Module 5: Legislation: Hearing Loss and Compensation Lecture - Fine Tuning Our Practical Approach To The New Hearing Conservation Legislation |
BACKGROUND
- In 1994 the Compensation Commissioner, without consultation and without proper evaluation of financial or logistical impact, issued Instruction 168.
- The previous Instruction was perceived as being unfair (3 average frequencies, etc...)
- II 168 was wrongly considered to be a viable alternative - it suffered from a lack of a proper actuarial valuation.
- It was done unilaterally by the Commissioner
- II 168 was based on American AMA / ENT formula.
- More than a dozen of these AMA assumptions are based on more or less arbitrary considerations.
- The "low fence" of average hearing loss was lowered from 43dB to 26dB without any transitional arrangements.
- 12% of miners immediately became compensatable, compared to 3% previously.
- There was no consultation with the drawing up of 168 - not even with the Compensation Board.
- There was an unwillingness to acknowledge the mistake.
- Scientific base for the document was questioned.
- Implementation cost are tremendous.
NIHL COMPENSATION:
The Compensation Board is a statutory body, established under COIDA (Compensation for Occupational Injuries and Diseases Act). The Board's Technical Committee is of special interest here.
The Technical Committee:
The work of the Technical Committee, in respect of Hearing Conservation, was as follows;
- it had to address NIHL comprehensively,
- its focus was on prevention,
- 7 supportive modules were developed,
- this led to a new set of instructions, known as Instruction 171,
- these were approved by the Compensation Board at the end of 1999.
Postgraduate Diploma in Occupational Health (DOH) - Modules 3 – 5: Occupational Medicine & Toxicology by Prof Rodney Ehrlich & Prof Mohamed Jeebhay is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 Unported License.
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