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Management Systems for Hazardous Exposures - Evidence ofFailure and Opportunities for Success

机译：危险暴露管理系统-失败的证据和成功的机会

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Coal mining legislation makes frequent reference to ‘Safety ManagementrnSystems’ but there is a chronic shortage of useful guidance material as tornhow these might be applied to hazardous exposures. Several studies havernindicated that for each death that is reported as a result of an industrialrn‘accident’, there are five deaths that caused by occupational exposures.rnBecause the deaths from occupational exposures do not occur on site andrnoften well after employment has ceased, they are generally unreported.rnImproved access to mortality data from coroners, the Australian Instituternof Health and Welfare and superannuation service providers (early claimsrnfrom death and total permanent disability), has given rise to somernanalysis of death and disability data that provides evidence that there arernemerging opportunities to develop and improve safety managementrnsystems for hazardous occupational exposures.rnIssues explored include how safety management systems might berndeveloped in relation to dusts and chemicals and other hazardousrnexposures to ensure the risk of disorders with long latency periods arernreliably assessed and the exposures effectively managed. The currentrnstandards and guidelines which refer to safety management systems inrngeneral or to management of exposure related hazards are examined.rnMany standards are based on dose-response studies that provide for anrnacceptable percentage of workers to suffer adverse health outcomes. Anrnalternative management system might be to apply dose-response relationsrnto health surveillance to identify ‘at risk’ individuals and effectivelyrnmanage health and related safety risk at an early stage.
机译：煤矿立法经常提及“安全管理系统”，但长期缺乏有用的指导材料，因为这些指导材料可能如何应用于危险暴露。几项研究表明，每起因工业``事故''而死亡的报告中，有五起是由职业暴露引起的死亡。由于职业暴露造成的死亡不在现场发生，并且在停职后很久才死亡。一般情况下未报告。加强了验尸官，澳大利亚卫生与福利研究所和退休金服务提供者的死亡率数据的获取（早期声称死亡和完全永久性残疾），对死亡和残疾数据进行了某种分析，从而提供了新的发展机会的证据。探索的问题包括如何开发与粉尘，化学品和其他危险暴露有关的安全管理体系，以确保可靠地评估长潜伏期的疾病风险并有效管理暴露。对涉及一般安全管理体系或与暴露相关危害的管理的现行标准和指南进行了审查。许多标准基于剂量反应研究，提供了可接受的不良健康结果百分比。替代性管理系统可能是将剂量反应关系应用于健康监测，以识别“处于危险中”的人，并在早期阶段有效地管理健康和相关安全风险。

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  • 会议地点 Brisbane(AU);Brisbane(AU)
  • 作者

    B Ham;

  • 作者单位

    39 Victoria Crescent, Toowong Qld 4066.Email:bruceham@optusnet.com.au;

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  • 正文语种 eng
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