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Previous comments: C.115, C.139, C.155 and C.187,C.162 and C.167
The Committee notes that the Government’s report has not been received. It hopes that a report will be supplied for examination by the Committee at its next session and that it will contain full information on the matters raised in its previous direct request, which read as follows:
Articles 1 and 6(a) of the Convention. Carcinogenic substances and agents and national legislation. The Committee notes with interest the numerous legislative amendments giving further effect to the Convention, including Order No. 559 of 17 June 2004 on the performance of work, Order No. 496 of 27 May 2004 amending Order No. 292 of 26 April 2001 on work with substances and materials (chemical agents) and Order No. 497 of 27 May 2004 on special requirements for producers, suppliers and importers of substances and materials, the latter introducing the prohibition of chromate in cement. It also notes with interest the adoption of Order No. 1502 of 21 December 2004 on asbestos, its section 3 prohibiting the production, importation, use and transport of asbestos, and also notes the Government’s statement that this Order does not apply to demolition work and maintenance on asbestos, but that Chapter 6 (sections 22 to 25) of Order No. 1502 of 2004 provides for rules applicable to such demolition and maintenance work. The Committee also notes the Government’s statement that exemptions from the prohibition of occupational exposure to carcinogenic substances and agents are granted extremely rarely and most often for purposes of scientific research and other laboratory tests. The Committee requests the Government to continue to provide information on legislative measures undertaken or envisaged to ensure the application of the Convention.
Article 2(2). Reducing the number of workers exposed to carcinogenic substances or agents. With reference to its previous comments regarding measures taken to reduce the number of workers exposed to carcinogenic substances or agents, the Committee notes with interest the Government’s statement that section 10(4) of Order No. 292 of 26 April 2001, on work with substances and materials (chemicals), prescribes that employers are required to remove or limit the exposure of workers to hazardous substances and materials and that they also must, to the highest extent possible, limit to a minimum the number of workers who are exposed or risk being exposed to hazardous substances and materials, in accordance with the Convention.
Article 3. Keeping of records. As regards its previous request on whether the reports from medical doctors on known or suspected cases of occupational cancer are recorded by the authorities, the Committee notes the Government’s statement that no central filing occurs of these reports that are submitted to the National Working Environment Authority, but that these reports are used to assess whether there is a reason to order that a given enterprise take measures regarding the working environment in relation to the individual worker. It also notes the Government’s statement that knowledge on occupational connections to occurrences of cancer is collated through data in the pension registry (ATP) and the cancer register. With reference to its comments below concerning medical examinations after the termination of employment, the Committee requests the Government to provide information in its next report on whether it is envisaged to adopt any measures to ensure records on occupational cancer during employment and after the termination of employment.
Article 5. Medical examinations. The Committee notes that Chapter 10, sections 32 and 33, of Order No. 1502 of 21 December 2004 on asbestos provide for pre-employment medical examinations and that periodical medical examinations shall be carried out every third year during the employment. The Committee also notes the Government’s statement that medical examinations of former employees may be ordered by the Director-General of the Working Environment Authority, but that this provision has never been made use of. With respect to the importance of medical examinations to be carried out after the termination of employment, the Committee points out that the need to examine workers after they have ceased their employment is due to the fact that the occupational origin of cancer is often difficult to demonstrate, as there is no difference between occupational cancer and other non-occupational forms from the clinical and pathological points of view. Moreover, the development of cancer is generally very slow, with latency periods stretching over anything from ten to 30 years or more. The Committee accordingly urges the Government to take measures to guarantee that workers are provided with such medical examinations or biological or other tests or investigations as are necessary to evaluate their state of health in relation to occupational hazards not only during the period of employment but also thereafter.
Part IV of the report form. The Committee notes the Government’s reference to a report published by the Working Environment Authority on cancer-related illness among Danish workers (1970-97). It appears that this text was not appended to the Government’s report. The Committee requests the Government to submit a copy of the report by the Working Environment Authority on cancer-related illness among Danish workers (1970-97) and to continue to provide information on cancer-related illness, as well as to provide any additional information on the number of workers covered by the Convention, disaggregated by gender if possible.
1. The Committee notes the detailed information contained in the Government’s reports and the attached legislation.
2. Articles 1 and 6(a) of the Convention. Carcinogenic substances and agents and national legislation. The Committee notes with interest the numerous legislative amendments giving further effect to the Convention, including Order No. 559 of 17 June 2004 on the performance of work, Order No. 496 of 27 May 2004 amending Order No. 292 of 26 April 2001 on work with substances and materials (chemical agents) and Order No. 497 of 27 May 2004 on special requirements for producers, suppliers and importers of substances and materials, the latter introducing the prohibition of chromate in cement. It also notes with interest the adoption of Order No. 1502 of 21 December 2004 on asbestos, its section 3 prohibiting the production, importation, use and transport of asbestos, and also notes the Government’s statement that this Order does not apply to demolition work and maintenance on asbestos, but that Chapter 6 (sections 22 to 25) of Order No. 1502 of 2004 provides for rules applicable to such demolition and maintenance work. The Committee also notes the Government’s statement that exemptions from the prohibition of occupational exposure to carcinogenic substances and agents are granted extremely rarely and most often for purposes of scientific research and other laboratory tests. The Committee requests the Government to continue to provide information on legislative measures undertaken or envisaged to ensure the application of the Convention.
3. Article 2, paragraph 2. Reducing the number of workers exposed to carcinogenic substances or agents. With reference to its previous comments regarding measures taken to reduce the number of workers exposed to carcinogenic substances or agents, the Committee notes with interest the Government’s statement that section 10(4) of Order No. 292 of 26 April 2001, on work with substances and materials (chemicals), prescribes that employers are required to remove or limit the exposure of workers to hazardous substances and materials and that they also must, to the highest extent possible, limit to a minimum the number of workers who are exposed or risk being exposed to hazardous substances and materials, in accordance with the Convention.
4. Article 3. Keeping of records. As regards its previous request on whether the reports from medical doctors on known or suspected cases of occupational cancer are recorded by the authorities, the Committee notes the Government’s statement that no central filing occurs of these reports that are submitted to the National Working Environment Authority, but that these reports are used to assess whether there is a reason to order that a given enterprise take measures regarding the working environment in relation to the individual worker. It also notes the Government’s statement that knowledge on occupational connections to occurrences of cancer is collated through data in the pension registry (ATP) and the cancer register. With reference to its comments below concerning medical examinations after the termination of employment, the Committee requests the Government to provide information in its next report on whether it is envisaged to adopt any measures to ensure records on occupational cancer during employment and after the termination of employment.
5. Article 5. Medical examinations. The Committee notes that Chapter 10, sections 32 and 33, of Order No. 1502 of 21 December 2004 on asbestos provide for pre-employment medical examinations and that periodical medical examinations shall be carried out every third year during the employment. The Committee also notes the Government’s statement that medical examinations of former employees may be ordered by the Director-General of the Working Environment Authority, but that this provision has never been made use of. With respect to the importance of medical examinations to be carried out after the termination of employment, the Committee points out that the need to examine workers after they have ceased their employment is due to the fact that the occupational origin of cancer is often difficult to demonstrate, as there is no difference between occupational cancer and other non-occupational forms from the clinical and pathological points of view. Moreover, the development of cancer is generally very slow, with latency periods stretching over anything from ten to 30 years or more. The Committee accordingly urges the Government to take measures to guarantee that workers are provided with such medical examinations or biological or other tests or investigations as are necessary to evaluate their state of health in relation to occupational hazards not only during the period of employment but also thereafter.
6. Part IV of the report form. The Committee notes the Government’s reference to a report published by the Working Environment Authority on cancer-related illness among Danish workers (1970-97). It appears that this text was not appended to the Government’s report. The Committee requests the Government to submit a copy of the report by the Working Environment Authority on cancer-related illness among Danish workers (1970-97) and to continue to provide information on cancer-related illness, as well as to provide any additional information on the number of workers covered by the Convention, disaggregated by gender if possible.
The Committee notes with regret that the Government’s report has not been received. It hopes that a report will be supplied for examination by the Committee at its next session and that it will contain full information on the matters raised in its previous direct request, which read as follows:
The Committee notes with interest the adoption of Order No. 300, dated 12 May 1993, on the "measures to be taken against the dangers of cancer when working with chemicals".
Article 2, paragraph 2, of the Convention. The Committee notes the Government’s indication that article 7 of the abovementioned Order contains the relevant measures with respect to the application of this paragraph of the Convention. The Committee notes that article 7 of this Order aims to exclude hazards, coming from the working environment and resulting of dust and other harmful substances, by reducing certain work processes and tools. The Committee requests the Government to state whether the limitation of certain tools or work processes also covers measures to reduce the duration of workers’ exposure to carcinogenic substances and agents. With reference to its previous comments, the Committee would recall that Article 2, paragraph 2, of the Convention also aims at reducing the number of workers exposed to carcinogenic substances or agents to the extent compatible with safety. The Committee therefore requests the Government to provide information on the measures taken or envisaged to reduce the number of workers to the minimum compatible with safety.
Article 3. The Committee notes with interest that data on occupationally exposed persons are recorded. Pursuant to section 22 of the Order on "measures to be taken against the dangers of cancer when working with chemicals", an updated list of workers and their possible exposure must be kept. Section 15 of the abovementioned Order in conjunction with its Annexes 1 and 2 provide for an evaluation of the workplace concerning safety and health conditions. The Committee also notes that all medical doctors are obliged to report to the authorities on known or suspected cases of occupational cancer and that each worker has been registered since 1964 in a pension registry (ATP) collecting information on the name of the enterprise, job title, and time of employment which is combined with the Danish Cancer Registry as a part of the surveillance in the field of occupational cancer. The Committee would ask the Government to indicate whether the reports of the medical doctors to the authorities are recorded. It also requests the Government if the information and data collected are combined, in order to establish a system of records as provided for in this Article of the Convention with the intention to provide information on the size of the exposed active population and on the technical process involving a risk of occupational cancer; to keep under surveillance the various aspects of preventive and protective action taken in this connection; and to improve the knowledge of occupational cancer.
Article 5. The Committee notes the Government’s indication that workers have unlimited access to undergo medical examinations which are free of charge for them and that these examinations also take place after the termination of the employment. The Committee requests the Government to indicate whether these medical examinations are obligatory for the workers and to provide further information on the frequency of medical examinations after termination of employment.
Part IV of the report form. The Committee notes the information provided by the Government that studies in connection with the adoption of Order No. 300, dated 12 May 1993, on the impact of the new abovementioned Order on different trades and a number of employees covered as well as on suspected cases of occupational cancer have not been carried out. It notes that such studies are only carried out during the consultation of the social partners and, in accordance with the generally agreed procedure, only if the matter is controversial. The Committee also notes that the Danish Cancer Society undertakes a new research project on the exposure of Danish workers to substances or agents suspected being carcinogenic. The Committee requests the Government to provide a copy of the results of this research study as soon as available.
The Committee notes with interest the adoption of Order No. 300, dated 12 May 1993, on the "measures to be taken against the dangers of cancer when working with chemicals". Article 2, paragraph 2, of the Convention. The Committee notes the Government’s indication that article 7 of the abovementioned Order contains the relevant measures with respect to the application of this paragraph of the Convention. The Committee notes that article 7 of this Order aims to exclude hazards, coming from the working environment and resulting of dust and other harmful substances, by reducing certain work processes and tools. The Committee requests the Government to state whether the limitation of certain tools or work processes also covers measures to reduce the duration of workers’ exposure to carcinogenic substances and agents. With reference to its previous comments, the Committee would recall that Article 2, paragraph 2, of the Convention also aims at reducing the number of workers exposed to carcinogenic substances or agents to the extent compatible with safety. The Committee therefore requests the Government to provide information on the measures taken or envisaged to reduce the number of workers to the minimum compatible with safety. Article 3. The Committee notes with interest that data on occupationally exposed persons are recorded. Pursuant to section 22 of the Order on "measures to be taken against the dangers of cancer when working with chemicals", an updated list of workers and their possible exposure must be kept. Section 15 of the abovementioned Order in conjunction with its Annexes 1 and 2 provide for an evaluation of the workplace concerning safety and health conditions. The Committee also notes that all medical doctors are obliged to report to the authorities on known or suspected cases of occupational cancer and that each worker has been registered since 1964 in a pension registry (ATP) collecting information on the name of the enterprise, job title, and time of employment which is combined with the Danish Cancer Registry as a part of the surveillance in the field of occupational cancer. The Committee would ask the Government to indicate whether the reports of the medical doctors to the authorities are recorded. It also requests the Government if the information and data collected are combined, in order to establish a system of records as provided for in this Article of the Convention with the intention to provide information on the size of the exposed active population and on the technical process involving a risk of occupational cancer; to keep under surveillance the various aspects of preventive and protective action taken in this connection; and to improve the knowledge of occupational cancer. Article 5. The Committee notes the Government’s indication that workers have unlimited access to undergo medical examinations which are free of charge for them and that these examinations also take place after the termination of the employment. The Committee requests the Government to indicate whether these medical examinations are obligatory for the workers and to provide further information on the frequency of medical examinations after termination of employment. Part IV of the report form. The Committee notes the information provided by the Government that studies in connection with the adoption of Order No. 300, dated 12 May 1993, on the impact of the new abovementioned Order on different trades and a number of employees covered as well as on suspected cases of occupational cancer have not been carried out. It notes that such studies are only carried out during the consultation of the social partners and, in accordance with the generally agreed procedure, only if the matter is controversial. The Committee also notes that the Danish Cancer Society undertakes a new research project on the exposure of Danish workers to substances or agents suspected being carcinogenic. The Committee requests the Government to provide a copy of the results of this research study as soon as available.
Article 2, paragraph 2, of the Convention. The Committee notes the Government's indication that article 7 of the above-mentioned Order contains the relevant measures with respect to the application of this paragraph of the Convention. The Committee notes that article 7 of this Order aims to exclude hazards, coming from the working environment and resulting of dust and other harmful substances, by reducing certain work processes and tools. The Committee requests the Government to state wether the limitation of certain tools or work processes also covers measures to reduce the duration of workers' exposure to carcinogenic substances and agents. With reference to its previous comments, the Committee would recall that Article 2, paragraph 2, of the Convention also aims at reducing the number of workers exposed to carcinogenic substances or agents to the extent compatible with safety. The Committee therefore requests the Government to provide information on the measures taken or envisaged to reduce the number of workers to the minimum compatible with safety.
Article 3. The Committee notes with interest that data on occupationally exposed persons are recorded. Pursuant to section 22 of the Order on "measures to be taken against the dangers of cancer when working with chemicals", an updated list of workers and their possible exposure must be kept. Section 15 of the above-mentioned Order in conjunction with its Annexes 1 and 2 provide for an evaluation of the workplace concerning safety and health conditions. The Committee also notes that all medical doctors are obliged to report to the authorities on known or suspected cases of occupational cancer and that each worker has been registered since 1964 in a pension registry (ATP) collecting information on the name of the enterprise, job title, and time of employment which is combined with the Danish Cancer Registry as a part of the surveillance in the field of occupational cancer. The Committee would ask the Government to indicate whether the reports of the medical doctors to the authorities are recorded. It also requests the Government if the information and data collected are combined, in order to establish a system of records as provided for in this Article of the Convention with the intention to provide information on the size of the exposed active population and on the technical process involving a risk of occupational cancer; to keep under surveillance the various aspects of preventive and protective action taken in this connection; and to improve the knowledge of occupational cancer.
Article 5. The Committee notes the Government's indication that workers have unlimited access to undergo medical examinations which are free of charge for them and that these examinations also take place after the termination of the employment. The Committee requests the Government to indicate whether these medical examinations are obligatory for the workers and to provide further information on the frequency of medical examinations after termination of employment.
Point IV of the report form. The Committee notes the information provided by the Government that studies in connection with the adoption of Order No. 300, dated 12 May 1993, on the impact of the new above-mentioned Order on different trades and a number of employees covered as well as on suspected cases of occupational cancer have not been carried out. It notes that such studies are only carried out during the consultation of the social partners and, in accordance with the generally agreed procedure, only if the matter is controversial. The Committee also notes that the Danish Cancer Society undertakes a new research project on the exposure of Danish workers to substances or agents suspected being carcinogenic. The Committee requests the Government to provide a copy of the results of this research study as soon as available.
The Committee notes the information provided in the Government's latest report, in particular as concerns a proposal for new orders concerning carcinogenic substances which have been the subject of consultations with the social partners. It notes the Government's indication that these orders are close to being finalised. The Committee hopes that these orders will provide for the reduction in the number of persons working with carcinogenic substances, as well as in the duration of exposure (Article 2, paragraph 2, of the Convention) which had been the subject of its previous comments and requests the Government to communicate a copy of these orders once they are adopted.
Article 3. In its previous comments, the Committee had noted the Government's indication that the product register set up under Order No. 466 of 14 September 1981 did not contain data on the number of workers exposed to carcinogenic substances or agents. In its latest report, the Government has indicated that there are no plans to set up a register to record data on occupationally exposed persons, the results of technical monitoring, and special medical examinations and laboratory tests performed on these workers. The Government has further indicated that there is presently a register (ATABAS) of most of the industrial hygiene measurements taken by the National Labour Inspection Service, as well as a product register concerning consumer patterns for all dangerous chemicals. The Committee would note, however, that, as indicated in the ILO: Occupational Safety and Health Series, No. 39 ("Occupational Cancer: Prevention and Control", p. 49), the purpose of a register containing the names of exposed persons, the results of technical monitoring, special medical examinations and laboratory tests performed on these workers is to permit the competent authority "to keep a close watch on the magnitude of the problem of occupational cancer in the country, the level of risk involved in the various types of exposure, the dose-response relationship and the effectiveness of preventive action. In this way, increased knowledge of the various aspects of occupational cancer epidemiology can be gained." The Government is, therefore, requested to indicate the measures taken or envisaged to establish an appropriate system of records in order to accurately evaluate epidemiological aspects of occupational cancer.
Article 5. The Committee notes the information provided by the Government concerning research which has been undertaken to develop methods in the field of biological monitoring as concerns carcinogenic substances. The Committee would recall that this Article of the Convention provides that all workers exposed to all types of carcinogenic substances or agents shall be provided with such medical examinations or biological or other tests or investigations during the period of employment and thereafter as are necessary to evaluate their exposure and supervise their state of health in relation to occupational hazards. The Government is requested to provide information in its next report on the progress made in this regard. (In this connection, see ILO: Occupational Safety and Health Series, No. 39, pp. 39-40 and 45-48.)
Point IV of the report form. The Committee notes the information provided by the Government that estimates will be made of the impact of the new Order on different trades and the number of employees covered and that cases of and suspected cases of occupational cancer shall be notified to the competent authority. The Committee further notes the Government's indication that there are deficiencies in reporting cases of or suspected cases of occupational cancer and that efforts are being made to stress the duty of general practitioners and others to notify such cases. The Government is requested to provide, in its next report, any relevant data collected for the study carried out by the National Labour Inspection and the Danish Cancer Society, statistics collected for the new Order, as well as any other statistics available, concerning the number of workers covered by the relevant legislation, the number and nature of infractions reported and the number, nature and cause of cases of disease.
The Committee takes note of the information supplied in the Government's report in reply to its earlier comment, particularly in regard to Article 1, paragraphs 1 and 3, of the Convention.
Article 2, paragraph 2. The Committee notes with interest from the Government's report that provisions concerning the reduction in the number of persons working with carcinogenic substances, as well as the duration and level of exposure, are being considered in connection with a general order concerning work with carcinogenic substances which is presently being negotiated between the National Labour Inspection and representative organisations of employers and workers. The Committee hopes that the next report will indicate the progress made in this regard.
Article 3. The Committee notes that the product register set up under Order No. 466 of 14 September 1981 does not contain data on the number of workers exposed to carcinogenic substances or agents. It would be glad if the Government would indicate whether it is envisaged - possibly in the framework of the general order mentioned above - to establish a system of national register with the object of recording data on occupationally exposed persons, the results of technical monitoring, and special medical examinations and laboratory tests performed on these workers. (In this connection, see ILO: "Occupational cancer: Prevention and control", second (revised) edition 1988, Occupational Safety and Health Series, No. 39, p. 48.)
Article 5. The Committee takes note of the information supplied by the Government and expresses the hope that measures will be taken in the near future in order to ensure that suitable medical examinations will be provided for workers exposed to carcinogenic substances generally. The Committee requests the Government to indicate the progress made in this regard in its next report.
Point IV of the report form. The Committee requests the Government to provide in its next report any statistics which might be available concerning the number of workers covered by the relevant legislation, the number and nature of infractions reported and the number, nature and cause of cases of disease.