Doctor of Philosophy (PhD) / Injuries to people living and working on farms in New South Wales continue to be a significant burden on the health system, Workers’ Compensation system, agricultural industries and farming families. Strategies to reduce the number and severity of injuries suffered by farmers and people working on farms rely on accurate information. Unfortunately there is no one dataset available to describe the circumstances surrounding farm injuries and the size of this burden in Australia. Hence, a number of different data sources are required to provide a picture of farm injuries. To date, there has been very little critical examination of what value each of these datasets provides to describing farm injuries. This Thesis aimed to: • Undertake surveillance of injuries occurring to people on farms or during agricultural production in NSW using data from an Emergency Department, NSW Hospital Separations information, NSW Workers’ Compensation Claims, and ABS Deaths data. • Critically examine the utility of Emergency Department, Hospital, Workers’ Compensation, and ABS Deaths Data for the surveillance of farm injuries in NSW. • Critically examine data classification systems used in Emergency Department, Hospital, Workers’ Compensation, and ABS Deaths data collections to describe the breadth of farm injuries in NSW. • Define the priority areas for farm injury prevention initiatives in NSW based on the information obtained from the examination of the data from Emergency Department, Hospital, Workers’ Compensation, and ABS Deaths. • Evaluate the effectiveness of the NSW Rollover Protective Structure (ROPS) rebate scheme and examine the utility of the data currently available in NSW to measure the performance of the program. Four datasets, Tamworth Emergency Department, Hospital Separations, Workers’ Compensation and the Australian Bureau of Statistics (ABS) Deaths data were used to provide information on the surveillance of farm injuries, describe the breadth of classifications used to describe farm injuries, and define priorities for the prevention of farm injuries. There were 384 farm-related injuries which presented to the Emergency Department at the Tamworth Base Hospital between 1 September 1997 and 31 August 1998. Emergency Department data collected in this study used the Farm Injury Optimal Dataset (FIOD) for classification, which allowed for a comprehensive picture of the circumstances surrounding the injury event. The three most common external causes of injury were related to horses, motorcycles, and animals. Commonly people were working at the time of injury. Children represented 21% of the people injured. The average number of injuries per 100 farms per annum was 34.7. An examination of hospital discharge data for NSW was undertaken for the period 1 July 1992 to 30 June 2000 where the location of the injury was a farm. Classification of cases in this dataset conformed to the International Classification of Disease (ICD) versions 9 and 10. There were 14,490 people who were injured on a farm during the study period. The three most common external causes of injury were motorcycles, animals being ridden and agricultural machinery. Children represented 17% of all farm injury cases. The rate per 1,000 farms ranged from 19 to 42 per annum. An examination of Workers’ Compensation claims for agricultural industries in NSW between 1 July 1992 and 30 June 2001 was undertaken. The ‘Type of Occurrence’ classification system was used to code the claims. There were 24,332 claims of which the majority were males (82%). The incidence of injury / disease in agriculture per annum varied from 37 per 1,000 workers to 73 per 1,000 workers. The rate per 1,000 agricultural establishments varied from 54 to 76. The average cost of a claim was $10,880 and the average time lost per claims was 9.2 weeks. There were 81 deaths and 3,158 permanent disabilities. The three most common agents were sheep / goats (5%), ferrous and non-ferrous metals (5%), crates / cartons / boxes / etc (5%). Using ABS deaths data to examine the deaths of people working and living on farms was limited to males whose occupation was recorded as ‘farmer and farm manager’ and ‘agricultural labourer and related worker’. There were 952 deaths over the period 1 January 1991 and 31 December 2000. The information provided a consistent series of cases over time. Areas where prevention should be directed included motor vehicle accidents; falls; agricultural machinery; other machinery; firearms; poisoning; and drowning. Using any one of the datasets alone to examine people injured on farms not only underestimates the number of people injured, but also misses particular types of agents involved in farm injuries. Each of the datasets used in this Thesis provides a different perspective of farm injury in NSW. By examining the information together, there are a number of areas which are consistently represented in each dataset such as falls and agricultural machinery. While no one dataset provided all the information that would be useful for the prevention of injuries, the available information does provide direction for the development of prevention strategies. The overall weakness of the information provided is that it misses a number of risk factors that contribute to farm injuries such as fatigue and training. The lack of appropriate denominator information also makes it difficult to directly compare the datasets and estimate the size of the problem. There are a number of additional coding categories that could be included in each dataset that would provide a better understanding of the different groups at risk of sustaining an injury on a farm or during agricultural work. These coding categories include activity at time of injury, admission to hospital, and occupation. An example of the use of data to determine the effectiveness of a farm injury prevention program is the ‘NSW Rollover Protective Structure (ROPS) Rebate Scheme’ evaluation. Tractor rollover deaths have been identified as an issue for prevention by Farmsafe Australia; however, such deaths were not identified in any of the datasets used in this Thesis due to coding limitations in the ABS data. In this Thesis information about the evaluation of the ‘NSW ROPS Rebate Scheme’ is presented. The scheme was successful in fitting 10,449 ROPS to tractors and the following lessons were learnt: when providing a rebate, the administration (i.e. sending the cheque) needs to be done well; advertising is important and should be co-ordinated, increase the awareness of the risk(s) the intervention is aiming to prevent and effectiveness of subsequent solution (s); the program should ensure there is an increased awareness of the outcome the intervention is aiming to prevent; if regulation is part of the program, enforcement needs to undertaken; and should address any barriers to uptake. The information provided in this Thesis highlights the substantial burden that farm injury places on the agricultural and rural sector of NSW. While there is no one data source that can describe the circumstances and the burden of farm injuries, the currently available datasets do provide an insight into the circumstances of farm injuries and the burden these injuries place on health, Workers’ Compensation, agricultural industries and farming families.

The aim of the present thesis is twofold: first, to analyse some practical ethical problems that stem from the workplace and the working environment and to offer guidelines concerning how such problems can be solved; second, to illuminate how the specific nature of work and the working environment is intimately connected to the relation between the employee and the employing entity, as set forth in an employment contract, and how the form and content of such contracts are, among other things, determined by culturally and socially established ideas. The normative question to be addressed is thus: which of these ideas should be maintained? This can be seen as a second-order, or more fundamental, ethical question whose answer depends on determining which normative principles are right. An additional aim of this thesis is thus to illuminate that the contract relation has relevance to practical ethical problems in the workplace context in this second-order mode. The thesis consists of an Introduction and five papers. In Paper I (written together with Sven Ove Hansson) we argue that employees have a prima facie right to privacy, but that this right can be overridden by competing moral principles that follow, explicitly or implicitly, from the contract of employment. A set of ethical criteria is developed and summarized in the form of a guideline for determining the moral status of infringements into workplace privacy. In Paper II these criteria are applied to three broad classes of privacy-intrusive workplace practices: (1) monitoring and surveillance, (2) genetic testing, and (3) drug testing. In relation to some scenarios on these themes, it is shown that it is possible to handle such practical ethical problems systematically by way of the proposed guideline. Paper III deals with the fact that employees are protected by health and safety standards that are less protective than those that apply to the general public. Emphasis is put on the distinction between exposure and risk, and this distinction is claimed to be a key determinant for the relevance of arguments put forward in support of such double standards. In Paper IV the nature of the contract of employment is explored from an ethical point of view. An argument is developed against the claim that (a) the individual’s freedom of decision and (b) the practice of institutional arrangements are sufficient to justify a contract of employment. Paper V questions the standpoint that the voluntariness of the contracting parties in an employment relationship has substantial value. One overarching issue concerns the meaning of voluntariness in the employment context, another, its normative importance. It is argued that it is indeterminate exactly where the line should be drawn between voluntary and non–voluntary agreements in this context. Concerning the latter issue, it is claimed that even if we were able to draw such a line, this fact does not tell us anything about the normative importance of the voluntariness condition, nor how much normative weight we should assign to the fulfilment of its conditions in the workplace context. / QC 20100915

La tesi analizza la materia della sicurezza sul lavoro sotto il profilo della responsabilità penale e civile. Allo studio dei principi costituzionali di riferimento (art. 32 Cost e 41 Cost), dei D.P.R. degli Anni ’50, dell’art. 9 St. Lav., del D. Lgs. n. 81/2008, segue l’analisi del quadro sanzionatorio previsto in caso di violazione della normativa prevenzionale ed in caso di infortunio. In materia di sicurezza sul lavoro le tipologie di reati sono tre: le fattispecie omissive, regolate dal combinato disposto dell’art. 40, cpv.,cp e degli artt. 589cp e 590cp; i reati previsti dalla disciplina codicistica (art.437 cp e art. 451 cp); i reati contravvenzionali (D. Lgs. n. 81/08). Si approfondisce quindi il “modello legale” delle responsabilità, contenuto nel D. Lgs. n. 81/2008 ed articolato nella quadripartizione dell’obbligo di sicurezza tra soggetti muniti di una specifica qualifica (datore di lavoro, dirigente, preposto e lavoratore); parallelamente, si analizza il “modello negoziale”, che si perfeziona con la delega di funzioni, approfondita alla luce delle caratteristiche richieste dalla giurisprudenza ed in forza dei requisiti previsti dal D. Lgs. n. 81/08. Si procede quindi ad un’analisi dei risvolti civilistici della violazione dell’obbligo di sicurezza, soffermandosi sugli effetti del trasferimento di funzioni in questo ambito. / The thesis analyses the field of health and safety legislation, in terms of criminal and civil liability. The study starts with a focus on constitutional principles of reference (article 32 and article 41), Decrees of Fifties, article 9 of Labour Law, Legislative Decree n. 81/2008; then the analysis follows the framework in case of violation of H&S legislation and in case of injury. In H&S field there are three types of crimes: “negative” crimes, governed by the provisions of article 40 of Criminal Code, and articles 589 and 590 of Criminal Code; crimes provided by Criminal Code (art.437 and art. 451); crimes called “contravvenzioni” (Legislative Decree n. 81/08). Then the thesis analyses the "legal model" of the liability set in Legislative Decree n. 81/2008 and articulated in a four-part safety obligation among subjects that have a specific status (employer, manager, “preposto”, employee); similarly, the study focuses on the delegation of tasks, regarding to the characteristics required by law cases and in accordance with the requirements of Legislative Decree n. 81/08. Then the thesis focuses on the consequences of violation of H&S legislation, regarding to the effects of the transfer of functions.

The performance of the companies in corporate sector is reliant greatly on the practices of Corporate Social Responsibility (CSR); therefore in today’s business environment companies are paying more attention to the sense of CSR. These companies also consider the aspects of socio-culture environment into business practices and compliance with other regulatory and ethical issues. However, it has been found that CSR is being practiced in Pakistani firms in tobacco industry because the concept is new for the emerging economies like Pakistan. The paper consists of brief study about the CSR practices on stakeholder dimension of Pakistan Tobacco Company (PTC). The basic aim of this paper is to examine that how companies engage their stakeholders in CSR activities and what is the role of stakeholders in CSR policies. This research was conducted by using a qualitative method and the case study of PTC. Data has been collected from relevant scientific articles, research books, and online resources regarding CSR and stakeholders theoretical framework while empirical data was gathered through interviews and company annual reports. However, PTC products are injurious for customers’ health but their efforts for the environment and community make a good image of the company in the minds of customer and stakeholders.

OHSAS 18000 Occupational Health and Safety Assessment System Series have a special importance to mining. OHSAS standardization aims to provide secure, more tranquil and healthier working space to the employees by means of establishing an assessment system. As mining activities are generally carried out in high risk environments, OHSAS has been improved and has increased its importance for mining in the world. In this study, Bigadi&ccedil / Boron Work is taken as a case for the application of OHSAS 18001. Theoretical information about OHSAS and risk assessment is provided, and some exemplifying mines that implemented this standard are given to illustrate their benefits. All possible hazard sources are identified and a &ldquo / Hazard Source Inventory&rdquo / is proposed. Together with this hazard source inventory, a risk assessment method is developed for Bigadi&ccedil / Boron Work. Several tasks are evaluated according to this proposed form. In order to define policy, principles and structure of Occupational Health and Safety Assessment System, an &ldquo / OHSA Manual&rdquo / is prepared. Several sets of standard forms were prepared and recommended for Bigadi&ccedil / Boron Work. Consistency throughout the organization was established by means of these created standard documents, procedures and forms. Proposed Job Safety Analysis form can be used to identify, analyze and record the steps involved in performing a specific task, and the existing or potential safety and health hazards associated with each step. Several safe job procedures were also prepared with the help of the risk assessment process. In addition to this, an &ldquo / Emergency Plan&rdquo / is proposed for enterprise to prevent loss of life, property and information, and provide safety in case of any emergency or natural disaster. An &ldquo / OHS Audit Instrument&rdquo / is suggested for the Bigadi&ccedil / Boron Work that will play a key role for continuous improvement of the system. Audits are integral part of OHSAS in order to identify hazards, improve health and safety conditions, and check compliance with regulations. These studies also show that there are some problems in the implementation of the system. The main problem is ineffective data recording and keeping. Lack of consciousness of employees and low commitment of top management constitute another important difficulty. Although these problems are commonly encountered in practice, applying OHSAS 18000 standard is still worthwhile method of improving work environment.

The objective of this study is to examine lean production and its effects on general working conditions and occupational health and safety. Lean production is considered either as a humane way of production with positive effects on workers or to have negative consequences for workers&#039 / and their job quality. This study investigates the increasing workload of the workers as a result of the unlimited performance demands of lean production as the first hypothesis. Secondly, there is the question of whether lean production provides a reduction in the number of occupational accidents because of the fact that occupational accidents are seen as waste, thus eliminated at all costs. The last hypothesis which will be assessed is that the number of occupational diseases increases after the implementation of lean production. To that end, a case study was carried out in an automotive plant by a qualitative research method using tools of observation, document analysis, in depth interview and structured interview. As a conclusion, the implementation of lean production in a plant in automotive industry has resulted in the reduction of the occupational accidents and improvement of ergonomic conditions even though the main incentive for these improvements is to reduce the wastes and costs and to increase the profitability and competitiveness. Based on the interviews, workers do not consider that their workload is increased after the implementation of lean production. Besides, workers feel work autonomy and job satisfaction. They also claim that they do not feel job stress in contrast to the literature.

<p> The purpose of this project was to partner with a community mental health outpatient clinic, locate a potential funding source, and write a grant to obtain funding for a clinic wide wellness program. The proposed program aims to support mental health providers and employees at a mental health outpatient clinic to prevent and decrease burnout among mental health providers. A literature review was conducted to discuss the history of burnout, burnout symptoms and consequences, and interventions to reduce burnout. The Weingart Foundation was identified as a potential funding source for the program. The host agency chosen for this project is Western Youth Service West Clinic which provides comprehensive mental health services to children and families dealing with mental illness. The actual submission or funding of this grant was not required for the successful completion of this project.</p>

This exploratory study examines the lived experience of Green Cross traumatologists deployed to the New York City World Trade Center disaster. The deployment took place five days after the terrorist attacks on September 11, 2001. The author was a member of a ten member advance team that provided crisis stabilization services to an international union in Lower Manhattan. Disaster Mental Health Services and community outreach were provided for a month. The purpose of the study was to describe in an anthropologically holistic perspective the lived experience of traumatologists, who as Americans were also affected by the terrorist disaster. Thirty-one traumatologists participated in the study. Ethnographic methods included participant observation and informal interviews during the first week of the deployment. In-depth interviews were conducted after deployment and ranged from one to three hours in length. Interviews were audio taped, transcribed and analyzed with the assistance of N-vivo software. The author's story is among the narratives. Narratives of lived experience reflect the continuity of life and give meaning to experience within a cultural context. Findings reveal the shared meaning attributed to lived experience in a disaster environment, cultural continuity and change and impact of disaster deployment on the health and safety of the helper. Recommendations for future research, policy and training are offered.

The current research emerged in response to recent alerts of increasing organisational safety failures in New Zealand’s high risk industries. It was theorized that safety climate may be largely determined by the quality of safety-centered leadership under which an organisation operates. The study utilized reports of organisational safety prosecutions within New Zealand to develop a quasi-experimental design which compared persecuted and non-prosecuted company’s leaders on measures of ethical values, moral philosophy, social responsibility, corporate psychopathy, and leadership style. Issues of response rate inherent to the study design were encountered during data collection, and no significant between group differences consistent with the study predictions were found. Theoretical and practical interpretations are made in light of the results, suggesting that dynamics within group-decision processes and the top governing structure of companies may be significant factors in affecting leader safety performances within these industries.

This dissertation is based on ethnographic fieldwork conducted in San Pedro Amuzgos, Oaxaca and on La Coasta Hermosillo, Sonora, Mexico. In it I trace the movements of migrant farmworkers who come from southern Mexico to work in the grape fields of Sonora. Within that context of movement and change, I focus on understanding how illnesses are perceived and how they are healed. First I explore this issue, in depth, in their homeplace in rural Oaxaca. I follow specific illness events among residents of Amuzgos and I allow individuals actions and their reflections on those actions act as a corrective to static notions of the "Latino Folk Illnesses" that exemplify the way in which residents of this small village conceptualize their bodily problems. Local understandings of illnesses are embedded in the village as a specific Place where the topography of the village is inhabited by dangerous spirits that cause health problems for the Amuzgos. To heal, is to heal the Place where negative things occurred as well as the bodies that manifest negative symptoms. Following the Amuzgos up to the fields of Sonora, I focus on how the changing environmental context influences their perceptions of the sources of illnesses and the ways in which they treat them. In particular, I focus on the ways in which they conceptualize the health problems that arise from exposures to the pesticides that are ubiquitous in the fields and camps where they live and work.