How To Prevent A Slip And Fall
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1 Slip/Fall Prevention Impact of an Aging Population Larry Readout, CSP Senior Engineer Home Office Risk Improvement
2 OSHA s Revised Rule Effective June 2015 Requires inspection of all walk/work surfaces for STF hazards Includes floors, stairs, parking lots, sidewalks
3 Walking and Working Surfaces, (d) Inspection, maintenance, and repair. (1) The employer shall ensure through regular and periodic inspection and maintenance that walking and working surfaces are in safe condition for employee use. (2) The employer shall ensure that all hazardous conditions which are discovered are corrected, repaired, or temporarily guarded to prevent employee use. Repairs shall be made in a manner that will restore the walking and working surface to a safe condition for employee use. (3) Only qualified persons shall be permitted to inspect, maintain or repair walking and working surfaces except for the incidental cleanup of non-toxic materials.
4 Keys to Slip/Fall Prevention 1. Appoint and train a Slip/Fall Prevention Champion 2. Audit walking surfaces regularly 3. Make it easy for anyone to report slip/fall hazards 4. Maintain smooth, even walking surfaces minimize clutter 5. Highlight any changes in elevation so they are noticeable 6. Monitor and enhance the traction of flooring 7. Require slip resistant footwear for wet/oily areas 8. Comprehensive mat strategy keep the elements outside and don t let mats become a trip hazard 9. Snow/ice management program timely treatment 10. Awareness training & proper use of warning signs
5 Impact of Injuries on Workers 50% of waking hours spent at work Loss of socialization Loss of home production For some, normal productive life is over All workplace accidents are preventable!
6 Most Frequent Workplace Accident Types 4,500 4,000 3,500 3,000 2,500 2,000 1,500 1, Slips are often unreported, but still rank # Countrywide Data
7 General Liability Claims SLIP/FALL PROP DAMAGE EQUIP DMG IMPR CONST SEWER BCKUP WATER DMG # 1 for both frequency & severity Countrywide Data
8 # Claims Slip/Fall Frequency Ranking by Age Countrywide Data
9 Slip/Fall Claim Cost by Age $0 $5,000 $10,000 $15,000 $20,000 $ Total Incurred Countrywide Data
10 Source: CDC
11 Unintentional Injury Deaths Source: National Safety Council Injury Facts 2013
12 Iowa Facts - Falls Source: IDPH
13 Fall Severity Data Source: EMC Countrywide Claims data
14 Slip/Fall Data 2012 Liberty Mutual Workplace Safety Index
15 Other Data U.S. Bureau of Labor Statistics: 237,000 STF cases in 2012 Great Britain: 35% of all employee injuries are STF Spain: 32% of all employee injuries are STF Canada: 17% of employee lost time injuries are STF Australia: 15% of serious employee injuries are STF New Zealand: #1 cause of home injuries (70,000/year in the age group)
16 Aging Population Wave Baby Boomers plan to work past age 65 U.S. Census Bureau Population Estimates & Projections
17 Aging is not a disease
18 Aging is not a disease Strength & endurance lose 10% per decade after 30, less able to compensate for slippery or uneven surfaces Gait issues Osteoarthritis, joints less flexible, shuffle feet Vision - depth perception, contrast, glare Hearing - balance Nervous System slower reaction time Cardiovascular stamina Cognitive skills/memory?
19 Other Age-Related Risk Factors Heel cord tightness, Poor hip/ankle flexibility Postural Sway (especially females) Sway studies takes longer to reestablish balance with age Problems with feet (diabetes, shoes too big) Increased use of Rx (>3 is an indicator)
20 #1 risk for seniors
21 Slip Simulator Cost approx. $40, Try natural gait first 2. Try again after learning new techniques: Keep head up Keep shoulders over ankles Take half steps Walk flat-footed (not heel-to-toe) 3. 3 rd pass with distractions introduced 4. 4 th pass to test new upper speed limit
22 Uneven Surfaces ½ change in elevation High traffic walkway, broken arm
23 Repairs - Mud jacking Same area after repairs
24 Uneven Surfaces Raised 5/8 Hip/shoulder injuries
25 Uneven Surfaces Flared side not identified
26 Solution - Awareness Use slip-resistant additive
27 Uneven Surfaces Broken jaw, brain injury
28 Solution - Awareness 6 feet wide, contrasting color
29 Confusing Markings Broken hip
30 Uneven Surfaces ½ drop-off, broken hip Beware of concrete/asphalt transitions
31 Uneven Surfaces View when walking 3 change in elevation
32 Uneven Surfaces Is paint 100% effective?
33 Uneven Surfaces Uneven and variable - Marking is no guarantee
34 Uneven Surfaces Looks okay, right?
35 Uneven Surfaces 5/8 raised edge = broken wrist
36 Uneven Surfaces Uncovered water meter box too close
37 Uneven Surfaces Fatality. Flared edges not marked
38 Uneven Surfaces Fatality. Flared edges not marked
39 Uneven Surfaces Shadows hiding flared curb
40 3 Shades of Gray Weather will reduce visual contrast Older pedestrians less likely to see curb
41 Uneven Surfaces Shades of Gray Broken Wrist
42 Solution - Awareness 4 wide, contrasting color, slip resistant
43 Short Flight Stairs Single step in walkway Will cause a stumble/fall Right idea, but. Stripe each edge and use mineral aggregate
44 Uneven Surfaces Brain Injury Facility slab settled 2
45 Uneven Surfaces Medical Office Paint alone not enough Broken finger and had to redo disc fusion surgery Depth perception? Rx? Eyes focused on doorway? 1.5 raised edge
46 Uneven Surfaces Adequate protection? Forgot after browsing
47 Uneven Surfaces Hidden change in elevation
48 Uneven Surfaces Many stumbles on sloped sides
49 Uneven Surfaces Slope not detected leaving store
50 Solution - Awareness Paint flared sides
51 Uneven Surfaces Tripped on rug, shattered shoulder ball joint
52 Necessary if dry weather? Got Mats? 61 year-old shuffler, shoulder and hip injuries
53 Solution? Got Mats? Medical facility during remodel
54 Traction Got Mats?
55 Hall of Shame Mat length for snowy days: 30 ft Frequent change-out and/or extraction required
56 Hall of Shame When is a mat damaged enough to replace?
57 Traction ANSI/NFSI B : SCOF 0.6 is high traction ANSI/NFSI B : DCOF 0.4 is high traction
58 Traction Treatment 0.8 Wet Static Coefficient of Friction Before After Pizza area Store aisle Study: Every 0.1 increase in COF reduces slips by 21%
59 Traction Slip resistant paint not used, was raining
60 Traction Abrupt change in traction, snowy day. Wet soles? Shoulder and head injuries
61 Solution? Temporary solution. Should measure/enhance traction
62 Traction Cooler condensation
63 Traction Customer spill Victim wearing flip flops
64 Footwear Slip resistant footwear Studies show at least 50% reduction in slips Older people tend to buy shoes that are too big Less control/coordination = missteps
65 Footwear ANSI/NFSI B101.7 Standard Test Method for Lab Measurement of Footwear Outsole Material Slip Resistance
66 Seasonal Issues 3,500 WC Slip/Fall Claims by Month 3,000 2,500 2,000 1,500 1, Dec-Mar accounted for 47% of work comp slip/falls Companywide,
67 Snow Removal Contractor Claims Data 85-90% were slip/fall claims Average claim - $13,475 Most claims were at shopping centers 68% of fallers are women Most claims occurred on Mondays Most common claimant names: Joseph (men) Maria (women) ASCA, SRIB
68 Thaw/Refreeze 37 air temperature at 6:30 am, Feb 18, pavement temperature
69 SCOF Thaw/Refreeze 0.3 Ice Traction vs Temperature F -1 F 37 air temperature at 7:00 am, Mar 7, pavement temperature
70 Thaw/Refreeze Brain Injury Facility - Poor drainage design
71 Possible Solutions
72 Ice Melt Composition Temp Rating Cost Sodium Chloride (rock salt) 15 $ Sodium & Magnesium Chloride -5 $$ Sodium, Potassium & Calcium Chloride -10 $$$ Sodium, Magnesium & Calcium Chloride -20 $$$ Calcium Chloride (90%) -25 $$$$
73 Ice Melt Pre-apply brine when possible Shovel slush layer off after melting is done Don t use too much use spreader Scoops and shovels result in overuse
74 Specialty Coating Pre-apply brine with tank sprayer, 2.2 lbs salt per gallon
75 Ice Cleats Some unsafe for driving or indoors
76 Too Much Sand Left Too Long Slipped on sand, fractures (Apr 26)
77 Awareness
78 Duty to Care Fulfilled?
79 Awareness Don t leave up too long - Remove when dry
80 Awareness Highlight steps/changes in elevation
81 What To Do? Granite steps Good condition Good lighting Adequate handrail
82 Recommendations Step covers, two-tone Surface modifier treatment for Granite Apply texture to handrails
83 Awareness Highlight steps/changes in elevation
84 Awareness Highlight flared curbing
85 Awareness Highlight raised edges
86 Awareness
87 Other Issues
88 Distracted Walking
89 Inadequate handrails
90 Inadequate handrails
91 Inadequate handrails
92 Glare Visually confusing
93 Glare Brightness extremes affect contrast/depth perception Contrast ratio of tread/nosing approx. 5 to 1
94 Contrast Rules 10+ to 1 to recommended Yellow and red best for older eyes 12 4
95
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