Background and Activities of the Samsung Ombudsperson Commission in Korea.

OBJECTIVES: The Samsung Ombudsperson Commission was launched as an independent third-party institution following an agreement among Samsung Electronics, Supporters for Health and Right of People in Semiconductor Industry (Banolim in Korean, an independent NGO), and the Family Compensation Committee, in accordance with the industry accident prevention measure required by the settlement committee to address the issues related to employees who allegedly died from leukemia and other diseases as a result of working at Samsung's semiconductor production facilities.
METHODS: The Commission has carried out a comprehensive range of activities to review and evaluate the status of the company's occupational accidents management system, as well as occupational safety and health risk management within its facilities.
RESULTS: Based on the results of this review, termed a comprehensive diagnosis, the Commission presented action plans for improvement to strengthen the company's existing safety and health management system and to effectively address uncertain risks in this area going forward.
CONCLUSIONS: The Commission will monitor the execution of the suggested tasks and provide advice and guidance to ensure that Samsung's semiconductor and liquid crystal display production lines are safer.

INTRODUCTION

In March 2007, Yu-mi Hwang, a former worker at a Samsung Electronics plant in Giheung, died of acute myelocytic leukemia. In November of the same year, other Samsung employees suffering from similar conditions, Hwang’s bereaved family members, and civil activists jointly formed a group called the Joint Action Committee for Learning the Facts about the Outbreak of Leukemia at Samsung Semiconductors and for securing the Basic Rights of Labor. The group later changed its name to Supporters for Health and Right of People in Semiconductor Industry (SHARPs, Banolim in Korean). Hwang’s family members and the company’s employees applied to the Korea Workers’ Compensation and Welfare Service for workers’ compensation insurance, claiming that leukemia and other incurable diseases should be acknowledged as a type of occupational diseases. The claim was denied based on the results of the Occupational Safety and Health Research Institute (OSHRI)’s epidemiological investigation result, which concluded that “there was an increased risk of lympho-hematopoietic diseases, but it was not statistically significant.” In 2010, the group filed an administrative lawsuit in the hope of overturning the denial, and in this lawsuit, the court ruled in favor of some of the cases [1] (Appendix 1). In the meanwhile, three Korean semiconductor makers conducted self-assessments on occupational health risks in 2009, following advice from the Ministry of Employment and Labor [2]. OSHRI’s epidemiological investigations of Korea’s six semiconductor companies to make up for statistical loopholes in the previous study is still ongoing [3]. The final result released in May, 2019 that “there was an increased risk of lympho-hematopoietic diseases, however, the association between work and diseases was not confirmed” [4].

Since 2013, Samsung Electronics, SHARPs, and the Family Committee for Compensation over Leukemia Issue have made efforts to reach a settlement that can put an end to the long-running leukemia issue, leading to the establishment of a mediation committee to address the issues on the putative workplace outbreak of leukemia and other diseases at Samsung Electronics facilities. The committee released a settlement ruling in July 2015, requiring apology, compensation, and prevention measures. The three parties reached an agreement in January 2016, regarding prevention measures, which led to the establishment of the Samsung Ombudsperson Commission [5] (Appendix 2).

This article describes how this settlement laid the foundations for the formation of the Ombudsperson Commission and summarizes the details of the comprehensive evaluation activities, referred to as a comprehensive diagnosis, as well as the results.

METHODS

The History and Foundation of the Ombudsperson Commission

The Samsung Ombudsperson Commission was launched based on a three-party agreement about strategies for occupational disease prevention. The three-party settlement agreement served as the foundation for establishment and direction of activities. The main features of the agreement are as follows:

Article 1 of the agreement describes the goal of the prevention measures: Samsung should devise a “complete system for a healthy and safe workplace.” In other words, the company should look for ways to improve the organizational culture and establish an effective channel to communicate with independent institutions that work for the public interest, as well as a detailed plan to prevent occupational diseases in the future. To this end, the agreement called for reinforcement of the company’s internal occupational health management system, which is to be reviewed and confirmed by the Ombudsperson Commission, an independent organization.

The Commission was chaired by Prof. Cheolsoo Lee of Seoul National University School of Law and its leadership included two other members: the late Prof. Hyun-Sul Lim of Dongguk University College of Medicine and Prof. Hyunwook Kim of College of Medicine, The Catholic University of Korea. After Prof. Lim passed away in 2018, Prof. Seong-Kyu Kang of Gachon University College of Medicine assumed in August of the same year.

The Commission’s main roles were to conduct a comprehensive diagnosis of the current status of these issues and to monitor the execution of improvement measures. The diagnostic process included reviewing and evaluating data submitted by Samsung regarding the operational status of its internal accident management system and occupational health management, as well as publicizing reports on suggested improvements when needed by requesting further data and/or onsite inspections (Article 3, Paragraph 3 of the Agreement). The specific areas subject to the Commission’s diagnosis were: (1) An evaluation of harmful factors in the workplace environment and improvement plans (evaluation of chemical substance management and improvement plans, evaluation of the workplace environment and improvement plans, construction of a job-exposure matrix, etc.); (2) Conducting an epidemiological study on the health effects of the workplace environment (epidemiological investigations of former and current workers, in-depth studies of groups with a high suspicion of occupational disease, and in-depth interviews with employees); (3) Inspection of the current comprehensive health management system and improvement plans (health management and enhancement activities); (4) Inspections and studies to prevent occupational accidents and diseases (studying academic papers and policies regarding occupational safety and health standards for chemical substances, studying cases in other countries, releasing research papers, and conducting promotional activities); and (5) Advising and/or suggesting actions by Samsung through reviewing and advising Samsung about confidential information and data regarding chemical substances (any and all activities that have to do with establishment, revision, and enforcement of detailed regulations on sharing information about harmful chemical substances used in Samsung’s semiconductor and liquid crystal display [LCD] facilities and trade secrets).

The monitoring activity mainly included an annual inspection of Samsung’s execution of the improvement plans throughout the effective period, as well as suggesting and/or advising any additional improvements as needed after requesting additional data or onsite inspections, and reporting the results thereof.

The leadership of the Commission included a chair and professors of occupational medicine and industrial hygiene, with five sub-committees by ten professors organized into two departments to perform a comprehensive diagnosis. Department 1 consisted of three sub-committees with eight experts each: the Physical and Chemical Substances Team, the Health Effects Research Team, and the Occupational Health System Improvement Team. Department 2 consisted of two sub-committees with two experts each: the Research and Investigation Team and the Regulation Review Team. The comprehensive diagnosis was performed by each expert with an assigned role under supervision of the Ombudsperson leadership. In June 2016 and September 2016, the Commission and the five teams selected topics for each one and assembled a diagnosis group of 41 experts including the Ombudsperson. In November 2016, the Commission signed a contract with Samsung Electronics and Samsung Display mediated by the Seoul National University R&DB Foundation and carried out investigations into Samsung’s semiconductor and LCD facilities, including the Giheung, Hwasung, Onyang, and Asan locations, between November 2016 and December 2017.

The Commission disclosed the results of their activities at a press conference held on April 25, 2018, to ensure transparency of the diagnosis [6]. The “Comprehensive Diagnosis Report” was shared with the public in August 2018, after making revisions based on opinions received from the stakeholders.

Ethics Statement

This comprehensive diagnosis project itself isn’t human subject research, but some specific subjects performed by each expert with an assigned role under supervision of the Ombudsperson leadership were approved by the institutional review board from their affiliation institute.

RESULTS

The key findings of the report on the comprehensive diagnosis are described below.

The most recent 3 years of work environment data from Samsung regarding physical and chemical substances and radiation showed encouraging results, as 79.9% of the substances investigated were non-existent at the Giheung and Hwasung plants, 71.6% were not found at the Onyang location, and 73.0% were not present at Asan. Among the substances that were detected, none were present at levels exceeding 10% of the occupational exposure levels (OELs) of Korea. The team looked for 25 key chemicals selected based on their relevance for trade secrets, quantity, and toxicity in 54 bulk samples of photoresistors used during the photographic process. Sixteen of the 25 chemicals, including benzene and ethylene glycol ethers, were determined to be non-existent and nine chemicals, including toluene and o-cresol, were found at negligible levels, unlikely to be harmful even with long-term exposure. Most of the chemicals were not detected in tests for preventive maintenance workers, while the detected substances were all under 10% of the OELs. Exposure to electromagnetic fields was also lower than 10% of the recommended level. A status of radiation equipment management and the risk of exposure to radiation of workers were both within the minimum safety requirements of the Nuclear Safety Act. The expected exposure rate of employees working near radiation equipment was on average 0.2 mSv, referred to 1 mSv for the general public [7].

A systemic review and meta-analysis were performed of the relevant literature to obtain insights into the correlations between the occurrence of cancer and other major diseases and occupation among semiconductor workers. Occupational correlations between the onset of leukemia, non-Hodgkin lymphoma, brain tumor, and breast cancer and the workplace environment in the semiconductor industry were not verifiable with currently available resources. Focus group interviews of former and current semiconductor workers suggested potential exposure to chemicals, noises, and odors in old procedures that are different from those currently used, but there was no way to confirm this at facilities that had already been shut down. It was only confirmed that the current process has been automated to a great extent and that workers are no longer directly exposed to chemical substances or harsh environments. The levels of biological exposure among current workers to harmful chemicals such as benzene and arsenic were largely similar to the levels found among the general public, according to biomarker test results [7]. This suggests that the current environment poses almost no potential health risk.

Investigations of the company’s occupational health management system confirmed that an internal health management team was in place and that the company provided support for expert consultations, guidance for the industrial accident compensation insurance application process, and a service desk for compensation-eligible diseases, in case an employee develops a possible occupational disease.

Studies of future policies for preventive measures confirmed that the company needs policies to prevent potential risks. A new risk management system using big-data–based artificial intelligence was suggested as an alternative. Additionally, a dedicated team is needed to enhance communication between stakeholders within and outside the company regarding health, safety, and environment issues, thereby improving the credibility of the company [7].

Investigations into practices of sharing and archiving material safety and health data on harmful chemicals concluded that the company should share all data regarding chemical substances used in their facilities in order to protect workers and ensure their right to know, considering the huge number of chemicals used in the semiconductor and LCD facilities. Although semiconductor and LCD technologies and their trade secrets should undoubtedly be protected as key national technology assets, such protection must be kept to a minimum level in order not to compromise workers’ health [7].

DISCUSSION

The results of the comprehensive diagnosis did not demonstrate any occupational correlations with the development of incurable diseases among some of Samsung’s semiconductor and LCD manufacturing employees. Improvement plans were proposed to completely rule out any potential risks that are currently unverifiable and to effectively address uncertainties regarding future health management. Core action points of the improvement plan include removing future uncertain risks through continuing enhancement and maintenance of the work environment and chemical substance management practice; conducting long-term follow-up surveys on correlations between jobs and diseases using a job-exposure matrix and cohorts; promoting employees’ health by upgrading the existing occupational health program to help workers with lifestyle diseases and to encourage healthy workers to maintain their status quo; introducing a big-data–based risk management system; enhancing risk-related communication between stakeholders within and outside of the company; and sharing chemical data using in facilities to secure workers’ right to know. The full list is presented in Table 1.

Table 1.

Core action items for improvement

Sub-committee	Category	Details
Physical and chemical substances	Work environment data	Continue monitoring the level of exposure in preventive maintenance work
	Work environment management	Conduct regular monitoring of recirculated air quality in the clean room
	Chemical substance management	Reinforce analysis of major harmful substances
	System development	Construct a job-exposure matrix
	Training, promotion, communication	Continue education for the risk of chemical substances
	Partner support	Enhance safety and health management support for partners
Health effects research	Establish cohorts	Set up prospective cohorts for semiconductor and LCD workers
	Biological exposure evaluation	Conduct a biological exposure study
Employee occupational health system improvements	Health promotion programs	Introduce a customized health promotion program for employees with chronic diseases
	Health management system	Come up with mid- to long-term plans for health promotion activities
	System development	Introduce a mobile healthcare system
	Training, promotion, communication	Strengthen communication among health promotion departments
Research and investigation	Chemical substance management	Conduct a quantitative study of chemical substance uncertainty risks
	System development	Establish a health, safety and environment management system using artificial intelligence analyses of big data
	Training, promotion, communication	Assemble a dedicated communications team for issues related to health, safety, and the environment
Regulation review	Data sharing	Share a list of chemicals used
	Training, promotion, communication	Install equipment that can confirm whether material safety data sheet guidelines are followed
	Safety health management system	Expand archives (including the duration of storage) for employees’ health data

LCD, liquid crystal display.

The Ombudsperson Commission will examine Samsung’s implementation of these core action plans to ensure that the company’s semiconductor and LCD lines are safer and healthier.