Lung cancer is the most common cause of clubbing. Clubbing often occurs in heart and lung diseases that reduce the amount of oxygen in the blood. These may include: 1  Heart defects that are present at birth (congenital).
What is a safety management system (SMS)? A safety management system is a systematic approach to managing safety, including organisational structures, accountabilities, policies and procedures.
Safety and health management system means the part of the overall managementsystem that includes the organisational structure, planning activities, responsibilities,practices, procedures and resources for developing, implementing, achieving, reviewingand maintaining the occupational safety and health policy.