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.
As an employer, it is your responsibility to maintain a safe and healthy workplace. A safety and health management system, or safety program, can help you focus your efforts at improving your work environment. Whatever you call it, your plan describes what the people in your organization do to prevent injuries and illnesses at your workplace. Your organization will have its own unique system, reflecting your way of doing business, the hazards of your work, and how you manage the safety and health of your employees: 1  If you manage a small business in a low-risk industry, your system may simply involve listening to your employees' concerns and responding to them.