O.H.S. Seminar 1920042005

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External Occupational Safety and Health Service

• O.H.S. Seminar 19-20/04/2005

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Programme

• OHS Services in Belgium
• Prevemed-Bewel structure and organisation
• Goals of the OHS Service
• Challenges of the OHS Service
• Medical Department
• Risk management Department
• Recent legislation and future of the OHS Service

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Legislation well being

• Internal and External OHS Services
• Internal
• Obligation for every company to have an internal
  service that works together with an external
  service for certain aspects of the law
• Small companies (- 20 employees)
• Obligation to cooperate with external services
• Large companies ( 20 employees)
• Cooperation with external services depending on
  the needs and internal expertise
• External e.g. Prevemed-Bewel

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OHS Services in BelgiumExternal Services

• Before 1996 67 services
• Since 2004 23 services
• Reason well being at work, new legislation that
  demands extra investments
• Prevemed-Bewel is
• Ranked nr. 7 in number of employers
• Ranked nr. 10 in number of workers
• Ranked nr. 9 in annual turnover (financial)

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OHS Services in Belgium

• Judicial aspects Non - profit organisations
• Mostly employer owned
• Controlled by
• advisory committee with representatives of the
  employers and the employees
• the Ministry of public health department of
  preventive medicine (Flemish Community)
• the Ministry of Labour (Federal Belgian
  Community) medical inspection and technical
  inspection services

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OHS Services in Belgium

• Intresting points on judicial aspects
• OHS Conference 2002 in Amsterdam compared the
  different OSH models
• Belgian OHS organisations non profit
  organisations
• Other countries private (shareholders) or
  public, government or insurance owned
• General consensus ideal judicial structure of
  the OHS institutions independent, non profit

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OHS Services in Belgium

• Founding and Growth (in general)
• FOUNDING
• Insurance companies
• Payroll processing firms (social security and HR)
  
• Federations construction,metal...
• GROWTH
• Small companies Payroll processing firms
• Medium companies Payroll processing firms or
  own choice (competition or public tender)
• Large companies own choice

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Criteria of recognition (1)

• 1.Multidisciplinary organisation consisting of
  two departements
• Medical dep.doctors and nurses
• Risk Managment dep.
• Safety engineers
• Ergonomists
• Industrial hygienists
• Psychosocial specialists

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Criteria of recognition (2)

• 2. Principles of T.Q.M. (total quality
  management)
• 3. Fixed bookkeeping plan
• 4. Necessary material, technical, scientific and
  financial means

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Criteria of recognition (3)

• 5. Sufficient number of prevention advisers
  (doctors, engineers)
• Medical department
• 1hour/worker with a yearly medical examination
• 20 min./youngster ( lt21 years)
• 20 min/worker with risk of external stress
  strain
• Risk management department
• 10 min for ALL workers

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Criteria of recognition (4)

• This means for Prevemed-Bewel
• Medical department 54.000 hours
• 27 full-time doctors
• Risk Management dep15.000 hours
• 7,5 full-time prevention advisers

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Financing OHS Services

• Before 1977
• Financing was free and was mostly calculated on a
  of the total wages
• Extra examinations were seperatly invoiced
• After 1977
• Minimum tarification per worker by Ministry of
  Labour
• Still valid at this date
• Extra examinations were seperatly invoiced

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OHS Services in Belgium

• Financing of the OHS Services
• Depends on the total time that the OHS service
  has to provide
• yearly medical check-up 1 hour/year
• medical check-up 1/3 or 1/5 years 20 min/year

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OHS Services in Belgium

• Financing of the OHS Services
• Tariff (cost) per person, differentiated by the
  medical risks a person undergoes
• yearly medical check-up 100,91 EUR
• medical check-up 1/3 or 1/5 years 33,63 EUR of
  20,18 EUR
• not subjected to medical risks 14,80 EUR
• THUS NO TARIFF PER MEDICAL EXAMINATION, ONLY
  PER PERSON/YEAR
• Not included special medical examinations i.e.
  lung function testing, audiometrie, blood and
  urineanalysis (biological monitoring)AND
  PRIVATE OFFERINGS

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OHS Services in Belgium

• Categories of persons that must undergo a yearly
  medical check-up
• PROFESSIONAL RISKS ------------------RISK
  ASSESMENT
• Chemical agents benzene, toluene, lead
• Physical agents noise, vibrations
• PERSONS UNDERAGED (gt 18 or lt 21)
• PERSONS WITH PHYSICAL DISABILITY
• SAFETY FUNCTION (CHAUFFEUR, )
• CONTACT WITH FOODSTUFF
• PERSONS WITH EXTERNAL EXERTION
• PC
• HEAVY WEIGHTS

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History (1)

• Founded in 1965 as MEDIBO
• medical service of the construction industry and
  other professions
• Initiators insurance company and confederation
  of the construction industry
• 1965 1997
• Several new recognitions
• First aid courses, attestations for the maritime
  industry,

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History (2)

• Training of internal personnel
• Level 2 safety advisor
• Internal safety auditor
• Asbestos removal
• Radioprotection
• 1997 ERGOMED
• Software based integrated management system
  developped for medical services (from
  examinations to invoicing)

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History (3)

• 1/03/1997 new location
• 25/02/1999
• Fusion of Medibo, Medinoord, Mediwest in
  Prevemed all originated from the construction
  industry
• Benefits
• Ability to cope with the new legislation
  (well-being)
• Regionally active
• 24/02/2001
• Fusion with Medicolabor

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History (4)

• 2003 license to practise in the whole northen
  territory (Flanders and Brussels)
• 2003 fusion with Bewel to become Prevemed-Bewel
  (with the strategy to become a national player)
• Growth in figures (revenue and personnel)
• 1999 0,75 mio EUR, 17 employees.
• 2004 9,7 mio EUR, 107 employees
• Clients
• Construction industry 45
• Production industry 35
• Service industry and HORECA 30

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Prevemed-Bewel organisation

• Medical staff 30
• (7 years basic medical training 4 years
  specialisation in occupational health)
• Paramedical staff 30
• Supporting staff 25
• Safety eng., hygienists, ergonomic experts,
  psychological experts ca 20
• (engineer or occupational health physician, both
  extra specialisation 1 year)
• TOTAL STAFF NUMBER DEPENDS ON THE TIME THAT THE
  OSH SERVICE HAS TO PROVIDE

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Prevemed-Bewel

• COSTS
• Personnel 68
• IT 7,5
• Services 21
• Others 3,5

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Budget 2005

• Income from
• Tariff/worker ca 7.500.000,00 EUR
• Extra examinations 1.500.000,00 EUR
• Private offerings 750.000,00 EUR

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Prevemed-Bewel organisation

• Prevemed-Bewel 2002
• Regionally active
• About 9000 employers
• 90000 employees
• 54000 yearly medical check-ups

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Algemeen Directeur
Fr. Vermeiren
Medisch Toezicht
Risicobeheersing
Adjunct Directeur
P.Verbeke
J.C. Lysen B. Vanderschrick
J.C.. Lysen L. Boeve
Directie secretaresse
PROCESS
Interne Preventieadviseur
Y. Van Der Heyden

• Human resources Guido Baert
• Research Development Lode Boeve
• Marketing Bart Vanderschrick
• Opleiding Lode Boeve
• Financiën Jean-Charles Lysen
• ICT Lode Van Laeken
• Productie Chantal Geneyn
• Infrastructuur Jean-Charles Lysen
• Kwaliteit Jo Tacq
• Veiligheidscoordinatie Jean-Charles Lysen

N. Vandewalle
Directeur Bruxelles - Wallonie
J.C. Lysen
Secrétaire
R. George
Comptabilité
CAM - Qualité
Directeur Administratif Régional
Gestion des Risques
regionaal Directeur Brugge Oostende
Risicobeheer
Boekhouding
CAM - Kwaliteit
Section Médicale
regionaal Directeur Kortrijk
regionaal Directeur Gent
Medische afdeling
Th. Hostyn
J. Tacq
P. Lheureux
J.C. Lysen
B. Duchateau
L. Van Laeken
Ch. Geneyn
G. Baert
L. Boeve
J. Melis Y. Van Der Heyden K. Van Herpe
J. Tacq
P. Verbeke
PV/JCL/20-09-2004
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Prevemed-Bewel Goals of the OHS Service

• Important issues
• Multidisciplinary cooperation between the medical
  and the risk management department
• Client satisfaction and client needs (ISO
  9001/2000)
• Regional strength national spread

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Prevemed-Bewel Medical Department

• Total nr. medical examinations (2004) ca 54.000
  
• Occ. Health risks 59.883
• Safety functions 33.622
• Risk for Foodstuff 8.392
• Risk from External exertion 45.199

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Prevemed-Bewel Medical Department

• Computer based medical file
• Medibo started the initiation of Ergomed in 1997
  with ASQ
• Today 15 OSH Services use Ergomed
• Prevemed-Bewel has started the development of a
  new software program (deadline startup
  31-12-2006) to enhance flexibility and management
  of data.

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Prevemed-Bewel Medical Department
ERGOMED
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Medical File
BIOMETRIE
EXTRA EXAMINATIONS
VACCINATIONS
MEDICAL FILE
WORK- POSTS
ANAMNESE
CLINICAL HEALTH CHECK
CONCLUSIONS
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Assistent
OH physician
LOCAL
OHP
Assistent
Planning
Account.dept HR dept.
Admin
CENTRAL
3d parties
EXTERNE
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Prevemed-Bewel Medical Department

• In fixed centres and mobile centres (9)
• Mobile Centre
• 9 cars or trailers are renewed since 1997 (2 in
  2005) 1 reserve medical car
• Cars mean flexibility flexibility costs (8,00
  EUR per person examinated)

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Prevemed-Bewel Risk Management Department
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Prevemed-Bewel Risk Management Department

• Obligation since 1/1/2000 as a result of the
  legislation well-being at work
• 5 disciplines
• Safety
• Industrial hygiene
• Ergonomics
• Psychosocial aspects of labour (stress,
  mobbing,)
• Occupational health

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Prevemed-Bewel Risk Management Department

• Advisory role to all companies
• Obligatory role for small companies
• Companies without prevention advisor level 2 or
  level 1
• Companies fewer than 20 employees
• Obligation for these companies
• Adjusting global prevention plan
• Analysis of Accidents at work gt 3 days absenteism
• Advisory role for management and everyone in the
  company

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Prevemed-Bewel Risk Management Department

• Legal obligation for all companies
• To support interaction between the internal and
  external OHS services
• To support these companies for every discipline
  that is applicable to their company and for which
  they do not have internal expertise this is
  always in the form of a written contract between
  parties
• Eg stress analysis

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Prevemed-Bewel Risk Management Department

• Safety
• Risk-analysis (Fine and Kinney, HAZOP,)
• Training (general safety, fire and explosion,)
• Control and management of MSDS
• Safety coordination for construction projects
• Safety Manager program for all clients

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Prevemed-Bewel Risk Management Department

• Industrial Hygiene
• Analysis of chemicals substances at the workplace
• Noise Analysis
• Analysis of water distribution (Legionella)
• HACCP (Foodstuff industry)
• Training working with chemicals

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Prevemed-Bewel Risk Management Department

• Ergonomics
• Advice for working in offices
• Advice for places where heavy loads have to be
  manipulated by man/woman
• Training Backperfect

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Prevemed-Bewel Risk Management Department

• Psychosocial aspects of labour
• Stress analysis and advice
• Mobbing analysis and advice
• Alcohol and Drug Campaigns
• Post-traumatic stress disorder after accidents
• Training
• stop smoking
• Assertivity courses
• Stress management

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Prevemed-Bewel Risk Management Department

• Occupational Health
• As a discipline for all advice that goes
  further than the basic health checks

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Prevemed-Bewel Risk Management Department

• Communication via
• Website
• Newsletter
• Email
• Fax.

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Prevemed-Bewel Risk Management Department

• WEBSITE

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Prevemed-Bewel Challenges of the OHS Service

• Difference between type of clients small (lt20),
  medium (20-100), large (gt100)
• Finding a good balance between the interests of
  the employer and the employee

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Prevemed-Bewel challenges

• Handling new legislation (stress, mobbing,
  chemical agents,)
• Psychosocial Risks
• IT
• Quality ISO 90012000 (demand of Belgian
  Government)
• Growth to national recognition

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Case Study

• Picanol Proferro
• Worldwide leader in weaving machinery
• Medical examinations (2 days a week in company)
• Monitoring of dangerous substances in the
  workplace
• Risk-analyses of the production facility
• Stress analysis of the personnel
• Management of the documentation of dangerous
  substances (MSDS-product safety cards)
• Training of the responsible managers

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• De Nul
• Worldplayer in dredging
• Large construction company
• Medical examinations at construction sites and on
  ships
• Monitoring at construction sites for cleaning up
  after pollution
• ILO health certification for employees at sea

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Business Plan

• How is preventive health care today organised ?
• How can we organise a realistic financing method
  ?
• What is the cost factor of personel, IT, ?
• How can we convince employers ?

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• QA

External Occupational Safety and Health Service