Existing Status of Silicosis and Implementation of NHRC ...Recommendations on Preventive, Remedial,...

Labour & Employment Department

Health & Family Welfare Department

Existing Status of Silicosis and Implementation of NHRC Recommendations on Preventive, Remedial, Rehabilitative and

Compensation Aspects of silicosis in the State of

25th July, 2014

www.gujhealth.gov.in

25th July, 2014

D. C. ChaudhariDirector

Industrial Safety & Health

Labour & Employment Department

Health & Family Welfare Department

Existing Status of Silicosis and Implementation of NHRC Recommendations on Preventive, Remedial, Rehabilitative and

Compensation Aspects of silicosis in the State of Gujarat

July, 2014

Health & Family Welfare Dept, Govt of Gujarat

July, 2014

Dr. Prakash VaghelaDeputy Director

Rural Health

Point (i): Efforts by GoG to Identify the Industries prone to silicosis

Sr.

No

Type of Industry No of Registered Factories

1 Glass Manufacturing

2 Manipulation of Stone or

No. of Silicosis dust generating factgories


2 Manipulation of Stone or

Any other Material

Containing Free Silica.

3 Manufacture of pottery

4 Operations in foundry

5 Agate Factories

(In the vicinity of residential

area)

(working

Total

Point (i): Efforts by GoG to Identify the Industries prone to silicosis

No of Registered Factories

Total Workers

Exposed Workers

15 5411 322

40 600 200

factgories and the workers under risk


40 600 200

56 2146 208

2338 77686 15536

13

(working - 3)

13 13

(wet process)

2462 85836 16279

Operations / Processes having potentials to cause silicosis

No. Type of Industry Operation/Process Location of Free Silica Exposure

1 Stone crushing

quartz grinding

1.

2.

3.

4.

5.

Crushing/Breaking of Lumps in Jaw crusher.

Material Handling in Belt Conveyer

Screening in Magnetic separator

Handling in Bucket elevator for charging.

Bag filling

Waste filling


5.

6.

Waste filling

2 Mfg. of Glass 1.

2.

3.

4.

Mixing Process

Material Handling in Conveyer System

Charging of Sand

Sand Storage & Handling

3 Mfg. of

Refractory Bricks

1.

2.

3.

4.

Grinding

Mixing

Loading-unloading of Ball Mill

Handling (Belt conveyers)

Operations / Processes having potentials to cause silicosis

Contd…

Operation/Process Location of Free Silica Exposure

Crushing/Breaking of Lumps in Jaw crusher.

Material Handling in Belt Conveyer

Screening in Magnetic separator-to separate Iron Contents

Handling in Bucket elevator for charging.


Material Handling in Conveyer System

Charging of Sand

Sand Storage & Handling

unloading of Ball Mill

Handling (Belt conveyers)

Operations / Processes having potentials to cause silicosis contd……

4 Potteries & Ceramics 1.

2.

3.

4.

5.

6.

7.

Grinding

Pulverizing

Fine crushing in

Handling

Finishing of raw product

Glazing

Ball milling


7.

8.

Ball milling

Loading

5 Foundry Metal casting

Investment Die casting

1.

2.

3.

4.

5.

6.

Sand preparation / mixing

Removal of

Shot blasting

Fettling

Tumbling

Preparation of Investment casting

Operations / Processes having potentials to cause silicosis contd……

Grinding

Pulverizing

Fine crushing in Decentigrator

Handling

Finishing of raw product

Glazing

Ball milling


Ball milling

Loading-unloading of Ball mill

Sand preparation / mixing

Removal of mould from casting

Shot blasting

Fettling

Tumbling

Preparation of Investment casting mould.

Schedules of Gujarat Factories Rules, 1963 under Rule 102 concerning silica dust

1 Schedule – 4 Glass Manufacturing

2 Schedule – 8 Cleaning, smoothing,any part ofmetal shotblast of compressedRegulations)


Regulations)

3 Schedule – 18 ManipulationContaining Free

4 Schedule – 25 Manufacture

5 Schedule – 26 Operations in

Schedules of Gujarat Factories Rules, 1963 under Rule 102 concerning silica dust

Contd…

Glass Manufacturing

smoothing, roughening or removing ofthe surface of articles, by a jet of sand,or grit or other abrasive propelled by acompressed air or steam. (Blasting

Regulations)


Regulations)

Manipulation of Stone or Any other MaterialFree Silica.

Manufacture of pottery

in foundries.

Point (ii): Survey regarding the prevalence of silicosis only in agate industries in Khambhat

• Government of Gujarat has givenproject of asbestosis, byssinosisNIOH, Ahmedabad.

• Accordingly NIOH, Ahmedabad hasand recommended:


and recommended:

• Improvement of education level

• Larger sample size required for

• Worker must wear a comfortable

• Use of wet grinding

• Regular lung examination

• Availability of alternate employment

Point (ii): Survey regarding the prevalence of silicosis only in agate industries in Khambhat

given Rs. 30 lakh for this surveyand silicosis on 03/10/2008 to

has carried out survey for silicosis


level among workers

for investigation

comfortable protective mask

employment

Cases reported and deaths due to silicosis

Sr. No. Year No. of Victims of Silicosis Reported

1 2005

2 2007

3 2008


3 2008

4 2010

5 2011

6 2012

7 2013

Total

silicosis in registered factoriesContd…

No. of Victims of Silicosis Reported

No. of Deaths due to Silicosis

9 3

2 1

12 6


12 6

4 2

4 0

13 3

1 1

45 16

Deaths due to silicosis in (unorganized) Agate industries at

Sr. No. Year

1 2006

2 2007

3 2008

4 2009


4 2009

5 2010

6 2011

7 2012

8 2013

9 2014

Total

Deaths due to silicosis in (unorganized) Agate industries at Dist Khambhat

Contd..

No. of Deaths due to Silicosis

3

9

16

17


17

11

8

9

7

1

81

Deaths due to silicosis in (unorganized) Agate industries at

NHRC case Year

351

2006

2007

2008

2009

2010

13652009

2010


13652010

511 2010

7392010

2011

592

2011

2012

2013

285

2011

2012

2013

2014

Total

Deaths due to silicosis in (unorganized) Agate industries at Dist Khambhat (NHRC cases)

Contd..

No. of cases of silicosis death

3

9

16

16

1

1

2


2

5

3

4

1

5

5

3

4

2

1 (date of death 5/1/14)

81

Point (iii): Hospitals / Treatment Centers for diagnosis and treatment of silicosis

• PHCs, CHCs, Sub-district hospital & General Hospitals are providing diagnostic and treatment services to workers who are working in Silicosis prone industries at free of cost & if required expenditure are done from Rogi Kalyan Samittee(RKS)

• Silicosis Units are established in the districts where silicosis prone industries exists


industries exists

• X-ray chest & pulmonary Function Test facilities are provided at these units free of costs.

• All silicosis suspects are examined & counselledregarding prevention of silicosis and non progression of the disease at the time of examination.

Point (iii): Hospitals / Treatment Centers for diagnosis and treatment of silicosis

district hospital & General Hospitals are providing diagnostic and treatment services to workers who are working in Silicosis

& if required expenditure are done from

Silicosis Units are established in the districts where silicosis prone


ray chest & pulmonary Function Test facilities are provided at these

counselled by Medical Officer regarding prevention of silicosis and non progression of the disease at

Contd…

• X-Ray Chest

• Pulmonary Function Test

Silicosis Unit at Godhra: Following Facilities are available for Diagnosis of

Silicosis


• Pulmonary Function Test(Spiro meter (Pulmonary Function Test

machine).

• Sputum Microscopy.

Silicosis suspect are examined, separate suspect register were maintain &

Health Check up Card are Issued to Workers.

Contd…

Following Facilities are available for Diagnosis of

Silicosis


Silicosis suspect are examined, separate suspect register were maintain &

Health Check up Card are Issued to Workers.

Point (iv): Compensation paid to the victims of silicosis by the State Government

• State Government has not paidvictims of silicosis but the detailsthe provisions of ESIC Act and WC

• 8 victims are paid compensation


• 8 victims are paid compensation

• Claims of 33 victims are pending

• 4 victims are falling under WC Act

• One victim has filed claimCommissioner, Godhra

Point (iv): Compensation paid to the victims of silicosis by the State Government

paid any compensation to thedetails of the compensation under

WC Act are as under:

by ESIC


by ESIC

with ESIC

Act

for compensation before WC

Compensation by ESIC

Sr. No. Name of Employee

1 Late. Shri Kallu B. Bhagora Rs. 24,030/

2 Late Shri Dharu Sadiya Rs.

3 Shri Kanu Baldev Rajput Rs. 33,819/

4 Late Shri Tansing Jetha 50%

referred to ESI H.Q.



5 Late Shri Mansing Jetha 10%


6 Shri Javahar S. Chauhan Rs. 1,50,000/

7 Shri Natvarlal K. Ravaiyaa Rs. 70,000/

8 Shri Laxman Visamber Sahani Rs.1530/

9 Cases of 33 employees Pending with ESIC

10 Total 4 employees Eligible under WC Act

Compensation by ESIC

Contd..

Payment

Rs. 24,030/- by ESIC

46,676/- by ESIC

Rs. 33,819/- by ESIC

50% awarded by Special Medical Board. Case




10% awarded by Special Medical Board. Case


Rs. 1,50,000/- pay + Rs.1000/- p.m. by ESIC

Rs. 70,000/- pay + Rs.1200/- p.m. by ESIC

Rs.1530/- p.m. by ESIC

Pending with ESIC

Eligible under WC Act

Point (v): Steps taken / Policy for prevention of Silicosis

Rigorous Inspections

� By Inspectors

� All the factories having potential to causetime to time by local inspector and directionscontrol dust or to prevent silicosis effectively

� There already a system exists for regularcrushing factories by the officers of Labour


crushing factories by the officers of Labour

� A circular with checklist was issued on dateprone factories by Director Industrial Safety

� Industrial Hygiene Laboratory

� A team of officers of IHL consisting of MedicalSurgeon and Laboratory Technician is frequentlymonitoring studies in factories involving free

Point (v): Steps taken / Policy for prevention of Silicosis

Rigorous Inspections

cause silicosis have been inspected fromdirections are issued to the managements to

effectively in such factories

regular and surprise inspection in quartzLabour & Employment Department.


Labour & Employment Department.

date 03/09/2007 for inspecting silicosisSafety & Health.

Medical Inspector of Factories, Certifyingfrequently conducting inspections and airfree silica.

Contd..

Notification u/s 85 of the Factories Act 1948

�The Government of Gujarat has issued85 of the Factories Act 1948 toFactories Act 1948 to all classesoperations under Section-87 of theout which includes operations having


out which includes operations having

Prohibition of Sand Blasting

� Sand or any other substance

introduce as an abrasive into any

be use for blasting (Sub Rule 2 of

Contd..

Notification u/s 85 of the Factories Act 1948

issued notification under Section-to apply all the provisions of the

of places and wherein dangerousthe Factories Act 1948 are carried

having potential to cause silicosis.


having potential to cause silicosis.

Prohibition of Sand Blasting

containing free silica not to be

any blasting apparatus and shall not

of Schedule VIII of Rule 102)

Point (vi): Steps taken for payment of compensation to the persons working in unorganized sector

• The Government has framed a scheme

of kin of deceased Agate worker

vide resolution dated 4/1/2014.


• A Scheme of Rs. 5 Crore to

occupational disease to construction

Point (vi): Steps taken for payment of compensation to the persons working in unorganized sector

scheme to pay Rs.1 lac to the next

worker working in unorganized sector


provide Medical Assistance for

construction Workers in the year 2014-15.

Point (vii): Rehabilitation of workers affected by silicosis

•Patients seeking care at PHCs, CHCs, Sub

General Hospitals or captured through surveys are provided

diagnostic and treatment services at

•All silicosis suspects are examined &


•All silicosis suspects are examined &

Officer regarding prevention of silicosis and non progression of

the disease at the time of examination.

Point (vii): Rehabilitation of workers affected by silicosis

Patients seeking care at PHCs, CHCs, Sub-district hospital &

General Hospitals or captured through surveys are provided

diagnostic and treatment services at free of cost.

All silicosis suspects are examined & counselled by Medical


All silicosis suspects are examined & counselled by Medical

Officer regarding prevention of silicosis and non progression of

the disease at the time of examination.

Point (viii): Steps taken to prevent Silicosis

Engineering Control Measures

• Thermax dust collecting systemfactory.

• Dust collected beneath the dustand then it is disposed for land filling


and then it is disposed for land filling

• Proper ventilation

• Effective exhaust system

• Substitution

• Wet process

• Cyclone separator with filter bag

Point (viii): Steps taken to prevent Silicosis

Engineering Control Measures

installed at every quartz crushing

dust collector is made wet with waterfilling.


filling.

Contd..

• Use of PPEs is ensured

• Pre employment and periodical medical

• No worker is employed in the crushing

• Working environment monitoring

Administrative Control Measures


• Working environment monitoring

• Safety Committee is constituted

• Affected worker is placed at a safer

Precautionary Measures

• Booklet regarding “Silicosis andprepared in Gujarati and distributed

• Dust masks given to all workers.

Contd..

medical examination of workers

crushing area

monitoring is carried out

Administrative Control Measures


monitoring is carried out

in every factory

safer workplace

Precautionary Measures

and its preventive measures”distributed to workers.

Contd..

• Dust control devices have been installedat the work place in stone crushingBalasinor.

Dust Control Devices


• In Godhara district there are 25 andcrushing factories. All of them haveEither they have installed ThermaxThermax make dust collecting system

• All registered working agate factoriesgrinding of agates.

Contd..

installed to reduce the dust generationcrushing factories situated in Godhara and

Dust Control Devices


and in Kheda District there are 15 quartzhave installed dust collecting system.

Thermax dust collecting system or similar tosystem.

factories are using wet process for the

Prevention and Elimination of silicosis

• Silica dust collecting system - Closedconveyor belt, disintegrator, elevatorwork environment.

• Use of waste disposal method suggested

Contd..


• Use of dust masks

• Cautionary notice about silicosis is displayed

• Pre employment medical examinationexamination at every six months by FMO

• Regular awareness programmes

• Regular meeting of silicosis monitoring

Prevention and Elimination of silicosis

Closed covers are installed on jaw crusher,elevator to prevent silica dust exposure in

suggested by GPCB

Contd..


displayed

examination of new worker and periodicalFMO and Certifying Surgeon

monitoring committee in presence of D.M.

Contd..

Silicosis cell unit at Civil Hospital, Godhra

every Wednesday for medical checkup

A system exists for regular and surprise

factories by the officers of L & E D with

A circular with checklist issued for inspecting

DISH.


DISH.

• One more circular was issued for

quarterly basis.

• Work place monitoring is carried out

No. 37 as per GFR, 1963 by third party

Contd..

Godhra & Nadiad are running OPD on

surprise inspection in quartz crushing

with the officers of District Magistrate.

inspecting silicosis prone factories by


sending records to D.C. office on

out and record is maintained in Form

party approved by GPCB.

Contd..

• Personal protective equipment like

provided to all worker by factory owner

• A booklet in regional language issued

silicosis.

• District Magistrate is reviewing the


• District Magistrate is reviewing the

records of workers working in silicosis

Contd..

like dust mask, hand gloves etc. are

owner.

issued to workers for prevention of

the details of inspection and medical


the details of inspection and medical

silicosis prone factories.

Operating with dust collecting system


Operating with dust collecting system


System for Jaw Crusher with Hoper and Ramp(Automatic Feeding)


System for Jaw Crusher with Hoper and Ramp(Automatic Feeding)


Enclosure of Jaw Crusher


Enclosure of Jaw Crusher


Isolation of Bagging Unit


Isolation of Bagging Unit


Dust collecting system for Conveyers


Dust collecting system for Conveyers


Bucket elevator with enclosure and ducting

line (New Method)


Disintegrator connected to mess separator and mess

separator connected to air jet bag filter system


Point (ix): Awareness Programmes

NGOs are involved in monitoring andprograms for the benefit of silica exposed

Sr.

No.

Name of NGOs

1 Rural Development Society, Panelav 26/12/2009

2 PTRTC, Vadodara

3 PTRTC, Vadodara


3 PTRTC, Vadodara

4 PTRTC, Vadodara 20/01/2010

5 SHE Association, Bharuch 16/11/2010

6 SHE Association, Bharuch 11/12/2010

7 Rural Development Society, Panelav

8 Aashra, Godhra 19/11/2011

9 Aashra, Godhra 14/11/2012

10 Rural Development Society, Panelav

Point (ix): Awareness Programmes

and implementation of the Awarenessexposed workers. Details are as under

Date Place No of

participant

26/12/2009 Godhara 79

7-8/1/2010 Khambhat 57

29/1/2010 Balasinor 33


29/1/2010 Balasinor 33

20/01/2010 Balasionr 48

16/11/2010 Zaghadiya 60

11/12/2010 Zaghadiya 36

29/9/2011 Panelav 35

19/11/2011 Godhra 32

14/11/2012 Godhra 39

5/12/2013 Godhra 39

Publicity Campaigns

Contd…

Sr. No Year No. of program

1 2000

2 2004

3 2005

4 2006


4 2006

5 2007

6 2008

7 2009

8 2010

9 2011

10 2012

11 2013

12 Till June 2014

Total

Publicity Campaigns

Contd…

No. of program No. of Participants

2 77

1 25

2 65

3 182


3 182

5 171

2 115

2 129

5 170

2 67

1 39

6 84

5 74

36 1198

Contd..

Awareness Programmes for Doctors

• State level training workshop (TOT) on diagnosis & management of

Silicosis for CDHOs, CDMOs, Physicians superintendents of CHCs,

Certified surgeons, DTOs, BHOs & NGO Representatives with the help of

NIOH Faculties was conducted in 2010


NIOH Faculties was conducted in 2010

• Training of “ILO Classification of Pneumoconiosis” is given to

Radiologists of concerned Government Medical college by Health Dept.

with the help of NIOH Ahmedabad

• Health department issues health cards to all workers screened for

silicosis. This card can be used during migration as well.

Contd..

Awareness Programmes for Doctors

State level training workshop (TOT) on diagnosis & management of

Silicosis for CDHOs, CDMOs, Physicians superintendents of CHCs,

Certified surgeons, DTOs, BHOs & NGO Representatives with the help of

2010. (56 Participants were trained)


2010. (56 Participants were trained)

Training of “ILO Classification of Pneumoconiosis” is given to 19

Radiologists of concerned Government Medical college by Health Dept.

with the help of NIOH Ahmedabad in 2008 & 2011.

Health department issues health cards to all workers screened for

silicosis. This card can be used during migration as well.

Contd..

MEDICAL EXAMINATION OF WORKERS BY DEPARTMENTAL DOCTORS (Certifying surgeons)

Sr. No Year No of Factories

1 2004 149

2 2005 130

3 2006 111

4 2007 36


4 2007 36

5 2008 35

6 2009 32

7 2010 39

8 2011 384

9 2012 412

10 2013 643

11 2014 135

Total 2106

Contd..

MEDICAL EXAMINATION OF WORKERS BY DEPARTMENTAL DOCTORS (Certifying surgeons)

No of Factories No of Workers Examined

149 1008

130 840

111 450

36 226


36 226

35 249

32 185

39 272

384 3755

412 5083

643 6907

135 1669

2106 20644

Rally Sakarpura Village

Ta. Khambhat


Rally Sakarpura Village

Ta. Khambhat


Awareness and Health Education


Awareness and Health Education


Awareness and Health Education (Contd.)


Awareness and Health Education (Contd.)


Brochures for Silicosis


Brochures for Silicosis


Silicosis suspect


Silicosis suspect –Register


Health CardHealth CardHealth CardHealth Card


Health CardHealth CardHealth CardHealth Card


Medical officer of Concern PHCs is examining

the workers at Work place.


Medical officer of Concern PHCs is examining

the workers at Work place.


Pulmonary function test carried out at

District Hospital & CHC


Pulmonary function test carried out at

District Hospital & CHC


Point (x): Use of Latest Technology


Point (x): Use of Latest Technology

Airjet dust collecting system

(Thermax)(New Engineering


(New Engineering Control Method)

Contd..


Contd..


Contd..

Dust Collection system


Contd..

Dust Collection system


Contd..


De-Dusting Unit

Contd..


Dusting Unit


De-Dusting Unit


Dusting Unit

Existing Status of Silicosis and Implementation of NHRC ...Recommendations on Preventive, Remedial,...

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