1. Muhammad Ahmed / Dr Amina Waheed September, 2011
Occupational Health & Industrial Hygiene Implementation at Engro - a Case study
Heat
Stress
HRA
Employee
Wellness
Water
Food,
&
Sanitation
Hazard Communication
Air
Quality
Office
Ergo-
nomics
Radiation Exposure
Hearing Conservation
Muhammad Ahmed / Dr Amina Waheed
September, 2011

2. stands for “energy for growth”.
is a premier fertilizer manufacturing and marketing company.
markets primary and secondary fertilizers like Engro Urea, Engro DAP, Engro Zorawar, Engro Zarkhez and Zingro.
Engro is a dynamic company driven by a vision to improve productivity and lifestyle for thousands of farmers across Pakistan.

3. Impetus for Healthy Workplace Initiatives
The Company strives to maintain HSE Standards as per international norms, and has adopted DuPont’s Management Systems, which ensures all employees are at minimum possible risk.
Issues of workplace health and wellness are our ongoing priority.
We believe that approaches which promote workplace health and wellness are in the best interests of both employers and workers – a clear ‘win-win’.
Occupational health as well as industrial hygiene and safety are of prime significance at Engro and unrelenting efforts are made to meet international best practice standards.
The Occupational Health program at Engro includes industrial hygiene and occupational health aspects, focusing primarily on reducing health risks to employees.
Our approach is to reduce & control health risks exposure & to prevent diseases development by effective occupational health services.

4. Journey Towards OHIH implementation
Gap analysis by DuPont
Program rollout
DuPont audit
Rating 3.15
2005
2006
2007
2008
2009
2010
SOPs / Manual of OHIH
developed as
per OSHA standards
Direction
Check
by DuPont
Local benchmarking 5
World Class 4
Excellence 3
Skill 2
Awareness 1
Fundamentals
Five-level scale
of OHIH elements
by DuPont

5. Expected Impacts
While the benefits of occupational health services are intuitively obvious and indeed demonstrable, practical OHIH management of employees’ health and care issues, early intervention and clinical assistance has wide spread benefits.
Conforming to local & international health and safety standards.
Improved staff motivation and performance.
Raised awareness of occupational health diseases & lifestyle risk factors have helped to motivate the people for prevention and control.
Prevention of disabling illness/disease.
Reduced risk and cost of illnesses and lost workdays due to risk based interventions & early detection.

6. OHIH Management Benefits
Protect the health of personnel enhancing productivity
Protect the health of the business through loss prevention
Ensure cost-effective controls
Avoid the high costs of disability
Improve morale
Prevent diseases & their complications
Lifestyle modification
Value to Business
Vital to entry & operation within the marketplace
Improved productivity
Loss control, HSE Mgmt. closely related to quality, business control & operational reliability
Improved reputation
Safe, environmentally friendly
Creates mindset & value system to achieve success
Differentiated product or service

7. OHIH Excellence Benchmark Elements
OHIH system at Engro is aligned with DuPont standards and is based on the following 13 elements
Standards/ Programs/ Procedures
Metrics & Records
Audits
Contractor OHIH
OHIH Resources
Hazard Identification
Exposure and Risk Assessment
Hazard Control & PPE
Epidemiology
Training, Motivation & Communication
Fitness for Duty
Health Surveillance - Early Detection
Health Management
Leadership elements
Workplace elements
Personal elements

8. Implementation Strategy#
Strategy Pillars
Why needed 1
Line organization to be involved in the implementation: training, gap analysis, action plan formulation
To create urgency
To get buy in 2
Improvised Stewardship mechanism
Regular Stewardship by Line Mgt and HSE 3
Phase-wise implementation of OH & IH elements
People take time to assimilate to new systems, as majority was of low skill and education 4
Internal audits
Get structured feedback
Implementation Strategy

9. Structures and organization of OHIH cont…
1. Standards/ Programs/ Procedures
OHIH level 1& 2 manuals
Work instructions/ Checklists
HSE Manual
Emergency Response Manual

10. Structures and organization of OHIH cont…
2. Metrics & Records
Disease record
Medical examinations record
OHIH / Health clubs KPIs
Audiomtery record
HSE MIS
OHIH incidents
OH illness record
Audits & recommendations

11. Structures and organization of OHIH cont…
3. Audits
Management Safety Audits
OHIH / HSE audits
D-level committee recommendations
External Audit (DuPont)
OHIH surveys (Noise, Light, Dust, ergonomics)
Catering Hygiene Audits

12. Structures and organization of OHIH cont…
4. Contractor OH
Contractors pre-employment /periodic medicals
Food Handlers medical examinations
Radiographers periodic medical examinations
Fabricators periodic medical examinations
Contractor’s HSE awareness in D level meetings

13. Structures and organization of OHIH cont…
5. OHIH Resources
Qualified IH engineer & OH Physician
OHIH sub Committee
6. Hazard Identification
Health Risk Assessments
Recommendations,
Implementation plan
Management Safety Audits
Safety Audits
Hazardous Chemicals Exposure & Prevention Measures

14. Structures and organization of OHIH cont…
7. Exposure & Risk Assessment
Drinking Water Management
Hearing Conservation Program
Respiratory Protection
Hazardous Chemicals Exposure & Prevention Measures
Heat Stress Management
Ergonomics surveys
Indoor Air Quality
Noise Surveys
Lighting Surveys
Blood Borne Pathogens Management
Management of Heavy Metals
Radiation Protection Program
Health Hazard Communication

15. Structures and organization of OHIH cont…
8. Hazard Control and PPE
Health Awareness
PPE-Fit test
Asbestos Management
Management of NARF
Management of Heavy Metals
Radiation Protection Program
Blood Borne Pathogens Management
Hepatitis, Tetanus Immunization

16. Structures and organization of OHIH cont…
9. Epidemiology
Annual Chronic diseases monitoring & trend analysis
Audiomtery epidemiology
Injuries & illnesses analysis
Health Clubs KPI’s
Periodic health assessments analysis

17. Structures and organization of OHIH cont…
10. Training & Motivation
Training & Awareness Group Sessions
Health Newsletter
Healthy lifestyle program /Health Club sessions
Hypertension /Diabetes
Obesity Control Program
Smoking Cessation Program
Osteoporosis Prevention Program
Weekly D-level committees Meetings
First Aid / CPR trainings
Heat Stress awareness sessions
Hearing conservation awareness

18. Structures and organization of OHIH cont…
11. Fitness for Duty
Pre-employment
Pre-placement
Return to work after illness plan
Job specific health assessment for critical jobs
12. Health Surveillance - Early Detection
Periodic health assessments
Ergonomic health surveillance
Audiomtery
13. Health Management
24/7 OPD & Emergency services
Diagnostic services (Lab, X-Rays, Ultrasound)
Referral & Consultations
First Aid Management Program

19. Measures of Performance
During recent years Engro Fertilizers have been accredited with the following international awards:
OSHA compliance in Health & Safety by attaining level 3 in DuPont benchmarking scale
ISO 9001 Quality Management
ISO Environmental Management
OHSAS Safety Management
SA-8000 Certified Company

20. The Way Forward… To sustain and make it a part of work culture
We continually strive to align our HSE management systems and processes to international best practices including Occupational Safety and Health Administration (OSHA) and DuPont Workplace Safety Standards.
We aim to achieve world class excellence level 5 by DuPont.

21. Thank You