| Preface | p. vii |
| Acknowledgements | p. xvii |
| Abbreviations | p. xix |
| Part I Overview |
| 1 Occupational hazards and risks: The problems and the ILO response | p. 3 |
| An unacceptable situation | p. 3 |
| Variations in performance | p. 5 |
| Countries | p. 5 |
| Economic sectors | p. 6 |
| Sizes of enterprise | p. 6 |
| Groups at particular risk | p. 6 |
| Major OSH instruments | p. 9 |
| 2 Key principles in occupational safety and health | p. 17 |
| Core OSH principles | p. 17 |
| Rights and duties | p. 19 |
| Workers' rights | p. 19 |
| Employers' responsibilities | p. 20 |
| Governments' duties | p. 21 |
| Part II National Framework Design and Implementation |
| 3 General framework for occupational safety and health | p. 25 |
| 4 National policy on occupational safety and health | p. 27 |
| General aims and principles | p. 27 |
| Policy formulation and review | p. 27 |
| Policy instruments | p. 31 |
| National laws, labour codes and regulations | p. 32 |
| Role and obligations of the competent authority | p. 33 |
| Policy coordination | p. 34 |
| Education and training | p. 35 |
| 5 National system for occupational safety and health | p. 37 |
| 6 National programmes for occupational safety and health | p. 41 |
| A national profile on occupational safety and health | p. 42 |
| 7 Occupational safety and health policy within the enterprise | p. 45 |
| General framework | p. 45 |
| Employers' responsibilities | p. 46 |
| Workers' duties and rights | p. 47 |
| Safety and health committees | p. 49 |
| 8 Management of occupational safety and health | p. 51 |
| Management commitment and resources | p. 51 |
| Workers' participation | p. 52 |
| Training | p. 53 |
| Organizational aspects | p. 54 |
| Setting priorities | p. 54 |
| Planning and development activities | p. 54 |
| The place of OSH management in the enterprise | p. 54 |
| Performance measures | p. 55 |
| The OSH management cycle | p. 56 |
| Part III Operational Measures |
| 9 Legislation, enforcement and collective agreements | p. 59 |
| Labour inspection | p. 59 |
| Collective bargaining | p. 62 |
| 10 Occupational health surveillance | p. 65 |
| Surveillance of the working environment | p. 66 |
| General framework | p. 66 |
| Monitoring of exposure | p. 68 |
| Occupational exposure limits (OELs) | p. 70 |
| Record-keeping | p. 71 |
| Surveillance of workers' health | p. 72 |
| General framework | p. 72 |
| Medical examinations, health assessments and biological tests | p. 73 |
| Sickness absence monitoring | p. 76 |
| Reporting of occupational accidents, injuries and diseases | p. 76 |
| Ethical and legal issues | p. 78 |
| 11 Occupational health services | p. 81 |
| General considerations | p. 81 |
| Organization | p. 83 |
| Functions | p. 84 |
| Primary health care approach | p. 86 |
| First aid | p. 86 |
| Curvative health services and rehabilitation | p. 87 |
| Special occupational health needs | p. 87 |
| Cooperation and coordination | p. 88 |
| Research | p. 88 |
| 12 HIV/AIDS and the world of work | p. 91 |
| Principles | p. 91 |
| Health services and HIV/AIDS | p. 94 |
| Capacity building | p. 95 |
| Training for managers, supervisors and personnel officers | p. 95 |
| Training for peer educators | p. 96 |
| Training for workers' representatives | p. 96 |
| Training for safety and health officers | p. 97 |
| Training for factory/labour inspectors | p. 98 |
| Treatment, care and support | p. 98 |
| Voluntary counselling and testing | p. 99 |
| Disclosure and confidentiality | p. 99 |
| Treatment | p. 100 |
| Job security and promotion | p. 100 |
| Terms and conditions of work | p. 100 |
| Reasonable accommodation | p. 101 |
| Worker assistance programmes | p. 101 |
| Social protection | p. 102 |
| ILO/WHO guidelines on health services and HIV/AIDS | p. 102 |
| 13 Preventive and protective measures | p. 105 |
| General considerations | p. 105 |
| Engineering control and housekeeping | p. 106 |
| Substitution | p. 107 |
| Work practices and organizational methods | p. 108 |
| Personal protective equipment | p. 108 |
| Technological change | p. 109 |
| Protection of the general environment | p. 109 |
| 14 Health promotion, education and training | p. 111 |
| Promotion of occupational safety and health | p. 111 |
| Training and information at the national level | p. 113 |
| Training and information at the enterprise level | p. 114 |
| Training methods and materials | p. 116 |
| International chemical hazard communication tools | p. 117 |
| The International Chemical Safety Cards (ICSCs) | p. 117 |
| The Globally Harmonized System for the Classification and Labelling of Chemicals (GHS) | p. 118 |
| The International Chemical Control Toolkit | p. 118 |
| Annexes |
| I Glossary | p. 123 |
| II Relevant ILO OSH instruments - Ratifications and status | p. 129 |
| III Excerpts from major OSH international labour standards | p. 134 |
| IV Model outline for the preparation of a national profile on OSH | p. 164 |
| V A checklist for employers writing a safety policy statement | p. 171 |
| VI A checklist for planning and implementing a workplace policy on HIV/AIDS | p. 174 |
| VII Hierarchy of controls applied to risk of blood-borne pathogen exposure | p. 176 |
| VIII Hazard categories defined in the Globally Harmonized System for the Classification and Labelling of Chemicals (GHS) | p. 178 |
| IX The ILO's Programme on Safety, Health and the Environment (SafeWork) | p. 182 |
| X Selected sources of reliable OSH information | p. 186 |
| Bibliography | p. 189 |
| Index | p. 193 |