2009 Nevada PRIMA Conference 60 Safety Topics In 60 Minutes Today’s Presenter: Jeff Skog, CSP, ARM Risk Management Consultant Midwest Employers Casualty Company o 22 years experience in safety and risk management o Certified Safety Professional (CSP) o Associate in Risk Management (ARM) o Former President of the Society of Casualty Safety Engineers (SCSE) o Safety Professional of the Year – 2005 (SCSE) Objectives • Review 60 Safety Topics in 60 Minutes • Decide which topics you are familiar with • Decide which ones you aren’t familiar with • Close the gap – Ask questions here – Self study – Attend course or seminar – Repeat Average Total Incurred Costs Mega Trends Indemnity 30% • • • Medical Claim Cost Inflation The Aging Workforce The Obesity Epidemic Medical 70% The Aging Workforce Engineering Solutions Reduce and minimize heavy lifting Reduce static standing time Improve walking and working surfaces Improve illumination Review office ergonomics Utilize hands-free telephone equipment Employee Health & Wellness • Provide Employee Assistance Programs (EAP) • Provide disease prevention • Promote healthy lifestyle changes • Promote health and safety education • Sponsor health screening • Sponsor immunizations Return to Work OSHA (2008 Fiscal Year) Most Frequently Cited Standards • Scaffolding, general requirements, construction (29 CFR 1926.451) • Fall protection, construction (29 CFR 1926.501) • Hazard communication standard, general industry (29 CFR 1910.1200) • Control of hazardous energy (lockout/tagout), general industry (29 CFR 1910.147) • Respiratory protection, general industry (29 CFR 1910.134) • Electrical, wiring methods, components and equipment, general industry (29 CFR 1910.305) • Powered industrial trucks, general industry (29 CFR 1910.178) • Ladders, construction (29 CFR 1926.1053) • Machines, general requirements, general industry (29 CFR 1910.212) • Electrical systems design, general requirements, general industry (29 CFR 1910.303) OSHA (2008 Fiscal Year) Standards-Highest Penalties Assessed • • • • • • • • • • Fall protection, construction (29 CFR 1926.501) Scaffolding, general requirements, construction (29 CFR 1926.451) Electrical, hazardous (classified) locations (29 CFR 1910.307) Control of hazardous energy (lockout/tagout), general industry (29 CFR 1910.147) Excavations, requirements for protective systems, construction (29 CFR 1926.652) Machines, general requirements, general industry (29 CFR 1910.212) General duty clause (Section 5(a)(1) of the OSH Act) Powered industrial trucks, general industry (29 CFR 1910.178) Walking-working surfaces, general requirements (29 CFR 1910.22) Process safety management of highly hazardous chemicals (29 CFR 1910.119) OSHA’s General Duty Clause SEC. 5. Duties (a) Each employer -(1) shall furnish to each of his employees employment and a place of employment which are free from recognized hazards that are causing or are likely to cause death or serious physical harm to his employees; (2) shall comply with occupational safety and health standards promulgated under this Act (b) Each employee shall comply with occupational safety and health standards and all rules, regulations, and orders issued pursuant to this Act which are applicable to his own actions and conduct Safety and Loss Prevention Hazard Control Hierarchy More effective Engineering Controls Administrative Controls Personal Protective Equipment Less effective Fall Protection • Trigger height – 4 feet –General Industry – 6 feet- Construction • Use a competent person – Determine fall protection requirements – Conduct training Fall Protection • Fall exposures include: – – – – – – – Walkways & ramps Open sides & edges Holes Concrete forms & rebar Excavations Roofs Wall openings • Protective measures include guardrails, covers, safety nets, and Personal Fall Arrest Systems (PFAS) • Use appropriate scaffold construction methods Scaffolding Employees working on scaffolds are exposed to these hazards o Falls from elevation - caused by slipping, unsafe access, and the lack of fall protection o Struck by falling tools / debris o Electrocution - from overhead power lines o Scaffold collapse - caused by instability or overloading o Bad planking giving way Ladder Safety • • • • • • • Use the correct ladder for the job Inspect ladder before use Don’t overload the ladder Use a ladder on stable and level surfaces Tie off straight ladders Use a 4:1 ratio for straight ladders Extend straight ladders 3 feet above the upper landing surface Implement a Shoe Policy Program The shoe policy program should focus on employees wearing proper non-slip footwear Housekeeping • Include housekeeping expectations in worker performance goals • Create a plan for handling materials from entry to exit • Make clear how day-to-day cleanup will be handled • Regularly remove wastes and unused materials • Make someone responsible for checking on the status of housekeeping every day Personal Protective Equipment • Personal protective equipment (PPE) is designed to prevent or lessen the severity of injuries to workers • The employer must assess the workplace and determine what hazards may necessitate the use of PPE before assigning PPE to workers • PPE shall be provided by the employer at no cost to employees Respirators • Respirators protect the user in two basic ways – Contaminant removal from the air particulate respirators, which filter out airborne particles; and "gas masks” which filter out chemicals and gases – Supplying clean respirable air airline respirators, which use compressed air from a remote source; and self-contained breathing apparatus (SCBA), which include their own air supply Respirators • Tips to select an appropriate respirator – Conduct an exposure assessment to determine the type and amount of hazardous exposure – Take into account the factors that can influence respirator selection such as job-site and worker characteristics – Understand the assigned protection factors – Know the various kinds of respirators and their relevant characteristics Forklift Safety • Most common forklift-related fatalities: – – – forklift overturns struck, crushed or pinned by a forklift falls from a forklift • Forklift operation hazards • Forklift safety criteria • Forklift training requirements Confined Space Entry • Typical Confined Spaces • How to Identify Confined Spaces • Hazards of Confined Spaces • Testing the Atmosphere • Permit Entry Systems Hearing Conservation Program • Noise Control – Engineering – Administrative – PPE • Noise Monitoring • Audiometric Testing • Training Requirements • Recordkeeping Aerial and Scissors Lifts • Electrocutions, falls, and tip over cause most of the deaths • Other causes – caught between the lift bucket or guardrail and object (such as steel beams or joists) – struck by falling objects • Workers can also be catapulted out of a bucket! Hazard Communication Hazard Communication Defining HazCom Labeling MSDS Sheets Written Program “Right To Know” Employee Training ACETONE • Review MSDS’s that are applicable to your employee’s job • Ensure employees know how to obtain a MSDS sheet • Make the appropriate personal protective equipment available to employees Lock-out/Tag-out • Identify and list all sources of energy • Training • Safe procedures • Lockout Devices • – Locks – Tags Annual review Machine Guarding • Guards – – – – fixed interlocked adjustable self-adjusting • Devices • Location/distance • Feeding and ejection methods – automatic and/or semiautomatic feed and ejection – robots • Miscellaneous aids presence sensing – awareness barriers pullback – protective shields restraint – hand-feeding tools safety controls (tripwire cable, two-hand control, etc.) – gates – – – – Hot Work / Welding • Hot work is any work that involves burning, welding, using fire- or sparkproducing tools, or that produces a source of ignition • Test for flammable gases in the work area before starting any hot work • Make suitable fire-extinguishing equipment immediately available • Assign personnel (fire watch) to guard against fire while hot work is being performed Bloodborne Pathogens Infection from a bloodborne pathogen can result in chronic infection, serious illness, and death Bloodborne Pathogens Exposure Control Plan • • • • • • • Universal precautions Engineering controls Work practices Personal protective equipment Housekeeping Hepatitis B vaccination Post-exposure evaluation and followup • Communication and training • Recordkeeping Fire Extinguisher Classifications Letter classifications are given on an extinguisher to designate the class of fire for which it will be effective Ordinary Flammable Electrical Combustible A B C D Combustibles Liquids Equipment Metals Flammable Liquids • The two primary hazards associated with flammable and combustible liquids are explosion and fire • Safe handling and storage of flammable liquids is critical – Control of ignition sources – Proper storage – Fire control – Safe handling Spray Painting NFPA 33 Standard for Spray Application Using Flammable or Combustible Materials • Hazard Controls – Room protected by automatic sprinkler system – Paint booth has sprinkler head covered by cellophane bag having a thickness of 0.08mm or less (or by thin paper bags) – Fire extinguisher nearby – Limited Flammable and Combustible liquids – Ventilation and exhaust – Explosion proof electrical/lighting – NO SMOKING Sprinkler Systems • Cost justification issues • Occupancies and Commodities • NFPA 13 – Density and Operating Area – Water Supplies • Inspection • Testing Kitchen Safety • Controls – Sprinkler protection – UL 300 extinguishing system in kitchen hood – Listed baffle filters in the hood area (no mesh filters!) – Class K fire extinguishers – Proper exit routes/means of egress – Regular maintenance on cooking equipment Emergency Exits • An emergency exit in a structure is a special exit for emergencies such as a fire – Ensure exit lights are working – Check to see if battery back up is functioning – Establish replacement schedule for batteries – Make sure exit signs lead to an exit NOTE: Emergency exits are usually strategically located (e.g. in a stairwell, hallway, or other likely place) with an outward opening door and exit signs leadings to it. Emergency Action Plan Automated External Defibrillator • Placement – Visibility – Accessibility • Training – Basic First Aid/CPR classes • Fire Department • Red Cross – Local hospitals Ergonomics • Implement ergonomic solutions • Reduce – – – – – excessive forces awkward positions repetitious activities extreme temperatures vibrations Ergonomic Solutions Office Ergonomics Workplace Violence Prevention Program Elements • Management commitment and employee involvement • Worksite analysis • Hazard prevention and control • Training and education • Recordkeeping • Evaluation of program Severe Weather Fatalities “…heat is by far the number one killer of all weather events…” Historically, from 1979-2003, excessive heat exposure caused 8,015 deaths in the United States. During this period, more people in this country died from extreme heat than from hurricanes, lightning, tornadoes, floods, and earthquakes combined. Courtesy National Weather Service Forecast Office Extreme Heat Plus Humidity Heat Index - A number in degrees Fahrenheit (F) that tells how hot it feels when relative humidity is added to the air temperature. HI Possible Heat Disorder 80°F - 90°F Fatigue possible with prolonged exposure and physical activity. 90°F - 105°F Sunstroke, heat cramps and heat exhaustion possible. 105°F - 130°F Sunstroke, heat cramps, and heat exhaustion likely, and heat stroke possible. 130°F or greater Heat stroke highly likely with continued exposure. Tailgating 2-Second Rule • Use the 2- or 4-second rule – Good driving conditions, keep a 2second distance behind – Poor driving conditions, keep a 4-second distance behind You…as an Employer… need to know Motor vehicle crashes are: • The leading cause of death on the job – More than 1,300 deaths /year • One of the largest contributors to WC costs • One of the costliest but least addressed loss in the workplace Important! Buckle Up Increasing seat belt usage… The single most effective short-term way to significantly reduce deaths and injuries from traffic crashes 10 Steps to Minimize Crash Risk 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Senior Management Commitment & Employee Involvement Written Policies and Procedures Driver Agreements MVR Checks Crash Reporting and Investigation Vehicle Maintenance and Inspection Disciplinary Action System Reward/Incentive Program Driver Training/Communication Regulatory Compliance Trucking • DOT regulated fleets • Top three loss causes for drivers • Vehicle accidents • Material handling • Falls • Safety Program Elements – Driver selection – Driver training – Driver supervision – Accident investigation – Recordkeeping – Maintenance 1-800 Vehicle Monitoring • “How’s my Driving” Decals • Incident Report • Fleet Management Reports Healthcare Facilities • Nursing Homes and Hospitals – – – – Patient Transfer Slip and Falls Violence Needle Sticks Firefighting • Firefighting is recognized as one of the most hazardous occupations in terms of death and injury statistics • Each year, over 100 line-of-duty deaths have been recorded in the U.S. alone; 70% of deaths are volunteer firefighters • Many firefighter injuries are a direct result of preventable accidents Firefighter Exposures • • • • • • • • • Vehicle Fires/Smoke/Burns Struck By Structural Collapse Heat Stress Chemicals Falls Needle Sticks Presumptive Cases State Presumptive Disability Laws Firefighters Addressing Presumptive Cases • Presumptive controls – Pre-hire criteria – Wellness programs – Exposure reporting – Post injury programs Law Enforcement Safety National Law Enforcement Officers Memorial Fund Teen Work Injury Statistics • Many youth are injured on the job – 250,000 <18-year-olds injured/year in the US – 84,000 <18-year-olds to the ER for work injuries – 70 <18-year-olds die each year – 90 18-19 year-olds die each year • Young workers are injured at a higher rate than adult workers – Teens may not know which work tasks are prohibited by child labor laws – Teens may not receive adequate safety training and supervision – Teens may lack the experience and physical and emotional maturity – Teens may be reluctant to ask questions Job Hazard Analysis • Break the job down into steps Job Hazard Analysis Worksheet JHA Number: _______________ Page ____ of ____ Job Description: ____________________________________________________________________ Step 1 Step 1._____________________________________________________________________________ Hazard(s) _____________________________________ Control Measure(s) Required ______________________________________ _____________________________________ ______________________________________ _____________________________________ ______________________________________ _____________________________________ ______________________________________ Step 2 Step 2._____________________________________________________________________________ Hazard(s) _____________________________________ Control Measure(s) Required ______________________________________ _____________________________________ ______________________________________ _____________________________________ ______________________________________ _____________________________________ ______________________________________ Step 3 Step 3._____________________________________________________________________________ Hazard(s) _____________________________________ Control Measure(s) Required ______________________________________ _____________________________________ ______________________________________ _____________________________________ ______________________________________ _____________________________________ ______________________________________ Step 4._____________________________________________________________________________ Hazard(s) _____________________________________ Control Measure(s) Required ______________________________________ _____________________________________ ______________________________________ _____________________________________ ______________________________________ _____________________________________ ______________________________________ Step 5._____________________________________________________________________________ Hazard(s) _____________________________________ Control Measure(s) Required ______________________________________ Step 4 Prompt Reporting Average Cost Per Claim • Insurance Co. Study $17,920 – Analyzed 78,000 workers’ compensation claims closed in 1993 20,000 – Findings 10,000 • Reporting a claim 11-20 days after an injury increased costs by 29% • Reporting a claim 21-30 days after an injury increased costs by 39% • Reporting a claim 31 days or more after an injury increased costs by 48% $16,802 $15,582 15,000 $12,082 5,000 0 Reported Reported Reported Reported Within 10 Days Between 11-20 Days Between 21-30 Days More Than 30 Days Weed-out Injuries and Illnesses! Strains Falls Cuts Direct Causes Surface Causes Conditions Lack of time Fails to enforce Behaviors Inadequate training No discipline procedures No orientation process Inadequate labeling procedures Outdated procedures Inadequate training plan No inspection policy No accountability policy Root Causes Data Analysis Information to extract • Identify loss causes and trends; frequency and severity • Focus management on the organization’s Total Cost of Risk (TCOR); direct and indirect • Gain support for loss control efforts • Evaluate potential cost/benefit of loss control alternatives • Allocate costs or charge backs for claims to locations/dept Cost Allocation Exposure vs. Experience ExperienceBased Exposure BasedSystem System–Allocates –Allocatescosts costs toto departments a department only strictly on the on its pro basisportion rata of theirofexposures past losses – regardless and subjects of small their loss departments experience to -significant and does not allow anyinrisk-sharing fluctuations costs from one period to the next Exposure Exposure Exposure Experience Experience Experience Safety Committees • The makeup of the safety committee can vary depending on the size, type and needs of the organization. Refer to your state OSHA program requirements, if required • Consideration should be given to the following when developing a safety committee – Safety committee members and structure • Labor and management partnering • Represent key functional areas & knowledge • Diversity – Possible duties and functions of the safety committee • • • • • Utilize loss analysis for the development of risk control initiatives Review supervisor accident investigation reports Conduct periodic safety inspections Assist in conducting safety training Listen to employee safety concerns and suggestions Safety Meetings Guidelines on effective training and meetings: • • • • • Determine if training is needed Identify training needs Identify goals and objectives Develop learning activities Conduct training – Interactive • Evaluate training Safety Incentive Programs Issues at hand: • Are they necessary? • Structure – – – – • • • • What to recognize Who to recognize How to recognize When to recognize In-house or vendor Budget Selling the program Measuring success Best Practices for Risk Managers • Set goals and objectives with MEASURABLE outcomes • Work in conjunction with department heads and managers to put safety plans in place • Share information (losses, incentives, etc.) • Budget • Make safety an important part of EACH employee’s appraisal process • Monitor, follow-up on, and measure the results Are there any questions? www.mwecc.com Jeff Skog, CSP, ARM Risk Management Consultant Midwest Employers Casualty Company Phone: 847-683-7251 jskog@mwecc.com