Integrating Occupational Health & Wellness at Work Place

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1 Reliance Industries (RIL) Integrating Occupational Health & Wellness at Work Place The Reliance Group, founded by Shri Dhirubhai H. Ambani ( ), is India's largest private sector enterprise, with businesses in the energy and materials value chain. Reliance enjoys global leadership in its businesses, being the largest polyester yarn and fibre producer in the world and among the top five to Revenues ten producers in the world in major petrochemical Oil & Gas 5.5% Others 0.2% Dr. R. Rajesh Group Medical Advisor Reliance Industries Ltd., India products. The flagship company, Reliance Industries Limited, is a Fortune Global 500 company being ranked at 26th Petchem 23.8% Refining 70.5% position. Gaining momentum to achieve the next phase of significant growth 1 / 9 2 / 9 RIL- Business Sectors Vision Textiles NARODA Vimal Harmony Furnishing fabrics Slumberel Recron Twisted / Dyed/ Texturised yarn Fibres & Chemicals PATALGANGA PSF PFY POY PTA Polyster Chips PX LAB Polymers Fibres & Chemicals HAZIRA PVC LLDPE HDPE Polypropylene MEG Ethylene Propylene VCM PSF /POY / PET PTA EO Refining & Petrochemicals JAMNAGAR LPG Gasoline Naphtha Aviation Fuel Kerosene Diesel Petcoke PX Polypropylene Sulfur Oil & Gas PANNA & MUKTA KRISHNA GODHAVARI BASIN Crude Oil Natural Gas New Ventures INFRA- STRUCTURE Transport EPC BioTech Retail SEZ To make Reliance the world s most healthy company, protecting, promoting, enhancing employee health & wellbeing; providing outstanding health services and operating an exemplary HSE management system in all sites, services & offices of the enterprise, improving productivity and reducing health care costs; and with our results, inspiring our customers & partners. Mukesh D. Ambani 3 / 9 / 9 Health Management Flow Chart Health Management Health Management Preventive Promotive Curative Work life Management Life Style Modification OH Services Industrial Hygiene services Routine care Emergency care 5 / 9 6 / 9 1

2 OH Services Current Status Established Occupational Health Services Occupational Health Centers at all RIL locations High Occupational Health Awareness (Program CASHe) Extensive Health Promotional Activities Industrial Hygiene Services Occupational Health Physicians & Qualified Doctors at sites & Corporate offices Recently launched Mission RelFit Peer Recognition & Brand Image in OH CASHe Reliance Industries Limited The project CASHe-( Change Agents for Safety, Health and Environment) was introduced by the Reliance management in year 2003 to inculcate the best Occupational health work practices. Following goals were identified for the CASHe Project. 1. Creating awareness on Health, Safety & Environment 2. Reduction of Occupational Health Hazards in the work environment. 3. Prevention of Life style diseases 7 / 9 8 / 9 Need for Wellness Initiative Health Threats - I Unhealthy Life Style Unhealthy Diet & Nutrition Lack of Physical Activity Stress No Work Life Balance 9 / 9 10 / 9 Health Threats - II Increasing Prevalence of Health Risk Factors like, Mortality Scenario Top Killers World Rank Order of Disease Burden Overweight Pre Diabetes & Diabetes Hypertension Heart Diseases Smoking 11 / 9 12 / 9 2

3 PME Analysis 2007 to 2011 PME Analysis Age wise Year (Total PME) Year Age Group (Yrs) 25.0 Year 2007 to < & above High BMI (%) Known Diabetic (%) Known Hypertensive (%) High Cholesterol (%) High Triglyceride (%) 0.0 High BMI (%) Known Diabetic (%) Known Hypertensive (%) High Cholesterol (%) High Triglyceride (%) 13 / 9 1 / 9 Medical Surveillance Key Focus Proactive approach Statutory checkup in hazardous area Industrial Hygiene Services - Personal Monitoring & Environmental Monitoring CASHe & OHS Sub Committee Six Sigma Health Audits Training Modules Annual Medical Check up at all sites 100% PME compliance at sites Contractors health check up Post check up Counseling by RIL doctors Monitoring of high risk cases Family Counseling 15 / 9 16 / 9 Innovative Wellness Strategies Work Life management Work Life management To focus on the emotional and mental heath of employees Work Life Management project was initiated with a step wise approach & planning. Project discussion & submission with higher management. Methodology Adopted At all RIL sites Leaders has undergone with five days extensive training & orientation program on Work Life Management by Very Senior Wellness Expert. Leaders started imparting training & sensitizing to a group of 30 to 0 employees, who are the change agents and missionaries for further propagation of mental health development to other employees & extending it to down-level. 17 / 9 18 / 9 3

4 Work Life management Work Life management Change agents/missionaries Qualities Care of people (Emotional, Physical & Social balance) Approachable at all level of organization Counseling Skills Effective counseling for long lasting impact of Spirituality Compassion attitude Supporting factors for Effective Implementation Change Agents across sites Participation of line management Training in Counseling by Senior Wellness expert Doctors as active facilitators Support from Mental Health Professionals 19 / 9 20 / 9 Work Life management Life Style Management - Strategies Effective follow up and monitoring with monthly meeting is going on for this peer group of change agents, leaders and missionaries at all RIL sites for more participation of employees with a aim to focus on the emotional health Continuous health Awareness by training program at plant level. Display of calorie value of food/health Diet in food court of plants Fitness incentives To Employees. Six Sigma approach to Non Communicable Disease control & monitoring. 21 / 9 22 / 9 Life Style Management - Strategies Health Awareness Health Awareness is a key to Wellness Yoga Sessions by yoga gurus, Laughing Exercise. Stress Analysis of employees Awareness drives among School Children by Drawing Competition, Essay Competition, Quiz, Elocution Competition etc. Health Camps Anemia detection camp, Vaccination Camps, Diabetes Camp, Bone Density Camp etc. We have adopted various other innovative strategies to improve Health Awareness among employees & family members like Vitality Fair, Health Tips, Health Bulletin/Brochures, Guest Lectures, Health Movies, structured monthly programs, Skit by doctors, Personal Counseling, Walk for Fitness etc. 23 / 9 2 / 9

5 Structured Monthly Health Awareness Program Vitality Fair MONTH THEME / TOPICS January Immunization & Travel Medicines February Ergonomics / Computer hazard awareness & prevention March Anemia & Blood Disorders April Lifestyle & Fitness May De addiction June Noise awareness & Hearing conservation Fitness Check at Fair Healthy Recipe Competition Zone Poster Zone at Fair July Blood Donation / OH Week Celebration August Cancer Prevention September Heart Health/ Nutrition (World Heart Day) October Chemical Awareness & Indoor Air Quality November Stress Management & Diabetes Prevention December Blood Donation Camp & HIV / AIDS Awareness 25 / 9 Yoga and Meditation Zone Exercise awareness at Fair Films on Life style on mega screen 26 / 9 Animation Film & Health Bulletin Guest Lectures Guest Lectures Animation Film Release by Executive Director Health Bulletin Release by Executive Director 27 / 9 28 / 9 Health Awareness Skit by Doctors Walk for Fitness & Laughing Exercise Laughing Exercise Walk For Fitness Drive Doctors in action 29 / 9 30 / 9 5

6 Counseling for Life Style Management No Smoking Zone Obesity Clinic All manufacturing sites are declared as No Smoking Zones as a part of wellness initiatives. Personal Counseling for High BMI at Plant Level 31 / 9 32 / 9 Awareness among School Children Fitness Incentives This incentive is given to maintain their fitness levels. Essay Competition on Health Topic Half yearly their Fitness is checked & incentive amount is reviewed as per fitness status. Elocution Competitions on Health Topics 33 / 9 3 / 9 Innovative Wellness Strategies Maximum reduction in BMI trophy Healthy employee awards Primary / Prevention Every year BMI status of each plant is followed & trophy is awarded to the plant with maximum reduction in BMI. Secondary / Improvement Maximum BMI reduction Trophy 35 / 9 36 / 9 6

7 Health Indices Wellness Monitoring Reliance Health Index Stress Index High Alerts 37 / 9 38 / 9 Reliance Health Index Stress Scoring Health Score Abnormal blood parameter not covered in the list SGOT, SGPT, GGT (more than double), uric acid, BUN MARKS to be MAX. Tuberculosis- under treatment 2 S N RISK FACTORS / DISEASES deducted out MARKS can Asthma, COPD 2 of 100 be deducted Hypo / hyperthyroidism 2 < 0 with HT / IHD/ DM / Chronic systemic Glucoma, Retinopathy Kidney disease disease 1 Age Cervical / Lumbar Spondylosis, Slip Disc 2 > 0 with HT / IHD/ DM / 2 with active treatment 10 Kidney disease Cancer DM 2 without active treatment 8 2 Family History IHD 2 Positive 6 11 Known case of IHD Latest TMT 6 HT 2 Negative 3 FBS < Known case (Controlled) & PPBS < 10 3 BMI FBS > 126 to 170 or PPBS > 35 8 >10 to Diabetes Mellitus 8 < 8 Uncontrolled FBS > 170 to 250 or PPBS 6 Haemoglobin > = 8 - < 10 2 >200 to 250 FBS >200 or PPBS > = 10 - < 12 1 > Current 6 Known case 2 5 Smoking 6 Ex-Smoker 2 < = to Alcohol regularly Yes 3 3 Systolic 2 > 150 to > Triglyceride > 250 to Hypertension < = to 90 1 > to > 35 0 Diastolic 7 Dyslipidaemia HDL < = to > 110 > 130 to LDL 161 to Known case of Stroke / CVA > to 3 15 Kidney disease S. Creatinine 3 Regular 0 > Exercise 8 Not regular 8 TOTAL / 9 0 / 9 High Alert Mail - Sample Our Goal Wellness Strategies - RELFIT 1 / 9 2 / 9 7

8 Wellness at Workplace Wellness at Workplace It is the Right thing to do Ensuring Employee s Health at Workplace Prevention Is Not Only Better It is a Smart thing to do - companies that promote and protect workers' health are among the most successful and competitive, and also enjoy better rates of employee retention. It is a Legal thing to do - protection of workers from workplace hazards that could cause injury or illness But Also Cheaper Than Cure 3 / 9 / 9 Wellness at Workplace When it comes to eating right and exercising, there is no "I'll start tomorrow." Tomorrow is disease. ~Terri Guillemets Thanking You.. Dr.R.Rajesh r.rajesh@ril.com 5 / 9 Health Care with Human Touch 8

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