25th May 2016

Dr Graham Furnace

Update 2016

Update 2016

1 Examining Doctor Facts and Figures2 Helicopters3 Smoking/e-cigarettes

Oil Price: 2011-2016

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Update 2016

1 Examining Doctor Facts and Figures

2 Helicopters

3 Smoking/e-cigarettes

Examining Doctor Facts and Figures

2010 2015 2016

Countries 37 55 60

Doctors 796 1047 1014

% in UK 54 48.8 44

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England 269

Scotland 162

Wales 12

Northern Ireland 4

Channel Isles 1

Doctors – UK (448)

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Doctors – Rest of World (556)

USA 69

Australia 67

Germany 30

India, T&T, Philippines, Singapore, Denmark Malaysia, Azerbaijan, Ireland, Canada, France, Thailand, UAE, S. Africa,

Ghana, Indonesia, Angola, Nigeria

10-28

New Zealand, Spain, Egypt, Netherlands, Romania, Brazil, Georgia, Croatia, Italy, Khazakhstan, Malta, Poland, Saudi Arabia, Chad, Mozambique, Tanzania, Austria, Brunei, China, Iraq, Pakistan, Portugal, Russia, Sweden, Timor Leste,

Ukraine

2-8

Ivory Coast, Namibia, Sierra Leone, Bahrain, Belgium, Falkland Isles, Faroe Isles, Latvia, Lithuania, Mexico, Myanmar

1

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2008 2011 2012 2013 2014 20150

20000

40000

60000

80000

100000

120000

140000

Medicals 2008 - 2015 (Total)

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2008 2011 2012 2013 2014 20150

200

400

600

800

1000

1200

1400

Medicals 2008 - 2015 (Fail)

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Year Returns Total Fail (%)

2008 367 39780 503 (1.2)

2011 580 59900 665 (1.0)

2012 707 93219 1284 (1.4)

2013 809 113006 1333 (1.2)

2014 931 118597 1285 (1.1)

2015 900 111651 1125 (1.0)

Medicals 2008 - 2015

Examining doctor courses 2011 to date

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Year Courses No. Trained2011 8 119

2012 8 118

2013 9 161

2014 9 158

2015 11 183

2016 2 (5) 13

Total 47 (50) 752

Examining Doctor Courses

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Doctors on List 1014

Doctors attended course 520

Doctors Trained since 2011 752

Joined 2015 154Left 2015 89

Examining Doctor Courses

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Doctor Training Course – a question

The ‘HUET’ experience – keep or remove?

Update 2016

1 Examining Doctor Facts and Figures

2 Helicopters

3 Smoking/e-cigarettes

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G-WNSB 23 August 2013, 17:17, 1.7nm W of Sumburgh

En-route Borgsten Dolphin to Sumburgh

(partial) autopilot approach, in cloud – instruments only

Failure to maintain required 80kt airspeed – 35kt

Failure to maintain required vertical flightpath – descent below 300ft minimum descent

altitude

Descent below 300ft in ‘critically low-energy state’; inadequate time to recover

Impact sea (1800fpm), filled with water, rolled inverted to left, remained afloat

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Casualties - fatal

16 passengers, 2 crew

4 fatalities – all passengers – 2 did not get out; 1 lifeless on sea surface, 1 died in liferaft

AAIB Report 15 March 2016 - Section 1.13 Medical and Pathological Information

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‘H’: recovered lifeless from sea. Minor head and other injuries, not incapacitating. Drowned

‘I’: escaped successfully assisted by others onto inverted fuselage and then into liferaft. Then signs of chest pain and stopped breathing: unsuccessful CPR. PM showed significant pre-existing heart disease

‘K’: still secured in seat. Left-sided head injury, cause unknown. Drowned, likely due to incapacitation from head injury

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‘E’: recovered from water after fuselage broken up by wave action and rocks (i.e. not restrained in seat). EBS mouthpiece deployed and valve operated. Minor injuries, not incapacitating. Drowned. Failed to escape.

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Visibility variable – some good, others ‘feel only’

4 windows removed underwater – more than one attempt required

‘only a few’ Px had time to take a breath. Some reached trapped air pockets

No comment whatsoever about ease or otherwise of body passage through exits

Survivability Aspects

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CAA ResponseInterim bulletins 18 Oct 2013 (Sumburgh fast rescue craft)

and 23 Jan 2014 (EBS pre-flight briefings)

CAP 1145 20 Feb 2014:

With effect from 01 April 2015, helicopter operators are to ensure that only passengers with a body size (including all required safety and survival equipment) commensurate with push-out window exit size are carried on offshore helicopter flights.

With effect from 01 April 2016, helicopter operators are to ensure that for all offshore helicopter operations all occupants (passengers and crew) wear EBS that meets the CAP 1034 Category ‘A’ performance specification.

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Progress to date

A. Shoulder measurement process

B. CAT ‘A’ compressed air EBS in service

C. Training…..

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Training Issues

Is it ‘Diving’?

Risk – barotrauma

Medical Screening Required

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Under (ongoing) Discussion

HSE: exemption from diving at work regs, but requirement for ‘dive medical’ (lung function tests for all, exercise test for asthmatics)

How great is the risk?

Canadian Experience

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Doctor Training Course – a question

The ‘HUET’ experience – keep or remove?

Update 2016

1 Examining Doctor Facts and Figures

2 Helicopters

3 Smoking/e-cigarettes

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Smoking statistics

230 of 942 (24%) male offshore workers = smokers

209 of 942 (22%) ex-smokers

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Three Generations of e-cigarette

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Oil&Gas UK Advisory Note February 2015

Tobacco nicotine – aim for consistency with onshore public health measures

Nicotine vapourisers (e-cigarettes) – not permitted unless and until given a medical product licence (like NRT)

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Recent Developments

Royal College of Physicians Report 28 April 2016

‘Nicotine without smoke: Tobacco harm reduction’

EU Tobacco Products Directive 18 May 2016

E-cigarette with a medical product licence

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‘Voke’

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‘e-Voke’

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What next?

For discussion at next Health & Safety Forum

What do you think?