The effect of the integration of design, procurement, and construction relative to health and safety
- Authors: Deacon, Claire Helen
- Date: 2017
- Subjects: Construction industry -- Management Building -- Safety measures , Industrial safety
- Language: English
- Type: Thesis , Doctoral , PhD
- Identifier: http://hdl.handle.net/10948/15038 , vital:28115
- Description: The rates of fatalities, injuries and diseases from work, has been a longstanding challenge for centuries. The challenge is validated by the fact that there is not a paper, or publication, that appears to have been written worldwide, without discussion regarding the extent of the problem in the construction industry. Despite there being prescriptive statutory requirements applicable to the sector, all attempts to reduce the reduce the accident rates in South Africa appear to have been largely unsuccessful. The review of literature indicates that most research has focused on design, designers, roles of stakeholders, inter alia that relate to construction health and safety. Given the situation noted, the research investigated design, various aspects of the construction process and stakeholders, and the inclusion of procurement as a major component of the construction process. A triangulated, or mixed methods research methodology was utilised for the thesis. The qualitative methodology utilised in Action Research (AR) and a total of three FGs’ sought to develop a theoretical model that would identify multi-stakeholder policies, practice and education requirements. An extensive international, African and South African literature review was conducted as part of the secondary research and the grounding for the mixed methodology of research. The information sought to contextualise the South African paradigm and practices. Two quantitative, multi-stakeholders’ studies were conducted during the development of the research. The quantitative aspect considers the perceptions of those practicing or involved in H&S, the interface regarding the stakeholders and ‘issues’ experienced in the challenges relating to daily work. Themes were developed, inter alia: a general; workers; management (including supervision, responsibilities and pricing); a stakeholders’ theme (including project managers; design and designers, and client), and the construction H&S theme (including the CHSA, construction H&S Manager (CHSM), construction H&S Officer (CHSO)). A total of 22 hypotheses were tested. The hypotheses considered all the stakeholders, within the framework of the research. Only 1 hypothesis was not supported, and hypothesis was partially supported. Three AR FGs’ were held in the Sarah Baartman District (a building focus) and at the Bhisho offices (a civil engineering focus) of the ECDRPW. The research considered the procurement processes that underpins a project, with some elements relative to the interface of H&S, design, the stages of work, and the current legislative framework. A validated theoretical model, the ‘Deacon Procurement, Design and Health and Safety Model’ emerged from the qualitative aspect of the research. The salient findings indicate a tendency in the industry to operate in silos, adhere to minimum levels of compliance, and not determining other aspects that could possibly reduce project and financial risk. Therefore, stakeholders need to work together, across the stages of work. Level of confidence is low among clients and built environment groups regarding H&S across the project life cycle, resulting in the non-compliance, and increased project risk. Clients such as the National Treasury do not identify H&S risks during project planning, resulting in the lack of adequate resources for projects, with supply chain management and procurement not ensuring compliance and technical expertise. Due to lack of knowledge CHSAs’, CHSMs’, and CHSOs,’ are not appointed timeously, resulting in noncompliance, and increased project risk. The construction H&S practitioners level of confidence is affected by lack of experience, not knowledge, in contrast to the lack of H&S knowledge of built environment professionals. A range of recommendations are provided that include, inter alia: development of policy, guidelines and practice notes regarding H&S, supply chain management and procurement; education and training, continuing professional development, training and workshops, and further research.
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- Date Issued: 2017
The health status of construction workers
- Authors: Deacon, Claire Helen
- Date: 2004
- Subjects: Construction industry -- Employees -- Diseases -- South Africa , Construction workers -- Health and hygiene -- South Africa , Construction workers -- Health risk assessment -- South Africa
- Language: English
- Type: Thesis , Masters , MCur
- Identifier: vital:11025 , http://hdl.handle.net/10948/326 , Construction industry -- Employees -- Diseases -- South Africa , Construction workers -- Health and hygiene -- South Africa , Construction workers -- Health risk assessment -- South Africa
- Description: The construction industry is considered to be an extremely dangerous working environment, and therefore the health status of construction workers needs to be considered prior, during and on leaving the industry. Occupational hazards relative to the construction worker are well researched internationally; however few countries undertake routine medical surveillance to identify the health status of the construction worker relative to these hazards. Employers have a higher duty of care to identify workers who could be a risk at work from non-occupationally related conditions such as hypertension and diabetes mellitus. Work could exacerbate these conditions, leading to absenteeism, poor performance and eventually leaving the industry due to ill health. The dissertation explores, inter alia: the risks to which workers are exposed; the legal aspects; relevant literature regarding medical surveillance, and the use of a medical surveillance instrument used to determine the health status of 142 construction workers who consented to participate in the study. The methodological approach used in this study was a quantitative descriptive design, more specifically, using a randomised cross-sectional survey design. The instrument used to determine health status included a full medical, occupational and social history, as well as a physical examination undertaken by Occupational Health Nursing Practitioners (OHNs). Findings indicate that most construction workers believe they are healthy. However only a small percentage of construction workers did not require referral for further investigation and / or treatment.
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