整合健康风险管理技术,以解决石油和天然气作业中不断增加的非事故死亡人数和预防NAD

Muhammad Tayab, Aaesha Hashem, Shaikha Al Hamoudi, Farrukh Qureshi, Safdar Khan
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摘要

在过去的十年中,由于不断增加的生产需求和冒险进入恶劣的环境条件,石油和天然气作业承受着巨大的压力,增加了患有潜在疾病的工作人员的健康风险。尽管有严格的医疗健康要求,以减少工作人员的脆弱性,但越来越多的非意外死亡(NAD)给油气行业带来了挑战。NAD风险通常与医疗评估/适合工作、培训和医疗应急反应有关,NAD质疑工作地点,特别是偏远地点的管理控制是否充分。ADNOC集团公司采用非常高的HSE标准来保护工人、环境和资产;然而,潜在的医疗状况、疾病或失调加剧的风险往往会出现并导致nad。对历史上的NAD事件进行了扩展分析,并评估了NAD障碍的强度(Tayab等,2012)。在审查的基础上,NAD障碍被进一步重新定义如下:就业前医疗评估的充充性对潜在医疗状况的警觉对慢性医疗状况的跟踪对异常行为的警觉认识和培训发现,超过70%的NAD病例是由于慢性疾病的加重而引发的,大约50%的NAD病例是在就业的第一年引发的。77%的NAD病例是由于心血管疾病,18%是由于自杀,13%是由于COVID和其他因素。额外的NAD障碍被确定,以更新障碍分析如下:异常行为警报、应对医疗紧急情况的准备、福利和咨询
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Integration of Health Risk Management Techniques to Address Increasing Numbers and Prevention of Non-Accident Deaths NAD in Oil & Gas Operations
Over the last decade, Oil & Gas operations have come under tremendous pressures due to increasing production demands and venturing into harsher environmental conditions, increasing the health risks to crew with underlying medical conditions. Although there are strict medical fitness, requirements in place to reduce the vulnerability of crewmembers, increasing number Non Accidental Deaths (NAD) have challenged the Oil & Gas operations. NAD risks are often linked with medical assessment/fitness to work, training and medical emergency response, NAD questions the adequacy of management controls at work locations, especially in remote locations. ADNOC Group Companies adopt very HSE high standards to protect the workers, environment and assets; however, the risks of aggravating underlying medical conditions, illnesses or disorders often materialize and result in NADs. An extended analysis of over historical NAD events was performed and strengths of NAD barriers (Tayab et al, 2012) was assessed. Based on the review NAD Barriers were further redefined as follow:Adequacy of pre-employment medical assessmentAlert of underlying medical conditionsFollow up on chronic medical conditionsAlert for abnormal behavioursAwareness & Training It was found that over 70% of NAD cases were triggered due to aggravation of chronic illnesses, approximately 50 % of NAD cases were triggered during the first year of employment, 77% of NAD cases were due to cardiovascular illnesses and 18% were due to suicides and 13% were attributed to COVID & other factors. Additional NAD barriers were identified to update the barrier analysis as follows:Alert for abnormal behaviorReadiness to manage Medical EmergenciesWelfare & Counselling
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