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PREVENTIONPREVENTION OF OCCUPATIONAL RISKS IN THE HOMEOF OCCUPATIONAL RISKS IN THE HOME--
HELP AND HOMEHELP AND HOME--CARE TRADESCARE TRADES
Carole ALLARDCarole ALLARDSafety Inspector at the French Missionfor Preventing Occupational Risks in
the Home-Help and Home-Care TradesOccupational Health and Pension Insurance Fund (CARSAT)
of the LANGUEDOC-ROUSSILLON Region - FRANCE
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Psychosocial risks: specific organisation of the work and major psychosocial dimension: emotional load, isolation, confrontation with new work contexts, time constraints.
Road risk and work-related transport with road accidents. Half of the fatal accidents among home-help and home-care assistants are due to road accidents, since they mainly use their cars for work-related travel.
Risks of falls (slips, trips, and falls from heights): nearly one third of lost time accidents among home-help and home-care assistants are due to slips and trips.
The risks encountered
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Risks related to physical activity: carrying heavy loads, uncomfortable postures, and repetitive actions (defective or unsuitable equipment, lack of space in the home), ... The main recognised occupational diseases are periarticular disorders such as tendinitis (accounting for nearly 90% of the cases) and lower back disorders such as, for example, sciatica (about 6%).
Infectious and parasitic risks: depending on the state of health of the assisted persons and of their environment (presence of children and animals, insalubrious housing), home-care and home-help assistants can be exposed to infectious agents. Bacteria (staphylococci, streptococci, tuberculosis bacillus…), viruses (influenza, chickenpox, hepatitis), and parasites (that cause scabies or toxoplasmosis…).
Chemical risks due to use of cleaning products. These products can cause irritations, allergies, burns, intoxications or accidents (fire, explosion).
The risks encountered
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Objective
Raise awareness among employees and employers through a short and simple message on the most frequent occupational risks
Distribution/Target AudienceNational campaign over a given month: 1.4 million employees 1.5 million contribution-paying employers
100,000 copies for federations and the network of the CARSATs/CGSSs (General Social Security Funds)
Already publishedPrevention of biological and chemical risks: December 2008Prevention of risks related to physical activity: October 2009Prevention of trips, slips and falls: March 2010Prevention of infections: September 2010Prevention of risks related to work-related travel: February 2011Prevention of psychosocial risks(PSRs): October 2011
National information campaigns
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Brochure on risks of trips, slips, and falls
Brochure on risks related to physical activity
Brochure on biological and chemical risks
National information campaigns
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Brochure on the prevention of psychosocial risks
Brochure on accidents related to work-related travel
Brochure on infection risks
National information campaigns
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Objectives
Have a simple checklist of the most frequent risk situations for a home-care or home-help assistant.
Propose standardised recommendations and guidelines for eliminating as far as possible the identified risk situations.
Constitute a monitoring tool for measuring home adjustments.
Check, through the use of the checklist, that the occupational risks are integrated into the service provider’s management structure.
Constitute a tool for raising awareness of occupational risk prevention among the workers and the people assisted and cared for, and their families and friends.
Checklist for identifying occupational risks in the home
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Distribution/Target AudienceWebsites of the French Health Insurance System (Assurance Maladie) and of the partners (INRS, EUROGIP, ANSP, IRCEM)Home-help and home-care federations Workers and private-individual employersTraining bodies and prevention network
AvailabilityPut online in October 2010
• www.risquesprofessionnels.ameli.fr• www.inrs.fr• www.servicesalapersonne.gouv.fr
In the pipelineA multimedia version, with an approach to the common risk of living and of working at home: for old people, with a view to preventing domestic accidents related to everyday life, and for workers, with a view to preventing occupational risks
The checklist for identifying occupational risks in the home
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Objective
Give practical assistance to the workers out in the field and to the managerial staff for the purposes of:
Showing them where they stand with respect to their occupationalpractices;
Helping them to take a critical look at their activity and at the occupational risks encountered;
Improving the organisation of the work and of the workers.
Method
Facilitating practical knowledge acquisition through a fun approach that does not induce feelings of guilt and that is organised around 12 target activities: questions and answers in the form of a quiz. Based on the answers given, a profile is determined.
Proposing a set of good practices.
Booklet: the prevention of occupational risks in 100 questions
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Multimedia risk prevention tool
ObjectivesFederate all of the players involved and mobilised.Facilitate access to information.Develop an identity and community links.Reinforce the culture of the trade.Forge professional ties.
MethodInformation space giving practical information on the risks and practical solutions to be implemented.Community space: forum for discussions, events, news... Play space: quiz, fun-learning game.
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Multimedia risk prevention tool
Distribution/Target audienceHome-help and home-care trade federations Workers and private-individual employersTraining bodies and occupational safety & health networkInitial education
PartnersCNAMTS/DRP, INRS, IRCEM, ANSP, Professional Branch,“Champs Coordonnés”(coordinated pools of resources)
AvailabilityComing online in January 2012
www.ircem.com
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THIS IS THE
“GAMES MENU”
DIRECT AND
SIMPLIFIED ACCESS
TO CONTENTS
The risks for your health
Prepare yourself!
Adopting the correct postures
Test your knowledge
Before taking to the road
Choosing cleaning equipment
Cleaning up safely
Washing clothes safely
Preparing meals safely
Washing people safely
Choosing equipment for preparing
meals
Choosing equipment for washing
clothes
The IRCEM bus
For further information
Advice on making the home safe
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Social access
VIEW OF A TOWN
Through
this
second
entrance,
users
arrive
IN
THE
CENTRE
OF
A
TOWN
in
which
they
can
MOVE,
entering
the
dwellings
and
structures
around
them,
and
talking
to
the
other users.
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HOMES OF PRIVATE INDIVIDUALS
Private individuals’
houses are addressed in 4
different modules that are repeated in each of
the houses, depending on the occupational
activity in question.
•
Modules 5 to 8 :
choosing the work
equipment•
Modules 9 to 13 :
doing the
activity•
Modules 14 to 17 :
fitting out the
home •
Modules 18 à 22 :
gesturesandpostures
HOUSEWORK CLOTHES WASHINGMEALSHELPING THE PERSON TO WASH
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The training schemes
Compiling a skills inventory on 3 levels: Level 1: home workerLevel 2: managerial staffLevel 3: structure head/director
Setting up specific training under the auspices of INRS“Le Certificat de Prévention Secours” (The Prevention and First Aid Certificate)