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29/11/2017 1 Welcome! #U858 Slido.com #healthylungs blf.org.uk Why lung disease is still a problem Alison Cook, Director of Policy and Communications November 2017

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Page 1: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

29/11/2017

1

Welcome!

#U858 Slido.com

#healthylungs

blf.org.uk

Why lung disease is still a

problem

Alison Cook, Director of Policy and

Communications

November 2017

Page 2: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

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blf.org.uk © British Lung Foundation 2016

Page 3: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

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blf.org.uk © British Lung Foundation 2016

The battle for breath

blf.org.uk © British Lung Foundation 2016

Mortality

Page 4: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

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blf.org.uk © British Lung Foundation 2016

Mortality UK

blf.org.uk © British Lung Foundation 2016

Impact on hospital services

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blf.org.uk © British Lung Foundation 2016

Hospital Admissions for Lung

Disease:77% unrelated to smoking

non smokers smokers

blf.org.uk © British Lung Foundation 2016

Lung Disease Deaths:63%

unrelated to smoking

non smokers smokers

Page 6: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

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blf.org.uk © British Lung Foundation 2016 blf.org.uk

blf.org.uk © British Lung Foundation 2016

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blf.org.uk © British Lung Foundation 2016

• 2,500 people each year die of

mesothelioma

• 2,000 asbestos-related lung

cancer deaths each year

• Hundreds with asbestosis and

non-malignant plural plaques

The impact of asbestos on the UK Relative risk of death from mesothelioma,

by local authority district, 2008-12

Source: Dr David Strachan, Respiratory Health of

the Nation, epidemiological study for the British

Lung Foundation

blf.org.uk © British Lung Foundation 2016

Page 8: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

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blf.org.uk © British Lung Foundation 2016

Future trends in the UK

Source: Health and Safety Executive, UK

blf.org.uk © British Lung Foundation 2016

Carbon Nanotubes – a future threat?

Page 9: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

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9

blf.org.uk © British Lung Foundation 2016

Next big challenge – air pollution?

blf.org.uk © British Lung Foundation 2016

A Taskforce for Lung Health

Source: Dr David Strachan, Respiratory Health of the Nation, epidemiological study

for the British Lung Foundation

Page 10: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

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blf.org.uk

The aims of the Taskforce

• Develop and publish a new evidence-based respiratory health strategy

• Bring organisations and people together in a collective approach to cross-system leadership

• Develop realistic and outcome-driven approaches

• Work with NHS bodies to make the strategy workable

• Actively involve people living with lung disease, their carers and wider stakeholders

19

blf.org.uk

Scope of the

Taskforce

prevention diagnosis treatment long term quality of

life

palliative care

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blf.org.uk

21

The Taskforce for Lung Health is

going to be leading the charge:

• influencing the next NHS Five

Year Forward View

• creating public demand for

change

blf.org.uk

Get involved

• Share best practice on prevention

• Ask your members to share their

experience

Get in touch: [email protected]

Page 12: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

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Occupational Lung Disease

Bakers Asthma in Supermarket

Scratch Bakeries

Doug Russell

Union of Shop Distributive and Allied Workers 0161249 2441

[email protected] www.usdaw.org.uk/healthandsafety

Bakers’ Asthma

Allergic reaction to flour dust or to

enzymes used as flour improvers

Associated with rhinitis, conjunctivitis

and skin symptoms

Sensitisation can occur at 0.5 to 1.0

mg/m3

In UK the WEL is 10 mg/m3

Page 13: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

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Where workers are exposed

Plant bakeries and other food

manufacturing Highly automated, lower exposures but still issues e.g. when mixing

ingredients

‘Scratch’ bakeries in larger

supermarkets May be 10,000 workers, batch processing. Higher exposures when

weighing/mixing, shaping rolls and breads, cleaning

Craft bakeries Several thousand, many self-employed, increased demand for

artisanal breads. Likely to have higher exposures to flour dust

Supermarket bakeries

HSE/HSL study of large, medium and small bakeries (3 plant bakeries, 5 25-150 staff, 9 5-25 staff)

Good control and high awareness in plant bakeries

Absence of controls and little awareness of risk in small bakeries

Other study shows prevalence close to 10% in supermarket bakery workers

Page 14: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

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Some good work in the past

2004-2005: HSE/HSL surveys of flour dusts exposure, prevalence of respiratory disease and awareness amongst industry workers of the risk associated with flour dust and enzymes

2006: HSE Respiratory Disease Programme initiative leading to awareness raising and inspections programme (also involving LA EHOs).

2006: Training initiative for local authority EHOs

2007: HSE/ LACORS ‘In Store’ Bakery initiative

2008: HSE Inspection Topic Pack: Small Bakeries 2 mg/m3 8Hr TWA ‘benchmark’ for control of flour and improver dusts in supermarket bakeries

But what did it achieve?

Unlike other occupational asthmas, the

incidence of bakers asthma increased over

the same period and remains high for retail

bakers

Tripartite meeting in 2008 to agree

standards for control of flour dust in

supermarkets but no clear standards agreed

No evidence of enforcement action or

regulator interventions at present

Page 15: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

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We know the risks

The average exposure levels in supermarkets

are estimated to be well below the WEL but

there are periods of higher exposure

When emptying flour sacks

Mixing ingredients

Throwing down flour when shaping product

Sweeping up dust

South Africa mixer lid with inlet flap

Page 16: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

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HSL Exposure visualisation tools

How do we control them?

Engineering controls – LEV, lids on mixers, use of low-dust flour

Safer working practices – handling of flour sacks, use of dredgers to sprinkle flour, use of dividing oil instead of flour, vacuum cleaning

Education and awareness-raising

Stricter WEL to reflect level of risk

Better use of health surveillance to identify local issues

Targeted intervention by LA EHOs

Page 17: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

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The LOCHER Project

Joanne Shepherd GradIOSH

Health and Safety Manager Blackpool and The Fylde College

Bob Rajan OBE JP PhD CChem FRSC FFOH SIIRSM

HSE

Early beginnings

• Formulated as a unique way to involve students in understanding the health aspects of the industries in which they were training to work

• The first pilot at South Essex College on paint spraying and isocyanates in the automotive industry

• Further two pilots at Preston’s College and Coleg Gwent on wood dust, RPE and welding. Staff and students were encouraged to share their findings and work on social media #LOcHER

Page 18: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

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Blackpool and The Fylde College

Blackpool and The Fylde College

• Became involved in 2016

• Project run as competition

• 10 curriculum areas entered

Topics included:

• Keyboard grime

• COSHH in the kitchen

• Cross contamination

• Dust ‘n’ Boots

• Healthy eating

• Interactive-health and safety

• Smoking and professionalism

• Safe DSE use

• Itching time over

• Office yoga

Competition judged by:

• Anne Foster HSE

• Karren Hoskins, IBIS Solutions Ltd

• Jeff Lambert of South Ribble Borough Council and chair Central Lancs IOSH group

Page 19: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

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The winners of the competition came from our Construction

team

Since the competition they have performed at:

• IOSH Central Lancashire meeting

• Cheshire and Merseyside Construction group meeting

Feedback included:

• “Your approach was a great way of getting the message

across.”

• “Well done - you will make a difference in preserving health

and life.”

• “Those that couldn’t attend missed one of the best evenings

we’ve put on.”

Dust ‘N’ Boots

Dust ‘N’ Boots

Page 20: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

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Findings

What students and employers gained:

• Confidence

• Employability skills

• Engagement in their own learning process

• Opportunities within the wider health and safety community

• Also: the use of the words health and safety and fun used in

the same sentence

Findings

Page 21: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

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• Get involved

• Spread the word

• Get your apprentices to undertake a LOcHER project of their

own

• Employ a student who has LOcHER on their CV

• Trust the future!

The future

Any questions?

LOcHER Showcase

Page 22: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

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43 BAE SYSTEMS PROPRIETARY

BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.

Danny Martland, Management of significant workplace health risks

Danny Martland Director, Safety, Health & Environment BAE Systems

Management of significant workplace health risks

44 BAE SYSTEMS PROPRIETARY

BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.

Danny Martland, Management of significant workplace health risks

Introduction

At BAE Systems, we provide some of the world’s most advanced, technology-led defence, aerospace and security solutions and employ a skilled workforce of some 83,400 people in over 40 countries. Working with customers and local partners, we develop, engineer, manufacture and support products and systems to deliver military capability, protect national security and people and keep critical information and infrastructure secure. Key facts

• International capability • One of the worlds leading defence companies • A world leading innovator • Over 83,000 employees worldwide • Customers in more than 100 countries • 2016 sales of £19billion • Working with universities worldwide (over 30 in the UK) • £70m+ invested annually in education and skills globally • £9bn+ spent with over 33,000 suppliers globally

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45 BAE SYSTEMS PROPRIETARY

BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.

Danny Martland, Management of significant workplace health risks

BAE Systems - Safety Journey

46 BAE SYSTEMS PROPRIETARY

BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.

Danny Martland, Management of significant workplace health risks

What got my attention

• Statistics show that in 2013/2014 133 workers died in accidents at work and approximately 13,000 people died from work related diseases. Meaning 99% of deaths caused by work can be attributed to ill health

• HSE Strategy

• Conversation with HSE 2014 - what can we do?

• Breathe Freely Campaign construction - simple, powerful messages

• We, BAE Systems, are the largest engineering company in the UK comprising many legacy companies

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47 BAE SYSTEMS PROPRIETARY

BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.

Danny Martland, Management of significant workplace health risks

Health & Safety

• Safety issues tend to be the burning issues

• Injuries are obvious however, long latency health effects aren't

• Safety practitioners are generalists in their field

• They don’t tend to understand hygiene in any detail

• Senior managers only tend to ask about safety

• Therefore safety generally is seen as a priority

48 BAE SYSTEMS PROPRIETARY

BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.

Danny Martland, Management of significant workplace health risks

• Health seen as surveillance via Occupational Health Department, not control of workplace health risks

• Few (weekly monthly) indicators for Occupational Hygiene, near miss reporting, first aid etc..

• RIDDOR reportable occupational diseases tend to be few and far between

• All assessments in place; monitoring and statutory checks OK

• So we haven't got a problem!

Health & Safety

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49 BAE SYSTEMS PROPRIETARY

BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.

Danny Martland, Management of significant workplace health risks

Discussion with the Board

• Significant health Risks

• Carcinogens, Mutagens, Reprotoxins, and Sensitisers

• Not COSHH!

• The strategic aim is to systematically move up the hierarchy of controls to remove our employees from risk to their health, with a drive towards moving away from the need to use Personal Protective Equipment

“We aspire to create a workplace where our employees have no direct exposure to carcinogens, reprotoxins, mutagens and sensitisers”

50 BAE SYSTEMS PROPRIETARY

BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.

Danny Martland, Management of significant workplace health risks

Carcinogens, Mutagens, Reprotoxins, Sensitisers

Trichloroethylene degreasing

Chromated primers spraying / touch up

Chromic acid treatment bath / touch up

Cadmium Oxide corrosion (mutagen) Leksol degreasing / cold cleaning

Chrome VI treatment bath / touch up

Chromated Primer Sanding

CN20 Gun wash solvent (Teratogen)

Nickel drilling/countersinking of carbon

Epoxy resin adhesives / fillers

Metalworking fluids / coolants

Welding / Soldering

Health hazards

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51 BAE SYSTEMS PROPRIETARY

BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.

Danny Martland, Management of significant workplace health risks

Focus Areas

• Health Risk Management Strategy

• Health Steering Board

• Deployed Health Risk Leading Indicators – mix of strategic and operationally specific

• Training for SHE generalists

• Running BOHS certificate in house to enhance core skills x 14 new Occupational Hygienists

• Moving towards Hygienists becoming the Strategist, specialist advisors rather than measurers!

• Assurance to the ‘more competent’ SHE generalists

• Identified top ten hazardous substances, carcinogens, mutagens, reprotoxins, sensitisers

• Detailed risk assessments

• Comprehensive awareness sessions to convey health effects, controls required and how to use, monitoring? health surveillance?

52 BAE SYSTEMS PROPRIETARY

BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.

Danny Martland, Management of significant workplace health risks

• Partnering with BOHS, EEF, HSE and other industries to facilitate campaign

• Support working group to develop material and guidance

• Provide speakers for roadshows

Breathe Freely

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53 BAE SYSTEMS PROPRIETARY

BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.

Danny Martland, Management of significant workplace health risks

Summary

• SHE community tend to overlook or underestimate the health risks

• Health for many is seen as health surveillance and wellbeing – not risk management

• Subjects like COSHH can be seen in some areas to be too big and in other areas quite trivial

• Hazardous substances such as CARCINOGENS, MUTAGENS, REPROTOXINS and SENSITISERS get management attention

• Create a high impact campaign

• It’s not a numbers game…accidents

• It’s about identifying and articulating health risk

• Think ALARP – not only “measurement below WEL”

• More focus on Occupational Hygiene strategy, communication, raising awareness and overall competency

54 BAE SYSTEMS PROPRIETARY

BAE SYSTEMS PROPRIETARY Unpublished Work Copyright 2017 BAE Systems. All Rights Reserved.

Danny Martland, Management of significant workplace health risks

Thank you Any Questions?

Restrictions on use: The information in this document contains proprietary information of BAE Systems. Neither this document nor any of the proprietary information contained therein shall be (in whole or in part) published, reproduced, distributed, disclosed, adapted, displayed, used or otherwise made available or accessible (in each case, in any form or by any means) outside of BAE Systems without the express written consent from the document originator or an approved representative of BAE Systems.

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Month 00, YYYY - Title of presentation 55

Lauren Kyle Head of Cleaning

UK & Ireland

A

G

E

N

D

A

Sodexo at a Glance

Safety Moment Global ‘Have a Safe Day’ approach Focus areas for Sodexo UK & Ire

Page 29: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

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Sodexo At A Glance

57 –

€19.8bn of consolidated

revenues

420,000 employees

19 th

largest employer

worldwide

75 million consumers

per day

80 countries

World leader in

Quality of Life

Services

ENERGY &

RESOURCES

CORPORATE

SERVICES

HEALTHCARE

GOVERNMEN’T

SCHOOLS

UNIVERSITIES

SPORTS &

LEISURE

Global commitment to health & safety

On-going communication & awareness campaign

Have a Safe Day aims to:

• embed a zero accident mindset

• encourage collective responsibility for health & safety

• encourage employees to speak up when we feel unsafe

• encourage health & safety conversations and raise awareness

Page 30: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

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Safety Moment

59 –

An estimated 500,000 people work in cleaning in the UK

• The use of chemicals is a key health & safety topic in

the industry

• PPE is only part of the answer!

Three focus areas to reduce lung disease

60 –

Cleaning

Horticultural Services

Fleet Management

Page 31: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

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Cleaning

61 –

Engineered water

‘The product is amazing – I’m very happy with it. It’s

replaced a number of chemical products, so I’m no longer

breathing in chemicals. Our client staff like it too when I

explain that it’s cleaning and decontaminating surfaces

without the use of chemicals’

Mary - Sodexo cleaning colleague at Shell UK

Air purification systems

Ozone / UV technology

Improvement in air quality

Eliminates need for artificial air fresheners

Horticultural Services

62 –

Reduce pesticide use with biological controls

Increased cultivation

Reduce frequency of application

Trial alternatives e.g. hot foam weeding

Battery powered blowers and strimmers

Reduce air pollution

Page 32: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

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Fleet Management

63 –

Cleaner engine technology

Purchased 100 new vehicles with

Euro6 engines

new updated GPS fleet tracking

device for efficient routing

40% of company cars are hybrid

Electric vehicles

Bunzl electric vehicle introduced 2010

Home Service – electric vehicles used

to deliver hot meals

Defence – electric catering vans used

Month 00, YYYY - Title of presentation 64

Thank you

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UNITE Tackling Workplace

Lung Disease

Bud Hudspith

Unite National H&S Adviser

2017

40 years of Safety Reps

A force for good H&S Safety Representatives and

Safety Committees Regs 1977

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Workers are the

solution, not the

problem!

UNITE - lung disease

• Asbestos

• Diesel fumes

• RCS (Respirable Crystalline Silica)

Supporting

• HSE

• IOSH – No time to lose

• BOHS Breathe Freely

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Asbestos

• Publications

• Submissions

• Asbestos register

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Diesel engine exhaust

emissions can cause cancer

Diesel Exhaust Fumes

• Unite conference motion

• Guidance

• Diesel Register

• HSE publication – Implementation?

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Respirable Crystalline Silica

• Unite guidance

• NEPSI

• Former Advisory Committee on Toxic

Substances

• Inadequate Controls

• Can cause lung cancer without silicosis

• IndustriALL/USW

Page 38: Slido.com #U858 #healthylungs - Home - HSE Solutions slides master.pdf · Future trends in the UK Source: Health and Safety Executive, UK ... regulator interventions at present

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Supporting action

against lung disease

• HSE – Healthy Lung Partnership

• IOSH – No time to lose

• BOHS – Breathe Freely

• Welding

Unite is committed to improving health

and safety in all workplaces

Union organised workplaces are safer

than non-organised workplaces