death – Page 84 – SafetyAtWorkBlog

The reality of First Aid

Many employees undertake first aid training because it is a relatively easy training program to arrange, it is cheap and it provides skills that can be applied outside the workplace.

But newly trained first aiders often leave training with an unrealistic feeling of empowerment. Regularly, small businesses regret the disruption caused by the first aider’s evangelism for safety, particularly if the first aider was trained to provide some generalist safety presence in the company. Similar disruption can result from health and safety representative training and perhaps that is why many small businesses are wary of this.

First aid trainers need to remind students regularly of the reality of first aid. This reality is shown in the death of a truck driver in an isolated part of Australia on 9 January 2009. First Aid is a terrific life-saving skill but the reality is that circumstances beyond one’s control may still result in a death.

In a class once, a student asked a first aid instructor what would happen if a farmer was bitten by a snake in an isolated part of the farm and the farmer had no first aid skills or kit. The trainer responded, “the farmer would die”.

The reality of living in a large country of isolated roads and small population is shown in the death of the truck driver.

The role of mobile telecommunications in the article is a distraction and relates more to the current political and commercial disputes between the Australian government and the telecommunication providers, than to the truck driver’s injuries.

The article may lead to discussion on the poor emergency resources in rural and outback Australia.

First aid and emergency response has been revolutionised by mobile phone technology over the last 20 years. Mobile phones have caused us to find lost bushwalkers and to get emergency ambulances to accident scenes much quicker. Thankfully, a quicker emergency ambulance response shortens the time needed applying first aid.

It is a truism that no matter how much training we have, or how much technology we can access, death is a reality of life.

Defibrillators in public places

The Victorian Premier, John Brumby, “unveiled” publicly accessible defibrillators at the Southern Cross station in Melbourne on 6 January 2008. Australia has been relatively slow in the take-up of defibrillators as part of the non-professional first aid role. Partly this was due to the initial expense of each unit but also because workplace first aid legislation took some time to accommodate technology.

In most States of Australia, this was exacerbated by the emphasis on allocating first aid resources on the basis of need rather than a prescriptive basis and, anyway, how can you gauge where people will have heart attacks?

SafetyAtWorkBlog is wary about relying on technology to solve problems simply because it seems simpler. In the long-term, technology can be become cumbersome, unnecessarily expensive to maintain and often increasingly unreliable. It is suggested that a cost/benefit exercise of the new defibrillators in Southern Cross Station would show them to be an unnecessary expense. Direct cause and effect in terms of first aid is difficult to quantify. But then again, according to the Premier’s media statement:

“In the 2007/08 financial year, Ambulance Victoria responded to 133 emergency cases at Southern Cross Station, including five cardiac arrest incidents.”

Defibrillators were obviously not applied as quickly in those incidents as can be in the future but for those first aiders in this blog’s readership the following statistic can be quite useful.

“Victoria has the best cardiac arrest survival rate in Australia, with 52 per cent of patients arriving alive at hospital.”

Let’s hope that these defibrillators will stop the Southern Cross Station from being a “terminal”.

Kevin Jones

Australian 2008 workplace statistics

Every year newspapers and organisations undertake a “year in review”. OHS regulators are no different. As more statistics become available of the next few weeks, SafetyAtWorkBlog will provide the latest OHS statistics for 2008. The most recent are below.

Western Australia

According to a media release by WorkSafe WA:

“In 2005/06, WA recorded 12 traumatic work-related deaths and 25 in 2006/07. There were 27 fatalities in 2007/08. In addition, every year around 19,000 Western Australians suffer an injury or illness serious enough to have to take time off work.”

Eleven of these fatalities have occurred since 1 July 2008

Victoria

According to information provided to SafetyAtWorkBlog by WorkSafe Victoria:

There were 21 work-related deaths in calendar 2008 compared with 22 in 2007 and 29 in 2006.
Deaths in 2008 occurred in building construction (four), transport and agriculture (three each), timber, electrical linesmen (two each). There were also fatalities involving forklifts, the meat industry, retail, firefighting, roadworks, warehousing and manufacturing (one each).
The 10 year average is 28.4 deaths/calendar year. There were 39 fatalities in 1999, the highest in that period. Lowest was 2004 with 18.
The 5 year average is 24 with a high of 30 in 2004, the highest in that period.
29,087 [WorkCover] claims last financial year compared with 28,550 in the previous. There were 77 life threatening injuries in the last financial year compared with 66 in 06/07.

Kevin Jones

UPDATE – 7 January 2009

A spokesperson for WorkSafe WA has told SafetyAtWorkBlog that WorkSafe’s statistical experience varies from that in Victoria in the context of workplace injuries over the Summer break. January is historically a month with a low rate of workplace injuries. This may be due to the number and type of West Australian industries that close down for January or that workers are on leave for around two weeks in January.

Statistics on workplace injuries are notoriously difficult to compare from one Australian State to another and SafetyAtWorkBlog would argue OHS would be seen as more directly relevant by the community if statistics accurately reflected the level of work-related injuries and illnesses rather than being based on workers compensation claims and fatalities. It certainly would change the strategic targets and enforcement processes if illness was accurately assessed.

Various Federal governments have promised to attend to statistical incompatibility over decades and it is hoped that the potential national consistency of OHS laws may also resolve the need for accurate and relevant workplace statistics.

Mental support research

In SafetyAtWorkBlog in 2008 there have been several posts concerning suicide. There is a growing research base on the matter and The Lancet adds to this through an article published in December 2008.

Researchers have found that the type of mental health services provided to the community can affect the rate of suicide. This is important research even though SafetyAtWorkBlog regularly questions the applicability of research undertaken in Scandinavian countries to the rest of the world. Bearing the cultural differences in mind, the research will stir debate and, hopefully, localised research along the same lines.

Below is the text of the press release about the research:

WELL-DEVELOPED COMMUNITY MENTAL-HEALTH SERVICES ARE ASSOCIATED WITH LOWER SUICIDE RATES

Well-developed community mental-health services are associated with lower suicide rates than are services oriented towards inpatient treatment provision in hospitals. Thus population mental health can be improved by the use of multi-faceted, community-based, specialised mental-health services. These are the conclusions of authors of an Article published Online first and in an upcoming edition of The Lancet, written by Dr Sami Pirkola, Department of Psychiatry, Helsinki University, Finland, and colleagues.

Worldwide, the organisation of mental-health services varies considerably, only partly because of available resources. In most developed countries, mental-health services have been transformed from hospital-centred to integrated community-based services. However, there is no decisive evidence either way to support or challenge this change.

The authors did a nationwide comprehensive survey of Finnish adult mental-health service units between September 2004 and March 2005. From health-care or social-care officers of 428 regions, information was obtained about adult mental-health services, and for each of the regions the authors measured age-adjusted and sex-adjusted suicide risk, pooled between 2000 and 2004 – and then adjusted for socioeconomic factors.

They found that, in Finland, the widest variety of outpatient services and the highest outpatient to inpatient service ratio were associated with a significantly reduced risk of death by suicide compared to the national average. Emergency services operating 24 hours were associated with a risk reduction of 16%. After adjustment for socioeconomic factors, the prominence of outpatient mental-health services was still associated with a generally lower suicide rate.

The authors conclude: “We have shown that different types of mental-health services are associated with variation in population mental health, even when adjusting for local socioeconomic and demographic factors. We propose that the provision of multifaceted community-based services is important to develop modern, effective mental-health services.”

In an accompanying Comment, Dr Keith Hawton and Dr Kate Saunders, University of Oxford Department of Psychiatry, UK, say: “The message to take from these findings must be that while well thought out and carefully planned new developments that increase access to secondary care services for mental-health patients are to be encouraged, measured progress towards flexible community care, not rapid ongoing change, should be the order of the day.”

Passport to Safety in Australia

Around the turn of the century a father told me this

“My son was 19 years old and he was killed in an accident in a small warehouse in a suburb of Toronto. In this little shop, it was a small business with only 4 or 5 people there. He got the job through a friend whose Father ran the business. It was the second or third day on the job and he was asked to go back and decant some fluid from a large drum to some small vessels. The action violated every OHS regulation in the book. There were multiple ignition sources, there was no grounding. A spark went off and lit up the fumes that went back in the drum and it exploded over my son. He died 24 hours later.”

That father was Canadian, Paul Kells, and this traumatic event set him on a journey to improve safety for young workers. Paul established the Safe Communities Foundation.

Paul has travelled to Australia several times and he has been granted audiences with many OHS regulators but it seems that government of South Australia is the most ardent supporter of Paul’s Passport to Safety program.

Over 5000 students in South Australia have completed the program since 2005 and the government is trying to reach the target of 20,000 teenage students. A sponsorship form is available for download.

SafetyAtWorkBlog supports Paul’s work and the sponsorship initiative of the South Australian government.

This is what the workplace safety ads in Australia are missing, a passionate advocate who speaks about the reality of workplace death and personal loss – someone who has turned grief into a social entrepreneurship. If only this type of inspiration could happen without the cost of a life.

My 2000 interview with Paul is available by clicking on this link kell-interview. It was originally published in SafetyAtWork magazine in February 2001.

Deaths in isolated work camp from tropical storm

It is relatively easy to manage a workplace in an urban environment. The buildings stay in one place, the neighbours are almost always the same and the weather bureau provides plenty of warnings. But in isolated areas, particularly in Australia, it seems the work environment is often more exposed. Certainly this was the case in mid-March 2007 when Cyclone George hit a railway construction camp killing several workers and injuring twenty.

The camp accommodation of demountable units, called dongas, were supposedly cyclone-proof. At the time, the Construction Forestry Mining and Energy Union said that administrative staff were evacuated but construction workers were directed to the dongas.

The owner of the worksite, Fortescue Metals Groups said on 11 December 2008 that it will fight 40 charges brought by Worksafe WA under the West Australian Occupational Health and Safety Act.

According to one media report:

“The charges include the failure to provide a safe work environment, failure to design and construct temporary accommodation and other buildings capable of withstanding a cyclone and failure to properly instruct and train workers.”

The installer of the demountable buildings, Sunbrood, had all charges dismissed.

The court case will continue in Western Australia in February and March next year.

Injury Reporting Rates

Government OHS policies are, more often than not, based on statistics. The most common statistic is workers’ compensation claims as they are trackable and involve money. Another is fatality data.

Many countries have an obligation on employers to notify the proper authorities if a serious injury has occurred. We know that in some countries injuries and deaths are under-reported. In the legal, and illegal, coal mines in China, sometimes workplace deaths are actively disguised, ignored or denied.

Just this week, a Vietnam news service reported on the lack of injury reporting identified by the Ministry of Labour, Invalids and Social Affairs’ Labour Safety Department, in Vietnam.

The report says that “only 7,000 companies reported work-related accidents” for 2008 and that this equates to only 10 per cent of the reportable accidents. Using the mathematical calculation skills of SafetyAtWorkBlog (an Arts graduate) that means that over 60,000 workplace injuries are not being reported.

Earlier this year a more explanatory article appeared which estimated 500 deaths each year form workplace incidents.

Perhaps there is some hope that if the government is aware of the lack of reporting, it can accommodate this in its national programme on labour protection, safety and hygiene that aims for a reduction of at least 5% in work incidents by 2010.

Category: death

The reality of First Aid

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Defibrillators in public places

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Australian 2008 workplace statistics

Western Australia

Victoria

UPDATE – 7 January 2009

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Mental support research

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Passport to Safety in Australia

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Deaths in isolated work camp from tropical storm

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Injury Reporting Rates

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Western Australia

Victoria

UPDATE – 7 January 2009

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