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Occupational Safety and Health a Priority for Management System of
SC LEIPA PACK SRL
Ion Necula, General Manager
Liliana Rapas, M.D.Dr.D.
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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.
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Products (1)
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Products (2)
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Products (3)
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Products (4)
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Products (5)
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Products (6)
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Technology
Extruder
Printing
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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
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Quality, Safety and Health Management
ISO 9001:2000
Risk AssessmentRisk indices/occupation
3,11 – 3,61
Occupational Health Surveillance45 workers
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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)
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EDUCATION
TRAINING
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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
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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
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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
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MSD neck pain
lumbar back pain
joints pain* elbow* ankle* knees
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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)
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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
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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
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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
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CONCLUSIONS
PARTENERSHIP
PRIORITY
INTEREST
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THANK YOU!