Risk Management of "Human Services on Welfare" and "Occupational Safety and Health" in Social Welfare Facilities

由于公共长期保险的引入和社会福利基本结构性改革的推进，对福利的人力服务使用从制裁转向了以合同为基础的制度。发生在社会福利设施内的事故可分为(1)护理事故（使用者受伤）、(2)职业事故（工作人员受伤）。并且，它可以认为用户和工作人员都受到了一次事故的伤害。社会福利设施是使用者生活的场所，也是员工工作的场所。因此，为了防止福利设施发生事故，既要对使用者进行“福利人类服务风险管理”，也要对员工进行“职业安全与健康风险管理”。本研究的目的是针对这两种风险管理的整合。从一系列的研究结果来看，以下几点对于预防社会福利设施的事故是非常重要的。(1)员工方面的“职业安全卫生风险管理”是“福利人类服务风险管理”的前提。(2)在社会福利设施中，利用《职业安全卫生法》已经建立的职业安全卫生组织，构建“职业安全卫生管理体系”更为可行。对“福利人力服务风险管理”的组织和体系进行了全新的思考。(3)如果在“职业健康安全管理体系”中考虑到作为社会福利设施重要成员的“使用者”，我们也可以实现“福利人类服务风险管理”的建立。

The use of human services on welfare have shifted to the system based on the contract from the sanction, because of the introduction of the public long-term insurance and the promotion of the basic structural reform of social welfare. The accident which happened in the social welfare facilities can be classified in (1)care accident (user damaged), (2)occupational accident (working staff damaged). And, it can think that both of the user and the working staff are damaged by one accident. Social welfare facilities are the places to live for the user, and it is the place to work for the employee.Therefore, it is important that both "Risk Management of human services on welfare" on the user side and "Risk Management of Occupational Safety and Health" on the employee side are carried out to prevent the accident in the welfare facilities.This study was performed for the purpose of aiming at the integration of this two risk management.From a series of study results, it was cleared that following matter was very important to prevent the accident in the social welfare facilities.(1)"Risk Management of Occupational Safety and Health" on the employee side is necessary as a premise of "Risk Management of human services on welfare"(2)It is more available that We build "the Occupational Safety and Health Management System" in the social welfare facilities, using the occupational safety and health organization which has already been established with the Occupational Safety and Health Law, than that the organization and system for "Risk Management of human services on welfare" is thought out newly.(3)If we build thoughtful consideration for "the user" who is the important member of the social welfare facilities onto "Occupational Health and Safety Management System", we can fulfill to establish "Risk Management of human services on welfare", either.