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The International Social Security Association An introduction

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PREVENTIONPREVENTION OF OCCUPATIONAL RISKS IN THE HOMEOF OCCUPATIONAL RISKS IN THE HOME--

HELP AND HOMEHELP AND HOME--CARE TRADESCARE TRADES

Carole ALLARDCarole ALLARDSafety Inspector at the French Missionfor Preventing Occupational Risks in

the Home-Help and Home-Care TradesOccupational Health and Pension Insurance Fund (CARSAT)

of the LANGUEDOC-ROUSSILLON Region - FRANCE

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Accident Rate

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Psychosocial risks: specific organisation of the work and major psychosocial dimension: emotional load, isolation, confrontation with new work contexts, time constraints.

Road risk and work-related transport with road accidents. Half of the fatal accidents among home-help and home-care assistants are due to road accidents, since they mainly use their cars for work-related travel.

Risks of falls (slips, trips, and falls from heights): nearly one third of lost time accidents among home-help and home-care assistants are due to slips and trips.

The risks encountered

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Risks related to physical activity: carrying heavy loads, uncomfortable postures, and repetitive actions (defective or unsuitable equipment, lack of space in the home), ... The main recognised occupational diseases are periarticular disorders such as tendinitis (accounting for nearly 90% of the cases) and lower back disorders such as, for example, sciatica (about 6%).

Infectious and parasitic risks: depending on the state of health of the assisted persons and of their environment (presence of children and animals, insalubrious housing), home-care and home-help assistants can be exposed to infectious agents. Bacteria (staphylococci, streptococci, tuberculosis bacillus…), viruses (influenza, chickenpox, hepatitis), and parasites (that cause scabies or toxoplasmosis…).

Chemical risks due to use of cleaning products. These products can cause irritations, allergies, burns, intoxications or accidents (fire, explosion).

The risks encountered

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Implementation of prevention actions

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Objective

Raise awareness among employees and employers through a short and simple message on the most frequent occupational risks

Distribution/Target AudienceNational campaign over a given month: 1.4 million employees 1.5 million contribution-paying employers

100,000 copies for federations and the network of the CARSATs/CGSSs (General Social Security Funds)

Already publishedPrevention of biological and chemical risks: December 2008Prevention of risks related to physical activity: October 2009Prevention of trips, slips and falls: March 2010Prevention of infections: September 2010Prevention of risks related to work-related travel: February 2011Prevention of psychosocial risks(PSRs): October 2011

National information campaigns

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Brochure on risks of trips, slips, and falls

Brochure on risks related to physical activity

Brochure on biological and chemical risks

National information campaigns

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Brochure on the prevention of psychosocial risks

Brochure on accidents related to work-related travel

Brochure on infection risks

National information campaigns

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Objectives

Have a simple checklist of the most frequent risk situations for a home-care or home-help assistant.

Propose standardised recommendations and guidelines for eliminating as far as possible the identified risk situations.

Constitute a monitoring tool for measuring home adjustments.

Check, through the use of the checklist, that the occupational risks are integrated into the service provider’s management structure.

Constitute a tool for raising awareness of occupational risk prevention among the workers and the people assisted and cared for, and their families and friends.

Checklist for identifying occupational risks in the home

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Distribution/Target AudienceWebsites of the French Health Insurance System (Assurance Maladie) and of the partners (INRS, EUROGIP, ANSP, IRCEM)Home-help and home-care federations Workers and private-individual employersTraining bodies and prevention network

AvailabilityPut online in October 2010

• www.risquesprofessionnels.ameli.fr• www.inrs.fr• www.servicesalapersonne.gouv.fr

In the pipelineA multimedia version, with an approach to the common risk of living and of working at home: for old people, with a view to preventing domestic accidents related to everyday life, and for workers, with a view to preventing occupational risks

The checklist for identifying occupational risks in the home

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The checklist for identifying occupational risks in the home

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Objective

Give practical assistance to the workers out in the field and to the managerial staff for the purposes of:

Showing them where they stand with respect to their occupationalpractices;

Helping them to take a critical look at their activity and at the occupational risks encountered;

Improving the organisation of the work and of the workers.

Method

Facilitating practical knowledge acquisition through a fun approach that does not induce feelings of guilt and that is organised around 12 target activities: questions and answers in the form of a quiz. Based on the answers given, a profile is determined.

Proposing a set of good practices.

Booklet: the prevention of occupational risks in 100 questions

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Booklet: the prevention of occupational risks in 100 questions

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Multimedia risk prevention tool

ObjectivesFederate all of the players involved and mobilised.Facilitate access to information.Develop an identity and community links.Reinforce the culture of the trade.Forge professional ties.

MethodInformation space giving practical information on the risks and practical solutions to be implemented.Community space: forum for discussions, events, news... Play space: quiz, fun-learning game.

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Multimedia risk prevention tool

Distribution/Target audienceHome-help and home-care trade federations Workers and private-individual employersTraining bodies and occupational safety & health networkInitial education

PartnersCNAMTS/DRP, INRS, IRCEM, ANSP, Professional Branch,“Champs Coordonnés”(coordinated pools of resources)

AvailabilityComing online in January 2012

www.ircem.com

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THIS IS THE 

“GAMES MENU”

DIRECT AND 

SIMPLIFIED ACCESS 

TO CONTENTS

The risks for your health 

Prepare yourself! 

Adopting the correct postures

Test your knowledge 

Before taking to the road 

Choosing cleaning equipment

Cleaning up safely

Washing clothes safely

Preparing meals safely

Washing people safely

Choosing equipment for preparing

meals 

Choosing equipment for washing

clothes 

The IRCEM bus

For further information 

Advice on making the home safe

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Social access

VIEW OF A TOWN

Through 

this 

second 

entrance, 

users 

arrive 

IN 

THE 

CENTRE 

OF 

A 

TOWN 

in 

which 

they 

can 

MOVE, 

entering 

the 

dwellings 

and 

structures 

around 

them, 

and 

talking 

to 

the 

other users.

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HOMES OF PRIVATE INDIVIDUALS

Private individuals’

houses are addressed in 4 

different modules that are repeated in each of 

the houses, depending on the occupational 

activity in question.

•

Modules 5 to 8 : 

choosing the work 

equipment•

Modules 9 to 13 : 

doing the 

activity•

Modules 14 to 17 : 

fitting out the 

home •

Modules 18 à 22 :

gesturesandpostures

HOUSEWORK CLOTHES WASHINGMEALSHELPING THE PERSON TO WASH

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The training schemes

Compiling a skills inventory on 3 levels: Level 1: home workerLevel 2: managerial staffLevel 3: structure head/director

Setting up specific training under the auspices of INRS“Le Certificat de Prévention Secours” (The Prevention and First Aid Certificate)

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Thank you for your attention