1. Rogério Galvão da Silva Researcher rogerio@fundacentro.gov.br www.fundacentro.gov.br III Hemispheric Workshop on Occupational Health and Safety Cuzco, Peru  October 21 and 22, 2008

2. Population: ~190,020,000 (IBGE, 2008) Economically-active: ~98,846,000 (IBGE, 2007) Employed: 90,786,000 (91.8%) Unemployed: 8,060,000 (8.2%) Number of companies with employee(s): ~3,000,000 STATISTICS

3. FATAL OCCUPATIONAL ACCIDENT RATES - 2006 REGION FATALITIESINSUREDFATALITY RATE BRAZIL 2,71726,482,80310.26 North 1831,155,22915.84 Northeast 3814,133,4009.22 Southeast 1,28914,272,1779.03 South 5204,973,50410.46 West central 3441,948,49317.65 Source: Ministry of Social Welfare

4. MINISTRY OF LABOR AND EMPLOYMENT - Regulation and Inspection - Studies and Research through FUNDACENTRO MINISTRY OF SOCIAL SECURITY - Benefits - Work accident insurance - Rehabilitation MINISTRY OF HEALTH - Health vigilance - Cooperation on worker protection PREVENTION PRINCIPAL GOVERNMENT ENTITIES INVOLVED IN OHS

5. CONCEPTS NATIONAL OSH POLICY NATIONAL OSH SITUATION Current situation of accidents & diseases NATIONAL OSH SYSTEMS Available infrastructures and resources NATIONAL OSH PROFILE Diagnostic and analysis of situation and resources NATIONAL OSH PROGRAMMES What we want/can do STRATEGIC PLANNING Determination of goals & priorities STRATEGIC PLANNING Determination of goals & priorities OPERATIVE PLANNING Formulation, implementation and evaluation of activities OPERATIVE PLANNING Formulation, implementation and evaluation of activities REVIEW Impact & achievements ITCILO

6. OCCUPATIONAL HEALTH PROGRAMS AND SERVICES

7. Workplace Health and Safety Program - MTE INDICATOR (MEASURE) REFINED RATEEXPECTED RATE 200520062007 Work-related accidents – 1/1,00014.9815.6318.1914.00 Work-related illnesses – 1/10,00011.1012.009.628.26 Work-related fatalities – 1/100,00011.3010.759.8110.70 Workers covered by OHS inspection – 1/1,000 647.0770.0702.2655.0 Percentage of fatal accidents investigated 19.6322.4520.4625.00 Source: MTE (2008)

8. PRINCIPAL MANDATORY OCCUPATIONAL HEALTH PROGRAMS FOR ALL COMPANIES Occupational Health Medical Check-up Program (NR7) Medical examinations: Upon employment, regular, return to work, change of job, and termination or resignation Health Hazard Prevention Program (NR9) Anticipation, recognition, evaluation and control of health hazards in the working environment

9. MANDATORY COMPANY OCCUPATIONAL HEALTH SERVICES Specialized Safety Engineering and Workplace Medical Services (SESMT) (NR4)

10. Scaling of SESMT (NR-4)

11. Employees covered by occupational health services ~ 64% ~ 36% Source: RAIS-MTE

12. INFORMATION SYSTEMS

13. Ministry of Social Welfare - Statistical Yearbook of Workplace Accidents (AEAT) - Database of the Statistical Yearbook of Workplace Accidents - Information on Illness Benefits based on International Classification of Disease (ICD) codes – ICD-10 Ministry of Labor and Employment - Annual Social Data Report (RAIS) - General Survey of Employment and Unemployment (CAGED) - Federal Labor Inspection System (SEFIT) Brazilian Institute of Geography and Statistics - Population census - National Household Survey (PNAD) - Monthly Employment Survey (PME) Ministry of Health - Outpatient Information System (SIA/SUS) - Hospital Information System (SIH/SUS) - Notifiable Injury Information System (SINAN) - Fatality Information System (SIM)

14. Information Systems Information source - Administrative records - Population surveys General characteristics - Not interchangeable - Not all potential explored - Represent minimum indicators - Availability of data via the Internet Challenges- Data integration/incorporation - More diversified data - Making electronic tools available for cross- referencing and cross sections - Obtaining data on workers not included

15. LABOR INSPECTION

16. LABOR INSPECTION RESULTS Year Total inspectors Companies inspected Companies fined Workers registered Children or adolescents removed IERR* (%) Workers released 2007 3,174357,78860,677746,2457,99986.05,963 2006 2,873357,31961,809670,03512,45886.53,308 2005 2,935375,09759,756746,2727,74088.84,273 2004 2,927302,90556,086708,9574,04087.12,887 2003 2,837285,24158,589534,12511,89783.65,223 2002 3,044304,25453,622555,45410,28984.92,285 2001 3,080295,74156,036516,54818,53782.31,305 2000 3,131353,61758,213525,25314,40480.9516 * IERR: Inspected establishment regularization rate

17. LABOR INSPECTION IN THE OHS AREA Action methods Collective bargaining with union participation Collective agreement or creation of a new agreement Strengthening of a culture of risk prevention and control Actions to comply with the law, focusing on solutions