Project to Reduce Ill Health in Paving Road and Highway Work Steering Group 4th Meeting Thursday 26th September 2013 Rose Court, London Attendees Robert Ellis – Chair – HSE Occupational Hygiene Unit Keith Harwood– Transport for London Olav Lawrence –Civil Engineering Contractors Association Steve Williams – Highways Agency Paul Bussey – Royal Institute of British Architects Mike Henderson – Highways Term Maintenance Association Margaret Sackey – Institution of Civil Engineers John Banks – Association for Project Safety Ian Evans – Association for Public Service Excellence (APSE) Clare Forshaw – HSE Paul Cushion - HSE Apologies Ian Foster – National Joint Utilities Group 1. Actions from previous meeting a. Document received from Durham CC is used to provide preconstruction information on and will be passed to the Risk Matrix group for consideration. b. Request to include contractors at an earlier stage in the procurement plan of work had been taken on board and amendments made. c. Invitation to provide comment on the proposed amendment to CDM 2007 regulations resulted in a submission from ICE that has been passed on to the relevant part of HSE. d. Delivery of project plans for the work strands has been completed for procurement, communications and level playing field’. The health surveillance work was near completion and a plan of work is therefore not seen as necessary. The risk matrix plan of work does not currently go beyond October. e. Setting up a separate resource/working group to deliver information for all tasks identified by the risk matrix will wait until further progress is made with this work. 2. Local authorities feedback The local authorities’ group feedback is contained at Annex 1. The group membership has been increased with the assistance of APSE. Current membership includes the following: The Highland Council Inverclyde Council North Yorkshire County Council West Dunbartonshire Council South Lanarkshire Council West Lothian Council Durham County Council Dorset County Council Cornwall Council (Cormack Solutions Ltd) Derbyshire County Council Overall the group are supportive of progress and proposed outputs for all the working groups. Clarification was sought on whether the representatives were from direct employees of the local authorities or organisations employed to fulfil those duties upon the local authorities’ behalf. The Steering Group were informed that there was a mixture of the two. 3. Risk Matrix Working Group The working group were sent a progress overview showing the table of activities and prioritisation together with the project preparation and execution phase table for paving, lifting and cutting. The working group have prioritised the risks based on colour coding using red, amber, yellow and white. Due to resource constraints and the time frame for the project the working group are concentrating on the following eight tasks: Breaking out/demolition Drainage system installation Excavation/ground digging Painting Paving/lifting/cutting Piling Road Markings Surface laying – Bitumen The prioritisation of the risk is provided in the health hazards identifier table. It has been acknowledged that the current labels e.g. normal risk, may be problematic and not communicating what was intended. A move toward descriptors such as probable, likely and unlikely will be made as a way of alerting the users to where risk may be present. The table providing preconstruction and construction phase information may be broken down further to give tasks within an activity. The information provides both design and control options. The execution phase gives information on elimination, control and reduction of risks. In addition to the risk matrix table there are plans for a template to provide information for workers. At this point development of the risk matrix requires deep topic /specialist input especially with regard to the control options that are appropriate. Once the tables for all eight of the activities are complete they will undergo a peer review stage. The visual aspects of the matrix will be built in later. Some additional work on bridge building risks and controls is required but this is not seen as a major problem as it will utilise the other task information such as painting. The Steering Group members consider good progress has been made and that it is shaping up to be a useful tool. However, alongside the points made at the local authorities meetings the following comments were made: Project preparation phase information is good. Overall the tool looks to be more geared to designers. As with the local authority feedback, how this will be used and integrated with existing systems needs to be understood and communicated. In additions to the consistency of the words used thought needs to be given to wording that may be contentious such as plastic kerbs. The health risks need to identify who is at risk: operative, fellow colleagues and general public. The information must link in with the relevant legislation. Those who use the tool will be interested to identify whether their existing work methods fall above or below the line in terms of compliance. Thought needs to be given to how the tool is future proofed. Pictorial information will be critical Hyperlinks to further information will help. It will require HSE endorsement Further information column could be split into Regulation, Approved Code of Practice and Guidance The Steering Group were informed that the Surface Markings Association have offered to host the tool on a new ‘Highway Hub’ web site. Further information is requested on this option. Steering Group members should consult their organisation to see if there would be any issues with this. Action a. Request information from the Surface markings Association on how the Risk Matrix will be hosed on the ‘Highway Hub’ (C Forshaw). b. Members provide a response on whether the organisations they represent have any issues with the tool being hosted on the Surface Markings Association ‘Highway Hub’ (all). 4. Logic Model A Logic Model is being developed for this work to map out the expected outcomes in the short, medium and long term. This will be used to evaluate the projects impact. An overview of logic models and how they are used was presented to the Steering Group. A first incomplete draft was tabled based on discussion between Rob Ellis and Paul Cushion. The aim is to work toward a final version that could be signed off at the next Steering Group meeting in March 2014. The subject area is new to most Steering Group members and it is clear from the discussion that help will be needed for them to understand and contribute to the development of the logic model. The draft tabled is partly based on the model prepared for the RPE project and members commented that it appeared weighted too much toward this at present so does not adequately reflect the paving, road and highway work. To help members understand this work the logic models for the previous kerb, paving and block cutting project along with the RPE project logic model will be circulated to them with some further information. It is suggested that it should be possible to get a draft ready for sign-off by the Christmas break. Action Provide information on logic model to Steering Group members (R Ellis/P Cushion). 5. Health Surveillance and Monitoring Working Group The draft paper (V8 3 June 2013) tabled at the meeting was near completion. The flow chart had been produced by Reactec on behalf of the working group. Reactec are not claiming any ownership of the flow chart content. The final paper will include: front page definitions of health surveillance and monitoring; an image illustrating effects on body in relation to monitoring and health surveillance; written description of what monitoring and health surveillance looks like for each health effect; case studies for paving, road and highways work; Decision tree flow chart with written guide The Steering Group welcomed the latest draft and had the following comments: a. There needs to be an explanation of how all the parts join up. b. The health surveillance and monitoring definition reflected their understanding and was clear. c. Diagram is extremely helpful and potentially very useful. However, respiratory risks should include forms other than dust such as mist and fume. d. The examples of what each health effect looks like drew the following comments on noise: Finding information or manufacturers data needs further explanation Taking measurement is too prominent and may to be over used as presented e. Health screening should be mentioned if only to make clear it is not part of the monitoring or health surveillance programme. f. The flow diagram would work better if notes/instructions appeared on the same page. A good worked example would illustrate the process better. It was explained that under the section on what exposure monitoring and health surveillance might look like, each bullet list is based on and takes the reader through a hierarchy of recommendations. However, this not conveyed in the preceding text and will require explanation to avoid misinterpretation/confusion. The Steering Group members would prefer the guide make clear what the legal requirements are. It was suggested low and high risk examples for each health effect may help. 6. Designer Client and Contractor Working Group The Steering Group were presented with the three plans of work: Procurement Communications Level playing field A project brief had also been provided outlining the three work areas. a. Procurement The procurement draft paper met the approval of the Steering Group and will now be published on the web community. The paper will be further developed based on comments received and then used to engage procurement users. These discussions will help to identify volunteers to establish a sub-group to take this work forward in 2014. The Steering Group are content with the plan of work and the draft paper. It was noted that the Office of Government Commerce (OGC) procurement guide is no longer available from the OGC web site. Hyperlinks will be provided for the papers cited. b. Communications The plan of work is based on identifying the good practice in preconstruction communications and attending meetings to observe this in practice. From this, case studies as examples of good practice will be produced. The case studies will be delivered in November 2014 as an output for this work. c. ‘Level playing field. The work will be delivered through a workshop of interested parties to help formulate recommendations. The workshop would explore what we mean by a ‘level playing field’ and what the barriers are. Selection of the right people to attend a workshop will be critical. The first step in the process is to estimate the costs of a workshop but there needed to be an indication that financial backing could be obtained before the work could proceed. Delivery is planned for 2015. If there was little likelihood of obtaining the finances to run the workshop then the plan would be shelved. Costs would include a venue, provision of lunch and possibly paying for professional facilitators. The Steering Group were informed that Inverclyde Council may be able to host this event but they indicated a more central location would be better. There is potential interest from a number of member organisations and it was suggested that more than one workshop could be held to cover different regions. Scotland, central England and London are the preferred options. Members are invited to write in with offers to host/finance the workshops. The project plan will be amended to include up to three workshops. HSE will make enquiries to see if they could supply facilitators. Action Steering Group members to write in outlining what financial support could be offered for ‘level playing field work’ strand. (All) 7. AOB and close a. Meetings Next meetings of the Steering Group are based on the client and designer working groups plans of work. According to the plans meetings are required in March and October 2014. These will be in Rose Court, London. Due to the now limited availability of meeting rooms in Rose Court the project has given an undertaking to seek alternative venues for working group meetings before considering Rose Court. Any help that can be provided would be welcome. b. Communications A written summary of progress was required by Steering Group members to be used in management meetings. The Newsletter although communicating progress well was not suited to this. It was stated that the existing storyboard could be used by anyone to help them inform others. Action a. Provide regular management communications tool based on written summary/progress report of Steering Group meetings (R Ellis) b. Make storyboard available to Steering Group members to aid their communications (R Ellis). Annex 1 Steering Group pre-meeting with local authorities September 2013 Attending Tony Hunter – Durham County Council Neil Quigley – Durham County Council Gena Falconer - Highland Council Martin Gannon – Inverclyde Council Melanie Adams (for Steve Piper) – North Yorkshire County Council Greg Powel – Derbyshire County Council Simon Deacon – Cornwall Council (Cormack Solutions Ltd) Paul Hooper – Cornwall Council (Cormack Solutions Ltd) Apologies Gerry Allan – West Lothian Brian Gourlay – West Dunbartonshire Council Charlie Cochrane – South Lanarkshire Council Andrew Martin – Dorset County Council Gerry Allan/Tom Ward – West Lothian Council Overview of local authorities group Progress with the project was discussed using materials circulated by e-mail on 12th September 2013. The group has been expanded and now includes representatives from Cornwall, Derbyshire and Dorset. Overall there is a very positive response to the progress being made and appreciation on the effort put in so far. Health Surveillance The draft paper (V8 3 June 2013) was welcomed by all. The definitions provided on the first page were easily understood and fall in line with how health surveillance and monitoring is applied by the local authorities involved in the meeting. The figure showing the differences between exposure monitoring and health surveillance was well received and was seen as a very useful tool to help understand and communicate these terms. The examples of what exposure monitoring and health surveillance look like was discussed for each health topic and the following comments made: Noise Under health surveillance recommendations the hearing checks needs to be expanded to fully explain what is required. Construction dust Familiarity with this health risk and how it is managed varies. It would help to know what is a regulatory requirement and guidance on good practice. This could be applied to the whole of the document. Recommendation for exposure monitoring was a surprise and caused some debate as usually a qualitative approach is taken. Some local authorities are carrying out lung function tests but not all. Questionnaires are used extensively for health surveillance for this and other health risks. It would help to indicate where this is appropriate and clarity on the frequency with which this be used. Hand arm vibration Comprehensive Would help to know what training or qualifications required to undertake the health surveillance and diagnosis. Skin risks Focus appears to be on dermatitis but aware of solar radiation issues. Manual Handling Clarification required on what is meant by taking measurements e.g. forces etc In general manual handling assessments are undertaken but this does not include measurements. The flow chart was found useful by the majority but time was needed to understand and read the text that accompanied the chart. Those with experience will find this guide a helpful back-up to what they routinely carry out. However, it would be interesting to see how useful it is for those less experienced. It was suggested the draft could be trialled before it is finalised and some local authorities may be able to help with this. The figure was seen as being particularly useful. It was suggested that some of the information could be presented in pocket card or laminated form. Risk Matrix The risk matrix was discussed by referring to the working group progress paper and table for the project preparation and execution phase for paving, lifting and cutting. The members were informed that the working group had identified a list of tasks being carried out and based on their professional judgement prioritised the health risks for each one. On questioning it was clarified that the prioritisation was not based on statistical evidence. The sources provided in the further information column are currently based on what has been identified by the working group members and will need to be verified. Some participants indicated prioritisation would help in the management of the health risks but the view was also expressed that simply identifying the risk would be sufficient. The following comments were made: What is meant by terms such as significant and normal health risks The traffic light system usually uses red, amber and green. The use of red, amber, yellow and white may cause confusion. Green is usually interpreted as no need to take action. Is there something similar here? Will the application of controls change the risk prioritisation (colour)? The tables indicating the health risks associated with the activities and controls are seen as a very useful tool. Care needs to be taken to ensure what is being communicated and how the table is used. The following comment was made: A brief guide on how to use the tables would help. There appears to be some inconsistency in the use of abbreviations. It would help if in reading across the table the health risks aligned with controls Do the table colours have any significance? How will the risk matrix be used with existing risk management tools? Client and designer The working group have produced plans of work for procurement, communications and ‘level playing field’ areas of work. In addition a draft paper setting out the thoughts of the working group on procurement has been produced. It was explained the procurement paper was the first output of the working group and much of the delivery will be in 2014. The paper on procurement was well received and the only suggestion is that hyperlinks be provided for the papers cited. It was suggested that the communications work will be key to the project overall and there was some support for this as it may lead to engagement with the other project outputs such as the risk matrix. There was agreement that the ‘level playing field’ work plan should be delivered by a workshop and acceptance that if no funding for this can be identified that the work will be shelved. Inverclyde may be able to host such an event but recognise a more central venue (in Scotland) would be preferable.
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