1. ILO instruments on OSH Dr. Yuka Ujita Programme on Safety and Health at Work and the Environment (SafeWork)

2. 1. International Labour Standards

3. C155 + protocol C161Others C187 Fundamental Conventions on OSH

4. Systems approach for strengthening national OSH System National OSH System Promotion & Advocacy LegislationInspection Knowledge management National OSH Programme Promotion of safety & health cultureTime-bound Targeted action: Construction, SMEs..… Application of ILO tools National tripartite advisory body

5. Occupational Safety and Health Convention, No. 155 (1981) 1.Principles of National Policy Participation of employers & workers Periodical review of the policy –Material element of work –Training –Communication and cooperation at all levels –Protection of workers from disciplinary measures

6. C155 2. Action at the National Level Inspection system Guidance to employers & workers OSH measures Notification system Statistics Coordination mechanism

7. C155 3. Action at the Level of the Enterprises Employers’ duties –Safety and health measures –Personal protective equipment –Preparedness for emergency & accident Workers’ rights and duties –Information and training –Report to supervisor –Protection from undue consequences –No expenditure on OSH for the workers

8. Protocol of 2002 to the OSH Convention, 1981 Establishment and review of the recording and notification system of –Occupational accidents –Occupational diseases and –Dangerous occurrences Publication of annual statistics

9. Occupational Health Services convention, 1985 No. 161 Risk assessment of health hazards Surveillance: working environment, practices and workers’ health Advice on occupational health Vocational rehabilitation Information and training First aid and emergency treatment

10. 2. Codes of Practice and Guidelines

11. ILO Codes of Practice Practical recommendations intended for all those with a responsibility for OSH Over 50 Codes in the area of OSH have been published. http://www.ilo.org/safework/normative/codes/lang- -en/index.htm

12. ILO Guidelines on OSH management systems (ILO-OSH 2001) Adopted at a tripartite Meeting of Experts held in April, 2001 Published in December, 2001

13. Continual improvement (PDCA cycle)

14. 3. Training materials

15. 1. Realistic goal setting in achieving “good practice” 2. Self-help stepwise action aiming at low-cost solutions 3. Consistent encouragement by trained facilitators Keys for successful OSH activities at grass-roots level Participatory approach

16. Action-oriented group-work steps used in participatory approach Learn local good practices 1. Check multiple areas jointly 2. Implement simple improvements 3. Confirm benefits and follow-up 4.

17. Flow of PAOT programme 1.Orientation 2.Check-list exercise 3.Small group discussion/Presentation 4.Technical presentations 5.Small group discussion/Presentation 6.Development of action plans 7.Follow-up activities

18. Action-checklist exercise

19. Small group discussion

20. Presentation of idea

21. Follow-up visits to support improvement actions

22. Targets of participatory approach Small-sized enterprise workers Home-based workers Workers in agriculture Small construction sites workers Child workers……..

23. OSH programmes using PAOT ProgrammeTarget WISE Work Improvement in Small Enterprises Small enterprises WIND Work Improvement in Neighbourhood Development Farmers WISH Work Improvement in Safe Home Home-based workers WISCON Work Improvement in Small Construction Sites Small construction workers POSITIVE Participation-Oriented Safety Improvement by Trade Union Workers and trade unions

24. Before After

27. Before After

33. 4. New instruments

34. A New List of Occupational Diseases 1.Established through regular review and update by tripartite meetings of experts 2.Submitted by the Meeting of Experts in October 2009 3.Approved by the ILO Governing Body in March 2010 4.An outcome of careful technical preparation and political negotiation 5.The only list of occupational diseases at international level

35. Developments of the new list of occupational diseases 1.Mental and behavioural disorders have for the first time, been specifically included 2.Open items in all the sections 3.More specific identification of biological agents –Brucellosis, hepatitis viruses, HIV, tetanus, tuberculosis, bacterial and fungal contaminants, Anthrax, and Leptospirosis 4.More specification of musculoskeletal disorders 35

36. HIV/AIDS as occupational disease High risk occupations: –Health care provider; Nurse, Physician, Therapist, Technician, etc –Laboratory worker/technician; –Waste collection worker (medical waste); and –Housekeeper/maintenance worker 36

37. Documented HIV infection after occupational exposure (1984-2002) USA Europe (UK) Rest of World Total 5735 (5)14106 Data: Occupational transmission of HIV, Summary of reports to December 2002, Health Protection Agency Centre for Infections, 2005 37

38. Surveillance of Occupationally Acquired HIV/AIDS in Healthcare Worker in US Investigation is coordinated by the Centers for Disease Control and Prevention (CDC) and state health department since 1981 Voluntary reporting 57 confirmed cases (as of December 2006) : –48 percutaneous (puncture/cut injury), 5 mucoctaneous; –24 nurses, 19 lab workers/technician, 6 physicians No new documented case since 2001 38