[Health surveillance for employees who work in "areas suspected of pollution" or confined]. / La sorveglianza sanitaria per i lavoratori addetti ad attività in "ambienti sospetti di inquinamento" o confinati.

About medical aspects related to the work involving confined spaces Neil McManus, one of the leading world expert on the topic, points out that now a days, besides what is required for general work environmental, no specific data can be found in the literature on health surveillance programs for workers engaged in activities in confined environments. Although there are activities in confined environments, which may include the adoption of operating procedures and protection systems similar to those one used in manufacturing jobs (e.g., use of PPE as respiratory mask and protective clothing, etc.) we must, however, emphasize that activities in confined environments involve specific working conditions of particular physical / psychological stress for employees. Working in these spaces has as consequences issues not found in other situations (being confined, difficulties in the movement, unable to access / exit, uncomfortable postures, etc.) and also, in emergency, it may involve difficulties with activities offirst aid or extraction of the worker injured and in some cases even obstruct them. Therefore we believe that it is important to begin a debate on the topic and to indicate what should be the physical requirements of the employees who have been called to work in this particular workplace.

[B-BS and occupational health and safety management systems]. / La sicurezza basata sui comportamenti come integrazione dei sistemi di gestione della salute e sicurezza sul luogo di lavoro (SGSL).

The objective of a SGSL is the "prevention" agreement as approach of "pro-active" toward the safety at work through the construction of an integrated managerial system in synergic an dynamic way with the business organization, according to continuous improvement principles. Nevertheless the adoption of a SGSL, not could guarantee by itself the obtainment of the full effectiveness than projected and every individual's adhesion to it, must guarantee it's personal involvement in proactive way, so that to succeed to actual really how much hypothesized to systemic level to increase the safety in firm. The objective of a behavioral safety process that comes to be integrated in a SGSL, it has the purpose to succeed in implementing in firm a process of cultural change that raises the workers social group fundamental safety value, producing an ample and full involvement of all in the activities of safety at work development. SGSL = Occupational Health and Safety Management System.