Document 15d2nE1gwj0dBd5vMqwZRgjpm

14th November, 1336. Mr. T.R.A. Sevan. St h yl Export Corporat ion , London. Medical v i s i t s t o mixing p la n t s . Dear Mr. 3svan , Ad vertin g t o the in t er view you p e r so n a lly had with P r o f. Sica o f Rome, in r esp ect t o th e su ggestion which was r a is e d with a view t o exten din g the p er iod o f m edical v i s i t s from two t o s ix months, our fu r t h er stu dy of t h is qu estion has brought th e followin g con clu sion s to lig h t . a) That in th e reg u latio n s covering the use o f to x ic gases no p e rio d ic a l m edical v i s i t s a re p ro sc rib e d . b) There i s no p r ovision mads in any d ecree Issued t o d ate coverin g m edical v is it s in con n ection with t h e au th or ization to our Company cover in g th e h an d lin g and stor a ge o f le a d . c) No mention o f o b liga t o r y m ed ical v i s i t s i s con tain ed in th e a h y l Export Corporation r e gu la t io n s o f October l e t , 132% and which were in cor p or ated in fu ll In th e M in is t e r ia l Decree o f September 8t h , 1323* an** in a subsequent Decree o f November I b t h , * 533. d) T h is c am itra eh t, however, i s d eriv ed e x c lu siv e ly from a r egu la t io n covered by Ar t . 1 o f a M in is t e r ia l Decree o f March 20t h , 1321, in a p p lica t io n o f Ar t . H"6 o f th e General Regu lation s cover in g sa n it a t io n end hygiene which was approved with R. Decree-Law o f Ap r il 14 t h , 1327, 1^ 530. . Given t h is prem ise, t h e r e fo r e , we a r e now informed by P r o f. Sica t h a t be is unable t o give u s h is support on any d ecision which might r e flo o t th e oxtsn slon fa ct o r , a s t h is w ill have t o r e s t with th e a u t h o r it ie s who issu ed t h e r e gu la t io n on s a n it a t io n and h ygien e, namely, the M in istr y o f Cor por ation s (In sp ection Department} and n ot with th e M in ist r y o f t h e I n t e r io r t o whloh P r o f. Sica I s a tta ch ed . As you w ill r e c a ll P r o f. Sica was q u it e prepared t o support ou r p rop osal t h a t th e m edical v i s i t s be extended to fou r months, wh ile he a t the tim e was under t h e im pression t h a t t h is work cams under th e su p er vision o f h is Department. H is fu r t h e r in ve s t iga t io n s , however, proved th e Mr. T.R.A. Bevan, 2 14th November, 1936* con tr a r y t o be th e ca se, aa yon w ill h ar e noted from t h e for egoin g. He, however, la q u ite prepared t o support our proposal i f h is opin ion i s sought fo r by th e M in istr y o f Cor por ation s. For your read y r efer en ce we en close h erewith e xt r a ct o f R. Decree o f Ap r il 14 t h , 1927, H530 (General r egu la t io n s cover in g hygien e and s a n it a t io n ;, and o f M in is t e r ia l Decree o f March 20 th , 1929, ( l i s t o f t h e in d u s t r ie s which are au bjeot t o p r escr ib ed p e r io d ica l m edical v i s i t s ) , and would draw your atten t io n to th e p r escr ip tion s contain ed in IPI4 o f the said lis t * By vir t u e o f Ar t . 2 o f M in is t e r ia l Decree o f March 20 th , 1323, we would ba i ablef* t o ask fo r an exten sion o f the p e r io d ica l v i s i t s from two t o ever y fou r or s ix months, but many con sid er ation s o f a gen eral ch a r a ct er , however, would d issuade u s from t a kin g t h is st ep . I t i s a w e ll kn own 'fact th at t h e Beard of H ealth and t h e Cor p or ative Medical In sp ection Department a r e not working hand in hand, t h e la t t e r O ffice bein g ver y s e n s it ive to anyone en croachin g on t h e ir sphere o f work, and would be under th e im pression th at th e Board o f H ealth was attem ptin g t o usurp t h e ir a c t iv i t i e s . In view o f t h is we cann ot hold out much hope o f h avin g t h e Board of H ealth (M in istr y o f th e I n t e r io r ) support us* I t I s evid en t t h a t th e Cor p or ative Medical Inspec t io n Department i s becoming much more sever e in i t s in sp ect ion s than ever , and in t h is con n ection would c it e th e ca se o f our m ixin g p la n t in Turin (which i s 1-Op erative a s yet ) where we were ca lle d upon t o au&aent th e f i r s t a id requirem en ts, which require** ment f a l l s ou tsid e t h e e xis t in g r e gu la t io n s . Were we, t h e r e fo r e , t o push th e id ea o f askin g fo r an exten sion we would have th e Cor p or ative In sp ection Department bu zzin g round our p la n t s and committing us t o a l l s o r t s o f absurd m edical con t r o l which would prove, t o say t h e le a s t , ver y annoying b esid es expen sive. Th is would a lso r a is e t h e ca se - which l i e s wit h in th e fa cu lt y o f th e Cor por ative In sp ection Department to a llo ca t e a m edical su p er visor in every le o a lit y where we have an Eth yl Mixin g P lan t (as mentioned in t h e la s t p ar t o f Ar t . 2 o f M in is t e r ia l Deeres o f March 20t h , 1929) which fa c t in i t s e l f would com p letely upset any p lan s which you might have in mind to have t h is work supervised ge n e r a lly by one d oct or , who may be chosen t o ca r r y out hh s work under th e p r esen t p la n . " To con clu d e, t h e r e fo r e , in P r o f. D ica 's opin ion we would be v a r y unwise t o push th e q u estion o f exten sion as wo most c e r t a in ly would lo s e th e freed and e la s t i c i t y in th e 000 714 w - Mr. T .B.A. Sevan, 3 14th November, 1336. in th e m edical con t r ol work which we a t p r esen t en joy, and which fa l l s d ir e c t ly under the su p er vision o f th e Ethyl Export Corpora tion . In view o f t h e se cir cu m stan ces, t h e r e fo r e , we can on ly agree with P r o f. Sloa fend f a i l t o see where an y u s e fu l purpose would be ser ved were we t o m odify th e presen t arrangem en ts. Yours ver y t r u ly, 30CI2TA* ITALO.AMERICANA PEL FKl'fiQLIO Managing Dir ector CCC/JR En el. 0007U 8 APPROVAL OF QSNSHAL REGULATIONS COVERING INDPiffRlAL H YSI ^ iS. (R.D. 14 Ap r il 1927, Ii5j50 - H.809, p u blish ed t o t h e O ffic ia l Gazette Ap r il 25, I927 K*95) Ar t . 2) For a l l in d u s t r ia l o r commercial fir m s whose a c t iv i t i e s may n e ce s s it a t e th e employment o f asphyxiant# poison ous or in fe ct io u s m ater ials# or p la n t s which may product such products# th e owner i s committed t o p r e vio u s ly warn a l l employees aga in st the dangerous ch a r a ct er o f such goods# a s w e ll a s in d ica t e th e precaution ary measures to be taken , and provid in g a l l th e n ecessary means, t o prevent accid en ts. Ar t . 3} Raw m a t er ia ls which ar e not a ct u a lly bein g u sed , t h e prod u cts and r esid u es which may have poison ous or tm u stic p r o p e r t ie s , e s p e cia lly i f same a r e in a liq u id s t a t e , or a r e e a s ily made v o la t ile or solu b le must be kept in lea kp r oof con tain er s with s u it a b le l i d or bung. These con t a in er s should always bear th e word "poison " and th e "s k u ll" mark. F ir a t -a ld box Ar t . 4} The owners o f in d u s t r ia l fir m s employing a t le a s t 23 men, must pr ovid e t h a t a f i r s t "a id box, equipped with a l l th e n ecessar y s u r gica l in strum en ts and pharm aceutical p r od u cts, be always a t hand t o ren der prompt a s sist a n ce in th e case o f even tual in ju r ie s or sudden illn e s s o f person n el. The M in ist er fo r n a t ion a l Economy w ill e s t a b lis h , with r esp ect t o th e importance and t h e n ature o f th e fir m s, th e q u a n tity and kin d o f s u r gica l ia s t r u meats and ph arm aceutical prod u cts t h a t should be kep t in th e f i r s t "a id box. All oth er in d u s t r ia l companies a ffe ct e d by th e Law cover in g a ccid en t s to personn el wh ile a t work, approved by R.D. H51 o f 3 - J anuary, I30 4, and r e la t iv e m od ifica t ion s, a r e ob liged t o have on hand packages con tain in g a l l the n ecessar y in gr ed ien ts to ren der fir s t - a id . However, in th e ca se o f fir m s which, fo r p a r t i cu la r reason s, should encounter d iffi c u lt ie s with r ega r d to th e ren d er in g o f prompt fir s t - a id , the Board o f H ealth may a lso p r e s cr ib e th e use o f t h e fir s t - a id box a s mentioned in th e f i r s t paragraph o f th e p r esen t Ar t ic le . F irst-a id Station Ar t . 5} In ever y in d u s t r ia l p la n t in which t h e n ature of th e work may p r esen t r is k s o f exp losion , asphyxia# poison in g o r in fe ct io n , th e owners ar e cau tion ed t o keep both th e f i r s t a id box and t h e medicament packages mentioned in the f i r s t and second paragraph o f Ar t . 4. When th e number o f workers employed i s more than fiv e i t is n ecessa r y t o a lso keep a con ven ien tly a ir e d and illu m in a ted room# h eated in th e co ld season# equipped with th e followin g: a) s u r gica l and ph arm aceutical in gr ed ien ts as p er paragraph 1 o f Ar t . 4 . b) a bed with m atrass and p illo w covered with waterp r oof fa b r ic and h avin g a t le a s t two woollen b la n ket s; c) a s t r e t ch e r fo r th e even tu al t r a n sp or t a t ion o f an in d ivid u a l. Th is may sub s t it u t e t h e bed when fit t e d with m atrass and p illo w ; d) *7a t e r fo r drin kin g and clea n sin g purposes. KZ 0007249 2* Doctor o f th e P lan t A rt. 6) la I n d u s tr ia l works in which to x ic o r In fe c tio u s su b stan ces a re used o r produced, which p ro d u cts w ill be in d ic a te d la a l i s t to be com piled by th e M in is te r f o r N a tio n a l Economy to g e th e r w ith th e M in is tr y o f t h e I n t e r i o r , a f t e r having h eard th e o p in io n o f th e Board o f H e a lth , a l l workmen w i l l have t o be examined by a com petent d o cto r: a) P rio r to tak in g up such work, w ith th e view o f e s ta b lis h in g w hether th e in d i vidual Is p h y sica lly capable of r e s is tin g the in flu en ce and d e le te rio u s e f f e c ts o f the chem ical agents to which they w ill be exposed, b} s u c c e s s iv e ly , a t e s ta b lis h e d i n t e r v a l s , t o be in d ic a te d i n th e a fo re m e n tio n e d l i s t , in order to oheck th e s ta te o f h e a lth of the p ersonnel. A rt. 7 } p la n ts contem plated under A rt. 2 , 4 and 5 a b i l l should be podsd on a w all in a v is ib le s itu a tio n on which should appear th e name, dom icile and telephone number o f th e d o c to r, o r e ls e th e ad d ress o f th e n e a re st p u b lic h o s p ita l. In the film s contem plated by th e f i r s t paragraph o f A rt. 4 and 5, a nurse o r, where t h i s i s not p o s s ib le , a person having a p r a c tic a l knowledge o f nursing, should be assigned to look a f te r and m aintain in f i r s t c la ss cond itio n the su rg ic a l instrum ents and pharm aceutical in g re d ie n ts , as w ell as render f ir s t* a id w hile w aiting fo r th e a rriv a l o f th e d o cto r. K ? 0007150 / M in ist er ia l Decree o f 20 March 1929 ( O ffic ia l Gazette Ng6 o f 24 Ap r ii, 1929) * * < * a e r a i ss a s * a ' Approval o f H a t r e fle c t in g I n d u s t r ia l p la n t s in which t o xic o r I n fe ct io u s su bstan ces a r e used o r produced, with r esp ect t o compulsory pgawnririica in lt l a l and p e r io d ica l m edical exam inations o f person n el a s p r escr ib ed by Ar t* 6 o f t h e General Regu lation s c f A p r il 14 , 1927# N530 , cover in g I n d u s t r ia l H ygien e. m e M in ist er fo r Nation al Economy, t oget h er wit h th e M in ist er fo r th e I n t e r io r , in view o f Ar t . 6 of th e General Regu lation s cover in g in d u s t r ia l hygien e approved by R. Decree o f Ap r il 14 , 19 2 7 , H59P , D2CRE8S: Ar t. 1 } In view o f Ar t . 6 o f th e Gen eral Regu lation s cover in g in d u s t r ia l h ygien e, approved by R.Decree o f 14th Ap r il, I927, N530 p r esen t approves th e followin g l i s t o f in d u s t r ia i in which t o x ic or in fe ct io u s substan ces ar e used or produced, and in which th e person n el i s su b ject t o i n i t i a l and p e r io d ica l m edical exam in ation s: h ist of In dustries '-i Cause o f r is k 3 Lead Kind o f work or ca ts I n i t i a l gory of labour m edical ' examin at ion ................ c)me? employed in p la n t s m anufacturing le a d yes compounds Duceoa sive por lo d ica l exam inations }Jvery two months 13 Ben zine, ben zol, tolu ol, xilo l In d u strial use of any substance admixed w ith benzine, benzol, to lu o l or x ilo l. yes Medical examination in event o f in d ivid u a l su sp ectin g o r showing sign s o f poisoning. 14 3en zin e con tain in g Men working on: organic or m eta llic a) the preparation o f compound4 or oth er b len d s yes to xic substances b ) th e clean in g and over hauling o f motors in which sa id benzine h as been employed. ever y s ix months 5 Ar t . 2 } The Board o f Health may a u t h or ize the owner o f in dust l a l p la n t s t o e ffe ct th e p er iod ica l m edical exam inations at lon ger in t e r va ls than those p r escr ib ed in t h e above lls t ^ fb u t in no ca se may th e I n t e r va l be twioe th e p er iod yrsKSxihgdy in d ica t ed above,) whenever th e means provid ed by th e company a r e such as w ill n ot a b ly dim in ish th e danger from poison in g or in fe ct io n , and always i f t h e owner i s able t o en sure th e immediate in ter ven tion of th doctor in oase o f accid en t. U t 0007151