Implementing a Slip Fall Prevention Program Copyright 2005

Implementing a Slip & Fall Prevention Program © Copyright 2005 HCHSA. All rights reserved/ tous droits réservés. Reproduction in whole or in part by any means without express written consent of HCHSA is prohibited by law.

Objectives Health Care Health & Safety Associati Ø Ø Understand the impact of slips and falls in community and health care Understand the factors that causes slip and fall and the importance of preventing them Develop appropriate programs for slip and fall prevention Determine control methods to prevent slips and falls. © Copyright 2005 HCHSA. All rights reserved/ tous droits réservés. Reproduction whole or in part. Association by any means without& express consent of HCHSA is prohibited by law. in whole or in part by any means © Copyrightin 2006 Ontario Safety for Community Healthcare. written All rights reserved/tous droits réservés. Reproduction express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. without 2

Sharing Responsibility Health Care Health & Safety Associati Employer Ø Ø Ø provide, maintain and ensure equipment is provided Provide information, instruction & supervision to protect worker Do everything reasonable in the circumstances to protect workers Supervisors Ø Ø Ensure workers uses/wears equipment/PPE properly Do everything reasonable in the circumstances to protect workers Workers Ø Use equipment, report hazards and work safely © Copyright 2005 HCHSA. All rights reserved/ tous droits réservés. Reproduction whole or in part. Association by any means without& express consent of HCHSA is prohibited by law. in whole or in part by any means © Copyrightin 2006 Ontario Safety for Community Healthcare. written All rights reserved/tous droits réservés. Reproduction express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. without 3

Type of Lost Time Accidents in the Health Care & Community Services Sector, 2004 Health Care Health & Safety Associati Data Source: WSIB Firm Experience Snapshot Period: September 2005 © Copyright 2005 HCHSA. All rights reserved/ tous droits réservés. Reproduction whole or in part. Association by any means without& express consent of HCHSA is prohibited by law. in whole or in part by any means © Copyrightin 2006 Ontario Safety for Community Healthcare. written All rights reserved/tous droits réservés. Reproduction express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. without 4

Slip & Fall Accidents Costs Health Care Health & Safety Associati DIRECT COSTS Ø Ø Ø ~$4000/claim ~4 weeks of lost time Replacement worker Replacement or repair of damaged property Work accommodation for injured worker MOL charges/fines INDIRECT COSTS Ø Ø Ø Interruption or loss of service to client Reduction in client care Reduction in employee morale Time spent in accident investigation, MOL orders Increased workload on staff 4 times direct cost © Copyright 2005 HCHSA. All rights reserved/ tous droits réservés. Reproduction whole or in part. Association by any means without& express consent of HCHSA is prohibited by law. in whole or in part by any means © Copyrightin 2006 Ontario Safety for Community Healthcare. written All rights reserved/tous droits réservés. Reproduction express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. without 5

Factors affecting Slips and Falls Health Care Health & Safety Associati Walking Surfaces Ø Surface contaminants and cleaning methods Ø Footwear Ø Work environment Ø behaviour Ø © Copyright 2005 HCHSA. All rights reserved/ tous droits réservés. Reproduction whole or in part. Association by any means without& express consent of HCHSA is prohibited by law. in whole or in part by any means © Copyrightin 2006 Ontario Safety for Community Healthcare. written All rights reserved/tous droits réservés. Reproduction express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. without 6

RACE Health Care Health & Safety Associati Recognize Ø Assess Ø Control Ø Evaluate Ø © Copyright 2005 HCHSA. All rights reserved/ tous droits réservés. Reproduction whole or in part. Association by any means without& express consent of HCHSA is prohibited by law. in whole or in part by any means © Copyrightin 2006 Ontario Safety for Community Healthcare. written All rights reserved/tous droits réservés. Reproduction express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. without 7

Assessment Tools Health Care Health & Safety Associati Ø Ø Ø Observations and reported worker concerns Incident and injury data Workplace inspection reports Accident investigation reports WSIB records Sector specific information Ø Ø Ø Laws & Standards Manufacturer’s recommendations Company policies and procedures Staff information e. g. surveys JHSC & Mgt. Inspections, observations © Copyright 2005 HCHSA. All rights reserved/ tous droits réservés. Reproduction whole or in part. Association by any means without& express consent of HCHSA is prohibited by law. in whole or in part by any means © Copyrightin 2006 Ontario Safety for Community Healthcare. written All rights reserved/tous droits réservés. Reproduction express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. without 8

Assess Slips and Falls Health Care Health & Safety Associati Ø Some hazards can be assessed without the need for a risk assessment Ø Consider the following: Is there a problem? Ø How bad is it? Ø Where do I start? Ø What do I do about it? Ø © Copyright 2005 HCHSA. All rights reserved/ tous droits réservés. Reproduction whole or in part. Association by any means without& express consent of HCHSA is prohibited by law. in whole or in part by any means © Copyrightin 2006 Ontario Safety for Community Healthcare. written All rights reserved/tous droits réservés. Reproduction express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. without

Control Slip & Fall Hazards Health Care Health & Safety Associati At the source: Ø Elimination, substitution, isolation Along the path Ø Between the hazard and the worker At the worker Ø Personal Protective Equipment © Copyright 2005 HCHSA. All rights reserved/ tous droits réservés. Reproduction whole or in part. Association by any means without& express consent of HCHSA is prohibited by law. in whole or in part by any means © Copyrightin 2006 Ontario Safety for Community Healthcare. written All rights reserved/tous droits réservés. Reproduction express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. without 10

Evaluate Slips and Falls Health Care Health & Safety Associati Ø Ø Ø Highlight the need for training in certain areas Provide insight as to why accidents are occurring in particular areas-identify root cause Establish priorities for corrective action Assist in establishing or improving safe work practices Indicate processes, procedures, equipment that may require more in depth hazard analysis © Copyright 2005 HCHSA. All rights reserved/ tous droits réservés. Reproduction whole or in part. Association by any means without& express consent of HCHSA is prohibited by law. in whole or in part by any means © Copyrightin 2006 Ontario Safety for Community Healthcare. written All rights reserved/tous droits réservés. Reproduction express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. without 11

Group Exercise Health Care Health & Safety Associati RACE Exercise © Copyright 2005 HCHSA. All rights reserved/ tous droits réservés. Reproduction whole or in part. Association by any means without& express consent of HCHSA is prohibited by law. in whole or in part by any means © Copyrightin 2006 Ontario Safety for Community Healthcare. written All rights reserved/tous droits réservés. Reproduction express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. without 12

Program Development Health Care Health & Safety Associati Develop policies and procedures Ø Communicate information to staff, visitors Ø Implement education/training Ø Build in an annual review Ø Promote, encourage and support workers and JHSC Ø © Copyright 2005 HCHSA. All rights reserved/ tous droits réservés. Reproduction whole or in part. Association by any means without& express consent of HCHSA is prohibited by law. in whole or in part by any means © Copyrightin 2006 Ontario Safety for Community Healthcare. written All rights reserved/tous droits réservés. Reproduction express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. without 13

Secure Mgmt. Commitment Health Care Health & Safety Associati Management commitment is: Ø The foundation of an effective program Ø Ensure resources are available to develop, implement and maintain the program (budget, human resources, materials, equipment, training, etc. ) © Copyright 2005 HCHSA. All rights reserved/ tous droits réservés. Reproduction whole or in part. Association by any means without& express consent of HCHSA is prohibited by law. in whole or in part by any means © Copyrightin 2006 Ontario Safety for Community Healthcare. written All rights reserved/tous droits réservés. Reproduction express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. without 14

Policies and Procedures Health Care Health & Safety Associati Ø Ø Ø Walking and working surfaces Lighting Cleaning practices Ladders Footwear Flooring Ø Ø Ø Office/administrative Shower/bathroom Dietary and laundry Entrance/hallways Parking/outdoor Community © Copyright 2005 HCHSA. All rights reserved/ tous droits réservés. Reproduction whole or in part. Association by any means without& express consent of HCHSA is prohibited by law. in whole or in part by any means © Copyrightin 2006 Ontario Safety for Community Healthcare. written All rights reserved/tous droits réservés. Reproduction express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. without 15

Training Health Care Health & Safety Associati Ø Ø Ø Safe work practices, e. g. housekeeping, clean up procedures Hazard and incident reporting Department specific rules Selection, fit, use and care of protective equipment Keep content current, create a positive learning environment and train on all a shift © Copyright 2005 HCHSA. All rights reserved/ tous droits réservés. Reproduction whole or in part. Association by any means without& express consent of HCHSA is prohibited by law. in whole or in part by any means © Copyrightin 2006 Ontario Safety for Community Healthcare. written All rights reserved/tous droits réservés. Reproduction express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. without 16

Consequences of slip and fall hazards Ø Ø Video Slips and falls : not a trivial affair © Copyright 2005 HCHSA. All rights reserved/ tous droits réservés. Reproduction in whole or in part by any means without express written consent of HCHSA is prohibited by law.