1. Occupational Health Services as a process Kari-Pekka Martimo Pre-Accession Advisor

2. I.Contribute to the development of work environment which would be safe for the health of workers II.Prevent illnesses related to work III.Preserve and promote the health and work capacity of workers IV.Make the diagnosis of occupational and work-induced diseases Statutory Duties of OHS

3. Risk assessment incl. measurements at the workplace Health examination (health surveillance) Organisation of medical rehabilitation Provision of advice to employers on –adaptation of work –work equipment and PPE –improvement of working conditions Psychological counselling Collaboration with occupational safety specialists Diagnostics of occupational and work-induced diseases Statutory Services of OHS

4. Process model of OHS Drawing conclusions and setting targets for activities Collecting data Follow-up and evaluation Processing and comparing data Using the right methods

5. Process model of OHS Assessing: - physical, chemical and biological exposures at work - physical and mental work load - specific health risks caused by work environment or individual susceptibility - risk of work accidents caused by work environment - employee’s health, work and functional capacity Collecting data Using the right methods Follow-up and evaluation Processing and comparing data Drawing conclusions and setting targets for activities

6. Process model of OHS Collecting data Follow-up and evaluation Processing and comparing data Drawing conclusions and setting targets for activities Using the right methods Methods/processes: - workplace visits - risk assessments - health surveillance - health examinations - other assessments - collaboration with the employer, managers, employees - collaboration with safety specialists - other documents (e.g. annual report of the enterprise)

7. Concluding: - health hazards and disadvantages caused by work and work environment - special demands at work - important factors relating to individual health, work and functional capacity - changes in the above-mentioned issues Process model of OHS Collecting data Follow-up and evaluation Processing and comparing data Drawing conclusions and setting targets for activities Using the right methods

8. Methods: - previous information - other references (e.g. other similar workplaces) - scientific knowledge - practical experiences Process model of OHS Collecting data Follow-up and evaluation Processing and comparing data Drawing conclusions and setting targets for activities Using the right methods

9. Process model of OHS Collecting data Follow-up and evaluation Processing and comparing data Setting the goals (general/tailor made): - safe and healthy work environment - e.g. reduction in the incidence of work accidents - prevention of work-related diseases - e.g. reduction in the prevalence of RSIs - promotion of health and work capacity - e.g. reduction in life style related risk factors Drawing conclusions and setting targets for activities Using the right methods

10. Process model of OHS Collecting data Follow-up and evaluation Processing and comparing data Targets must be: - customer oriented - practical - achievable Prerequisites: - professional competence - training - multidisciplinary approach Drawing conclusions and setting targets for activities Using the right methods

11. Process model of OHS Collecting data Follow-up and evaluation Processing and comparing data Selecting the activities: - Which actions have been shown to be effective in improving work environment, as well as individual health and work capacity?; When they should be applied and how often? - What methods are used to assess health risks and work capacity, as well as in health surveillance? - How training and guidance is organised? - How information on work environment and workers is documented and preserved? Drawing conclusions and setting targets for activities Using the right methods

12. Process model of OHS Collecting data Follow-up and evaluation Processing and comparing data Methods: - protection - prevention - promotion - provision of information - rehabilitation - development - training - collaboration -(medical care) Drawing conclusions and setting targets for activities Using the right methods

13. Process model of OHS Collecting data Using the suitable methods Follow-up and evaluation Processing and comparing data Follow-up and evaluation: 1.To be able to show the effects of our activities to our customers, to decision makers 2.To be sure of the effects ourselves to find out possible “side-effects” 3.To be able to improve performance Drawing conclusions and setting targets for activities

14. Scientific evidence, prediction and risk assessment Professional competence experience, multidisciplinarity Needs analysis Client participation Infrastructure, resources, coverage, operability GOHP Good occupational health practice (GOHP)

15. Identification & assessment of OHS needs, OHS programme Surveillance of hazards and workloads & risk assessment Surveillance of health, Health examinations Organization and maintenance of firsta aid Maintenance and promotion of work ability Work environment & work methods Information on observed hazards & needs Training, education and advisory services on safe & healthy WE and practices Corrective measures, rehabilitation Provision of preventive and curative general health services Worker ORGANIZATIONORGANIZATION Prevention & control measures Initiatives and actions for prevention & control Operational flow-scheme of the OHS activities in Finland Dg of occupational diseases Measures for control technology & safety Registration & analysis of ODs and injuries Enterprise epidemiology Prof. Jorma Rantanen