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Tripartite Oversight Commitee Report - Fa
Tripartite Oversight Commitee Report - Fa
Tripartite Oversight Commitee Report - Fa
OVERSIGHT
COMMITTEE
ON
WORKPLACE
SAFETY AND HEALTH
CONTENTS
FOREWORD 03
INTRODUCTION 04
TOC sub-committees and objectives 04
Key recommendations from 2014 – 2017 04
EXECUTIVE SUMMARY 05
Achievements 05
Recommendations 06
IMPACT SUMMARY 07
Increased impact on workers’ health, behaviour and safety across the
07
TOC term
KEY RECOMMENDATIONS 40
Way ahead 41
FOREWORD
2020 has been an extraordinary year for us at Some of our new programmes include:
the workplace.
• A new assistance programme to guide
companies on the implementation of Total
The COVID-19 pandemic has created new
WSH;
norms in our work environments. Our
workforce have adapted to new work-from- • A dynamic Workplace Outreach Wellness
home (WFH) norms, while those who have (WOW) programme offering a choice of basic
returned to the workplace have also adapted and targeted interventions for companies;
to new safe management measures and
• A localised return-on-investment tool to aid
business continuity plans. The safety and
Multinational Corporations (MNCs) and Small
health of our workforce have become even
& Medium Enterprises (SMEs) in monitoring
more important than before.
their dollar-stretch from investment in
workplace health programmes;
We have continued to challenge ourselves
to innovate, despite the recent challenges • Expansion of Healthy Workplace Ecosystems
brought about by COVID-19. For example, to (HWEs) beyond businesses and industrial
secure mindshare for Total Workplace Safety clusters to reach workers in precincts;
and Health (Total WSH), we have strengthened
• Expansion of mature worker programmes
our outreach on digital platforms and re-
to include Hawker Centres and Heartland
ignited our partnerships with developers,
Malls in the community; and
companies and business owners. Our efforts
from 2017 – 2019 focused on adapting and • iWorkHealth, a tool to identify workplace
customising effective programmes for stressors, to assist employers in improving
workplace safety and health, so as to ensure the mental well-being of their workers.
accessibility and reach to workers.
We want to bring more customisable
programmes to companies, big and small,
that impart long-term cost savings and
productivity gains in the coming years as
our economy recovers from the pandemic.
We will also adapt to the changing needs of
our workers as they operate in new norms
and find their way in the changing workplace
environment and economic landscape. We
look forward to even more exciting and
ground-breaking work from the Committee.
INTRODUCTION
Seven in ten Singapore residents are engaged in the workforce. On average, workers in
Singapore spend nine hours a day at work. This makes the workplace an ideal setting to promote
programmes and initiatives that support safety and health, and benefit a large segment of the
population.
The Tripartite Oversight Committee (TOC) was set up in 2014 to help workers achieve well-
being by adopting a holistic approach to manage their safety and health. In its first term (2014
– 2017), the TOC raised the awareness of holistic safety and health, impacted the overall health
of hard-to-reach mature workers, and increased the adoption of healthier behaviours among
workers in business clusters. In its second term (2017 – 2020), the TOC expanded upon the
work done in the previous term to incorporate workplace safety and hence was renamed the
Tripartite Oversight Committee on Safety and Health. Its three sub-committees drive progress
in three key areas, as depicted in Figure 1 below:
Figure 1. TOC sub-committees and objectives. The committee membership and terms of reference of the TOC can be found
in the Annex.
This report will address how these recommendations have been incorporated into this term
through the introduction of safety and health programmes for workers in high-risk industries,
creation of healthier and safer environments for professionals, managers, executives and
technicians (PMETs) and blue-collar workers, as well as approaches for keeping our mature
workers healthy and productive.
TRIPARTITE OVERSIGHT COMMITTEE ON WORKPLACE SAFETY AND HEALTH 05
EXECUTIVE SUMMARY
ACHIEVEMENTS
KEY LEARNINGS
RECOMMENDATIONS
IMPACT SUMMARY
INCREASED IMPACT ON WORKERS’ HEALTH, BEHAVIOUR AND
SAFETY ACROSS THE TOC TERM
We monitored and evaluated the biometric and behavioural outcomes on workers throughout
the course of the programmes, yielding the following results:
≥1 Biometric ≥1 Fitness
indicators indicators Active time
(Body Mass Index (BMI), (Body Mass Index
blood pressure, blood (BMI), body fat,
glucose & blood lipid) visceral fat & muscle
mass)
2017 – 2020 term 2017 – 2020 term 2014 – 2017 term 2017 – 2020 term
1 in 3 1 in 6 1 in 5 1 in 4
increased in increased in
reported improved in
TOTAL WSH
PROGRAMME
FOR WORKERS IN HIGH-RISK INDUSTRIES
2018 – 2020
• Strengthened industry’s
2014 – 2017 understanding of how Work,
Launch of Total WSH Safety and Health is related
• Increased awareness of Total WSH through case studies and
and kick-started implementation of examples
Total WSH • Developed an assistance
• Incorporated Total WSH in workplace programme that guides
policies at the national level companies on implementing
Total WSH using the A-I-ME
• Developed Total WSH Capability and framework
Competencies
• Increased outreach through
• Built Total WSH Capability and leveraging partnerships
Competencies
Monitoring and Evaluation: Through selected metrics, the company can track
whether the solutions implemented has resulted in any desired change.
The Total WSH Programme was introduced to the industry in which consultants guided companies
through the A-I-ME process and supported companies through funded interventions where
eligible.
TRIPARTITE OVERSIGHT COMMITTEE ON WORKPLACE SAFETY AND HEALTH 09
MONITORING AND
ASSESSMENT INTERVENTION
EVALUATION
Worker level
Impact on
Productivity
Broad-based
Basic Health Safety and Health
Survey Promotion Activities
Recommendation
of Risk Control
Measures
The Total WSH programme has brought health and safety programmes to workers' doorsteps
through the following approaches:
DIRECT-TO-COMPANY
APPROACH
Suitable for: Companies with
workforce size of >200
Case study: SATS Ltd
SITE-BASED APPROACH
Suitable for: Construction
worksites
Case study: Thomson-East Coast
Line Project
DEMAND-AGGREGATED
APPROACH
Suitable for: Companies with
workforce size of ≤200
Case study: Total WSH Services
Centre at Woodlands Industrial Park
DIRECT-TO-COMPANY APPROACH
SATS Ltd is a progressive company that values her workers’ well-being. With a diverse range of
services from gateway to food services, SATS has been looking to improve the safety and health
of her staff and saw that the Total WSH Programme would bring customised solutions to their
doorsteps. One of the business units that adopted the programme was SATS Air Cargo.
About SATS Air Cargo:
• SATS subsidiary with a large workforce size above 200
1 Musculoskeletal Issues
• Common to move very heavy loads
• When inappropriate lifting techniques are used, shoulder, back and neck injuries
could occur
Tips
• Use of vacuum lifting aids, where possible
• Educate workers on:
- Proper lifting techniques and standing postures
- Exercises to help stretch and strengthen muscles before / during / after work
- Pain relief techniques
SATS Air Cargo's Interventions The results showed that the majority of the
workers found the coaching sessions useful,
367 workers from SATS Air Cargo went and would apply what they had learnt in their
through 6 customised sessions of Ergonomic daily work.
Coaching Programme conducted by
ergonomics specialists The Ergonomics exercises taught by
the nurse are very good. They help me to
minimise backaches after work.”
Aung Shwe Lin
Pre-post pain score: 32 workers were surveyed on pre- and post- body pain during the first
and last sessions respectively. A number of workers reported a reduction in pain in commonly
found pain areas of shoulders / upper arms, upper back and lower back.
Proportion of workers who had lower pain scores in the following body parts
From
SHOULDERS/ 34.2% to
UPPER ARMS
22%
pre-intervention
body pain rating
From
UPPER BACK 28.4% to
9%
post-intervention
From body pain rating
LOWER BACK 48.4% to
25%
Figure 6. Impact of Total WSH on participants' body pain scores
2 Traffic Management
• High volume of forklift/tractor movement in warehouses where workers are working
Personal Health Impact and Job Risks
• If driver loses concentration, falls asleep or has a sudden loss of function e.g. from a heart
attack while driving, he / she may collide into people or goods, causing injuries or losses
Tips
• Have clear demarcation of zones to keep human traffic away from vehicles, e.g. forklifts
and trucks, and have workers comply to these rules
• Raise awareness among forklift drivers on:
- Important health warning signs and to stop driving if they encounter any signs
- Importance of health screening
- Managing chronic diseases
TRIPARTITE OVERSIGHT COMMITTEE ON WORKPLACE SAFETY AND HEALTH 13
Tips
• Ensure improved housekeeping
• Educate workers on good practices pertaining to each task, e.g. when working on roller
conveyors, standing on metal plates
• Recommend exercises to train and maintain muscle strength and agility
Site A
Site B
Company A Main
HQ Site C Contractor
Company A’s workers Other workers
1 Lifting Operations
Lifting operations are highly safety-critical in nature and have to be coordinated and performed
with utmost care and focus, as any mistakes could cause the load to injure people or severely
damage buildings. Aside from observing safe work procedures, it is also important that
workers are fit and stay focused during such operations.
Tips
• Good safety and health practices were implemented, such as maintenance of cranes,
a proper lifting plan, frequent checks on lifting gear, a proper Permit-to-Work system
and clearly indicating the Safe Working Load on the lifting machine.
• Health monitoring for workers: One of the sites conducted daily blood pressure
measurement for crane operators, excavator operators and vehicle drivers to ensure
that they were fit to operate the machinery.
• Visual and Behavioural Detection Devices were installed on machinery to provide real-
time feedback which helps the operator to stay focused and alert when operating the
machinery.
• Safety and Health Coaching was conducted for the workers and machine operators to
educate them on how chronic disease symptoms could affect their safety at work, as
well as the significance of managing their own health.
2 Heat Stress
• Construction workers work under the hot sun for prolonged hours. Heat stress can be
dangerous, causing harm not just to workers themselves, but possibly even others around
them if they are performing safety-critical tasks, such as lifting.
• Heat stress may cause a lifting crew member to lose concentration or become fatigued,
thus increasing the risk of lifting accidents due to erroneous judgement and methods
of applying their lifting techniques.
Tips
• Conducive rest areas with water points were designed and strategically positioned at
worksites to make it convenient for workers to stay hydrated and recharge during breaks.
• Workers were taught the importance of hydration during safety and health
coaching sessions.
TRIPARTITE OVERSIGHT COMMITTEE ON WORKPLACE SAFETY AND HEALTH 15
3 Weight Management
• 46.6% of survey respondents were reported
to be overweight or obese in one of the
worksites.
• Overweight / obese workers are more
susceptible to chronic diseases / health
conditions, fall injuries, heat stress injuries
and ergonomic injuries.
Tips
• Personalised Safety and Health Coaching — Workers were coached in:
- Setting personal health goals and using a step-by-step guide to achieve them
- The importance of personal health and how it affects work safety sessions
• Raising awareness through safety and health talks: Workers were educated on chronic
disease risks, how they are associated with high BMI and how to prevent them
• Conducting of fitness (cardio exercise) classes
Leveraging Strong Support from Partners to Reach Large Sites in High-risk Industries
FEEDBACK
INTERVENTION
Before After
POSITIVE FEEDBACK
RECEIVED FROM SMES
1 2 3
Healthy Workplace Company-outreach
Precinct Approach
Ecosystem Approach Approach
Partnerships with
Orchard Road Business
Highlights SME Health+ and
Overview of Association (ORBA)
and scale-up efforts and Singapore National
Workplace Alliance for
Impact Employers Federation
Health (WAH)
(SNEF)
Impact under
Case Health to create
ORBA and SNEF SME Health+ and use
Study vibrancy in clusters
of ROI calculator
1. HWE APPROACH
HWE has witnessed positive growth trajectory since the formation of the TOC.
Over 406,000 workers in nearly 70 HWEs have benefited from the growing
movement of HWEs.
68
Lim Chu
17 47 Kang
Sungai
Mandai
Yishun
Kadut
Seletar Punggol
Jalan Kayu
Choa Chu Central
Workers’ Access : Western Water Sengkang
Kang Water Ang Mo Kio
Catchment
Bukit Catchment Pasir Ris
Serangoon
Panjang
FY15 FY17 FY20 Tengah
Bishan Hougang
Paya
Lebar
Bukit
117k 291K 406K Jurong
West
Batok
Bukit Timah
East Novena
Tuas Geylang
Boon Clementi Bedok
Pioneer
Lay Kallang
Unique Participation: Tanglin
Downtown
Queenstown Marine Parade
Pulau Brani
Around 1.5X increase in Workers’ Access and Cluster Figure 12. Map of distribution of HWEs
Growth during the current TOC term across Singapore
TRIPARTITE OVERSIGHT COMMITTEE ON WORKPLACE SAFETY AND HEALTH 20
Positive improvement in ≥1 indicator was observed for post-health screening from 2017 – 2019.
Biometric Improvement
2017 2019
Positive health behavioural
changes were also observed
among workers in terms of
increased active lifestyle, in
≥1 indicator from post-health
screening. 1 in 3 3 in 5
“Get Fit! Challenge”, a pilot programme comprising weigh-ins, goal settings and
interim health coaching observed reductions in BMI and body fat among participants.
Among returnees with BMI ≥ 23 kg/m2 Among returnees with high body fat
2019 2019
Close to Close to
1 in 5 1 in 10
Reduced ≥ 1 BMI point (average -1.6 BMI point) ≥ 2% body fat loss (average -3.35%)
Positive health behavioural changes were also observed among workers in terms of increased
active lifestyle.
Active Time
2017 2019
6 in 10 7 in 10
TRIPARTITE OVERSIGHT COMMITTEE ON WORKPLACE SAFETY AND HEALTH 21
Case study — City Development Limited (CDL) Converging Health and Green
Elements to Create Vibrant Workplaces
Partnership with CDL has seen around 4X increase in outreach from over 3,000
workers since 2016 to 12,000 workers in 2020.
CDL, one of the leading real estate companies worldwide, has been an advocate for tangible
business outcomes in its sustainability journey. Integrating health with sustainability, CDL has
created more engagement and greater vibrancy in its workplaces.
Further Creation of People, Public, Private (3P) Partnership, Advocacy and Green Building
Thought Leadership
CDL has achieved key milestones in its sustainability journey, as shown in the following areas:
Partnership with CAG has seen around 150% growth from 10,000 workers since
2017 to 15,000 workers in 2020.
Changi Airport Group proactively reaches out to workers within its ONE Changi Family. This
includes key airport partners from Immigration and Checkpoints Authority (ICA), Singapore
Customs, Airport Police, Ground Handling Service Providers, Auxiliary Services, Housekeeping,
Ground Transportation, Retail and F&B. It does this through customised and broad-based
programmes for specific workers and service sectors, as well as organisation-wide thematic
events, integrating a delightful blend of health elements.
Across cleaning, retail, logistics and For all workers within CAG at Changi
security sectors Airport Recreation Club
Average Weekly Step Count in ONE Changi Chronic Disease Management Programme
Steps Challenge for 300 Smarte Carte Workers via Health
Over 5,600 individuals from CAG and Certis Screening and Coaching
coming together to take steps towards
better health
Improvement in
75%
Overall,
improvement in step count
by end of challenge
12%
Percentage
2. PRECINCT APPROACH
Another strategy to amplify outreach through partnering Precinct Multipliers with well
established networks.
BUGIS
MARINA
CITY HALL CENTRE
CLIFFORD
PIER
PHILIP
Multi-faceted partnerships
RAFFLES
through SNEF’s network of
PLACE
BAYFRONT
member companies
Some notable improvements
CBD include:
2X
MAXWELL
CECIL
• increase in workforce
TANJONG
PAGAR
size in Downtown, and nearly
CENTRAL
3X increase in number of
ANSON
clusters since 2017
• M o re t h a n 50% of
participants are <40 years old
With its extended network across the Reaping Results from Body Composition
Downtown business district, SNEF has been Measures Used among Young Workers
working with partners to curate various
interactive activities and workshops, across Another example of a successful thematic
pockets of accessible areas in the district. challenge by SNEF would be its Get Fit!
Challenge in 2019, where body composition
measurements were used to engage and
Forming “Health Zones” to Implement attract young workers.
Various Broad-based Health Activities
60%
Age Profile
≥40
years
old
75%
Close to 1 in 10 participants
with high body fat achieved Close to 1 in 4 participants
≥ 2% body fat loss (average with ≥1 risk factor
3.2%). improved in ≥1 risk factor.
Average % body fat reduced from 34.5%
to 31.3%
Similarly for ORBA, workplace health is an engagement strategy for enhancing the welfare
of mature workers in Orchard Road, particularly in the retail, hospitality, food services and
entertainment sectors.
Strong support from various stakeholders in Orchard Road have also contributed
towards the growth of health promotion activities, together with growing
epicentres.
Some notable improvements include:
Body Pain
27% reduction in
body pain
Average body pain score reduced from
5.3 to 2.8, on a rating scale of 1 to 10
Practice 200
35% learnt exercises Smokers signed up
for I Quit
were practised at home
3. COMPANY-OUTREACH APPROACH
The TOC has reached out to companies by bringing workplace safety and health programmes to
the doorsteps of workers, and this has yielded encouraging participation and outcomes.
Workplace Alliance
SME Health+
for Health (WAH)
with with
120,939 workforce size 65,734 workforce size
77%
23%
Programme 44%
Take-up
15%
(by category)
14% 6%
1%
1 2 3 4
19% programme programmes programmes programmes
Mental Well-being
Return-on-Investment (ROI)
This online tool justifies investment on WHP. It generates WHP ROI projections based on key
inputs by companies (e.g. productivity, staff engagement, absenteeism).
Benefits include:
1 2 3
Geographical Approach Sectoral Approach Union-based Approach
Highlights
Scaling up hawker centres Overview of Outreach efforts
and
Impact and heartland malls expansion efforts through unions
Case
Hawker centre Cleaning sector NTWU
Study
Figure 18 . Three-pronged achievements in mature worker outreach
TRIPARTITE OVERSIGHT COMMITTEE ON WORKPLACE SAFETY AND HEALTH 33
1. GEOGRAPHICAL APPROACH
20 hawker
Lim Chu
Kang Mandai
Sungai Yishun
Kadut
Seletar Punggol
centres
Jalan Kayu
Choa Chu Central Sengkang
Western Water Kang Ang Mo Kio
Water
Catchment
Bukit Catchment Pasir Ris
Serangoon
reaching out to
Tampines
Jurong
West Jurong Bukit Timah Toa Payoh
more than
East Novena
Tuas Geylang
Boon Clementi Bedok
Pioneer
Lay Kallang
5,000 workers
Tanglin
Downtown
Queenstown Marine Parade
Bukit Merah
Marina Bay
via this geographical
approach
Pulau Brani
of participants
who reported I appreciate that this programme has
bodily pain experienced a been brought to the hawker centre. It
reduction in pain is a good initiative that has taught me basic
exercises I can do at home after work.”
of participants
with abnormal
blood pressure results The most important part of this
had improvements in their programme is that the Health Chats
blood pressure levels team is here monthly to take my BP and
BMI. The monthly chats assure me that my
health is on the right track
and if there is something
amiss, I know I can
increased their approach my doctor
minutes of immediately.”
weekly physical activity time
Mr Tay
Geylang Bahru
Market & Food Centre
2. SECTORAL APPROACH
Expansion of Efforts to the Cleaning Sector
Source: NEA
1 Sept 2014
5%
38%
33.6%
25% 21.5%
17%
8.6%
0%
High Blood High Diabetes
35% Pressure Cholesterol
Age
60% Cleaners Surveyed (2014 – 2016)
National Population Health Survey
2017 (General Population)
Source: Basic health screening for Ramky's employees, N(BMI & BP) = 156, N(LDL and Blood Sugar) = 109
TRIPARTITE OVERSIGHT COMMITTEE ON WORKPLACE SAFETY AND HEALTH 37
Age-related Health
Chronic disease management, healthy
eating and exercise of participants
improved their eating habits
Right location to ensure
accessibility
Work-related Health
Ergonomics, exercise, fatigue and of participants who
pain management had body pain experienced a
reduction in pain
Right timing to cater
to shift hours
of participants with
abnormal screening results
Health Check and Survey showed improvement in the
2nd screening
3. UNION-BASED APPROACH
“In NTWU, we place our workers’ health and safety as our utmost
priority, and recognise that our canteens are usually the first touchpoint
for workers to have their daily meals. Therefore, we are constantly
encouraging healthier choices at our canteens.”
“I have been eating brown rice at our canteens for more than a year.
It aids in digestion, and I have never felt healthier!”
The TOC works to ensure that programmes catered to mature workers continue to stay relevant
to meet the rising needs of Singapore’s ageing workforce.
Cardiovascular Disease
(CVD) Screening:
Functional
Health screening to
screening including
assess improvement to
checks on eyes,
health status
hearing and
oralhealth
Age-related
Intervention:
Health coaching on
key health topics such
as chronic diseases,
nutrition, physical Enhanced health
activity, mental health coaching topics
and ergonomics including falls
prevention, joint
care and nutrition
for seniors
Intervention:
Physical activity
sessions to support
those who are inactive
Customised mental
and want to achieve a
health content to
healthy weight
help the Merdeka
Generation (MG)
stay mentally fit
Capacity building:
and improve social
Interactive health talks engagement
and workshops to raise
awareness and improve
Work-related
KEY
RECOMMENDATIONS
The Total WSH Programme has certainly gained momentum among workers in recent years.
To address prevailing concerns, the TOC aims to enhance it in the following ways:
WAY AHEAD
Basic health
screening & coaching
R e t u r n - o n - i n ve st m e n t
calculator to create a value
proposition for health
• Engaging freelancers
through close partnerships
with key industry players
• Tapping on geographical
approaches via regular
congregation platforms
and public spaces (e.g.
private hire drivers’ dialogue
sessions, carnivals, hawker
centres, heartland malls)
fse
Freelancers and
Self-employed
• Leveraging Trade Union
and Association platforms
to engage their members
who are freelancers
• Posting relevant health
messages and tips via
online channels (e.g.
e - n e w s le t t e r s , p u s h
notifications)
ORGANISATION CHART
COMPOSITION OF THE TRIPARTITE OVERSIGHT COMMITTEE ON
WORKPLACE SAFETY AND HEALTH (2017 – 2020)
Co-chairs
Dr Amy Khor Mr Zaqy Mohamad
Former Senior Minister of State Senior Minister of State
Ministry of Health Ministry of Manpower
Members
Prof Chia Kee Seng Ms Cynthia Leow Er. Ng Say Cheong
Professor, Founding Dean Former Director (Workforce Group Director (Building &
Saw Swee Hock School of Planning & Capabilities) Infrastructure)
Public Health Public Service Division Housing Development Board