Professional Documents
Culture Documents
Reliance
Reliance
Services
Dr. R. Rajesh
President- IAOH
National Secretary- ICOH India
Group Medical Advisor
Reliance Industries Limited
r.rajesh@ril.com
Reliance Industries (RIL)
RIL is the first private sector company from India to feature in Fortune Global
500 list of ‘World’s Largest Corporations’ for the last ten consecutive years.
Mission:
• To participate in making a healthy & productive work environment
by reducing Health Hazards and taking care of health of
employees, their families & contractors.
OH & Medical
Services
Wellness
Program
Industrial
OH Services Hygiene Routine care Emergency care
services
Content
• Medical Surveillance
• Workplace Surveillance
o CASHe- Change Agents for Safety, Health & Environment
o TBHRA – Task Based Health Risk Assessment
• Wellness Initiatives
o Work life Balance program
o Life Style modification program
• Emergency Services
• Training and Education
• Quality Monitoring
• Digitization
• Medical services at Construction sites
• CSR
• Accreditation and Recognitions
Medical Surveillance
• Ensure that place & job which has been assigned to employee during
PEM/on job shifting is suitable to him.
A focused approach- Preventive
Medical Surveillance
• Health Check up -100 % compliance
- Effective planning
- Mandatory for employees to undergo health checkup
- System generated mail goes to the employee in the month of
employee’s birthday
- Reminder mail for non-compliance
- Linkage of Health check up with employee’s KRA
- PME follow up - for correction and counselling of abnormal
parameters of Health
Medical Surveillance
Sr No. Category Job List of Tests
1 Confined Space Contract workers working in 1. CBC & Urine RM
Entrant confined space e.g. Inert 2.RBS-for K/C/O DM before entry in
Entry/ Reactor/ Columns/ confined space
etc. 3. PEFR
4.CXR (if not done in last 1 year)
5.ECG
6. Pulse Oximetry before entry in
confined space
2 Work at Height Contractor working at height 1. CBC /RBS/ Urine R & M
2.ECG- age group of 35 years and
above
3. Vision test
3 Drivers Crane/ Hydra/ Forklift CBC, RBS, Urine R & M, titmus vision
test.(where not available check by eye
specialist)
4 Coke Handling Workers involved in Coke CBC, Urine RM
Area handling PEFR
Chest X-ray
5 Food Handlers Workers involved in food CBC,ESR, RBS, Urine R& M, Stool
handling exam, Widal test
Medical Surveillance
Sr No. Category Job List of Tests
6 Hazardous process Workers working in A complete blood count,
hazardous process hematocrit, erythrocyte count and
erythrocyte indices (MCV, MCH,
MCHC); S. Bilirubin, SGPT, GGT,
Alk.Phosphatase, S. Creatinine,
Urine- R& M
7 Biological Monitoring Workers working in area Urine Phenol/ Urine Trans trans
of Benzene Muconic Acid (ttMA)
8 Construction Workers Workers involved in 1. CBC, RBS, Urine R& M
construction activities 2.ECG- age group of 35 years
and above
3. CXR (every 3 yrs.)
9 Shutdown workers Workers called for shut As per job requirement
down activities
10 General Contractor for routine 1. CBC, RBS, Urine R&M
jobs- includes security, 2.ECG- age group of 35 years
housekeeping, and above
horticulture etc. 3. CXR as per need.
11 NDT Technician Radiotherapy Technician CBC, Urine R& M
(Radiotherapy Vision test
Technician)
A focused approach- Preventive
Medical Surveillance
High Alert recall system
• 71 to 90 - Yellow Zone
(Mild risk – presence of any 1-2 risk factors)
Work Place
Surveillance
Personal
Area Monitoring
Monitoring
Personal
Physical Chemical Indoor Air Monitoring
Hazards Hazards Quality for Dust,
Noise etc
“Reduction and elimination of hazards - through Safety, Line Managers and change Agents”
Most Sustainable program
• Great leap towards Occupational Health Excellence
• Back bone of Occupational health improvements at all sites.
• Reduction in OH hazards-Heat, dust, Chemical, ergonomics &
Noise
• This program is also highlighted in a book – “Occupational &
Environmental Health”.
Participatory approach
1 Zero Incidents
2 Zero Accident
3 Prevention of OH Diseases
Annual OH-IH
Corporate level Plan from Centre
of Excellence
Policy &
strategy
guidance
Introduction
Annual OH-IH
Objectives of Plan for plants
dept.
Annual Action Plan
IntaaaaaaaaaaaaaaaaiNroINHHUIIIINduction
Industrial
Hygienist
Safety
Professional Occupational
Health
Physician
Project
Selection
Plant
Manager
Introduction
Industrial
ReSOP & CFA
Hygiene
Observations
Surveys
Plant
Walkthrough
FOCUS AREA
HEAT STRESS
CORE
FOCUS AREA
Chemical Exposure
CASHe….
• Special(Appreciation) Prizes
o Best Innovative Project
o Best Ergonomic Project
o Best Inspired Project (copied from any other plant / site,
credit should be given to the source)
Substitution of
Hydrofluoric Acid By
Diluted Sulfuric Acid
In Lab
Before After
Inspired Project from SEZ
Old design New design
less efficient more efficient
Before
After
Introduction
A focused approach- Preventive
Objectives:
Meeting with HOD & plant OH Identify list of activities against each job and
Mon
Coordinator list of employees at each area
Plant Survey & Quantitative Monitoring Plant Survey & Quantitative Monitoring
Tue
(Workplace & Personal monitoring) (Workplace & Personal monitoring)
Plant Survey & Quantitative Monitoring Meeting with plant OH
Wed OH Training
(Workplace & Personal monitoring) Coordinator
Plant Survey & Quantitative Monitoring CASHe project selection & summary of TBHRA
Thu
(Workplace & Personal monitoring) with plant OH Coordinator.
3 3 6 9 12
2 2 4 6 8
1 1 2 3 4
Exposure Rating
1 2 3 4
High 3
Health Risk Score: Moderate 2
Low 1
Reference: - AIHA Exposure Assessment Model; a strategy for assessing and managing occupational exposures
TBHRA – HMS Linking
HMS View
TBHRA - HMS View
TBHRA - Outcome
WISH
Work-life Improvement for Safety & Health
• We have started R-WISH-program in May-2011 across all sites in
co-ordination with renowned faculty (expert in field of Psychology)
Phase IV
• Sensitization continue
• Develop Indicators for WISH program
Cancer prevention
4th Feb - W orld Cancer day De-addiction & Cancer
FEB MAY Prevention
Ergonomics aw areness 31st May - W orld No Tobacco Day
28th Feb – RSI Awareness Day
Sr.
No Award Criteria
.
1. Good Health Completed last PME on time / before due date in the previous
calendar year
Scored a Health Index of 90 or above in the previous calendar
year
Achieved & maintained
• BMI level (of 25 or below)
• Blood sugar level (FBS < 110 mg% & PPBS <140 mg %)
• Blood pressure levels (below 130/80 mm Hg)
• Blood cholesterol levels (below 200)
• Blood triglyceride levels (below 150)
• No claims under health insurance or under company’s
medical reimbursement scheme for self in the previous
calendar year.
Health Improvement Award Criteria
Sr.
No Award Criteria
.
2. Health Employees who have completed
Improvement
• At least two years of service
• Last two Periodic Medical Examinations (PMEs) on /
before schedule.
Improvement In the following category of
• Obesity (BMI 28 & above) or
• Hypertension (150/100 & above) or
• Diabetes (HbA1c - 8 & above) or
• Dyslipidaemia (triglycerides 300 & above, cholesterol
250 & above) – as detected in the previous PME.
Health Awards
• This initiative will have a long term benefit in term of creating
wellness culture among employees & their family members.
Maximum reduction in BMI trophy
Fitness Check at Fair Healthy Recipe Competition Zone Poster Zone at Fair
Yoga and Meditation Zone Nutrition awareness at Fair Films on Life style on mega screen
Health Awareness –
Skit and Health Bulletin
Doctors in action
Laughing Exercise
Obesity Clinic
Ambulance services
• Maximum score is 100
Emergency response time
– < 91 – not acceptable
Orientation & training
– 91-94 – good
Disaster management plan
– 95-97 – very good
Man power
Alternative working location
– > 97 - excellent
Vendor list, Central oxygen, ATF etc.
Training & Education
Training &
Education
Feedback about content
improvement
Training on
Doctors &
Occupational
Paramedics –
Health, First Aid,
Each & every training
External & Internal COSHH,
Trainings
Ergonomics etc
must be followed by
validation.
Quality monitoring
External Internal
2nd Party OHSAS 2nd Party Medical Centers Hygiene 1st Party Emergency
Medical Centre Audit Audit Audit Audit Audit Preparedness
Audit (Yearly) (Yearly) (Fortnightly) (Weekly) (Yearly) (Weekly Scoring)
(Six Monthly)
Documentation Emergency
& Water Medical Officer Management
Procedures Scoring (EMS)
(Weekly)
Industrial
Biomedical Waste Milk
Hygienist
Quality monitoring
Health Management System (HMS):
• Unique Health Management System
• A robust databank
• Accessibility at any location
• Generate various required reports pertaining to
Medical & Occupational Health services
Customer feedback:
• Customer Satisfaction Index
• Partnership index
Patient visit Reliance Medical Doctor provides consultation and Patient gets the examination Reports available instantaneously to patient
Centre for consultation order examinations like xray done on her/his phone
Medical Services at Construction sites
Labour Colonies
Challenges
• RIL Hoshiarpur has won Gold in Arogya World Healthy Workplace Award
2014
• RIL Dahej Manufacturing Division has won been won the gold award
for 5th Greentech CSR Award. CSR project was taken on our Primary
Health Centre, Dahej activities.
Recognition
• RIL HIV-TB center at Hazira received
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Jio Safe & Healthy Life
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