1. The regulator’s View: Common failings and how to control them
Jane Beckmann Health Unit Construction Sector

2. What I Will Cover What is the problem?
Findings from recent initiatives
Managing health risks – solutions
Plan of work for 2016/17
Going forwards 2

3. Health and Safety at Work etc. Act 1974
1: Health v Safety
Nothing new:
Health and Safety at Work etc. Act 1974 3

4. Health and Safety at Work etc. Act 1974
1: Health v Safety
But…
Health and Safety at Work etc. Act 1974 4

5. Health v Safety 1994: Latham report stimulates industry initiatives
1998: Egan report sets out proposals for improving the industry
2001: Construction Health and Safety Summit
2002: HSE Revitalising document 5

6. Health v Safety
Since then:
Major reduction in fatal accidents 6

7. Health v Safety
Significant reduction in major injuries 7

8. Health v Safety Health has not kept pace with this:
Slower reduction on work-related illness
More days lost from health than safety 8

9. Together, we can make a difference9

10. Health and Safety in Construction

11. Health and Safety in Construction

12. Health and Safety in Construction

13. Health and Safety in Construction

14. Health v Safety Emerging picture on cancer:
Over 40% of ALL workplace cancer registrations and deaths are to construction workers
Not just asbestos but:
Silica
Diesel engine exhaust
Painters
Skin cancer 14

15. Health v Safety Lifting and Carrying
Handling is most common over 7-day injury in the industry.
Skilled construction and building trades have one the highest estimated rates of back and upper limb disorders
Noise and Vibration
Industry has one of the largest number of new disablement benefit claims cases. 15

16. Health v Safety Costs £0.4 Billion Excludes legacy cancer deaths etc16

17. Health v Safety Need to refocus: ‘Control the risk not the symptoms’
Monitoring and health surveillance are not enough on their own. The first priority is to stop people being harmed
‘Manage risk, not lifestyle’
Helping workers tackle lifestyle issues may be beneficial but is not a substitute for preventing work-related ill health. 17

18. Control the risk not the symptons
Prioritising:
Surveillance/Monitoring? Risk Control? 18

19. Manage risk, not life style
What does occupational health mean?
Occupational Hazards v Lifestyle Issues

20. Health v Safety Need to refocus: ‘Treat health like safety’
Managing health risks is no different to managing safety risks
‘Ill health can be prevented’
It is possible and practical to carry out construction work without causing ill health
‘Everyone as a role to play’
Everyone must take ownership of their part of the process 20

21. Is there still a problem?
Two HSE initiatives during 2014
Health initiative – June/July
Refurbishment campaign – Sept/Oct
Refurbishment campaign 2015
Refurbishment campaign 2016

22. 2014 Health Initiative 13 Prohibition Notices; 108 Improvement Notices
267 Notices of Contravention issued at 146 sites

23. 2014 Refurbishment Initiative
Health and Safety Inspection of smaller refurb sites:
537 Notices (including 2 ELCI)
314 PNs (including 46 on health)
221 INs (including 92 on health)

24. 2015 Refurbishment initiative
692 Notices
432 PNs (including 52 on health)
260 INs (including 152 on health)

25. Solutions to common tasks

26. Dutyholder Guidance
Targeted clear risk control guidance

27. Operational Guidance
Transparent and Proportionate

28. Key Points for dust control:
Some tasks create very high dust levels
Repeated exposure to these causes lung disease
Important to control each exposure
The bigger the exposure, the better the control measures needed
First duty to eliminate
The control at source
RPE is the last line of defence

29. Silica Tasks: Cutting
Eliminate or minimise

30. Silica Tasks: Cutting Control: Water (or on-tool extraction)
Mask APF 20
Uncontrolled
Controlled

31. Silica Tasks: Wall Chasing
Eliminate or minimise
Design out
Use another method

32. Silica Tasks: Wall Chasing
Control
On-tool extraction (M or H class)
Mask APF 20

33. How much dust is a problem?
Uncontrolled Controlled

34. Extraction Benefits
Industry figures for extraction:
Up to +60% increase in life of tools
Up to +20% increase in life of consumables
Up to +60% quicker application speed
No need to clean up dust created: up to 15 kg/h

35. Silica Tasks: Wall Chasing
Power Assisted RPE for mortar raking?

36. Silica Tasks: Sweeping
Eliminate or minimise:
Control other tasks!
Control
Remove larger bits
Rake
M or H extraction with vacuum attachments etc
APF 20 mask depending on what else happening

37. Guidance

38. Guidance FAQ: http://www.hse.gov.uk/construction/faq-dust.htm Website
COSHH essential sheets

39. Guidance
New website
HSG 53 revision
DVD Bundle

40. Going Forwards HSE Business Plan:
Focus on asbestos, silica and manual handling
Publish HSE's 3 -5 year strategy for work-related ill health

41. Going Forwards Construction Plan Health a visit priority Asbestos Dust
Manual handling
Focus of refurbishment

42. Going forward Good fit with HSE perspective:
Health risks are a priority construction topic:
Statistics
High risk activities
Significant compliance gap if poorly controlled

43. New strategy for health and safety43

44. New strategy for health and safety
#HelpGBWorkWell

45. Working together

46. Working together
Key themes

47. Working together

48. Working together Health Summit Turning Commitment into Action
Summit Follow up January 2017
Sector specific health strategy launch opportunity?
Key themes

49. Working together Health has not kept pace with this:
Slower reduction on work-related illness
More days lost from health than safety 49

50. Thank you Jane Beckmann Construction sector Health unit 50