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.
A health and safety management system (HSMS) is a framework put in place by employers to manage risks, establish controls, and minimize the incidence of injury and illness to their workers. This is accomplished through identifying, assessing, and controlling risks to workers in all workplaces.