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PROVIDING OCCUPATIONAL HEALTH SERVICES TO LARGE CONSTRUCTION PROJECTS

PROVIDING OCCUPATIONAL HEALTH SERVICES TO LARGE CONSTRUCTION PROJECTS. Dr Marianne Dyer. Where to Start?. Understanding the Nature of the Project. What are they building? What are the priorities? What are the specific hazards involved in the construction? Length of Project

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PROVIDING OCCUPATIONAL HEALTH SERVICES TO LARGE CONSTRUCTION PROJECTS

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  1. PROVIDING OCCUPATIONAL HEALTH SERVICES TO LARGE CONSTRUCTION PROJECTS Dr Marianne Dyer

  2. Where to Start?

  3. Understanding the Nature of the Project • What are they building? • What are the priorities? • What are the specific hazards involved in the construction? • Length of Project • Size of Workforce • Location and Infrastructure • Contract and Budget!

  4. Assessing Priorities MUST SHOULD COULD

  5. Assessing Priorities Example: • Productivity – workers who are healthy, happy and here • Recruitment and retention • Reputational risk • Prevention rather than litigation • Large site, off-site time loss kept to a minimum

  6. OH Service Delivery • Health Standards • Employed OH Service • Available to all workers on site • Uniform provision • Emergency response co-ordinated • Central data and review • Assurance to contractors • Health Standards • OH services contracted to approved providers • OH services dependant on who/where the worker works • Emergency response collaboration • Individual company reporting • Client Assurance CLIENT PROVIDED CONTRACTOR PROVIDED

  7. Scope of OH Services Fitness for Work Emergency Response Wellbeing and Health Promotion Health Surveillance Drug and Alcohol Testing Treatment Service Health Risk Management Audit and Assurance Sickness Absence Management

  8. BUDGET • Absolute clarity what is in and what is out of scope • KPIs and deliverables • Collect data and use to demonstrate performance and opportunities • Costed proposals for extending services

  9. Changing Demands • Changing Demands at Different Phases • Enabling • Groundwork • Build phase • Fit Out • Handover

  10. Internal Stakeholders • Client company • Delivery Company • Contracted companies • Service companies: • Catering • Security • Transport • Waste management • Communications At least I’m not organising the emergency response.

  11. External Stakeholders • NHS • Emergency Services • Local Community • Local and National Government • HSE • Unions / trade bodies • Professional bodies • Local Authorities, PHE, Charities • Media • Other interested parties

  12. Staff And Resources • Medical Facility • On site +/- mobile units,satellite locations • Medial record systems • Transport • Communications • Equipment • Appropriate and sufficient • Predicting Demands • Deliveries • Staff • Recruitment • Training and competencies • Shift work • Transport to and from site • Demobilisation

  13. Other Resource Considerations • Appointed Drs • Lead • Radiation • Asbestos • Specialist Health Surveillance • Occupational Hygiene • Physiotherapy • Counselling services • First Aid training & co-ordination • Advanced First aiders • Defibrillators

  14. OH Strategy • Workplace • Eliminating or minimising the impact of work on people’s health • Worker • Ensuring the workforce are fit and able to work and optimising the management of their own health • Wellbeing • The use of the workplace environment to promote health

  15. Conclusion • Every construction project is different but the same principles can be applied • Lessons learnt from previous large projects • Plans can and should change all the time to respond to needs and opportunities. • Good data is extremely important

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