Operations: HSE Health And Industrial Hygiene Communicable .
Page 1 of 14GoM Contractor Substance Abuse PolicyOperations: HSEHealth and Industrial HygieneCommunicable Disease Management209/26/2019RevisionOccupational MedAdvisorHealth & IH Team Lead106/06/2014RevisionHealth & IH ManagerHSE Manager011/30/2012Original IssueHealth & IH Team LeadDirector of Health andSafetyRevDateDocument StatusCustodian/OwnerAuthority
Page 2 of 14Communicable Disease ManagementAMENDMENT r Initials106/06/2014VM, DH209/26/2019VM, MGAmendmentInitial issue as a controlled documentSection 1 Purpose and Scope - removedinformation on OMS. Section 2 KeyResponsibilities - verbiage changes andadded additional responsibilities for theHealth and IH Manager, OHP, OHN,Medicand OIM/Onshore Facility Manager,and Camp Boss. Section 3 GeneralRequirements is new and includesbackground on communicable diseases;tableofcommunicablediseases,transmission modes, and signs andsymptoms; foodborne diseases andmethods to prevent transmission, andupdated the process for ManagingCommunicable Diseases and put into adecision tree format. Section 4 Procedures- verbiage changes. and isolation anddisinfection procedures are now includedhere instead of as an attachment.TheMRSA Exposure Control Plan (00710-2) isnow combined into this SWP.New format. References added.
Page 3 of 14Communicable Disease ManagementTABLE OF CONTENTS1.2.Purpose / Scope . 3Key Responsibilities . 32.1. Operations Installation Manager (OIM) and Onshore Facility Manager . 32.2. Medic (and Topside Medical Control). 42.3. Camp Boss . 42.4. Health and Industrial Hygiene Manager . 42.5. Occupational Medicine Advisor (OMA): . 42.6. Occupational Health Advisor (OHA) . 43.General Requirements . 53.1. Background on communicable diseases . 53.2. Communicable diseases of concern . 63.3. Medical Symptoms and Disease Reporting . 93.4. Process for Managing Communicable Diseases Offshore . 104.Procedures . 104.1. Investigation of Communicable Disease . 114.2. Isolation Procedure . 114.3. Disinfection Procedure . 125References, Key Attachment . 125.1. References . 125.2. Attachment . 121. Purpose / ScopeThe Communicable Disease Management policy provides information on the identification,assessment, treatment, and control of communicable disease at BP GoM operated facilities.Communicable diseases are those that can be readily transmitted from person to person. Thispolicy will assist personnel whose job is to minimize the spread of the potential illness anddisease and provide medical intervention.This policy does not address blood borne pathogens (HIV, Hepatitis B and C) which are coveredin the Bloodborne Pathogens policy. This Communicable Disease Management policy does notaddress emerging infectious disease which is covered in the GoM Pandemic Response Plan.2. Key Responsibilities2.1.Operations Installation Manager (OIM) and Onshore Facility ManagerA. Verify that recommended measures are completed as appropriate to manage and preventspread of communicable disease.B. Verify Health and Industrial Hygiene Team Leader is notified regarding suspectedcommunicable disease (other than flu and colds) within 4 hours of a recognized case.C. Request transportation of potentially contagious personnel to onshore location by workingwith BP Heliport Base Manager.D. Verify confirmed communicable diseases (other than flu and colds) are entered into IRIS
Communicable Disease ManagementPage 4 of 14within 24 hours.2.2.Medic (and Topside Medical Control)A. Assess and treat an individual with a suspected communicable disease withguidance from Topside Medical ControlB. Notify Occupational Health Advisor within 4 hours of a suspected communicabledisease (other than flu and colds).C. Notify offshore leadership of a suspected communicable disease (other than flu andcolds).D. Provide Sickbay Log to Health and Industrial Hygiene Team Leader. Use electronicreporting tool (Survey 1-2-3).E. Provide appropriate personal protective equipment for the transport of potentiallyinfectious personnel.F. Communicate presentations from Occupational Health Advisor regardingcommunicable disease information to the workforce.G. Work with OIM to determine if transport of individuals with potentially infectiousmedical conditions is required.H. Inform BP Heliport Base Manager of an individual with an potentially infectiousmedical condition and request transportation.2.3.Camp BossA. Verify catering and laundry staff are free of communicable diseases listed in Tables 1and 2.B. Report staff with illnesses listed in Tables 1 and 2 to the Medic immediately uponknowledge of illness.2.4.Health and Industrial Hygiene ManagerA. Provides assurance the Communicable Disease Management SWP is being effectivelyimplemented by tracking metrics.B. Notify GoM Crisis Manager of a potential communicable disease outbreak. See GoMRegion Pandemic Plan.C. Provide technical guidance on personnel isolation requirements (i.e. sanitation orventilation).2.5.Occupational Medicine Advisor (OMA):A. Provide technical support relating to communicable disease control measures.B. Prepare and send employee notification letters and alerts after confirmed cases ofcommunicable diseases.C. Coordinate corporate occupational health response with external physicians and publichealth authorities.2.6.Occupational Health Advisor (OHA)
Communicable Disease ManagementPage 5 of 14A. Liase with Medic and other BP health professionals (i.e. OMA, epidemiologist, and HR)referring suspected communicable diseases.B. Provide technical support relating to communicable disease control measures.C. Assist with preparing and sending employee notification letters and alerts afterconfirmed cases of communicable diseases.D. Work with contractor case manager to verify contractors communicable diseasediagnosis and fitness for duty.E. Provide BP employees a Health Care Provider Report for the treating medical providerto complete.3. General Requirements3.1.Background on communicable diseasesCommunicable diseases, also known as transmissible diseases, are comprised of clinicallyevident illness (i.e., characteristic medical signs and/or symptoms of disease) resulting from thepresence and growth of pathogenic biological agents in an individual. Communicable diseasesare spread by direct and indirect contact. Examples include physical contact with an infectedperson; contact with a contaminated object or surface, food, or blood; insect bites or animalscapable of transmitting disease; and airborne exposures. Examples of communicable diseaseof concern in the offshore environment include disease in Table 1. as well as other diseases.Refer to the Centers for Disease Control and Prevention (www.cdc.gov) for more informationabout communicable diseases. Diagnosis of infectious disease is verified by medical history,physical examination, and possibly cultures collected from an individual.END OF PAGE
Page 6 of 14Communicable Disease Management3.2.Communicable diseases of concernTable 1 - Communicable Disease Definitions, Modes of Transmission, and Signs andSymptomsDiseaseTuberculosis (TB)Methicillin-resistantStaphylococcus aureus(MRSA/Staph)Chicken Pox(Varicella)DefinitionTB is an infectiousdisease that primarilyaffects the lungs, but itcan attack almost anypart of the body.Staph infections arecaused by bacteria, atype of germ commonlyfound on the skin or inthe nose of evenhealthy individuals.MRSA infections arecaused by a strain ofstaph bacteria that'sbecome resistant to theantibiotics commonlyused to treat ordinarystaph infections.TransmissionAirborne and inhalationIt is a highly contagiousviral infection thatcauses an itchy, blisterlike rash,. Zoster is thesame virus thatpresents in later life.Spread by directcontact) with rash.Chicken Pox can alsospread by droplets in airfrom coughing orsneezing (highlycontagious) to thosewho have not had thedisease or have notbeen vaccinatedBCG vaccine is variablyprotective, mostly inyouthSpread by contact withobjects as well asperson to personAntibacterials andantibiotics can limitspreadVaricella vaccine orprior Chicken Poxinfection leads toimmunitySigns & SymptomsCough, bloody coughunintentional weightloss, fatigue, fever,night sweats, chills, lossof appetiteMost often, it causesmild infections on theskin, like sores or boils.But it can also causemore serious skininfections or infectsurgical wounds, thebloodstream, the lungs,or the urinary tract.Characteristic rash,fever, loss of appetite,headache, tiredness,malaise. Can be moresevere in adults withoutimmunity.
Page 7 of 14Communicable Disease ManagementDiseaseShingles(Herpes Zoster)ScabiesDefinitionA viral infection thatcauses a very painfulrash. It is the samevirus that causeschicken pox.Very itchy skin rashcaused by an allergicreaction to tiny mitesthat burrow into theskin.TransmissionShingles is contagiousand can be spread bydirect contact with theshingles rash to thosewho have not hadchickenpox or beenvaccinated. But insteadof developing shingles,these people maydevelop chickenpox.Once they have hadchickenpox, peoplecannot catch shingles(or contract the virus)from someone else.Once infected,however, people havethe potential to developshingles later in life.A Shingles vaccine isavailable and reducesrisk and symptomseveritySpread from person toperson by close contact,and by sharing towels,clothing, and otherpersonal items.Early or prophylactic(preventive)antiparasitics creamscan limit spreadMeaslesContagious itchy skinrash caused by a virus.Inhaled droplets frominfected personcoughing, sneezing,talking, etc. or contactof nose or mouth withinfectious secretionsMeasles vaccineprevents diseaseSigns & SymptomsPain, burning,numbness, tingling, ared rash, fluid filledblisters, itching, fever,chills, headache,fatigue, and generalachinessSevere itching usuallyworse at night, a rashwith tiny blisters orsores between thefingers and on the palmside of the wrists,outside surfaces of theelbows and in thearmpits, aroundwaistline and navel, onthe buttocks, aroundthe nipples, and thesides of the breastsCough, runny nose,inflamed eyes, sorethroat, fever, and redblotchy skin rash oftenstarting on the head andmoving down the body.
Page 8 of 14Communicable Disease ManagementDiseaseMeningitisSeasonal or NovelInfluenzaDefinitionAn infection of the braincaused by a virus,bacteria or fungus.Viral infection thatattacks respiratorysystem.TransmissionInhaled droplets frominfected personcoughing, sneezing,talking or contact ofnose or mouth withinfectious secretionsOne type, caused bybacteria NeisseriaMeningitidis, is vaccinepreventable and postexposure antibiotic canprevent diseaseInhaled droplets frominfected personcoughing, sneezing,talking, etc. or contactof nose or mouth withinfectious secretionsSigns & SymptomsSudden high fever,severe headache, stiffneck, vomiting,seizures, light sensitive,fatigueFever, chills, sweats,aching muscles,headache, dry cough,fatigue, weakness,nasal congestionVaccine prevents orlimits symptomsConjunctivitisWhooping Cough(Pertussis)Hepatitis APinkeye (also calledconjunctivitis) isredness and swelling ofthe conjunctiva, themucous membrane thatlines the eyelid and eyesurface.Highly contagiousbacterial respiratoryinfection.Highly contagious liverinfection caused byhepatitis A virus.Initially there is novaccine for novelinfluenza strainsSpread by direct orindirect contact withinfected eye secretionsMost cases are causedby a virus and spread isnot prevented byantibioticsInhaled droplets frominfected personcoughing, sneezing,talking, etc. Moredangerous to infantsthan adults.Vaccine preventsdisease.From contaminatedfood, water, or closecontact with someonealready infectedHepatitis A vaccineprevents diseaseRedness, itchiness,gritty feeling, tearing,discharge, in one orboth eyesRunning nose,sneezing, dry cough,fever, red watery eyes,mild fever, lateruncontrollable coughFatigue, nausea,vomiting, abdominalpain, loss of appetite,low grade fever, darkurine, jaundice
Page 9 of 14Communicable Disease ManagementGastrointestinal virusesand bacteria (Norovirus,Shigella spp., ShigaToxin-producing E. Coli,Salmonella)3.3.Fecally transmittedpathogens that lead todiarrheal illnessesFrom contaminatedfood, water, ice, orcontact withcontaminated surfacesStomach ache,vomiting, diarrhea,fevers, fatigue, chills.For bacterial illnesses,antibiotics may shortendisease courseMedical Symptoms and Disease ReportingPersonnel shall report any symptoms of illness to the Medic.Catering and laundry staff shall be free of medical conditions that may cause foodbornedisease and other communicable disease transmission. The following symptoms, diseaseslisted in Table 1, and those diseases related to foodborne transmission (i.e., Norovirus,Shigella spp., Shiga Toxin-producing E. Coli, Salmonella) are reportable to the Camp Bossand Medic: vomiting, jaundice, diarrhea, sore throat with a fever, or a lesion containing pussuch as a boil or infected wound that is open or draining.Catering and laundry staff are required to wear an impermeable cover (i.e., a finger cot orstall) that protects a hand or wrist lesion and a SINGLE-USE glove shall be worn over theimpermeable cover. If the lesion is on exposed portions of the arms, the lesion shall beprotected by an impermeable cover. Lesions on other parts of the body shall be covered bya dry, durable, tight-fitting bandage.END OF PAGE
Page 10 of 14Communicable Disease Management3.4.Process for Managing Communicable Diseases OffshorePersonnel report symptoms/concerns toSupervisor or MedicMedic consults with Topside MedicalControl to determine if there is asuspected communicable diseaseYesNoMedic shall call the Occupational HealthAdvisor within 4 hoursTreat as advised by Topside MedicalControlTreat as advised by Topside MedicalControlIsolate InvestigateTransportConsult Health & Industrial Hygiene TeamLeader and follow Isolation Procedure inSection 4.2 and continue treatmentNotify dispatcher of potentialcommunicable disease case, any requiredpersonal protective equipment, anddisinfectionConfirm diagnosis and fitness for duty*prior to return to workRefer to Investigation of CommunicableDisease (Section 4.1) to further determineif other personnel were or could beinfectedDisinfect affected areas and notifyaffected personnel (Section 4.3)*Workforce shall be informed of any precautions to take if communicable disease wasconfirmed.4. Procedures
Communicable Disease Management4.1.Page 11 of 14Investigation of Communicable DiseaseIf there is a suspicion or diagnosis of a communicable disease, the following information shall beobtained to further determine cause of the disease and to prevent its spread. If consideredpandemic, refer to the GoM Pandemic Response Plan. For bloodborne pathogens (HIV, HepatitisB and C) see the Bloodborne Pathogens policy.A.B.C.D.E.F.G.H.I.J.4.2.When did the symptoms first begin and how long have you been on location offshore?Describe the symptoms.Does individual know if anyone else is infected?Who are their roommates or close contacts?Taking into account the incubation period of the communicable disease, what facilities andlocations have they visited immediately prior to the symptoms and since the symptomsbegan?Have they had prophylactic treatment or vaccination?Have they had diagnostic testing or treatment for symptoms? If so, what were thetreatments or results of testing?Inquire about possible sources of spread such as: living quarters on platforms, laundry andlaundry procedures, work out facilities, etc.Speak with Medic concerning other potential exposures.Develop a timeline with the above information.Isolation ProcedureIf the initial medical assessment by the Medic concludes that the person may be suffering fromflu, other viru, or other communicable diseases, or is likely in the infectious incubation period, thefollowing actions should be taken:A. Individual shall remain isolated in their quarters, inform the Medic and practice “socialdistancing.” (minimum 6 feet as a guide)B. Individual shall be issued an approved mask from the Medic and shall wear at all times ifpossible. The mask shall be worn until the person leaves the workplace and has receivedmedical advice.C. Individual shall be advised and issued supplies to allow for frequent hand washing andwiping of secretions from nose and mouthD. Persons who are diagnosed with flu or other virus by a physician shall remain isolated untilthe illness has resolved and they have been cleared by a physician.E. Roommates of suspected cases should be relocated to other quarters to minimizeexposure to other crew members. They shall be monitored closely for signs and symptomsby the Medic. Additional preventive measures may be considered.F. The Medic shall be ready and capable of managing any person with confirmed or suspectedflu or other virus with support and guidance from the Acadian Medical Director untiltransport to definitive care onshore is available.G. Medics shall have access to supplies:a. Approved surgical masks or N95 National Institue for Occupational Safety andHealth (NIOSH) rated mask for suspected infected personnel and those assisting incare of offshore personnel in sick bay.
Communicable Disease ManagementPage 12 of 14b. An adequate supply of antivirals, antibiotics, antibacterials, antiemetics, antipyretics,vaccinations and other prophylactic or treatment medications for offshorepopulation.H. Implement increased diligence in sanitary measures and infection control once a possiblecase of flu or virus is identified. did the symptoms first begin and how long have you beenon location offshore?4.3.Disinfection ProcedurePersonnel infected with a communicable disease shall be identified as quickly as possible.An appropriate control plan should be instituted. The following are control measures thatshould be implemented with suspected cases using a 1:10 chlorine bleach solution and/ordisinfectant (i.e. Lysol):Following a work-related incident, the worker will be medicallystabilized first and then may be required to submit to substance abuse testing.A. Individual Clean rooms occupied by infected personnel (personal care items, bedsideequipment and frequently touched surfaces).B. Clean door handles, hand rails, telephones in common areas, frequented by infectedpersonnel.C. Spray mattress, if plastic covers are used, mattresses should be thoroughly wiped down.D. Wash bedding linens and towels in water temp above 140 degrees while using bleach ifnot color sensitive (ensure laundry bags are washed).E. Cleaning crews should have knowledge of communicable disease disinfection andsafeg
Communicable Disease Management Page 6 of 14 3.2. Communicable diseases of concern Table 1 - Communicable Disease Definitions, Modes of Transmission, and Signs and Symptoms Disease Definition Transmission Signs & Symptoms Tuberculosis (TB) TB is an infectious disease that primarily affects the lungs, but it can attack almost any
Risk Management and HSE Culture in GEP GASSCO HSE Summit 2014 A. Garayhi Haugesund, 23.10.2014 . Job Safety Analysis (specific, individual) HSE Coordination (e.g. coordination plan, meetings) Special Work Permits . Tool 14 % Crane 29 % Equipment, Pipe 14 % Transport Machines (Forklift etc.) 29 % Others
UBO/MPD Operations – HSE Planning Guidelines Revision 00 Page 1 of 15 December 2012 UNDERBALANCED AND MANAGED PRESSURE DRILLING OPERATIONS - HSE PLANNING GUIDELINES – Revision 0 – Written and Compiled by: HSE Subcommittee Date: December 2012 Issue FINAL
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5.2 HSE Management System Framework HSE management system is based on the principle of continuous development and improvement. GEOCEAN Health & Safety Management system has obtained OHSAS 18001 certification by DNV in March 2014. HSE Management system is also based on ISO 14001 requirements.
purpose of HSE auditing is to verify the existence and effectiveness of internal controls intended to manage HSE risks and comply with the Group ‘HSE Policy and Commitment’ [ 27 ] and HSE related standards [ 21- 40 ] identified in the
identified to prevent HS&E management standards from being compromised. HSE Plan or HSE . their adherence to the HSE management system, and responsibilities defined . Work tasks shall be undertaken only after a Job Safety Analysis / pre-job risk assessment and a safety discussion (tool box talk) that is appropriate for the actual task and .
the HSE Management System. Emdad conducts a range of training courses to develop the skills and careers of their employees. In order to make the employees aware of the HSE aspects, HSE training plans are made and trainings are arranged through third party companies or conducted in-house.
RISK ASSESSMENT FORM OS.HSE.03.01.F02 Issue No: 06 Page 1 of 11 Form: OS.HSE.03.01.F02 Date: 28th SEPTEMBER 2020 Refer to Risk Assessment Register under OS.HSE.03.01.F03 for Risk Assessment revision history RISK RATING MATRIX
