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.
Implementation of an effective Health and Safety Management System is a proactive way to. prevent injuries and illnesses. While it cannot guarantee that incidents will never occur on a work. site, an effective Health and Safety Management System will minimize both the number and the.