Occupational Safety and Health a Priority for Management System of

SC LEIPA PACK SRL

Ion Necula, General Manager

Liliana Rapas, M.D.Dr.D.

The Buildings

Extrudare : 673,89 mp,

Printing building: 608,79 mp,

Utilities building: 127,10 mp,

Gate building: 9 mp,

Plumbing, fire fighting installation: 110 mp,

Local water source:70 m,

Septic waste, Offices: 175,84

mp.

Products (1)

Products (2)

Products (3)

Products (4)

Products (5)

Products (6)

Technology

Extruder

Printing

Raw Materials and Waste Quantities Main raw materials: 250 t/month

* paper and cardboard * polyethylene* ink

Waste: paper, cardboard, polyethylene 2 t/month

movement: mechanical manual

Quality, Safety and Health Management

ISO 9001:2000

Risk AssessmentRisk indices/occupation

3,11 – 3,61

Occupational Health Surveillance45 workers

Management of MSD Consultation:

*with workers*with safety specialists and occupational medicine physician

Risk Identification:*team: safety specialist, occupational medicine physician, human resources manager*information sources: occupational diseases statistics, work injury statistic, workers complaints, first aid reports, workplace’s ergonomics

Risk Assessment:*risk assessment specialists

Risk Control:* engineering control (work environment, equipment, materials)* administrative control (work organization, human resources and materials)

Education and Training of Workers (risk identification, first signs and symptoms, potential health effects, measures and work procedures for prevention, mechanical aids and protective equipment, risk control)

Assessment Policy and Procedure (general/high risk, a structure for

responsibilities and policy implementation)

EDUCATION

TRAINING

RISK FACTORS OF MSDa) the physical demands of work activities, including:

force requiredrepetitiondurationwork postureslocal contact stresses

b) aspects of the layout and condition of the workplace:working reachesworking heightsseatingfloor surfaces

c) the characteristics of objects handledsize and shapeload condition and weight distributioncontainer, tool and equipment handles

d) environmental conditions, including cool temperaturee) the characteristics of the organization of work:

work – recovery cyclestask variabilitywork rate

Law(1) GD 355/2007Occupational Health Surveillance

Sheet no. 127 and Sheet no.125

• Pre placement medical assessment• Fitness for work

• Periodical medical exams• Major diseases for work

Law(2) GD 1425/2006 Methodological Norms for Implementing the

Law for Safety and Health at Work no. 319/2006

Table 22 – occupational diseases

Disease Risk Factor

Bursitis Load movement

Epicondylalgia Repetitive movement

Synovitis

Tendinosis Extreme postures, bad and

Tenosynovitis prolonged

Joints inflammations trauma of joints

Disorders of back spine

Disc protrusion

Fracture of the bones

MSD neck pain

lumbar back pain

joints pain* elbow* ankle* knees

Lumbar Back Spine

Identification of risk factors Risk assessment and control Workers training on MSD risk Advices:

* lifting the loads* good posture * technical equipment* protective equipment

Occupational medicine surveillance Management of the diseases

(diagnostic – treatment – prophylaxis)

Elbow Joint Identification of risk factors

(repetitive movement, contact pressure) Recognizes of risk for MSD

(risk assessment and control) Education and training for workers Occupational Health Surveillance (algorithm)

*exclusion of red flags for potentially serious elbow conditions: fracture, dislocation, infection, tumor, inflammation, progressive neurological deficit, vascular compromise;*contusion/epicondylalgie/epicondylitis/ tendinosis/radial tunnel syndrome/

ulnar tunnel syndrome/olecranon bursitis, infectious or noninfectious/biceps tendinosis/

pronator syndrome/nonspecific elbow pain

Work and medical history, focused physical examination

N Potentially red flags Y

Discuss, educate, reassure, manage pain, precribe activity

Red flags for neurovascul

ar compromise, hematoma,

effusion, septic joint

Red flags for tumor, dislocation, fracture, inflammation

Return to usual activities

Modify activities and work

Emergency studies

Imaging, lab studies

INITIAL VISIT

If condition unresolved, reases with

interval history and focuses

physical exam

7 DAYS information specialist OM

Reassure, discuss, educate, precribe condition-specific

treatment and modify workas

needed

3 – 4 weeksIf condition unresolved,

reassess with interval history

and brief, physical exam

Special studies Pain assessment if indicated

abnormal Y abnormal

NOSpecialist

consultation (alg.3 si 4)

Psychological consultation

If condition unresolved, evaluation by specialist for

conservative care

6 – 8 weeks

CONCLUSIONS

PARTENERSHIP

PRIORITY

INTEREST

THANK YOU!