Goh Chye Guan

Managing Director

SME Resources

Total Workplace Safety and Health (TWSH)19 Sep 2013

© 2015 SME Resources2

Scope

1. Introduction

2. A Case Study:

• SafeWell, Harvard School of Public Health

3. The Building Blocks

4. Summary

© 2015 SME Resources3

1. Introduction

What is TWSH?

© 2015 SME Resources5

Promoting Health in the Workplace

SafeWork Awards 2012 Winner: Bega Cheese

Introduction

Latest Trends and Developments in WSH, Er. Ho Siong Hin

Commissioner for WSH Singapore, 10 Jul 2013

Why TWSH?

Latest Trends and Developments in WSH, Er. Ho Siong Hin

Commissioner for WSH Singapore, 10 Jul 2013

© 2015 SME Resources8

So what is TWSH?

© 2015 SME Resources9

CDC Total Worker HealthTM

Total Worker Health™ is a strategy

integrating occupational safety and

health protection with health promotion

to prevent worker injury and illness and

to advance health and well-being.

CDC – NIOSH Total Worker Health

TWHTM

• Today, emerging evidence recognizes that both work-related factors

and health factors beyond the workplace jointly contribute to many

health and safety problems that confront today’s workers and their

families

• Traditionally, workplace health and safety programs have been

compartmentalized

• Health protection programs have focused squarely on safety,

reducing worker exposures to risk factors arising in the work

environment itself

• And most workplace health promotion programs have focused

exclusively on lifestyle factors off-the-job that place workers at

risk

• A growing body of science supports the effectiveness of combining

these efforts through workplace interventions that integrate health

protection and health promotion programs

TWSH

WSH WHPWorkplace Health

Promotion Workplace Safety

and Health

© 2015 SME Resources12

2.

A Case Study

Integrated Programs

Prevention of On-the-Job

and Off-the-Job Accidents

and Diseases

Wellbeing Promotion

Workplace

Health

Promotion

Workplace

Safety and

Health

• Health insurance provider/coverage

• Disease and case management

• Physical fitness

• Absence management (disability, workers’ compensation)

• Primary care centers

• Community relations/outreach

• Wellness programs

• Health risk appraisals and other health evaluations

• Communications

• Occupational/environmental safety and health (e.g., safety,

environmental management, equipment, patient safety, hazard

surveillance, emergency Management)

• Behavioral health (Employee Assistance Programs, work-life)

• Quality improvement

• Health advocates and coaches

• Information technology/data management folks

Inte

gra

ted P

rogra

ms

SafeWell Practice Guidelines: An Integrated Approach to Worker Health. Version 2.0

Harvard School of Public Health, Center for Work, Health and Well-being

© 2015 SME Resources16

• Dartmouth-Hitcock Medical Centre: Live Well /

Work Well

• NASA: Integrated Worker Health

• Johnson and Johnson: Healthy Future 2015

• Caterpillar

• GE Energy

Other Cases:

© 2015 SME Resources17

3. The Building

Blocks

© 2015 SME Resources18

Sources of Loss

• People

• Equipment

• Materials

• Environment

• Methods

People

Equipment

Materials

Method(On-the-Job and Off-the-Job)

Environment(On-the-Job and

Off-the-Job)

© 2015 SME Resources20

I

E

DI

M

Identify all Loss Exposures

Monitor,

Commend

and Correct

Implement

the Plan

Develop a

Plan

Evaluate the

Risk

People

Equipment

Materials

Method(On-the-Job and Off-the-Job)

Environment(On-the-Job and

Off-the-Job)

I

E

DI

M

• WSH Programs

• Workplace Health

Promotion Programs

• Wellness Program

Psychosocial Work

Environment and

Employee Benefits

• Workplace Safety and

Health

• Health and Wellness

Program

Physical environment,

facilities and exposure

Characteristics, health

status, behaviours,

needs and interest,

injury and illness report

Accident trends, illness and

incident records, OSH, WHP and HR

policies and programs, acilities and

exposures

© 2015 SME Resources22

Frank Bird’s Loss Causation Model

Loss

People

Property

Process

Environ-

ment

Incident

Contacts

with

energy,

substance

, or people

Immediate

Causes

Sub-

standard

Acts

Sub-

standard

Conditions

Basic

Causes

Personal

Factors

Job

Factors

Lack of

Control

Inadequate:

Programs

Standards

Compliance

© 2015 SME Resources23

An Example:

• Do you have employee(s) that need to

travel overseas frequently?

• To remote places? To places with

safety and health hazards, e.g.

earthquake zones, yellow fever,

hepatitis B, … ?

I

E

DI

M

© 2015 SME Resources24

If “Yes”, How do you

Protect them?

• Pre-employment health screening

• Regular medical check ups

• Pre-trip heath and safety advice

• How to react in an earthquake

• Pre-travel screening and vaccination

• Special treatment for pregnant employees, the

senior citizen, and employees with medical

conditions such as asthma, hypertension and

diabetes

I

E

DI

M

© 2015 SME Resources25

5. Summary

© 2015 SME Resources26

The 4 A’s of TWSH?

• Awareness

• Acceptance

• Application

• Assimilation

© 2015 SME Resources27

Key Success Factors

• Commitment from the top

• Understanding of Concepts and Principles

• Adequate resources

• Comprehensive list of Subject Matter Experts

(SMEs)

• Involves all employees in the planning

• Secure buy-in

• Evaluation and Celebration

© 2015 SME Resources28

Thank You