1. KZN Regional Presentation At a Glance

2. CONTENT New milestones Fatal Accidents Occupational Medicine Occupational Hygiene New Legislation

3. NEW MILESTONES Eliminate fatalities by 2020 20% Reduction in serious injuries by December 2016 20% Reduction in LTI from January 2017 95% of silica exposures below 0,05mg/m³ (by Dec 2024) 95% of respirable coal exposures below 1,5mg/m³ (by Dec 2024 No machine to emit more than 107 dB noise by Dec 2024 No employee hearing shift more than 25 dB by Dec 2016

4. YEARMINENO PEOPLE KILLED 2013Ingula Eskom1Excavator Ingula Eskom6Gantry Platform Afrimat PMB1Conveyor Belt Richards Bay Minerals1Dozer 2014Chelsmford Coll1Coal Truck Schaapkopje Coll1FEL Aviemore Coll1Blasting 2015Uitkomst Coll1FOG Vaalkrantz Coll1FOG FATAL ACCIDENTS - KZN

5. Total8067-1661 Western Cape011001 Northern Cape1109006 Free State118-277 Eastern Cape0000 KwaZulu/Natal32-332 Mpumalanga96-336 Limpopo53-402 Gauteng2815-4615 Klerksdorp371337 Rustenburg2015-2515 FATAL ACCIDENTS - RSA

6. Jan-June20142015 PTB8242 SILICOSIS23 PNEUMOCONIOSIS01 NIHL235 OCCUPATIONAL MEDICINE

7. CHALLENGES Reporting TB cases and Noise induces Hearing Loss TB re-infection resulting in MDR(TB). Dedicated Occupational Health Service that would adequately diagnose, refer, monitor and report Occupational diseases & TB to DMR System in place to track and report diagnosed TB cases Completion of compensation forms by employers who only provide once a year Medical surveillance, Employees might have TB and treated within the reporting Employees deliberately don’t report TB as are afraid of losing their Employees don’t adhere to treatment if they will not be paid NO private institution offers TB program

8. IMPROVEMENTS There is improvement regarding reporting of TB and other Occupational diseases Proper reporting, follow up and training of employees resulting in improved health and reduction in number of diseases Security officers are screened Employees are holistically treated, especially where managed health is provided, chronic disease and HIV counseling Testing is done and followed up ensuring treatment adherence

9. OCCUPATIONAL HYGIENE 6 Operations in the region are considered high risk Risk is the average level of the HEG, not individual samples. Minimum sampling can affect the HEG risk category Risk is carried for a calendar year. MHSC Milestones are individual samples

10. OCCUPATIONAL HYGIENE All operations have machinery emitting more than 85 dB No operations have noise above 105 dB TMM enclosed for heat, dust and noise All employees are issued with HPD’s Chemical induced hearing loss makes workers more susceptible to noise induced hearing loss

11. OCCUPATIONAL HYGIENE Heat is a big risk in the region due to under reporting and global warming. Temps as high as 52°C measured. Most COP’s have Heat Stress Management recorded as part of medical surveillance. Risk of heat illnesses is small due to air conditioning and rest regimens. Mines require action levels for high heat exposures.

12. NEW LEGISLATION –Protection of women in mining report to be submitted to DMR on monthly basis –PDS –Fatigue Management –PPE for Women Guideline –TMM Guideline –Blasting Regulations

13. THANK YOU SIYABONGA