SLIPS,TRIPS & FALLS. Bad designs or careless behaviours? by Fiona Weigall Certified Professional Ergonomist. Health & Safety MATTERS, NSW
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1 SLIPS,TRIPS & FALLS Bad designs or careless behaviours? by Fiona Weigall Certified Professional Ergonomist Health & Safety MATTERS, NSW
2 SESSION OVERVIEW Methods Results Discussion Conclusion behaviours & designs affecting STF
3 METHODS Scientific & other literature STF legal cases Site visits re STF management Reviewing risk management plans Best practice guidance for STF
4 RESULTS Injury data In Queensland: 13,000 workers suffer a STF injury/year 2 nd highest injury mechanism Average 20 days off work Costs estimated at $4,615/claim (2007 data) One of the most common risks for public when visiting workplaces & in public areas
5 RESULTS Injury data In Australia: Of serious claims, a 15% increase in number of falls on the same level ( ) A 16% reduction in falls from a height ( ) Of serious falls on same level claims: median time lost 5.5wks; median compensation paid $8,800 (2011/2012)
6 RESULTS Injury data In the UK: 95% of major slips result in broken bones Slips cause 50% of all reported accidents to members of the public 33% of all major injuries in workplaces are STF STF cause more major injuries in the manufacturing and service industries than any other cause
7 RESULTS Injury data STF often precursor to other incidents Eg 30% of falls from height follow STF at level (Eg gardener and lawn-mower; fast-food cooking) High risk groups: People new to the job / first job Workers with restricted mobility (eg when pushing, carrying, or pulling loads) Older workers & site visitors
8 RESULTS Legal cases & scientific literature Legal cases Failures in PCBU s systems Poor selection of controls Literature Causation is multi-factorial Response must be comprehensive
9 RESULTS Site visits & reviews Range of responses Varied according to resourcing (staff & budgets) Varied according to management understanding & commitment
10 RESULTS Common risk factors Most common risk factors: Contamination Cleaning Changes/inconsistencies in flooring/surfaces/steps
11 RESULTS Common risk factors Contamination Wet water, oil, grease, mud etc Dry powder, dust, granules, shavings, off-cuts, rubbish etc Implicated in almost all slip accidents
12 Best systems RESULTS Common risk factors Contamination 1. Stop contaminants, and/or 2. Prevent spreading, and/or 3. Remove contaminants Eg. Sauce factory
13 RESULTS Common risk factors Cleaning Can be a cause and a solution to STF Best systems: Suit site schedule - timing Clean to dry OR barriers Doesn t spread the problem Suit flooring type/product Suitable frequency & spill management Egs. railway station mopping; supermarket fall
14 RESULTS Common risk factors Inconsistent surfaces or heights Very small differences have major impact on STF Best designs for steps: Consistent size - height and depth Deep tread depth Clear, non-slip, unrounded nosings Egs govt office; pine steps
15 RESULTS Common problem areas Carparks and building access Manufacturing, processing, food services Outdoor/underground sites Offices, health, education, retail
16 RESULTS Common problem areas Carparks & building access Best have: Clear pathways Systems to manage leaf litter etc Large awnings & rain management Systems to trap & prevent contaminants entering building Eg local hospital
17 RESULTS Common problem areas Manufacturing, processing, & food services Best have: Drip trays Splash or spill guards Drainage systems Good storage systems / just-in-time Eg. Bean factory
18 Best have: RESULTS Common problem areas Outdoor/underground work Level surfaces/platforms Dry work areas Access/egress for plant & site offices Lighting Good housekeeping Egs Mines/plant; waste transfer; garbage run
19 RESULTS Common problem areas Offices, health, education, retail Best have: Designs to suit all users & visitors Flooring surfaces suit potential contaminants & likely falls Removal of trip hazards in designs Good drainage systems Cable management systems
20 RESULTS Other problem areas Workers at others sites Best have: Shared duty of care Safe access Reasonable and practical
21 DISCUSSION Assessing & managing STF risk Assumptions about managing STF: It s complex & expensive.? Training is a good control.?
22 DISCUSSION Assessing & managing STF risk Theories of human behaviour & human error: 1. Sidney Dekker Human error is not a cause of failure. It is the effect or symptom of greater trouble. It is systematically connected to features of peoples tools, tasks & operating environment.
23 2. James Reason DISCUSSION Assessing & managing STF risk Two approaches to human fallibility: The person approach blaming individuals for forgetfulness, inattention etc The system approach concentrates on the conditions under which individuals work
24 CONCLUSION Need a strategic approach: Include WHS, designers, facilities & cleaning managers in designs & refurbishments Managers & specifiers know their obligations Risk management policy & procedures Maintenance & cleaning tailored to site Focus on designs, not behaviours
25 CONCLUSION Priority No. 1: Hazards are eliminated or minimised by design Australian Work Health & Safety Strategy Safe Work Australia
26 GUIDANCE TO HELP YOU Website, for practical tools and advice: Reading list Carpenter J, Lazarus D, & Perkins C, 2006, Safer Surfaces To Walk On Reducing The Risk Of Slipping, CIRIA, C652 Dekker S, 2002, The Field Guide To Human Error Investigations, Aldershot, Uk, Ashgate, P61 Health & Safety Executive, Getting To Grips With Slips And Trips Real Workplaces, Real Problems To Be Overcome, Real Solutions And Real Benefits
27 GUIDANCE TO HELP YOU Monash University Accident Research Centre, 2008, The Relationship Between Slips, Trips And Falls And The Design And Construction Of Buildings, Report No NIOSH, 2010, Slip, Trip And Fall Prevention For Healthcare Workers Oxenburgh M, Marlow P & Oxenburgh A, 2004, Increasing Productivity And Profit Through Health & Safety The Financial Returns From A Safe Working Environment, 2 nd Edition, CRC Press Reason J, 2000, Human Error: Models And Management, British Medical Journal, March Vol 18; 320, P
28 MORE GUIDANCE TO HELP YOU! Fiona Weigall Director at Health & Safety Matters Certified Professional Ergonomist & Registered Occupational Therapist
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