BCCEC - CBH downloadable

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Peter J Hand – CBH Operations Director

30th September 2010



What is CBH?

“A not-for-profit professional organisation

for the UK construction industry; working

in partnership with the occupational health

community to deliver solutions for the

pro-active management of construction

specific work related health”



Who we are...

Trevor Walker

Chairman

Bob Blackman MBE

UNITE

Alan Ritchie

UCATT

Phil Russell MBE

FMB

Rosemary Beales

CECA

Michelle Aldous

CEO

Wendy Stimson

OH Director

Dr Geoff Davies

OH Physician

Mandy Wickenden

Scheme Manager

Peter Hand

Operations Director



UK Construction Industry

226,000 Construction Companies

2.2 million workers

80% of Companies employ 5 or less



Safety

There were 151workers fatallyinjured in 2009/10,

of which 41 wereconstructionworkers.

Approximately 1worker per week –

killed on aconstruction site!



Health - Tip of the Iceberg?

• 1.7 million working days lost in 2008/9

• Cost of £760 million

• 10% of bricklayers leave industry after being diagnosed with

dermatitis

• 20 tradesmen /week die from asbestos related disease

• 500 deaths/year from cancer related to silica exposure

Over 1500 deaths a year



CBH are….

Working with the Construction Industry and OHcommunity to prevent workers having to live (or not!)

with these….



Asbestos

• 1.7 million working dys lost in 2008/9

• Cost of £760 million

• 10% of bricklayers leave industry after being diagnosed with

dermatitis

• 20 tradesmen /week die from asbestos related disease

• 500 deaths/year from cancer related to silica exposure



SILICA

the newASBESTOS?



Sandstone (>70%)

Sand, gravel, flint (up to 70%)Cement, mortar, concrete (25 to 70%)

Brick (up to 30%)

What is the Problem?

One of the most abundant materials on earth

Found in varying amounts in many materials:

http://www.airmanager.com/new/images2/HSE.gif



What is the Problem?




Why is it a Problem?

Particles need to be“respirable” to cause harm

Issue is RespirableCrystalline Silica or RCS

RCS particles can penetrate

to deep lungUsually invisible under

normal conditions









Main concern is SILICOSIS

Lung Disease

Reduced lung functionCan cause death

Disease continues to develop when exposure

has stopped

Can also cause lung cancer and COPD





Statistics are imprecise:

Affects 10 – 20 % of construction workers???

Over 500 silica related deaths in 2004 –»Over 10 a week

Research suggests silica is the second mostimportant cause of occupational lung cancerafter asbestos





Industry appreciation of the risk is poor:

People not aware of these health risks

Think that it is „just dust‟

Underestimation of exposure levels

Require convincing that control measures

work




COSHH sets WEL for RCS at 0.1mg/m3

(8hr TWA)

How Much is a Problem?





15 years daily exposure toRCS dust at averageairborne concentrations

(for an 8-hour shift) of:

Risk of developingsilicosis within 15 yearsfollowing cessation of

prolonged daily exposure0.02 mg.m-3 0.25%

0.04 mg.m-3 0.5%

0.1 mg.m-3 2.5%

0.3 mg.m-3 20%









15 min SLAB CUTTING (40% silica) in open air, noControl

Diamond blade = RCS exposure of 1.6 mg/m3

Resin blade = RCS exposure of 4.8 mg/m3




Control Solutions

• Can the risk be eliminated?

• Can a „dust free‟ method of work be used




Control Solutions

Water Suppression




Control Solutions

Water Sources




Control Solutions

Water Suppression has otheradvantages:

• Extends the life ofexpensive diamond blades

• Helps prevent build up ofdust in the machine workings




Control Solutions

Issues associated with water suppression use:

• Marking the cut line

• Slurry generation• Wet legs




Control Solutions

On-Tool LEV isalso an option




What about RPE?

Disposable (FFP3)

PF = 20

Power Assisted




More information

Time to Clear the air – free leaflet

http://www.hse.gov.uk/pubns/misc830.pdf

Time to clear the air! Using cut-off saws for

cutting kerbs and flag paving – DVD

http://www.hse.gov.uk/construction/cleartheair/index.htm








CBH Website



CBH Publications



The National Scheme



CBH Model

Industry Standards

Industry Knowledge

Data Management

Data Distribution

REFERRAL&

REHABILITATION

KNOWLEDGE PLATFORM

Dedicated helpline

Website

Training & Education

CHATService Delivery Network

Accredited OHSP

Risk management

link to COHME

DATA PLATFORM

National Database

CBH/CSCS Card



Construction IndustryStandards



Industry Standards

• Accredited OH Service provision – ensuringcompetence

• Outlines legal – recommended – good practice for

health surveillance and checks» Job role

» Hazards potential

» Risks associated

» Defines „safety critical‟

• Currently working in partnership with HSE to

develop risk management standards



How do the Standards apply?

• Defines for the first time „safety critical‟ in construction

‘where the ill health of an individual may compromise

their ability to undertake a task defined as safety critical,thereby posing a significant risk to the health and safety of others’

» Plant operations

» Asbestos Licensed Removal

» Roadside

» Railtrack-side

» Tunnelling / confined spaces

» Working at extreme height, i.e. abseiling – rope specialists

» Others as identified via risk assessment process



CBH Website



FFT Check Data

Display



CSCS & CBH working together



Example Data Display for PrincipalContractors (Site)

{Name of Employer} Construction Company has undertaken to manage an occupational health programme for

{Name of Employee}

Mr Andrew N Other

If Employer displayed here is incorrect, please refer to current employer, as this may indicate that a valid and appropriate occupational health programme is not in place

Health Assessment for Safety Critical Tasks:

Date completed: Date valid until: Recommendations:

10th December 2009 9th December 2012

Should not undertake track side Work (Please refer to Manager)

Should not undertake work in confined spaces (Please refer to Manager)

Should not undertake lone working (Please refer to Manager)

Should not undertake asbestos licensed removal work (Please refer to Manager)

Statutory Medicals:


Asbestos 10th December 2009 9th December 2012 Should not undertake asbestos licensed removal work (Please refer to Manager)

Ionising Radiation

Lead

Compressed Air



Example Data Display for Employers

Routine Health Surveillance

Type Date completed: Date valid until: Recommendations:

Skin

09/12/2009 08/12/2010Suitable and efficient Personal Protective Equipment should be used in theevent of any exposure to any substances hazardous to skin, i.e. sensitisers.

Skin care regime should be implemented

Respiratory 09/12/2009 08/12/2010

Noise 09/12/2009 08/12/2010

Vibration09/12/2009 08/12/2010 Vibration exposure should be reduced so far as is reasonable practicable

Manual Handling

Health Assessment for Safety Critical Tasks:


09/12/2009 08/12/2012

Should not undertake track side Work

Should not undertake work in confined

Should not undertake lone working

Statutory Medicals:


Asbestos 09/12/2009 08/12/2012 Should not undertake lone working (Please refer to Manager)

Ionising Radiation

Lead

Compressed Air



Aims and Objectives of CHAT

• To provide a cost effective OHMS foremployers

• To provide Principal Contractors (PC) with

a demonstrable way of ensuring the supplychain management of OH

» “although PCs have no legal responsibility to provide the health surveillance they could be expected to demonstrate that

subcontractors had made appropriate arrangements ”

• HSE Solicitors Office (CDM 2007 and HSW Act 1974. )



What is CHAT?

• A secure web-enabled software package enabling contractorsto manage the risk of work related health at organisationaland site level

• Enables supply chain to demonstrate OH management

• Production of company and individual action programmes for

» Training and awareness raising for work related health risks(TBTs)

» Health surveillance programme linked to Industry Standards (bytrade/hazard exposure)

• Delivers the full suite of CBH tool box talks:

» According to individual action plan» Recordable – audit trail

» Interface to a smartcard solution for demonstration oftraining/CPD













CBH Contractor Membership



Corporate Membership

Fees: Annual

Turnover

Annual

Membership

<£250k £250

£250k - £2m £500

£2m - £5m £850

£5m - £10m £1,200

£10m - £50m £2,400

>£50m £3,800

Self Employed £25

All fees exclude the cost of Occupational Health checks and are exclusive of VAT



Corporate Membership

Benefits: > CBH Database & Membership Cards

> General Helpline & website

> Construction Health Action Toolkit (CHAT)> Dedicated helpline

• Legal

• Case management

• Impartial OH advice

• Policies & procedures

> OHSP pre-contract advice

> Discounted training events/conferences

> Pilot study involvement• on site health promotions, i.e skin cancer awareness

> Preferential access to:

• Discounted CBH publications

• Key stakeholder/working groups on future OH policy/strategy



Individual Membership

Fees:£51.75 (For 3 years membership)

All fees exclude the cost of Occupational Health checks and are exclusive of VAT



Individual Membership

Benefits: > CBH Database & Membership Cards

> General Helpline & website



In Summary



Why the CBH Scheme?

• Demonstrates a forward thinking approach• Enhances perception by prospective clients

• CDM compliance solution (Regulation 13&22)

• Visible investment in your people• Strengthens your supplier partnerships

• Pushes corporate responsibility to the next level

• Reduces potential of litigation and claims

How Healthy is your company Health & Safety policy?



What are the Real Benefits?

• Reduction in unplanned working days lost dueto work related illness

• Worker‟s Occupational Health data travels withthem

• Better staff retention = Reduction in recruitmentand training costs

• Enhanced industry reputation as a goodemployer

• Potential reduction in liability insurancepremium

Have you dealt your workforce the right cards?

S



Successes

• Industry Recognition

» Occupational Health Journal – Overall Winner 2008» National Business Awards 2009 Finalist

• Clients

» Sainsbury‟s – Pilot

» Environment Agency - Framework

» Highways Agency – Poster Campaign» ProCure 21

» Asda Walmart

» Crossrail

• Some of our Contractor Members

» Jackson Civil Engineering» Erith

» Rhodar

» Birse

» BAM Nuttall

CBH



CBH are…

Putting

HEALTHinto

Health & Safety…are you planning to?

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