Curriculum standards
Curriculum standards
Advanced Training in Occupational and Environmental Medicine
Entrustable Professional Activities
LG9: Hazard identification and risk assessment
Hazard identification and risk assessment
Workplace and environmental hazard assessment
This activity requires the ability to:
- identify, assess, and manage all workplace and environmental hazards that may have an effect on workers’ health
- obtain the nature and extent of likely relevant exposures from workers/patients or community members, including histories and other appropriate records
- describe the causation of injuries and diseases through evidence-based models
- interpret reports around workplace, organisational, and/or environmental hazards
- comment on workplace ,organisational, and/or environmental hazards’ potential health effects and required mitigations
- relate and make persuasive recommendations on important hazards within workplaces and/or environment
- outline processes to review current risk control measures
- anticipate and alleviate potential hazards, including risk assessments and management principles
- prepare clinical reports recognising the extent of exposure when defining the work-relatedness or environment-relatedness of a disease
Professional practice framework domain
Medical expertise
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- develop, implement, assess, and evaluate systems to identify and manage workplace and environmental hazards
- describe routes of exposure / pathological processes associated with hazards
- describe the potential health effects of common and important hazardous occupational exposures, including:
- biological
- chemical
- ergonomic
- physical
- psychosocial
- assign causal links between exposures and diseases / injuries
- explain the mechanism of injury or disease
- offer evidence both for and against controversial conditions
- predict the likely properties of a class of substance
- apply the underlying principles of hazards to practical situations in familiar and unfamiliar workplaces and environmental settings
- apply simple numerical reasoning to discussions concerning hazardous exposures
- anticipate the likely route of exposure and rapidity of action based on the properties of a listed substance or a substance with similar properties
- complete a psychosocial risk assessment
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- describe hazards and risks, with reference to likelihood and severity
- identify hazards in various workplaces and environmental settings
- identify potential sources of hazards
- outline processes to assess and, where appropriate, alleviate potential hazards, including risk assessment and management principles
Communication
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- use audience-appropriate verbal and written communication
- prepare well-organised, clear reports
- identify terms that may create ambiguity or that would be difficult to understand without specialised knowledge
- consult with others relevant to the anticipation and management of workplace hazards
- communicate effectively with groups of workers and community members where emotions may be high due to actual or perceived health impacts
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- describe and categorise occupational and environmental hazards
- enlist commonly used terminology to describe risks and hazards in the workplace
- interpret reports from other occupational health professionals, including occupational hygienists
- use various media forms constructively
- state clearly what is the case and what is likely to happen
- create or arrange for preventive measures to be given verbally and in writing to relevant people
Quality and safety
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- assess the adequacy of reports prepared by ergonomists, occupational hygienists, and organisational psychologists
- determine whether current hazard control mechanisms and procedures are satisfactory
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- interpret reports prepared by ergonomists, occupational hygienists, and organisational psychologists
Teaching and learning
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- regularly self-evaluate personal professional practice, and implement changes based on the results
- actively seek feedback from supervisors and colleagues on own performance
- maintain current knowledge of new technologies, health care priorities and changes of workers’/patients’ expectations
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- accept feedback constructively, and change behaviour in response
- recognise the limits of personal expertise, and involve other health professionals as needed
Research
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- demonstrate a systematic approach and clear understanding of research and statistical terminology
- access, use, and interpret Safety Data Sheets (SDSs)
- access and evaluate current sources of information relevant to occupational and environmental hazards
Cultural safety
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- demonstrate culturally safe relationships with colleagues and workers/patients
- demonstrate respect for diversity and difference
- identify unconscious bias, including the impact of cultural beliefs, gender, religion, and socioeconomic background on decision making
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- demonstrate awareness of cultural diversity and unconscious bias
- work effectively and respectfully with people from different cultural backgrounds
Ethics and professional behaviour
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- promote a team culture of shared accountability for decisions and outcomes
- encourage open discussion of ethical concerns
- respect differences of multidisciplinary team members
- consult with stakeholders, achieving a balance of alternative views
- acknowledge personal conflicts of interest and unconscious bias
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- respect the roles and expertise of other health professionals
- work effectively as a member of a team
- promote team values of honesty, discipline, and commitment to continuous improvement
- recognise the negative impact of workplace conflict
Judgement and decision making
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- apply risk prediction rules and risk calculators to define event risk in individual workers/patients and groups of people
- recognise situations in which knowledge of physical or psychosocial hazards can be put to good and apt use
- link biological hazards with workplace or community situations and the likely exposure of workers/patients or members of the community
- assess the organisational culture, task demands, and work environment impacting workers/patients
- perform simple measurements, but know when hygiene / ergonomic expertise should be sought
- plan, prioritise, and conduct walkthroughs of workplaces in line with a manual handling code of practice or standards for lighting
- evaluate workplace and environmental hazards by conducting preliminary quantitative or semi-quantitative measurements and risk assessments
- assess the adequacy of reports prepared by environmental professionals, ergonomists, occupational hygienists, and toxicologists
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- interpret appropriate data and evidence for decision making
Leadership, management, and teamwork
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- discuss the features of a broad range of occupations, identifying likely workplace hazards
- seek guidance from colleagues and educational supervisors on the scope and depth of inspections
- develop and lead effective multidisciplinary teams by developing and implementing strategies to motivate others
- involve other occupational health professionals
- work with organisational leaders to achieve necessary health-relevant change
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- assess the range of personal and other team members’ skills, expertise, and roles
- participate effectively and appropriately in multidisciplinary teams
- seek out and respect the perspectives of multidisciplinary team members when making decisions
Health policy, systems, and advocacy
Ready to perform without supervision
Expected behaviours of a trainee who can routinely perform this activity without needing supervision
The trainee will:
- consult with stakeholders on the development and implementation of programs that support good work through improved worker health protection and promotion
- describe relevant codes, guides, laws, and standards that relate to workplace exposures, including psychosocial hazards
- advocate for resources and support for health care teams and workplaces to achieve organisational priorities
- influence the development of organisational policies and procedures to optimise health outcomes
- identify the determinants of health of the population, and mitigate barriers to access to care
- remove self-interest from solutions to health advocacy issues
- recognise poor management practices that allow workers to be alienated, bullied, harassed, ill-trained, or likely to put fellow workers at risk
- identify stakeholders who hold the greatest influence on changes to occupational health and safety practice in the workplace
Requires some supervision
Possible behaviours of a trainee who needs some supervision to perform this activity
The trainee may:
- promote the development and use of organisational policies and procedures