1 MANGAGING THE RISK OF SLIPS, TRIPS AND FALLS STEP BY STEP GUIDE TO MANAGING THE RISK OF SLIPS, TRIPS AND FALLS REPUBLIC OF IRELAND
2 YOUR QUICK REFERENCE GUIDE TO THE PROCESS Asse the ris Categor Very high, or lo Likel impa incid
3 OF ss ks ise by: high, medium w risk ihood and ct of the ent happening Decide to: Terminate Treat Transfer Tolerate Update Risk ment on regular basis Review after any incident
4 OUR MISSION To build a world-class business that puts you at the centre of our organisation and society at the heart of our goals. OUR VISION As a mutual, we care about people. We understand that our progress is dependent on all our stakeholders, including our Members, staff, broker partners, clients and the community at large. We are committed to delivering innovative, world-class business practices underlined by our ethical approach and our clear vision. OUR COMMITMENT A sustainable business depends on meeting the needs of all stakeholders. Our continued success depends on meeting and beating our clients expectations. This means recognising and rewarding local initiatives in building a better Ireland. In 2012, IPB announced its first social dividend, focusing on Youth and Community, Education, Sport, Business Innovation and Diaspora.
5 CONTENTS Introduction Statistics P/06 Causes of slips, trips and falls P/07 Hazards that may give rise to slips, trips and falls P/07 Legislation P/07 Risk assessment Step 1: P/08 Step 2: P/10 Step 3: P/13 Step 4: and review P/17 Other issues to consider Design and refurbishment of facilities P/19 Maintenance P/19 Incidents, including near misses P/19 Personal protective equipment P/19 Spills P/19 Signage P/20 Slip resistance testing P/20
9 Very hig high, me or low ri Likelihoo impact o incident RISK MANAGEMENT GUIDE 05 THIS IS THE START OF YOUR JOURNEY We will guide you through the process of managing the risk of slips, trips and falls. THIS WAY TO A SAFER FUTURE Categorise
10 RISK MANAGEMENT GUIDE 06 INTRODUCTION Slips, trips and falls (STF) account for the second highest number of workplace injuries and account for close to one-fifth of all injuries reported to the Health and Safety Authority in This guide has been prepared to assist organisations in the management of the risk of STFs. It is not a definitive guide but is designed to complement the directives, recommendations and advice given in various legislation and publications, some of which are outlined on page 24. IPB Insurance has also produced a guide to Managing Road and Footpath Risks. A copy of this can be obtained by ing Statistics Falls are required to be reported to the Health and Safety Authority when they result in an employee being absent from work with an injury for three days or more. A quarter of such incidents reported led to the insured person missing for over a month from work. When the falls from height (248) are extracted from the data, there were 928 related to falls on the same level. One fatality resulted from a fall on the same level (Summary of Workplace Injury, Illness and Fatality Statistics : Health and Safety Authority 2014). The data provided by the Health and Safety Authority only relates to employee incidents, whereas many members of the public sustain STF injuries, which may be very significant. These incidents occur in buildings, on public footpaths and roads and on grounds owned and managed by third parties. The Injuries Board (2014) reported that they had paid over 1,700 awards in public liability cases in Slip, trip and fall claims accounted for 67% of all public liability claims. The causes of accidents included falls on wet floors, uneven/broken pavements, drains and manholes. The resulting injuries included fractures, soft tissue injuries, bruises, cuts and lacerations. There were nearly 100 awards arising from
11 RISK MANAGEMENT GUIDE 07 accidents in leisure centre facilities, while over 40 awards were made for accidents that occurred in supermarkets. The average public liability award made by the Injuries Board increased by 11% to c25,120. The report from the Injuries Board reveals that the number of awards in excess of c100,000 increased from two in 2011 to eighteen in However, the vast majority of public liability awards were for less than c38,000. Over 71% of public liability awards were to women (Health and Safety Review July 2014). Causes of slips, trips and falls The causes of STFs may be associated with: Manual handling operations. Footpaths, corridors, halls. Floor cleaning. Vehicles. Stairs and steps. Wet surfaces. Footwear. Balance problems. Hazards that may give rise to slips, trips and falls Slippery surfaces arising from water, ice, snow, polish, oil or other liquid. Unsuitable footwear. Uneven ground coverings, including damaged floor coverings. Changes in floor level. Obstructions and protrusions, including mats, trailing wires and hoses. Poor lighting/visibility. Poor housekeeping. Legislation The Safety Health and Welfare at Work Act, 2005 specifies the legislative compliance responsibilities for employers, employees and contractors and the importance of undertaking a documented risk assessment. The Occupiers Liability Act, 1995 specifies the legislative responsibility of property owners to provide a safe environment in respect of visitors, recreational users and trespassers.
12 RISK MANAGEMENT GUIDE 08 RISK ASSESSMENT A risk assessment should be undertaken when a building is occupied for the first time, or when any significant change to the building takes place, or if an incident resulting in a STF occurs. There are four key steps to the risk assessment process. Step 1: Note the STF causes and hazards listed on the previous page when identifying risks. Consider to employees, contractors and visitors to the building. Be aware of the age groups of people using the building, including people with a disability, people with young children and those who may not be able to read signs. The risk of a STF when it materialises may be an adverse impact on a person s dignity from slipping on a wet floor where no serious injury may be sustained. However, in some instances, serious injury may be sustained, such as fractures or even quadriplegia or death from tripping, for example on a staircase resulting in a fall from a height.
13 IDENTIFY MONITOR MANAGING RISK ASSESS MANAGE
14 RISK MANAGEMENT GUIDE 10 Step 2: Taking account of the risk and the existing management controls, the organisation should assess the likelihood of the risk occurring and the impact of the risk if it does occur. The assessment can be performed using the model overleaf. Each identified risk should be recorded in the appropriate box in the diagram. Risks located in the red boxes will require immediate attention, amber will require monitoring and green can be reviewed as appropriate. When assessing the impact of a fall, consider the worst case scenario that could arise, such as a fatality or quadriplegia.
15 RISK MANAGEMENT GUIDE 11 ASSESS THE RISKS LIKELIHOOD A: VERY HIGH B: HIGH C: MEDIUM D: LOW IMPACT 1 = MINOR 2 = MODERATE i.e. damage resulting in absence from work. 3 = MAJOR i.e. damage resulting in long-term disability. 4 = SEVERE i.e. the death of an employee or other person. It is also important to consider the long-term consequences if the risk were to materialise.
16 TERMINATE TOLERATE 4 WAYS TO MANAGE RISK TREAT TRANSFER
17 RISK MANAGEMENT GUIDE 13 Step 3: There are four main ways to manage risk: 1 Terminate This should always be the first option. Where a defect is identified that could give rise to a STF incident, then every effort should be made to eliminate the risk, either at the design stage of a building or by correcting ground defects or as soon as practicable after the risk has been identified. The use of floor coverings to eliminate slips is one such method; however, the floor covering must be maintained to ensure that it does not deteriorate and result in a slip and fall incident. 2 Treat If it is not possible to eliminate the risk, then implement appropriate controls to treat the risk and to reduce the risk to the lowest level possible. This may involve: Use of mats at doorways in wet weather. Provision of measures to protect from environmental elements, such as an external canopy, revolving doors, recessed mat wells, umbrella stands, provision of plastic umbrella covers at entrances, etc. Provision of slip alert floors, which have been shown to provide a low risk of slip in normal conditions, such as dry areas (entrance areas, meeting rooms, public areas) and wet areas, such as swimming pool surround areas. Clearing of pathways and steps during snow or ice. Use of signage to warn people of the risk of a STF. It should be noted that the display of a warning sign does not remove the liability from a property owner if a person sustains an injury (Ikram V HSE, High Court, February 2014). Regular sweeping/hoovering up of water, e.g. at swimming pools and the vicinity of the pool, such as dressing and rest room areas, or where large collections of water form during very heavy rain, such as in underground car parks.
18 RISK MANAGEMENT GUIDE 14 Provision of clear information to employees, visitors and contractors, such as: Use of pictograms for those who may not understand English, e.g. a person holding a child s hand when using an escalator or using the stairs, both on the ascent and descent of the stairs. Provision of information to employees and others on appropriate footwear can assist in eliminating incidents. Implementation of an inspection regime for buildings and surrounding areas, such as pathways and car parks, and access routes to buildings. An inspection regime is a very useful method to identify deterioration in the fabric of a building or the surrounding area or poor housekeeping, all of which may contribute to a STF. An inspection regime should be implemented during inclement weather when damage to footpaths, car parks and roadways may occur. It may be necessary to undertake walked monitoring exercises on an hourly basis during peaks in pedestrian traffic or in areas where water spillages occur on a regular basis, e.g. kitchens, swimming pools, etc. Awareness of the importance of cleaning should be communicated to all cleaning staff, whether employed by the building owner or contracted, as improper cleaning can be a significant contributing factor to STF incidents. Improper cleaning and the incorrect use of chemicals can frequently be responsible for floors losing their slip resistance and thus contributing to STF incidents. When cleaning corridors, staff should be advised to divide the corridor into two lanes and clean one lane at a time Extend training to contracted staff, e.g. security personnel to whom spillages may be reported. They may be advised to stand over a spillage to prevent a STF until the area has been appropriately cleaned and dried.
20 RISK MANAGEMENT GUIDE 16 3 Transfer This entails taking measures to transfer the risk or responsibility for a risk to a third party, for example, by arranging appropriate insurance cover. 4 Tolerate The impact of a risk may be tolerable and therefore may not require any further action to be taken. This decision can only be taken when underpinned by a rigorous risk assessment.
21 RISK MANAGEMENT GUIDE 17 Step 4: and review Although a risk may have been eliminated, it is important to continue to monitor the risk, as changes in weather conditions, deterioration in floor coverings, an increase in pedestrian traffic, or contractors working on site may contribute to a STF risk materialising. An audit of the safety management system should include seeking out evidence of best practice to eliminate STF risks, while also identifying risks that may not have been observed by those using the building. During the reporting back on audits and inspections (see Appendix), utilise the opportunity, where relevant, to compliment and congratulate employees on how they are managing to eliminate STF incidents, and demonstrate improvement with the use of graphics to show reductions in the number of incidents and near misses. Seek reports of incidents and near misses and inquire into the circumstances of the incidents so that improvement can take place. This approach can provide a useful learning exercise to enhance safety and to eliminate STF incidents in the future.
23 RISK MANAGEMENT GUIDE 19 OTHER ISSUES TO CONSIDER Design and refurbishment of facilities Ensure that all work designed and undertaken complies with Building Control legislation and Safety, Health and Welfare at Work legislation. Maintenance When a defect is identified, record it immediately, photograph it and notify the requirements to the person in charge of facilities for repair. Isolate the area to prevent a STF incident occurring. When the repair is completed, record the date, time and identity of the person who undertook the repair work, and photograph the location following the repair. Incidents, including near misses Record the incident, including any near misses. Ensure that photographs and/ or video recordings are taken of the scene (ensure compliance with the Data Protection legislation). Obtain written statements from the injured party(ies) and any witnesses. Forward all incident reports, investigation reports and photographs/ video recordings to the Health and Safety Officer or the person with overall responsibility for the building. Where corrective action has been identified, ensure that it is implemented and sustained over the long term to eliminate the risk in the future. Be aware that any incident that results in serious injury, hospitalisation or a fatality will result in a criminal investigation by An Garda Síochána and/or the Health and Safety Authority. Personal protective equipment Ensure that employees utilise personal protective equipment (PPE) when provided, such as safety shoes/boots/harnesses, etc. Advise employees of the importance of wearing appropriate footwear in the workplace so as to avoid STFs. In respect of slip resistant footwear, SATRA (www.satra.co.uk) have produced a very useful guide on Slip Resistance footwear (2010). Spills Ensure that employees are aware of their responsibility to keep all walking surfaces dry and clean. When spillages occur, utilise appropriate techniques to clear the spillage as rapidly as possible; for example,
24 RISK MANAGEMENT GUIDE 20 paper towel for very small spills or handheld squeegee vacuums for medium size spills (not useful for viscous fluids), while sweeping large pools of water into a drain may be more appropriate for outside areas and hoovering up water at swimming pools should be considered. Remember that the objective within indoor areas is to provide a dry, safe surface for walking so as to prevent STFs. Signage Remember that signage should only be used when a STF hazard cannot be avoided or adequately reduced. It may be necessary to cordon off spills and to display signage to enable an employee to clean up the spillage and until the floor has adequately dried. Remember to remove signage once the hazard has been removed. Slip resistance testing Testing for slip resistance can be undertaken to determine the level of risk of a STF arising from a floor surface. The testing is referred to as the pendulum test. This test mimics the way a heel makes contact with a floor and measures the dynamic coefficient of friction (CoF). It can test slip potential on clean and dry or contaminated floors. If information is required for specification or enforcement action, a robust test, such as the pendulum test, should be used.
26 RISK MANAGEMENT GUIDE 22 RECORDING AND DOCUMENTATION Good practices should be implemented in all organisations to prevent STF incidents. If a claim arises, it is important that the organisation has documented evidence of best practice being implemented in order to defend a STF claim Maintain an up-to-date documented STF risk assessment for the facility; the level of detail should be reflective of the level of risk. management control measures. Maintain documented procedures for: Cleaning document the time(s) cleaning is to be undertaken and the actual time(s) the cleaning took place. Spillage clean-up document the type of spillage and the time of clean-up. Spillage monitoring document the walked monitoring exercises and observations noted. Staff training document the details of training provided, the staff attendance records and the updating training provided. Times for cleaning, e.g. document when buildings are closed and there is reduced traffic for minimising risk of STFs. Ensure that all employees read and comply with the procedure for preventing STFs and provide documentary evidence of this on file for future reference.
27 RISK MANAGEMENT GUIDE 23 INSURANCE Liability Insurance (Employer and Public Liability Insurance) provides indemnity to the Insured to cover payments for which you may be held legally liable. Organisations of all kinds need liability insurance in case employees, members of the public or other third parties suffer injury and/or property damage arising from incidents. There are several ways in which to prove liability. Liability could arise through negligence, recklessness, ignorance, nuisance, failure to exercise duty to care or failure to exercise the ability to control the activities of employees and members of the public. You should request advice on the insurance cover that is most relevant to your organisation s needs. CLAIMS If you receive notification of a claim, please forward it to your insurance advisor or IPB Insurance:
28 RISK MANAGEMENT GUIDE 24 REFERENCES Safety, Health and Welfare at Work Act, 2005 Safety, Health and Welfare at Work (General Application) Regulations, 2007 Summary of Workplace Injury, Illness and Fatality Statistics Health and Safety Authority Slip Resistance Guide: SATRA Technology Centre 2010 ment of Floor Slip Resistance: UK Slip Resistance Group Guidelines: 2011 (www.skslipresistance.org.uk) Fall prevention programme: Occupational Safety and Health Administration Fall prevention fact sheet: Occupational Health and Safety Administration Injuries Board reports slips, trips and falls the main cause of PL claims: Health and Safety Review July Step-by-Step Guide to Managing Road and Foothpath Risks. IPB Insurance Step-by-Step Guide to Managing Serious Incidents where there is a Risk of Criminal investigation. IPB Insurance 2014.
30 RISK MANAGEMENT GUIDE 26 APPENDIX Safety Inspection Checklist Is the area maintained in a clean and tidy manner? Are there any slip, trip or fall hazards present (uneven surfaces, wet surfaces, worn surfaces, loose manholes, weather damaged footpaths)? Are all routes free from obstruction? Are materials stacked and stored safely? Have all employees been instructed to ensure that all walking surfaces are dry and clean and free of debris? Are the weather effects on underfoot conditions monitored in car parks, on footpaths, on external stairs, on external ladders? Are the grounds, car parks, footpaths, external stairs and external ladders well maintained? Is there a sign prohibiting walking on specific surfaces either internally or externally? Is there adequate lighting for personnel to carry their work safely? Is there adequate lighting in car parks and footpaths? Is waste stored properly and disposed of in a timely manner so that it does not present a hazard for slip/trip/falls? Are handrails and access ladders (where required) in place and in good condition? Is there fly/rogue tipping of used construction materials that could present a risk of STF? Red Amber Green N/A
31 RISK MANAGEMENT GUIDE 27 Red Amber Green N/A Are toilets facilities, changing rooms, shower areas, etc. checked at defined intervals to include floor surfaces? Are the checks documented? Are the checks up to date? Are routes marked and signs erected where appropriate? Are floor coverings non-slip under wet conditions? Is there an incident register for the location? Inspection record Number of Red flagged items Number of Amber flagged items Quantity
33 RISK MANAGEMENT GUIDE 29 Actions required Action Persons Responsible Due Date General observations and comments
34 RISK MANAGEMENT GUIDE 30 Inspection carried out by Date Print Name: Signature: Line r in charge of the workplace inspected Print Name: Signature: Date Corrective action Final Date for Corrective Action for all Red flagged items to be in place Final Date for Corrective Action for all Amber flagged items to be in place Actions inputted to safety management audit system? Risks inputted to the organsation s risk register Date Yes No
36 RISK MANAGEMENT GUIDE 32 Sent a copy of the safety inspection to H & S Officer or person responsible for the building/site Relevant Line r Head of Function Safety Representative Chief Fire Officer Others Date Categorise Very hig high, me or low ri Likelihoo impact o incident
37 Designed by FUDGE Creative fudgecreative.ie Material published in this Guide may not be reproduced in whole or in part including photocopying or recording, for any purpose without the advance written permission of IPB Insurance which reserves all rights. STF 1214 V1
38 WORKING TO MAKE A DIFFERENCE IPB Insurance 1 Grand Canal Square Grand Canal Harbour Dublin 2, Ireland Tel: Fax: Reg. No Republic of Ireland. Irish Public Bodies Mutual Insurances Ltd. trading as IPB Insurance is regulated by the Central Bank of Ireland.
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