PROVIDING OCCUPATIONAL HEALTH SERVICES TO LARGE

CONSTRUCTION PROJECTSDr Marianne Dyer

Where to Start?

Understanding the Nature of the Project What are they building? What are the priorities? What are the specific hazards involved in

the construction? Length of Project Size of Workforce Location and Infrastructure Contract and Budget!

Assessing Priorities

MUST

COULD

SHOULD

Example:

1. Productivity – workers who are healthy, happy

and here

2. Recruitment and retention

3. Reputational risk

4. Prevention rather than litigation

5. Large site, off-site time loss kept to a minimum

Assessing Priorities

OH Service Delivery

CLIENT PROVIDEDCONTRACTOR PROVIDED

Health Standards Employed OH Service Available to all workers

on site Uniform provision Emergency response

co-ordinated Central data and review Assurance to

contractors

Health Standards OH services contracted

to approved providers OH services dependant

on who/where the worker works

Emergency response collaboration

Individual company reporting

Client Assurance

Scope of OH Services

Fitness for Work

Sickness Absence

Management

Health Surveillance

Treatment Service

Drug and Alcohol Testing

Emergency Response

Wellbeing and Health

Promotion

Health Risk Management

Audit and Assurance

BUDGET

• Absolute clarity what is in and what is out of scope

• KPIs and deliverables• Collect data and use to demonstrate

performance and opportunities• Costed proposals for extending services

Changing Demands at Different Phases

Changing Demands

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Numbers on site

Numbers on site

• Enabling• Groundwork • Build phase• Fit Out• Handover

Client company Delivery Company Contracted companies Service companies:

◦ Catering◦ Security◦ Transport◦ Waste management◦ Communications

Internal Stakeholders

At least I’m not organising the

emergency response.

NHS Emergency Services Local Community Local and National Government HSE Unions / trade bodies Professional bodies Local Authorities, PHE, Charities Media Other interested parties

External Stakeholders

Medical Facility◦ On site +/- mobile units,satellite locations◦ Medial record systems◦ Transport◦ Communications

Equipment◦ Appropriate and sufficient◦ Predicting Demands◦ Deliveries

Staff◦ Recruitment◦ Training and competencies◦ Shift work◦ Transport to and from site◦ Demobilisation

Staff And Resources

Appointed Drs◦ Lead◦ Radiation◦ Asbestos

Specialist Health Surveillance Occupational Hygiene Physiotherapy Counselling services First Aid training & co-ordination

◦ Advanced First aiders◦ Defibrillators

Other Resource Considerations

Workplace◦ Eliminating or minimising the

impact of work on people’s health

Worker◦ Ensuring the workforce are fit

and able to work and optimising the management of their own health

Wellbeing◦ The use of the workplace

environment to promote health

OH Strategy

Every construction project is different but the same principles can be applied

Lessons learnt from previous large projects Plans can and should change all the time to

respond to needs and opportunities. Good data is extremely important

Conclusion