The excerpt below is from the OSHA Best Practice guide on First Aid.  This publication is free to anyone wanting to improve on the first aid standard from OSHA. 

First aid is emergency care provided for injury or sudden illness
before emergency medical treatment is available. The first-aid
provider in the workplace is someone who is trained in the delivery
of initial medical emergency procedures, using a limited amount of
equipment to perform a primary assessment and intervention
while awaiting arrival of emergency medical service (EMS)
personnel.
A workplace first-aid program is part of a comprehensive safety
and health management system that includes the following four
essential elements1:

• Management Leadership and Employee Involvement
• Worksite Analysis
• Hazard Prevention and Control
• Safety and Health Training
  

The purpose of this guide is to present a summary of the basic
elements for a first-aid program at the workplace. Those elements
include:

• Identifying and assessing the workplace risks that have potential
  to cause worker injury or illness.
• Designing and implementing a workplace first-aid program that:
  • Aims to minimize the outcome of accidents or exposures
  • Complies with OSHA requirements relating to first aid
  • Includes sufficient quantities of appropriate and readily
  accessible first-aid supplies and first-aid equipment, such as
  bandages and automated external defibrillators.

Assigns and trains first-aid providers who:

• receive first-aid training suitable to the specific workplace
• receive periodic refresher courses on first-aid skills and
  knowledge.
• Instructing all workers about the first-aid program, including
  what workers should do if a coworker is injured or ill. Putting
  the policies and program in writing is recommended to
  implement this and other program elements.
• Providing for scheduled evaluation and changing of the first-aid
  program to keep the program current and applicable to emerging
  risks in the workplace, including regular assessment of the
  adequacy of the first-aid training course.
  

This guide also includes an outline of the essential elements of
safe and effective first-aid training for the workplace as guidance to
institutions teaching first-aid courses and to the consumers of
these courses.

So why is Best Practices important?  Chubb estimates workers compensation now accounts for 50 percent of medical care costs. Chubbs The Rewards of Managing Risk; A Guide for Entrepreneurs and Managers helps managers and safety professionals develop a best practice model to build a safety culture based on the “Best Practice” model.  OSHA standards are generally at a minimum standard because they cover a broad base of workplaces from very small companies/organizations to very large businesses.  Everyone has to be able to meet the standards. 

Building a safety culture based on ”Best Practices” means going above and beyond the standards.  Developing practices that create an injury free workplace and having everyone involved from the top down. 

What Best Practices does your company uses?  Let us know and we will pass them along for everyone to see.

Workers in Illinois will continue to benefit from the renewal of an alliance between JULIE Inc. (Joint Utility Locating Information for Excavators), the State of Illinois Onsite Safety and Health Consultation Program and the U.S. Department of Labor’s Occupational Safety and Health Administration (OSHA). The alliance is designed to combine resources to prevent hazards faced by workers involved in trenching and excavation operations in the state of Illinois.

“Excavation hazards are still one of OSHA’s national emphasis programs and excavations that are entered without proper precautions present a significant risk for workers,” said OSHA Area Director for Peoria Nick Walters. “We believe that this alliance will give employers and employees throughout the state a greater opportunity to understand the hazards associated with excavations and the controls that need to be used to prevent serious injuries.”

The alliance requires each organization to contribute to the development of training sessions and materials on safe excavation activities. The groups will share resources and information to raise awareness and commitment to workplace safety and health. Information will be shared through participation in a variety of forums throughout Illinois.

OSHA health and safety alliances are part of OSHA’s ongoing efforts to improve the health and safety of employees through cooperative partnerships with trade associations, labor organizations, employers and government agencies. OSHA currently has more than 470 alliances throughout the nation with organizations committed to fostering safety and health in the workplace.

The Compliance Resource Center has reported that both the domestic hazardous materials transportation regulations and international rules for shipping batteries have undergone significant changes over the past two years.  All batteries, alkaline, lithium, lead, nickel metal hydride, carbon zinc, etc., or battery powered products are subject to 49 CFR 173.21(c) in the U.S. hazardous materials regulations.   Many batteries that were previously unregulated or under-regulated must now be thoroughly evaluated to determine hazard potential. Detailed packaging and communication standards must be followed under. 

Adding complexity to the issue is the fact that shipping requirements vary greatly, depending on the mode of transport and the type of battery.  Battery shipping regulations affect a wide array of industries from manufacturers and part suppliers to freight forwarders and distributors.  Regardless of whether a lithium or lithium ion cell or battery qualifies for the exceptions in the regulations, shippers must still comply with requirements of 49 CFR 173.21(c). That is, the cells and batteries must be securely packaged and offered for transportation in a manner that prevents the dangerous evolution of heat and short circuits.

Both FedEx and UPS will refuse to accept packages not meeting FedEx, Government or IATA requirements.

Slips, Trips and Falls happen everywhere.  These hazards have much more potential to cause harm in a healthcare setting, where patients are not well and people are in a hurry.  Haste is the number 1 cause of Slips, Trips and Falls.  Here are some helpfuls hints to think of.

Potential Hazard
Employee exposure to wet floors or spills and clutter that can lead to slips/trips/falls and other possible injuries.  
Possible Solutions:

• Keep floors clean and dry [29 CFR 1910.22(a)(2)]. In addition to being a slip hazard, continually wet surfaces promote the growth of mold, fungi, and bacteria, that can cause infections.
• Provide warning signs for wet floor areas [29 CFR 1910.145(c)(2)].
• Where wet processes are used, maintain drainage and provide false floors, platforms, mats, or other dry standing places where practicable, or provide appropriate waterproof footgear [29 CFR 1910.141(a)(3)(ii)].
• Walking/Working Surfaces Standard requires [29 CFR 1910.22(a)(1)]: Keep all places of employment clean and orderly and in a sanitary condition.
• Keep aisles and passageways clear and in good repair, with no obstruction across or in aisles that could create a hazard [29 CFR 1910.22(b)(1)]. Provide floor plugs for equipment, so power cords need not run across pathways.
• Keep exits free from obstruction. Access to exits must remain clear of obstructions at all times [29 CFR 1910.36(b)(4)].

Other Recommended Good Work Practices:

• Ensure spills are reported and cleaned up immediately.
  Use no-skid waxes and surfaces coated with grit to create non-slip surfaces in slippery areas such as toilet and shower areas.
• Use waterproof footgear to decrease slip/fall hazards.
• Use only properly maintained ladders to reach items. Do not use stools, chairs, or boxes as substitutes for ladders.
• Re-lay or stretch carpets that bulge or have become bunched to prevent tripping hazards.
• Aisles and passageways should be sufficiently wide for easy movement and should be kept clear at all times. Temporary electrical cords that cross aisles should be taped or anchored to the floor.
• Eliminate cluttered or obstructed work areas.
• Nurses station countertops or medication carts should be free of sharp, square corners.
• Use prudent housekeeping procedures such as cleaning only one side of a passageway at a time, and provide good lighting for all halls and stairwells, to help reduce accidents.
• Provide adequate lighting especially during night hours. You can use flashlights or low-level lighting when entering patient rooms.
• Instruct workers to use the handrail on stairs, to avoid undue speed, and to maintain an unobstructed view of the stairs ahead of them even if that means requesting help to manage a bulky load.
• Eliminate uneven floor surfaces.
• Promote safe work in cramped working spaces. Avoid awkward positions, and use equipment that makes lifts less awkward. 
   

OSHA is proposing to add two PortaCount® quantitative fit-testing protocols to its Respiratory Protection Standard (29 CFR 1910.134); the proposed protocols would apply to employers in general industry, shipyard employment, and the construction industry. The first of the two proposed protocols consists of the eight fit-testing exercises described in Part I.A.14 of Appendix A of the Respiratory Protection Standard, except each exercise would last 30 seconds instead of the currently required 60 seconds.\1\ The second proposed protocol would eliminate two of the eight fit-testing exercises, and each of the remaining six exercises would last 40 seconds; in addition, this proposed protocol would increase the current minimum pass-fail fit-testing criterion from a fit factor of 100 to 200 for half masks, and from 500 to 1,000 for full facepieces.