SELAMAT MENYAMBUT KETIBAAN EIDIL FITRI

Saya mengucapkan Selamat Menyambut ketibaan hari raya eidil fitri, minal aidin wal faizin. Semuga tarbiyah dari madrasah Ramadhan al-mubarak akan menjadikan kita manusia yang bertaqwa. 

Ramadhan yang baru berlalu telah mengajar kita mengawal diri dan nafsu. Latihan ini sudah tentu mempunyai sumbangan kepada amalan kesihatan  dan keselamatan pekerjaan yang ingin kita bentuk di tempat kerja terutama yang berpaksi kepada 'Behaviour-based Safety'. Semuga latihan Ramadhan yang baru berlalu akan kita praktikkan untuk membentuk budaya kesihatan dan keselamatan di tempat kerja.

HAZARD RATING

After you have identified the Hazards, now you need  to register it in Health Hazard Inventory (HHI) or also known as Hazard Registry(HR). HHI/HR also contains the information of Hazard Rating. 

To rate the hazard, you need to know what is the consequences of that particular hazard.

By consequence, it means what HARM can the hazard effect your health.

The HAZARD CONSEQUENCES/HARM can be rated as:

1 - Slight Health Effects : Not affecting work performance or causing disability

2 - Minor Health Effects : Hazards capable to cause minor health effects which are REVERSIBLE  for instance: Irritant Chemical 

3 - Major Health Effects : Hazards capable of causing IRREVERSIBLE health damage without loss of life. Examples: Noise which can cause Hearing loss and impairment

4 - PERMANENT TOTAL DISABILITY or One to 3 Fatalities : Hazards capable  of causing IRREVERSIBLE DAMAGE with SERIOUS disability or Death. 

Examples : Corrosive chemicals, Psychological Stress, Carcinogens

5 - Multiple FATALITIES : Hazard that has potential to cause multiple fatalities. 

Example: Chemicals with Acute Toxic Effects - Carbon Monoxide Poisoning

Generally, Hazard Consequences or Health Effects can be categorised as Acute Health Effect and Chronic health Effect. Knowledge on Industrial Toxicology is essential especially to know the acute and chronic health effects of chemicals.

Referring to Chemical Safety Data Sheet (CSDS) and doing literature review on the health hazards are two important ways to find out the health effects of the hazard in order to RATE THE HAZARD.

After you have done Hazards Rating and enter it in your HHI/HR, now you should find out what is the Risk of getting the consequence of that hazard. 

For that, you are at STEP 2 to Risk Assessment. Next posting is on ASSESS THE RISKS.

HAZARD part III

In my previous posting Hazard Part I, I have given the definition of HAZARD. To refresh our understanding, I state again here, the definition of hazard. 

HAZARDS is anything that has potential to cause HARM to PEOPLE, ASSET, ENVRIONMENT and REPUTATION (PAER). 

HAZARDS can be classified as Safety or Health Hazards; it can be Continuous (inherited in the system) or Non-Continuous (due to system failure). 

Hazards can be divided further as:

1. Obvious Hazards which is apparent to the senses

2. Concealed Hazards which is not-apparent to the senses

3. Developing Hazards which cannot be recognised immediately but will develop over time

4. Transient Hazards which is intermittent or temporary hazards

(Refer Queensland Risk Management Code Practice 2007 Supplement I)

But for the purpose of this posting and my next few postings I will touch on Hazards as a potential harm to people in term of their health. 

Health Hazards can be classified as :

1. Biological 2. Chemical 3. Ergonomics 4. Physical and 5. Psychosocial

To memorise it, you can use this  mnemonic: BioChemist Examine Plumbum Poisoning.

By using this classification, it will help you to Identify Health Hazards at your workplace systematically.

Hazards Identification is the first step to Health Risk Assessment (HRA). Amongst Safety Professional in Malaysia, this is commonly known as HIRARC - Hazard Identification,Risk Assessment and Risk Control. DOSH just released the Guideline on HIRARC which you can download here

or you can download HSE UK 5 steps to Risk assessment here. 

So in HRA, identify the health hazards at your workplace is the first and important task. After you have identified the hazards, you need to register it in Health Hazard Inventory (HHI). The concept is similar to CSDS/MSDS. In another word HHI of workplace is as CSDS to chemical. Health Hazards also need to be rating according to its consequences.

To be continue in next posting : Hazards Rating

Occupational Skin Diseases

I gave a health talk on Occupational Skin Diseases to 22 employees of Brooke Dockyard on 23 September, 2008. My talk touched mainly on Occupational Contact Dermatitis which contributes 60% of work-related dermatoses. I emphasized on the importance of  preventive and control measures of work-related illness particularly occupational skin diseases. Congratulations to Brooke Dockyard especially Mr. Andrew Ronggie, the HSSE Manager and SN Valerie, Nurse in-charge of Occupational Health Services of Brooke Dockyard for organising the talk. 

Small Change, Big Difference

On 11 June, 2008: SHELL TIMUR Sdn Bhd celebrated their Global Safety Day with a theme : Small Change, Big Difference. I was invited to give a talk on Ergonomics and Productivity.

On that day, all SHELL staff submitted their own pledge on safety based on the the above theme. One of the worker created his pledge : I will not drive if I drink. 

Based on the theme, this pledge is Small Changes which the worker able to carry out and it has big impact on safety of the worker - Big Difference.

So you can adopt the idea and ask your employee to create their own pledge.

FATIGUE

Today, 17 August, 2008 : PMT, one of SHELL Contractor Haulier, invited me to give a health talk to their staff at their monthly meeting. The topic of my talk is FATIGUE , a condition of tiredness, listlessness, poor memory,weariness and feel sleepiness. There are multiple causes of fatigue such as viral infections, metabolic, immunological and genetic. The contributing factors are also plenty from lifestyle, work nature, lack of sleep etc. Fatigue can be divided into acute of which the duration is less than 30 days and chronic if more than 30 days.

It is important for the SHELL drivers to minimise their fatigue condition by identify its contributing factors inorder to safeguard their safety when carrying out their job.

Root Cause Analysis (RCA) Workshop

I have an oppurtunity to attend the above workshop on Wednesday, 13 August 2008, conducted by one of our Board of Directors Dr Kok, Consultant Paediatrician of Puteri Specialist Hospital, Johor. Dr Kok was assisted by Ms Julie and Madam Annie. This workshop was conducted for the first time for all HOS (Head of Service) of Kuching Specialist Hospital. Last year a workshop on Clinical Risk Assessment and Management was conducted by Tuan Hj Abdul Wahab who is KPJ Risk Management Director cum our Executive Director.

The purpose of RCA is to find the flaws and loopholes in the system that create an incident either in the form of near-missed or sentinel events. So the first step in RCA is Incident Reporting. With every incident reported, we need to find out its Care Management Problem (CMP). Using fish bone method and brain storming session we need to find out what are the contributing factors to this problem. After prioritised the main contributing factors, then we find the solutions which we called as Risk Reduction Action Plan. 

Being trained in occupational health and safety, I found this workshop as a excellence oppurtunity for me to enrich my knowledge in risk management.

Health Talk

My message to the audience : High Blood Pressure is a silent killer and it is related to our life style which includes the way we eat and the way we cope with stress in life.

Community Outreach program 18 May,2008

On 18th May, 2008, In conjunction with International Nurses Day, Kuching Specialist Hospital in collobaration with Salako Rara Recreation Club, organised Community Outreach Health Screening Project at Kampong Jampari, Lundu. The project was officially launched by YB Encik Ranum AK Mina, Wakil Rakyat N1 Opar.

I gave a health talk on HYPERTENSION at the function.

My activities in April and May, 2008

Mr. Anthony Yeo delivered one of his lectures.

On the 8th and 9th May, 2008 I attended a Counselling Course on Coping with Crisis and Trauma joinedly organised by Sarawak Women for Women Association, Ministry of Social and Urban Development Sarawak and Counselling & Care Centre, Singapore. The course was conducted by a well known Consultant Therapist from Singapore Counselling and Care Centre, Mr. Anthony Yeo. Anthony Yeo has written few books of which one of them is my favourite : Counselling: A Problem Solving Approach  Click to see my brief comment about the book.The course was attended by about 190 participants. I will post a brief write up on knowledge I gained from Anthony Yeo during this 2 days in my coming posting

On 7th May, 2008 I was giving my last lecture on Ergonomics entitled Work Improvement for Small Enterprise(WISE) for INSEP SHO students of PPKS/ICATS, Kuching.

In April, I was invited by PPKS/ICATS to give a talk on Enhancing Productivity Through Ergonomics in the seminar during their open day week. 

On 3oth April, UNIMAS HR Department, invited me to deliver a talk on Occupational Health and Safety Risk Assessment as part of the Human Resource modules for Ujian Tahap Kecekapan (UTK), attended by 12 of their senior executives

RCOH -Conference Day 2

The key lecture for the second day was delivered by NIOSH US Representative, Dr George Conway on Applying Research Results to Practice: General Principles and Some examples of successes.

6 Concurrent Symposiums was taking place after the plenary lecture. The symposiums were :

1. Fitness to Return to Work

2. Ergonomics

3. Chemical Health and Safety

4. Mental Health

5. Sickness Absenteeism

6. Occupational Safety and Health Legislation

Besides that, 4 concurrent free paper sessions were conducted. Finally a Forum on Future Direction of Occupational Health which involved speakers from DOSH, MTUC, MEF and MOH.

A lot of latest development and updates were obtained from this year RCOH3. I am looking forward to attend RCOH 4, Insyaallah.

RCOH -conference Day 1

RCOH D1 started with the plenary presetation on Workplace Health Surveillance and The Role of Biological Monitoring by Prof. Dr. Malcolm Sim of Monash University, Australia. The RCOH was officially declared open by the Honourable New Minister of Human Resource, Dato' Dr. Subramaniam and then followed by the Keynote address entitled Occupational Health: Toward a healthy workplace by DG Ministry of Health, Tan Sri Datuk Dr Ismail Merican.
There were 4 concurrence symposiums for the day:
Symposium 1 on Occupational Injuries
Symposium 2 on Occupational Health in healthcare sectors
Symposium 3 on Occupational Health Services and
Symposium 4 on Occupatinal Lung Diseases
The entire sesssions were very informative and update. Amongst the speakers was Prof Dr David Koh of Singapore National University who talked on Emerging Occupational Medical issues- The nano examples.
The Vascular Surgeon from Selayang Hospital, Mr V Pathmanathan touched on Occupational hand injuries.
I met few participants from Sarawak at the conference and bought one book published by SOEM - Case Series in Occupational Medicine.
Poster Presentations from local participants and Exhibition booth from SOCSO, DOSH and few companies make the conference more attractive. The conference was also attended by local experts like Prof. Dr KG Rampal of UKM, Dr Abu Hasan Samad of Exxon Mobile, Dr BJ Singh, Dr G Jayakumar of Petronas BASF, AP Dr M Retneswari of UM, Dr Mohd Nizam of SHELL Malaysia and Dr Jefferelli of SHELL Miri.

My activity in April, 2008

1. 12 - 13 April, 2008 : Giving lectures on Occupational Health at SHO Course organised by  NIOSH SARAWAK, Kuching

2. 16 April, 2008 : Attending lecture on Early Return to Work Program : Challange and Strategies given by Dr B Jagdev Singh at Nestle Sarawak Office

3. 25 April, 2008 : Giving Awareness Talk on Enhancing Productivity via Ergonomics at PPKS/ICATS Kampus Kuching

3rd Regional Conference on Occupational Health - PreConference Workshop

I attended the RCOH3 which started from 3rd April until 5th April at PJ Hilton attended by about 300 participants. There are 3 Pre-conference workshops on Chemical Health Risk Assessment (CHRA), Allergic Dermatoses and Aviation Medicine. It is quite difficult to choose which workshop to attend. Finally after much ponder, I opted to attend aviation medicine in view of the participation of our astronaut Dr Sheikh Muszhafar Shukor(SMS) and Dr Khalid Faiz as the speakers beside other speakers form Institute of Aviation Medicine, RMAF.

Dr Khalid spoke on the physiological effect of microgravity while Dr SMS spoke on his real experiencse in space, to be accurate at ISS (International Space Station).

This workshop covered the whole  aspects of aviation medicine. As the aviation medicine experts said the main issue of aviation to our health is the effect of low pressure level the higher the altitude we fly. A lot of Gas laws such as Boyle and Dalton law were explained as a revision.

Microgravity which means small force of gravity in the space making all mass floating in the air despite of their weight due to no external force acts on the mass. Although the mass floats, there is still the issue of momentum which means every movement must be as slow as possible. The heavier the mass, the higher the impact to the mass if the momentum is bigger. 

The two speakers (Dr Khalid and Astronaut Dr SMS) received over whelming questions from the participants. Among the questions asked was how does astronaut pass motion in space in view of microgravity effect? If you want to know the answer, you can email me....

Disappeared for a while

I am really sorry for not posting in my blog quite a while. This was due to my hectic schedule travelling back to my "kampong" after the passing of my beloved dad. This coming Wednesday, I am going to Kuala Lumpur to attend 3 days 3rd Regional Conference on Occupational Health (RCOH) from 3rd April to 5th April, 2008 at Petaling Jaya, organised by Society of Environmental and Occupational Medicine (SOEM)of MMA.

After the conference, I will update my blog regularly.

testing

I am posting this blog from my mobile

OCCUPATIONAL HEALTH SERVICES

I am now in the midst of preparing what I called Minimum Occupational Health Services Implementation (MOHSI) package for the Small and Medium Enterprise Industry. MOHSI will be based on 'Occupational Health Services Guideline' issued by DOSH in 2005.

The aim of the package is to advise the industry on how to implement the minimum requirement of this guideline in their workplace based on their budget capacity and critical hazards found at their workplace. 

MOHSI has 6 components namely:

1. Health Risk Assessment (HRA) at workplace

2. Employee's Health Management

3. Monitoring of Health Performance and Incident Reporting and Investigation

4. Fit to work Program

5. Particapatory Ergonomics Program at Workplace

6.First Aid & Emergency Preparedness Plan

For detail info about MOHSI, please contact me at 0198570645 or email@ dr_ainimurni@kcsh.kpjhealth.com.my or pamran74@streamyx.com or YM @ ainimurni_dr

"HEALTHY WORKFORCE, PRODUCTIVE WORKFORCE"

SELAMAT MENYAMBUT MAAL HIJRAH

Alhamdulillah pada hari ini kita telah berada dalam tahun baru Hijrah 1429. Semuga semangat dan peristiwa  penghijrahan akan memberi pedoman kepada kita untuk memperbaiki ekosistem di tempat kerja kita kepada keadaan yang lebih selamat,sihat dan harmoni dengan warga pekerja supaya warga pekerja dapat kekutan untuk mempertingkatkan produktiviti dan kualiti kerja mereka. Semangat dari peristiwa hijrah juga mengajar kita untuk berpindah kepada keadaan yang lebih baik dari keadaan kita sekarang.

SELAMAT TAHUN BARU 2008

Saya ingin mengucapkan Selamat Menyambut Tahun 2008 kepada seluruh warga pekerja di Malaysia khususnya pengunjung ruangan blog ini. Semuga kedatangan tahun 2008 akan memberi kekuatan kepada kita untuk terus iltizam dalam amalan selamat dan sihat di tempat kerja agar kita dapat mencapai produktiviti kerja tanpa kecederaan dan penyakit pekerjaan.

PEKERJA SIHAT, PEKERJA PRODUKTIF