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The prevalence of HIV/Aids among workers poses a very significant threat to both company productivity and occupational health and safety. The disturbing effect that the HIV/Aids pandemic can have on an organisation’s workforce was made all too clear to delegates who attended this year’s NOSHCON Conference, Africa’s largest annual occupational risk management conference and exhibition.

The event, hosted by occupational risk management specialist and MICROmega Group Company, NOSA, attracted delegates from all over the globe who once again gained valuable insight into the key issues currently facing heavy industries. Speakers included both local and international SHEQ experts who discussed topics such as climate change mitigation, the integration of management standards, successful workplace wellness and disease management and, of course, the effect of HIV/Aids on occupational health and safety.

Dr Tim Nunn, the chief medical officer at Ubombo Sugar in Swaziland, delivered a presentation on the disastrous effect that the disease can have on a company’s productivity.

“Owing to the effect that the disease has on a person, company productivity will inevitably be disrupted and reduced. In addition, it also drains company resources and increases medical costs tremendously,” stated Nunn. “HIV/Aids will always result in a gradual loss of productivity. Even if a person is on the correct medication, he or she will not be as productive as a healthy person.”

According to Nunn, there are currently over 5.4 million people infected with HIV in Southern Africa, and this number is growing by roughly 100 000 per year. It is also estimated that around 1 000 people die of HIV-related causes every day.

Yet, despite these shocking statistics, only 45% of large South African businesses have an official HIV policy.

“Companies cannot afford to ignore the problem of HIV/Aids. It is crucial that they create an HIV policy that assists them in addressing the problem head-on,” said Nunn. “The workforce has to be educated about the disease, condoms have to be distributed, counselling and testing should be offered and sexually transmitted disease (STD) infection should be actively managed. A policy helps a company to set up and coordinate these initiatives.”

Nunn added that these policies are especially important within heavy industries where workers often operate within dangerous environments.

“The toll that HIV/Aids takes on a person’s immune system can transform a minor wound into a serious injury. If a person’s body can’t fight off infection, even a minor injury can have devastating consequences.”

Dr Jenny Sapire, an occupational medical practitioner for Life Occupational Health, also emphasised the importance of addressing the HIV/Aids epidemic when trying to improve the health status of a company’s workforce.

“HIV/Aids is one of the leading impediments to worker health. Because of this, companies must strive to reduce the number of sero-conversions, as well as the number of progressors from HIV-positive status to deteriorating stage of HIV/Aids,” stated Sapire.

Sapire suggested accomplishing this by encouraging voluntary testing and counselling, incorporating HIV prevention and management into the general employee wellness programme and providing workers with highly active antiretroviral therapy (HAART).

“As delegates to this year’s NOSHCON Conference once again realised, the threat of HIV/Aids cannot be ignored. Health and safety professionals have a responsibility to take action by putting systems in place that can help mitigate the effects of this global epidemic. The sustainability of the country’s workforce depends on us doing something about the problem now,” concludes Duncan Carlisle, MICROmega group manager and NOSA chairman

Anglo Coal South Africa, a wholly owned subsidiary of Anglo American, has been recognised by the Global Business Coalition (GBC) on HIV/AIDS, Tuberculosis and Malaria for its pioneering workplace program focused on tackling HIV and AIDS in South Africa. Anglo American is South Africa’s leading private sector employer, with over 100,000 people employed at its operations.
The Business Excellence Award for Best Workplace Program will be presented to Ben Magara, CEO of Anglo Coal South Africa tomorrow night at an awards dinner in Washington D.C. The event will be attended by global health leaders including senior Obama administration officials and representatives from UNAIDS, The World Health Organisation (WHO) and The Global Fund.

HIV and AIDS is having a major impact on millions of lives in Southern Africa and Anglo Coal estimates that some 1,300 of its 9,300 employees in the region are currently infected with HIV. This award has been given in recognition of the ground-breaking work the company does in South Africa with its comprehensive HIV/AIDS response for both employees and their families.

All Anglo Coal employees are actively encouraged to test annually, with senior members of the management team taking HIV tests in public to lead by example. Employees who test positive can enrol in a free HIV management program offering care, support and treatment. As a result of this response, the company has seen mass employee engagement on this issue and 94% of permanent workers have been HIV tested since the programme began. Anglo Coal is now trending to have reduced the number of new infections to half what they were in 2005 by the end of 2009.

Anglo American was the first large company in South Africa to offer free anti-retroviral treatment to all employees back in 2002. There are currently 7,300 employees enrolled in the HIV disease management program across all Group companies in South Africa.

“These awards are given to an elite group of companies who set the standard for excellence in business action to defeat disease,” said GBC President and CEO John Tedstrom.

He continued, “They show what a business can do, and how to do it exceedingly effectively.  We need more businesses to take this kind of action. The fight against HIV/AIDS, tuberculosis, and malaria cannot be won without the corporate sector stepping up and playing an active role – and Anglo American and, specifically, its Anglo Coal division is doing exactly the kind of thing that all companies can and should do. Anglo American doesn’t just talk, they take action. And their action saves lives.”

Ben Magara, CEO of Anglo Coal South Africa, commented, “We have been dedicated to the issue of HIV and AIDS since the 1990’s and thanks to great leadership, a simple, clear system with world class medical support and a passion amongst all our employees to tackle HIV and AIDS, we are making headway against this disease.  We are incredibly proud of this recognition from the GBC and Anglo Coal continues to increase its efforts in this area, having recently extended our policy commitment to include the families of all our employees.”

To ensure broader community awareness of the issues around HIV and AIDS, Anglo Coal has recruited and trained over 250 ‘peer educators’. In addition, Anglo American will this year commit approximately R10 million ($1.2 million) to health and AIDS related services in disadvantaged areas of South Africa.

The GBC awards recognise companies which have demonstrated extraordinary commitment, action and results, and have achieved exceptional success in putting their assets to work in the fight against what it terms ‘three of the greatest threats of our time’.

 Many of the biggest players in the South African industry remain dedicated to health and safety in the workplace, despite huge cutbacks as a result of the current global economic crisis and Labour Minister Membathisi Mdladlana’s reservations regarding the importance of employee safety to South African employers.

Occupational risk management specialist NOSA’s 39th annual NOSCARS Awards Banquet, held in Johannesburg on Friday, 8 May 2009, was specifically hosted to coincide with World Health and Safety Day.

The NOSCARS banquet is a local premier awards evening for both national and international companies that excel in occupational safety, health and environmental risk management.

“It is an auspicious day for those in the business of health and safety,” opened Greg Morris, chairman of NOSA’s parent company, MICROmega Holdings, as he welcomed those companies who had excelled in this field over the past year.

In contrast to Mdladlana’s speech at a national commemorative event for health and safety in the workplace held in Bloemfontein earlier that day, Morris applauded the NOSA clients that achieve NOSCAR status on an annual basis.

He also drew attention to the fact that NOSA believes far more national growth is required in the area of occupational health and safety, and that NOSCAR status is something that all companies should strive to achieve.

“Each year, more of our clients reach the high level of standards required to achieve NOSCAR status,” he told the honoured industry representatives gathered to acknowledge their collective achievements, adding that this growth was something of which the gathered guests should be proud.

Only 7% of all companies graded on the NOSA systems achieve NOSCAR status, which is an indication of the prestige associated with the award, and the list of winners includes some of South Africa’s biggest and most influential companies.

Some of the evening’s winners included companies such as South African Breweries, Eskom, Tongaat Hulett, various divisions of Transnet, BHP Billiton, Amalgamated Beverages Industries, Grinaker-LTA, NAMDEB and Air Products.

Business might be tougher with companies scaling back on expenses across the board but, for these major South African industry players, maintaining health, safety, and environmental standards remains a must.

By contrast, Mdladlana lamented that he was tired of talking to people who do not want to listen or prioritise the safety of workers.

Clearly, the companies and employers he was referring to do not belong to the respected industry players accepting their NOSCARs at the prestigious event.

Contributing members of society
Julian Nare, power station manager at Hendrina Power Station and a first-time attendee of the awards evening, revealed that his company achieved the NOSA 5-star rating for the first time in January of this year, after returning to the NOSA system after a break.

“We moved away from the NOSA system a few years ago,” he explained, “but have since returned because of the value of the NOSA brand. NOSA offers a well-recognised, respected and competitive system that gives both our corporate leadership and clients a strong assurance of the safety culture engrained in our organisation.”

According to Nare, the capital outlay involved in the implementation and upkeep of such a system is an investment rather than expenditure. “Stringent and effective safety standards save lives,” he insisted. “There is no reason – financial or otherwise – for this not to be an absolute business imperative, particularly as NOSA offers such a competitive service. There is an extreme return on one’s investment.”

In return, MICROmega Holdings has invested significantly into NOSA’s brand, products and service offerings.

“NOSA has shown phenomenal growth over the past four years and we intend to continue this growth through further development and re-investment into the brand,” expanded Morris.

“Both NOSA and MICROmega Holdings intend not only maintaining our position as the preferred supplier of occupational risk management systems, but also raising the bar and improving safety and health standards across South African industries.”

Thirty-nine years of excellence
Morris’ promises enhance an already entrenched local phenomenon. Madelein Milner, health and safety superintendent at Manganese Metal Company, a BHP Billiton company, says: “The NOSA 5-star rating system is something that industry workers across the country aspire towards.

“Management implements these systems, but it is the dedication of the guys on the floor that really make them work. NOSA’s awards programme offers tangible proof of what they have achieved, far more so than a certificate of compliance on the wall. A NOSCAR is something to aspire to and be proud of,” she explains.

According to Milner, NOSA’s success lies in the combination of easily accessible training with user-friendly tools that assist companies in implementing and maintaining a successful SHE system, over and above NOSA’s guidelines.

“What good is a management system without compliance?” she asks. “NOSA offers the skills and tools to achieve this compliance, even excel in health and safety maintenance.”

Such is the success of NOSA’s programmes that the training provider is currently running at maximum capacity for all its courses.

“This is a great tribute to the culture of safety within South African industry,” Morris points out. “It’s also a good indication of how important this field remains, despite tough economic times.

“Each of us here tonight recognises the importance of implementing and maintaining preventative risk measures. The impact costs of injuries are simply too high to bear. Along with downtime, the collateral damage associated with injuries, including morale issues and trade union activity, place risk management at the top of any board’s agenda, and we have a world-class best-practice system to support this priority.”

Justin Hobday, NOSA’s recently appointed managing director, summed up the evening by congratulating the evening’s winners, each of which make a difference to South Africa’s overall SHE culture.

“I am also proud to be involved in an organisation such as NOSA that really makes a difference to people in their workplaces,” he concluded.

When you look at the Health and Safety statistics of any organisation, you will probably find that contractors are responsible for the majority of incidents recorded in a year.

The problem in general is that the emerging contractor knows very little about Health and Safety. This lack of knowledge leads to incidents because the proper steps are not taken to address Occupational Health and Safety risks in a suitable manner.

This is why a Health and Safety file is required. I’m now referring to the Safety files that are expected to be compiled, maintained and available by contractors or sub-contractors who provide services on your site. 

The required Safety files are an attempt to force a contractor to at least contemplate the risks involved when performing the work he has been contracted to perform and then to put in place mitigation plans. The Health and Safety file is the place where these plans should be found. A lack of Health and Safety knowledge then leads to sub-standard Health and Safety files.

Health and Safety files are a contentious issue and Construction Safety files are probably one of the biggest problem areas.

The average contractor views the Health and Safety file as a one to five page document, and in the majority of cases, I can assure you that this will prove to be inadequate.

A guiding tool to the contents of a Safety file follows.

The file can be divided into the following parts:

Part 1: Introduction
Part 2: Reference Documents
Part 3: Definitions and terminology
Part 4: Roles & Responsibilities
Part 5: Objectives & Targets
Part 6: Planning & Procedures
Part 7: Health & Safety Specification Implementation
Part 8: Application of the Health & Safety Specification
Part 9: Health & Safety Practice
Part 10: Annexure & Addendums

In my following articles I plan to provide more information on what documentation and information should be contained in every section of the Health and Safety file.

Christel Fouche is the Managing Director of Advantage ACT, a Safety, Health, Environmental and Quality (SHEQ) service provider. You can read more SHEQ articles on her blog at christelfouche.com (http://christelfouche.com)

Article supplied by SHEQAfrica.com (http://sheqafrica.com)