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.
Process safety management (PSM) is addressed in specific standards for the general and construction industries. OSHA's standard emphasizes the management of hazards associated with highly hazardous chemicals and establishes a comprehensive management program that integrates technologies, procedures, and management practices.