Post Incident/Injury Response

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Post Incident/Injury Response

• Presented by

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Purpose

• To ensure management/supervision responds
  appropriately and with confidence in the event of
  an incident.

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Learning Objective

• At the conclusion of this training you will be
  able to
• Follow appropriate steps following an injury
• Minimize the chance for future injuries
• Additionally you will
• Establish relevant facts as to the how and why an
  incident occurred
• Determine the root cause of any incident
• Draw conclusions to what must be done to prevent
  reoccurrence

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Definition

• Incident- General term used to refer to any work
  related injury, medical emergency, or near miss
• LTA (Lost Time Accident) An injury that causes
  an employee to miss his/her next scheduled shift
• Medical Emergency- A sudden illness that occurs
  to a person that is not work related (heart
  attack, diabetic emergency)

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Definition Continued

• Near Miss Accident A hazardous and undesirable
  event that does not cause injury
• ORA (OSHA Recordable Accident) Any injury that
  requires medical treatment, as defined by OSHA
  (stitches, prescription for medication)
• Work-Related Injury An injury that occurs at
  work

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Near Misses

• Complete Accident Investigation Report
• Investigate and document as if an injury happened

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Initial Response to Incident

• Show genuine concern for the well-being of the
  person
• Determine the severity of the illness or injury
• Contact the Safety and Environmental Department
  or First Responder if necessary

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Determining Severity of Emergency

• Does the person appear to need medical treatment?
• Does the person want to seek medical treatment?

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Injury and Incident Forms

• Nurses office
• Safety Coordinators office

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If Medical Treatment is not required or desired

• Employee completes an Injury Report immediately
• Witnesses complete an Injury Report Witness
  Statement Immediately
• Superintendent Completes an Accident
  Investigation Report within 24 hours
• Original report is sent to Nurse

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Medical Emergencies Requiring Medical Treatment
(non-work related)

• Contact the Safety and Environmental Department
  on 1st Shift
• Contact a First Responder on 2nd and 3rd Shift
• If you are unsure if Medical Treatment is
  necessary contact Safety and Environmental on the
  emergency numbers
• Drug and Alcohol Screen is not required since it
  is not work related
• Transportation to medical facility is by EMS or
  Family member only

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Work Related Injury Requiring Medical Treatment

• Employee completes an Injury Report immediately
  if appropriate at the time
• Any witnesses complete an Injury Report Witness
  Statement immediately
• Superintendent completes an Accident
  Investigation Report within 24 hours
• Employee must complete an Alcohol and Drug Screen
  at the time of medical treatment

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Transportation to Preferred Provider for Work
Related Injuries

• Public EMS will take a person with severe
  injuries
• Private Ambulance or Taxi will take a person with
  less severe injuries
• Family Member may take a person with a non-work
  related illness or injury
• NOTE Employees may not transport injured or ill
  workers

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Investigation

• Why do we do investigations?
• To Prevent anyone else from being injured.

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Investigation

• All injuries and near misses are to be
  investigated by the Superintendent
• This includes completion of Accident
  Investigation Report and requires appropriate
  investigation
• The investigation is conducted without delay to
  prevent reoccurrence
• Accident and near miss investigations are fact
  finding, not fault finding

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Investigations

• Document everything
• Isolate the scene (i.e. LOTO)
• Collect only the facts
• Interview all witnesses and bystanders
• Recreate events and document
• Fix simple issues (i.e. Poor Housekeeping)
• Maintenance work order (include with report)

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Gather Information

1. Assemble a Team of cross functional workgroups if
   necessary
2. Interviewing the injured employee as primary
   source of information
3. Interviewing witnesses to the incident or near
   miss to determine critical factors
4. Assessing the accident scene by interviewing
   employee at the scene
5. Re-enactment of the accident to review
   circumstances to get a more precise picture
6. Reconstruction of the accident by means of
   controlled imagination applied to clue

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Root Cause

• All injuries and incidences can be prevented.
• It is important to determine the root cause of an
  incident
• The root cause of all near miss or first aid
  injuries must be properly investigated and
  corrected to reduce the potential of the
  incidents reoccurring as a disabling injury
• Most injuries can be traced back to an unsafe act
  of a worker

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Injury Prevention

• Determine ways to prevent a reoccurrence
• Implement action on a prevention plan
• Communicate any improvements, repairs or changes
  to Employees
• Conduct follow-up to ensure prevention plan was
  implemented and continues to be implemented

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Show concern for the well being of your employees

• Get phone number to call and inform relative
• Follow up call to injured employee next day
• Communicate any resulting repairs or work
  modifications to all employees

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Forklift Incident

• Remove the person from Forklift until retrained
• Inform Safety Coordinators of retraining
• Discipline Come forward vs hide
• Drug and Alcohol screen for damage

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Reward vs. Discipline

• Tactful approach
• Care enough about employees that you will
  discipline them so they dont hurt themselves or
  others
• Reward simple safety items

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Superintendant Responsibility

• If you must discipline Dont tell them its
  because safety said so, your boss is making you
  or those are the rules.
• Tell them you are concerned for their well-being
  and you dont want to see them get hurt.

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Proactive Injury Prevention

• Everyone knows this doesnt work
• Everyone knows that this is a problem
• Everyone knows that hasnt worked for a while
• You know what you need to do for safety
• If someone brings you a safety issue, ask them if
  they have a solution to the issue.

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Conclusion

• Respond to emergencies with confidence
• Complete thorough investigation following a near
  miss or injury
• Complete and submit necessary forms
• Encourage Employees to take responsibility for
  their well being (They are responsible for their
  own injury)
• Injuries do not just happen to people without
  their control
• Push for our goal of zero incidences and injuries