ulvenday210 presentasjon mlc2006nshc2012[1]

MLC 2006

The relevance of Maritime

Occupational Health Services

Dr. Arne J. Ulven, Specialist in occupational medicine, Research Director NCMM

HSE

Reality or….?

H S E

?

Why this big S ?

No interwal between exposure and effect

Important in the process of prequalification

High attention from media

Great impact on reputation/image

High economical costs

Why this medium E ?

Small/medium interval between exposure and effects High focus globally Strong NGOs

High level of care for sea-birds, fishes, beaches, plancton, microorganisms ++ Great impact on reputation/image The «pollutor» must pay (huge sums)

Why this small H ?

Often 20-30 years between exposure and disease

Often not discovered before retirement

Often not discovered at all

Might not yet be discovered by the occupational health professionals Small and weak NGOs Small or no economical consequences for the responsible company

“Out of sight, out of mind” ITF report dated 2006

:

“Out of sight, out of mind” ITF report dated 2006

“Out of sight, out of mind” ITF report dated 2006

“..., it is clear that in spite of the international framework of human rights declarations and associated conventions, fine words……….

“Out of sight, out of mind” ITF report dated 2006

…….do not translate into real protections unless they are incorporated into national legislation and effectively implemented.”

“Out of sight, out of mind” ITF report dated 2006

“Seafarers and fishers are routinely made to work in conditions that would be unacceptable in civilised society.”

“Out of sight, out of mind” ITF report dated 2006

“These cases occur in spite of the existence of an extensive body of international instruments in the form of conventions, treaties, codes and recommendations,……”

“Out of sight, out of mind” ITF report dated 2006

“Both seafarers and internationally operating fishers are dependent on the ratification and effective implementation of international conventions to protect their fundamental rights. They rely on the responsible engagement of flag States, port States and labour supply States.”

“Out of sight, out of mind” ITF report dated 2006

“The new ILO Maritime Labour Convention (2006), when in force, will broaden the scope of inspections from the largely technical, to include minimum standards for seafarers’ employment and social rights.”

“Out of sight, out of mind” ITF report dated 2006

“It is time to raise the profile of the human element of these global industries. Seafarers and fishers must not be disregarded as out of sight, and out of mind.”

MLC 2006

All the following quotations from MLC 2006 are from the

compulsory A-code

Regulation 4.3

MLC 2006

Purpose:

To ensure that seafarers’ work environment on board ships promotes occupational

safety and health

MLC 2006

Each Member

shall…..

MLC 2006

...ensure that seafarers on ships that fly its flag are provided with occupational health protection and live, work and train on board ship in a safe and hygienic environment.

MLC 2006

…develop and promulgate national guidelines…

…adopt laws and regulations…

…set standards for occupational safety and health protection…

MLC 2006

Standard A 4.3

…shall include….

MLC 2006

…occupational safety and health policies and programmes…

MLC 2006

...reasonable precautions to prevent occupational accidents, injuries and diseases on board ship…

MLC 2006

…including measures to reduce and prevent the risk of exposure to harmful levels of ambient factors and chemicals…

MLC 2006

…as well as the risk of injury or disease that may arise from the use of equipment and machinery on board ships…

MLC 2006

…continous improvement…

MLC 2006

…involving…

…engineering and design control…

…substitution of processes and procedures…

…inspecting, reporting and correcting unsafe conditions…

MLC 2006

…relevant international instruments … protection in general…specific risks….

…clearly specify the obligation of shipowners…to comply with the applicable standards…

…specify the duties of the master…to take specific responsibility for …implementation and compliance…

MLC 2006

Occupational Health

Services ?

The ” Vetting ” is satisfactory

Does that mean a sufficient level of

HSE ?

What is the evidence-base

for the «Vetting-process»

?

Our Key-persons

have 5 days

HSE- and MLC- training

Does that assure a sufficient level of

Competence ?

Health Certifiction every second year..

Does that assure a sufficient

Occupational Health

Surveillance ?

Certification =

Status vs.

Criteria

Surveillance =

Status vs.

Historical Status

Blood is analysed…

Can blood analysis predict

work-related diseases

?

Can blood analysis be used as a

monitoring of exposure

?

Data on different physical parameters

established for

«As built»

«As built» is not

«As is»

«As is» on my ship is…

?

“Out of sight, out of mind” ITF report dated 2006

Seafarers are like this (my words) : “….are afraid to complain or seek assistance from trade unions or welfare organisations for fear of blacklisting.”

Could there be a change

?

Could a case of possible

occupational disease be taken to court

?

Would you be prepared

if … ?

Do you think Maritime

Occupational Health Services

would be of any help ?

To prevent occupational

diseases ?

To make you aware of health risks

?

To establish and document hard facts

?

To perform risk assessments

?

To propose adequate measures

?

To facilitate human-friendly

engineering ?

To make you a preferred employer

?

To create a happy ship

?

To meet the requirements of MLC

2006 ?

????????????????????????????????????????

Depending on all relevant dedicated and responsible stakeholders……..

MLC 2006 can make the change…

From: «Out of sight, out of mind» To:

«Out of sight, still in mind»

«ad salutem nautarum»

«ad salutem nautarum»