Update Dr Graham Furnace

Transcription

1 Update 2016 Dr Graham Furnace 25th May 2016

2 Update Examining Doctor Facts and Figures 2 Helicopters 3 Smoking/e-cigarettes

3 Oil Price:

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8 Update Examining Doctor Facts and Figures 2 Helicopters 3 Smoking/e-cigarettes

9 Examining Doctor Facts and Figures Countries Doctors % in UK

10 Doctors UK (448) England 269 Scotland 162 Wales 12 Northern Ireland 4 Channel Isles 1 10

11 Doctors Rest of World (556) USA 69 Australia 67 Germany 30 India, T&T, Philippines, Singapore, Denmark Malaysia, Azerbaijan, Ireland, Canada, France, Thailand, UAE, S. Africa, Ghana, Indonesia, Angola, Nigeria New Zealand, Spain, Egypt, Netherlands, Romania, Brazil, Georgia, Croatia, Italy, Khazakhstan, Malta, Poland, Saudi Arabia, Chad, Mozambique, Tanzania, Austria, Brunei, China, Iraq, Pakistan, Portugal, Russia, Sweden, Timor Leste, Ukraine 2-8 Ivory Coast, Namibia, Sierra Leone, Bahrain, Belgium, Falkland Isles, Faroe Isles, Latvia, Lithuania, Mexico, Myanmar 1 11

12 Medicals (Total)

13 Medicals (Fail)

14 Medicals Year Returns Total Fail (%) (1.2) (1.0) (1.4) (1.2) (1.1) (1.0) 14

15 Examining doctor courses 2011 to date

16 Examining Doctor Courses Year Courses No. Trained (5) 13 Total 47 (50)

17 Examining Doctor Courses Doctors on List Doctors attended course Doctors Trained since Joined 2015 Left

18 Doctor Training Course a question The HUET experience keep or remove? 18

19 Update Examining Doctor Facts and Figures 2 Helicopters 3 Smoking/e-cigarettes

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23 G-WNSB 23 August 2013, 17:17, 1.7nm W of Sumburgh En-route Borgsten Dolphin to Sumburgh (partial) autopilot approach, in cloud instruments only Failure to maintain required 80kt airspeed 35kt Failure to maintain required vertical flightpath descent below 300ft minimum descent altitude Descent below 300ft in critically low-energy state ; inadequate time to recover Impact sea (1800fpm), filled with water, rolled inverted to left, remained afloat 23

24 Casualties - fatal 16 passengers, 2 crew 4 fatalities all passengers 2 did not get out; 1 lifeless on sea surface, 1 died in liferaft AAIB Report 15 March Section 1.13 Medical and Pathological Information 24

25 H : recovered lifeless from sea. Minor head and other injuries, not incapacitating. Drowned I : escaped successfully assisted by others onto inverted fuselage and then into liferaft. Then signs of chest pain and stopped breathing: unsuccessful CPR. PM showed significant pre-existing heart disease K : still secured in seat. Left-sided head injury, cause unknown. Drowned, likely due to incapacitation from head injury 25

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27 E : recovered from water after fuselage broken up by wave action and rocks (i.e. not restrained in seat). EBS mouthpiece deployed and valve operated. Minor injuries, not incapacitating. Drowned. Failed to escape. 27

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29 Survivability Aspects Visibility variable some good, others feel only 4 windows removed underwater more than one attempt required only a few Px had time to take a breath. Some reached trapped air pockets No comment whatsoever about ease or otherwise of body passage through exits 29

30 CAA Response Interim bulletins 18 Oct 2013 (Sumburgh fast rescue craft) and 23 Jan 2014 (EBS pre-flight briefings) CAP Feb 2014: With effect from 01 April 2015, helicopter operators are to ensure that only passengers with a body size (including all required safety and survival equipment) commensurate with push-out window exit size are carried on offshore helicopter flights. With effect from 01 April 2016, helicopter operators are to ensure that for all offshore helicopter operations all occupants (passengers and crew) wear EBS that meets the CAP 1034 Category A performance specification. 30

31 Progress to date A. Shoulder measurement process B. CAT A compressed air EBS in service C. Training.. 31

32 Training Issues Is it Diving? Risk barotrauma Medical Screening Required 32

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35 Under (ongoing) Discussion HSE: exemption from diving at work regs, but requirement for dive medical (lung function tests for all, exercise test for asthmatics) How great is the risk? Canadian Experience 35

36 Doctor Training Course a question The HUET experience keep or remove? 36

37 Update Examining Doctor Facts and Figures 2 Helicopters 3 Smoking/e-cigarettes

38 Smoking statistics 230 of 942 (24%) male offshore workers = smokers 209 of 942 (22%) ex-smokers 38

39 Three Generations of e-cigarette 39

40 Oil&Gas UK Advisory Note February 2015 Tobacco nicotine aim for consistency with onshore public health measures Nicotine vapourisers (e-cigarettes) not permitted unless and until given a medical product licence (like NRT) 40

41 Recent Developments Royal College of Physicians Report 28 April 2016 Nicotine without smoke: Tobacco harm reduction EU Tobacco Products Directive 18 May 2016 E-cigarette with a medical product licence 41

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44 Voke 44

45 e-voke 45

46 What next? For discussion at next Health & Safety Forum What do you think? 46

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