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MLC 2006

           The relevance of
               Maritime
          Occupational Health
               Services


Dr. Arne J. Ulven, Specialist in occupational medicine, Research Director NCMM
HSE
Reality or….?
H   SE
?
Why this big   S?
No interwal between exposure and effect

Important in the process of prequalification

High attention from media

Great impact on reputation/image

High economical costs
Why this medium   E?
Small/medium interval between
exposure and effects

High focus globally

Strong NGOs
High level of care for sea-birds,
fishes, beaches, plancton,
microorganisms ++
Great impact on reputation/image
The «pollutor» must pay (huge
sums)
Why this small H ?
Often 20-30 years between exposure
and disease

Often not discovered before
retirement

Often not discovered at all
Might not yet be discovered by the
occupational health professionals

Small and weak NGOs

Small or no economical
consequences for the responsible
company
“Out of
sight, out of
mind”
ITF report dated 2006
:

    “Out of sight, out of mind”
    ITF report dated 2006
“..., it is clear that in spite of the
international framework of human rights
declarations and associated conventions,
fine words……….




                                “Out of sight, out of mind”
                                ITF report dated 2006
…….do not translate into real protections
unless they are incorporated into national
legislation and effectively
implemented.”




                                  “Out of sight, out of mind”
                                  ITF report dated 2006
“Seafarers and fishers are routinely made
to work in conditions that would be
unacceptable in civilised society.”




                                 “Out of sight, out of mind”
                                 ITF report dated 2006
“These cases occur in spite of the existence
of an extensive body of international
instruments in the form of conventions,
treaties, codes and recommendations,……”




                                   “Out of sight, out of mind”
                                   ITF report dated 2006
“Both seafarers and internationally
operating fishers are dependent on the
ratification and effective implementation
of international conventions
to protect their fundamental rights.

They rely on the responsible engagement
of flag States, port States and labour
supply States.”


                                  “Out of sight, out of mind”
                                  ITF report dated 2006
“The new ILO Maritime Labour Convention
(2006), when in force, will broaden the
scope of inspections from the largely
technical, to include minimum standards for
seafarers’ employment and social rights.”




                                  “Out of sight, out of mind”
                                  ITF report dated 2006
“It is time to raise the profile of the human
element of these global industries.
Seafarers and fishers must not be
disregarded as out of sight, and out of
mind.”




                                    “Out of sight, out of mind”
                                    ITF report dated 2006
MLC 2006
All the following quotations
from MLC 2006 are from the
         compulsory
            A-code
Regulation 4.3




                 MLC 2006
Purpose:

  To ensure that seafarers’
work environment on board
ships promotes occupational
      safety and health


                              MLC 2006
Each Member

  shall…..



              MLC 2006
...ensure that seafarers on ships that
fly its flag are provided with
occupational health protection and
live, work and train on board ship in a
safe and hygienic environment.




                                    MLC 2006
…develop and promulgate national
guidelines…

…adopt laws and regulations…

…set standards for occupational safety
and health protection…



                                MLC 2006
Standard A 4.3

 …shall include….



                    MLC 2006
…occupational safety and health
policies and programmes…




                                  MLC 2006
...reasonable precautions to
prevent occupational accidents,
injuries and diseases on board
ship…




                                  MLC 2006
…including measures to reduce and
prevent the risk of exposure to
harmful levels of ambient factors
and chemicals…




                               MLC 2006
…as well as the risk of injury or
disease that may arise from the use
of equipment and machinery on
board ships…




                                 MLC 2006
…continous improvement…




                          MLC 2006
…involving…

…engineering and design control…

…substitution of processes and
procedures…

…inspecting, reporting and correcting
unsafe conditions…
                                  MLC 2006
…relevant international instruments …
protection in general…specific risks….

…clearly specify the obligation of
shipowners…to comply with the
applicable standards…

…specify the duties of the master…to
take specific responsibility for
…implementation and compliance…

                                     MLC 2006
Occupational Health

     Services

        ?
The ” Vetting ”
is satisfactory
Does that mean a
sufficient level of
       HSE
         ?
What is the
  evidence-base
      for the
«Vetting-process»
         ?
Our
 Key-persons
     have
    5 days
HSE- and MLC-
   training
Does that assure
a sufficient level of
   Competence
          ?
Health Certifiction
every second year..
Does that assure
  a sufficient
 Occupational
    Health
  Surveillance
       ?
Certification
      =
   Status
     vs.
  Criteria
Surveillance
        =
     Status
       vs.
Historical Status
Blood is analysed…
Can blood analysis
      predict
  work-related
     diseases
         ?
Can blood analysis
  be used as a
  monitoring of
    exposure
        ?
Data on different
physical parameters
    established
         for
    «As built»
«As built»
  is not
 «As is»
«As is»
on my ship is…
      ?
Seafarers are like
this   :
       (my words)




“….are afraid to complain or seek
assistance from trade unions or
welfare organisations for fear of
blacklisting.”


                           “Out of sight, out of mind”
                           ITF report dated 2006
Could there be a
    change
       ?
Could a case of
       possible
occupational disease
  be taken to court
          ?
Would you be
 prepared
    if …
      ?
Do you think
     Maritime
Occupational Health
     Services
would be of any help
         ?
To prevent
occupational
  diseases
      ?
To make you aware
  of health risks
         ?
To establish and
document hard facts
         ?
To perform
risk assessments
        ?
To propose adequate
     measures
         ?
To facilitate
human-friendly
 engineering
      ?
To make you a
preferred employer
         ?
To create
a happy ship
      ?
To meet the
requirements of MLC
       2006
         ?
??????????
??????????
??????????
??????????
Depending on all relevant
dedicated and responsible
stakeholders……..
MLC 2006
can make the change…
From:

«Out of sight, out of mind»
To:

«Out of sight, still in mind»
«ad salutem nautarum»
«ad salutem nautarum»

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