BETA

Awaiting committee decision



2018/0081(COD) Protection of workers from the risks related to exposure to carcinogens or mutagens at work: limit values
RoleCommitteeRapporteurShadows
Lead EMPL AGEA Laura (EFD) ULVSKOG Marita (S&D), CALVET CHAMBON Enrique (ALDE), DELLI Karima (Verts/ALE), MÉLIN Joëlle (ENF)
Opinion ENVI MÉLIN Joëlle (ENF)
Opinion JURI MAŠTÁLKA Jiří (GUE/NGL)
Lead committee dossier: EMPL/8/12691
Legal Basis TFEU 153-p1, TFEU 153-p2

Activites

  • 2018/11/20 Vote scheduled in committee, 1st reading/single reading
  • 2018/04/16 Committee referral announced in Parliament, 1st reading/single reading
  • 2018/04/05 Legislative proposal published
    • COM(2018)0171 summary
    • DG {'url': 'http://ec.europa.eu/info/departments/employment-social-affairs-and-inclusion_en', 'title': 'Employment, Social Affairs and Inclusion'}, THYSSEN Marianne

Documents

AmendmentsDossier
128 2018/0081(COD)
2018/09/06 ENVI 28 amendments...
source: 627.037
2018/09/11 JURI 26 amendments...
source: 627.671
2018/09/24 EMPL 74 amendments...
source: 627.584

History

(these mark the time of scraping, not the official date of the change)

activities
  • date: 2018-04-05T00:00:00 docs: url: http://www.europarl.europa.eu/RegData/docs_autres_institutions/commission_europeenne/com/2018/0171/COM_COM(2018)0171_EN.pdf title: COM(2018)0171 type: Legislative proposal published celexid: CELEX:52018PC0171:EN body: EC commission: DG: url: http://ec.europa.eu/info/departments/employment-social-affairs-and-inclusion_en title: Employment, Social Affairs and Inclusion Commissioner: THYSSEN Marianne type: Legislative proposal published
  • date: 2018-04-16T00:00:00 body: EP type: Committee referral announced in Parliament, 1st reading/single reading committees: body: EP shadows: group: S&D name: ULVSKOG Marita group: ALDE name: CALVET CHAMBON Enrique group: Verts/ALE name: DELLI Karima group: ENF name: MÉLIN Joëlle responsible: True committee: EMPL date: 2018-05-16T00:00:00 committee_full: Employment and Social Affairs rapporteur: group: EFD name: AGEA Laura body: EP responsible: False committee: ENVI date: 2018-05-02T00:00:00 committee_full: Environment, Public Health and Food Safety rapporteur: group: ENF name: MÉLIN Joëlle body: EP responsible: False committee: JURI date: 2018-04-23T00:00:00 committee_full: Legal Affairs rapporteur: group: GUE/NGL name: MAŠTÁLKA Jiří
  • date: 2018-11-20T00:00:00 body: EP type: Vote scheduled in committee, 1st reading/single reading
commission
  • body: EC dg: Employment, Social Affairs and Inclusion commissioner: THYSSEN Marianne
committees/0
type
Responsible Committee
body
EP
associated
False
committee_full
Employment and Social Affairs
committee
EMPL
date
2018-05-16T00:00:00
rapporteur
name: AGEA Laura group: Europe of Freedom and Direct Democracy abbr: EFDD
shadows
committees/0
body
EP
shadows
responsible
True
committee
EMPL
date
2018-05-16T00:00:00
committee_full
Employment and Social Affairs
rapporteur
group: EFD name: AGEA Laura
committees/1
type
Committee Opinion
body
EP
associated
False
committee_full
Environment, Public Health and Food Safety
committee
ENVI
date
2018-05-02T00:00:00
rapporteur
name: MÉLIN Joëlle group: Europe of Nations and Freedom abbr: ENF
committees/1
body
EP
responsible
False
committee
ENVI
date
2018-05-02T00:00:00
committee_full
Environment, Public Health and Food Safety
rapporteur
group: ENF name: MÉLIN Joëlle
committees/2
type
Committee Opinion
body
EP
associated
False
committee_full
Legal Affairs
committee
JURI
date
committees/2
body
EP
responsible
False
committee
JURI
date
2018-04-23T00:00:00
committee_full
Legal Affairs
rapporteur
group: GUE/NGL name: MAŠTÁLKA Jiří
council
  • body: CSL type: Council Meeting council: Employment, Social Policy, Health and Consumer Affairs meeting_id: 3660 url: http://register.consilium.europa.eu/content/out?lang=EN&typ=SET&i=SMPL&ROWSPP=25&RESULTSET=1&NRROWS=500&DOC_LANCD=EN&ORDERBY=DOC_DATE+DESC&CONTENTS=3660*&MEET_DATE=06/12/2018 date: 2018-12-06T00:00:00
docs
  • date: 2018-04-05T00:00:00 docs: url: https://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=SWD:2018:0087:FIN:EN:PDF title: EUR-Lex title: SWD(2018)0087 type: Document attached to the procedure body: EC
  • date: 2018-04-05T00:00:00 docs: url: https://eur-lex.europa.eu/LexUriServ/LexUriServ.do?uri=SWD:2018:0088:FIN:EN:PDF title: EUR-Lex title: SWD(2018)0088 type: Document attached to the procedure body: EC
  • date: 2018-06-29T00:00:00 docs: url: http://www.europarl.europa.eu/sides/getDoc.do?type=COMPARL&mode=XML&language=EN&reference=PE623.825 title: PE623.825 type: Committee draft report body: EP
  • date: 2018-09-19T00:00:00 docs: title: CES2158/2018 type: Economic and Social Committee: opinion, report body: ESC
  • date: 2018-09-24T00:00:00 docs: url: http://www.europarl.europa.eu/sides/getDoc.do?type=COMPARL&mode=XML&language=EN&reference=PE627.584 title: PE627.584 type: Amendments tabled in committee body: EP
  • date: 2018-10-09T00:00:00 docs: title: PE628.613 type: Amendments tabled in committee body: EP
  • date: 2018-10-15T00:00:00 docs: url: http://www.europarl.europa.eu/sides/getDoc.do?type=COMPARL&mode=XML&language=EN&reference=PE625.394&secondRef=02 title: PE625.394 committee: JURI type: Committee opinion body: EP
  • date: 2019-02-15T00:00:00 docs: url: http://www.europarl.europa.eu/RegData/commissions/empl/lcag/2019/02-15/EMPL_LA(2019)001484_EN.pdf title: GEDA/A/(2019)001484 type: Coreper letter confirming interinstitutional agreement body: CSL
  • date: 2019-06-05T00:00:00 docs: url: http://register.consilium.europa.eu/content/out?lang=EN&typ=SET&i=ADV&RESULTSET=1&DOC_ID=[%n4]%2F19&DOC_LANCD=EN&ROWSPP=25&NRROWS=500&ORDERBY=DOC_DATE+DESC title: 00042/2019/LEX type: Draft final act body: CSL
  • date: 2018-06-05T00:00:00 docs: url: http://www.connefof.europarl.europa.eu/connefof/app/exp/COM(2018)0171 title: COM(2018)0171 type: Contribution body: PT_PARLIAMENT
  • date: 2018-05-14T00:00:00 docs: url: http://www.connefof.europarl.europa.eu/connefof/app/exp/COM(2018)0171 title: COM(2018)0171 type: Contribution body: ES_CONGRESS
events
  • date: 2018-04-05T00:00:00 type: Legislative proposal published body: EC docs: url: http://www.europarl.europa.eu/RegData/docs_autres_institutions/commission_europeenne/com/2018/0171/COM_COM(2018)0171_EN.pdf title: COM(2018)0171 url: https://eur-lex.europa.eu/smartapi/cgi/sga_doc?smartapi!celexplus!prod!DocNumber&lg=EN&type_doc=COMfinal&an_doc=2018&nu_doc=0171 title: EUR-Lex summary: PURPOSE: to improve the protection of workers against the risks related to exposure to carcinogens or mutagens at work. PROPOSED ACT: Directive of the European Parliament and of the Council. ROLE OF THE EUROPEAN PARLIAMENT: the European Parliament decides in accordance with the ordinary legislative procedure and on an equal footing with the Council. BACKGROUND: the European Pillar on Social Rights - jointly proclaimed by the European Parliament, the Council and the Commission on 17 November 2017 at the Social Summit in Gothenburg - identifies workers' right to healthy, safe and well adapted work environment, which includes protection from carcinogens, as one of the main principles. Cancer is the main work-related health problem in the EU-28 , causing almost as much damage to workers' lives and health as the two following combined (musculoskeletal disorders and circulatory diseases). The European Commission took steps to address these issues by adopting two legislative proposals updating the Directive 2004/37/EC on the protection of workers from the risks related to exposure to carcinogens or mutagens at work. These two proposals addressed 20 carcinogens. The first of these proposals was adopted by the co-legislators on 12 December 2017 as Directive (EU) 2017/2398 and the second is currently subject to discussion within the Council and the Parliament. The objective of this third proposal is to improve the level of health protection of workers by establishing limit values for five additional carcinogens , with comments in Annex III to Directive 2004/37/EC. The proposal is in line with the Commission's Communication ‘safer and healthier work for all’. IMPACT ASSESSMENT: the measures resulting from the opinions of the Advisory Committee on Safety and Health at Work (ACSH) have been selected as the preferred measures for all chemical agents covered by the proposal, including the transitional periods for three substances: cadmium (7 years), beryllium (5 years) and arsenic acid (2 years). As regards the impact on workers, the retained policy option for the five substances under consideration should result in benefits in terms of avoided work-related ill-health and cancer cases and related monetised health benefits. According to estimates, the adoption of the proposal would imply that in the longer term over 1 000 000 EU workers would benefit from improved prevention and protection in relation to occupational exposure to carcinogens and mutagens substances, that can be at the origin of different types of cancers, e.g., lung, bladder, kidney, nasopharyngeal and others, and it would prevent 22 000 cases of ill-health CONTENT: the European Commission proposes to add five new substances to Annex III of Directive 2004/37/EC extending the list of binding EU limit values, namely: cadmium and its inorganic compounds under the scope of the Directive; beryllium and inorganic beryllium compounds under the scope of the Directive; arsenic acid and its salts, as well as inorganic arsenic compounds under the scope of the Directive; formaldehyde (5) 4,4'-Methylene-bis(2-chloroaniline) ("MOCA"). Limit values address the inhalation route of exposure, describing a maximum airborne concentration level for a given chemical agent above which workers should not be exposed, on average, during a defined time period. These measures are supplemented by a skin notation for MOCA, a notation for skin sensitisation for formaldehyde, and a notation for skin and respiratory sensitisation for beryllium and its inorganic compounds.
  • date: 2018-04-16T00:00:00 type: Committee referral announced in Parliament, 1st reading/single reading body: EP
  • date: 2018-11-20T00:00:00 type: Vote in committee, 1st reading/single reading body: EP
  • date: 2018-11-20T00:00:00 type: Committee decision to open interinstitutional negotiations with report adopted in committee body: EP
  • date: 2018-11-23T00:00:00 type: Committee report tabled for plenary, 1st reading/single reading body: EP docs: url: http://www.europarl.europa.eu/sides/getDoc.do?type=REPORT&mode=XML&reference=A8-2018-0382&language=EN title: A8-0382/2018 summary: The Committee on Employment and Social Affairs adopted the report by Laura AGEA (EFDD, IT) on the proposal for a directive of the European Parliament and of the Council amending Directive 2004/37/EC on the protection of workers from the risks related to exposure to carcinogens or mutagens at work. As a reminder, the proposal aims to improve the protection of workers from the risks related to exposure to carcinogens or mutagens at work . It adds five new substances to Annex III of Directive 2004/37/EC extending the list of binding European limit values, namely: cadmium and beryllium, and their respective inorganic compounds, arsenic acid, formaldehyde and 4,4'-methylene bis (2-chloroaniline) (‘MOCA’). The committee recommended that the European Parliament's position adopted at first reading under the ordinary legislative procedure should amend the Commission's proposal as follows. Medical surveillance : the amending Directive shall require Member States to take measures to ensure appropriate health surveillance of workers for whom the results of the risk assessment reveal a risk to their safety or health. Members pointed out that such health monitoring may include biological monitoring for exposure to various substances, where appropriate. Limit values : binding occupational exposure limit values need to be evidence-based, proportionate and measurable and shall be established on the basis of available information, including up-to-date scientific and technical data. Where a limit-value has been established for a carcinogen or mutagen, workers' exposure shall be reduced as far as technically possible below that limit value. The limit values should be revised regularly in accordance with the precautionary principle and the principle of the protection of workers, and in light of sound available scientific and technical data concerning carcinogens and mutagens. Review : by the fourth quarter of 2019, the Commission shall, on the basis of scientific data and appropriate consultation, assess the possibility to amending the scope of this Directive to include a list of hazardous drugs, including cytotoxic drugs , which are carcinogenic or mutagenic, or to propose a more appropriate legal instrument in order to ensure occupational safety of workers handling such drugs On that basis, the Commission shall present, if appropriate, and after consulting management and labour, a legislative proposal. Formaldehyde : Members recalled that in some Member States, Formaldehyde is routinely used for the purposes of embalming deceased persons as part of their cultural or religious practices. The funeral sector is likely to find a limit value of 0,3ppm to be difficult to comply with without significant short-term effects on capacity. A transitional period of three years should therefore be introduced for the sector during which the limit-value of 0,5ppm should apply. Cadmium : in Member States which implement biological monitoring, the biological limit value should be 2μg Cd/g creatinine and the 8-hour TWA limit value should be 0,004 mg/m3 (respirable fraction). The introduction of that limit-value does not require a transitional period. The Commission should draw up guidelines for the practical implementation of such biological monitoring. More flexible rules for small businesses : Members want to make it easier for SMEs and micro-enterprises to comply with limit values while maintaining the same level of protection for all workers. In this context, specific measures such as incentives and digital tools would help SMEs and micro-enterprises to better comply with the obligations set out in Directive 2004/37/EC and to move towards the elimination of carcinogenic or mutagenic risks.
  • date: 2019-02-19T00:00:00 type: Approval in committee of the text agreed at 1st reading interinstitutional negotiations body: EP docs: url: http://www.europarl.europa.eu/RegData/commissions/empl/inag/2019/02-18/EMPL_AG(2019)636044_EN.pdf title: PE636.044 url: http://www.europarl.europa.eu/RegData/commissions/empl/lcag/2019/02-15/EMPL_LA(2019)001484_EN.pdf title: GEDA/A/(2019)001484
  • date: 2019-03-27T00:00:00 type: Decision by Parliament, 1st reading/single reading body: EP docs: url: http://www.europarl.europa.eu/sides/getDoc.do?type=TA&language=EN&reference=P8-TA-2019-0307 title: T8-0307/2019 summary: The European Parliament adopted by 586 votes to 10 with 26 abstentions a legislative resolution on the proposal for a directive of the European Parliament and of the Council amending Directive 2004/37/EC on the protection of workers from the risks related to exposure to carcinogens or mutagens at work As a reminder, the proposal aims to improve the protection of workers against the risks related to exposure to carcinogens or mutagens at work. It adds five new substances to Annex III of Directive 2004/37 / EC expanding binding European limit values, these being: cadmium and beryllium, as well as their respective inorganic compounds, arsenic acid, formaldehyde and 4,4'-methylenebis (2-chloroaniline) ("MOCA"). The position of the European Parliament adopted at first reading under the ordinary legislative procedure amended the Commission proposal as follows: Limit values Cadmium : given that it will be difficult to comply with a limit value of 0.001 mg/m3 in the short term, the amended text introduces introduce a transitional period of eight years, during which the limit value 0.004 mg/m3 (inhalable fraction) should apply. With a view to protecting legitimate expectations and in order to avoid potential disruptions of existing practices in Member States that implement, on the date of the entry into force of the Directive, a bio monitoring system with a biological limit value not exceeding 0.002 mg Cd/g creatinine in urine, the limit value of 0.004 mg/m 3 should, in those Member States, be measured as respirable fraction during the transitional period. Beryllium: since it will be difficult to comply with a limit value of 0.0002 mg/m3 in the short term, the Directive introduces a transitional period of seven years, during which the limit value of 0.0006 mg/m3 should apply. Arsenic acid : since the copper smelting sector will have difficulties in complying with a limit value of 0.01 mg/m3, a transitional period of four years will be introduced. Formaldehyde : since in some Member States, certain sector will have difficulties in complying, in the short term, with a limit value of or 0.3 ppm, the amended text introduces a transitional period of five years, during which the limit value of 0.62 mg/m 3 or 0.5 ppm should apply for the healthcare and funerals and embalming sectors. Review No later than three years after the date of entry into force of the Directive, the Commission shall assess the option of amending the Directive to add provisions on a combination of an airborne occupational exposure limit and a biological limit value for cadmium and its inorganic compounds. No later than 30 June 2020 the Commission shall, taking into account the latest developments in scientific knowledge, and after appropriate consultation with health practitioners and health professionals, assess the option of amending the Directive in order to include hazardous drugs, including cytotoxic drugs, or to propose a more appropriate instrument for the purpose of ensuring the occupational safety of workers exposed to such drugs. On that basis, the Commission shall present, if appropriate, a legislative proposal. Member States and relevant bodies at Union and national level are encouraged to provide incentives, guidance and advice to micro, small and medium-size enterprises to comply with the terms of the Directive.
  • date: 2019-05-22T00:00:00 type: Act adopted by Council after Parliament's 1st reading body: EP/CSL
  • date: 2019-06-05T00:00:00 type: Final act signed body: CSL
  • date: 2019-06-05T00:00:00 type: End of procedure in Parliament body: EP
  • date: 2019-06-20T00:00:00 type: Final act published in Official Journal docs: title: Directive 2019/983 url: https://eur-lex.europa.eu/smartapi/cgi/sga_doc?smartapi!celexplus!prod!CELEXnumdoc&lg=EN&numdoc=32019L0983 title: OJ L 164 20.06.2019, p. 0023 url: https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=OJ:L:2019:164:TOC
other
  • body: EC dg: url: http://ec.europa.eu/info/departments/employment-social-affairs-and-inclusion_en title: Employment, Social Affairs and Inclusion commissioner: THYSSEN Marianne
otherinst
  • name: European Economic and Social Committee
  • name: European Committee of the Regions
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procedure/Modified legal basis
Rules of Procedure EP 159
procedure/Notes
  • 30/11/2018 Decision to enter into interinstitutional negotiations confirmed by plenary (Rule 69c)
procedure/dossier_of_the_committee
Old
EMPL/8/12691
New
  • EMPL/8/12691
procedure/final
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Directive 2019/983
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https://eur-lex.europa.eu/smartapi/cgi/sga_doc?smartapi!celexplus!prod!CELEXnumdoc&lg=EN&numdoc=32019L0983
procedure/instrument
Old
Directive
New
  • Directive
  • Amending Directive 2004/37/EC 1999/0085(COD)
procedure/other_consulted_institutions
European Economic and Social Committee European Committee of the Regions
procedure/stage_reached
Old
Awaiting committee decision
New
Procedure completed
procedure/subject
Old
  • 4.15.15 Health and safety at work, occupational medicine
New
4.15.15
Health and safety at work, occupational medicine
procedure/summary
  • Amending Directive 2004/37/EC
activities/0/commission/0
DG
Commissioner
THYSSEN Marianne
activities/0/docs/0/text
  • PURPOSE: to improve the protection of workers against the risks related to exposure to carcinogens or mutagens at work.

    PROPOSED ACT: Directive of the European Parliament and of the Council.

    ROLE OF THE EUROPEAN PARLIAMENT: the European Parliament decides in accordance with the ordinary legislative procedure and on an equal footing with the Council.

    BACKGROUND: the European Pillar on Social Rights - jointly proclaimed by the European Parliament, the Council and the Commission on 17 November 2017 at the Social Summit in Gothenburg - identifies workers' right to healthy, safe and well adapted work environment, which includes protection from carcinogens, as one of the main principles.

    Cancer is the main work-related health problem in the EU-28, causing almost as much damage to workers' lives and health as the two following combined (musculoskeletal disorders and circulatory diseases).

    The European Commission took steps to address these issues by adopting two legislative proposals updating the Directive 2004/37/EC on the protection of workers from the risks related to exposure to carcinogens or mutagens at work. These two proposals addressed 20 carcinogens. The first of these proposals was adopted by the co-legislators on 12 December 2017 as Directive (EU) 2017/2398 and the second is currently subject to discussion within the Council and the Parliament.

    The objective of this third proposal is to improve the level of health protection of workers by establishing limit values for five additional carcinogens, with comments in Annex III to Directive 2004/37/EC. The proposal is in line with the Commission's Communication ‘safer and healthier work for all’.

    IMPACT ASSESSMENT: the measures resulting from the opinions of the Advisory Committee on Safety and Health at Work (ACSH) have been selected as the preferred measures for all chemical agents covered by the proposal, including the transitional periods for three substances: cadmium (7 years), beryllium (5 years) and arsenic acid (2 years).

    As regards the impact on workers, the retained policy option for the five substances under consideration should result in benefits in terms of avoided work-related ill-health and cancer cases and related monetised health benefits.

    According to estimates, the adoption of the proposal would imply that in the longer term over 1 000 000 EU workers would benefit from improved prevention and protection in relation to occupational exposure to carcinogens and mutagens substances, that can be at the origin of different types of cancers, e.g., lung, bladder, kidney, nasopharyngeal and others, and it would prevent 22 000 cases of ill-health

    CONTENT: the European Commission proposes to add five new substances to Annex III of Directive 2004/37/EC extending the list of binding EU limit values, namely:

    • cadmium and its inorganic compounds under the scope of the Directive;
    • beryllium and inorganic beryllium compounds under the scope of the Directive;
    • arsenic acid and its salts, as well as inorganic arsenic compounds  under the scope of the Directive;
    • formaldehyde (5) 4,4'-Methylene-bis(2-chloroaniline) ("MOCA").

    Limit values address the inhalation route of exposure, describing a maximum airborne concentration level for a given chemical agent above which workers should not be exposed, on average, during a defined time period.

    These measures are supplemented by a skin notation for MOCA, a notation for skin sensitisation for formaldehyde, and a notation for skin and respiratory sensitisation for beryllium and its inorganic compounds.

activities/1
date
2018-04-16T00:00:00
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Committee referral announced in Parliament, 1st reading/single reading
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activities/2/committees
  • body: EP responsible: True committee_full: Employment and Social Affairs committee: EMPL
  • body: EP responsible: False committee_full: Environment, Public Health and Food Safety committee: ENVI
  • body: EP responsible: False committee_full: Legal Affairs committee: JURI
activities/2/date
Old
2018-04-16T00:00:00
New
2018-11-20T00:00:00
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Committee referral announced in Parliament, 1st reading/single reading
New
Vote scheduled in committee, 1st reading/single reading
committees/0/date
2018-05-16T00:00:00
committees/0/rapporteur
  • group: EFD name: AGEA Laura
committees/0/shadows
  • group: S&D name: ULVSKOG Marita
  • group: ALDE name: CALVET CHAMBON Enrique
  • group: Verts/ALE name: DELLI Karima
  • group: ENF name: MÉLIN Joëlle
committees/1/date
2018-05-02T00:00:00
committees/1/rapporteur
  • group: ENF name: MÉLIN Joëlle
committees/2/date
2018-04-23T00:00:00
committees/2/rapporteur
  • group: GUE/NGL name: MAŠTÁLKA Jiří
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http://www.europarl.europa.eu/thinktank/en/document.html?reference=EPRS_BRI(2018)625121
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Briefing
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Committee referral announced in Parliament, 1st reading/single reading
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EMPL/8/12691
procedure/stage_reached
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Preparatory phase in Parliament
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Awaiting committee decision
activities
  • date: 2018-04-05T00:00:00 docs: url: http://www.europarl.europa.eu/RegData/docs_autres_institutions/commission_europeenne/com/2018/0171/COM_COM(2018)0171_EN.pdf title: COM(2018)0171 type: Legislative proposal published celexid: CELEX:52018PC0171:EN body: EC type: Legislative proposal published commission:
committees
  • body: EP responsible: True committee_full: Employment and Social Affairs committee: EMPL
  • body: EP responsible: False committee_full: Environment, Public Health and Food Safety committee: ENVI
  • body: EP responsible: False committee_full: Legal Affairs committee: JURI
links
other
    procedure
    Mandatory consultation of other institutions
    European Economic and Social Committee European Committee of the Regions
    reference
    2018/0081(COD)
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    Legislation
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    stage_reached
    Preparatory phase in Parliament
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    Amending Directive 2004/37/EC
    instrument
    Directive
    title
    Protection of workers from the risks related to exposure to carcinogens or mutagens at work: limit values
    type
    COD - Ordinary legislative procedure (ex-codecision procedure)
    subject
    4.15.15 Health and safety at work, occupational medicine