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FLEXIBILITY and SECURITY a challenge for SME’s Dr. J. Glazemakers We all have to combine needs for flexibility and security, and this is true both in our private live and in our occupational life. SME’s, small and medium sized enterprises, have their own specific needs, limitations, opportunities and practical options in the way they respond to the combination of flexibility and security needs. A SMALL FIRM IS NOT A LITTLE BIG FIRM (Harvard) Traditionally one is inclined to rather locate the need for flexibility in the economy (the enterprise and its market) and to locate the need for security in the worker. SME In jobs: Employer Need for flexibility Adaptability to market demands new jobs In tasks In production volume In geographical location … SME Worker Need for security Job security Family life security Safety and health on the job … I would very much like to pay some attention to two other needs that are present. - the need of the SME for security - the need of our worker for flexibility SME - Emoloyer Need for security securing his workforce keeping know how in house securing future existence of firm bridging times of absence of employer maintaining trust and friendship … SME - Employee Need for flexibility self fullfilment; job richness family life occasions private life style and hobbies varying financial needs … I would suggest that in SME’s both the employer and the employee seem to have definite needs both in terms of flexibility and security. These needs are quite outspoken and specific to SME’s. This unique combination of security and flexibility needs as they exist in SME’s does call for some form of social dialogue at the different levels. At workfloor level there is of course a continuous informal dialogue going on between the partners so as to fulltil everyone’s needs to the highest possible level. At higher levels the SME’s are to be represented by their federations and assisted by external services. I would like to hint to some aspects of solutions as they have evolved in Belgium. Being myself an occupational health physician I will focus on some aspects of security through health and safety at the workplace. Perhaps these are possible ‘best methods’ in their field. These ‘solutions’ are the result of an elaborate programme of social dialogue at the legislative level. 1. Each and every enterprise however small or large has to organise health and safety at the workplace. SME’s do so by adhering to external licenced services for health and safety. In practice and on average we have about 30 minutes time of an occupational health physician available per worker and per year. The service I am working in is specialising in SME related tasks and issues. 2. Preventive action by the occupational diseases insurance system: in Belgium occupational diseases are insured through a separate branch of the social security as a whole. There is an insurance premium of 1.1 % of all wages. The system allows for preventive action: the employer can get wage compensation when he offers an adapted workpost of working hours to the victim of an occupational disease. Three examples: - how a baker with farinosis (astma due to an allergy to flour) got a new life as an electrician in the building industry; and how all concerned got better, even the insurance system. - how a small wood working firm could continue to tap the experience of a worker who got cancer. - how a chemical firm could have some administrative overwork done by a pregnant laboratory worker. 3. Permanent health and safety expert advice and help on a 24/24 basis is available if working conditions do warrant it e.g. fine chemicals businesses. Dr. J. Glazemakers IKMO occupational health and safety service Sint-Clarastraat 48bis 8000 Brugge Belgium