WORKPLACE INJURIES
“She’ll Be ‘Right?“
The Current Issue: Sub-Topic and Selected
Target Population
 Workplace Injuries = Significant Financial & Social Burden in NZ
(35% of all ACC claims ‘09)
 Construction Industry in NZ = Dangerous!
 Construction Industry is 5th Largest Sector. Highest Fatal Injury
Rates (22%) and Rank 4th for Serious Injury ACC Claims and
Entitlement Claims (ACC ’08).
 Several Government Strategies Recognise This Problem.
 Small Construction Businesses Dominate. Poor Health and Safety
Practices. Lack of Funding and Resources.
Community Visits
 Accident Compensation Corporation
 Auckland Meat Processors Limited
 Department of Labour (OSH)
 Fletcher Aluminium
 Site Safe NZ
 Winstone Aggregates
 SoPH
 Research Fellow
Likely Success of Strategy – A
Mixed Models Approach
1. IDENTIFICATION OF POTENTIAL BARRIERS
 Limited Resources
 Concern of Harming Business by Reporting
 Culture of Unsafe Work Practices
 Lack of Self-Empowerment and Advocacy
 Lower Socio-Economic Status
 Cultural Barriers
Likely Success of Strategy – A
Mixed Models Approach
2. INCORPORATION OF HEALTH PROMOTION MODELS
 Ottawa Charter for Health Promotion – 5 Key Action Areas.
Our Intervention Will Focus on 3 Action Areas.
- Create Supportive Environments
- Strengthen Community Action
- Develop Personal Skills
 Community Health Development Model – ‘Top-Down’ vs.
‘Bottom-Up’ Approaches Running in Parallel.
3. EVIDENCE-BASED APPROACH
 Cochrane Review 2008
 ‘Working Well Together’ – UK Based Programme
 Farm Safe NZ
 Site Safe NZ – Non-Governmental, Not-For-Profit
The Intervention – Pilot Programme
S.O.S – Safety On-Site
Making ‘Good Enough’ Better!
Objective/Aim:
To Create Supportive Working Environments,
Strengthen Community Action and Develop
Personal Skills.
Combined ‘Top-Down’ and ‘Bottom-Up’ Approach:
Education AND Networking Running in Parallel
S O S
afety
n
ite
Making Good Enough, Better.
The Intervention – Pilot Programme
S.O.S – Safety On-Site
Making ‘Good Enough’ Better!
Target Population: Small Construction
Businesses (<10 Individuals).
Aim to Recruit 50 Businesses. Range of
Recruitment Methods.
Run For One-Year
End of Winter
Case-Control to Assess Feasibility of the
Programme.
S O S
afety
n
ite
Making Good Enough, Better.
The Intervention – Pilot Programme
1.‘Top-Down’ Approach
 Collaboration With Site Safe NZ
 Education and Training by Site Safe NZ – e.g. Safety
Passports
 Induction Day
 Small Business Site Safety Kit
The Intervention – Pilot Programme
2. ‘Bottom-up’ Approach
•Facilitate Networking – Self-Determined Action,
Empowerment.
•Providing Initial Meeting Place at Induction Day.
•Funding Provided For Four-Monthly Meetings –
Interesting Industry Expert Speakers and
Demonstrations/Exhibitions.
•Main Focus is on the Small Businesses Determining
What They Want.
•Proposed incentive in form of reduced ACC Levies.
The Intervention – Pilot Programme
Evaluation
 Primary Outcome Measure: Pre and Post Injury Rates.
 Secondary outcome measures: Qualitative Assessment –
Surveys.
Stay Safe Guys!
Report Unsafe Practice: 0800 90 20 90