Safety metaphors and theories,a review of the occupational safety literature of the US,UK and The Netherlands,till the first part of the 20th century

The 19th century and first half of the 20th century is one of those periods in history of rapid economical, technical and social changes. There is an ongoing mechanization, followed by a movement to rationalize production and to make it cost effective. This has created a heavy burden of occupational deaths amongst workers. In this period occupational safety is developing into a professional field. Engineers are enclosing hazards and fencing heights, shaping up safety technique, and writing very practical publications on occupational safety. These publications, predominantly published in the United States, are leading to quite some safety related metaphors, with the iceberg and the domino’s as the most famous ones. Sociologists, psychologists, and physicians are more concerned with questions related to accident causation, and these specialists are conducting research leading to two different safety theories. Causes of occupational accident are found either in the workers’ capacity to handle hazardous situations, or in external causes, like very long working hours, dangerous machines and the increased pressures of work and speed of production. The Pittsburgh survey, the first extended analysis of occupational accidents in a steel district, strongly advocated the environmental hypothesis, while the so-called ‘individual hypothesis’ is favored by the American Safety First Movement, starting as a private initiative in 1906 by US Steel, and later spreading out over Western European countries. The British Industrial Fatigue Board has given the individual hypothesis its scientific justification. Despite scientific criticism just after World War II on the concept of accident proneness and ‘unsafe acts’, its popularity is not fading. Even nowadays the famous metaphors are still part of the vocational training of safety experts, also in The Netherlands. Apparently professional and scientific developments in occupational safety are belonging to two separate worlds. Before World War II, The Netherlands is not a leading country in occupational safety but a follower, first of France and the German speaking countries. After World War I its focus is directed towards the Anglo-Saxon countries.     

Small enterprises – Accountants as occupational health and safety intermediaries

Small enterprises face serious occupational health and safety challenges. The occupational risks are high and resources to control the risks are low. There is an ongoing search for ways that authorities and professional bodies can efficiently reach out to small enterprises with preventive measures. It has been suggested in the literature that accountants could act as intermediaries on health and safety. A pilot project was carried out in Denmark to test this possibility. State-authorized accountants were invited to training seminars to give them the necessary health and safety knowledge to provide advice to small enterprises. 164 accountants participated in the seminars and 74 accountants replied to a follow up questionnaire about their experience of advising their small enterprise clients about health and safety. Most of the accountants had actually given health and safety advice and for most of them it was a positive experience. However, they also faced constraints due to the relatively minor role health and safety played in their agendas with their clients and their own limited knowledge about health and safety even after taking part in the training seminars. This study concludes that it is possible for accountants to act as health and safety intermediaries, but that institutional support for the training activities is important to secure a broader application of this approach.     

实施清洁生产,预防职业性危害

随着经济的发展 ,环境问题日趋严峻 ,同时由职业性危害因素导致的职业性危害或灾难也日趋增加 ,为了遏制环境的日益恶化 ,目前世界上大多数国家都实施了清洁生产 ,从源头控制环境污染已成为潮流。而在一定的劳动条件下或生产经营活动中 ,职业性危害因素主要存在于生产过程、劳动过程和生产环境 3个方面 ,而企业在实施清洁生产时 ,为诊断企业“不清洁”的因素 ,也要从这 3个方面来识别和评价。基于上述观点 ,笔者提出了结合企业的清洁生产来识别职业性危害因素 ,以预防职业性危害的发生和发展 ,并提出了具体预防职业性危害的清洁生产措施以及用职业健康监护来检验这些措施的效果 ,以实施安全生产 ,保护劳动者的生命安全与健康。     

Worker training and education in occupational safety and health: A report on practice in six industrialized western nations : Part four of a four-part series

During 1980–1981, a study was conducted of worker training and education in occupational safety and health in Canada, Great Britain, Sweden, France, the Federal Republic of Germany, and the United States. This article is the fourth in a four-part series of the findings of this study. Part one discussed the genesis of the study and the study design, reported on the training requirements of the occupational safety and health legislation in each of the six countries, and considered the implications of this legislation for worker training and education. Part one also included information on how each country is organized to carry out worker training and education in occupational safety and health. Part two discussed the role perceived for worker training and education as an occupational injury and illness countermeasure and identified and described the major components of the occupational safety and health training infrastructure in each country in the study. Part three reported on strategies for worker training including course design, construction, delivery, evaluation, and costs. Part four provides synopses of worker training and education for selected subsets of the worker population, e.g., migrant workers, nonorganized workers, employees of small business establishments, and employees of the federal or central government. Worker training and education programs are discussed for the following industries: construction, marine cargo handling (longshoring), and petroleum refining and related industries.     

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     

中国职业安全的现实问题

中国职业安全现实引起社会关注,特别是务工农民伤亡事故的数字背后,隐含着对职业安全的认识,职业人群的安全健康理念,职业安全健康的法规基础等深层次问题。笔者指出了现代职业安全存在的现实状况;提出需要关注的难点;强调人的安全健康是职业安全的实质;给出了职业安全与安全生产的差异,分析了务工农民的安全意识与安全文化冲突,呼吁职业安全需要法律保障,建立一体化的职业安全健康法律法规体系,以《宪法》为基础,以人为本,保护从业人员的安全健康。     

Worker training and education in occupational safety and health: A report on practice in six industrialized western nations: Part two of a four-part series

During 1980–1981, a study was conducted of worker training and education in occupational safety and health in Canada, Great Britain, Sweden, France, the Federal Republic of Germany, and the United States. This article is the second in a four-part series of the findings of this study. Part one discussed the genesis of the study and the study design, reported on the training requirements of the occupational safety and health legislation in each of the six countries, and considered the implications of this legislation for worker training and education. Part one also included information on how each country is organized to carry out worker training and education in occupational safety and health. Part two discusses the role perceived for worker training and education as an occupational injury and illness countermeasure and identifies and describes the major components of the occupational safety and health training infrastructure in each country in the study. Part three will report on course design, construction, delivery, evaluation, and costs. Part four will provide synopses of worker training and education for selected subsets of the worker population, e.g., migrant workers, nonorganized workers, employees of small business establishments, and employees of the federal or central government. Worker training and education programs will also be discussed for the following industries: construction, marine cargo handling (longshoring), and petroleum refining and related industries.     

Worker training and education in occupational safety and health: A report on practice in six industrialized western nations : Part three of a four-part series

During 1980–1981, a study was conducted of worker training and education in occupational safety and health in Canada, Great Britain, Sweden, France, the Federal Republic of Germany, and the United States. This article is the third in a four-part series of the findings of this study. Part one discussed the genesis of the study and the study design, reported on the training requirements of the occupational safety and health legislation in each of the six countries, and considered the implications of this legislation for worker training and education. Part one also included information on how each country is organized to carry out worker training and education in occupational safety and health. Part two discussed the role perceived for worker training and education as an occupational injury and illness countermeasure and identified and described the major components of the occupational safety and health training infrastructure in each country in the study. Part three reports on strategies for worker training including course design, construction, delivery, evaluation, and costs. Part four will provide synopses of worker training and education for selected subsets of the worker population, e.g., migrant workers, nonorganized workers, employees of small business establishments, and employees of the federal or central government. Worker training and education programs will also be discussed for the following industries: construction, marine cargo handling (longshoring), and petroleum refining and related industries.     

International survey on the education of occupational health nurses

In 1990 the Scientific Committee on Occupational Health Nursing (SCOHN) of the International Commission on Occupational Health (ICOH) carried out a survey on the education of occupational health nurses (OHN) in various countries. A questionnaire with 23 questions was mailed to 50 countries.Replies were received form altogether 37 countries (74%). The length of the general nursing education varies from two to five years, being three years in 21 countries. In two European countries it is less than three years.Some special training in occupational health is included in the general nursing education in 14 countries. However, the length of this training varies considerably. The special training is the longest in Denmark, Finland and Norway.According to the answers, special postgraduate courses are organized in 21 countries. Training in occupational health is also included in the public health nursing education of 12 countries.University level programs on occupational health nursing are available in eight countries. Joint education on occupational health at university level has been organized for various professionals in 13 countries. The length of this education varies greatly from some months to several years. In four countries the length of this joint education is one academic year.General nursing education is the basic requirement for occupational health nurses in most of the countries surveyed. However, training in occupational health is not included in this education in most of the countries. Special postgraduate courses in occupational health are organized in 21 countries to OHNs who are employed in Occupational Health Services. There is an urgent need to develop the education of OHNs in most countries surveyed.     

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.     

Development of a new masters program for occupational physicians in Flanders

Background: discussions with occupational physicians and a postal survey identified the shortcomings of previous programs, mainly found in the fields of occupational hygiene, ergonomics, environmental health and management.Objectives of the new program: basic knowledge (see content), the development of problem solving skills, scientific and social attitudes.Content: first year: occupational health practice, occupational hygiene, epidemiology, work physiology, toxicokinetics and dynamics and in service training (4 weeks). Second year: occupational pathology, environmental health, ergonomics, social legislation, safety, management and in service training (4 weeks). The total study load is estimated at about 1600 hours per year.Methods: interactivity is stimulated by the introduction of interdisciplinary seminars, project work in groups and Socratic dialogue. The objectives, contents and teaching and student-evaluation methods of the separate items were defined before selecting teachers.Finality of the program: a masters title sufficient to practice occupational medicine in Belgium. A subsequent postacademic training of 2 years, while at work, will be required for the title of specialist in occupational medicine, valid at European Union (EU) level. It will include preparing and publically defending a thesis.Statement: The collaboration of ex-students working in the field is essential in the development and quality assessment of adequate teaching programs.     

Training trade unionists in ergonomics: Interaction between public policies, trade union practices and the development of research

For a number of years now, enterprises have become increasingly interested in training in the area of health and safety at work. Even though trade unionists and managers see different advantages in such training, they share the same willingness to reduce occupational injuries. Even if demand for training is sometimes limited on purpose (all that is expected of it is to pass on recipes enabling work to be continued without getting hurt), training in safety and health is a privileged point of contact between researchers and trade unionists. But the contact between these two groups of actors in the process of changing working conditions does not happen without raising a number of questions: that of reciprocal mental images of each other, for instance, something which will condition the ways in which their knowledge meets; or the issue of the target groups of training: all the workers or just the delegates representing the workers in cooperation bodies? Other fundamental questions relate to the context in which training takes place: what type of training should take pride of place? What is the role of the expert in this approach? And how should the expert's knowledge be linked in with that of the workers?     

日本劳动安全卫生监管模式对我国的借鉴作用

学习和借鉴国外先进的安全生产管理模式,可以促进我国安全生产监管水平的不断改善。日本的劳动安全卫生监管采用了超前管理和过程管理方式,政府监管部门通过制定和完善有关法律法规,建立政府计划指导,劳动灾害防止团体和产业协会提供技术服务,企业承担劳动安全卫生主体责任,使劳动安全卫生政策、计划得到有效的执行和不断的修正。经多年的实践和积累,日本劳动安全卫生的重点已从灾害预防控制,向劳动工作紧张焦虑预防控制、创造舒适劳动环境转移,整个劳动安全卫生监管模式进入了一个良性循环。该文借鉴日本劳动安全卫生监督管理体制四十多年的经验,提出我国职业卫生监管应该通过培训教育,提高全民的劳动安全卫生意识。要充分研究和利用第三方技术服务组织,规范第三方技术服务,承担我国劳动安全卫生的事务性工作。     

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。     

A graduate level course: Teaching stress management skills to occupational health physicians and practitioners

The WHO Study Group on Training and Evaluation in Occupational Medicine has recently emphasized the importance of incorporating theoretical and practical aspects of stress prevention and management in the professional training of occupational health practitioners. Such a course was developed for the Tel-Aviv University Medical School graduate program in occupational health. The course objectives are consistent with the current call for improved training in psychosocial issues in medical care. Twenty-three occupational health practitioners (physicians, nurses, hygienists and social workers) participated in a bi-semester course. The first part included a stress management and prevention program based on the RET (Rational-Emotive Training) model. The second involved developing and implementing a field project on primary and secondary prevention of stress and its outcomes. Pre-, mid-and post-course questionnaires showed significantly improved psychosocial ability and reduced irrational/dysfunctional thinking, considered a causal factor in stress and burnout. Acquiring such anti-stress resources may benefit practitioners and clients/patients, both potential victims of occupational stress alike. We recommend the inclusion of such extended courses to the professional training of occupational health practitioners.     

A new training specification for workplace health promotion

The field of workplace health promotion has seen developments of concepts, practice and interest in recent years. However, recent EC wide research has pointed to problems which constrain its development. These include a lack of awareness amongst the major players who are in a position to implement workplace health promotion, difficulties in transmitting the concept of and organising genuine inter-disciplinary approaches to workplace health promotion, and a lack of training courses in the area.This paper describes a project to develop a training specification for workplace health promotion targeted at a range of professional and non-professional groups. These include occupational physicians and nurses, safety engineers, personnel managers, health and safety representatives and others.The project has developed a modular training specification — each trainee group can undertake all modules to an appropriate level of detail. It focuses on two broad areas — the health promotion process and the roles necessary to support that process. The first area defines an idealised health promotion process, which has been divided into 7 phases, while the second area outlines 6 principal roles in relation to interacting with that process. Future work will see the implementation of the training specification in a number of test sites.     

The effect of first aid training on Australian construction workers' occupational health and safety motivation and risk control behavior

METHOD: A 24-week experiment was conducted to assess how first aid training affects the motivation of small business construction industry employees in avoiding occupational injuries and illnesses and its effect on their occupational health and safety behavior. A simplified multiple baseline design across workplace settings was used to evaluate the effects of first aid training. Participants' motivation to control occupational safety and health risks was explored during in-depth interviews before and after receipt of first aid training. Objective measurement of occupational safety and health behavior was conducted by a researcher directly observing the workplace before and after participants received first aid training. RESULTS: The observations at participants' worksites suggested that, for the most part, the first aid training had a positive effect on the occupational safety and health behavior of participants. First aid training appeared to reduce participants' "self--other" bias, making them more aware that their own experience of occupational safety and health risks is not beyond their control but that their own behavior is an important factor in the avoidance of occupational injury and illness. First aid training also appeared to reduce participants' willingness to accept prevailing levels of occupational safety and health risk and increase the perceived probability that they would suffer a work-related injury or illness. Participants expressed greater concern about taking risks at work after receiving first aid training. IMPACT ON INDUSTRY: It appears that first aid training enhances participants' motivation to avoid occupational injuries and illnesses and improves their risk control behavior. The implications of this are that first aid training can have a positive preventive effect and could complement traditional occupational health and safety training programs. As such, there may be benefit in providing first aid training to all employees rather than limiting this training to a small number of designated "first aiders."     

From input to outcome: Changes in OHS-education and training

Work organization, technology and working population characteristics change rapidly in many countries, although not always in the same direction. In many industrialized countries new trends are a growing services sector, an aging working population, and an increased work pressure.The participation rate of women is growing in the Netherlands, in contrast with the rate of handicapped workers. In the working population, work-related musculoskeletal diseases and psychic problems like mental break-down and burn-out prevail. Sickness absence and disability are important issues. Risk assessment and health and safety information are new duties of the employer.Nowadays Occupational Health and Safety Services are more multidisciplinary organized and have to prove their quality and utility. Therefore, occupational health and safety professionals have to learn skills like risk assessment, health and safety promotion, consultation, rehabilitation, and interdisciplinary cooperation.Experiential learning connects the practical experience of the participants with reflection and new insights during the course.     

Psychological Approaches to OSH Research—An Evaluation of 20 Years of Psychological Research on Industrial Safety and Health in Germany

During the past 20 years of research in occupational safety and health (OSH), major contributions have been made by psychology in general, foremost German work and organizational psychology. This is the result of an empirical study with 216 scientific projects that were analyzed by content, and 32 interviews on OSH with experts on science, as well as in professional occupations and federations. Its sound methodological and theoretical approach has helped work and organizational psychology to embody itself as a driving force of OSH. The research focuses on the development of tools for job analysis, striving for the valid diagnosis of occupational hazards and mental load. Consequently, work and organizational psychology provides a solid foundation for deriving human and personality ameliorating organizational measures. Among the predominant means of intervention are training in coping with stress, behavioral training and modeling, health circles, and the arrangement of environments sensitive to occupational load. Major deficits in the field of research show up within evaluation and transfer as well as within quality control of the developed diagnostic and devices regarding intervention. Future scientific effort by means of application-orientated methods is vital to detect and overcome effectively a mounting mental load in the occupational world.