You now have a second health plan to work

You now have a second health plan to work. Therefore, the first did not have results

The first plan had allowed the Refoundation of the institutional framework, with the creation of the French Agency for sanitary security of the environment and the workplace (Afsset) and the implementation of a plan of modernisation of the labour inspectorate which means have been considerably strengthened. It has paid off: the number of serious accidents declined by 30. But there are still 44.000 accidents and 600 to 700 deaths per year. The occupational health remains a major challenge and we must amplify our efforts.

What are the main focus of your plan

It first of all strengthen the synergies between all stakeholders on the issue of health in the work of the NAALC to the prevention of the MGB body passing through the INRS. It must also develop synergies, national and international research. In the same vein, I wish to extend the missions of services of occupational health monitoring of occupational exposures and health watch. The second axis is to develop monitoring tools and better identify good practices to help companies, a fortiori the smaller of them. The third axis is the strengthening of prevention approaches in enterprises, with for example the air quality measures when necessary.

You appear to prefer the incentive to the threat of sanction. Don't you be afraid that companies do not play the game

I measure the difficulty of this issue for companies, especially as standards evolve constantly to the image from the list of the carcinogenic risks. This is a multi-year plan and before sanction, I want to accompany the businesses in its implementation.

Should strengthen the role of the committees for occupational health and safety (applicants)

They already fully play their role. The real problem arises in small businesses that are lacking. It should be then to rely on the branches to educate, inform and assist SMEs. Corporations must also be vigilant on working conditions in the subcontracting of certain operations.

You have given until February 1 to undertakings with more than 1,000 employees to reach an agreement on stress. Where is it

I believe in the virtue of the example. We will release mid-February a list distinguishing between the most advanced companies, those that have started to move and those who did nothing. With, for the latter, all the risks that it has in terms of image, which are in my opinion more dissuasive than a fine...

The question for the hardship is another facet of the health at work. How do you treat it

The issue will be addressed at the appointment on pensions. We will naturally take our responsibilities, but the arduous nature should not be a catch concept. Do not reason by occupational classification, which would lead to recreate plans special, but by situations and factors for hardship, for example night work or the port of heavy loads. Of course, we will leave work already conducted by the social partners on the definition of difficult situations and will examine whether or not to change. The only criterion which must guide us is the impact on life expectancy. I am not in favour only medicalized approach, should nevertheless take into account the reality of the suffered pénibilités. The implementation of the health of professional life diary, which we are launching the experimentation in 5 regions, will bring the necessary traceability tools.

What offsets are you considering

The priority must go to the development of positions and career purposes, to renewed activity forms. Another track is the devices of payment by the payment of an annuity. The development of traceability tools will define, in view of the course of the employee, the employers concerned, so that any load is not only based on the last employer before retirement. To be a part of sharing by sectors.

How do you intend to reform labour medicine, after the failure of the negotiations of the social partners

I myself fixed as objective to complete the development of the legislation by end February so they can be reviewed at the end of the first half by Parliament. I would like to develop the multidisciplinarity in the occupational health services to complement the exclusively clinical approach. Include ergonomists and psychologists will help better meet the needs. The governance of health services must also evolve. At least one third of the seats on the boards of directors could be reserved for representatives of the employees. It finally provide access to the medicine of work for temporary workers, seasonal workers and employees at home.

I also took into account the current shortage of occupational physicians: two-thirds were more than 50 years and the profession attracts not enough young people. To address this situation, I would like to develop incentives and gateways with General Medicine.

Does maintain a mandatory visit every two years

I proposed to retain the principle of the visit every two years, accompanied by enhanced monitoring in certain sensitive sectors, but introducing a bit of flexibility. In some cases, a visit every three or four years may be considered, provided that, at the same time, we can ensure a visit to any employee who requests.