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two rio tinto aluminium initiatives to manage and reduce disability at boyne smelter s ltd

2Presentation title 1 October 2011. The work on which this presentation is based was carried out at BSL by:Sharon Catford Occupational Health Nurse and Rehabilitation CoordinatorDr Gavin Harrison Occupational PhysicianDiane Staats PhysiotherapistKatrina Herbert Occupational Health Nurse and Wellness Coordinator.

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two rio tinto aluminium initiatives to manage and reduce disability at boyne smelter s ltd

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    1. Two Rio Tinto Aluminium Initiatives to Manage and Reduce Disability at Boyne Smelter’s Ltd Presentation to the 3rd International Forum On Disability Management Sofitel Brisbane Oct 9th 2006 Dr Gerard Walpole Principal Consultant Occupational Health Rio Tinto Aluminium Ltd

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    3. 3 Presentation title 1 October 2011 Operations and production - 2005 Queensland remains the main centre of our operations. Along with RTCA, Queensland accounts for 36% of RT’s regional economic activity and 30% of its value added. Brisbane becoming an important hub for RT – over 1,500 employees. Located here are: RTP RTSS ABS Aluminium Product Group RTCA In addition, our smelting CRTS is in Melbourne and Mining and Refining research and development recently moved from Melbourne to Gladstone. We also have people located in Japan, Beijing and Wellington. Employment by country: Australia (incl Sales Offices) 69% New Zealand 18% Wales 13% Significant direct economic contribution in countries/areas where we operate. Australia A$1,180M New Zealand NZ$248 Wales 17M pounds (includes wages, earnings before interest, depreciation, tax and amortisation and royalty payments). Queensland remains the main centre of our operations. Along with RTCA, Queensland accounts for 36% of RT’s regional economic activity and 30% of its value added. Brisbane becoming an important hub for RT – over 1,500 employees. Located here are: RTP RTSS ABS Aluminium Product Group RTCA In addition, our smelting CRTS is in Melbourne and Mining and Refining research and development recently moved from Melbourne to Gladstone. We also have people located in Japan, Beijing and Wellington. Employment by country: Australia (incl Sales Offices) 69% New Zealand 18% Wales 13% Significant direct economic contribution in countries/areas where we operate. Australia A$1,180M New Zealand NZ$248 Wales 17M pounds (includes wages, earnings before interest, depreciation, tax and amortisation and royalty payments).

    4. 4 Presentation title 1 October 2011 BSL – key facts Australia’s largest aluminium smelter Operating since 1982 1245 Employees + 160 Contractors = 1405 people 2005 production – 545,000 tons Managed by Rio Tinto Aluminium

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    6. 6 Presentation title 1 October 2011 Safety at BSL

    7. 7 Presentation title 1 October 2011 Acknowledges that the optimum opportunity to re-normalise life after injury/illness is short Encourages Healthcare Professionals to keep patients lives as normal as possible during illness and recovery Aims for the fastest possible safe return to work activity and the usual activities of everyday living Holds management accountable for the success of the rehabilitation programme and actively involves them at every stage in the process Requires that any concerns the employee may have should be consistently sought out and addressed, whether they are physical, logistical, financial, social or psychological.

    8. 8 Presentation title 1 October 2011 Felt Management Commitment through Policy and active involvement Employee’s needs are addressed throughout the process physical, logistical, financial, social or psychological Adequate resources are available Occupational Health Nurse is site rehab coordinator Site Physiotherapist Site Occupational Physician Employee Assistance Programme Counsellors Site Wellness Coordinator

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    10. 10 Presentation title 1 October 2011 •      The employee returning to work as soon as possible is the normal expectation of all parties. •       Workplace Rehabilitation in accordance with medical advice is seen as a normal management practice following injury or illness. •        Employees will not be disadvantaged by participation in Workplace Rehabilitation •       Suitable duties will be assessed on an individual basis. •        The rights and confidentiality of employees are respected throughout the plan.

    11. 11 Presentation title 1 October 2011 Take advantage of the employees available work capacity to foster on the job recovery. Are based on the employees pre injury duties, age, education, skills, work experience and nature of their incapacity Provide a monitored and graduated return to normal duties matched to the capabilities of the worker Are regularly upgraded according to the the employees level of recovery and treating medical / healthcare practitioners advice.

    12. 12 Presentation title 1 October 2011 Can be based on Functional Capacity Evaluations which tell us what the employee can do today Take account of Functional Impairments or Limitations – what can’t the employee do today that they normally can Accommodate Medically Based Restrictions – what the employee should not do because it could cause harm

    13. 13 Presentation title 1 October 2011 Integrate the employee’s altered capacities, limitations and restrictions with the functional demands of their role taking into account the knowledge, skills, and the physical, cognitive and social abilities needed to perform the role It is important to have “job banks” containing the Functional Demands of the jobs on site to allow this integration to occur

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    16. 16 Presentation title 1 October 2011 Depending on the planned length of the programme one, two or four weekly assessments with the healthcare team and formal reviews including all stakeholders are held, and minutes distributed Increasingly opportunities for employees to use the site wellness program to address lifestyle related health risks that are impacting their health and performance are being identified

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    18. 18 Presentation title 1 October 2011 Rehabilitation Experience About 1% of workforce undergo rehabilitation programs in any one year = 140/150 cases Cases split 1/3 occupational in origin and 2/3 non occupational 95% success rate = the employee / contractor doing their own or another role with or without a reasonable accommodation at the end of the programme.

    19. A Trial of Pre-Employment Functional Capacity Evaluation’s (PEFCE’s) at BSL 2004-2005 Outcomes and Findings

    20. 20 Presentation title 1 October 2011 No of PEFCE’s 2004/05 Total PEFCE’s = 417 6 of the 417 PEFCE’s identified significant limitations/impairments 303 of the candidates who had a PEFCE were not employed 114 who had PEFCE were employed Of which 45% (52) had some limitation/impairment 3 of the 52 had occupational musculoskeletal symptoms in year 1 2 back pains against a background of decreased abdominal strength and reduced core trunk stability identified at PEFCE 1 Neck strain – with reduced neck ROM identified at PEFCE

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    22. 22 Presentation title 1 October 2011 The follow up period was short Minor Musculo Skeletal Symptoms may not have been recorded, and therefore not reflected in findings The reluctance of those given specific exercise programmes post PEFCE to attend follow up limited the ability to effect outcomes Waste, pre-employment medicals with PEFCE’s for candidates that were not hired cost $63,630 The cost per PEFCE was calculated at $95

    23. 23 Presentation title 1 October 2011 PEFCE’s are only done on prospective employees who: Have had possible issues identified at pre-employment medical and/or Are to fulfil roles which demand heavy manual intervention (as identified through job bank and/or previous history of injuries in that area) and/or Are “anthropometrically challenged” to use the existing equipment in the role identified An update of the study group’s history should be carried out

    24. 24 Presentation title 1 October 2011 1 Preventing Needless Work Disability by Helping People Stay Employed A Report from the Stay-at-Work & Return-to-Work Committee of the American College of Occupational & Environmental Medicine The Journal Of Occupational and Environmental Medicine September 2006 Vol 48 No 9 Mital, A., Nicholson, A.S.,& Ayoub,M.M, (1997) A Guide to Manual Materials Handling, London: Taylor and Francis Pheasant,S. (1991) Ergonomics, Work and Health, London: MacMillan Press

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