Safety Meeting Series Slip Strips and Falls

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    A workplace fall can change everything

    James Wright fell five storeys when a ladder broke at work. Now he lives and

    works in a wheelchair. Wright says, I wake up every day knowing a fall at work

    changed my life. Far too many workplace injuries are caused by slips, trips or

    falls. And all of them are preventable.

    .

    In Canada some 60 thousand workers get injured annually due to

    fall accidents. This number represents about 15% of the lost-time

    injuries that were accepted by workers compensation boards or

    commissions across Canada.

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    How do falls happen?

    Statistics show that the majority (60 percent) of falls happen on the same level

    resulting from slips and trips. The remaining 40 percent are falls from a height.

    Slips

    Slips happen where there is too little friction or traction between the footwear

    and the walking surface. Common causes of slips are:

    wet or oily surfaces

    occasional spills

    weather hazards

    loose, unanchored rugs or mats

    Trips

    Trips happen when your foot collides (strikes, hits) an object causing you to lose

    the balance and, eventually fall. Common causes of tripping are:

    obstructed or llmited view

    clutter in your way

    uneven (steps, thresholds) walking surfaces

    Falls from Heights

    Falls from elevated surfaces are generally less frequent - but in most cases more

    severe. Common causes of falls from elevated surfaces are:

    stairs / ladders / scaffolds

    loading docks/ramps

    vehicles and equipment

    buildings and other structures

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    Step 1: Recognition

    Recognize that you can prevent falls and identify where the potential for

    them exists.

    All too often we recognize there is a problem or a potential problem only after

    someone falls. Dont rely on luck or good fortune to protect you. All workplaces

    have a risk of fall injuries.

    Before they can be controlled, fall hazards in your workplace must be identified.

    This can be done during workplace inspections. Complete an inventory of all fall

    hazards in your workplace. Start at grade level, and work to falls from heights.

    Classify your identified hazards by department or work area, or by fall classifi

    cation - noting the department and work activity.

    To complete the inventory, use a random selection of people: management/

    supervision, JHSC members, office staff, etc. A good cross-section of people

    allows for those familiar with the work to provide specific input - and those not

    so familiar may spot hazards others may not notice.

    Step 2: Assessment

    Assess fall hazards and set standards and expectations.

    The purpose of fall assessments is to reduce loss through a systematic

    evaluation of the identified fall hazards in the workplace. The fall assessment

    should evaluate all hazards identified to determine if risk elimination or control is

    required.

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    Step 3: Control

    Control hazards by eliminating or reducing risk.

    Many hazards can be controlled at the source by safe work design, planning and

    good housekeeping. Without good housekeeping practices, any other preventive

    measures such as installation of sophisticated flooring, will never be fully

    effective.

    When slips and falls cannot be eliminated, they can often be controlled along the

    path by highlighting, posting and guarding - all ways of making a hazard visible

    with signs, lighting, colour, etc.

    Step-by-step procedures and practices should be used for defined work

    Supervisors and managers are responsible for ensuring that procedures and safe

    work practices are communicated and followed.

    All hazards can be reduced at the worker by education and training programs as

    well as the proper use of personal protective equipment.

    A company can control hazards if it:

    sets an expectation that each worker has a role and responsibility to help

    prevent slips and falls

    communicates the expectation to all staff

    sets the highest standards for housekeeping, lighting and visibility

    identifies and reinforces the supervisors role to enforce standards

    ensures standards for preventing potential causes of slips and falls are met

    provides equipment that is in good repair and is used properly

    makes workers aware of slip and fall hazards

    trains workers how to avoid slips and fall

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    When it is impossible to eliminate a hazard and personal protective equipment is

    essential, you should:

    review regulations that apply to your industry and your company, ensuring

    that physical restraints, tie-off, working at height regulations and others are

    followed

    become informed on the availability of fall arrest equipment, the way to

    properly use it and how to maintain it

    prepare an emergency response plan that is specific to the worksite in the

    event a worker becomes suspended by their fall arrest equipment or in the

    event of an emergency such as a fire or severe weather

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    Summary

    Underestimating Slips and Falls

    The simple slip and fall turns out to be a complex safety issue that needs

    greater attention from industry. They are so prevalent and so costly that you

    would think employers would be on constant guard against them. In most

    industries, same level falls are the number one or two injury behind ergonomic o

    back injuries.

    Moreover, the slip and fall injuries reported are a small piece of what is really

    happening out there. If you follow modern accident causation models, then

    hundreds of slips and falls may be happening in organizations that are never

    reported.

    Contributing Factors

    People think slips and falls are not preventable, they just happen. Ironically,

    company officials can take a variety of very effective steps to reduce or eliminate

    slips and falls. Experts say a good first step is to stop blaming the victims. Many

    managers jump to the conclusion that slips and falls are the employees fault, the

    result of horseplay or not paying attention. In reality, slips and falls can arise

    from a complex set of causes that may have much more to do with management

    practices than employee behavior.

    For example, an employee tripping over an electrical cord may on the surface

    appear to be just a matter of carelessness. But a closer examination could reveal

    that building managers were doing a poor job of maintaining electrical systems.

    As a result, electrical outlets did not work and employees began running

    extension cords from the remaining outlets. By tracing the incident back to the

    root cause, you find out it is a maintenance issue and it was preventable.

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    Human factors such as inattention, carrying objects, poor vision, bifocals and the

    use of over-the-counter medications can all contribute to slips and falls. Having

    an untreated cold can affect the semicircular canals in the ears, which are one of

    the feedback mechanisms we use for maintaining our internal balance.

    The elderly are particularly at risk for slips and falls. They dont see as well, their

    muscles are not as strong so they dont recover their balance as readily and their

    reaction time is slowed. With the workforce aging, there is even more incentive

    for companies to take a more proactive approach to preventing slips, trips and

    falls.

    Because of the many organizational, environmental and personal factors that

    contribute to slips and falls, attempts to prevent injuries with single remedies,

    such as slip-resistant shoes or improved maintenance, are much less likely to

    succeed than a comprehensive program that includes good design, maintenance,

    training, proper footwear, record keeping and other activities.

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    Quiz Circle the correct answer.

    (1) Wearing slip-resistant shoes or boots can prevent slips.

    True False

    (2) The base of a ladder should be six inches away from the wall for every

    four feet in height.

    True False

    (3) If you spot a spill, the first thing you should do is clean it up

    True False

    (4) If you must enter a dark area, go ahead if youre familiar with the area.

    You shouldnt need a flashlight.

    True False

    (5) Its okay to use a chair to reach a shelf as long as you dont pile things on

    the chair seat to help you reach higher.

    True False

    (6) Its okay to use the top two steps or runs of a ladder as long as someone

    is holding it.

    True False

    (7) Anytime you work at a height greater than six feet, you must use fall

    protection.

    True False

    (8) You must mark or cover any opening or hole in the floor.

    True False

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    Background - Statistics

    People are Falling.

    Statistics are not!

    In Ontario Alone

    20% of all lost-time

    injuries

    80 injuries every day1 every 20 minutes

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    039 & 041 (2001-05)Source: WSIB EIW Aug. 2006

    039 5Y Average Totals# Claims LTD Costs 127 $3,039,958

    LTD Days Lost Avg. Cost

    13,877 $218,861

    Average cost per claim: $43,772

    041 5Y Average Totals# Claims LTD Costs

    119 $1,525,797

    LTD Days Lost Avg. Cost

    11,758 $103,946

    Average cost per claim: $20,7893

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    Slips

    Wet or oily surfaces

    Occasional spills

    Weather hazards

    Loose unanchored rugs

    or mats Flooring or other walking

    surfaces that do not have

    the same degree of

    traction in all areas

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    Trips

    Obstructed view

    Poor lighting

    Clutter

    Wrinkled carpeting

    Uncovered cables

    Bottom drawers

    not closed

    Uneven (steps,

    thresholds)walking surfaces

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    Falls

    Stairs Ladders

    Scaffolds

    Loading

    docks/ramps

    Vehicles/equipment

    Buildings and other

    structures

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    Assessment

    Assess fall hazards and set standards and

    expectations.

    Reduce loss through a systematic evaluation of the

    identified fall hazards in the workplace.

    The fall assessment should evaluate all hazards

    identified to determine if risk elimination or control

    is required.

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    Areas of Control

    Same level falls (Slips and Trips)

    Best practice guides

    Falls from heights (Falls)

    Best practice guides

    Control: Same Level

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    Best Practices

    Housekeeping surveys and inspections should be

    conducted for identifying and removing hazards.

    Clean and tidy workplace conditions result in

    lower accident rates.

    The company should have a safety policy setting

    accountabilities and responsibilities for good

    housekeeping.

    Flooring should be assessed for slip resistance.

    Pedestrian routes and circulation areas should be

    separate and distinguishable from work areas.

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    Best Practices

    Changes in floor levels should be identifiable.

    Use adequate and secure doormats or abrasion

    strips to prevent slipping.

    Adequate lighting should be provided for all areas.

    A procedure should be developed to quickly report

    and deal with liquid spills on the floor.

    Appropriate footwear should be worn for the type

    of process (tread design).

    Handrails should be added to prevent loss of

    balance on ramps.

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    Best Practices

    Loose or damaged floor coverings should be dealtwith immediately.

    Cords from phones, typewriters, lights,

    computers, etc., should be tied down.

    Drawers to filing cabinets and desks should be

    kept closed when not in use.

    Walking surfaces should be routinely swept,

    vacuumed or cleaned.

    Polishes or sealers used on flooring should not

    reduce slip resistance.

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    Best Practices Barriers, signs, notices should be used to keep

    people away from areas being cleaned or

    polished.

    A procedure should be in place to ensure that

    outdoor pedestrian routes are regularly swept and

    salted/sanded during icy/frosty conditions. Ensure all staircases are fitted with handrails and

    where appropriate, that anti-slip tread is in good

    condition.

    The selection of safety footwear should

    incorporate the sole material and sole pattern that

    is appropriate for the type of work to be done. 25

    Controls: Heights

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    Acrophobia is the medical term for the fear ofheights, a condition common to many people.A person suffering from acrophobia will be atparticular risk if assigned to work in elevatedenvironments.

    Slip and trip hazards must be recognized andremoved.

    Clean and tidy workplace conditions result inlower accident rates.

    The company should have a policy that sets outaccountabilities and responsibilities for goodhousekeeping.

    Best Practices

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    Flooring should be assessed for slip resistance.

    Pedestrian routes and circulation areas shouldbe separate from work areas.

    Changes in floor levels should be identifiable.

    Use adequate and secure doormats or abrasion

    strips to prevent slipping. Adequate lighting should be provided for all

    areas.

    A procedure should be developed to quicklydeal with liquid contamination on the floor.

    Appropriate footwear should be worn for thetype of process (tread design).

    Falls from Heights

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    Handrails should be added to prevent loss ofbalance.

    Loose or damaged floor coverings should be dealtwith immediately.

    Cords from phones, typewriters, lights, computersetc. should be tied down.

    Drawers to filing cabinets and desks should bekept closed when not in use.

    Walking surfaces should be routinely swept or

    vacuumed. Polishes or sealers used on flooring should not

    reduce slip resistance.

    Falls from Heights

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    Barriers, signs, notices should be used to keeppeople away from areas being cleaned orpolished.

    Ensure a procedure is in place ensuring thatoutdoor pedestrian routes are regularly sweptand during icy/frosty conditions salted/sanded.

    Ensure all staircases are fitted with handrailsand, where appropriate, anti-slip tread in goodcondition.

    Working outdoors may expose workers to ice,snow and rain which may contribute to slipperyconditions.

    Falls from Heights

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    All elevated work surfaces should be wellilluminated.

    All fall related incidents should be investigated,whether or not an injury has occurred.

    Investigations should review the adequacy ofthe fall protection system and be improved to

    prevent potential recurrence.

    Falls from Heights

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    Fall Protection Systems

    Companies must distinguish between what

    system is needed for their application; either

    a fall arrest system or a travel restraint

    system. One typically uses a body harness,

    the other can use a safety belt. Never mix

    components from the two different systems.

    Proper training for workers is essential for

    any system in place.

    Ensure that the program includes individualfit testing of equipment.

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    Fall Protection Systems

    Workers who use a fall arrest or travelrestraint system must perform a pre-use

    inspection of the system about to be used.

    Workers using fall arrest systems should not

    work alone.

    Daily pre-use inspections should be done by

    the worker and semi-annual inspections

    performed by a competent person in these

    type of systems.

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    Fall Protection Systems

    Information for every piece of equipment in a

    fall protection program should be

    documented; type of use, nature of

    environment, etc. All pieces of equipment, no

    matter how small are vital to the overall

    performance of the system.

    Inspections should be done routinely to

    ensure integrity of the fall protection system.

    Dates should be recorded.

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    Fall Protection Equipment

    Full-body harness/Safety Belt Lanyards

    Shock Absorber

    Snap Hooks

    Rope/Lifelines

    Rope Grab

    Anchor Points

    Webbing

    Retractable Lifelines

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    Fall Protection Systems

    Rescue plan needs to be in place in case of

    an emergency.

    Free fall distance must always be kept to a

    minimum.

    Re-evaluate your fall protection program on a

    ongoing basis.

    Store equipment in a clean, dry place away

    from direct sunlight.

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