DEVELOPING OH CULTURE AND PRACTICE - PDO’s EXPERIENCE

Nasser Al Maskery

Chief Medical Officer

Petroleum Development Oman

• Overview of H & OH in Industry

• Impact of OH on Productivity

• Business Case for OH

• Managing OH hazards/HPI

• Way Forward

OBJECTIVES

Health is a state of complete physical,

mental and social well-being and not

merely the absence of disease or infirmity

WHO

The promotion of the highest degree of physical, mental and social wellbeing of workers in all occupations

The prevention among workers of departures from health caused by their working conditions

The protection of Workers in their employment from risks resulting from factors adverse to health

The placing and maintenance of the workers in an occupational environment adapted to his/her physiological and psychological condition WHO

WHAT IS OH

HEALTH

Living and working conditions

Psychologica

l

enviro

nmental

Edu

cati

on

Catering services

Physical

environment W

ater and

sanitatio

n

Medical services

Housing

HEALTH DETERMINANTS

Patient

Friends and neighbours

Hospital nurses

District nurses

Health visitors

Social workers

Home helps

Housing department staff

Voluntary organisation workers Chaplains

Employment officers

Dieticians

Chiropodists

Speech therapist

Occupational therapists

Physiotherapists

Psychologists

General practitioners

Medical consultants

Family

HOLISTIC APPROACH

Heredity (what we are)

Lifestyle (what we do)

Environment (where do we do it)

HEALTH OF PEOPLE AT WORK

WORK AND HEALTH

FACTS AND FIGURES

Global Labour Force 2837 millionNew cases of work-related illness 160 million per yearOccupational accidents 268 million per yearWork-related deaths 2.2 million per year

• Deaths due to work-related accidents and diseases make up 3.9% of all deaths

• 15% of the world’s population suffers from a work-related accident or disease in any one year

ILO 2005

WHAT IS AN OCCUPATIONAL ILLNESS?

A Work Related Abnormal Health

Condition or Disorder which is caused

(or Mainly Caused) by Exposure to

Health Hazards at Work.

Affected, But No Symptoms

Symptoms, But No Medical Attention Sought

Medical Attention Received, But Relationship of Illness to

Work Not Recognised

Recognised as being Related to

Work

The “iceberg” of Occupational Disease

REPORTED

NOT REPORTED

Obvious

CAUSAL ASSOCIATED EXTERNAL

Noise Malaria Cold and Flue

Dust Medical Treatment Relationship with Family

Heat Food Poisoning Artificial Society

Benzene Stress Lack of Privacy

H2S Communicable Diseases, HIV?

Inability to Support Domestic Crisis

Vibration Disease Transmitting Insects

Disrupted Home/Social Life

WORK HEALTH HAZARDS

• E & P Oil/Gas Company

• Concession area : 100971 km2

• 120 Fields

• 2700 Wells

• 2879km Pipelines

• 49 Gathering Stations

PETROLEUM DEVELOPMENT OMAN

• 12000 contracted staff

• < 4700 employees

• Different Work Schedules

• Operates 9 airstrips

• Maintains > 6000 km of roads

• Operates 8 camps (no families)

• Employs 23 rigs

PETROLEUM DEVELOPMENT OMAN

Our commitment is to:

• Protect the health and safety of staff, contractors’ employees and other persons affected by our activities.

PETROLEUM DEVELOPMENT OMAN

INDIVIDUAL WORK

• Effect of Work on Health

• Effect of Health on Work

OCCUPATIONAL HEALTH

EVALUATE

INVESTIGATE

FORMULATE

MANDATE AND EDUCATE

THE HEALTH MANAGEMENT CYCLE

PlanPlan

The PDOQuality

ManagementSystem for HSE

The PDOQuality

ManagementSystem for HSE

FeedbackFeedback DoDo

Monitor /Check

Monitor /Check

OCCUPATIONAL HEALTH PRACTICE TO SEEKS TO

•Predict Health

•Promote Health

•Protect Health

And thus improve the availability of Employees for Work

Proactive HPI

• Health Risk Assessment

• Workplace Listed Carcinogens

• Measured Personal Exposures

• Potential Personal Exposures

• Findings Health Surveillances

• Occupational Health Roadshows

Reactive HPI

• Sickness Absence

• Occupational Illness

• Medical Retirements

• A & D Consultations

• Non Accidental Death Cases

• Health Related Legal Claims

HEALTH PERFORMANCE INDICATORS

Health Risk Assessment50 HRA in place assessed by industrial hygienists. Exposure monitoring conducted as need.

Monitoring and Incident Reporting & Investigation

TROIF data published monthly. Non-accidental death investigation process recognized as best practice.

Health Impact AssessmentCompetence training required. Identify HIA consultants. Consolidate HIA with EIA

Human Factors Engineering in New Projects

Requirement in procedures is in place, however application is inconsistent.

Product Stewardship Chemical Management Guidelines, Chemical Advisory Panel and SHOC card system in place.

Fitness to WorkMinimum medical fitness standard, App. 5, Chapter 12 of HSE-Sm, in place. Policies for A&D, Smoking, Sickness Absence in place.

Local Health Facilities and Medical Emergency Response

Clinic with qualified doctors and nurses available. Emergency Response procedures and equipment in place.

Minimum Health Management Standards

PETROLEUM DEVELOPMENT OMAN

• Demonstrate MT Responsibility for Health

• Measurement of Performance Against Targets

• Promote Health

• Help to Set Priorities

• Information for Stakeholders

• Facilities Benchmarking

PURPOSE OF HPIs

“Poor health is more than just a consequence of low

income; it is also one of its fundamental causes”.

WHO

HEALTH AND WEALTH

Costs (Rx, Insurance etc.)

Accidents

Sickness Absence

Litigation

Experience/Expertise

Morale

Reputation

POOR OH RESULTS IN

THE BENEFITS OF EFFECTIVE OH MANAGEMENT INCLUDE:

• Eliminating illness related to work

• Managing medical care

• Healthy workforce

• Optimising business performance & reputation

• Meeting legal requirements

• Cost effectiveness

• Leading on OH recognition/Culture

• Communication with employers/employees

• Encourage site visits

• Monitor health status/developments/Technology

• Initiate/participate in OH research

• Influence Legislation

WAY FORWARD

Medical Profession

SOCIETY

INDUSTRYGOVERNMENT

A TRI-POLAR WORLD

THANK YOU

KEEP HEALTHY