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.
For the purposes of defining safety management, safety can be defined as: ... the reduction of risk to a level that is as low as is reasonably practicable. There are three imperatives for adopting a safety management system for a business â these are ethical, legal and financial. safety management system is woven into the fabric of an organization. It becomes part of the culture, the way people do their jobs. ... the reduction of risk to a level that is as low as is reasonably practicable.