Tag Archives: Safety First

Initiating First Aid/CPR…. in Your Workplace

“An Ounce of Prevention is Worth a Pound of Cure”, especially in an emergency situation when seconds count. Sudden illness or injury can often cause irreversible damage or death to the victim unless proper care is initiated as soon as possible.

Office CPR

First aid includes identifying a life-threatening condition, taking action to prevent further injury or death, reducing pain, and counteracting the effects of shock. Remember, First aid is not intended to replace care by a physician or surgeon.

The first-aid provider in the workplace is someone who is trained in the delivery of initial medical emergency procedures, using a limited amount of equipment to perform a primary assessment and intervention while awaiting arrival of emergency medical service (EMS) personnel. The primary purpose of first aid is to:

  • Care for life-threatening situations
  • Protect the victim from further injury and complications
  • Arrange transportation for the victim to a medical facility
  • Make the victim as comfortable as possible to conserve strength
  • Provide reassurance to the victim

An accident can occur at any time or any place. If you are the first person to arrive at the scene of accident, there are a few basic steps you should follow to protect yourself and the victim. The following steps are required immediately:

1. Survey the Scene: Before you help the victim, determine if the scene is safe. If anything dangerous is present, don’t put your own life at risk to try and help the victim; you will be of no aid if you become a victim too. Summon help and wait for trained people to resolve the situation. If the scene is safe, try and determine what happened and how many victims there may be. Never move the victim unless an immediate, life threatening danger exists, such as a fire or the threat of a building collapse.

2. Survey the Victim: After ensuring the scene is safe, you can turn your attention to the victim. Begin by performing a primary survey to determine if the victim:

  • Is conscious
  • Has an open, unobstructed airway
  • Is breathing
  • Has a heartbeat
  • Is not bleeding severely

To check for consciousness, gently tap the person and ask if they are okay. If there is no response, this in an indication that a possible life-threatening situation may exist. If the person is responsive and can talk or cry, this indicates they are conscious, breathing, have an unobstructed airway, and a pulse. If the victim is unconscious, kneel down next to the head and check for the ABC‘s:

A. Airway (clear and maintain an open airway)

B. Breathing (restore breathing)

C. Circulation (restore circulation)

To check the Airway, Breathing, and Circulation, place your ear next to the victim’s mouth and listen/feel for breath sounds while looking for a rise and fall of the chest. While doing this, check for a pulse by placing your fingers on the neck, just below the angle of the jaw, and feel for the pulse from the carotid artery.

Check Pulse

If there is not a pulse, then this person needs cardiopulmonary resuscitation (CPR). If you are not trained in CPR, then find someone who is….

CPR

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Construction Industry: Fatal (Focus-Four) Hazards

Covid-19 Pandemic: Safe Return to Work and Business Continuity

Ensuring Occupational Health And Safety By Managing Risk (123 & 4)

(Part I) (1 of 2) Construction Focus Four: Fall Hazards

(Part I) (2 of 2) Construction Focus Four: Fall Hazards

(Part II) (1 of 2) Construction Focus Four: Struck-By Hazards

(Part II) (2 of 2) Construction Focus Four: Struck-By Hazards

(1 of 4) Ensuring Occupational Health And Safety By Managing Risk

Fire Prevention and Fire ProtectionAir Pollution in KathmanduConstruction PPECarbon Monoxide poisoningElectrical Safety – Fall Protection in General Industry– Fearsome 4 of Construction Safety – Fall Restrain System Vs. Fall Arrest System – Respiratory Protection – Portable Ladder Safety – Confined Space Entry

A Business Case for Health & Safety….

Published Article: “A Business Case for Health & Safety Management at Workplace”, New Spotlight Magazine, NEPAL, 28 June, 2018

Introduction

Fundamental Principles of Occupational Health and Safety, an International Labor Organization (ILO) publication in 2008, defines Occupational Health & Safety (OHS) as “the science of the anticipation, recognition, evaluation and control of hazards arising in or from the workplace that could impair the health and well-being of workers, taking into account the possible impact on the surrounding communities and the general environment”.

It clearly indicates that OHS is not only concerned about the well-being of employees within an organization but also about the community and environment in which it operates.

There could be a number of hazards that workers might encounter in their workplace every day. Slips, trips & falls, manual handling, ergonomic, machine, electric, chemical, and fire related hazards are some of the most frequently encountered risks in a workplace.

There are various international management systems, standards and guidelines available to manage health and safety at workplace. ILO-OSH 2001, BS OHSAS 18001: 2007, ISO 45001:2018, ANSI Z10, and OSHA are the major international players in setting standards and providing benchmarks for sound implementation of OHS management system within an organization.

Along the same line, the recent promulgation of the new Labor Act 2017 and the Labor Rules 2018 has been a milestone steps towards ensuring employees’ health and safety in Nepalese enterprises.

As per the Labor Law, organizations throughout the country are now required to develop OHS policy, assign various OHS responsibilities, form OHS committee, and appoint an OHS Focal Person to manage health and safety within their facilities.

Reporting of accidents & illnesses, provision for workers’ insurance & compensation, securing employees’ stop-work authority & whistle-blower rights, and random inspection conducted by the Labor Office are some of the notable mandatory rules to be followed by every enterprise doing business in Nepal.

Although above rules may sound a far cry from the current safety practices in most of the industries and factories throughout the country, few public and non-profit actors such as, GEFONT, ILO and ‘Occupational Safety & Health Project’ under the Department of Labor have been trying to instill such OHS culture within private sector industries for a long time.

A Business Case

Many studies around the world have clearly shown that workers’ health and safety related issues are closely correlated with productivity and quality of any company.

Moving in this direction, managing Occupational Health & Safety (OHS) can significantly improve the working conditions within your facility. It also helps you make best possible use of your facilities, machines, equipment and employees by reducing loss, increasing productivity and improving quality of your products.

There is no doubt that the number one priority of any business is ‘to make money’ but ‘doing it safely’ makes your business sustainable as well. OHS management is a systematic approach to manage safety & well-being of employees as well as to enhance productivity & quality.

Nevertheless, integrating OHS into day-to-day business practice and in decision making process is probably one of the biggest challenges faced by majority of Small and Medium Enterprises (SMEs) in Nepal today.

Companies worldwide continually strive for ‘lean’ production, ‘green’ supply chain management and ‘safety’ of their employees. When lean, green and safety are aligned, all parties benefit including the company, its customers, environment and the community in which it operates.

If identifying and eliminating waste can answer the ‘what’ for lean, then respect for employees and environment are the foundations for ‘how’ lean tools are applied. Thus it is important to understand that a company cannot be lean without being safe.

Prior to addressing its workplace health & safety related issues, an organization must understand its current safety status including, identifying various health and safety related issues, reviewing past events of injuries or illnesses and analyzing areas of potential losses.

Based on these findings, organizations then should make OHS policy, establish various responsibilities, set achievable goals, write customized OHS programs, define Standard Operating Procedures (SOPs), implement them all and periodically measure their performance to maintain a healthful & safe working environment.

During this journey of OHS implementation, the management is bound to identify several hidden opportunities of controlling safety-related losses, such as workers’ compensation, lost production time, lost employee work days, cost of hiring/training new employees, cost of litigation, business interruptions, etc.

Moreover, the management then starts to perceive OHS related expenditures as cost saving opportunities rather than just business losses. In this regard, the loss control tools, within an OHS management system, could help managers improve their overall productivity and quality as well.

There are a number of tangible and intangible losses attached to OHS related expenses resulting from workplace accidents, injuries and illnesses. With a closer look, the losses can be precisely calculated in numbers or perceived directly. When a company is able to transform its OHS related tangible losses into savings, it directly translates into the company’s income which can be calculated in numbers.

On the other hand, the possibility of intangible losses such as, diminished company image, lost customers’ goodwill, reduced employees’ morale, employees’ pain & suffering and even Government punishment for wrongdoing, may not be calculated directly but they certainly affect the company’s bottom-line i.e. profit.

Although most of the medium and large enterprises in Nepal are far from applying these scientific approaches of OHS management within their facilities, after the inception of new Labor Act and Rules they are quickly running out of options.

When the country is starting to breathe a sense of political stability, pretty soon multinational brands will be eying for expansion in Nepalese market. If the domestic enterprises are not ready and fail to establish Environmental Health & Safety (EHS) benchmarks, this could easily result in losing a major competitive edge to foreign companies over time.

In recent years, successful business practices around the globe show that the companies which have highly performed, sustained and succeeded over a long period have mostly followed the above principles and business practices.

It is also important to note that such companies are genuinely involved in the well-being of people & planet and are not driven by profit alone. Most of these companies act proactively and responsibly to continuously improve their lean, green and safety efforts thus creating value for their customers as well as for their employees, shareholders and stakeholders.

Published Article: “A Business Case for Health & Safety Management at Workplace”, New Spotlight Magazine, NEPAL, 28 June, 2018

Also Read:

(22 August 2018) When A Fire Broke Out at the 12th Floor of a 16 Story Residential Building in Mumbai

COVID-19: Disinfecting Your Homes and Offices

Covid-19 Pandemic: Safe Return to Work and Business Continuity

Ensuring Occupational Health & Safety by Managing Risk

Construction Industry: Fatal (Focus-Four) Hazards

Fire Prevention and Fire Protection – Air Pollution in Kathmandu – Construction PPE – Carbon Monoxide poisoning – Electrical Safety – Fall Protection in General Industry– Fearsome 4 of Construction Safety – Fall Restrain System Vs. Fall Arrest System – Respiratory Protection – Portable Ladder Safety – Confined Space Entry – Initiating First Aid/CPR – Are you too busy… – If you have $86,400 in your account… – Safety professionals have job prospects as Insurance Risk Surveyor or Loss Assessor

Occupational Health & Safety (OHS) Provisions and Policies in Nepal: A Brief Review in Retrospect

work safety - 2(Photo Source: Google)

Published Article: Occupational Health And Safety (OHS) Policies In Nepal: A Brief Retrospect

Introduction

As per International Labour Organization (ILO) estimation, 2.3 million people die every year from work-related accidents and diseases globally. More than 160 million people suffer from occupational and work-related diseases, and there are 313 million non-fatal accidents per year. The suffering caused by such accidents and illnesses to workers and their families is incalculable. It is unfortunate to know that many of these workplace tragedies are preventable through the implementation of sound prevention, reporting and inspection practices.

Since Occupational Health & Safety (OHS) is a mammoth issue which involves many layers and offshoots around it, there cannot be a one-stop solution.  In a country like Nepal this seems even more evident due to the lack of adequate government policies, laws, management initiative, corporate culture and eventually willingness of employees to work safely. With a top-down approach the government needs to come up with strong OHS policies, administrative department, enforcement rules and regulating bodies whereas environmental and occupational safety awareness should be spread at the grass-roots level to help businesses build a sustainable safety culture within their factories and organizations.

In short, the solution is deeply rooted into the Government’s initiative to develop and implement sound policies, business leaders’ willingness and belief that safety is not an expense but a long-term investment and enough awareness of the OHS issues to work safely on employees’ part.  

Historical Background

For the first time in 1971 (2028 B.S.), the Department of Labor (DoL) was established in Nepal under the Ministry of Industry. Later when the Ministry of Labor was established in 1981 (2038 B.S.), it took the DoL under its wing. Once the Foreign Employment Act 1985 (2042 B.S.) was introduced, the DoL was renamed as the Department of Labor & Employment Promotion.

To manage the growing challenges of implementing foreign employment regulations, a new Foreign Employment Act 2007 (2064 B.S.) was enacted. Following the new Act, the former Department of Labor & Employment Promotion was split into two separate organizational entities, namely the Department of Foreign Employment (DoFE), established in 2008 (2065 B.S.), and the Department of Labor (DoL), established in 2009 (2065 B.S.).

It seems, after the advent of multiparty democracy in 1990 (2046 B.S.), the Government of Nepal started taking workers’ health and safety relatively seriously. Labor Act 1992 (2048 B.S.) was introduced to secure the rights, interests and safety of workers and employees working in enterprises of various sectors. More specifically, Section 27 through 36 of Chapter V of Labor Act 1992 explains about Health & Safety Provisions for enterprises and workers or employees. Shortly after that followed the Labor Rules 1993 (2050 B.S.) which came in effect to exercise the powers conferred by the Labor Act 1992.

Fire Safety’, ‘Load Carrying’, ‘Use of Machinery Tools and Equipment and Accident, Disease Notice and Investigation are some of the major Occupational Health & Safety (OHS) related legal provisions provided by the Labor Act 1992 and the Labor Rules 1993. Besides, Chapter VII of Labor Act 1992 also provides special safety provisions for special type of enterprises such as Tea Estate, Construction, Transportation, Hotel, Travel, Trekking, Adventure, Rafting and Jungle Safari, etc.      

The above documents are the only legal guidelines ensuring OHS of workers and employees in the country. OHS related legislative measures are not applicable to industries employing less than 10 employees; however, they are applicable to the establishments within the Industrial Estates of the country, irrespective of the number of employees working there.

“Occupational Safety and Health Project”

One of the major objectives of the DoL is to provide the labor force with safe and healthy working environment in the industrial occupation and informal region. To align with the same, initially the “Occupation Safety and Health Project” was established in 1996 under the Ministry of Labor and Employment (MoLE). Later in 2009, after the split of the DoFE and the DoL, the project was brought under the DoL, as a separate organization structure.

The project has various ongoing OHS related programs, including awareness, training, monitoring, intervention as well as coordination of concerned stakeholders to promote safe, healthy and productive work environment. As effective as they may sound, successful implementations, milestone achievements and measurable impacts of such programs need to be evaluated within the project framework and widely shared outside of it.

National Planning Commission

The Three Year Interim Plan (2007/08 – 2009/10) revealed its strategies to ensure OHS in workplaces through the setting of standards and regular monitoring of enterprises. Further, the plan assured that the policy would be formulated to make gradual progress towards safe, healthy and productive work environment by promoting and developing OHS as an integral part of enterprises as well as workplaces. The plan also emphasized on developing awareness, orientation, training, education, capacity building, inspection, monitoring and evaluation programs targeting various stakeholders.

Again in 2010, the Three Year Plan Approach Paper (2010/11 – 2012/13) set an objective to create healthy, safe and decent working environment through developing cordial labor relations, including labor inspection system and model labor offices throughout the country.

Plans and strategies always look good on papers but possess very little meaning unless they translate into actions and are able to produce measurable results in the field.

General Federation of Nepalese Trade Unions

Established in 1989, the General Federation of Nepalese Trade Unions (GEFONT), with 27 affiliated union-members nationwide, works as an umbrella organization for various trade unions in the field of agriculture, industry and service sectors. In 2007, with an effort to examine the issues of occupational safety and health through social dialogues with industrial stakeholders in the country, GEFONT published its results of surveyed data and focus group discussions conducted in 159 enterprises. Demands for safe drinking water, clean toilet facilities and protective safety equipment were at the top of the list. This is unfortunate but at the same time reveals stark reality of the country’s state of OHS, lingering at its primitive stage.    

In the same document, GEFONT also provided a list of OHS related legal provisions to be followed by the management of concerned organizations. Although the legal provisions did not include any specific system, benchmark or standards to follow, it provided a general framework and guideline for enterprises to maintain a clean, safe and healthy work environment.

National Building Code (NBC: 1994)

Until the 1988 (2045 BS) Udayapur Earthquake in Nepal, we did not have any regulation or good practice document in place to guide earthquake safe construction in the country, although the disaster was able to point us in the right direction. Under the Ministry of Physical Planning and Works (MPPW), the Department of Urban Development and Building Construction (DUDBC) developed the Nepal National Building Code (NBC) in 1993. The United Nations Development Programme (UNDP), the United Nations Center for Human Settlement (UNCHS) and few domestic as well as foreign subcontractors’ teams provided their technical assistance in developing the NBC. 

The NBC implementation went into effect after the authorization provided by the Building Construction System Improvement Committee (established by the Building Act 1998). Following a government notice in the Nepal Gazette in 2006, the NBC implementation became mandatory in all the municipalities in Nepal. Under the safety section of the requirements, the NBC included Construction Safety (NBC 114: 1994) standard and provisional recommendation on Fire Safety (NBC 107: 1994) standard.

http://www.dreamstime.com/stock-photography-under-construction-image24514422

NBC 114 standard covers provisions for Health & Safety of workers in building construction/demolition works being performed under a formal contract between the employer and the contractor. In the case of owner-built construction sites the requirements are advisory. Similarly, NBC 107 provides fundamental requirements for Fire Safety in commercial, official or ordinary residential buildings.

Summary

At present, our Labor Act 1992 and Labor Rules 1993 neither adequately address current OHS problems faced by industrial workers nor does it sufficiently provide any standard procedure, legal guideline or system to ensure their good health and safety at workplaces. Recently, the Legislature Parliament passed the new Labor Bill 2017 on 11th of August 2017, tabled by the Ministry of Labor and Employment (MoLE). This certainly is a commendable effort in the right direction but sure not enough to ensure occupational health and safety of workers or employees at various workplaces in Nepal.

It’s high time our government, along with industrial organizations, private sector professionals, academia, trade unions, workers, I/NGOs and stakeholders, formulated an overarching OHS legislative framework along with administrative and enforcing bodies capable to meet international regulatory standards such as OSHA (Occupational Safety and Health Administration, USA), HSE (Health and Safety Executive, UK) and CCOHS (Canadian Center for Occupational Health and Safety).

No system is perfect and there is always room for improvements. However, the statement should not be held as an excuse for not having a robust OHS policy in place, especially when the well-being of our own national workforce is at stake.  

NOTE: The New Labour Act, 2074 (2017 AD): Occupational Health & Safety (OHS) related provisions

Published Article: Occupational Health And Safety (OHS) Policies In Nepal: A Brief Retrospect

Also Read:

COVID-19: Disinfecting Your Homes and Offices

Covid-19 Pandemic: Safe Return to Work and Business Continuity

Construction Industry: Fatal (Focus-Four) Hazards

A Business Case for Health & Safety….

Fire Prevention and Fire Protection – Air Pollution in Kathmandu – Construction PPE – Carbon Monoxide poisoning – Electrical Safety – Fall Protection in General Industry– Fearsome 4 of Construction Safety – Fall Restrain System Vs. Fall Arrest System – Respiratory Protection – Portable Ladder Safety – Confined Space Entry – Initiating First Aid/CPR – Are you too busy… – If you have $86,400 in your account… – Safety professionals have job prospects as Insurance Risk Surveyor or Loss Assessor

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