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 Audits The organisation should establish and maintain a programme and procedures forperiodic safety and health management system audits to be carried out to enable acritical appraisal of all the elements of the safety and health management system to bemade.