Loss Prevention and Employee Safety Management

1. Loss Prevention and Employee Safety Management Robin S. Weltens Director of Loss Control MHA Solutions April 25, 2019

2. Loss Prevention and Employee Safety Management • Loss Control Management/Operation • Cost Containment • Employee Education • Documentation • Loss Analysis and Measurement • Employee Safety and Regulatory Management • Facilities/Plant/Building

3. Loss Control Management • Loss Control Organization • Employee Safety Plan • Employee Safety and Health Committee • Enforcement of Procedures

4. Loss Control Organization • Designated Safety Leader? • Are safety needs actively managed? • Safety Organization? Who is in charge of what? • Adequacy of employee safety budget? • Are Loss Control Goals tied to the Corporate Mission/Goals?

5. Loss Control Management • Employee Safety Plan • Written safety plan • Are specific safety procedures/rules spelled out? • Safety mission statement signed by the CEO • Implementation of plan (responsibility list)? • Written Goals and objectives of Safety Plan? Are these measured annually? • Are safety responsibilities communicatged to Employees/Supervisors in writing?

6. Loss Control Management • Employee Safety and Health Committee • Chairperson in place? • Are current safety needs discussed? • Are all departments and disciplines appropriately represented? • Are minutes kept? • What is frequency of meetings? Adequate? • Are committee recommendations carried out/documented? • Are agenda items relevant to employee safety needs and accident trends?

7. Loss Control Management • Enforcement of Procedures • Are safe work practices clearly communicated to Employees (signed off)? • Are safe work practices enforced consistently? • Are enforcement actions taken and documented in writing? Progressive discipline?

8. Cost Containment • Medical management Program • Employee Health Program • Hiring Practices

9. Medical Management Program • Dedicated point person? Formal written program? • Are employees thoroughly familiar with injury reporting guidelines? • Written work injury treatment procedures in place? • Written temporary Modified Duty Program in place? Is it applied consistently? • Are Manager and Supervisor roles spelled out? • Panel of Physicians program? • Are Panel of Physician guidelines clearly communicated to employees? In writing?

10. Employee Health Program Statistics show that healthy employees lead to lower healthcare costs for employers as well as fewer missed hours for the employees. -In house program -Promote healthy lifestyles Diet and Exercise Smoking Cessation Annual physicals

11. Hiring Practices • Do you have a written Pre-Placement Screening program? • Is a Drug Testing program in place? Post accident drug testing policy in place? Zero tolerance policy used? • Are functional capacity evaluations utilized? • Are DMV checks performed? Valid license/driving record/proof of insurance? • Are Criminal Record checks performed? State/County? • Are pre-placement physical conducted? • Do job descriptions include the physical requirements of the job? Are they signed by the employees?

12. Employee Education • Orientation • Annual Retraining • Management Training • Specialized Safety Training Employee Training Guide Management Training Manual SAFETY IN THE WORKPLACE SAFETY Training ORIENTATION

13. Employee Education Orientation • Written curriculum? • Are all relevant safety items covered thoroughly? • Is orientation completed before employees begin work?

14. Employee Education • Annual Retraining- needs to cover basic safety items covered during new employee orientation (pertinent to your industry), be mandatory and be documented. • Management Training-manager accountability for the safety program, role as safety leaders. • Specialized Safety Training- specialized equipment, i.e. mechanical lifts …, specialized regulatory issues, i.e., Haz Woper (Chemical Exposure/Waste disposal)…

15. Documentation • Employee Occurrence Reporting process • OSHA 300 log • Certificates of Insurance/ Limits

16. Employee Occurrence Reporting Process • Employee Occurrence Report: • Provides employee’s statement • Initiates benefits • Initiates Employer’s First Report of Injury • Tolls the statute of limitations • Triggers the OSHA 300 log • Initiates the accident investigation • Provides a trail for tracking and trending losses

17. Loss Analysis and Measurement • Loss Control Trending/Benchmarking • Areas to track current and historical data on: • Medical only costs • First-aid costs • Lost time costs and days • Losses per $100 of payroll • OSHA Incident Rates • Type of injury • Date and time of injury • Type of accident • Date reported • Location of accident • Costs and type treatment • Claims reserves and payouts

18. Employee Safety and Regulatory Management • Record Keeping • Workplace Violence Prevention • Accident Investigation • Emergency Preparedness • Fire Safety • Lock Out/Tag Out 1910.147 • Hazard Communication Standard 1910.120 • Respiratory Protection 1910.134 • Personal Protective Equipment 1910.132 • Confined Space Entry 1910.146

19. Occupational Safety and Health Administration (OSHA) OSHA has authority to promulgate standards pursuant to the Occupational Safety and Health Act of 1970, which has a general duty clause that requires that each employer shall furnish to each employee a job and a work-place that are free from recognized hazards that are causing or are likely to cause death or serious physical harm to employees

20. OSHA’s Recordkeeping Rule (1904) OSHA’s updated recordkeeping rule expands the list of severe injuries that employers must report to OSHA. As of January 1, 2015, all employers must report: 1. All work related fatalities within 8 hours 2. All work related inpatient hospitalizations, all amputations and all losses of an eye within 24 hours. You can report to OSHA by: • Calling OSHA’s free and confidential number at 1-800-321-OSHA • Calling your closest Area Office during normal business hours. • Using the new online form.

21. OSHA Injury and Illness Recordkeeping and Reporting Requirements • OSHA published a Final Rule to amend its recordkeeping regulation to remove the requirement to electronically submit to OSHA information from the OSHA Form 300 and OSHA form 301 for establishments with 250 or more employees that are required to routinely keep injury and illness records. Covered establishments are only required to electronically submit information from the OSHA Form 300A (Summary of Work-Related Injuries and Illnesses). The requirement to keep and maintain OSHA Forms 300, 300A, and 301 for five years is not changed by this Final Rule.

22. OSHA’s Rrecordkeeping Rule 1940 • Exceptions: • Partial exemptions are granted for companies with ten (10) or fewer employees; • Partial exemptions are granted if your business establishment is classified in a specific low hazard retail, service, finance, insurance or real estate. • If there is a fatality or an event that results in the hospitalization of three or more employees you must report.

23. Accident Investigation • OSHA strongly encourages employers to investigate all incidents in which a worker was hurt, as well as close calls. This provides employers and workers the opportunity to identify hazards in their operation and shortcomings in their safety and health programs.. Most importantly, it enables employers and workers to identify and implement the corrective actions necessary to prevent future incidents. Policy should include: • Written procedures • Who conducts investigations • Are investigations performed for all injuries (near misses)? • Follow up

24. Lock Out/Tag Out 1910.147 OSHA regulates exposure to high levels of energy under the Control of Exposure to Hazardous Energy Standard, more familiarly known as the lockout or tagout rule. This standard applies to any situation in which the unexpected re-energization of a piece of equipment, or the release of stored energy, could cause an employee injury. As with any OSHA program, you need: Coordinator, Written Program, Documented training (essential and non essential personnel) and Documented Enforcement

25. Hazard Communication Standard, 1910.1200 The Hazard Communication Standard (Haz Com), also referred to as the employee’s right to know rule, requires employers to inform employees of all hazards associated with the materials with which they must work. If a product poses a health or physical hazard for employees, it is covered. A product presents a physical hazard if it is flammable, combustible, reactive, water-reactive, explosive, or pyrophoric.

26. Hazard Communication 1900.1200 Employers are required to provide training on: • The new symbols and warning messages on the labels and SDSs • The location of hazard information on the labels and SDSs • The proper use of the chemical(s) • The precautions necessary for hazard protection • The steps to take in the event of an emergency

27. Hazard Communication 1900.1200 Additional Compliance Requirements: • Obtain an SDS for every hazardous chemical product used in the workplace • Keep a complete and up-to-date set of the SDSs readily available to all employees.

28. Fire Safety • Fire safety management involves protecting patients, employees, visitors, and buildings from the threat of fire and smoke. Every building is required to be in compliance with the structure and fire protection rules set forth in the National Fire Protection Associations’ Life Safety Code.

29. Emergency Preparedness • Planning • Chain of Command • Emergency Response Teams • Response Activities • Training • Personal Protection • Medical Assistance

30. Occupational Violence Prevention • The Occupational Safety and Health Act of 1970 mandates that, in addition to compliance with hazard-specific standards, all employers have a general duty to provide their employees with a work-place free from recognized hazards likely to cause death or serious physical harm. OSHA will rely on Section 5(a), the “General Duty Clause” for enforcement authority.

31. Occupational Violence Prevention What is workplace violence? • Workplace violence is violence or the threat of violence against workers. It can occur at or outside the workplace and can range from threats, bullying and verbal abuse to physical assaults and homicide, one of the leading causes of job-related deaths.

32. What constitutes Workplace Violence: • Workplace violence can be defined as “any behavior which creates a work environment that a reasonable person would find intimidating, threatening, violent, or abusive, regardless of whether the behavior may affect a person’s psychological or physical well being. This can include: Intimidation Verbal abuse/bullying Threats/Harassment Stalking Assault and Battery Sexual Assault Hate Crimes Suicide Killing Sprees Homicide

33. Types of Workplace Violence • Type 1-Criminal • Type 2-Customer/Client/Patients • Type 3-Co-worker • Type 4-Personal

34. Occupational Violence Prevention • Components of a Workplace Violence Prevention program: • Management Commitment and Worker Participation • Worksite analysis and Hazard Identification • Hazard prevention and control • Training and Education • Post Incident response/Program Evaluation

35. Active Shooter Resources • Department of Homeland Security Active Shooter Preparedness – -http://www.dhs.gov/active-shooter-preparedness • FBI Active Shooter Resource page -http://www.fbi.gov/about-us/cirg/active-shooter-and-mass-casualty- incidents • FEMA Workplace Violence and Active Shooter Training -http://emilms.fema.gov/IS907/ASO1summary.htm • How to plan for Workplace Emergencies and Evacuation, US Dept of Labor, OSHA -www.osha.gov • Guidelines for Preventing Workplace Violence for Healthcare and Social Service Workers, OSHA 3148 www.osha.gov

36. Facilities/Plant/Building • General Safety Environment • Lighting, Walking and Working Surfaces (Aisles, halls, carpets, matting), Housekeeping, Electrical, Means of Egress • Preventive Maintenance • Coordinator, Computerized or written system, follow manufacturer safety guidelines • Construction- Designated construction safety coordinator, routine safety meetings, Hazcom and Interim Life Safety Requirements met. • Parking Areas- Limited Access Guidelines met, Physical/Electronic Surveillance, Lighting, Inclement weather procedure, maintenance, shuttles.

37. Run, Hide, Fight