GREEN LABEL SERVICES LIMITED ENVIRONMENT HEALTH AND SAFETY INCIDENT INJURY ILLNESS CLASSIFICATION GUIDE Document No. GLSL-EHS-IIICG-01 Green Label Services Limited. Document Name Incident Injury Illness Classification Guide Date: 05/2013 Revision Number: N/A Author: Anna Ameda Approved By: Engineer Alex Niyonsaba
CONTENTS 1. PURPOSE...3 2. SCOPE...3 3. OVERVIEW,...3 4. DEFINITIONS & ABBREVIATIONS...3 5. RESPONSIBILITIES...4 6. INJURY ILLNESS CLASSIFICATION...4 6.1 Lost Time Injury (LTI)...4 6.2 Medical Treatment Injury (MTI)...5 6.2.1 Typical Medical Treatments...5 6.3 Restricted Work Injury...5 6.4 First Aid Injury Treatments (FAI)...6 6.5 Total Recordable Injuries (TRI)...6 6.6 All Injuries (AI)...6 6.7 Days Lost...7 6.7.1 Monthly Reporting On Days Lost...7 6.8 Defining Work-Relatedness...7 6.8.1 Monitored Activities...7 6.8.2 Uncontrolled Activities...8 6.9 Motor vehicle Crash Rate.8 7. FREQUENCY RATES AND CALCULATIONS...8 7.1 Lost Time Injury Frequency Rate (LTIFR)...8 7.2 Medical Treatment Injury Frequency Rate (MTIFR)...9 7.3 Total Recordable Injury Frequency Rate (TRIFR)...9 7.4 Lost Time Injury Severity Rate (LTISR)...9 7.5 Duration Rate (DR)...10 7.6 Number of Hours Worked... 10 7.7 Motor Vehicle Crashes 10 8. TREATMENT OF SPECIAL CASES...11 8.1 New Case or Recurrence...11 2
1. PURPOSE The purpose of this document is to assist GLSL Management, and the Environment, Health and Safety team in classifying incidents and to promote a consistent approach to the classification of events, injuries and illness occurring within the workplace. Furthermore, this guideline details the requirements for reporting HSE statistical and performance data. 2. SCOPE The application of these classifications and calculations are to be applied throughout GLSL to support monthly business HSE reporting requirements. 3. OVERVIEW The terms used in this document are not only for GLSL reporting requirements but also defines others used commonly across the operation, business units and industry. The use of these classifications is to apply to all events resulting in injury or illness to employees, contractors and visitors. The classification is to be conducted in accordance with these definitions regardless of external injury classifications or definitions being applied. (e.g. If a contractor classifies an incident as only a First Aid Treatment however, under GLSL s classification it would be a Medical Treated Injury GLSL s classification will be used and applied throughout the investigation). 4. DEFINITIONS & ABBREVIATIONS GLSL FAI Green Label Services Limited -The Owner First Aid Injury A First Aid Injury Treatment case is recorded when first aid treatment is required regardless of the person providing the treatment, as a result of a work related injury or illness. LTI Lost Time Injury A work related injury or illness which results in the individual being deemed fully unfit for work for a period of an entire work shift any time after the day or shift on which the injury or illness occurred. LTIFR Lost Time Injury Frequency Rate The number of LTI divided by the number of man-hours worked multiplied by 200,000. Manager/Line Manager The manager who has direct responsibility for the activity being undertaken or the area the activity is occurring in. Responsible Manager MTI Medically Treated Injury 3
A work related injury which results in the individual receiving treatment from a qualified medical practitioner which could not have been provided by a qualified first aider. This includes but is not limited to the provision of; sutures and prescribed medication. MTIFR RWI Medically Treated Injury Frequency Rate The number of MTI divided by the number of man-hours worked multiplied by 200,000. Restricted Work Injury A work related injury which results in a qualified medical practitioner deeming the individual partially unfit for duty or fit for duties other than those normally undertaken by the individual receiving treatment. 5. RESPONSIBILITIES All GLSL personnel are responsible for the compliance with and application of these guidelines. 6. INJURY ILLNESS CLASSIFICATION All Incidents Total Recordable Injuries All Injuries 6.1 Lost Time Injury (LTI) A LTI is a work related injury or illness which results in the individual being deemed fully unfit for work for a period of an entire work shift or more any time after the day or shift on which the injury or illness occurred. A LTI occurs when a suitably qualified medical practitioner advises that the injured person is unable to attend work on the next rostered day after the injury. A recognised and appropriately dated Work Cover Medical Certificate needs to be provided by the treating medical practitioner. 4
A LTI is recorded from the date the injury actually occurred not when time was actually lost, i.e. when a previously injured person, who has not lost any time, subsequently loses a complete rostered shift or more due to the original injury (e.g. through surgery), the event will then be reclassified as a LTI on the date of the original incident. NOTE: Where days are lost due to time spent travelling or awaiting a diagnosis the lost work days are not included if the diagnosis does not result in lost time. 6.2 Medical Treatment Injury (MTI) A MTI is any work-related injury which results in the individual: Requiring treatment by, or under the specific order of a registered medical practitioner or any injury which could be considered as being one that would normally be treated by a registered medical practitioner; and Results in less than a full shift being lost from work AND Requires treatment beyond the scope of normal first aid treatment such as sutures or the issuing of prescribed medication. A medical treatment injury/illness does not include: A visit to a medical practitioner or other health care professional solely for observation or counselling, except when a worker is referred by a registered medical practitioner for counselling related to a work-related injury or illness. The application of diagnostic procedures, such as X-rays, ECG (following an electric shock) and blood tests, the administering of prescription medication used solely for diagnostic purposes. 6.2.1 Typical Medical Treatments Use of prescription medication (schedule 4 or 8 prescription only medication), except single dose administered on first visit for minor injury discomfort. Therapeutic (Physiotherapy or chiropractic) treatment during the second or subsequent treatments. Stitches/sutures (including glue) Removal of dead tissue/skin (surgical debridement) Treatment of infection Application of antiseptic during the second or subsequent visit to medical personnel Removal of foreign bodies embedded in the eye Removal of foreign bodies embedded in a wound (not small splinters) Treatment of deep tissue burns (partial or full thickness burns) Use of hot or cold soaking therapy during the second or subsequent visit to medical personnel Heat therapy during the second or subsequent visit to medical personnel Positive x-ray diagnosis (fractures, broken bones, etc) Admission to hospital or equivalent medical facility for treatment 6.3 Restricted Work Injury A restricted work injury is a work related injury or illness which results in the employee being unable to perform one or more of their routine functions, or being unable to work the full day on or after the next rostered day after the injury/illness. 5
Restricted Work Injuries are classified when a prescribed medical certificate is provided and indicates alternative duties or restricted hours of work. An injury is not regarded as a restricted work injury when the medically imposed restrictions limit activities other than their routine functions. 6.4 First Aid Injury Treatments (FAI) A First Aid Injury Treatment case is recorded when first aid treatment is required regardless of the person providing the treatment, as a result of a work related injury or illness. The treatment required shall fall into one or more of the following categories: Using a non-prescriptive medication at non-prescription strength (for medications available in both prescription and non-prescription form, a recommendation by a medical practitioner or other licensed health-care professional to use a nonprescription medication at prescription strength is considered a medical treatment.) Administering immunisations (excluding during those that are administered in the context of an injury). Cleaning, washing or soaking of wounds on the surface of the skin. Treatment of superficial burns. Using wound coverings, such as bandages, band-aids, gauze, etc or butterfly bandages or steri-strips (other wound closure devices such as sutures, staples, glue etc are considered medical treatment). Using hot or cold therapy. Using any non-rigid means of support, such as elastic bandages, wraps, non-rigid back belts, etc (devices with rigid stays or other systems designed to immobilise parts of the body are considered medical treatments). Using temporary immobilising devices while transporting an accident victim (e.g. splints, neck collar, back board, etc). Using eye patches. Removing foreign bodies from the eye using only irrigation or cotton swab. The use of eye stain (fluorescein) for identification of foreign bodies. Using finger guards. Removing splinters or foreign material from areas other than the eye by irrigation, tweezers, cotton swabs or other simple means. Using massages (medically referred treatments of more than 3 sessions of physical therapy or chiropractic manipulation are considered medical treatments). Drinking fluid for relief of heat stress. 6.5 Total Recordable Injuries (TRI) Total Recordable Injuries is the combination of Fatalities, Lost Time Injuries and Medical Treated Injuries and Restricted Work Injuries. (TRI = Fatalities+ Lost Time Injuries + Medical Treated Injuries + Restricted Work Injuries) 6.6 All Injuries (AI) All injuries refer to the combination of Fatalities, Lost Time Injuries, Medical Treatment Injuries, Restricted Work Injuries and First Aid Treatments. (AI = Fatalities + Lost Time Injuries + Medical Treatment Injuries + Restricted Work Injury + First Aid Treatments) 6
6.7 Days Lost The total number of rostered work days lost, after the day of the injury or illness occurred, which the employee was away from work in the case of a lost time injury, or the number of work days, after the injury or illness, which the employee was unable to perform their routine functions. Days lost excludes the day of the incident, planned leave, weekends (and scheduled days off i.e. rostered days off (RDO s), and public holidays. NOTE: Where days are lost due to time spent travelling or awaiting a diagnosis the lost work days are not included if the diagnosis does not result in lost time. 6.7.1 Monthly Reporting On Days Lost As part of the monthly EHS reporting requirements, business units / operations are required to record the total number of days lost for the month, regardless of when the injury/illness occurred up to a maximum of 12 months from the original injury date. Carry over days are included in the total number of days lost for the month and are not reported separately. 6.8 Defining Work-Relatedness An injury or illness is work related if an event or exposure in the work environment either caused or contributed to the resulting condition or significantly aggravated a pre-existing injury or illness. Work relatedness is presumed for injuries and illness resulting from events or exposures occurring in the work environment unless otherwise approved by EHS Coordinator/Manager. Injuries that occur whilst the employee is travelling are work related if at the time of the injury or illness the employee was engaged in work related activities in the interests of the employer. Examples of these include: Travelling to and from customer contacts Travelling between work sites Entertaining, or being entertained to transact, discuss or promote business, provided the entertainment is at the direction of the employer Driving a vehicle for work related purposes 6.8.1 Monitored Activities These are activities where GLSL can influence but cannot set HSE standards and cannot directly supervise and enforce their application. Monitored activities include all situations where GLSL is involved excluding controlled activities. Incidents arising from monitored activities are where possible reported and investigated in accordance with Company requirements but are not included in GLSL HSE performance measures. Examples of monitored activities include: Activities at operations where GLSL is a non-operating joint venture partner Visitors to GLSL sites including an employee who is present in the work environment as a member of the public rather than as an employee Injuries as a result of travel on a commercial plane, taxi or public transport Travel between home and the workplace or training venue The injury or illness involves signs or symptoms that surface at work but result solely from a non-work related event or exposure that occurs outside the work environment The injury or illness results solely from voluntary participation in a wellness program or in a medical, fitness or recreational activity such as blood donation, physical 7
examination, flu shot, exercise class, organised social event, gym or other sport activities The injury or illness is solely the result of an employee doing personal tasks (unrelated to their employment) at the establishment outside of the employees assigned working hours The injury or illness is solely the result of personal grooming, self medication for a non-work related condition or is intentionally self-inflicted The injury or illness is caused by a motor vehicle accident and occurs on a company parking lot or company access road while the employee is commuting to and from work The illness is the common cold or flu (Note: contagious illnesses such as tuberculosis, brucellosis, hepatitis A, or plague are considered work-related if the employee is infected at work) The illness is a mental illness. Mental illness will not be considered work related unless the employee voluntarily provides the employer with an opinion from a physician or other licensed health care professional with appropriate training and experience (psychiatrist, psychologist, etc) stating that the employee has a mental illness that is work-related. 6.8.2 Uncontrolled Activities If an activity is not controlled or monitored it is an uncontrolled activity. These are activities where GLSL does not set or influence HSE standards and does not supervise HSE performance. Uncontrolled activities are not reported, investigated or tracked. Examples include: Non-work related activities outside site boundaries Business events where the employee is entertained by a customer for a recreational activity such as sporting events. Incidents involving third party manufacturers or suppliers 6.9 Motor Vehicle Crash Motor Vehicle Crash is any work related vehicle damage or personal injury due a vehicle related event or roll over. Light crashes resulting in minor injuries or first aid injuries are not considered when calculating the Crash rate. 7. FREQUENCY RATES AND CALCULATIONS FREQUENCY RATES AND CALCULATIONS 7.1 Lost Time Injury Frequency Rate (LTIFR) LTIFR measures how frequent lost time injuries are occurring. LTIFR statistic refers to the number of lost-time occurrences of work related injury or illness (including fatalities) for each two hundred thousands (work) hours worked. It is a more precise measure of risk in that it relates the number of injuries and/or illnesses to the actual period of exposure to hazards. It is expressed as the number of lost time injuries per million hours worked. 8
LTIFR = Number of lost time injuries X 200,000 Number of hours worked Note: For a facility or company employing more than 500 people whose statistics are measured 1,000,000 is used instead of 200,000 7.2 Medical Treatment Injury Frequency Rate (MTIFR) This frequency rate measures how often medical treatment injuries are occurring. It is expressed as the number of medical treatment injuries per million hours worked. MTIFR = Number of medical treatment injuries X 200,000 Number of hours worked 7.3 Total Recordable Injury Frequency Rate (TRIFR) This frequency rate measures the frequency of recordable injuries i.e. the total number of fatalities, lost time injuries, medical treatment injuries and restricted work injuries occurring. It is expressed as the total number of fatalities, lost time injuries, medical treatment injuries and restricted work injuries per million hours worked. TRIFR = Number of recordable injuries X 200,000 Number of Hours Worked Note: Number of recordable injures = fatalities + lost time injuries + medical treatment injuries + Restricted work injuries 7.4 Lost Time Injury Severity Rate (LTISR) This measure calculates the average severity of lost time injures in a given period. It is expressed as the number of lost work days per million hours worked. LTISR = Number of days lost X 200,000 Number of hours worked 9
7.5 Duration Rate (DR) This rate measures the average duration of lost time injures in a given period in the workplace. It is expressed as the number of work days lost per lost time injury (LTI). DR = Number of lost work days Number of lost time injuries 7.6 Number of Hours Worked The number of hours worked by the workforce during the recording period enables the calculation of frequency rates. The number of hours worked is based on the number of full time workers. In determining the total number of hours worked the following equation which is aligned with the Energy Industry Standard should be used are based on 2,000 hours per person per year, or 166.67 hours per person per month. This equation takes into consideration overtime, annual leave, and public holidays. Number of Workers x 2000 12 7.7 Motor Vehicle Crash Rate Motor Vehicle Crash Rate (MVCR) (Number of crashes/million kilometres driven) in four categories: C: Catastrophic Any company,contractor,sub-contractoror third party fatality associated with an MVC M: Major Any rollover Any MVC where a company, contractor or subcontractor has a Lost Work Day Case associated with the MVC S: Serious Any MVC where a company, contractor or subcontractor has a recordable injury(medical Treatment Case +/or Restricted Work Day Case)associated with the MVC Any MVC where the vehicle cannot be driven from the scene under its own power in a road worthy state. L: Light Any company, contractor or sub-contractor MVC resulting in either Minor Injury(First Aid Case)or no injury 10
Overall MVCR = Number of MVC(C) + Number of MVC(M)+ Number of MVC(S) Million kilometres driven Note: MVC Light is not included in the calculation 8. TREATMENT OF SPECIAL CASES 8.1 New Case or Recurrence An injury or illness is a new case if: The employee has not previously experienced an injury or illness of the same type that affects the same part of the body, or The employee previously experienced an injury or illness of the same type that affected the same part of the body but had recovered completely (all signs and symptoms had disappeared) from the previous injury or illness and an event or exposure in the workplace caused the signs or symptoms to reappear. Cases of recurring injury or illness shall be recorded and cross referenced to the original record but not counted as a separate occurrence unless there was a separate identifiable incident associated with the recurrence. 11