No Slide Title

Organized Industrial Zone
Joint Occupational Health and Safety Center
Gebze / Kocaeli / Turkey
Dr. M. Celal MESTÇĠOĞLU
[email protected]
May 2011
Bergen
Basic Concepts
According to WHO and ILO;

OCCUPATIONAL HEALTH: Conservation and
development of all employees physically, mentally
and social aspects of complete well-being,



Prevention of the negative effects by employees losing
their health depending on the working conditions
placement of workers according to their abilities
and the systematic studies to continue this condition
Occupational Health Practice
Changes In The Last 50 Years
Target
1950-1960
1970-1980
1990
2000
Diagnose and
prevent
diseases
To avoid the
risk of disease
To avoid the
dangers and risks
Develop and
maintain
personal
health work
force to
Legal
regulations
Legal regulations
Satisfaction of
all involved
(adaptation to
legal regulations
included)
worker
worker
worker
Legal
Imperatives regulations
Focus
worker
Franco, Giuliano. Consensus on evidence or evidence of consensus? The evolving role and the
new expertise of the occupational physician. Occupational Medicine. Society of
Occupational Medicine. 2003; 53; 79-81.
Runtime
(Distribution of employees according to weekly working hours, DİE, 2000)
Weekly working
time(hour)
1-16
17-35
36-39
40
41-49
50-59
60-71
72+
TOTAL
Number of
employees
2.314.000
3.356.000
277.000
2.448.000
3.511.000
2.224.000
3.089.000
1.021.000
18.241.000
%
12,7
18,4
1,5
13,4
19,2
12,2
16,9
5,6
100,0
34,7
Occupational Physician and Health
Unit
REGULATION
“Procedures and Principles of the
Occupational Health Unit Duties and
the Medical Office”
27.11.2010/ 27768 RG
Employers' Obligations
Employers;
Workplaces in which fifty or more workers are employed in
are required to establish a health unit or have to join



The establishment of healthy workplaces and safe working environment
Health and Safety Risks Prevention
Conduction of Protective Services
◦ To determine the necessary measures
◦ Implementation of measures identified
◦ Monitoring applications
According to the Risk Group and the Number of Workers of the
Establishment, the Business Office is Responsible of hiring a nurse,
one or more physicians where necessary and obtaining the required
equipment and personnel to carry out these tasks.
Employers' Obligations
Health Unit;
To create a healthy and safe working environment at
workplace;
 Physical
 Chemical
 Biological
◦ determining risk
◦ necessary measures to eliminate risk
◦ for this purpose, responsible of making measurement,
analysis and control.
The health unit staff work with security experts in
cooperation and coordination for implementation of the
measures envisaged in Occupational Health and Safety
Legislation
The duties of Occupational
Physician
medical missions
consulting
education
investigation
surveillance
reporting
recording
social
•recruitment examination
•periodic examination
•return to work examination
•daily visits
•emergency
•night work
The duties of Occupational
Physician
medical missions
consulting
education
investigation
surveillance
reporting
recording
social
H&S Commissions
risk assessment team
employer
worker
consulting
The duties of Occupational
Physician
medical missions
consulting
education
investigation
surveillance
reporting
recording
social
•Occupational Diseases
•Industrial Accident
•Disease (Chronic)
•Unusual Situations
(emergency)
•Workplace Risks
•Smoke
•Ergonomics
•Intoxication
•Preventive medicine
•Nutrition
•Stress - Mental Health
•Hygiene
•Back health
•First-aid
•Reproductive Health
Risk Assessment Training
The Duties of Occupational
Physician
medical missions
consulting
education
investigation
surveillance
reporting
recording
social
•working place
•health conditions
•material
•hygiene
•measurements
•workplace extensions
•subcontractor
The Duties of Occupational
Physician
•Occupational diseases
medical missions
•Chronic diseases
consulting
•Work accidental workers
education
investigation
surveillance
• pregnant
•Womens with child
•Child workers
•Disabled
•Addict
reporting
recording
social
•Work changes
•Production changes
•Occupational
improvement
Pregnancy Follow-up
Follow-up
Dosyalar istatistik
Follow-up
The Duties of Occupational
Physician
medical missions
consulting
education
investigation
surveillance
•Management
reporting
recording
social
•Occupational Health and Safety Committee
•Ministry of Labour and Social Security
The Duties of Occupational
Physician
medical missions
consulting
education
investigation
surveillance
reporting
recording
social
Plan of Annual Organization
ĠġYERĠ SAĞLIK BĠRĠMĠ YILLIK ÇALIġMA RAPORU
Annual Assessment Raport
ANNUAL ASSESSMENT REPORT
ĠĢyerinin ünvanı:
Bölge Müdürlüğü Sicil No:
ĠĢkolu:
Adresi:
Tel ve Fax:
E posta:
ÇalıĢan sayısı:
Erkek:
Schedule 2
Kadın:
Yapılan çalıĢmalar:
a) Risk analizi
b) Ortam ölçümleri
c) İşe giriş muayeneleri
d) Periyodik kontroller
e) Biyolojik analizler
f) Fizyolojik testler
g) Eğitim çalışmaları
h) İlk yardım ve acil tedavi
i) Diğer çalışmalar
Tarih
ĠĢyeri Hekimi
Ġmza
Stajyer
12 Aylık
Personel
Ortalaması
ÇalıĢma
Saati (Ort.
işçi sayısı X
8)
100 iĢçi baĢına
düĢen kaza 2009
100 iĢçi baĢına
düĢen kaza
2008
2009 F
Kaza FREKANS Hızı
2008 F
Kaza FREKANS Hızı
2007 F
Kaza FREKANS Hızı
MAM
1041,00
2198592
5,19
4,32
24,56
21,62
47,82
ME
138,00
291456
4,35
4,47
20,59
21,15
67,60
GE
74,00
156288
12,16
7,68
57,59
36,38
51,59
GMBE
66,00
139392
7,58
4,76
35,87
22,55
16,86
KÇE
127,00
268224
14,17
5,29
67,11
25,03
78,17
BTE
205,00
432960
0,98
2,72
4,62
12,87
30,34
YDBE
43,00
90816
4,65
0,00
22,02
0,00
0,00
EE
128,00
270336
3,13
4,80
14,80
22,73
46,31
YİB
46,00
97152
4,35
6,38
20,59
30,22
165,17
BİM
D.
İdare
26,00
54912
0,00
16,67
0,00
78,91
26,30
298,00
629376
2,01
4,17
9,53
19,75
28,56
2009 MAM
Kaza Ağırlık Oranı
0,02
0,10
Verilen
Tüm
Raporlara kazalara
Göre
Göre
2008 MAM
Kaza Ağırlık Oranı
0,09
0,11
Verilen
Tüm
Raporla kazalara
ra Göre
Göre
2007 MAM
Kaza Ağırlık Oranı
0,12
Verilen
Tüm
Raporlara kazalara
Göre
Göre
Görüldüğü gibi kaza ağırlıklarında %77,77 lik azalma
yaĢanmıĢtır
Kaza Sıklık Hızında (F) ise %13,6 ARTIġ
vardır.
0,16
F= 1.000.000
çalışma saatine
düşen kaza sayısı
Ġġ KAZASI KÖK ANALĠZĠ
KATEGORĠ (2009)
ÇalıĢana Bağlı
sayı
26
Nedenler
Spor kazaları
17
Donanım
(ÇalıĢma Aletleri,makine cihaz vs.)
17
DıĢ Mekan
Yaralanmaları
Hayvan Nedenli
8
5
KiĢisel Koruyucu
Donanım
10
KiĢisel Koruyucu
Donanım+ prosedürel
Prosedürel Eksiklik
TOPLAM:
3
5
91
WORKPLACE HEALTH RECORDS
Limitations ( perception )
Sometimes whatever
we say, we will be
restricted by the
boundaries of others
and will be treated
like an alien
Basic Worker’s Health in
Turkey
&
Turkish Medical
Association
How many workers can reach to basic
Work Health Service in Turkey ?
Workers with WHS (?)
%15 3,5
milli
on
corporations
(more than 50 workers)
workers
10 million
Recorded
12 million (53
%)
Small company
workers
have no social security (%47)
(agricultural laborer , industrial and
services workers , marginal jobs ...)
All workers
23 million
Civil
Servant &
tradesman
Occupational Diseases And Work Accident
According to WHO and Turkey SSK at 2000
125 million work accidents
160 million occupational diseases
74.847 work accidents
803 occupational diseases
OCCUPATIONAL DISEASES
WORK ACCIDENTS
WORLD
TURKEY
in 2009, the # of occupational diseases is 429,
but real nb must be 55 000 .
The Goals of National Occupational Health and
Safety Council 2009-2013

Reducing occupational injury rates by 20%

Occupational disease diagnosis is
expected to increase the rate of 500%
Post-2003 process
However the field was public in the past ,
now should be reorganized according to
new market conditions.
Content
- An occupational physician ; more than 50 workers
- An occupational safety expert ; more than 50
workers & regarded as the industry works
- Occupational Health and Safety Council …
Occupational Physicians
- 20-year process
-tasking directive, legislation
-employee rights
Occupational Disease



Diagnosis of occupational disease,
This system causes a time period for the diagnosis of occupational disease
between the exposure and at the end of the duration of this exposure.
This time period should be filled.
Health surveillance programs in all sectors ;
- Formation of the requirements of-protection-prevention approach, and
implementation
- The main tasks of occupational physician ,
- Implementation of health surveillance programs,
- Identification of exposure,
- Control the risks
- Turkish Medical Association is responsible for producing these
programs.


Fab.24.1988, İstanbul, 38 attendees
In 2003 , labor law No. 4857 , totally 167
Universities-Turkish Med. Ass., 2003-2008, 14
 About 30000 Certificated Physicians ,



About 7000, Occupational Physicians is active.
About 450, works full-time,
Occupational Physicians Advanced Trainings
12.
Occupational Respiratory System Diseases Training Module
Risk Assessment Training Module
Protection of Hearing Training Module
Occupational Dermatoses Training Module
Musculoskeletal System Diseases Training Module
Chemicals caused Occupational Diseases Training Module
physical factors caused Occupational Diseases Training Module
Worker’s Nutrition in Working Environment Training Module
Occupational Health Epidemiology Training Module
Legal Framework and the Workers' Health Training Module
Ergonomics Training Module
Business Psychology Training Module
13.
Occupational and Environmental Neurological Diseases Training Module
14.
Toxicology Training Module
Health Care Personnel’s Health Training Module
Reproductive Health Training Module
Extraordinary Circumstances in Workplace Training Module
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
15.
16.
17.
PRESENTATION OF DRAFT MODEL OF EMPLOYEE HEALTH AND SAFETY SERVICE
SCHEMATIC PRESENTATION OF THE SERVICE MODEL
National H&S Committee
Ministry of Work
Ministry of Environment
Ministry of Health
Professional Organizations
Universities
Workers / Employers'Unions
NGOs
Workplace Health Safety Unit
Regional Centers
HSE (inside)
National Institute of HSE
Workplace Health Safety Unit
Workplace Health Safety Unit
Regional Centers
Regional Centers
HSE (subconstuctor)
Thank You
Dr. M. Celal MESTÇĠOĞLU
[email protected]
May 2011
Bergen