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Health and Safety/
CDM Regulations
Philip Baker
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HEALTH SUMMIT
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FATALITIES
Range: 154 max, 35 min
Construction Industry
Courtesy of HSE (c) Philip Baker
0
20
40
60
80
100
120
140
160
FA
TA
LIT
IES
PERIOD
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WORKING DAYS LOST
Ill Health
1.7m
Accidents
0.6m
UK Construction Industry 2011 – 2012
2.3 million days lost
More people are off with MSD than with any other issue
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Cause Numbers
Asbestos 2,773
Solar radiation 841
Silica 701
PAH, coal tars and pitches 471
Painters and decorators 344
Diesel engine exhaust 290
CANCER REGISTRATIONS
56% of all registrations are in construction industry
UK Construction Industry 2004
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Other construction worker ill health
issues
COPD
Dermatitis
HAVS
Musculoskeletal
disorders.
ILL HEALTH
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IIDB
6,100 Industrial Injuries Disablement Benefit cases 2/3 (4,080) lung related disease (2,215
mesothelioma)
130 deafness
70 asthma
30 dermatitis
osteoarthritis of knee (carpet/floor fitters) added
Half of workers will have left the industry before they reach 60 i.e. instead of retiring they invalid themselves out.
New cases in
2014
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INDUSTRY CHANGE
Huge change in harm from early 1990s
⅔ to ¾ of major accidents happening on
sites that have fewer then 10 people
working on them
See HSE Plan of Work
Focus on simplification.
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COST OF ILL HEALTH
2/3 of the £14.3bn cost of work related
injury and ill health in Great Britain is
due to work related ill health - £9.4bn
UCATT says that the absence of sick
pay leads to presenteeism which puts
workers‟ colleagues health at risk.
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LEGAL – AUTUMN 2015
Small refurbishment sites – 46% below standard 692 enforcement notices
983 notifications of contravention
“Inspectors had to deal with … workers being exposed to silica dust and asbestos …”
“breaches were also followed up with clients and designers, reinforcing their duties under CDM2015 and helping them understand their responsibilities.”
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CHIEF INSPECTOR SAID
“The mis-conception that health issues
cannot be controlled is simply not true
and ruining people‟s lives. Harmful dust,
whether silica or wood, is a serious
issue and can be managed effectively
with the right design, equipment and
training”
“Each week 100 construction workers
die from occupational diseases.”
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ASBESTOS USES
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STRIPPING DEBRIS
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MMMF
Man made mineral fibres – glass or
stone
Break into shorter lengths not thinner fibres
Pre 1996 – “old mineral wool” category
2A carcinogen
Post 1996 and pre 2000 – „harmless‟
category 2B (half life of several hundred
days)
Post June 2000 – not bio persistent
(half life <40 days)
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DUST
Medical problems from dust include:-
Lung cancer
Chronic Obstructive Pulmonary Disease
(COPD)
Silicosis
Respirable crystalline silica (RCS)
A worker is at risk if the dust that they breathe
over a full shift contains more RCS than this.
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© Worksafe BC
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Engineering controls –
using a vacuum
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Respiratory protective equipment
– last form of control
http://fit2fit.org/
http://www.bsif.co
.uk/campaigns-
projects/clean-
air-take-care/
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SOLAR RADIATION
5 workers a day get skin cancer in UK
90% of all skin cancer deaths could be
prevented if people controlled their
exposure to UV
Around 40% of all malignant melanoma
cases involve construction workers.
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People who
have been
diagnosed with
non-malignant
melanoma are
9 times more
likely to get it
again
SUNBURN
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American truck
driver
Window side is
„20 years older‟
than the other
side
From New
England Journal
of Medicine
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CAUSES OF INJURY
Trips 19% Manual Handling 36%
Falls from
height 7%
Struck by
objects/vehicles
20%
Others 13%
Machinery 5%
Trips 19%
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bps solutions ltdonsite insight
PLASTERBOARD LETTER
BOX
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BLOCKS
Why less than 20kg Height
Posture
Twisting
Alternatives
Mechanical handling.
25k
g
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ABOVE SHOULDER HEIGHT
This is inevitable when building block work. According to
HSE guidelines, these blocks should weigh less than 10 kg!!
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BACK BENT > 20 DEGREES
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TWISTING THE TORSO
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BLOCKS
Midi blocks
Hollow blocks
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LAYING
Twin skin
Laid flat.
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HAND ARM VIBRATION
SYNDROME
Hand arm vibration syndrome (HAVS)
Vibration white finger
Repetitive strain injury (RSI)
Carpel tunnel syndrome
„Tennis elbow‟.
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VIBRATION WHITE FINGER
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BREAKING PILECAPS
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PILE REBAR CAGES
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Cancers
Lung
Bladder
Stomach
245 painters died in 2005
Latency.
PAINTERS
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DEEE
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DERMATITIS
Hands (and other parts of your body)
can end up looking like this
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CEMENT ALKALI BURN
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AVOID FLUX FUME -
CRIMP
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LEAD IN
PAINT
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WELFARE FACILITIES
Good enough to take your family into
Designers need to think about space
provision/location
Designers need to think about
electricity, water and drainage
connections.
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IOSH No Time to Lose campaign –
www.notimetolose.org.uk
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ANY QUESTIONS?
It is better to know
some of the
questions than all
of the answers
(James Thurber)
The im
porta
nt th
ing is
not to
sto
p q
uestio
nin
g
(Alb
ert E
inste
in)