A Comparative Study of Inspection Regimes in Times of Change
Chapter 11: Occupational Cancer in France: A Challenge for OHS Management
INTRODUCTION Thus far the book has focused on the implementation of systematic OHS management (OHSM) at a general level (although some industry and hazard-based differences have been identiﬁed). This chapter takes a different and more focused approach, examining the capacity of systematic OHSM to address occupational cancer in France. While France has not adopted systematic OHSM or process standards to the extent of other jurisdictions we have examined (such as the UK and Sweden) it has been subject to similar inﬂuences in terms of more systematic and risk-oriented approaches to OHS. In a very real sense, hazardous substances and occupational cancer provide a litmus test for the value of the implementation of a more process-based approach to regulating OHS. One of the major perceived advantages of process standards is their greater capacity, in comparison to speciﬁcation standards, to deal with complex and dynamic hazards at work. The wide array of occupational cancers arising from exposure to a myriad of interacting hazardous substances (proliferating over time) and working conditions arguably exempliﬁes such a complex and dynamic set of hazards. This chapter is divided into four sections. The ﬁrst section provides a brief overview of the OHS regulatory framework in France, including the extent to which risk-assessment and process standards have been adopted. It also describes the structure of the inspectorate and occupational medical services that address hazardous substances and health risks, including cancer. The second section critically evaluates the concepts of quality and standardization, concepts that underpin...
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