Health Surveillance

Where risk assessments of company operations identify a need for health surveillance due to hazardous chemicals, etc., employees will be expected to co-operate and inform their manager/supervisor of any exposure they have suffered so that the necessary action may be taken to prevent a recurrence of the incident. 

The services of the company doctor will be sought where exposure to substances/chemicals necessitates a medical inspection and/or diagnosis of the exposure effects. Where considered necessary, the services of the Employment Medical Advisory Services or that of competent Occupational Health Advisers will be engaged should particular health problems arise from company works activities. 

The company will actively promote health campaigns sponsored by the Health Education Authority and, wherever possible, invite to company premises health surveys or x-ray services so that employees may take advantage of such schemes. 

Procedures 

A number of operations/activities carried out by the company will require monitoring by managers for signs of ill health within the workforce. Some ill health problems which may occur are:- 

Illness	Indications	Sources
Noise induced deafness / Tinnitus - constant noise in the ears.	Determined only by periodic (2 yearly) audiometry tests.	Noisy machinery or equipment.
Repetitive Strain Injury or Upper Limb Disorder	·      Pain in the affected limb or neck and shoulder.	Use of VDU equipment or other repetitive work.
Vibration White Finger	·         Tingling sensation in finger and lack of blood circulation to extremities ·      Swollen and numb fingers.	Use of road breakers and percussive equipment
Carpal Tunnel Syndrome	·      Extreme pain in lower arm/wrist. ·      Pins and needles sensation in fingers.	·      VDU work. ·      Use of vibratory machinery/equipment.
Leptospirosis	Flue like symptoms and persistent headache.	Work in areas where employees come into contact with rats’ urine.
Asthma	Long-term cough and respiratory difficulties	Dusty work or vehicle/machinery fumes.
Skin/Acne/Rashes etc	Skin discolouration/dryness, etc.	Corrosive chemicals, tar, bitumen etc.

Where risk assessments indicate possible employee exposure to health risks, managers are to ensure that health checks are carried out and records of any exposure kept.

1.2 Manual Handling Operations 

Many work activities include the need for manual handling of materials, etc. The Company will provide training on manual handling and, where requested by managers, carry out on-site assessment of risks to employees from specific operations. Employees who suffer from health problems that may affect their capability during manual handling tasks are required to report to their managers how these may limit their capability to lift. Managers shall confirm if employees have problems affecting their lifting capability and take this information into account during the preparation of any assessment involving the employee. 

1.3 Emergency Plans 

The company has prepared an emergency plan document and all relevant staff should familiarise themselves with any requirements they need to meet under the plan. Incident rehearsals/practice of procedures will take place from time to time. Up-dating of the emergency plan will be co-ordinated by the Technical Assistant (Emergency Planning Co-ordinator). 

1.4 Vehicles and Plant 

Company-owned vehicles or plant may only be driven by employees and others in possession of an appropriate valid driving licence (CITB, CTA or equivalent) and authorised to do so by the company. This applies on private property and the public highway. Company commercial vehicles are to be used only for authorised journeys and persons not employed by the company are not to be carried as passengers in vehicles excepting cars that allow for private use. 

1.5 Provision and Use of Work Equipment 

'Work Equipment' is broadly defined to include everything from a hand tool to a complete plant. 

'Use' includes starting, stopping, installing, dismantling, programming, setting, transporting, maintaining and cleaning. 

· All work equipment provided for use shall comply with the existing statutory safety requirements at the time of the intended procurement. Company specifiers and purchasers who intend putting any equipment into use are to first consult the manufacturer/supplier over the suitability of the equipment for its application and assess the hazards/associated risks from its intended installation, location, use, maintenance and operation. 

· Records of all maintenance as recommended by the manufacturer/supplier and repairs throughout the equipment's service life are to be kept by the user department. 

· User departments are to provide adequate information, instruction and training not only to the operator but also to those supervising or managing the operator. This means that the workforce are to have easy access to all relevant health and safety information and written instructions about the plant or equipment which they are operating or using. 

1.6 Procurement and Purchasing Controls 

The Group subsidiary companies shall within their procurement procedures incorporate controls to ensure that lack of information does not lead to accidental losses through injury, illness, damage or premature equipment failure. The most cost-effective procedure is to bear safety considerations in mind right from the start. Company specifiers and purchasers must in all cases apply a purchasing standard/statement that ensures consideration of occupational safety and health protection and provision of the necessary information and training by the supplier before a purchase is approved. This procedure is to be applied by management using an in-company working group. 

The purchasing policy to be applied by all subsidiary companies shall ensure that: 

· All new products, materials, substances and equipment are reviewed (risk assessed) for safety considerations prior to purchase as well as prior to being put into use. 

· Safety specifications are obtained with all tenders for supply and included on all orders raised. 

· Suppliers/manufacturers are audited for quality and health and safety on a regular basis as well as on revision or renewal of contracts for supply. 

· Safety information regarding machinery and equipment installation, use and maintenance shall be obtained from the suppliers. 

· Data sheets giving the chemical composition and hazardous properties of all substances shall be obtained from suppliers. 

· An assessment of all substances, including details of safe use, safe storage, safe disposal and first aid treatment, shall be carried out and employees informed prior to use of substances. 

· Where necessary the manufacturer/supplier shall be directed to carry out training of staff on the operation and maintenance of the equipment. 

1.7 Workplace Health, Safety and Welfare 

Subsidiary companies will take such steps as are necessary to meet current legislation. Rest rooms, where provided, are not to be used for storage of equipment or other items or materials. Segregated facilities will be provided for non-smokers where smoking is allowed on the company premises. Managers are encouraged to agree and adopt a non-smoking policy at all company premises. Due account will also be taken of lighting, ventilation and other facilities to ensure a safe and healthy environment. 

1.8 Substances/Materials Hazardous to Health (COSHH) 

The company is aware that certain substances/materials may cause bodily harm by inhalation, ingestion, skin contact or absorption through the skin. Suppliers' Health Hazard Data sheets are to be acquired for all items purchased. Prior to putting into use a substance/material an assessment shall be carried out to determine any health risks and whether control measures are necessary to guard employees against harm from the substance or material. These assessments are to be recorded on the COSHH Assessment form, stocks of which are available from the Group Safety Officer. Further information on COSHH is contained in the Health and Safety Instructions Manual. 

1.9 Safe Systems and Method Statements 

Where complex or potentially hazardous works are to be undertaken by either labour or contractors, safe systems of work documentation and method statements are essential. Departmental managers are to arrange that either they, or nominated persons, take responsibility for ensuring that safe system documents and method statements include all necessary safety points. These documents are contained within the Company’s Construction Design and Management Safety Plan (Construction Phase) standard documentation pack or may be obtained from the Group Safety Officer. 

Employees are to be fully briefed on the safe system/method of work decided upon and shall be issued with a copy of the document for reference during the work. 

1.10 Permits to Work 

Where the nature of the work necessitates introduction of a Permit to Work (eg Entry and Work in a Confined Space), guidance for managers is provided at the beginning of the Health and Safety Instructions Manual. Full use should be made of the forms and advisory information contained in this section concerning the various works where permits need to be employed. 

1.11 Active Monitoring of Safety Performance by Workplace Inspection, Checks and Audits 

Managers and Supervisors are to measure the performance of their department on a continuous basis. Assistance will be provided by the Group Safety officer or other appointed competent persons and, where considered necessary, by external health and safety consultants. 

Active Monitoring 

· Inspection of the workplace/sites on a daily basis in conjunction with visits for other reasons by managers and supervisors. 

· Joint inspection on a three-monthly basis with employee representatives. These inspections will include all plant and work activities. Checklists should be used to remind inspectors of the control measures identified as necessary by risk assessments. 

· Actioning of hazard reports from employees in general and from employee representatives. 

· Regular meetings with employee representatives to discuss health and safety matters. 

Procedures Compliance 

Each department will have access to the current health and safety arrangements and works health and safety instructions. Managers should check departmental compliance with the standards set out in the instructions. 

Performance Monitoring 

All employees with direct duties for health and safety and safety monitoring will themselves be subjected to performance monitoring by their immediate managers. 

Each department will appraise the information from risk assessments and ensure that risk control measures, including health surveillance, at their workplaces are reviewed to ensure they are suitable and sufficient. 

Managers and supervisors will observe employees to ensure that they are complying with the company works procedures and/or safe systems of work. Deviations are to be investigated and, where a serious health or safety risk is found, reassessment of hazards and employee re-training should be carried out so that the risk can be controlled. 

Functional directors/department managers will prepare an annual report on the health and safety performance of their departments for submission to the Managing Director. 

A health and safety tour should be carried out by each department manager at least on an annual basis. Managers are encouraged to invite a colleague from another department to participate in order to provide an independent assessment of compliance. 

Safety Inspection 

Safety inspections are to be carried out by department managers and should generally be conducted using a checklist. Inspections may involve:- 

A general inspection of a complete site or department. 

An inspection of one specific area of a site, a particular operation or controls for a particular hazard (e.g. fire precautions). 

Whatever method is used, the deficiencies highlighted by the inspection should be prioritised and corrected as soon as is reasonably practicable. Where a statutory requirement is breached the deficiency must be corrected as soon as possible. 

Employee Participation 

Employee-elected safety representatives are empowered to carry out workplace inspections and shall be encouraged to do so on a regular basis having first agreed a day and time with the department manager concerned. 

Situations where safety representatives may exercise their rights to carry out inspections are:- 

· Planned general workplace quarterly inspections 

· A substantial change in conditions of work 

· Notifiable accidents, diseases or dangerous occurrences (in conjunction with management) 

· Inspection of documents 

The employer is required to keep regarding workplace health and safety under a statutory provision (but not individual health records). The company will co-operate with safety representatives by allowing them reasonable time during working hours to carry out their duties. 

Inspection/Audit Report Procedure and Documentation 

Audits are to be reported and actioned as set out in the procedure shown later in this section. Findings of all audits are to be recorded on the Audit Form available from the Group Safety Officer. 

The Risk Assessment Form, also available from the Group Safety Officer, should be used to record information as necessary during an audit from which the summary and action plan is formed. The summary and action plan is to be used for information to employees as required in the Management of health and Safety Regulations 1992. 

Hazard reporting is to be conducted using the form and procedure set out in the section of this policy dealing with Consultation with Employees.

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Ditulis oleh Unknown pada tanggal Kamis, 13 Juni 2013