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Creating Value with the Future in Mind - Anglo American South Africa

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Health strategy<br />

Global health<br />

Develop<strong>in</strong>g<br />

countries<br />

Communities<br />

Benchmark<strong>in</strong>g<br />

Occupational hygiene<br />

Lead<strong>in</strong>g <strong>in</strong>dicators<br />

Standards<br />

Integrated risk management<br />

We have refreshed <strong>the</strong> risk<br />

management approach <strong>with</strong><strong>in</strong> <strong>the</strong><br />

Occupational Health Way and Group<br />

Technical Standards for health to align<br />

<strong>with</strong> our new Group-wide approach<br />

to <strong>in</strong>tegrated risk management. An<br />

example of this is at our Sishen m<strong>in</strong>e,<br />

where, recognis<strong>in</strong>g that <strong>in</strong>tegrated risk<br />

management is a bus<strong>in</strong>ess-critical<br />

issue, bus<strong>in</strong>ess-improvement teams<br />

are now responsible for fatigue<br />

management.<br />

Health <strong>in</strong>formation systems<br />

The ability to capture and manage<br />

confidential health <strong>in</strong>formation is<br />

critical if we are to keep our workforce<br />

and <strong>the</strong>ir families healthy. Build<strong>in</strong>g this<br />

capability <strong>with</strong><strong>in</strong> our bus<strong>in</strong>ess was<br />

a central activity <strong>in</strong> 2012 and will<br />

cont<strong>in</strong>ue <strong>in</strong> <strong>the</strong> com<strong>in</strong>g year. Health<br />

<strong>in</strong>formation systems are <strong>the</strong> glue that<br />

holds our health activities toge<strong>the</strong>r.<br />

They allow us to capture each health<br />

transaction <strong>in</strong> onl<strong>in</strong>e records so we<br />

can track and analyse <strong>the</strong> health of all<br />

employees. They also ensure we are<br />

deliver<strong>in</strong>g a consistently high quality<br />

of service, and enable us to measure<br />

our performance (see case study on<br />

Thermal Coal’s <strong>the</strong>HealthSource on<br />

www.angloamerican.com).<br />

Health <strong>in</strong>cident report<strong>in</strong>g<br />

‘Health <strong>in</strong>cidents’ are performance<br />

<strong>in</strong>dicators <strong>in</strong> our occupational health<br />

programmes that allow us to monitor<br />

our critical controls. They <strong>in</strong>clude<br />

employee compla<strong>in</strong>ts about <strong>the</strong><br />

work<strong>in</strong>g environment, observed<br />

(or measured) failures of control<br />

mechanisms, and signs of exposure<br />

and disease identified <strong>in</strong> <strong>the</strong> medical<br />

surveillance programme. The early<br />

Families<br />

(health <strong>in</strong>surance)<br />

Employee health and wellness<br />

(<strong>in</strong>clud<strong>in</strong>g HIV/AIDS)<br />

Occupational health<br />

<strong>Anglo</strong> <strong>American</strong> Occupational Health Way (AOHW)<br />

Occupational medic<strong>in</strong>e<br />

Lead<strong>in</strong>g and lagg<strong>in</strong>g <strong>in</strong>dicators<br />

Guidel<strong>in</strong>es Support Assurance<br />

HEALTH INFORMATION SYSTEMS<br />

detection, <strong>in</strong>vestigation and correction<br />

of control failures is a way of help<strong>in</strong>g<br />

us prevent harm, as <strong>the</strong>se occur well<br />

before any visible manifestations of<br />

occupational illness. We cont<strong>in</strong>ue to<br />

see encourag<strong>in</strong>g improvement <strong>in</strong> <strong>the</strong><br />

quality of health <strong>in</strong>cident report<strong>in</strong>g<br />

across all bus<strong>in</strong>ess units.<br />

Engagement and collaboration<br />

In <strong>South</strong> <strong>Africa</strong>, <strong>the</strong> Tripartite Health<br />

and Safety Initiative between<br />

<strong>Anglo</strong> <strong>American</strong>, government and<br />

unions seeks to ensure that risk<br />

management practices are adopted<br />

at all levels of <strong>the</strong> workforce. One of<br />

<strong>the</strong> practices adopted for health<br />

management is to use <strong>the</strong> SLAM (stop,<br />

look, assess and manage) approach<br />

that is currently be<strong>in</strong>g implemented<br />

as part of broader safety-risk<br />

management.<br />

The <strong>in</strong>augural <strong>Anglo</strong> <strong>American</strong> Health<br />

Summit was held <strong>in</strong> October 2012,<br />

br<strong>in</strong>g<strong>in</strong>g toge<strong>the</strong>r one hundred of our<br />

health and safety experts from across<br />

<strong>the</strong> Group to share best practices and<br />

lessons learned between bus<strong>in</strong>ess<br />

units. This was followed <strong>in</strong> November<br />

by ano<strong>the</strong>r health conference to raise<br />

<strong>the</strong> standards of health and safety<br />

performance among our long-term<br />

contractors. Fur<strong>the</strong>rmore, we are<br />

work<strong>in</strong>g <strong>with</strong> all long-term contract<strong>in</strong>g<br />

companies work<strong>in</strong>g at our <strong>South</strong><br />

<strong>Africa</strong>n operations to ensure that <strong>the</strong>y<br />

provide a basic healthcare package<br />

for <strong>the</strong>ir employees. This will <strong>in</strong>clude<br />

diagnosis, counsell<strong>in</strong>g, care, support<br />

and treatment for HIV <strong>in</strong>fection and<br />

tuberculosis, and will be subsidised<br />

by <strong>Anglo</strong> <strong>American</strong> and delivered<br />

through our extensive network of<br />

healthcare facilities.<br />

Health<br />

<strong>in</strong>formation<br />

systems are<br />

<strong>the</strong> glue that<br />

holds our<br />

health activities<br />

toge<strong>the</strong>r.<br />

Improv<strong>in</strong>g our performance<br />

All our bus<strong>in</strong>esses are required to<br />

report on <strong>the</strong> estimated number of<br />

people potentially exposed to hazards<br />

that could result <strong>in</strong> occupational<br />

illness. We measure this aga<strong>in</strong>st set<br />

occupational exposure limits (OELs).<br />

These are legally prescribed limits,<br />

set per <strong>in</strong>dividual health risk, above<br />

which no employee may be exposed<br />

<strong>with</strong>out <strong>the</strong> use of personal protection<br />

equipment (PPE). We count <strong>the</strong><br />

number of employees work<strong>in</strong>g <strong>in</strong><br />

conditions that exceed those limits,<br />

even though <strong>the</strong>y are be<strong>in</strong>g protected<br />

<strong>with</strong> PPE. The reason we use this<br />

measure is to identify those hazards<br />

where we can improve controls and<br />

perhaps elim<strong>in</strong>ate <strong>the</strong> need for PPE.<br />

The number of employees reported to<br />

be work<strong>in</strong>g, pre-PPE, <strong>in</strong> environments<br />

<strong>with</strong> noise levels <strong>in</strong> excess of <strong>the</strong> OEL<br />

of 85 dB(A) on a daily basis dur<strong>in</strong>g<br />

2012 was approximately 44,590,<br />

as compared <strong>with</strong> 44,050 <strong>in</strong> 2011.<br />

This <strong>in</strong>crease is a result of improved<br />

report<strong>in</strong>g. Our hear<strong>in</strong>g conservation<br />

programme standard specifies <strong>the</strong><br />

management <strong>in</strong>terventions that are<br />

required to ensure exposure rema<strong>in</strong>s<br />

below <strong>the</strong> OEL.<br />

In 2012, <strong>the</strong> number of employees<br />

reported to be work<strong>in</strong>g, pre-PPE,<br />

<strong>in</strong> environments <strong>with</strong> <strong>in</strong>halable hazards<br />

at levels that exceed <strong>the</strong> <strong>in</strong>dividual<br />

OEL of different <strong>in</strong>halable hazards<br />

was approximately 6,200. Similarly,<br />

our respiratory protection programme<br />

standard requires management to<br />

reduce such exposures to below<br />

<strong>the</strong> OEL.<br />

The number of occupational disease<br />

cases reported was 170, compared<br />

<strong>with</strong> 197 <strong>in</strong> 2011. This translates to<br />

an <strong>in</strong>cidence rate of 0.189, an 8%<br />

reduction. We report disease <strong>in</strong>cidence<br />

aga<strong>in</strong>st <strong>the</strong> number of people exposed,<br />

ra<strong>the</strong>r than aga<strong>in</strong>st more commonly<br />

used bigger denom<strong>in</strong>ators such as<br />

total workforce, to give a more<br />

mean<strong>in</strong>gful assessment of <strong>the</strong> risk. It<br />

is encourag<strong>in</strong>g to see that <strong>the</strong>re were<br />

reductions <strong>in</strong> <strong>the</strong> number of new cases<br />

reported <strong>in</strong> almost all categories, <strong>in</strong><br />

particular noise-<strong>in</strong>duced hear<strong>in</strong>g loss,<br />

which dropped to 84 cases <strong>in</strong> 2012<br />

(2011: 117).<br />

Invest<strong>in</strong>g <strong>in</strong> our people<br />

<strong>Anglo</strong> <strong>American</strong> plc Susta<strong>in</strong>able Development Report 2012 49

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