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Effective strategies in the prevention  of NIHL Dr Ian Laird Centre for Ergonomics, Occupational Safety and Health, Massey University, Palmerston North Toward 2020 Challenges & Changes in OH&S 26-28 October 2011, Wellington Convention Centre
Introduction ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object]
Relevant literature on best practice in NIHL management and prevention ,[object Object],[object Object],Report prepared by Professor Peter R Thorne
Thorne, Reid, Ameratunga, Williams, Purdy and Dodd (2006). ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
ONIHL in Australia, Timmins et al (2010) ,[object Object],[object Object],[object Object],[object Object]
ONIHL in Australia, Timmins et al (2010) ,[object Object],[object Object],[object Object],[object Object]
Evidence from systematic reviews of literature ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The Cochrane Reviews
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Johnston, Laird et al (2009) Evidence based review ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Five key effective strategies in NIHL/noise exposure prevention Introduction of legislation, and consequent HLPP have reduced noise exposure and NIHL Strategies championed by leaders and managers are effective in NIHL prevention Interventions which combine multiple strategies are effective in NIHL prevention Engineering controls reduce noise exposure but little is known about their implementation One-off training has modest immediate effects, but is insufficient to prevent NIHL in the long term
Effectiveness of strategies based on behavioural psychology and social marketing  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary: The body of evidence ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object]
Concepts of “Good Practice” ,[object Object],[object Object]
Concepts of “Good Practice” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Concepts of “Good Practice” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Concepts of “Best Practice” ,[object Object],[object Object],A commitment to using all the knowledge and technology at one's disposal to ensure success.
Concepts of “Best Practice” ,[object Object],[object Object],[object Object]
UK Approach   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Noise control best practice elements (INVC, 2009) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],This approach can produce noise control measures that actually improve productivity and reduce costs - in contrast to reliance on conventional enclosures and acoustic guarding.
Noise control is  not  a safety issue ,[object Object],[object Object],[object Object]
[object Object],[object Object]
D evelopment of an intervention strategy for  the prevention of NIHL ,[object Object],[object Object],[object Object]
D evelopment of an intervention strategy for  the prevention of NIHL ,[object Object],[object Object],[object Object],[object Object]
D evelopment of an intervention strategy for the prevention of NIHL ,[object Object],[object Object]
National intervention strategy for the prevention of NIHL ,[object Object],[object Object],[object Object],[object Object]
Industry level intervention strategy for the prevention of NIHL ,[object Object],[object Object]
Organisational level intervention strategy for the prevention of NIHL ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Employ less than 20 employees ,[object Object],[object Object],[object Object],[object Object],[object Object]
I ntervention strategies for small business ,[object Object],[object Object],[object Object]
Conceptual model for intervention in small businesses   ,[object Object],Embedment of intervention method The Intermediaries Governmental Authorities Embedment of intervention method The small enterprise Process Intervention Effects Dissemination to the enterprise Embedment Act’s, Regulations CoP’s and rules Embedment of intervention method
Designing and evaluating support systems Dissemination to the enterprise interpretation Change  process Effects The small enterprise Embedment of  the outreach  activities Embedment Programme theory: By which mechanism should  the system work? Moderators: What can constrain or enhance  the effect? The intermediary organisation Source; Hasle (2010)
Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
For prevention of NIHL there are many  challenges ,  but fundamental  changes  in attitude, leadership, commitment, collaboration, resources and expectations are required as we look  toward 2020 .
Thank you ,[object Object],[object Object],[object Object],[object Object]

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Effective Strategies in the Prevention of Noise Induced Hearing Loss

  • 1. Effective strategies in the prevention of NIHL Dr Ian Laird Centre for Ergonomics, Occupational Safety and Health, Massey University, Palmerston North Toward 2020 Challenges & Changes in OH&S 26-28 October 2011, Wellington Convention Centre
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14. Five key effective strategies in NIHL/noise exposure prevention Introduction of legislation, and consequent HLPP have reduced noise exposure and NIHL Strategies championed by leaders and managers are effective in NIHL prevention Interventions which combine multiple strategies are effective in NIHL prevention Engineering controls reduce noise exposure but little is known about their implementation One-off training has modest immediate effects, but is insufficient to prevent NIHL in the long term
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
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  • 34.
  • 35.
  • 36.
  • 37. Designing and evaluating support systems Dissemination to the enterprise interpretation Change process Effects The small enterprise Embedment of the outreach activities Embedment Programme theory: By which mechanism should the system work? Moderators: What can constrain or enhance the effect? The intermediary organisation Source; Hasle (2010)
  • 38.
  • 39. For prevention of NIHL there are many challenges , but fundamental changes in attitude, leadership, commitment, collaboration, resources and expectations are required as we look toward 2020 .
  • 40.