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Soctek Edible Oil Sdn. Bhd.Johor Bahru
AuthorDr. Huda Zainuddin
BMedSci; MD, MPH (Occupational Health)Assistant Director
Occupational Health Unit, Disease Control DivisionMinistry of Health Malaysia
December 2003
ii
Table of contents
1.
Acknowledgement
Background
iv
1
2. Introduction
2.1 Definition 1
3. The Project 2
4. Chronology of Events 3
5. Initial Collaborating Committee 4
6. Company Profile
6.1 Manufacturing Flow Chart
6.2 Employment Data
5
6
9
7. Activities 9
8. Methodology 10
9. Needs Assessment 10
10. Prioritizing Needs
10.1 Plan of Action
23
23
11. Implementation of Action Plan 27
12. Limitations 31
13. Discussion 31
14. Recommendations 32
15. Conclusion 33
iii
List of Appendices
Annex 1: Letter of Agreement
Annex 2: SOCTEK Safety and Health Committee Members
Annex 3:SOCTEK Safety Training Program 2003
Annex 4: Bulletin Healthy Workplace Project
Annex 5: Check List of Factory Inspection
Annex 6: The Questionnaire – Program Kesihatan Tempat Kerja Soal Selidik Untuk Pekerja
Annex 7: Personal Biodata of SOCTEK Safety and Health Officer
Annex 8: Personal Biodata of SOCTEK Personnel and Administration Officer
Annex 9: Photograph
36
37
38
39
41
58
68
69
73
iv
ACKNOWLEDGEMENT
I would like to extend my deepest gratitude to Dr Daud Abd Rahim, Deputy Director of
Disease Control Division, Ministry of Health Malaysia and Dr P. Doraisingam, Deputy
Director (Special Programme), Disease Control Division, Ministry of Health, Malaysia for
their guidance and advice on this report writing. I would also like to thank Miss Gowrie,
SOCTEK Manager for her hospitality; Staff Nurse Mehroon Bee Bee, Mr Eng Aik Chew,
SOCTEK Safety and Health Officer and En Isjamal Naser Nordin, SOCTEK Personnel
and Administration Officer for their assistance and cooperation during my visit to the
factory. Finally, I would like to thank Dr Stephen Ambu and Mrs Asmaliza from the
Environment Health Research Centre (EHRC), Institute of Medical Research Malaysia
for their cooperation and assistance regarding documents related to this project. Without
the help of the above persons this report might have not been possible.
1
REPORT
HEALTHY WORKPLACE:
SOCTECK EDIBLE OIL SDN BHD
JOHOR BAHRU
1. Background
The Western Pacific Regional Office for the WHO, has developed Regional Guidelines
for Healthy Workplaces. Released in December 1999, they were the first of their kind to
address workplace settings and while trailed in a number of countries, they had not been
fully implemented as of the commencement of this project. The recent introduction of
WHO’s ‘healthy settings’ approach has shed new light on the application of health
promotion in the workplace. The workplace, like other settings, can have a very positive
impact on the health and well-being of workers, their families, communities and society
at large. It is not the aim of the Healthy Workplace process to replace the many important
statutory occupational health and safety (OHS) requirements laid down by governments
but to complement them with a process that provides all stakeholders, including workers with a voice.
2. Introduction
2.1 Definition
A healthy workplace is a place where everyone works together to achieve an agreed
vision for the health and well-being of workers and the surrounding community. It
provides all members of the workforce with the physical, psychological, social and
organizational conditions that protect and promote health and safety. It enables managers
2
and workers to increase control over their own health and to improve it, and to become
more energetic, positive and contented.
A healthy workplace aims to:
• Create a healthy, supportive and safe work environment
• Ensure that health promotion and health protection become an integral part of
management practices
• Foster work styles and lifestyles conducive to health
• Ensure total organizational participation
• Extend positive impacts to the local surrounding community and environment
The development of a healthy workplace can be achieved by an eight-step process:
1. Ensure management support
2. Establish a coordinating body
3. Conduct a needs assessment
4. Prioritize needs
5. Develop an action plan
6. Implement the plan
7. Evaluate the process and outcome
8. Revise and update the programme
3. The Project
The objective of the project is to create a workplace environment that practses a
comprehensive, participative and empowering collaboration through a multi-sectoral and
multidisciplinary approach to ensure that such practices are sustainable and compliant to
the necessary legislation.
3
The principles that guide the development of healthy workplaces must be comprehensive,
participatory and empowering. The healthy workplace initiative must encourage
multisectoral and multidisciplinary cooperation, promote social justice and be
sustainable.
The project has been designed to be a collaborative action research process. This
approach encourages professionals at the local level to be researchers and be the ones
to initiate change guided by the framework outlined in the Regional Guidelines. However,
the action to test out the applicability of the guidelines is being explored by those
working at the local level with the community.
Workplaces were selected as pilot projects to ascertain the feasibility of the WHO
Regional Guidelines for the Development of Healthy Workplaces under the ‘healthy
settings’ concept in local situation. Selection of companies was based on their willingness
to participate actively, cooperation, collaborative partnership and sense of ownership of
the project. In Johor Bahru, SOCTEK Edible Oils Sendirian Berhad was one of the 4
selected companies for this pilot project.
4. Chronology of Events
18 July – 20 July 2000 : National meeting on the pilot project for ‘Healthy
Settings- Healthy Workplace’
26 February – 1 March 2001 : Healthy Workplace workshop
7 March 2001 : Meeting at Johor Bahru District Health Office
10 March 2001 : Briefing to staff of Pasir Gudang Health Clinic
13 March 2001 : Meeting of Clinic team members to embark on the project
15 March 2001 : Handing over of the WHO Regional Guideline to
SOCTEK Health and Safety Officer
4
20 March 2001 : Meeting and briefing to factory management and her team
4 April 2001 : Signature of agreement by the company manager and medical
Officer Pasir Gudang Health Clinic
23 July – 26 July 2001 : Walkthrough survey and needs assessment done
5. Initial Collaborating Committee
Dr Daud Abdul Rahim : Johor Bahru District Health Office
Dr Thilaka : Masai Health Clinic
Dr Stephen Ambu : Environment Health Research Centre
Dr Brent Powis : World Health Organization Collaboration Committee
Dr Zina O’Leary : World Health Organization Collaboration Committee
Mr Javed Ahmedi : World Health Organization Collaboration Committee
Puan Asmaliza Ismail : Environment Health Research Centre
SOCTEK team members:
Eng Aik Chew : Health and Safety Officer
Nor Isjamal Naser Nordin : Human Resource Executive
Munisamy A/L Ragawan
Teo Kok Leong
Shahril Mohd Yusof
Hamka Md Zakariya
Norhisham Afandi
Pasir Gudang Health Clinic team:
Dr Sariah Hj. Muda : Medical and Health Officer Pasir Gudang
Abu Said Ahmad : Medical Assistant
Mehroon Bee Bee : Staff Nurse
5
Robiaah Sahaari : Staff Nurse
Hashim : Health Inspector, Masai Health Clinic
Samsul Ariffin : Health Inspector, Pasir Gudang Port Health Office
6. Company Profile
Name of factory : SOCTEK Sdn. Bhd.
Factory address : SOCTEK Edible Oils Sdn. Bhd.
PLO 8 & 9 Jalan Timah
81700, Pasir Gudang,
Johor Bahru,
Johor.
Ownership : Singaporean
Year of establishment : 1979 – SOCTEK Sdn Bhd
1987 – SOCTEK Edible Oils
Factory area : 21 acres – 17 acres operational area
4 acres empty land
Raw materials used : Crude palm oil
Crude palm kernel oil
Soya bean oil
Corn oil
Coconut oil
Rape seed oil
Products manufactured : Cooking oil
: Ice-cream fat
: Margarine
: Shortening
9
6.2 Employment Data
Category Male Female Total
Executive 20 10 30
Supervisor 35 5 40
Technician 100 20 100
Contract workers
Bangladeshi
Indonesian
8
92
0
0
8
92
Total 255 35 290
Trade union : None
Absenteeism : Sickness absence 5 working days per month
(monthly average) Injuries absence 7 working days per month
Other absence 2 working days per month
Safety and Health Committee : This committee is active and hold meetings monthly.
The meetings are frequently chaired by the company’s
manager, Miss Gowrie.
Accident report
Days lost due to accidents / injury in 1999 and 2000 was 99 days.
Lost time injury was 0.02% (136 hours) in 1999 and 0.10% (656 hours) in 2000.
7. Activities
Healthy workplace research project meeting at workplace by SOCTEK committee
members
13 December 2001 Setting up of committee and task determination
10
16 January 2002 Review progress of hazard control
28 May 2002 Review implementation progress
29 August 2003 Review progress and their targets; further planning
8. Methodology
Hazard identification and the existing risk management measures carried out were
documented during the walk-through survey. A pre-designed questionnaire for managers
and employees based on the WHO Regional Guidelines for the Development of Healthy
Workplaces was used to identify the needs.
9. Needs Assessment
The needs assessment conducted at SOCTEK followed the methodology provided in the
WHO Regional Guidelines for Healthy Workplace. The team used 3 major tools:
a) Walk Through Survey (WTS)
b) Questionnaires
c) Focus Group Discussion
a) Main Findings of WTS
Welfare facilities
Working hours for administration staff is 8.30am to 5.00pm. However, the plant operates
24 hours, as such three shifts are in place (duration of each shift is 8 hours).
For both male and female employees, various facilities are provided including:
• Rest room
• Change room
• Lockers
11
• Factory canteens
• Recreation based facilities (sports club, indoor and outdoor activities)
• Accommodation is provided for some staff
Sanitary facilities
The number of toilets for both males and females are 16 and 8 respectively. The
cleanliness of the female toilets was not satisfactory.
Occupational Health Service
SOCTEK has a comprehensive policy / procedure document. A first aid box is available
and items are checked / replenished monthly. Supervisors and some workers are trained
in emergency management and first aid. However, emergency room and sick / minor
accident facilities are not provided. There is a trained Safety and Health Officer. Medical
treatment is obtained at Pasir Gudang Health Centre or panel clinics. Pre-employment
medical examination is a requirement in this factory.
Safety Provision
Adequate. Safety committee is available and regular monthly meeting is held, chaired by
the manager (annex 1). A safety manual is available for reference.
Issues of concern
Within the warehouse, various hazards were identified in relation to the general
occupational environment. Firstly, poor ventilation was noted being compounded by the
absence of fan and exhaust ventilation systems. Secondly, poor lighting was noted - the
mercury based lighting system was continually dim and a source of heat.
In the texturing plant, the provision of various ceiling fans and the industrial ventilation
12
system do not appear to be sufficient and are considered to be contributing to high
humidity levels.
In the fractional plant, hazards identified are the slippery floor around the conveyor and
press table due to spillage of palm oil and the sharp ends of the polypropylene plate.
Generally, it was also noted that ergonomics/ manual handling was an issue, specifically
relating to the time, in which workers would stand and conduct their duties.
Noise Monitoring (done by competent person)
Noise level in the factory ranges between 75 dB(A) and 93 dB(A). Main sources of noise
came from the Pumps and Electric Motors at the Desmet Plant, Hydrogenation Plant,
Margarine Plant and CPKO Fractionation Plant.
Workers exposed to noise level at or above the Action Level of 85 dB(A) but below the
Permissible Exposure Limit of 90 dB(A).
Section Margarine Plant (Filling and Packing Machine)
Job Category Operator
Noise Sources Filling and packing and pneumatic pressure
Workers exposed to impulsive type of noise exceeding peak level of 140 dB(A)
Section Margarine Plant
Job Category Operator
Noise Sources Electric motor
Section Margarine Plant (Filling and Packing Machine)
Job Category Operator
Noise Sources Filling and packing and pneumatic pressure
13
Section Warehouse (Forklift)
Job Category Driver
Noise Sources Engine’s noise and rattling sound on uneven road
b) Questionnaire
Questionnaire for employees provided in the Regional Guideline were distributed to all
workers. The questionnaire was translated into Bahasa Malaysia before administration
(annex 2). Results are shown in annex 3. Some of the relevant issues / responses by the
workers are shown below.
1. Health promotion issues:
Exercise
Based on questions 11, 12 and 13 in the questionnaire, 42% workers exercised regularly
and 58% did not.
Reasons for not exercising regularly:
45% - Lack of time
23% - Lack of facilities
22% - Other reasons
5% - Little interest in exercise
5% - Health problems
Of the 58% who initially noted that they do not exercise regularly, 91% stated that they
would exercise if facilities were provided at the workplace. However, 9% said that they
would not exercise regardless of the facilities.
Smoking
Out of 90 employees, 51% were smokers, 39% non-smokers and 10% ex-smokers.
14
Among smokers (70 workers) 94% expressed the desire to stop smoking and 6% did not
want to stop the habit.
Among the smokers, 87% would be interested in joining a smoking cessation club while
13% were not interested.
2. Rating of own health
Job and Life
Referring to questions 17 and 18 in the questionnaire.
Among 94 workers sampled, 20% felt very good about job and life, 74% felt rather good
and 5% were having difficulties with their job and life.
Factors that workers think would improve their quality of life:
32% Removal and management of stress
16% Eating better
16% Exercise would improve their health
12% Checking and control of blood pressure
11% Quit or reduce smoking
9% Medical treatment
3% Change home situation
2% Change job
15
Majority of the workers agreed that they are satisfied with their involvement in decision
making.
Legend
Most workers agreed that their employer has sincere interest in wellbeing of employees.
However, a high percentage (30%) of workers were not sure.
Legend
Q19e. I am satisfied with involvement I have at work in decision making
0
20
40
60
80
NS SA A D SD
Miss
ing
%
Q19f. My employer has sincere interest in wellbeing of employees
01020304050
NS SA A D SD
Miss
ing
%
NS : Not sureSA : Strongly AgreeA : AgreeD : DisagreeSD : Strongly Disagree
NS : Not sureSA : Strongly AgreeA : AgreeD : DisagreeSD : Strongly Disagree
16
Most (45%) employees were satisfied with the fairness and respect they receive on their
job. However, a high percentage of employees (34%) were not sure.
Legend
Most workers (42%) were not sure whether they were satisfied with the reward they
receive for the effort they put on their job.
Legend
Q19g. Satisfied with fairness and respect I receive on job
0
10
20
30
40
50
NS SA A D SD
Miss
ing
%
Q19h. I am well rewarded for level of effort I put into my job
0
10
2030
40
50
NS SA A D SD
Miss
ing
%
NS : Not sureSA : Strongly AgreeA : AgreeD : DisagreeSD : Strongly Disagree
NS : Not sureSA : Strongly AgreeA : AgreeD : DisagreeSD : Strongly Disagree
17
Almost similar proportion of employees agreed (38%) and was not sure (35%) whether
they could find another job as satisfying as the present one.
Legend
Almost 20% of the employees agreed that they had to make decisions at work that are
bad for their health however, 24% workers were not sure.
Legend
Legend
Q19i. I could find another job as satisfying as this one
05
10152025303540
NS SA A D SD
Miss
ing
%
Q19j. I have to make decisions at work that are bad for my mental or physical
health
0
10
20
30
40
50
NS SA A D SD Missing
NS : Not sureSA : Strongly AgreeA : AgreeD : DisagreeSD : Strongly Disagree
NS : Not sureSA : Strongly AgreeA : AgreeD : DisagreeSD : Strongly Disagree
18
Majority (72%) of the employees agreed that they like their job.
Legen Legend
Almost 50% of the workers thought that their job challenge them too much.
Q19k. On the whole I like my job
01020304050607080
NS SA A D SD
Miss
ing
%
Q20. How does your job challenge you?
0102030405060
Too little Justenough
Too Much Missing
%
NS : Not sureSA : Strongly AgreeA : AgreeD : DisagreeSD : Strongly Disagree
19
The main worries of the employees for the last 6 months were too many changes in their
job, unscheduled overtime and job insecurity.
Q21. What caused you worry or stress in the last six months?
0
2
4
6
8
10
12
Job
Chang
e
Too
man
y job
chan
ges
Dislike
hou
rs
time
pres
sure
Unsch
eduled
ove
rtim
e
Duties no
t clear
Comflic
ting
Duties
Oth
ers
Too
muc
h m
anag
emen
t con
trol
Lack
of inf
luen
ce
Too
muc
h re
spon
sibilit
y
Unrea
listic
exp
ecta
tions
Deadlines
Lack
of f
eedb
ack
Trea
ted
unfa
irly
Job
inse
curit
y
Physic
ally
exha
ustin
g
Men
tal e
xhau
stion
Wor
k Bor
ing
Conflic
t at w
ork
Isolat
ion
Lack
of c
omm
unica
tion
Difficu
lty w
ith w
ritte
n instru
ctions
Lack
of c
ontro
l ove
r pac
e of
wor
k
Tryin
g to
cop
e with
injury
/illne
ss
Miss
ing
%
20
Responses for question on main concerns of the employees were inconsistent as shown in
figures for Q22 and Q23 below.
Q22. What are you very concerned about at work?
0
1
2
3
4
5
6
7
8
Too Hot
Too Cold
Bad airNoise
Vibratio
n
Works
pace
Lighting
Unsafe w
ork
Fire/E
xplosio
n
Litter/M
ess
Lack of S
afety Tra
ining
Physica
l stra
in
Eye st
ain
Chemicals
Biological a
gents
Toxic gas
dust
Unsafe P
lant
Manual Handlin
g
Lack of P
PE
Radiation haza
rds
Electrica
l haza
rds
Slips a
nd Trip
s
Trave
l haza
rds
Personal s
afety&se
curity
Tobacco sm
oke
Works
tation desig
n
Poor quality
food
Shift work
Outside w
ork
Lack of h
ealth fa
cilitie
s
Disabled acc
ess
Toilet fa
cilitie
s
Nothing
Others
Missing
%
Q23. What are your two greatest concerns?
0
2
4
6
8
10
12
14
16
18
Too Hot
Too Cold
Bad air
Noise
Vibratio
n
Works
pace
Lighting
Unsafe w
ork
Fire/E
xplosio
n
Litter/M
ess
Lack of S
afety Tra
ining
Physica
l stra
in
Eye st
ain
Chemicals
Biological a
gents
Toxic gas
dust
Unsafe P
lant
Manual Handlin
g
Lack of P
PE
Radiation haza
rds
Electrica
l haza
rds
Slips a
nd Trip
s
Trave
l haza
rds
Personal s
afety&se
curity
Tobacco sm
oke
Works
tation desig
n
Poor quality
food
Shift work
Outside w
ork
Lack of h
ealth fa
cilitie
s
Disabled acc
ess
Toilet fa
cilitie
s
Nothing
Others
Missing
%
21
Majority of the employees would not do any task that they thought dangerous even if told
by their supervisor.
Q24. What would you do if your supervisor told you to do
something you thought was dangerous?
0102030405060708090
100
Do it, not c
omp...
Do it, co
mplain
Not do it
Not sure
missing
%
Majority (>90%) of the employees would like to participate in Health Promotion
Program but about half of them were not willing to pay for it (Q25 and Q26).
Q25. Would you participate in Health Promotion Program?
0
20
40
60
80
100
Yes No Missing
%
22
Areas of health promotion that the workers were most interested were exercise, nutrition
and stress management.
Q26. Would you be willing to pay for a Health Promotion Program?
0
10
20
30
40
50
60
yes No Missing
%
Q27. Which of the following are you interested in?
02468
10121416
Exerci
se
Nutrition
stress
management
Risk of s
moking
Hazards o
f Alco
hol
Hazardous W
orkplace
Factors
Back ach
e
Others
Musculo-sk
eletal diso
rders
heart dise
ase
diabetes
occupatio
nal dise
ases
cance
raids
Missing
%
23
10. Prioritizing Needs
Based on the results of the worker survey and the walk through survey, several issues of
concern have been identified:
1. Physical – temperature, lighting, floor (slip risk), air quality
2. Ergonomics
3. Stress
Prioritization was based on the seriousness of issue and the feasibility of improvement. A plan
of actions was drafted for each specific issue.
10.1 Plan of Action
10.1.1 Temperature
Areas with problems were the margarine plant, warehouse and CPKO plant.
Objective Activity Agency Time Frame
Determine heat
stress levels
Assessment of
workers at risk –
body temperature /
dehydration
Pasir Gudang (PG)
Health team
Determine
temperature /
humidity levels in
target areas
Survey of
temperature and
humidity levels
DOSH / NIOSH /
EHRC
6 months
24
Determine heat
sources
Survey of plant SOCTEK
Identify
management options
Liaison with DOSH
/ 3M / EHRC
SOCTEK / EHRC
Improve situation Implement change SOCTEK
Evaluate outcome Monitor site and
workers
PG health team / DOSH
/ EHRC
10.1.2. Ergonomics
Objectives Activity Agency Time frame
Identify risk groups Walk through survey SOCTEK / DOSH
Assess risk Interview workers,
conduct health
assessment – health
diary
PG health team /
SOCTEK
Not stated
Determine
management options
Review workstation /
job design / rotation
DOSH / SOCTEK
Situation improvement Implement change SOCTEK
Evaluation Interview / health
assessment
PG health team
25
10.1.3 Air quality
Areas concerned were the margarine plant, warehouse and CPKO plant
Objective Activity Agency Time frame
Assess levels Conduct dust /
airflow monitoring
of selected areas
DOSH / EHRC
Assess health
impact
Determine physical
effects
PG health team /
EHRC Not stated
Situation
improvement
Seek advise,
options and
implement
SOCTEK / EHRC
Evaluation Monitor impacts SOCTEK / DOSH /
EHRC
10.1.4 Lighting
This problem was identified in the warehouse and the margarine plant.
Objective Activity Agency Time frame
Assess levels Light level survey EHRC / DOSH
Assess risk Health assessment PG Health team /
EHRC 6 months
Situation
improvement
Identify options
and implement
SOCTEK / DOSH
Evaluation Light level survey EHRC / DOSH
26
10.1.5 Smoking program
Objective Activity Agency Time frame
Gain
commitment
Call for
participation /
conduct behaviour
survey
SOCTEK
Identify program Design dedicated
program
PG health team /
SOCTEK
Not stated
Implement
program
Counseling
Medication
Onsite support
PG health team /
SOCTEK
Evaluation Conduct survey PG health team /
SOCTEK
10.1.6 Improving Baseline Data
Objective Activity Agency Time frame
Medical assessment Blood pressure, blood
investigations
PG health team
Assess perceived
health
Questionnaire / health
diary / focus groups
PG health team
1 year
Improve
information
management
Review and improve
health and accident
data sources
PG health team /
EHRC / Panel
doctors / SOCTEK
27
10.1.7 Other areas of possible improvement identified were:
a) Slip risk due to slippery floor at the margarine plant and CPKO plant.
b) Sharp edges of the poly-propylene plates in the CPKO fractionating plant
c) Unsatisfactory female toilets
d) No emergency room / sick or minor accident facilities
e) Stress management
11. Implementation of Action Plan
Since the project was embarked, the necessary actions were taken by the management
through the company’s safety committee and Pasir Gudang health team.
11.1 Temperature
Temperature gauge was installed in each of the sections affected to monitor the
temperature.
In the margarine plant (average temperature 29 – 310C), high temperature was due to hot
pipe and tank. They were insulated to minimize heat radiation.
In the CPKO, temperature was measured and monitored. It was found that the
temperature was within normal limits i.e. 30.50C.
In the warehouse (average temperature 29 – 310C), 2 fans were installed and spot light /
high bay lighting used previously was replaced by chemical resistance fluorescent lamp
fittings to reduce heat generated.
Further plan is to measure humidity and get recommendation from the experts.
11.2 Ergonomics
To minimize the effect of prolong standing, workers are given 10 minutes break for every
hour of their work. Another option for the workers is to work by rotation i.e. to change
their work at intervals.
28
11.3 Air quality
Exhaust fans have been installed in the respective sections. The management will refer to
consultants to monitor the dust level in the workplace and the associated health risks and
thus consider areas of improvement.
11.4 Lighting
In the warehouse, 6 flourescent lamps were installed along the wall at the carton
receiving area where the warehouse operator works. The highbay lighting was replaced
by metal Hilide lamp.
In the margarine plant, the spot light / high bay lighting used previously was replaced by
chemical resistance fluorescent lamp fittings. Further plans are to measure the
illumination and seek advice from a consultant.
11.5 Smoking Program
Quit smoking program is done in collaboration with Pasir Gudang Health Clinic team.
Quit smoking campaign was held in July 2002 and August 2003. Posters have been
placed at strategic places, pamphlets and brochures distributed to workers. Workers were
also given motivation to quit smoking. To date only 2 workers have quit smoking.
successfully. Designated smoking area allocated in a vacant space outside the factory. No
shelter is provided in the area.
11.6 Improving Baseline Data
Workers were sent to Pasir Gudang Health Clinic for medical assessment and blood
investigation in February and March 2002. Parameters checked were blood pressure,
body mass index (BMI), blood glucose, blood urea and serum electrolytes, serum uric
acid, total cholesterol, fasting triglycerides and serum uric acid. Workers with abnormal
results were referred to the medical & health officer at PG Health Clinic for counseling
29
and management. They are referred to the Family Medicine Specialist if necessary.
Follow-up medical examination was done in July 2003.
Parameter No. with abnormal result (%)
Blood Pressure 3 (1.9)
Blood Glucose 3 (1.9%)
Serum Creatinine 1 (0.6%)
Serum Uric Acid 35 (22.2%)
Blood Cholesterol 65 (41.1%)
Triglycerides 35 (20.9%)
Body Mass Index (BMI) 41 (25.9%) overweight
11 (6.9%) obese
11.7 Slip risk due to slippery floor at the margarine plant and CPKO plant.
The source of spillage was identified and further spillage controlled to overcome this
problem. Trays have been installed at various pumps to prevent spillage. In the margarine
plant, industrial mop and pail for cleaning and mopping the floor to prevent oiliness were
provided. Shoe cleaning machine was installed at the margarine plant entrance. Rubber
mats have been installed at the De’Smet Plant staircase to prevent slipping.
11.8 Sharp edges of the poly-propylene plates in the CPKO fractionating plant
Handle was installed on torn plates and damaged plates were replaced.
11.9 Other areas were:
Unsatisfactory female toilets –
Exhaust fans, soap dispenser and dustbins have been provided in all toilets
Toilets are routinely cleaned and washed
Rearrangement / relocation of male and female toilets
30
No emergency room / sick or minor accident facilities
An emergency / first aid room is provided
All first aid kits were updated
11.10 Safety & Health Program (In-house training)
1) Workplace safety talks on 17, 24 February and 10, 17 March 2003 for foreign
workers.
2) How to carry out workplace safety audit – 7 March 2003
3) OSH regulation for safety committee – 21 March 2003
4) Safe work at confine space – 10 April 2003
5) Safety and health talk by NIOSH – 20 June 2003
6) Respiratory protection awareness
The full list of training program for the year 2003 is showed in annex 4.
11.11 Safety and Health Committee meeting and safety audit program have been carried
out monthly.
11.12 Audiometric test have been carried out every year. Boundary noise level test was
done by external consultant in June in 2003.
11.13 Chemical Health Risk Assessment (CHRA) was done in July 2003.
11.14 Future Plans of the Company:
To hold a seminar / talk on how to select healthy and good food.
To carry out medical examination on employees who handle chemicals.
To practice morning exercise in the factory before starting work daily.
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12. Limitations
1. This report is written based only on secondary data, reports and interview with the
safety and health officer, personnel and administration officer and staff nurse
from Pasir Gudang Health Clinic. Accuracy and precision of data cannot be
verified, the content of this report depends much on the completeness of available
information and data.
2. The writer was not involved in this project at all thus; it takes time for the writer
to understand what was going on. Critical judgments made could be biased since
it is based on secondary information and the writer’s impression.
3. Some of the resource persons e.g. Dr Thilaka could not be contacted and some
documents were no longer available.
4. Raw data on the questionnaire for employees were not available, comments will
be made only on the pre-analyzed data and were only descriptive statistics were
available.
5. The questionnaire administered was in Bahasa Malaysia version but no back to
back translation was done and reliability / validity of the translated questionnaire
is questionable.
6. Questionnaire for the management is not available.
7. No focus group discussion was done for needs assessment as suggested in the
Regional Guideline.
13. Discussion
13.1 Regarding the questionnaire for employees, it was not mentioned in any of the
available documents whether the translated questionnaire used was piloted. As stated
above, there are 100 foreign workers that constitute 34.5% of employees in this factory.
Therefore, their understanding on the questions posed is questionable. This might be the
explanation on why some responses to questions were inconsistent with high proportion
of ‘not sure’ response for example, questions 19f, 19g, 19h, 19i, 19j.
13.2 For question 23, more than 15% of the employees did not respond. This could be
due to lack of understanding on the question and its answer options or confusion.
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13.3 Generally, cooperation and commitment of the factory management and employees
are very good and they are most willing to get more recommendations for improvement.
However, at present, almost all the members of the initial collaborating committee,
especially Dr Daud the District Medical Officer of Health, Dr Sariah the Medical and
Health Officer of Pasir Gudang Health Clinic and Dr Thilaka the Medical and Health
Officer of Masai Health Clinic, are no longer available in Johor. This project need key
players and professionals who are really interested to maintain.
13.4 From the noise monitoring done, it was found that workers in the margarine section
and warehouse are exposed to noise above action level. However, during my visit there
was no signage and workers did not use any personal protective equipment.
14. Recommendation
14.1 Walk through survey and needs assessment should be done by experts in
Occupational Health so as to ensure that important needs are prioritized accordingly.
Similarly, the evaluation of findings and recommendation should be done by
Occupational Health Specialist. A proper walk through survey involves interview with
management, site visit and worker interview at random.
14.2 Questionnaire for management should be administered so as to assess the knowledge
of managers and indirectly increase their awareness.
14.3 Regarding the questionnaire for employees, the translated questionnaire used need
to be piloted. Back to back translation must be done. Reliability and validity analysis
should also be done before embarking on the questionnaire.
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14.4 Answer choices for questions 21, 22 and 23 should be reduced or categorized so that
the employees can decide on the response better. This would also enable more conclusive
analysis.
14.5. With regards to key players and responsible persons, the Johor Bahru Medical
Officer of Health should elect new members especially those with expertise so as to
ensure the sustainability of this project.
14.6 Although noise exposure was not included in the action plan, noise monitoring was
done by a competent person. It was reported that operators in the margarine plant and
drivers in the warehouse were exposed to noise above action level (85dBA). Action needs
to be taken to prevent further exposure. The Occupational Safety and Health Committee
should suggest usage of Personal Protective Equipments to the management besides other
possible engineering methods.
14.6 Effectiveness of this healthy workplace program can only be assessed after a certain
period of time. This can be done through continuously monitoring indicators such as
absenteeism rate, lost time injury rate and accident rate. Other indirect indicators are
increased workers’ morale, productivity, and lower health care and insurance cost. It is
recommended that after 5 years all the mentioned indicators are reviewed.
15. Conclusion
This project has increased awareness among the management and workers regarding the
importance of workplace health and safety. Management and workers are more conscious
about their health and well-being. It indirectly improves cooperation between government
(health) and private sector (SOCTEK). However, to maintain its sustainability, efforts
need to be made by both parties to sit down and discuss progress of the project regularly.