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4.2
EXISTING LEGISLATION: THE MINERALS ACT (ACT NO 50 OF 1991)
It is important at the outset to examine the health content of the
Act in some detail if the
proposals to replace it are to be clearly understood, subject to the general proviso that the
mere use of the word health does not automatically imply that it is used in an informed way.
Health in the context of the workplace has specific connotations which do not necessarily
apply in other health fields. Most importantly, health at work is related to the environmental
conditions in which work is done, and any separation of health effects from environmental
conditions is inappropriate. Despite the fact that this may add to the length of the
Commission’s Report, the existing legislation must be scrutinised
from two distinct points
of view to establish whether it is effective or not for the control of both health and safety.
4.2.1 It is a matter for concern that throughout the Minerals Act itself, and also in much of
the written and oral evidence given to the Commission the words “safety and health”
or “health and safety” are coupled in an apparently random fashion. It is frequently
the case that where the two words are used together initially, the subsequent
discussion or section of the Act refers only to safety. This suggests a preoccupation
with safety, and implies an inevitable neglect of health. More importantly it
suggests pervasive loose thinking, not only on the part
of those giving evidence but
among those responsible for drafting and promulgating the legislation. There is no
doubt from the evidence that this neglect of health is reflected in the activities,
training and skills of the mines inspectorate, and in the attitude of management and
management organisations. It also accounts for the fact that the Department
responsible for the health of miners has no health professional on its staff, and for
the fact that, under the guise of “rationalisation” the
MBOD was transferred from
the Department of Mineral and Energy Affairs (DMEA) to the Department of Health
(DoH). Contact between the DMEA and the DoH is confined in practice to the
decision to control mines in terms of the ODMW Act and the administrative
procedures involved in the determination of risk.
4.3
EXISTING REGULATIONS: MADE IN TERMS OF THE MINERALS ACT.
Discussion of the enabling statute, which is clearly inadequate leads logically to an
examination of the existing Regulations, promulgated in terms of that Act, to decide
whether the provisions of the Regulations compensate effectively for these deficiencies.
This
is a priori, unlikely.
A detailed commentary on the text of the regulations made in terms of the Minerals Act is
contained in Appendix 7.
4.3.2 Ventilation is vital for the protection of health.
The COMMISSION RECOMMENDS that all the regulations made in connection with ventilation
requirements should be scrutinised to ensure that they conform to modern standards.
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4.3.3 Regulation of exposure to diesel fumes is controversial and in view of the increasing
use of diesel engines, particularly in coal mines, the COMMISSION
RECOMMENDS that this matter be re-examined in detail, and that definitive
research studies are essential.
4.3.4 The COMMISSIONER CONCLUDES that the content
of the regulations does not
compensate for the deficiencies in the enabling Act, particularly in respect of
occupational medicine. There are insufficiently detailed provisions relating to
gasses and dust in Chapter 10 of the regulations, and regulations which directly
concern the health of workers are interspersed among those which regulate the
operation of machinery or the mechanics of ventilation.
4.3.5 Regulations for the examination of workers are made in terms of the ODMW Act for
those diseases defined in that Act. It is a matter for concern that no new regulations
have been promulgated in terms of the ODMW Act since it was promulgated in
1973, and that the ODMW Act is no longer the responsibility of the DMEA.
4.3.6 The Commission is led to the conclusion that the
Minerals Act and the derived
regulations are inadequate for the prevention, control and early recognition of work
related health conditions. This suggests, a priori that occupational diseases will not
be shown to have been satisfactorily controlled.
4.3.7 The critical point which is missing from the legislation is the risk assessment
process. Unless the legislation is amended to set in train a process enforceable in
terms of explicit regulations or approved codes of practice, and unless exposure and
outcome are linked through systematic data collection
and analysis the present
uncertain and unsatisfactory situation will continue. The opportunity to revise and
rearrange the whole body of regulations under the supervision of a tripartite
committee, should not be missed as the present arrangement does not make the
regulations easy to use.
The COMMISSION RECOMMENDS urgent revision of the whole body of the regulations in line
with the many recommendations made throughout this chapter and elsewhere in the report, and that
the process of revision pay due regard to practice elsewhere, and that professional and technical
experts be involved ab initio.
4.4
OCCUPATIONAL DISEASES IN MINES
4.4.1 The cause of a particular disease is not always a single agent, nor is the
manifestation of disease uniform in all individuals exposed to the same working
conditions. Disease may be the resultant of a number of causes, some of which are
specific to the workplace and others unrelated to occupation. Commonly
occupational and life style factors interact to produce disease, for example,
chronic
obstructive airways disease in persons exposed to dust who smoke, or tuberculosis
in dust exposed miners living in hostels or overcrowded slums and squatter
settlements adjacent to mines.
4.4.2 Real understanding of the pattern of disease in a community or group depends not
only on determining the outcome (the incidence of a particular disease) but also on
relating exposure at work to subsequent disease. This is studied to establish a dose-