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Scaw Metals Group Sustainable Development Report 2005 27<br />

Summary of Group Health Targets and Performance<br />

Targets 2005 Performance 2005 Targets 2006<br />

Set targets for medical surveillance to ensure all employees<br />

are examined at correct intervals.<br />

All remaining cases of occupational diseases to be identified<br />

and submitted for compensation.<br />

Ensure all noise zones re-identified as per country standard,<br />

demarcated and suitable hearing protection devices issued.<br />

Health risk assessment carried out on all hazardous<br />

chemicals, Material Safety Data Sheets obtained and<br />

medical surveillance carried out where appropriate.<br />

90% of medical surveillance achieved.<br />

Majority of occupational diseases now identified and<br />

submitted for compensation.<br />

All noise zones identified, demarcated and suitable<br />

hearing protection issued.<br />

Initiated but still ongoing.<br />

Ensure medical surveillance targets continue to be met.<br />

Perform risk assessments and where appropriate initiate<br />

medical surveillance for hand arm vibration (HAV).<br />

Monitored on an ongoing basis.<br />

Ongoing.<br />

Milestones and Achievements<br />

A health profile of the workforce has been determined and<br />

the majority of occupational diseases from previous exposure<br />

have been processed and submitted for compensation.<br />

Future cases of occupational diseases will be as a result<br />

of a failure of current measures instituted to prevent them.<br />

Occupational health aspects are not as visible as accidents,<br />

which are immediate and often dramatic, while occupational<br />

diseases on average take many years to develop. Thus<br />

employees may not feel as inclined to wear personal<br />

protective equipment (PPE) for disease prevention as they<br />

might do for accident prevention. However, every effort is<br />

being made to substitute, eliminate and reduce hazards<br />

where possible.<br />

A computerised primary health care system (Meddocs) has<br />

been implemented in the group’s South African clinics,<br />

which will allow for the collection of better information on<br />

employee health status.<br />

Review of 2005<br />

There has been an extensive investigation into manganese<br />

exposure over the past year. Exposure to manganese<br />

fumes or dust occurs during melting where manganese is<br />

added to the furnace to produce manganese steel. Exposure<br />

also occurs during fettling, gouging or welding when a<br />

casting is being dressed, as well as during gas cutting of<br />

manganese steel into smaller pieces to enable it to be<br />

remelted in the furnaces.<br />

Repeated occupational hygiene testing showed manganese<br />

in-air-levels was very low. However, some random blood<br />

manganese sampling did show levels to be at the upper<br />

level for non-exposed individuals, indicating some level of<br />

exposure and absorption. The correlation between blood/<br />

urine manganese levels and susceptibility to manganese<br />

poisoning or manganism is poor and there is no direct<br />

exposure relationship.<br />

As a result, the decision was taken to start medical<br />

surveillance on manganese exposed individuals. This will<br />

take the form of an individual manganese questionnaire<br />

and neurological examination. Biological monitoring will be<br />

done on a group basis on selected individuals to test for<br />

evidence of exposure and to assess whether intervention<br />

programmes have been successful, for example better<br />

local extraction. Concurrently efforts are being made to<br />

remove fumes and dust where possible in order to reduce<br />

the airborne levels even further.

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