Additional Chapter Safety Tips - Know the Risks While Working in NNADAP Added: February 2013 Introduction This chapter was developed as a guide to assist you with minimizing any risks that may arise while working in NNADAP. It is for information purposes only and you are encouraged to abide by the policies and procedures put forward by your employer. Relevant Legislation Keep in mind that there is legislation relevant to the health and safety of employees. It includes but is not limited to the following: 1. Section 20.3 of Canada’s Occupational Health and Safety Regulations states: The employer shall develop and post at a place accessible to all employees a work place violence prevention policy setting out, among other things, the following obligations of the employer: to provide a safe, healthy and violence-free work place; to dedicate sufficient attention, resources and time to address factors that contribute to work place violence including, but not limited to, bullying, teasing, and abusive and other aggressive behaviour and to prevent and protect against it; to communicate to its employees information in its possession about factors contributing to work place violence; and to assist employees who have been exposed to work place violence “Everyone should be able to work without fear of violence or harassment, in a safe and healthy workplace.” -Ontario’s Occupational Health and Safety Act – 1|Page effective June 15, 2010 – strengthens protections for workers from workplace violence and address workplace harassment. Defining workplace violence The exercise of physical force by a person against a worker, in a workplace, that causes or could cause physical injury to the worker. An attempt to exercise physical force against a worker, in a workplace, that could cause physical injury to the worker. A statement or behaviour that it is reasonable for a worker to interpret as a threat to exercise physical force against the worker, in a workplace, that could cause physical injury to the worker. - Occupational Health and Safety Act, R.S.O. 1990 Workplace harassment Workplace harassment means engaging in a course of vexatious comment or conduct against a worker in a workplace that is known or ought reasonably to be known to be unwelcome. - Occupational Health and Safety Act, R.S.O. 1990 Workplace harassment may include bullying, intimidating or offensive jokes or innuendos, displaying or circulating offensive pictures or materials, or offensive or intimidating phone calls. Lateral Violence Behaviour includes gossip/shaming/blaming, putting down others, family feuds When oppressed people act out rage, anger, and frustration When violence is directed at one’s own people When oppressed groups turn on each other Outward jealousy and envy of others - Equaywuk Women’s Group http://www.equaywuk.ca/HFHNDVT/WhatIsLateralViolence.pdf 2|Page Employers in Canada must “provide a safe, healthy and violence-free workplace.” Employers have a responsibility to their employees to be proactive in the prevention of workplace violence. An assessment of the risks associated with the nature of the workplace and type/conditions of work should be undertaken to come up with strategies to reduce or eliminate those risks. In NNADAP, we work with a number of clients who are often in situations that may cause them to become angry, frustrated, inappropriate and/or violent toward workers. Our workplace policies and actions should take these risks into account to avoid dangerous situations. Make sure you are familiar with your employer’s policies and procedures on health and safety as well as preventing and managing violence. Canada’s Occupational Health and Safety Regulations states that every workplace must have policies and programs for workplace violence and workplace harassment which set out procedures to report and deal with incidents and complaints but also measures to control the risks and prevent incidents from occurring and protect workers. Take a look at the Ontario Ministry of Labour webpage on workplace violence and workplace harassment at http://www.labour.gov.on.ca/english/hs/topics/workplaceviolence.php. Clients who have a history of violent behaviour should be reported to the employer and employees when the client can be expected to come into contact with employees. This helps to protect and prevent possible injury. Under the Occupational Health and Safety Act for violence prevention, workers have a responsibility to report workplace hazards to their employer and employers have a responsibility to report workplace hazards to their employees. Workers have the right to refuse work if they have reason to believe they are in danger of workplace violence. However, this right is limited for workers who have the responsibility to protect public safety (ie police officers, firefighters, workers employed in correctional institutions and health care workers) cannot refuse unsafe work if the danger in question is a normal part of the job or refusal would endanger the life, health or safety of another person. 3|Page The Occupational Health and Safety Act sets out a specific procedure that must be followed in a work refusal. Employees who experience work place violence or harassment can be impacted in various ways such as injury, anger, depression, guild, anxiety, post traumatic stress, etc. Other workers can feel the effects when they are aware of violence or harassment occurring in their workplace but not necessarily on them by not feeling safe or comfortable at work causing poor work performance, decreased attendance, increasing employee turnover and increase work related stress. Employees have a right to assistance and employers have an obligation to cover costs of employees to deal with the negative effects of workplace violence and harassment through avenues such as counselling, Employee Assistance Programs (EAP), etc. In an emergency or if there is immediate danger Contact police if there is violence or threat of violence. Report threats to your employer. Contact the Ministry of Labour if internal resolution of complaints is unobtainable. Tips for Prevention Offices can be designed in such a way to avoid dangerous situations or allow workers the best possible exit to a dangerous situation. Skills and techniques to dealing with clients can be learned to equip workers with ways to deal with aggressive clients. Crime Prevention Through Environmental Design, Prevention and Maintenance of Aggressive Behaviour and Non-Violent Crisis Intervention training can be helpful for NNADAP Workers to prevent and avoid dangerous situations with clients. Learning skills to handle aggressive situations is encouraged. Some examples include maintaining eye contact, talking softly and asking the client what it would take to relax them. Any number of situations could be exacerbating the person's mood, from 4|Page lack of sleep, hunger or a dispute. Having the chance to express feelings could de-escalate the outburst and prevent further aggressive action. Assessments can be conducted in workplaces where services are being provided to clients who may have physiological, psychological, or psychiatric conditions, or substance abuse issues. These assessments can give suggestions of controls to be put in place to reduce the risks of workplace violence. Is your desk positioned to allow you to view person(s) entering your office? Does your desk pose a potential "entrapment" area to prevent your quick exit or to reach a phone for help in time of need? Are reception areas visible to other workers and to the outside? Are counters built wide enough or with barriers to prevent clients from having physical access to workers? Is equipment to summon assistance necessary such as individual or fixed alarms or cell phones pre-programmed to call an emergency number? In workplaces where home visits are common are GPS tracking devices, Personal Locator Beacon or other locating devices necessary? If relying on a cell phone, have you checked to make sure you are in a service area and that the battery is charged? Should you establish an internal code word or words to indicate that help is needed? Should public access to the workplace be restricted by any of the following? 5|Page single entrance for clients and controlling access to other doors installing security alarms on outside doors installing door chimes or other means to notify workers when someone enters the workplace posting signs about worker-only areas using cards or keys to access worker-only areas using reception desks and sign-in procedures accompanying non-workers when in restricted areas using video surveillance and posting signs to inform people of it locking the public entrance and providing a bell being selective about who is admitted after hours keeping a list of visitors who are not allowed access or who are allowed only restricted access Not providing clients with sharp or dangerous items Storing sharp and dangerous items so that only workers have access to them Keeping public counters and public areas free of equipment and clutter Using alternatives to sharp and/or dangerous items where appropriate (using plastic utensils instead of metal utensils, etc.) Using weighted furniture Are offices/rooms set up with windows so other workers can see in? Are you within hearing range of reception or other workers? Is there a secure are for workers to lock up their personal belongings out of public/client sight? At higher risk times, should you use additional measures to protect workers ie. More than one worker in the building at all times? 6|Page Should you take some training about questioning the public in a non-confrontational manner, characteristics of aggressive or violent people, signs of behaviour escalation, recognition of potentially violent situations, appropriate responses to incidents, defusing hostile or aggressive behaviour, etc? Should you use a Buddy system in situations with a high level of risk that you should not work alone? If working out of the office, have you made sure your supervisor/colleagues know where you are? Do you have call-in/check-in procedures in place and distress or alert functions? If making home visits should you use a home assessment procedure to identify risks and minimize likelihood of injury? Ie. Condition of home, other people present, pets, etc. With regard to transporting clients consider the following: Do you have procedures to identify, evaluate, and inform workers about specific high-risk clients, situations, or locations? Do you have procedures for workers to follow when dealing with aggressive or violent clients or others? Are workers trained to recognize and deal with potentially violent clients, situations, or high-risk locations? Suggested procedures include: adding workers or using a buddy system providing appropriate communications or individual security devices for summoning assistance Maintain regular contact with workers by providing cell phones or other communications or monitoring devices, establishing regular contact times or check-in 7|Page points, designating a person to monitor contact with workers and follow up if contact is lost (e.g., contacting the driver every hour) Suggested training could include: how workers will be informed about potentially violent people, situations or locations characteristics of aggressive or violent people signs of behaviour escalation recognition of potentially violent situations, including situations of sexual violence recommended actions and reactions, including when to leave or how to escape appropriate responses to incidents, including defusing hostile or aggressive behaviours Due to the nature of the job some NNADAP Workers may need to know about safety surrounded discarding needles or discarded needles. Wherever possible have a trained professional dispose of discarded needles such as a police officer or trained health professional. Resources and Further Reading Home Visiting Pamphlet The Mental Health Coordinating Council has produced a home visiting pamphlet as well as a range of other material on working safely that can be viewed at www.mhcc.org Prevention and Maintenance of Aggressive Behaviour http://www.ehow.com/way_5200736_prevention-management-aggressivebehavior.html#ixzz24rfyzEbR Home Assessments http://www.disabilitysafe.org.au/sites/default/files/HOME%20RISK%20ASSESSMENT%20FORM. doc 8|Page Workplace Violence Assessments http://www.labour.gov.on.ca/english/hs/pubs/wvps_toolbox/toolbox_4.php Ontario Ministry of Labour Website – Workplace Violence and Workplace Harassment page http://www.labour.gov.on.ca/english/hs/topics/workplaceviolence.php Protecting Workers from Workplace Violence and Workplace Harassment http://www.labour.gov.on.ca/english/hs/pubs/wpvh/br_wpvh.php Ministry of Labour For more information about the Bill 168 amendments to the Occupational Health and Safety Act: Workplace Violence and Workplace Harassment. http://www.labour.gov.on.ca/english/hs/pubs/workplaceviolence.php Workplace Violence and Harassment: Understanding the Law This compliance guideline helps workplace parties understand their rights and responsibilities regarding workplace violence and workplace harassment requirements in the Occupational Health and Safety Act. http://www.labour.gov.on.ca/english/hs/pubs/wpvh/index.php Employment Standards Ministry of Labour’s Employment Standards Information Centre toll-free at 1-800-531-5551. Health and Safety Associations Ontario’s four Health and Safety Associations provide resources and training about workplace violence and workplace harassment. Website: http://www.wsib.on.ca/wsib/wsibsite.nsf/Public/HealthSafetyCommunity 9|Page Canadian Centre for Occupational Health and Safety (CCOHS) CCOHS provides information about the warning signs of workplace violence and prevention tips. Website: http://www.ccohs.ca/oshanswers/psychosocial/violence.html Human Rights Legal Support Centre The Centre offers human rights legal services to individuals in Ontario who believe they have experienced discrimination in the workplace contrary to Ontario’s Human Rights Code. Call tollfree: 1-866-625-5179. Website: http://www.hrlsc.on.ca/en/index.htm Ontario Human Rights Commission, Human Rights Tribunal For some issues relating to workplace harassment, both the Ontario Human Rights Commission and the Human Rights Tribunal may be of assistance. Websites: http://www.ohrc.on.ca/en and http://www.hrto.ca/hrto/ 10 | P a g e