Occupational Epidemiology/Dock Workers´ Health and Safety Surveillance and Intervention Program - enter

ONGOING DEVELOPMENT

1. Diagnostic phase

 * 1) The target populations are: dock workers, the managers, safety councils, administrative staff, authorities, etc working in the docs.
 * 2) Determine the workers`health complaints (ergonomic ..), exposure to specific risk factors and the safety climate
 * 3) Workers with health complaints can be offered medical examinations via the local occupational medical clinics
 * 4) Demographic informations on person, age, gender, nationality etc and types of harbor, cargo/ship types, work areas in the harbor, job-position, working hours etc (for summing up results from different harbors)
 * 5) Standardised, questionnaires completed in training centers and else administrated by mail to be answered on smart phones
 * 6) Frequency- and regression analysis of the relationship of the risk variables and the health complaints
 * 7) Determine the level of knowledge and training needs on safety and health for dock workers, leaders and administrators
 * 8) Search and collect validated effective training courses that might be adapted for dock workers, administrators and leaders
 * 9) Comprehensive electronic reporting system for accidents, injuries and near miss should be in place
 * 10) Mapping of the ports working areas and job-types to be used in the reporting system in the intervention and evaluation
 * 11) Objective hazardous exposures measurements  (noise, dust etc) be included the reporting system like :
 * 12) Literature review studies on exposure risk, health complaints, occupational diseases, non-fatal injury incidence rates (criteria of inclusion)
 * 13) Cumulated incidence rates fatal injuries (sum #fatailities in 10 years / number of employees,annual work hours) for each harbor
 * 14) Criteria for injury and near-miss incidents for reporting (e.g. 1 day off duty or other criteria - to optain un-biased comparable incidence rates)
 * 15) Study the size of under-reporting
 * 16) Study the compensation practice in case of permanent incapacity



2. Intervention phase

 * 1) Training packets for different segments of the ports to be developed, especially for the youngest
 * 2) Workers, managers, office workers, administrative staff, authorities, are offered training programs in collaboration with the unions, safety councils, the OM clinics, the authorities etc.
 * 3) Implementation of training and measurement of changes in knowledge and practice
 * 4) Reports, articles,

3. Evaluation phase

 * 1) Before and after measurements of health complaints, knowledge on safety and health and skills to help others
 * 2) Frequency- and regression analysis of the relationship of the risk variables and the health complaints
 * 3) The analysed data should be available as learning materials in the courses
 * 4) The surveys on self-rated health indicators can be validated by comparing with results of clinical health examinations.
 * 5) ... to be further developed

Dissemination of information

 * 1) The results from the surveillance and intervention program to be published in the industrial branch and workers´ news