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Peter J Hand – CBH Operations Director
30th September 2010
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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”
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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
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UK Construction Industry
226,000 Construction Companies
2.2 million workers
80% of Companies employ 5 or less
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Safety
There were 151workers fatallyinjured in 2009/10,
of which 41 wereconstructionworkers.
Approximately 1worker per week –
killed on aconstruction site!
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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
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CBH are….
Working with the Construction Industry and OHcommunity to prevent workers having to live (or not!)
with these….
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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
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SILICA
the newASBESTOS?
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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:
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What is the Problem?
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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
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Why is it a Problem?
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Why is it a Problem?
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
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Why is it a Problem?
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
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Why is it a Problem?
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
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COSHH sets WEL for RCS at 0.1mg/m3
(8hr TWA)
How Much is a Problem?
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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%
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How Much is a Problem?
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How Much is a Problem?
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
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Control Solutions
• Can the risk be eliminated?
• Can a „dust free‟ method of work be used
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Control Solutions
Water Suppression
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Control Solutions
Water Sources
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Control Solutions
Water Suppression has otheradvantages:
• Extends the life ofexpensive diamond blades
• Helps prevent build up ofdust in the machine workings
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Control Solutions
Issues associated with water suppression use:
• Marking the cut line
• Slurry generation• Wet legs
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Control Solutions
On-Tool LEV isalso an option
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What about RPE?
Disposable (FFP3)
PF = 20
Power Assisted
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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
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CBH Website
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CBH Publications
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The National Scheme
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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
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Construction IndustryStandards
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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
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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
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CBH Website
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FFT Check Data
Display
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CSCS & CBH working together
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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:
Date completed: Date valid until: Recommendations:
Asbestos 10th December 2009 9th December 2012 Should not undertake asbestos licensed removal work (Please refer to Manager)
Ionising Radiation
Lead
Compressed Air
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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:
Date completed: Date valid until: Recommendations:
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:
Date completed: Date valid until: Recommendations:
Asbestos 09/12/2009 08/12/2012 Should not undertake lone working (Please refer to Manager)
Ionising Radiation
Lead
Compressed Air
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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. )
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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
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CBH Contractor Membership
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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
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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
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Individual Membership
Fees:£51.75 (For 3 years membership)
All fees exclude the cost of Occupational Health checks and are exclusive of VAT
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Individual Membership
Benefits: > CBH Database & Membership Cards
> General Helpline & website
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In Summary
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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?
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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
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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