Document vBzO4LeKdONqaEka7xLVyo7NY

officer reports to. 'top- management. - Reference is made to that discussion and also-will: be carried more'into detail in the final, report. , The following table shows the complete data with reference to intra'-- mural relationships: ..... "............... ' No. Groups 43 49 50 17 42 43 .34 -- 278 .81*0 . */ Direct to Top. Mot. : Under 500 ......... .. 48.8 600- 999 ....... .. 22.4 1000-1490 ....... .. 1500-1099 ....... .. 2000-3999 ....... .. 4000-0909 '....... .. 40 23.5 42.8 38.5 ' 10000 & over ....... .. 32.4 ---. - , (Average) 3(1 S D^ve. ' On a Par 30.2 30.8 48 41.2 42.8 40.5 36.3 -- 39.2 %' Health Oept, Final Word 30.2 30.8 54 47.8 50 61.2 53 43.2 These figures differ considerably from those given on the incomplete data one year ago, in that-the majority of the establishments included at that time reported to top management, had the three divisions of health, safety and industrial relations on an administrative par, and the health department had the final word on health problems. It will be observed here that these relationships are carried out In approximately only 40% of the total number of groups included in this study. It will also be observed that in the percentage reporting to top management, the highest percentage occurred in the groups under 500 employees, and one of the lowest in groups of 10,000 employees and over--this is easily explained on the basiB that in the smallest plants top management is very close to all activities and that in the complex administrative arrangements ns seen in the largest plants, it appears much easier to delegate supervision to others than top manage ment. Records and Reports It is of interest to know what is going on with respect to the health records of employees and allied activities. The following table shows fig ures with respect to the individual records of employees being under medical control and available to medical staff only; with respect to Information being given to individual employees regarding examination findings; the giving of industrial hygiene information to individual employees; and the produc tion of regular reports on health department activities: RECORDS AND REPORTS No, Groups 8l*o .0 Medical Control 43 Under 500 ............ 16.3 49 600- 999 ........ 18.7 50 1000-1499 .... ... 28 17 1500-1999 .... ... 29.4 42 2000 - 3999 .... ... 36.7 43 4000 - 9999 .... ... 39.0 34 10000 & over.... ... 88.2 , Exam Inf. 16.3-34.8 R 18.7-12.5 R 34 -20 R 36.3 - 23.6 R 30.9-14.3 R 39.6 -13.9 R 63 -20.6 R % Ind. Hyg. Inf. 13.9 R 20 R 10.C - 26 R 23.5 R 16.7 R 30.3 R 38.2-23.5 K 278 (Average) 34.8 31.3 - 19.4 R 5.7-21.9 R 20 % Roporta 63.6 27.9 54 53.8 62.4 63 91.8 65.7 On the average approximately 357, of all groups maintained individual health records available only to the medical department staff--of course there are exceptions when records must be consulted for other purposes, but in the before-mentioned percentage individual health records were di rectly under medical staff control. In this respect, the figures show what might be expected, a gradual increase in the percentage of medical control of health records as the sire of the groups increased, except that there was a disproportionnl increase between the last two groups. Giving Results of Examinations With regard to giving individual employees the results of various exam inations, there was considerable variation, as shown in column 4 of the table. Here We have a split column, on the left being the percentages in which the examination information was routinely given to individual employees; and on the right,: when it was given upon request only--it can be seen that on the whole the figures were somewhat larger for routine procedure than with reference to request. Addition of these two columns of figures across from left to right gives the total percentage of examination information given to the individual employees in the various groups; this reached 73r; in the largest working group and 61% in the smallest, with an average of 50', for all groups. The method of reporting examination information to individual employees was largely verbal, although there were a few examples of regularly written reports. There were also instances where routine reports were made verbally to individuals with physical defects with recommenda tions and follow-up. The giving of industrial hygiene information to individual employees shows a considerably less percentage, as might be expected, in the various groups, with an average of 27% for all establishments, with approximately 22'/, being on request only, ami most of the data showing that the Informa tion was given only In this way. The making of regular reports shows figures which may seem surpris ing, since approximately only 55'.; of all groups made regular reports on their health activities to some agency or person. In most instances, reports were made to management, with a few examples of outside agencies, such a state deportments or unofficial agencies. It was apparent in many in stances that special reports only were issued at irregular intervals, and also in a large number of cases verbal conferences were held rather than depending upon written material. In those instances where regular written reports were made, they were usually monthly and annual in frequency. Cost of Service Reference was made In the preliminary report given a year ngo to a general discussion with reference to the cost of industrial health services, citing the factors influencing cost, the types of unit rating of cost, and some material with reference to a number of different types of plants. This material need not be repented here, but additional material will be given. It was possible to assemble cost figures from a group of nine plants (three in the under 1,000 class--three In the medium sized class--three in the large class! from a large corporation having fairly well centralized control. The following table shows the number of persons in each plant, the original investment, the mnlntennnce cost on a monthly basis, the sala ries on a monthly basis, and the personnel and the snlary percentage of the total monthly cost: 21