MARCH 2017

THE OFFICIAL MAGAZINE OF THE MINE HEALTH AND SAFETY COUNCIL

2016 Mine Health Establishment of Women in and Safety Tripartite Centre of Excellence Mining Summit CEO’S MESSAGE

CONTENTS Striving for Zero Harm FEATURES A Successful Summit

5 Establishment of Centre of Excellence he 2016 Mine Occupational Health and Safety Tripartite Summit, hosted by the TMine Health and Safety Council (MHSC), took place on 17-18 November 2016 at Gallagher 7 Women in Mining Estate in Midrand. Attended by almost 500 delegates, the Summit achieved its objectives, 5 with around 80% of delegates indicating their approval of the Summit and its contents based on and Acting Minister for the Department of Mineral a survey conducted at the Summit. Resources presented the keynote address on Representatives of the Department of Mineral behalf of the Minister of Mineral Resources, Resources, the Chamber of Mines and trade Mosebenzi Zwane. In his address; he highlighted unions Solidarity, AMCU, NUM and UASA signed that employers and supervisors must ensure the pledge in addition to the recommitments of the that all mineworkers have the knowledge and 2014 milestones. This was followed by a vibrant skills to exercise their right to withdraw from or panel discussion on matters relating to fatalities refuse to work under dangerous environment. and occupational health and safety, with strong The intimidation or victimisation of mineworkers audience participation. for exercising their right to refuse dangerous The main signatories from the state, organised work must stop. Mineworkers need not risk their labour and employers, then publicly signed the lives because of production bonuses pressures; pledge. however, they must collectively adopt a stance • For the state: Des van Rooyen – Minister of that if the workplace becomes unsafe they stop Cooperative Governance & Traditional Affairs work until all necessary and safe measures have • For organised labour: Gabriel Nkosi – been put in place. 7 Association of Mineworkers and Construction “The industry leaders made commitments Union (AMCU); Paul Marden – Solidarity Union; during the 2014 Mine Health and Safety Tripartite Franz Stehring – UASA; and Piet Matosa – Summit. I would like to caution all of us to ensure National Union of Mineworkers (NUM) that the commitments are achieved, as this would • For the employers: Mike Teke – Chamber of further provide confidence to the mineworkers and Mines the nation that the Summits do provide an effective COVER STORY All stakeholders expressed concern on the rise of platform for engagement, as well as ensuring that fatalities in the current year, compared to 2015, adequate measures are implemented to prevent 9 2016 Mine Health and which had the lowest fatalities ever seen in the harm on the workers”; he commented. mining industry and promised to make health and Dr Aaron Motsoaledi, Minister of Health stated Safety Tripartite Summit safety a priority in the remainder of 2016 in order that occupational safety and health is a priority for to meet the 2014 Summit Milestone, which is to many governments, trade unions and employers have zero fatalities by 2020. across the world. Many enterprises have started The Honourable Des van Rooyen, Minister to recognise the importance of providing a safe of Cooperative Governance & Traditional Affairs working environment for their workers, customers

MINE9 HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 2 3 MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 CEO’S MESSAGE FEATURES and surrounding communities. A safe working reduction and prevention of TB, HIV and AIDS; environment reduces absenteeism, enhances the Implementation of the Culture Transformation employee’s health and well-being and increases Framework (CTF), and the establishment of productivity. More so, health workers contribute the Centre of Excellence (CoE). She gave an towards creating a healthy population, which overview on the progress made by the MHSC and ultimately plays a critical role in improving the the mining industry in implementing the 2014 bold country’s economy. milestones to change the face of the industry on “As you are aware, TB is a major problem, occupational health and safety. especially in the gold sector. Some studies show The Launch of the Centre of that gold miners are seven times more likely to get Excellence TB than people are in the rest of the population. The Centre of Excellence was conceptualised in Many of you might believe that HIV/AIDS is the 2008 and launched in 2014 Mine Occupational biggest killer of all infectious diseases but as from Health and Summit and currently we are 2014, TB overtook it to become the biggest killer implementing the business plan. The establishment of all infectious diseases in the world”; he added. of the Centre of Excellence occurs in the year when Minister Motsoaledi further added that the only we are celebrating the MHSC 20th anniversary. problem is that it does not evoke any emotion, or The Centre of Excellence will enable us to meet provoke action from anybody, despite this fact. our mandates and our strategic goals with our Establishment of Centre TB now kills 1.8 million people around the world partners. every year, but it does not evoke any emotion, We believe the CoE provides the organisation of Excellence from neither governments nor the United Nations. with platform for future growth and provides an “TB is now in the top five causes of death in all the avenue for new partnerships for the greater good he Centre of Excellence (CoE) concept was • Manage and conduct laboratory testing e.g. SADC countries. In 60% of the African countries, it of the Mining Sector. as a result or outcome of various Tripartite rope testing. is in the top five causes of death. In South Africa, We sought to establish a Centre of Excellence Occupational Health and Safety Summits, • Provide facilitation of monitoring oversight role by 2009, it was killing 70 000 people per year. We (CoE) that would: T initially conceptualized in the 2008 Tripartite in occupational hygiene measurements. have worked very hard but the figure is still very • Conduct research and facilitate implementation Occupational Health and Safety Leadership • Provide health and safety related education and high at 40 000 people per year”; he mentioned. of outcomes in SAMI Summit. This was one of the initiatives within training at all identified levels of development; Dr Lindiwe Ndelu, chairperson of the Mining • Build research capacity for the mining industry, the theme of “Promoting a Learning Industry • Maintain an electronic library system of mine Industry TB and HIV/AIDS Advisory Committee namely HDSA and Building Capacity”, it was proposed that a health and safety information. This relates (MITHAC) recapped on the agreed TB and HIV/ • Through innovation, ensure that technology Centre of Excellence be established to conduct to management of information or knowledge AIDS 2014 Milestones and initiatives MHSC transfer materials are implementable and research, health and safety training and education management on occupational health and have in dealing with occupational diseases which provide a platform for commercialisation, eg in the South African Mines to create opportunities safety within mandated Council activities. include: TIA • Provide training to mineworkers on research for development of Mineworkers and facilitate • Reduction and prevention of TB, HIV & AIDS RATIONALE FOR ESTABLISHING THE CoE outcomes through MQA for successful implementation of occupational health and safety infections by December 2024 The rationale for a Centre of Excellence implementation research outcomes for the mining industry. • Bring the TB incidence rate at or below the establishment, which is divided into two phases Following the launch of the Centre, MHSC national TB incident rate; The key objectives for the CoE as then proposed which run in parallel, with emphasis on educating undertook quick win projects, developed a • 100% of employees should be offered HIV by the tripartite stakeholders are: and training of mine workers, was to create an business plan and we are currently in the process counselling and testing annually with all • To conduct research and facilitate opportunity to optimise resources through: of providing of seed funding to various research eligible employees linked to an Antiretroviral implementation of research outcomes in the Phase1: facilities in the country to support mining research. Therapy (ART) programme as per the National following areas: • Creation of economies of scale on occupational More of the reports around the Summit are in the Strategic Plan • Rock Engineering health and safety research and focus in key various articles in this magazine. We welcome Nkhesani Masekoa, Chief Research Operations • Human factors, including appropriate incentive thematic areas; your submissions; input and comments about the Officer MHSC focused on the steps taken to bring systems • Enhancing capacity by drawing on local work of the Council. about the elimination of fatalities and injuries; the • Mining existing research strength, infrastructure, and elimination of occupational lung diseases; the Yours in Health and Safety • Engineering other funding sources; Thabo Dube elimination of noise-induced hearing loss; the • Occupational Health and Hygiene • Attracting and retaining top research talent in

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mining research with particular emphasis on research capacity. Collaborating with various occupational health and safety research; institutions of higher learning, especially HDI’s • Providing high quality training in innovative and in delivering on the research process phase by internationally competitive occupational health various preferred research service providers and safety research; will contribute positively in developing research • Strengthening domestic research collaboration capacity in the country. This will be part of the to address significant occupational health and engagements and service level agreement with safety research needs; the preferred service providers. This will form part • Developing beneficial relationships with of training and development and research capacity major international research centres and building for the mining industry in supporting the programmes. National Development Plan (NDP) initiatives. Phase 2: WHERE ARE WE NOW? • Developing a centre for educating and The CoE model required that a business plan be training of Mineworkers on health and safety developed in order to operationalise the Centre of related matters so that they are afforded a Excellence. Council approved the business plan development path in the Occupational Health and its implementation has commenced. Currently and Safety field. Thus the establishment of the two service providers have been appointed for Mineworkers ``university`` in conjunction or ensuring that the activities of the operational plan partnership with Mining Qualification Authority Women in Mining are undertaken. The process of organizational (MQA); and Ensuring every Woman is safe design to ensure alignment of the structure and • Creating a developmental state for Mineworkers human resources to the objectives of the CoE to be afforded opportunities to be developed has also started. This will include reviewing job from the entry level at the bottom to the upper romoting the Health, Safety and Security Council (MHSC) conducted some research listed profiles, job description an identifying staff skills levels of Management of Women in the South African Mining below to assist the SAMI to address the health, gaps for job matching. Industry: “Ensuring every Woman returns safety and security challenges that are faced by The establishment for the Centre of Excellence was P from work unharmed everyday.” Women in Mining (WIM). reviewed during the November 2011 Occupational Another critical component that will support the 1. SIM 100904 “Personal protective equipment Health and Safety (OHS) Tripartite Leadership CoE is the creation of the dissemination function Historically, the South African mining industry (PPE) for women in the South African Mining Summit and the Tripartite Stakeholder Groupings of unit. A service provider has been appointed to (SAMI) has attracted a workforce made up Industry.” Principals reaffirmed their commitments. The long provide requirements for the unit to be functional of mainly men. However, in the recent past 2. SIM 130903 “Safety and Security Challenges term plan of the Centre of Excellence is to become within the office of the Chief Research Operations there has been a sturdy flow of women into the Impacting Women in the South African Mining a one-stop shop for Occupational Health & Safety. Officer. The process of developing and reviewing industry which came about as a consequence of Industry.” policies, procedures and governance structures for a regulated process (Mining Charter, The South Phase 1 will be via the launch of the Centre of the CoE is also underway, including development African Mining Industry Culture Transformation Post completion of the research, the MHSC Excellence at the Summit in November 2014. of the required ICT infrastructure. Framework (CTF) and The 2014 Occupational developed the following tools to facilitate Planning of Phase 2 will commence thereafter. Health and Safety (OHS) Summit Milestones). effective knowledge and technology transfer and The procurement of two other service providers for The Mining Charter and the 2014 OHS summit subsequent implementation of WIM initiatives THE DEVELOPMENT OF RESEARCH ICT infrastructure and alignment of governance, milestones requires the SAMI to implement the aimed at promoting the Health, Safety and Security CAPACITY IN SOUTH AFRICA policies and procedures for the CoE are at their approved CTF. The Diversity Management Pillar of Women in the SAMI: One of the founding pillars for the establishment of final stages. In terms of governance, clarity of the CTF seeks to promote Zero Harm of WIM 1. PPE for WIM handbook in English, Afrikaans, the Centre of Excellence was that there would be needs to be provided on how council committees in the SAMI, thus “ensuring every women returns Zulu, Tsonga, Zulu and Sotho. an opportunity for “enhancing capacity by drawing will operate and fit in within the CoE including from work unharmed every day”. 2. PPE for WIM guideline. on existing research strength, infrastructure, identifying any gaps on their terms of reference 3. Best practice guideline to promote safety and and other funding sources”. Therefore, it was which may require alignment. The review of In light of the fact that the mining industry was the security of WIM. agreed that the primary research providers would policies and procedures will also allow for a domain of men at the exclusion of women there 4. Prevention of sexual harassment video. have to identify and partner with Historically smooth transition in the operations of the MHSC was a need for some interventions to facilitate 5. Prevention of sexual harassment booklet. Disadvantaged Institutes (HDI) of Higher Learning and council committees when this changes are access to the industry for women. It is against 6. Prevention of sexual harassment poster. with the purpose of transferring skills and building being introduced. this background that the Mine Health and Safety

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As per the approved MHSC research outcomes A high powered delegation of presenters from dissemination strategy the North West Klerksdorp MHSC, DMR, Klerksdorp WIM Subcommittee, Region was chosen as the site to pilot the Sonke Gender Justice and University of South implementation of WIM programmes before Africa delivered some thought provoking promoting their wide spread adoption in the SAMI. presentations at the workshop. The MHSC To this end, the MHSC in partnership with the distributed WIM related promotional material North West Klerksdorp Regional Tripartite Forum such as the PPE handbook, PPE guidelines and hosted a WIM workshop at Rio Casino Hotel and the sexual harassment video at the workshop. Conference Centre on the 3rd of March 2017. The Delegates were also thrilled by songs and drama purpose of the workshop was to assist the mines to all centred around creation of awareness on WIM 2016 Mine Health and Safety implement some WIM programmes, such as those issues, thanks to the Klerksdorp Region DRM listed below, by popularising the various outcomes choir and entertainment groups from the North Tripartite Summit from the MHSC research projects on WIM. West Klerksdorp mines. 1. Elimination of sexual harassment and violence against women at workplaces. Noting that men plays a crucial role in the 2. Provision of appropriate PPE, sanitary and promotion of the Health, Safety and Security of ablution facilities to WIM. Women in the SAMI, all men were asked to make the following pledge: Moving forward, the MHSC The target audience for the workshop were the WIM, will document the successes, challenges and male mine workers, senior mine management, lessons learnt during the pilot phase before the human resources personnel, safety personnel, widespread promotion of the implementation of training personnel, unions, Department of Mineral WIM programmes in the SAMI. The MHSC will he 2016 Mine Health and Safety Tripartite Representatives of the Department of Mineral Resources (DMR) and any other interested and continue to collaborate with the SAMI to address Summit, hosted by the Mine Health and Resources, the Chamber of Mines and trade affected parties. It is envisaged that lessons learnt the Health, Safety and Security challenges faced TSafety Council (MHSC), took place on 17-18 unions Solidarity, AMCU, NUM and UASA signed at the workshop will go a long way to promote by WIM through research and dissemination of November 2016 at Gallagher Convention Centre the pledge. This was followed by a vibrant panel the Health, Safety and Security of Women in the research outcomes. in Midrand. Attended by almost 500 delegates, discussion on matters relating to fatalities and SAMI, thus “Ensuring every Woman returns from the Summit achieved its objectives, with around occupational health and safety, with strong work unharmed everyday.” 80% of delegates indicating their approval of the audience participation. Summit and its contents. We the men in the South African Mining Industry (SAMI) – hereby make this pledge The State, employers and organised labour were on the 3rd of March 2017: well represented with a strong union contingent. 1. We take the pledge to stop Violence and Sexual The Department of Mineral Resources opened Harassment against Women at our workplaces and the conference by expressing its determination to communities. 2. We will play a role in promoting the health, safety meet the continuing theme of the Summit ‘Every and security of women at our workplaces and our mineworker return from work unharmed everyday, communities. striving for Zero Harm.’ The Chamber of Mines, 3. We believe in the power of one voice, one message, one conversation, one intervention representing mine owners, reiterated its stance to make our workplaces and communities as on occupational health and safety and announced conducive as possible to our women. the five key points that formed the basis of the 4. We will treat all women as equal and fair as other men. tripartite pledge. 5. We will respect their differences and not use it 1. Tripartite visible felt leadership and relationship negatively. 6. We will treat all women with dignity and respect. building 7. We will protect and care for the women at our 2. Trust deficit homes looking after our children. 3. Communication 8. We will not physically or emotionally abuse women. 9. All forms of Violence and Sexual Harassment 4. Empowerment of supervisors and employee against Women will not be tolerated and action will empowerment be taken against those who are found guilty of it. 5. Annual company health and safety days

MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 8 9 MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 All stakeholders regretted the rise of fatalities in An overview by the MHSC of its step changes impact on the lives of the mineworkers and their Progress on MHSC 2014 Milestones the current year, compared to 2015, which had the in achieving the 2014 Milestones included the families. Initiatives lowest fatalities ever seen in the mining industry launch of the Centre of Excellence, which will Roger Baxter, CEO of the Chamber of Mines The theme of the Summit this year continues to and promised to make safety a priority in the be operational by March 2017. Another tool in said, in agreement with the Minister, we as be ‘Every mineworker return from work unharmed coming years in order to meet the 2014 Summit meeting these Millstones was the launch of the stakeholders acknowledge that the increase in the everyday, striving for Zero Harm.’ Milestone, which was to have zero fatalities by online reporting portal. total number of fatalities during 2016, compared 2020. to this date in 2015, is extremely disappointing. There have been great strides in strengthening Welcome This is particularly so, given the industry’s serious Also of concern was the issue of HIV Aids, TB, the tripartite partnerships and uniting stakeholders The Chief Financial Officer, Rofhiwa Irene Singo commitment towards achieving Zero Harm and the silicosis (HATS) and noise induced hearing loss to speak with one voice in addressing health presented the opening speech on behalf of the continued improvement of overall safety trends (NIHL) in mineworkers. The Minister of Health, and safety challenges facing the industry, an Department of Mineral Resources (DMR). over the past two decades as a direct result of Dr Aaron Motsoaledi, spoke movingly about the achievement that cannot be overlooked. the various tripartite health and safety initiatives threat of TB, which kills more mineworkers than The department welcomes the reported 3.4% We would also like to acknowledge the collaboration adopted by the industry. It is the first reversal in accidents in the mines. He indicated that his upturn in mining production in September, as well and support of the Departments of Health and nine years. Department has innovative tools for screening as the 10.6% year on year increase in mining Labour in our journey to achieving Zero Harm. We of TB in mineworkers and mapping of mines, sales during August. The key drivers of the A Tripartite Leadership Workshop was convened have collaborated in many issues that impact on mineworkers and health services are being upsurge in mining production were platinum, iron by the MHSC on 12 October 2016. The workshop the mining industry. developed within the TIMS project and will assist ore and coal. Reports indicate that the production was attended by principals of employers, organised of platinum group metals rose by 10.5% and the with many of its initiatives in eliminating TB in the Furthermore, we also acknowledge our academic labour and the state under the stewardship of the production of iron ore and coal increased by 11.7% mining sector. Dr Lindiwe Ndelu, chairperson of institutions and various research agencies that Deputy Minister of Mineral Resources, Godfrey and 6.8% respectively. The dramatic surge also the MITHAC, further took up this subject in her have played a great role in ensuring that they Oliphant. His view was that the mining industry comes at the back of the recovery of the major presentation. provide services we require to achieve our should be bold, agreeing that Zero Harm was commodity prices, which previously have been initiatives and without their support, it would be achievable and pledge to have no more fatalities declining mainly because of the global economic impossible to achieve our Milestones. until the end of financial year. downturn. At the end of the two days, we anticipate that During the workshop, stakeholders The much-needed positive outlook on commodity this Summit would have benefited the Tripartite • reviewed the status of the current industry OHS prices is most welcomed, as it will result in the Stakeholders and there will be a way forward on performance in the mining industry in terms of creation of desperately needed jobs in the how everyone can contribute positively towards where we are in respect of the 2014 Summit medium to long term period within the industry, achieving our set targets by 2020 and 2024. OHS Milestones and targets and thus contribute to achievement of the National • identified the areas of concern influencing Development and the Nine Point Plan objectives. Videos the industry’s current OHS performance and The health and safety of the mineworkers Two videos were screened, beginning with ‘Lest we the impact on the achievement of Summit continues to be of outmost importance to the forget’, which opened with a silent tribute to those Milestones and targets Department of Mineral Resources. Hence, the loss mineworkers who have died on duty in 2016. The • analysed the interventions applied and mapping of life of mineworkers continues to be a matter of principals’ video encapsulated the beliefs of the out what worked and what did not great concern to the Department although, during principals from government, labour and business • discussed what can the different stakeholders 2015, the lowest fatalities ever were recorded in on the vital nature of mine safety and health and collectively and individually do in bringing about the mining industry. their commitment to its principals, as enshrined a step change to improve the industry OHS in various legislations. This included input from performance and harness the achievement of The saddest part is that during 2016, we have Thabo Dube, CEO of the MHSC; Thamsanqa Summit Milestones lost 73 lives in the South African mining industry. Piet Matosa, President of the National Union of • explored new ways to address the mine health We also continue to be saddened by the Lily Mine Mineworkers (NUM); Gideon du Plessis, General and safety challenges including key messages accident, which occurred earlier this year. Secretary of Solidarity Trade Union; Franz to be presented at this Summit Though occupational health continues to receive Stehring, President of the United Association of The outcome was that a declaration of actions to more attention in the sector, it is an area, which still South Africa (UASA); Mike Teke, President of the be taken collectively was urgently needed and requires our collective effort to ensure sustainable Chamber of Mines; and David Msiza, Director five key priorities and related actions (the Pledge) improvement, given that they have a profound General of the DMR. were agreed upon:

MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 10 11 MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 1. Tripartite visible felt leadership and relationship The Department needs to increase monitoring building of compliance with health and safety standards Action: Principals and leaders of all stakeholder at mines and where necessary, implement groups commits to meeting at least two facilitated enforcement measures without fear or favour sessions on health and safety matters per annum. to prevent harm to the mineworkers, including Section 54 of the Mine Health and Safety Act. 2. Trust deficit Action: All stakeholders will address the issue of Employers and supervisors must ensure that all trust deficit amongst the stakeholders, moving mineworkers have the knowledge and skills to from a transactional to transformative approach exercise their right to withdraw from or refuse on OHS matters. to work under dangerous environment. The intimidation or victimisation of mineworkers for 3. Communication exercising their right to refuse dangerous work Action: All stakeholders will commit to improving must stop. Mineworkers need not risk their lives communication across all levels to ensure that because of production bonuses pressures; the message of Zero Harm reaches all mine however, they must collectively adopt a stance employees and contractors. that if the workplace becomes unsafe they stop 4. Empowerment of supervisors and employee work until all necessary and safe measures have empowerment been put in place. Action: Collectively and collaboratively, The industry leaders made commitments during stakeholders will empower supervisors, health and the 2014 Mine Health and Safety Tripartite Summit. safety representatives and employees through I would like to caution all of us to ensure that the extended visible felt leadership and empowering commitments are achieved, as this would further conversations. Tripartite stakeholders will also provide confidence to the mineworkers and the strive to empower Women in Mining on safety nation that the Summits do provide an effective and security challenges, personal protective platform for engagement, as well as ensuring that equipment and hygiene issues. adequate measures are implemented to prevent 5. Annual company health and safety days harm on the workers. Action: Each mining company will commit to hosting an annual health and safety day tailored We are concerned with illegal mining activities, to their respective needs as part of their overall including the recent accident at the George Harrison health and safety campaigns. Park Heritage Site in Langlaagte. In addition, the emerging illegal chrome mining, as well as 6. Keynote Address the mining of sand without legal authorisation in Honourable Des van Rooyen, Minister of the respective provinces, indicates that further Cooperative Governance & Traditional Affairs measures should be implemented to combat the again call on people to abstain from conducting to-day basis. As leaders, it will take some rigorous presented the keynote address on behalf of the illicit activities ultimately. These activities are not the illicit operations and for the public to assist in review of our leadership, by ensuring that we Minister of Mineral Resources, Mosebenzi Zwane. only a drain on the fiscus; they have serious health the fight to eradicate the activities ultimately. really lead by example and our positive leadership Given the fatalities and the current state of affairs and safety implications and divert resources – both is being felt at all levels and making sure we on occupational health, it cannot be business human and financial – from our core focus areas. Once again, the pledge made today by all communicate what have been agreed upon during as usual - something has to change radically. Our continued collaboration with law enforcement stakeholder principals, gives me comfort in that the Summit as we go back to our operations. Our workers are still exposed to hazards, which agencies is yielding positive results and we must there is a significant acceptance of the current are above the legislated exposure levels at the collectively intensify our efforts to eradicate illegal situation that requires a rapid turnaround strategy The outcome of the previous Summit has also workplace, such as dust and noise, which later mining. We must collaborate with our international by all playing the part in the pursuit to achieve the created a platform for Women in Mining (WIM) manifests themselves as occupational diseases stakeholders to ensure that we curb the market goal of Zero Harm. The issues that stakeholders issues to be elevated. The Council hosted its first such as TB, silicosis, noise-induced hearing loss of illicit trading of all minerals acquired from the recommitted themselves to are a true reflection of WIM conference under the theme ‘Prioritising the and others. African continent as well from other states. We the reality we face in the mining industry on a day- Health, Safety and Security of WIM’ during August

MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 12 13 MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 We fully support the implementation of the 90- University of Pretoria, CSIR and the National 90-90 strategy, as proposed by the Minister of Institute of Occupational Health have collaborated Health in 2014. This strategy comprises ambitious with the CoE and will receive funding to upgrade targets: their laboratories for different areas of testing and • 90% of members of key populations screened measurements to a state where they can optimally for TB assist in providing services to the industry. • 90% of people diagnosed and started on TB treatment Signing of Pledge • 90% treatment success The main signatories from the state, organised labour and employers, then publicly signed the I believe that our Summit initiatives will strengthen pledge. the current deficiencies in the compensation • For the state: Des van Rooyen – Minister of system. It has become critical that we review Cooperative Governance & Traditional Affairs our compensation legislative framework, which • For organised labour: Gabriel Nkosi – will improve access and benefits by our workers. Association of Mineworkers and Construction It has been found that the mining sector has a Union (AMCU); Paul Marden – Solidarity Union; backlog of payouts amounting to billions. This Franz Stehring – UASA; and Thamsanqa situation cannot be allowed to continue. I would Matosa – National Union of Mineworkers like to commend the Deputy Minister of Mineral (NUM) Resources and the Deputy Ministers from Labour • For the employers: Mike Teke – Chamber of and Health for their sterling leadership in providing Mines guidance on the two different pieces of legislation governing compensation. 2014 Summit Milestones Journey to Zero Harm Health and Safety The Council is currently conducting research Statistics to develop tools, which will assist the South Xolile Mbonambi, Acting Mines Chief Inspector African mining industry to implement bonus and outlined the role of the MHSC and its organisational performance incentives, diversity management and structure. In 2014, the Milestones were to have the leadership pillars of the culture transformation zero fatalities by 2020, reduce serious injuries framework. Over and above these initiatives, the by 20% each year by 2016 (a goal that has not been reached) and reduction of lost time injuries 2015. Women in mining were given an opportunity The Department, through the Council, also Council will continue to focus on the development to reduce 20% yearly, from January 2017. At the to express their concerns on personal protective hosted the first Occupational Health Dialogue in of health and safety regulations, cultivation of a beginning, 32 projects were identified, of which equipment (PPE), security and safety challenges March 2016 relating to the occupational health favourable culture in the industry, as well as the 12 are completed, 10 are to be completed this FY that they face daily whilst working at the mines. A of workers. Stakeholders and professionals creation of new knowledge and technologies 2016/2017 and the remaining 10 are at various programme of work is being implemented through addressed the inequalities that had been identified through research in areas where there are stages. the Council to redress these inequalities of the past when it comes to occupational health, which had pressing challenges and poor performance. and the challenges currently being experienced resulted in occupational health programmes being by our female counterparts. executed unsystematically and, in other situations, The Summit further committed to the inconsistently. Furthermore, a World AIDS Day implementation of the Centre of Excellence (CoE), The Regional Tripartite Forums by the Council are Commemoration event was held in December which seeks to consolidate research activities a critical vehicle to promote health and safety and, 2015, in support of the South African National to avoid duplication of research and adequate working together, we have seen great strides of leveraging of resources whilst ensuring that best practice being shared across all regions in Aids Council (SANAC) initiatives, of addressing there was capacity building in health and safety the country. We accept that more work needs to the scourge of HIV and AIDS, including TB. This be done in this area and the Council will continue will continue to be hosted annually to encourage so desperately needed in the mining sector. The to review annually how these collaborations can mineworkers and surrounding communities training of mineworkers has been identified as be improved in consultation with the structures at to know their status of health and fostering of critical to ensuring that the vision of the Centre these Forums. healthy living. is also realised. To date, four institutions, WITS,

MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 14 15 MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 Key Statistics incidence rates to reach 2035 targets, known • 8400 cases of TB in 2004. 10 years later, there as the ‘End TB Strategy’ were still 3460 cases. These are too many • The number of diagnosed silicosis cases is cases for a disease that can be treated. TB dropping, as is the rate per 1000 employees Incidence in the industry is higher than in the • The number of employees diagnosed with noise general population induced hearing loss (NIHL) is not decreasing • There are fewer cases of silicosis, but even one The action plan developed is currently being is too many because it is a fatal untreatable implemented through various initiatives and disease. projects and this Summit provides a Milestones • The last two months of 2015 saw 14 fatalities Progress review. The Tripartite Stakeholders are increasing the years total to 77. We are already expected to: on 74 (including the death at Aquarius mine • Assess interventions currently used and yesterday). Need to have less than three analyse what worked and what did not fatalities in remainder of 2016 to improve on • What can the different stakeholders do last year. collectively and individually to bring about • The gold and (especially) the platinum sector a step change to improve the industry OHS have regressed in terms of fatalities. Gold performance and harness the achievement of sector went up to 31 compared to 30 in the Summit Milestones and targets? same period last year. Platinum went up to 26 • Explore new ways to address the OHS from 17 fatalities. Challenge. • With the current trend, we will not reach the target of zero fatalities by the end of 2020 but Panel discussion on OHS project the number to be around 50. Performance • Occupational injuries are projected to have a Each panel member gave his views on OHS 20% reduction up to 2020, however, the actual performance. The panel members who participated number is not dropping sufficiently to achieve were: this • Frans Stehring - Divisional Manager UASA • The major contributors to fatalities in 2016 • Joseph Mathunjwa - President of Associated were listed with the 2015 figures in brackets - Mineworkers and Construction Union (AMCU) Sibanye Gold 13 (9); Impala 11 (4); Harmony 8 • Paul Marden - General Secretary of Solidarity (11); Anglo Platinum 7 (3); AngloGold Ashanti Union 6 (9); Lonmin 4 (5); Anglo Kumba 3 (0); Petra • Peter Bailey - Health and Safety National Diamonds 2 (0) and South 32 2 (0). Chairperson, National Union of Mineworkers • The continued decrease in dangerous levels (NUM) of airborne pollutants and noise exposure • Mike Teke - President Chamber of Mines continues to be monitored • Xolile Mbonambi - Acting Mines Chief • The number and percentage of employees Inspector, Department of Mineral Resources counselled for HIV continues to rise • Pulmonary TB is still a concern, with rising There were rigorous engagements on various figures. However, the number of employees occupational health and safety issues in the mining industry and the resolutions were tabled screened for TB continues to rise, with the as follows: percentage now sitting at 88.7% • Of concern is the number of TB incidence • Health and Safety standards need to be rates versus South African general population, simplified. The spirit of Ubuntu needs to be which indicates that it is higher in the mining embraced. If someone does something wrong, industry do not crucify them, rather assist them to do • There is a desired decline in global TB better.

MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 16 17 MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 • Leadership from government, employers and HIV, TB, silica dust and noise exposure among talking here about lifestyle diseases that the DoH that gold miners are seven times more likely to get the unions is required. There needs to be more mineworkers. These are noble goals, but key has to control by discouraging harmful activities TB than people are in the rest of the population. demonstration of Leadership. This is where to setting the Milestones are the monitoring such as smoking, intake of excess sugar, alcohol, Many of you might believe that HIV/AIDS is the the focus should be because that is how to mechanisms that ensure that the milestone targets excess salt. Every time we introduce control biggest killer of all infectious diseases but as from influence health and safety. are being met. However, I do not want us to fall measures, we are met with resistance from the 2014, TB overtook it to become the biggest killer • There needs to be more engagements and into the same trap that we always fall for - of ever industry and, sometimes, workers, citing the of all infectious diseases in the world. consultations with mineworkers as they are the thinking that the only mine safety issue we need impact they would have on unemployment and ones faced with the real challenges. If we want talk about are regarding injuries or silica dust. the economy in general. However, these things The only problem is that it does not evoke any answers we need to engage them. are reality for countries around the globe. emotion, or provoke action from anybody, despite • Encourage members to direct resources Maybe, to provide some context for you to The fourth highway is violence, injury and trauma, this fact. TB now kills 1.8 million people around towards achieving Zero Harm. understand what I am talking about; I need to which are very prevalent in the mining sector. the world every year, but it does not evoke any • More health and safety campaigns are required share the disease profile of what we call the Mineworkers are affected by each of those emotion, from neither governments nor the United with all differences put aside and continue to burden of disease in the country. So that, when highways, even the issue of maternal and child Nations. TB is now in the top five causes of death champion issues of occupational health and you are discussing issues of mine safety, you death, which affects every family. in all the SADC countries. In 60% of the African safety can place them within the burden of disease that countries, it is in the top five causes of death. In the country is going through. The plans in the The first and fourth highways are especially South Africa, by 2009, it was killing 70 000 people Keynote Address Department of Health (DoH) are based on our relevant for the mining sector, which means, HIV/ per year. We have worked very hard but the figure Dr Aaron Motsoaledi, Minister of Health stated understanding of that burden of disease. The AIDS and TB, and injury and trauma. Therefore, is still very high at 40 000 people per year. that occupational safety and health is a priority for country is going through what we call a quadruple we are going to fix our attention on these issues. many governments, trade unions and employers burden of disease. I do not want to compare diseases and make you across the world. Many enterprises have started TB is a major problem choose which one is better, but I want to bring to recognise the importance of providing a safe Quadruple burden of disease As you are aware, TB is a major problem, this fact to your attention. During the height of the working environment for their workers, customers Many countries around the world are characterised especially in the gold sector. Some studies show Ebola epidemic, when everybody in the media and surrounding communities. A safe working to be having a double burden of disease but, in environment reduces absenteeism, enhances South Africa, we have four colliding epidemic employee’s health and well-being and increases highways, along which South Africans are productivity. More so, health workers contribute marching to their graves. towards creating a healthy population, which ultimately plays a critical role in improving the If we are going to win that battle, my job is to country’s economy. find out how we are going to close down those highways, or at least reduce them to one lane if The World Health Organisation (WHO) states that we are not able to close them down. half of the world’s people are economically active and spend at least one-third of their time in their Once we understand the four highways, we will be place of work, but only 15% workers currently able to place our job within them. The first highway, have access to basic occupational health services along which South Africans are marching to their that identify occupational health risks and advise deaths, and which I regard are the biggest of them employers and workers on prevention. Such all, with maybe ten lanes, is HIV/AIDS and TB. It is services also provide health surveillance, first number one of all the four highways. Hundreds of aid and training in safe working methods, but thousands of South Africans are marching along only a third of the global workforce is estimated that highway. to be covered for occupational diseases and The second highway is maternal and child mortality injuries. This health and safety Summit comes - women who die during pregnancy and childbirth at an opportune time as we exercise prevention and children who die before their fifth birthday. interventions in the mining sector. The third highway, which we share with the rest Since 2003, the Mine Health and Safety Summit of the world, is what we call non-communicable has set up Milestones towards the elimination of diseases, which are diseases of lifestyle. I am

MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 18 19 MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 and elsewhere, were talking about the impending TB kills more mineworkers than accidents in even if people are dying in large numbers. gold mining produces more silica dust than all disaster that Ebola was going to bring unto them...I the mines. This may sound ridiculous but it is a For every one mining fatality, there are 10 TB the others do and here is the relationship - if a was hauled to parliament many times to come and scientific fact. The difference is that accidents deaths and about 150 new TB cases. So I urge person is HIV positive, the chances of contracting assure the country how ready we were to save the evoke immediate emotions because we believe you to double and even triple your efforts in TB increase by 300%. If someone has diabetes, country from Ebola. they could have been prevented, but also because trying to eliminate TB in the mining sector, given chances increase by 400%. With silicosis, those they happen so dramatically and suddenly without the captive population of 500 000 workers in chances increase by 600%. If you are HIV-positive I shared a TV platform with Professor Shabir Madhi, us having prepared ourselves. the sector. and you also have silicosis at the same time, your executive director of the National Institute of chances of contracting TB increase by Communicable Diseases. On national TV, 1800%. So this cannot be ignored. he said, “South Africans, I am aware that we are very scared of this Ebola, but I want In general, the Summits that have been to assure you that Ebola is about 5000 km convened have covered the current working away in West Africa. With the way in which population of 500 000 mineworkers. Let it spreads, it is very unlikely to reach South me add why this issue affects our families Africa and, if it reaches us, it is very unlikely and us. If one person has TB, he has the to spread because we have mechanisms to capacity to infect 15 other people in his control it. If you are a South African and you or her lifetime and the biggest victims are want to be scared of death or scared of an children. If there is a family member who impending disaster, please be scared of TB has TB from the mines and is sent home, because that is the one you are likely to get the children in that family are in immediate and that is the one that is likely to kill you.” danger and 15 other people can actually be infected, if nothing is done urgently. I still remember the ferocious responses on In addition, it is very difficult to diagnose Facebook and Twitter, which were attacking or treat TB within children. That is why him, saying that he was misleading the one of the five biggest killers of children, country. Some ventured to believe the before they reach the age of five, is TB. government is not ready to protect the nation We actually break down adults’ tablets to from Ebola and they want to use TB as a treat them and it is a very tedious task. diversion from what was the real problem. So, if you know you have TB, please try 12 months after Professor Shabir uttered to protect your family. Go for immediate those words, not a single South African was screening when you go home to make infected or died of Ebola. However, 40 000 sure that your family is safe. South Africans died of TB and still, nobody stood up and said the Professor was right. ‘Stop TB Partnership’ to go to the UN On our side, we are trying our best. A few months later, the same thing happened Fortunately, from 2013, I have been with the Zika virus, which was far away in elected the chairperson of the international Brazil. Parliament called me again to ask, board of a ‘Stop TB Partnership’. We meet “How safe are we from the Zika virus?” twice a year and, in our last meeting, which was in New York in September, we Over the past 200 years, TB has killed more TB does not evoke emotions because most of the took a decision that the time has arrived for TB to I must applaud the leadership of the Chamber of people than HIV/AIDS, Ebola, malaria, bubonic people die very silent, lonely deaths, when you be taken to a United Nations high-level meeting. Mines in its screening programme for all 500 000 plague, cholera, influenza and polio put together. have already forgotten about them. For instance, There must be a resolution from the UN as to what mineworkers which began in July 2015. However, TB kills 80% of people living with HIV-positive a worker who suffers TB will go home, be admitted we must do about TB, especially in the mining the data still shows high levels of TB in gold people in South Africa. Globally, this average is into a hospital, maybe get multidrug-resistant TB, sector. mineworkers, with special interventions needed only 40%; therefore, anybody who is HIV-positive get admitted into a hospital for 18 months...we for the small and medium mines. The reason is more than likely going to be killed by TB than forget about them. Therefore, by the time they We have noted that it is the only major disease why TB is so prevalent in the gold sector is that any other disease. die, it is something that is expected and accepted, that has never been discussed at a high-level

MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 20 21 MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 meeting of heads of state at the UN. There is a Compensating unpaid claimants lifestyle diseases, noise - which can also damage declaration from the UN on HIV/AIDS, malaria, The electronic master database of claimants your ears...We need to put all those things in Ebola...but TB, the present major killer, has never is now complete and showed that there were one basket and decide how we are going to been discussed, and we are fighting around the approximately 100 000 unpaid claimants of whom prevent them. n this regard, a pilot project for the clock to change that. In addition, we want support 20 000 are from Botswana, Lesotho, Mozambique physical tracking and tracing of ex-mineworkers in from workers to make sure that, in September and Swaziland. The work we have done through selected districts in the Eastern Cape, Botswana, next year, the UN must sit and make a declaration these organisations has shown what we can Lesotho, Swaziland and Mozambique is yielding on what must happen around the world regarding do when we come together against this terrible good results with 40 000 ex-mineworkers being this disease. disease. A study done by various partners showed registered on the database. As you are aware, that out of these 100 000 unpaid claimants spread the two One-Stop Service Centres in Mthatha and The people who must take the lead are the SADC, around neighbouring countries, 56-60% of these Carletonville have seen 7 000 ex-mineworkers to BRICS countries because 50% of the TB of the people have TB. date and the mobile One-Stop outreach service world is found in the BRICS countries and 60% covering claims administration, health services of the multidrug-resistant TB is also found in the R1.2 billion is available to pay these ex- and banking services was piloted in Kuruman in BRICS countries, so we are the ones who must mineworkers or their beneficiaries as we find May this year. This mobile outreach facility has take the lead. them. Since February this year, we have paid seen 3 500 ex-mineworkers in the Eastern Cape, approximately 3 500 claimants an amount of R114 Lesotho and Swaziland. The mobile service will The burden of occupational diseases in ex- million with 1 300 claimants from neighbouring be going to Mozambique and Botswana within mineworkers who may number 1.2 million countries amounting to R51 million. These cash the next four weeks. Programme director, we is substantial and given the latency period, transfers will go a long way to alleviating poverty, have transformed the MBOD/CCOD to provide these diseases manifest many years after the especially in the labour-sending areas. However, decentralised services. mineworker has left the mine. let me emphasise; it is good to identify people So, while we have a big problem with 500 000 who need compensation and pay them, but it is TIMS present mineworkers, we have got a bigger even better to make sure that there is not need for The ex-mineworkers project of my department problem with 1.2 million ex-mineworkers out compensation because we prevent people from is linking with the regional TB in Mining Sector there, who have left the mines long ago, but 20 contracting this disease. I want this Summit to pay project (TIMS) covering 10 countries and funded years after they have left they get silicosis and TB, special attention to that. by the Global Fund for AIDS, TB and Malaria. because the latency period of this disease is very long. Therefore, our problem of safety is not only Around the world, we are focusing on preventative The TIMS project covers a policy and legislation with regard to those that are still in the mines but measures. We believe that healthcare systems review of occupational health and compensation also regarding those who have left. Even you, if have gone astray by waiting for people to get sick in each country; mapping studies of mineworkers you leave now, 20 years later you are going to be and only then treating them, rehabilitating them and ex-mineworkers; development of a regional our client in dealing with this problem. So when we or compensating them, rather than focussing database; cross-border referral services for TB deal with mine safety, let us think about ourselves on prevention. This fact was even discussed at infected mineworkers; screening of mineworkers as well as ex-mineworkers. the World Economic Forum in Davos, where we for TB; community mobilisation and provision of agreed that the link to economic growth has been One Stop Service centres for mineworkers and ex-mineworkers with links to the compensation My department, through the Compensation established and is not up for debate. No country systems. Commissioner of Occupational Disease (CCOD), can experience economic growth if it cannot get Dr Barry Kistnasamy, has completed the first phase its health issues in order. No country with a sick Innovative tools for screening of TB in mineworkers in the modernisation of systems and reforms of workforce and an ailing healthcare system can and mapping of mines, mineworkers and health the CCOD and the MBOD (Medical Bureau of develop an economy and create jobs. It is not services are being developed within the TIMS Compensational Diseases). The Chamber of possible. project and will assist with many of our initiatives Mines, the Gold Working Group, the trade unions in eliminating TB in the mining sector as well as and social partners such as the World Bank So, within the mining sector, as you develop you tracking and tracing ex-mineworkers. and Global Fund for AIDS, TB and malaria, has safety plans, do understand that safety is about supported this prevention, not only of mining accidents but Compensation systems project also the prevention of HIV/AIDS, TB, silicosis, Many of you have participated in the integration of

MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 22 23 MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 The Inter-Ministerial Committee on Revitalisation management practices were either non-existent of Distressed Mining Communities, led by Minister or ineffective at some mines, there were leading Radebe in the Presidency, has noted the efforts practices that were identified in the industry. by all of us in multiple sectors that through This project was therefore initiated to identify collaboration can enhance the lives and livelihoods current leading practices and to assess the of mineworkers and ex-mineworkers, their families appropriateness and relevance of these practices and communities. Let us continue in these efforts in the South African mining industry, with the to create the better life for all our people and in overall objective of reducing the incidence of TB conclusion wish to invite you to our World AIDS in the industry and the country. day programme in Daveyton on 1 December. The aim of the project was to define and implement Launch of the TB Leading Practice a programme of action for the TB Interest Group, and HATOLD Policy with an emphasis on the identification, selection and promotion of leading practices in TB Dr Lindiwe Ndelu, chairperson of the Mining management within the mining industry. Industry TB and HIV/AIDS Advisory Committee (MITHAC) recapped on the agreed TB and HIV/ Outcomes AIDS 2014 Milestones: Engagements were made with stakeholders and • Reduction and prevention of TB, HIV & AIDS consensus was reached regarding the criteria infections by December 2024 to be used in the selection of leading practices. • Bring the TB incidence rate at or below the Eighty-four leading practices were narrowed national TB incident rate; down to 50 and were refined and collated into a • 100% of employees should be offered HIV compendium. counselling and testing annually with all The compendium was developed in order to eligible employees linked to an Antiretroviral introduce users to a range of tools and strategies Therapy (ART) programme as per the National available in TB control for the mining industry. Strategic Plan These leading practices were found to be distinct, but closely inter-related strategies. The strategies For each milestone, clear actions plans and were organised chronologically in a six-step initiatives were developed, and Initiatives were pathway - Monitoring & Evaluation; Workplace developed for the TB and HIV/AIDS 2014 Policy; Rehabilitative Practices; Curative Milestones included two research projects: Practices; Health Promotive Practices; and • The identification, selection and promotion Preventative Practices. of TB leading practices in the South African mining industry (SAMI) Overall, this will eventually result in the utilisation • Development of an integrated policy for the of the TB leading practices compendium by the management and reporting of HIV/AIDS, TB SAMI, which contains a list of practices that can be and occupational lung disease (OLD) in the adapted and implemented at mines and industry compensation systems project headed by Deputy The interim report was presented to Minister South African mining Industry level to assist in reducing TB incidence, irrespective Minister Godfrey Oliphant from Mineral Resources, Oliphant and me in October 2016 and covered of the commodity, region or environment. It is the Identification, selection and who was supported by Deputy Minister Phaahla Policy and Legislation; Organisation, Management utilisation of a monitoring and evaluation tool from Health and Deputy Minister Nkosi Holomisa and Structure; Benefit Package and Services; promotion of TB leading practices that has benchmarks and targets, as means of from Labour. The inclusive process towards the Financing; and Communication. The report in SAMI monitoring progress and the overall performance integration of compensation systems over the also suggests different models for a future From the TB programme reviews that were of the mines’ TB programme. last twelve months has involved trade unions, compensation system covering occupational lung conducted, it was identified that there were employer groups, government departments and diseases. It is envisaged that the final report will noticeable differences in the response to TB Development of integrated policy social partners in the mines and works sector be ready by March 2017. management and the practices employed in the for management and reporting of through meetings, workshops and a Summit. mining industry. It was also found that although TB HIV/AIDS, TB, OLD in SAMI

MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 24 25 MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 The need for the policy emanated from the fact that Meanwhile, stakeholders have shown support for there is currently no policy in place in the SAMI early adoption and implementation of this policy that incorporates the management and reporting of all three diseases - HIV/AIDS, TB and silicosis, Other initiatives (HATS). To address this matter, the MHSC MHSC Stop TB campaign sourced a service provider to conduct a study and The MHSC, in partnership with NUM, hosted develop an integrated policy for the management commemorations of TB day at Matlosana in and reporting of these three interrelated diseases. October 2016. Mine and ex-mine workers and The aim of the project was to understand the communities around Klerksdorp and Orkney were current industry practices in the diagnosis and provided with testing facilities of TB and other management of HATS within SAMI and the gaps lifestyle diseases. The DoH and other agencies that existed between these and the required supported the event, which was a success. standards. It would also propose an integrated set of policy principles and a framework with MHSC HIV/AIDS parallel session standards and norms to be used in the diagnosis The MHSC hosted a one day Parallel Session and management of HATS in the SAMI. during the 21st International AIDS Conference in Durban. The theme was, ‘Intensifying the HIV and Outcomes TB response in the mining industry.’ The objectives The approach taken for this policy development of the session were to: was embedded in the following principles: • Enhance knowledge on HIV/AIDS and TB in • Alignment - with existing legislation within the the workplace mining sector but also within health and labour • Share initiatives undertaken by the sectors stakeholders (labour, government, business) in • Evidence based - informed by credible the sector evidence that demonstrates the nature and • Explore innovative approaches to improve severity of the problem and provides guidance management and control of HIV/AIDS and TB on how similar problems are been dealt with in the future

elsewhere (international and local literature In conclusion, the MHSC urges all mines to put in review) place programmes in line with the new approved • Forward looking – clearly articulating the policy that will integrate TB, HIV and AIDS. Mines outcomes and expectations from the mining with no services in its operations are encouraged to industry that will allow it to contribute to the partner and work closely with the DoH. TB leading achievement of health commitments both practices identified in the compendium will assist locally, regionally and international for HIV, TB the mining industry to manage TB. Stakeholders and OLD to ensure that they collaborate with each other if • Appropriate and flexible – addressing the the sector is to achieve the set Milestones problem directly whist not being too restrictive as different organisation may find innovative Presentation on Compensation ways to implement the policies Integration: ODMWA & COIDA Impact Prof Paul Benjamin, senior director Cheadle The development of an integrated HATOLD policy Thompson & Haysom put the process of integration has seen the gathering of insights from various of compensation in its correct context and gave an stakeholders and has included all commodities indication of how far the process has gone, and and mine sizes in the SAMI. It has also used the what still needs to be done. principles of flexibility by not defining an operational In 1999, the Cabinet made a resolution to support model but rather providing employers with the the integration of occupational health and safety standard of care that needs to be implemented. agencies for both prevention and compensation.

MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 26 27 MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 The model that was suggested at that point was the regulating could dominate it. There is no doubt that are reforming compensation, we need to do it in a Kistnasamy who says it was an inclusive process establishment of a Health and Safety Commission if we look at the mines inspectorate prior to 1994, way that promotes prevention. towards the integration of compensation systems that would exist in the public administration it was very much dominated by the mining industry over the last 18 months, which has involved and would have two arms - one dealing with and that, as a result, has had a dire impact on the Recommendations trade unions, employer groups, government compensation and one with prevention. regulation of health and safety. There were two provisional recommendations that departments and social partners in the mines and were put to Ministers of Labour and Health. works sector through meetings, workshops and a The agency that was envisaged involved a The third was to draw on two of the most significant Summit. number of things; the first was to extend the more innovations in South African policy reform - the The one was that current mineworkers would move advanced structures of the Mine and Health Safety establishment of SARS and the establishment over to COIDA (Compensation for Occupational It was led by steering committee under the Act to other sectors of the economy. That, as we of the CCMA. The movement of SARS out of the Injuries and Diseases Act). They would be insured leadership of the Deputy Minister of Mineral know, has not happened yet. public sector into the public administration in a largely through Rand Mutual, they would receive Resources (supported by the Deputy Ministers of manner in which it could use its revenue to pay the same benefits as workers under COIDA and Health and Labour), a secretariat and task teams The second goal was to look at the institutional for an efficient staff has been perhaps the most they would not lose the preferential provisions that covering Policy and Legislation; Organisation, form of health and safety agencies, which included exist under ODMWA (Occupational Diseases in effective public reform in our country. That model Management and Structure; Benefit Package and at least three primary agencies in the mine, labour Mines and Works Acts), in particular, the access was envisaged as an option the health and safety Services; Financing; and Communication. Their and health departments and a number of little solution. Secondly, the notion of the CCMA, as an to free benefit medical examinations. reports all went to the two ministers involved. agencies, such as the railway safety regulator etc, independent parastatal body subject to a Board and merge those into an organisation that would Ex-employees would remain under ODMWA, of Governors that are involved in both the labour These inputs, in Dr Kistnasamy’s words, were for be more powerful and less subject to the notion of which would be modernised, and they would and business sectors, was also envisaged as an the developing an enhanced system of services industry capture. continue have access to the benefits and receive option and compensation for workers and ex-workers in compensation. controlled mines and works. His six core elements Industry capture is the idea that where one has a That process broke down. We do not need to go I use the word provisional for this reason. That were related to: small regulator, the interests of the sector it was into the reasons for that now. Nevertheless, if we is, when we make law, we need to consider the 1. Accessibility of service: Screening, exposure evidence. At the point that all the work had been data and risk assessments, medical done on designing the legislative framework for assessments; claims management integration, information concerning the financial 2. Availability of diagnostic services, which take status of the ODMWA fund was not available. account of the specific nature of occupational An actuarial report, I understand, has been lung diseases completed and is now going to be put into the 3. Effective claims management: This includes public domain and made available to stakeholders. certification, payments and turn-around times That information needs to be analysed by financial 4. Robust data management and information experts advising this integration process and that systems including tracking and tracing, which information is necessary to ascertain whether this includes being able to get money to people integration process is feasible and how it will be who often are in remote locations implemented. Therefore, in a sense, we are waiting 5. Effective communication and feedback to for these key bits of information, which have not and from stakeholders, service providers, been made available, and that will require further claimants/beneficiaries and non-claimants work. If we are looking at where we are now, a 6. Development of a surveillance system for recommendation has been made, but the financial occupational diseases and occupational analysis underlying that still has to be done, and injuries many of you, I’m sure will take part in that process. COIDA v ODMWA Integration process If we look at the integration process, what we Part of my function today is to report to the broader have to bear in mind is that the two compensation group, who may not have been involved in the systems we have now are significantly different. integration process. I think it is worth remembering that is what I will quote directly from a report by Dr Barry integration has to deal with.

MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 28 29 MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 Way forward The low percentage (48.8%) agreeing with this Part C: MHSC Levy Survey • Implementation of research outcomes The way forward now is to await a response statement could indicate a need to both review 1. Is the mine aware that levies are used to fund • Clear timeframes, roles and responsibilities for from the Ministers of Health and Labour to the the Regional Tripartite OHS Forum activities and research? implementation of summit action plans draft proposals. These will then be presented to its marketing communications to stakeholders. With only a slight majority of the affirmative (5.5%), the Cabinet cluster, with Socio-Economic Impact The 21.4% neutral and 26.4% negative responses a marketing campaign may be in order to increase Training modules for safe barring Analysis Feasibility Assessments. Following a need to be addressed with urgency. the awareness of the use of levies. practices Cabinet decision, there will ne an opportunity for One of the flagship projects that Safety in PART B: Summit Satisfaction Survey consultation by NEDLAC and public comment. 2. Do mines know how the levy rates are Mines Research Advisory Committee (SIMRAC) 1. Are you familiar with the 2014 OHS Summit Once agreed upon, the State Law Advisor will calculated? embarked on was to develop training modules Milestones for the South African Mining certify the Bill and table it in Parliament. Again, there is a need for more information for safe barring practices, which included that the Industry? dissemination, as the majority (52.4%) do not service provider go and observe and have data Delegate survey The Milestones set by the 2014 Summit appear to know how the levies are calculated. analysis on root causes of accidents related to In order to gauge the success of the conference be well understood, with a yes response of 82.6%. barring. Eventually, we wanted training modules in meeting delegates’’ needs, an electronic voting 3. I agree that the interaction with the MHSC that we could disseminate in the industry. We had system was used. 2. I am satisfied with the content presented at the regarding the invoicing and paying of levies is six modules: Summit. optimal and efficient. Part A: Stakeholder Satisfaction Only 64.9% of the delegates were satisfied with 1. Introduction to barring These results indicate a need for a review of either Survey the content of the Summit. A further 16% were 2. Basic hazard identification the process or the perception of the process, as 1. Are you familiar with the role of the MHSC in neither satisfied nor dissatisfied, creating an 3. 5 Ps to safe barring only 31.4% appears favourable to the MHSC; the South African Mining Industry? audience of just under 81% that had most of its 4. Leading safety practices, including correct 25.6% are neutral and 40.7% disagree. The result of 92.8% indicates that an overwhelming objectives fulfilled. use of equipment; read and sound of the rock; majority is acquainted with and understands the correct/safe positioning and barring in unusual 3. The South African Mining Industry is going to role of the MHSC in the mining sector Recommendation positions attain the 2014 OHS Summit Milestones. During the next six months, it may be beneficial for 5. Shortcuts and consequences 2. Do you believe that improved dissemination The delegates do not seem optimistic about the MHSC to engage more fully with stakeholders 6. Positive leadership and coaching of MHSC research outcomes will make a achieving the 2014 Milestones, as only 43.8% through an interactive, multichannel marketing difference in OHS in the mining sector? of them expect this result. What should be more campaign, to address any concerns or lack of Under strongly agree, 40.7% delegates voted, concerning to the MHSC is the indifference of information before the preparations for the next with an additional 35% agreeing, indicating that the audience, at almost a quarter of the results Summit in 2019, bearing in mind that this is an more than three-quarters of the delegates believe (23.6%) and the negativity of a further third (32.5). election year. that the MHSC’s research will make a difference to occupational health and safety 4. Do you believe the timing of the hosting of the Step change initiatives by MHSC Summit is optimal? Tripartite Leadership in achieving 3. Would you like to receive regular updates of The timing of the Summit appears to be well the 2014 milestone Elimination of fatalities and research projects and outcomes from the received, with only 22.8% disagreeing with the Nkhesani Masekoa, Chief Research Operations MHSC? concept. Officer MHSC focused on the steps taken to bring injuries At 97.2%, nearly everyone would like to receive about the elimination of fatalities and injuries; the This involved technology transfer to minimise info from the MHSC. 5. I believe that the scheduled two days of elimination of occupational lung diseases; the seismicity in the platinum mines. The project the Summit are adequate for meaningful elimination of noise-induced hearing loss; the developed some innovative animated learning and 4. I believe the MHSC is the preferred knowledge discussions or engagements. reduction and prevention of TB, HIV and AIDS; awareness-training material to assist the mines to hub on OHS matters. There appears to be consensus that the two-day the Implementation of the Culture Transformation train both their production and rock engineering With 31.7% strongly agreeing and 38.6% agreeing, format is appropriate, with 65.2% in favour of it Framework (CTF), and the establishment of the personnel on how to manage seismic risk and there is still room for more marketing to ensure a and a further 9.5% who do not mind either way. Centre of Excellence (CoE). how to avoid practices that are known to result in wider spread of the message. However, almost a quarter of the delegates seem increased seismic hazard. to feel that the time is not appropriate. It may be From the 2014 Summit Milestones, each 5. I believe that the Regional Tripartite OHS useful to send out a mini-questionnaire to evaluate milestone had clear initiatives action plans and The project draft final report was recommended Forum in my area assists the mines to achieve the concept of a one-day, two-day and three- Implementation of critical activities such as: for approval by SIMRAC during October 2016 Zero Harm. day event. • Adoption of leading practices and will be forwarded to the Board for approval.

MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 30 31 MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 An advisory note will be drafted to Minister before for minimum standard, which if properly an occupational health programme on personal stakeholders agreed that progress reviews the end of the financial year. Twelve modules were implemented and complied with would improve exposure to airborne pollutants.’ The outcome of were necessary to access performance of the developed and training was done in the eastern health and safety of persons using or affected the project was the development of an operational programmes. This would enable the sector to land and western limbs of the Bushveld complex by rail bound transport and equipment and it manual as well as an electronic web based manual identify shortcomings and derive solutions to and will be extended to other regions. was gazetted on the 25th September 2015. that can be operated off-line (i.e. without internet address them. MHSC has reviewed the audit access) and may be stored on a CD or other tools to include the test and treat strategy of the There was also a risk-based approach to enhancing • Guideline for Compilation of Mandatory Code portable device. The electronic web based manual department of health. support design in Bushveld underground mines. of Practice for Prevention of Fires at Mines - contains where possible multiple examples, video This involved the training of rock engineering The main objective of this guideline is to enable tutorials to explain complex matters that users are Initiatives in progress include: practitioners to equip them with the knowledge the employer at every mine where a fire could battling with. • Symptomatically screening (via cough and skills to carry out risk based support designs pose a significant risk to the health or safety of questionnaire) all employees for TB: The for fall-of-ground risk mitigation. Seventy-four persons, to prepare a COP, which, if properly Integrate and simplify the compensation systems objective of this initiative is to promote the rock-engineering practitioners participated in the implemented and complied with, would improve The MHSC hosted the Compensation Summit in screening of all employees for TB and the use programme, resulting in the completion of 17 risk control measures aimed at preventing fire May 2016, under the theme ‘Access to equitable, of the cough questionnaire on every employee based support design project reports. This project incidents. The Guideline was gazetted on the fair and sustainable compensation system for who undergoes medical surveillance. is at draft-final-report stage and will be completed 30th September 2016 and will be effective from all workers’. Ministers from the Southern African • Promoting access to prevention services on during the 4th quarter. the 28th February 2017. Development Countries (SADC) region, including TB and HIV &AIDS to families and immediate Lesotho, Botswana, Swaziland and Mozambique, of affected employees: The initiative seeks Elimination There is a project to develop feasible South African mining industry and organised to define the data requirements and the methodologies to escape in poor visibility in of noise- labour also participated at the summit. The capacity to provide these services. MHSC underground environments. The project will induced Summit was aimed at integrating the two pieces has collected the data and a service provider recommend effective and feasible methodologies hearing of legislation, the Occupational Diseases in Mines to analyse the data and produce a report with to assist mineworkers to escape successfully in loss and Works Act (ODMWA) and Compensation for recommendations the aftermath of underground explosions or fires. To deal with Occupational Diseases and Injuries Act (COIDA) The draft final report of the project was approved noise-induced with the ultimate objective of developing a unified Implementation of the Culture at the SIMRAC meeting of the 25th of October hearing loss, compensation system. Transformation Framework (CTF) 2016 and will be tabled at the next board meeting, we developed a Standard Threshold Shift (STS) This involved the implementation of the Women in Reduction followed by submission of an advisory note to Guidance Note. The objective of this guidance note Mining (WIM) programme, which included the and Minister before end of the fourth quarter. is to provide a framework to assist the employer promulgation of the WIM PPE guideline; the of every mine to implement the STS principles prevention development of WIM booklets in different Completed regulations in the medical surveillance system. The STS of TB, HIV languages; hosting of the WIM conference in • Explosive Regulations: The objective of these principles aim to monitor with the intent to prevent and AIDS 2015; and hosting the WIM march and students regulations is to improve the safety and health noise induced hearing loss in line with the 2014 The MHSC, in workshop respectively in August 2016. of the mine employees by combating accidents Milestones for the mining industry. The Guidance collaboration with that might be caused by improper usage of Note gives effect to early detection of employees Department of Prevention explosives. These regulations were gazetted at risk of noise exposure and therefore promotes Health revised its Isoniazid Preventive Therapy of sexual on 10 July 2015. prevention and outlines the process to be followed (IPT) Policy. Additionally, it has been found that harassment in an effort to ensure effective measurement, treatment with antiretroviral therapy (ART) and Principles at the • Electrical Regulations: These regulations management and reporting of STS. IPT can significantly reduce the risk of TB in forefront of sexual seek to clarify the electrical competencies as people living with HIV. IPT has been shown to required by the MHSA and were gazetted on 24 harassment: be effective in preventing TB in people living with • “See it” – observe, digest and make an informed March 2015. Air pollutants guideline HIV, as well as people with silicosis. Therefore, decision We also developed the operations manual for it was necessary that silicosis be added into the • “Say it” – voice your concerns to your Promulgated guidelines revised airborne pollutants guideline. The objective guidelines to enable mineworkers living with HIV colleagues, co-workers, hostel dwellers • Guideline for Mandatory Code of Practice of this project was to develop an operational and diagnosed with silicosis to receive IPT. • “Sway it” – help change opinions on Sexual for Underground Rail-bound Equipment - manual that will assist the end user with the harassment and gender abuse, deep seated The objective of this guideline is to assist implementation of the revised ‘Guideline for the We had to implement the TB audit tools. In order myths and stigmas are attached to Sexual the employer of every mine to compile COP compilation of a mandatory code of practice for to strengthen TB management in the SAMI, harassment

MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 32 33 MINE HEALTH AND SAFETY COUNCIL I QUARTER 1 2017 • “Solve it” – make a decision on confronting culturally sensitive way to deal with serious injuries Following the launch of the Centre, it will undertake systems, such as hygienists, might be servicing the perpetrator or report to senior people of and fatalities, such as allowing an opportunity for quick win projects, develop a business plan and a number of mines. Therefore, when they log on, management mourning say by holding a memorial service at the the provision of seed funding. it will give them options under each of the mines • “Stop it” – take action, have the courage of your affected operation. they are registered to be able to update. When conviction. Don’t be scared to provide evidence The Centre of Excellence’s Model clearly users are at a mine, they are able to go in and see In honouring those mineworkers who passed toward perpetrators stipulates that seed funding may be given where, which reports they have submitted. on because of mining disasters, the MHSC co- one of the pre-qualified service providers requires Develop a hosted the commemorations events for the Vaal their facility to be renovated or upgraded to get it Currently, it shows simple reports, but at a later guideline Reefs disaster in 2015, the Kinross disasters in to a ‘research ready’ state, for conducting MHSC’s stage, it will provide graphs and statistical tools. 2016 together with unveiling of tombstones at on right occupational health and safety work to the benefit It allows users to provide solutions in so far, as Winkelhaak. The government, through mining to refuse of mine workers and communities affected by what they are doing to improve health and safety qualifications has pledged to provide funding to dangerous mining activities. on the mine. Evander Gold Mine for skills development and work To date the following Institutions applied for seed bursaries. Beneficiaries of the 177 families of the That is briefly the milestone reporting system. We also developed funding: deceased will be trained as artisans, awarded We have had workshops facilitated by the MHSC a guideline on the • CSIR Kloppersbos Facilities and Cottesloe bursaries and learnerships to further studies. with stakeholders and there will be additional right to refuse dangerous work. The objective Facilities workshops to make sure that the users are familiar of this guideline is to assist the employer, in The MHSC • WITS Digital Mine Project with the system. We will also develop a training consultation with the health and safety committee conducted a • University of Pretoria’s Acoustic Camera manual that will be accessible from the system at the mine, with the drafting of a COP including gap analysis, Project and will guide you through the steps that you need the procedure to be followed by employees, which showed • NIOH Laboratories upgrades to take. We have tried to make it easy but also to health and safety representatives and employers that Small The implementation of the operating model is help in giving you all the necessary information to in the exercise of the right to refuse dangerous Scale Mines targeted to take place over a 10-month period measure what needs to be done. work and leave dangerous working place. The (SSM) have commencing in June with an operational CoE by 1 Guideline was gazetted on 5 February 2016 and a difficulty in April 2017. The implementation will be underpinned was effective from 1 July 2016. complying with by a targeted change and communications the provisions management strategy. The MHSC through CTAC, developed a of the MHSA. This resulted in the development common approach guideline on adoption of of guidelines to assist SMM to comply with the Launch of leading practices, with assistance of Mining MHSA with a simple set of procedures to follow Milestone Industry Occupational Safety & Health (MOSH). that are all simplified and in line with international Reporting The guideline set out a framework for identifying, legislation as a benchmark. assessment for fit for purpose of the leading System practice and adoption methodology for leading Establishment of Centre of Thabo Gazi, practices. The Minister has approved the guideline, Excellence consultant Akili as recommended by council, and MHSC is in the We sought to establish a Centre of Excellence Contentworx process of facilitating implementation in the mining (CoE) that would: introduced the sector. To date, an MOU has been signed with • Conduct research and facilitate implementation new online Milestone reporting system and took MOSH and an implementation plan developed for of outcomes in SAMI delegates through the process. Users should log implementation. • Build research capacity for the mining industry, onto the system (http://portal.mhsc.org.za) and namely HDSA verify their mine. If there is no record of the mine, The Diversity Management Pillar seeks to remove • Through innovation, ensure that technology it allows users to fill out a form and register. The obstacles (racism, genderism and any forms of transfer materials are implementable and system updates all the relevant administrators. unfair discrimination) to the kind of workplace provide a platform for commercialisation, eg relationships that are conducive to the attainment TIA Mine officials also have to register as users, of Zero Harm in the SAMI. Among the minimum • Provide training to mineworkers on research whether they are a doctor, nurse or other standards for successful implementation of this outcomes through MQA for successful professional. They can then update the system as pillar is the requirement for stakeholders to adopt a implementation Milestones are reached. Some of the users of the

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