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Nonaccidental death

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where there is no identifiable incident or trauma involved, or ... information such as autopsy report, medical fitness certificate, Death Certificate, etc. ... – PowerPoint PPT presentation

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Title: Nonaccidental death


1
Non-accidental death
  • Definition
  • Any case of death of a person either
  • where there is no identifiable incident or trauma
    involved, or
  • which is the result of an apparent suicide.
  • Where NAD occurs to a person who is currently
    employed by or on contract to the Company
  • Records of medical pre-employment checks,
    periodic medical checks
  • Information about the work and work conditions
    preceding the death.
  • This also applies to non-accidental deaths
    outside normal working hours.

2
Non-accidental death
  • The objective
  • To ascertain whether the cause of the fatality
    relates to systems and conditions which are
    managed by the Company and may provide the
    grounds for corrective action.
  • If this is the case, such a fatality should be
    reported immediately and be included in the
    Company statistics
  • The contents of Non-accidental death reports
    should be based on the template (PR1418)

3
Non-accidental death
  • EVENT DETAILS
  • 2.1 Time, Date, Place of Death
  • 2.2 Details of the Deceased
  • 2.3 Nature of injuries/cause of death
  • 2.4 Sequence of Events leading to the discovery
    of the deceased
  • 2.5 Sequence of Events following the discovery of
    the deceased
  • 2.6 Post Incident response
  • 2.6.1 Where death occurred within the Company
    fence, were the Company Medical Emergency
    Response Effective?

4
Non-accidental death
  • INVESTIGATION DETAILS
  • 3.1 Investigation Team (including medical officer
    or occupation health adviser)
  • 3.2 Persons Interviewed
  • 3.3 Examination of relevant site / living
    conditions (vehicles, equipment, accommodation,
    etc.)
  • 3.4 Examination of the work hazards
  • 3.4.1 Are there any work related exposures e.g.
    contact with hazardous substances, poor working
    environment etc. which could have contributed to
    the death?
  • 3.5 Evaluation of pre-existing conditions /
    lifestyle factors
  • 3.5.1 Are there any relevant lifestyle factors
    e.g. diet, tobacco, alcohol abuse, etc.?
  • 3.5.2 Are there any pre-existing medical
    conditions?
  • 3.5.3 Has the individual been declared medically
    fit to carry out his/her normal duties in
    compliance with Company Standards (SP1230)?
  • 3.5.4 Had the individual exhibited any signs, or
    symptoms associated with the cause of death
    before/during his/her recent work period?
  • 3.5.5 Had the individual been recently referred
    to a Doctor?

5
Non-accidental death
  • HEALTH MANAGEMENT ASPECTS
  • 4.1 Organisation, roles and responsibilities
  • 4.1.1 PDO Contractor
  • 4.1.2 What is known of the health management
    within the direct working environment of the
    deceased (health risk assessments, exposure
    monitoring, health controls and performance
    indicators.)
  • 4.2 Health requirements for contract
  • 4.3 HSE Plans (PDO Contractor) (focus only on
    issues which are relevant to the cause of death)
  • 4.4 Monitoring and Implementation of HSE Plans
  • 4.4.1 PDO monitoring if PDO is fulfilling
    responsibilities and obligations
  • 4.4.2 PDO monitoring if Contractor is fulfilling
    responsibilities and obligations
  • 4.4.3 Contractor monitoring if it is fulfilling
    responsibilities and obligations
  • (above sections include monitoring, auditing,
    inspections, reviews etc.)

6
Non-accidental death
  • CONCLUSIONS
  • 5.1 Primary and Contributory cause(s) of the
    Death
  • 5.2 General conclusions or observations
  • 6. RECOMMENDATIONS
  • 6.1 Immediate actions
  • 6.2 Follow-up actions
  • LIST OF ATTACHMENTS
  • information such as autopsy report, medical
    fitness certificate, Death Certificate, etc.

7
Occupational Health Road Show 2004
Non-Accidental Death Cases
1997 - 2003
8
Non-accidental death
Year 01 02 03 Neoplasm (malignant
diseases) 0 0 2 Diseases of the
blood 1 1 0 Diseases of the circulatory
system 7 6 9 PDO Contractor NAD Cases
1997-2002 2000 Crude death rate Oman
3.65/1000 97-02 Avg. Crude death rate for PDO
0.68/1000 CVD of hospital deaths in Oman in
2000 35(40 of all deaths in U.S. are due to
CVD) Estimate CVD death rate for Oman
1.28/1000 97-02 Avg. CVD death rate for PDO
Contractors 0.43/1000
9
Non-accidental death
PDO Contractor NAD Cases 1997-2002
  • 61 NAD cases 20 accident related fatalities
    81 total cases
  • Average 13.5 cases/year
  • Population 4,000 PDO 16,000 Contractors
    20,000
  • NAD contractor cases versus PDO cases 46/15
    (75/25)
  • Average age at death of NAD cases 44.6 year
  • Age range at death of NAD cases 23-67 year
  • Primary cause of PDO Ctr. deaths
    CVD Cardio-Vascular Disease 84 of reported NAD
    cases 63 of total death cases)
  • age data is skewed downward due to legal age
    adjustments

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