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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»