ResultsThe occupational health and safety professionals interviewed for this study have described how employee health issues are discussed in their organisations. Ethical arguments about it being the ‘right thing to do’ are common and are believed to have impact. Unsurprisingly legal compliance is stated to be the driver of most employee health activity. Higher-level activities and resource do require a business case. It is suggested that currently business cases for employee health are often not overly empirical, with more intuitive arguments appealing to people management issues, notions of corporate reputation and alignment with business objectives. Data on benchmarking and some kind of return-on-investment assessment are normally required. Data on cost of illness (mostly expressed via sickness absence), direct health expenditure per employee and insurance premiums are also used. These data are mostly captured by existing sources and procedural systems, although sickness absence data especially is often thought to be unreliable. Data on staff retention and productivity were considered relevant but not currently used or analysed by this sample. There was support for the notion that more robust empirical business cases may help overcome some of the barriers that were identified, for example where costs are more quantifiable than benefits.ConclusionsThere is scope to make significant improvements to the business case for employee health investments in UK organisations through better measurement of impact on productivity and reputation risk and greater business-aligned communication by health professionals. More empirical business cases that meet the needs of decision-makers are more likely to attract investment into employee health activities.     

论本质安全

考查“本质安全”一词的出处 ;介绍了几种“本质安全”的论述 ;讨论了“以人为本”和“人本管理”与本质安全 ;从政治和哲学的高度 ,论述了政治、现象与本质的内涵与关系 ;探讨了美国及发达国家是否有“本质安全”;分析了现代资本家重视职业安全卫生的实质。笔者对以上问题阐明了自已的观点 ,并对一些提法给以评述。     

Organisational learning and continuous improvement of health and safety in certified manufacturers

Certified management systems have increasingly been applied by firms in recent decades and now cover the management of health and safety, principally through the OHSAS 18001 standard. In order to become certified, firms must not only observe the relevant legislation, but also improve performance and raise goals within health and safety on a continuous basis. The article examines how certified occupational and health management systems influence this process to evaluate how far they hinder or support learning. It presents a model with which it is possible to identify and analyse improvement processes. The model is applied to five cases from a qualitative study of Danish manufacturers with certified health and safety management systems. The cases illustrate the wide variation in health and safety management among certified firms.Certification is found to support lower levels of continuous improvement performance in handling health and safety issues. However, more advanced improvement practices are shown to be connected to the integration of health and safety in other managerial areas, as well as to the employment of similar advanced improvement processes within firms. The article argues that certified health and safety management does not obstruct learning, and can support advanced learning. Improvement practices with regard to health and safety are mainly dependent upon the firm’s overall organisational processes and do not automatically arise from the standard alone.     

中小企业“4+1”安全管理与监管模式研究

在对全国中小企业安全生产状况调查的基础上,分析了中小企业的安全生产现状其数量多、绝大多数在乡镇街道、生产安全事故多发、职业病危害严重、从业人员素质低、生产力水平低;政府针对中小企业的安全监管人员数量少;乡镇街道的安全生产中介服务机构数量少,服务内容单一。因此,提出了中小企业安全生产监督管理“4+1”模式,其中“4”是指中小企业、政府安全监管部门、中介机构和社会监督部门的安全生产管理、监管、服务、监督体系,“1”是指提高监管效能的运行保障机制。该模式从宏观上为政府监管中小企业提出了一种新的思路,从微观上为中小企业、政府安全监管部门、中介服务机构、社会监督部门的安全生产工作提出了新的方法。     

Occupational boundary play: Crafting a sense of identity legitimacy in an emerging occupation

In emerging occupations, individuals are given very little prepackaged identity “content”—for example, occupational values, legitimating ideologies, clear goals, tasks, and/or routines—to help them build their individual-level occupational identities. By contrast, individuals in well-established occupations (e.g., professions) are given ample identity content, and prior identity research has examined identity work processes almost exclusively in the context of such occupations. Consequently, prior theory assumes that identity work is mostly a matter of tailoring prepackaged identity content to fit one's individual-level preferences and objectives. Prior theory is therefore of limited use in emerging occupations, where the key identity problem is not one of tailoring identity content effectively but creating an identity in the first place—more specifically, an identity whose existence feels justified and valid. Thus, in this paper, we ask: how do individuals in emerging occupations construct an internal sense that “who they are” is necessary, desirable, and appropriate (i.e., legitimate) within the broader occupational landscape? On the basis of a grounded theory study of health coaches, we suggest that individuals in such circumstances can craft this sense of “identity legitimacy” via a sensemaking process we call occupational boundary play. This process consists of both “occupational boundary setting” and “occupational boundary blurring,” the former providing for individuals a sense of identity novelty and the latter providing a sense of identity familiarity. Taken together, this subjective experience of both novelty and familiarity provides for individuals the sense that “who they are” is legitimate within the broader occupational landscape.     

Occupational Safety and Health in Finland

In Finland, occupational safety is the responsibility of the employer, while the occupational safety and health laws are enforced by the Labour Inspection Service, an organization of the state. The Labour Inspection is divided in 11 administrative districts, and it employs 360 professionals. They are mandated to carry out site visits without prearranged appointments to inspect safe work situations, working hours, construction safety, or any aspect of accident risks. The inspectors are also mandated to verify the existence of sufficient occupational health services as prescribed by the Occupational Health Services Act for all employees. The occupational health services are typically provided by enterprise-owned medical departments, by mutually owned health care centers, by private practitioners, or by municipal health care centers. The latter are required by law to provide all services as prescribed by the legislation to anyone who comes to the facility. This situation is prevalent in the countryside, where there are very few private caregiving centers. Declaring occupational accidents and disease cases is mandatory, and the Inspection districts examine all accidents to establish causes and consequences, and to initiate prosecution in case of criminal negligence. Labour Inspection Districts are also notified of the new occupational disease cases as they are declared to insurance companies. Insurance for occupational disease, accidents, and death is an obligation of the employer, although they can choose the insurance company. The medical confidentiality between the workers and their occupational health care providers is very strict. Official statistics are maintained by the state Statistics Finland organization, and they may be used, for example, for research purposes by scientific institutes like the Finnish Institute of Occupational Health. Construction industry accounts for 25% of all fatal accidents (120 cases per 1 million working hours), followed by mechanical, wood, metal, machinery, and pulp and paper industry (10% each of fatal accidents) with rates ranging from 100–160 cases per 1 million working hours. There are some 5,000 occupational disease cases per year (rate 22/10,000 employed). The major disease categories include repetitive strain injuries (1,300 cases), respiratory allergies (600 cases), occupational skin diseases (1,000 cases), and 900 cases of noise-caused hearing loss. In 1998, 589 cases of asbestos-related diseases were reported.     

Student and faculty issues in distance education occupational safety and health graduate programs

PROBLEM: There is increasing interest in delivering degree programs without requiring students to attend traditional classroom-based classes. There are many differences between classroom and distance courses that must be addressed to have effective distance programs. METHOD: Occupational safety and health faculty and occupational safety and health professionals were surveyed to determine the need for graduate occupational safety and health programs, delivered by means of distance education, and the best means to deliver the program from the perspective of faculty and working occupational safety and health professionals. RESULTS: Adequate time is the largest problem issue for potential students and the distance student's needs must be considered when developing program policies and procedures. Faculty must be sufficiently trained in pedagogy, technology, and communications so that they have the same comfort level with this method of instruction as they do for the more familiar classroom, and technical and instructional support personnel need to be readily available to work with the faculty and support course development. IMPACT ON INDUSTRY: Findings indicate that there is interest in a distance education-based program and it is believed that industry will be positively impacted as educational opportunities expand for working professionals.     

我国职业噪声危害成因分析及总体控制对策

职业噪声不仅属于职业卫生问题 ,也是当今世界上主要的环境公害之一。有效控制职业噪声不仅能够保护劳动者的听力不受损害 ,使其身心安全与健康得到保障 ,同时也是消除安全隐患 ,实现安全生产的重要途径。笔者分析了我国职业噪声危害的现状 ,论述了我国职业噪声危害的严重性以及控制的重要性与迫切性。然后采用“人 -机 -环境”系统工程方法 ,分别从人的行为、物的状态以及工作环境等 3个方面 ,分析职业噪声危害的成因 ,构造了基于宏观管理维、中观人机环境维以及微观技术维等三维结构的我国职业噪声危害控制总体框架 ,并从政府、企业以及劳动者等角度 ,对职业噪声危害控制的运行机制进行了研究 ,以解决我国日益严重的职业噪声危害问题 ,不断改善我国安全生产现状并进一步提高劳动保护工作的整体水平。     

谈职业健康安全管理体系审核的有效性

笔者从审核人日、抽样的合理性、审核员能力、审核过程的有效性等4个方面讨论了职业健康安全管理体系(OHSMS)审核的有效性。从要素的角度,介绍国家标准GB/T28001—2001中“对危险源辨识,风险评价和风险控制的策划”,“法律法规及其他要求”,“职业健康安全管理方案”,“结构和职责”,“运行控制”,“绩效测量与监测”,“事故事件,不符合,纠正与预防措施”等7个要素审核过程的有效性。可为认可认证机构判断OHSMS审核的有效性提供一定的参考。     

Process Safety Management (PSM) for managing contractors in process plant

Accidents involving contractors continue to occur with regular frequency. By using the standard set within the PSM 29 CFR 1910.119(h) regulations, it has been identified that certain aspects of the way contractors do work are not up to the stipulated regulatory requirements especially regarding matters like not providing mandatory personal protective equipment (PPE) to the workers, not discussing hazards related to handling procedures with the workforce and improper control of non-routine activities during changes in shifts. The PSM 29 CFR 1910.119(h) regulations promulgated in 1992 provides standards that covered processes to obtain and evaluate data regarding contractors' health and safety programs as well as the contractors' performance evaluation. Many of the accidents involving contractors are direct result of poor training of contractors and/or poor control of the contracted work. Even though most organizations have their own contractor management systems, there are issues in meeting the requirements of PSM. The PSM standard only state “what to do” not “how to do it”. This is known as self-regulatory policy which depends on the industries understanding to interpret the standard that also contribute to this problem. This paper presents a structured and easy technique to plan and implement a practical and comprehensive contractors' management system in process industries that will comply with OSHA CFR 1910.119. A model has been developed based on this technique and its application has been tested in a pilot plant for compliance to PSM regulation. The model is beneficial to the process industries as any deficiencies in the PSM contractors' management program will be highlighted by the model which will then easily correct the identified deficiency so as to minimize and prevent catastrophic accidents.     

木粉尘职业接触极限值的研究

木头作为原材料得到广泛应用 ,但硬木粉尘 (如橡木和山毛榉粉尘 )可导致人患鼻癌。不同国家的木粉尘的职业接触极限值 (或极限值 )却不尽相同。虽然关于木粉尘的极限值的国际讨论持续已久 ,但仍缺乏更好支持其极限值推导的健康相关数据。为保护木材加工工人的身体健康以及给木粉尘的职业接触极限值的制定机构提供可靠数据和科学决策方面的建议 ,笔者针对怎样为木粉尘 ,特别是致癌木粉尘制定一个合理极限值的问题 ,在“比较”和“设定”两方面对国际范围内的木粉尘的极限值进行了研究 ,其结果表明 ,大部分国家给予软木粉尘和硬木粉尘的极限值分别为 5mg/m3 和 1mg/m3 ;提出利用剂量 -影响 -关系和“线性多阶段”方法也可以给致癌硬木粉尘建立一个健康基础极限值或者一个可接受极限值 ,其极限值应该不仅根据木材类型而且还需根据工作岗位而分别综合设定。     

Occupational and public health and safety in a changing work environment: An integrated approach for risk assessment and prevention

During recent years the work environment has undergone significant changes regarding working time, years of employment, work organization, type of employment contracts and working conditions. In this paper, consequences of these changes on occupational and public health and safety are examined. These include the disruption of human biological rhythms, the increase of workers fatigue due to changes in patterns of working hours and years of employment, job insecurity and occupational stress, which have a serious impact on workers’ health and may result in an increase in occupational accidents. Unsafe work practices related to workload and time pressure, the impact of work changes on public safety and the deterioration of workers’ living conditions with respect to income, social-family life, health and insurance benefits, are also described. In this context, difficulties that occur due to the changing work environment in conducting effective occupational risk assessments and implementing OSH measures are discussed (for example, frequent changes between tasks and workplaces, underreporting of occupational accidents and diseases, lack of methodological tools, etc.). A fundamental criterion used while studying consequences on health and safety and the relative preventive measures is that health and safety must be approached as ‘the promotion and maintenance at the highest degree of the physical, mental and social well-being of workers’ and not only as retention of their work ability. Limits in combining “flexibility” at work and overall protection of occupational and public safety and health in a competitive market are put forward for discussion.     

Working Life Across Cultures: “Work Life 2000: Quality in Work” and Occupational Health Education in Developing Countries

The article reflects on the changing world of work, and the challenges presented to both occupational health and occupational health education. We draw on the 63 preparatory workshops and the international conference in the “Work Life 2000: Quality in Work” program, an initiative of the Swedish Presidency of the European Union. The International Commission on Occupational Health is introduced, with particular concentration on a current practical project initiated by the Department of Health in South Africa, intended to lead to a set of projects, networking for occupational health education in developing countries. The practical initiatives cast light on a new set of issues that arise when occupational health and safety crosses cultural barriers, and previously separate comparative cases are linked.     

A new program to promote injury prevention and its application in China

To create Safe Community is considered a new methodology to promote Harmonious Society in China. Safe Community (SC) is centralized by “injury prevention” which is a concept involved from occupational safety and health in process industry. In this paper, it first examined the definition and elements of SC. Then, it introduced a Safe Community program in Honey Lake of Futian District of Shenzhen in detail to depict the actual procedure to create a desired Safe Community in China. In this application, Occupational Safety and Health Council in Hong Kong played an important role to instruct the design and execution of SC principle and suggest ways to crystallize a culture of safety within a Chinese community. From the SC program in Honey Lake of Futian District of Shenzhen, China has found out a new way to promote injury prevention in a community. Also, using these experiences from this program, more SC could be constructed that is beneficial to the safety and health of Chinese people.     

职业卫生工作若干问题思考与探讨

在概述职业卫生内涵与基本属性的基础上,对其与职业安全、职业医学与公共卫生的关系进行初探.职业卫生是影响社会经济持续发展的重要因素,是以职业人群和作业环境为服务对象,以为劳动者创造或改善劳动条件(作业环境、劳动组织与管理)为主要手段,以预防和控制职业病或职业危害事故的发生为目的的一项劳动保护工作,与职业安全密不可分,同属劳动关系中劳动保护范畴,与职业医学、公共卫生也有着密切的关系,但并不等同.职业安全卫生的一体化管理是经济社会发展的必然要求,也是我国当前安全生产管理中亟需解决的重要问题.     

安全工程专业学历教育方案的中西对比研究

根据学科研究对象的异同 ,对中外不同名称的安全科学技术学科领域间对应关系的分析表明 ,我国的安全科学技术学科与美国、英国等西方国家称为公共健康的学科 ,我国的安全工程与西方国家的职业安全健康学科分别在宽泛和具体的意义上基本对应 ,相应的学历教育方案具有可比性。以此为据 ,运用案例比较研究了安全工程与职业安全健康学科专业学历教育方案中课程设置的多方面差别 ,分析了通过改善学历教育方案、加强职业安全培训途径来提高我国安全管理水平的努力方向。     

Correlation between crash avoidance maneuvers and injury severity sustained by motorcyclists in single-vehicle crashes

Objectives: In order to improve motorcycle safety, this article examines the correlation between crash avoidance maneuvers and injury severity sustained by motorcyclists, under multiple precrash conditions. Method: Ten-year crash data for single-vehicle motorcycle crashes from the General Estimates Systems (GES) were analyzed, using partial proportional odds models (i.e., generalized ordered logit models). Results: The modeling results show that “braking (no lock-up)” is associated with a higher probability of increased severity, whereas “braking (lock-up)” is associated with a higher probability of decreased severity, under all precrash conditions. “Steering” is associated with a higher probability of reduced injury severity when other vehicles are encroaching, whereas it is correlated with high injury severity under other conditions. “Braking and steering” is significantly associated with a higher probability of low severity under “animal encounter and object presence,” whereas it is surprisingly correlated with high injury severity when motorcycles are traveling off the edge of the road. The results also show that a large number of motorcyclists did not perform any crash avoidance maneuvers or conducted crash avoidance maneuvers that are significantly associated with high injury severity. Conclusions: In general, this study suggests that precrash maneuvers are an important factor associated with motorcyclists' injury severity. To improve motorcycle safety, training/educational programs should be considered to improve safety awareness and adjust driving habits of motorcyclists. Antilock brakes and such systems are also promising, because they could effectively prevent brake lock-up and assist motorcyclists in maneuvering during critical conditions. This study also provides valuable information for the design of motorcycle training curriculum.     

对烟花爆竹监管工作的几点思考

结合河南烟花爆竹企业的特点,贯彻落实国务院《烟花爆竹安全管理条例》,提出理顺体制,落实责任,规范准入标准和行政许可;明确省、市、县三级安监职责;新设立生产企业必须达到一定的规模标准;严格执行“三同时”制度,规范经营许可制度,外供烟花爆竹备案制度等。狠抓专项整治,深入开展安全检查,推行安全标准化活动,使企业达到“工厂设计标准化,生产工艺标准化,安全操作标准化,安全管理标准化”,增强企业防范事故能力。联合执法是安全执法的重要形式,由政府组织安监、公安、工商、环保、电力等部门联合行动,建立联席会议制度,定期互通情况,联合查处案件,对非法生产经营的窝点和地下小作坊等,采取严打、取缔行动,确保烟花爆竹安全生产。     

对乡镇企业职工的职业安全卫生知识、态度、行为的调查

从对某市部分乡镇企业职工的职业安全卫生知识、态度、行为所进行的调查看,不同状况的人群对职业安全卫生知识、态度、习惯有显著性差异。为此,提示职业安全卫生监督管理部门及企业的有关职能部门在职工的职业安全卫生教育中,要加强对文化程度低、年轻、工龄较短的职工的教育,并采用形式多样化手段。另外,职业安全监督管理部门还要加强监督外资企业做好职工的职业安全卫生教育。从职工对职业安全卫生的态度及行为结果看,提出在进行职业安全卫生教育时,要有针对性。不仅要给职工配备劳保用品,更重要的是监督职工经常和正确地使用劳保用品,并养成良好的卫生习惯