The overall safety, health and wellbeing of employees and the work environment are strongly connected. Sub-standard safety and health can cause injury and resulted in poor quality of life and productivity. Total Workplace Safety and Health (Total WSH) is a holistic and an integrated approach to managing safety, health and wellbeing at the workplace. In TWSH, risk assessments take individual risk factors into consideration. Integrating programmes that control risks in the workplace together with the promotion of health can create synergies that result in improved productivity, performance, reduction in sickness absence, employee retention, financial performance, return on investment and quality of life

1. Goh Chye Guan
Managing Director
SME Resources
Total Workplace Safety and Health (TWSH)
19 Sep 2013

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Scope
1. Introduction
2. A Case Study:
• SafeWell, Harvard School of Public Health
3. The Building Blocks
4. Summary

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1. Introduction

4. What is TWSH?

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Promoting Health in the Workplace
SafeWork Awards 2012 Winner: Bega Cheese

6. Introduction
Latest Trends and Developments in WSH, Er. Ho Siong Hin
Commissioner for WSH Singapore, 10 Jul 2013

7. Why TWSH?
Latest Trends and Developments in WSH, Er. Ho Siong Hin
Commissioner for WSH Singapore, 10 Jul 2013

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So what is TWSH?

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CDC Total Worker HealthTM
Total Worker Health™ is a strategy
integrating occupational safety and
health protection with health promotion
to prevent worker injury and illness and
to advance health and well-being.
CDC – NIOSH Total Worker Health

10. TWHTM
• Today, emerging evidence recognizes that both work-related factors
and health factors beyond the workplace jointly contribute to many
health and safety problems that confront today’s workers and their
families
• Traditionally, workplace health and safety programs have been
compartmentalized
• Health protection programs have focused squarely on safety,
reducing worker exposures to risk factors arising in the work
environment itself
• And most workplace health promotion programs have focused
exclusively on lifestyle factors off-the-job that place workers at
risk
• A growing body of science supports the effectiveness of combining
these efforts through workplace interventions that integrate health
protection and health promotion programs

11. TWSH
WSH WHP
Workplace Health
Promotion
Workplace Safety
and Health

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2.
A Case Study

14. Integrated Programs
Prevention of On-the-Job
and Off-the-Job Accidents
and Diseases
Wellbeing Promotion
Workplace
Health
Promotion
Workplace
Safety and
Health

15. • Health insurance provider/coverage
• Disease and case management
• Physical fitness
• Absence management (disability, workers’ compensation)
• Primary care centers
• Community relations/outreach
• Wellness programs
• Health risk appraisals and other health evaluations
• Communications
• Occupational/environmental safety and health (e.g., safety,
environmental management, equipment, patient safety, hazard
surveillance, emergency Management)
• Behavioral health (Employee Assistance Programs, work-life)
• Quality improvement
• Health advocates and coaches
• Information technology/data management folks
IntegratedPrograms
SafeWell Practice Guidelines: An Integrated Approach to Worker Health. Version 2.0
Harvard School of Public Health, Center for Work, Health and Well-being

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• Dartmouth-Hitcock Medical Centre: Live Well /
Work Well
• NASA: Integrated Worker Health
• Johnson and Johnson: Healthy Future 2015
• Caterpillar
• GE Energy
Other Cases:

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3. The Building
Blocks

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Sources of Loss
• People
• Equipment
• Materials
• Environment
• Methods

19. People
Equipment
Materials
Method
(On-the-Job and Off-the-Job)
Environment
(On-the-Job and
Off-the-Job)

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I
E
DI
M
Identify all Loss Exposures
Monitor,
Commend
and Correct
Implement
the Plan
Develop a
Plan
Evaluate the
Risk

21. People
Equipment
Materials
Method
(On-the-Job and Off-the-Job)
Environment
(On-the-Job and
Off-the-Job)
I
E
DI
M
• WSH Programs
• Workplace Health
Promotion Programs
• Wellness Program
Psychosocial Work
Environment and
Employee Benefits
• Workplace Safety and
Health
• Health and Wellness
Program
Physical environment,
facilities and exposure
Characteristics, health
status, behaviours,
needs and interest,
injury and illness report
Accident trends, illness and
incident records, OSH, WHP and HR
policies and programs, acilities and
exposures

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Frank Bird’s Loss Causation Model
Loss
People
Property
Process
Environ-
ment
Incident
Contacts
with
energy,
substance
, or people
Immediate
Causes
Sub-
standard
Acts
Sub-
standard
Conditions
Basic
Causes
Personal
Factors
Job
Factors
Lack of
Control
Inadequate:
Programs
Standards
Compliance

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An Example:
• Do you have employee(s) that need to
travel overseas frequently?
• To remote places? To places with
safety and health hazards, e.g.
earthquake zones, yellow fever,
hepatitis B, … ?
I
E
DI
M

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If “Yes”, How do you
Protect them?
• Pre-employment health screening
• Regular medical check ups
• Pre-trip heath and safety advice
• How to react in an earthquake
• Pre-travel screening and vaccination
• Special treatment for pregnant employees, the
senior citizen, and employees with medical
conditions such as asthma, hypertension and
diabetes
I
E
DI
M

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5. Summary

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The 4 A’s of TWSH?
• Awareness
• Acceptance
• Application
• Assimilation

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Key Success Factors
• Commitment from the top
• Understanding of Concepts and Principles
• Adequate resources
• Comprehensive list of Subject Matter Experts
(SMEs)
• Involves all employees in the planning
• Secure buy-in
• Evaluation and Celebration

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Thank You