PAHRA Annual Conference September 17, Safety Work Practices Lifespan of a Claim from cradle to grave

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1 PAHRA Annual Conference September 17, 2015 Safety Work Practices Lifespan of a Claim from cradle to grave

2 Introduction Introductions Pre-Injury (DiPietro) Injury (DiPietro) Post Injury (Emiliani) Services & Consultation (Bartoletti)

3 Objectives Provide a basis for all occupational health and safety actions within your organization Understand various elements of a comprehensive safety program with a goal of implementation Identify actions and challenges at each step in the claim process

4 Opening Thought Claims Safety Loss Control

5 Major Safety Program Elements Management Commitment and Employee Involvement Worksite Analysis Hazard Prevention and Control Safety and Health Training

6 PRE-INJURY Rocco DiPietro

7 Management Commitment and Employee Involvement In an effective program, management regards worker safety and health as a fundamental value of the organization. Clear Policies Top Management Involvement Accountability for managers, supervisors, and employees Establish Workplace Safety Committees (and certify them)!

8 Worksite Analysis Effective management actively analyzes the work and worksite to anticipate and prevent harmful occurrences. Conduct regular site inspections Discuss and implement HARIE/Cocciardi SSIs Investigate accidents and near misses Analyze injury and illness trends over time

9 Hazard Prevention and Control Employers should establish procedures to correct and control present or potential hazards in a timely manner. Utilize the Hierarchy of Hazard Control Maintain the facility as best as possible Plan and prepare for emergencies Establish a medical program

10 Hierarchy of Hazard Control Elimination or substitution of the hazard Subcontract, use high FP product, etc. Engineering Controls Ventilation, machine guards, barriers, etc. Administrative or Work Practice Controls Worker rotation, training, signage, etc. Personal Protective Equipment Safety harness, respirators, hearing protection, etc.

11 Safety & Health Training Training is often most effective when incorporated into other education or performance requirements and job practices. Employee Training Supervisory Training Typical programs requiring training GHS/Hazcom Lockout/Tagout Personal Protective Equipment Hearing Conservation/Noise Fall Protection Electrical Safety

12 Safety Culture What is Culture? A set of assumptions, benefits, and beliefs about reality Based upon personal experiences, beliefs, and upbringing The way we make decisions, feel, think, and act An attitude developed over time What is a Safety Culture One that is informed Just Reporting Learning

13 Safety Culture Integration From various studies, it is clear that certain actions appear to characterize organizations with a positive safety culture Importance of LEADERSHIP COMMITMENT of the top officials SAFETY ROLE line/mid management INVOLVEMENT of all employees Effective COMMUNICATION and common goals Good organizational LEARNING A QUESTIONING ATTITUDE and rigorous attention to standards

14 Workplace Safety Training Employee training Mandated by law, regulation, or standard Topics that are relevant Involvement Employer Training (Supervisor, Manager) Documentation is key Demonstration of proficiency Teach on how to teach

15 INJURY Rocco DiPietro

16 First Aid and Immediate Medical Attention First Aid Kits Availability and Location Contents Training Emergency Life Safety Eye wash Safety Showers Fire Extinguishers NOTE that each of these pieces of equipment have specific standards or guidelines as to what is included, when it should be inspected, and how it is to operate.

17 First Aid and Immediate Medical Attention First Aid Training 3-4 hours CPR (Cardio Pulmonary Resuscitation) 2-3 hours AED (Automated External Defibrillators) ½- 1 hour BBP (Bloodborne Pathogens) 1 hour Depending on the certifying or accrediting agency, refresher cycles vary from 1-3 years.

18 Accident Investigations

19 Accidents What is an accident? An uncontrolled and/or unplanned release of energy that causes or contributes to illness, injury, or death and/or damage to property, equipment, or materials. All accidents have a cause and effect!

20 Accident Investigation 1. Call for first aid/emergency response 2. Secure the scene 3. Photograph the scene 4. Interview witnesses 5. Collect physical evidence

21 Basic Accident Report (aka First Report of Injury) 1. Basic demographic data for: 1. Injury or Illness 2. Property Damage Claims 3. Other Potential Losses 2. Description of events (5W s) 3. Accident Causes (Direct and Root) 4. Action Plan (Corrective Actions) 5. Final Review

22 Accident Report Complete as soon as possible Forward to HARIE within 24 hours (report ASAP) Complete ALL Sections Available online from the HARIE website

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25 The Five Whys Basic Question - Keeping asking What caused or allowed this condition or practice to occur? until you get to root causes. The five whys is one of the simplest of the root cause analysis methods. The following example demonstrates the basic process: THE PROBLEM: My car will not start. 1) Why? -The battery is dead. (first why) 2) Why? -The alternator is not functioning. (second why) 3) Why? -The alternator belt has broken. (third why) 4) Why? -The alternator belt was well beyond its useful service life and has never been replaced. (fourth why) 5) Why? - I have not been maintaining my car according to the recommended service schedule. (fifth why and the root cause)

26 Remember When listing corrective actions, ensure the recommendation addresses the specific cause(s) of the incident in a clear, concise manner. The below example shows the wrong way and the right way Wrong Way Supervisor should tell the employee to be more careful lifting the boxes Right Way The supervisor should discuss proper lifting techniques with the employee and then witness the employee demonstrating this behavior

27 Post Injury James (Jim) Emiliani

28 Ongoing Services and Consultation Michael (Mike) Bartoletti

29 Services - Typical Site Safety Inspections Designed to assist clients in minimizing loss and ensure workplace safety Typically conducted every 2-3 years per site, for 1-2 days per visit Workplace Safety Committee Training Designed to certify workplace safety committees to receive 5% premium discount Must be in place for min of 6 months Must apply for certification through PA Department of Labor and Industry between days prior to renewal Required to have annual training by Qualified Provider Safety & Health Consultations hazard specific consultations based on specific needs (e.g. sampling, testing, training)

30 Site Safety Inspections Client Contact Initiated by Cocciardi New Inspection report Issued Inspection scheduled and materials distributed Previous Inspection Report Follow-up Letter Materials Returned by Client Inspection Conducted and Follow-up Verified

31 Consultations & Scheduling All approvals for Loss Control or Safety Services must be authorized by Mike Bartoletti prior to scheduling (except for SSIs). Services performed are dependent on many factors including the type of account (WC, Fire, GL only), size of risk or loss, and previous conformance with SSI recommendations. If you have any questions or concerns, we are all here to assist and look forward to your call or .

32 Thank you and Contact information Rocco DiPietro Cocciardi & Associates, Inc Mike Bartoletti HARIE/Excalibur Insurance Safety Coordinator (570) Jim Emiliani HARIE/Excalibur Insurance Claims (412)