Look at the above diagram. How does this figure have anything to do with safety? If you have had any Six Sigma training you will recognize this as a Fishbone Cause and Effect Diagram.

Our business is now using this diagram to explore how to reduce our reported Slips, Trips, and Falls (STF). We are breaking down the root cause of the STF to its basic cause and effect. This information is helping us develop a strategy to make our employees more aware of their surroundings.

When I became a Six Sigma green belt, I never figured I would be  using the training for this purpose.Developing  a STF fishbone has helped our safety committee understand root cause analysis better, and has given us ideas to affect our reduction of the #1 reported incident to OSHA.

Give it a try. Maybe it will help your safety department get a better understanding of a root cause of any incident.

In a recent letter to the U.S. Occupational Safety and Health Administration (OSHA) on the proposed “Walking-Working Surfaces and Personal Protective Equipment” rule (29 CFR, Part 1910), the American Society of Safety Engineers (ASSE) urged OSHA to utilize existing fall standards and the voluntary consensus standards process widely used in industry as it develops the new rule.

According to the Bureau of Labor Statistics, almost a quarter of all 65- to 74-year-olds are active in the workforce, representing the highest percentage of workers in this age group since 1970. As older adults return to work after retirement, whether due to financial need or the desire to continue working, health and safety professionals must address this population’s needs.

Gregory Petty, professor of health and safety programs at the University of Tennessee, discussed the aging workforce’s special safety concerns at the National Safety Council’s (NSC) 2007 Congress and Expo in Chicago. He explained the phenomenon of so many older employees returning to the workforce after retirement can be attributed to better health, insufficient retirement funds or the desire to gain new experiences.

“Though many older people will need to work, at least part time, many others will want to,” Petty said. “[Some] older workers want the potential for new adventures or experiences.”

Petty said that while many business and industry leaders are overlooking the increasingly older workforce, he predicted the expectations of this population’s work ability will change “with the realization that ‘old’ does not have to mean tired, sick, cautious or quiet.”

“There are reasons why you should care about the value of these older workers,” Petty said.

He explained the older working population generally is highly educated, experienced and reliable. These employees typically have held established careers, have the wisdom of maturity and often have lower injury rates. Petty acknowledged that the benefits of hiring older employees, however, are accompanied by risks.

“You have a fall when you’re 20, you have a bruise,” he said. “You have a fall when you’re 50, 60 or 70, you have a broken hip.”

Common on-the-job injuries experienced by the older working population often are caused by falls, which can be attributed to poor balance, slowed reaction time, visual deficits, lack of concentration or complacency. Sprain or strain injuries also are common, and may be brought on by loss of strength, endurance or flexibility. Additionally, older workers may be more sensitive to overexertion, heat, cold, lighting, noise and ergonomic issues.

Employers and health and safety professionals may need to make accommodations for their older workers to keep them safe. Petty suggested wellness programs, job analyses and ergonomic evaluations to protect the aging workforce. He added that restructured job duties and work hours might also be beneficial to this population. Providing behavior-based feedback and giving more positive than negative consequences are also beneficial for the older workforce.

“For employers intent on recapturing talents of older workers, more interesting, varied jobs will make a difference,” Petty said.

He stressed that older workers should be aware of their current functioning ability. Forgetting glasses or hearing aides, for example, could prove dangerous for an older worker. “You have to know your limitations,” he warned.

OSHA publishes proposed rulemaking to prevent injuries from slips, trips and falls on walking-working surfaces

OSHA Release: OSHA has announced in a notice of proposed rulemaking published in yesterday’s Federal Register its plans to require improved worker protection from tripping, slipping and falling hazards on walking and working surfaces. A public hearing on the revised changes will be held after the public comment period for the NPRM.

“This proposal addresses workplace hazards that are a leading cause of work related injuries and deaths,” said Assistant Secretary of Labor for OSHA Dr. David Michaels.

The NPRM describes revisions to the Walking-Working Surfaces and Personal Protective Equipment standards to help prevent an estimated annual 20 workplace fatalities and more than 3,500 injuries serious enough to cause people to miss work. For example, in July 2009, a worker at a chocolate processing plant was killed after falling from an unguarded work platform.

“This is a clear and grave example of the human cost incurred when fall protection safeguards are absent, ignored or inadequate,” said Michaels. “The loss of a worker’s life might have been prevented if the protective measures in these revised standards had been in place and in use.”

The current walking-working surfaces regulations allow employers to provide outdated and dangerous fall protection equipment such as lanyards and body belts that can result in workers suffering greater injury from falls. Construction and maritime workers already receive safer, more effective fall protection devices such as self-retracting lanyards and ladder safety and rope descent systems, which these proposed revisions would also require for general industry workers.

The current walking-working surfaces standards also do not allow OSHA to fine employers who let workers climb certain ladders without fall protection. Under the revised standards, this restriction would be lifted in virtually all industries, allowing OSHA inspectors to fine employers who jeopardize their workers’ safety and lives by climbing these ladders without proper fall protection

Where did that come from? I didn’t expect that! Didn’t see that coming! How did that happen? Sound familiar? After an injury caused by an incident, these are the types of comments often expressed by the victim — sometimes the witnesses.

Witnesses as well as those involved often exclaim that they had no idea what happened. This is an expression of frustration. They thought they were working safely and had probably performed the job hundreds of times. The worker could probably do the task blindfolded. Perhaps he did?

TOTAL AWARENESS IS THE KEY

A common factor in injury incidents is a lack of awareness. A thorough pre-operational inspection of workplaces and equipment is one of the most important acts that anyone can do to ensure his or her own safety each day. But a pre-operational inspection is only a start.

Each worker must constantly be aware of changes in his or her environment throughout the shift and be prepared to react appropriately to changes that occur. These differences may occur because of a change in location, or a natural change in the immediate environment. They may be changes that are forced from outside sources, or they may be changes that we create by the work we perform.

An air hose is normally a safe tool. One could consider it a tripping hazard if it crosses a walkway, or it could represent a strain hazard when lifting or pulling. But normally, if in good condition, an air hose is rather innocuous.

But, suppose someone begins to disconnect the hose. Fittings may be difficult to break. Pinch points may be encountered using tools to break the connection. But what if the hose is pressurized? The valve was shut off and the pressure was bled off. But what if the valve leaks and pressure is re-built? What if the wrong hose was bled off? Each of these hazards is easily controlled if the worker is alert.

THE DEVIL IS IN THE DETAILS

A worker is preparing to splice a section of conveyor belt. It must be cut square. There are machines to help do this, but we don’t make that many splices and the razor knife does a good job. The belt material is designed to resist cutting and abrasion, so the cable resists the action of cutting and requires effort, even with the sharpest knife. The worker may be cutting away from his body, but his leg is under the edge of the belt. The line-of-fire hazard is easily controlled.

Debris takes on many forms, but normally has one common characteristic. It’s disorderly. This fact raises a number of new potential hazards — pointed objects, sharp edges, unbalanced pieces, heavy loads, slippery surfaces, tangles, tension, awkward shapes and sizes, and others. It may be necessary to move smaller quantities (more trips) and/or it may require cutting pieces into manageable sections. These types of hazards are easily controlled if the worker is alert.

You are in the lunchroom and have just finished eating. Time to clean up and go back to work. You go to the sink to wash your containers and silverware. While washing some of the water splashes on the floor. Not too much, it will be fine. Someone else will clean it up and you leave. A couple of minutes later someone, comes to the sink to wash their lunch containers, but they don’t recognize the hazard. They slip on the wet water on sprain their wrist as they fall down. If the previous person had just wiped up the floor this could have been prevented. Now the injured employee will miss a few days of work, have to get medical treatment and physical therapy for a few weeks. Be restricted in their work responsibilities, so other people in the department have to do more work, they might have to get a temp employee or pay overtime. Additional expenses from the profits earned, because someone did not take the time to remove the hazard.

A THOUSAND THINGS TO SEE

Your safety and the safety of your coworkers are dependent on your awareness of potentially hazardous conditions in the workplace. Take off the blindfold. There are a thousand things to see, hear, feel and smell in the workplace. Learn to observe and notice changes. If you do not recognize the hazard, you cannot control the hazard. If you cannot control the hazard, you cannot prevent the injury.

It all starts with awareness.

There is an old saying, “haste makes waste.”  But to safety professionals haste makes incidents.  Today, companies are getting leaner and meaner.  They want more productivity with less expense, meaning less people.   A job that was performed by 3 people, is now done by 2, or maybe 1 person.   As a safety person, this presents new challenges to our job.  Not only does haste make waste, it cause injuries.  To work faster and be more productive you often have to use unsafe work behaviors.

Look around you, how many people are gone?  Are you working more hours and being asked to do more?  Most people are.  Talking to other safety people, we are now starting to see more unsafe work practices and more injuries than previously experienced in the past few years.  Statistics may not show this trend for a couple of years, and one reason is the decline in the number of workers in the workforce.   But just ask a safety manager what they are experiencing, and they will tell you they are seeing more injuries than every before and more serious injuries.

I believe there are 2 main causes of incidents in the current workplace or at home, HASTE (speed) and NOT BEING AWARE OF YOUR SURROUNDINGS.  As we work faster, we tend to think less of our surroundings and more about getting the job done.

When people try to do their job in a hurry, they tend to make mistakes.  Often these mistakes can cause a near miss and at other times it can cause an injury.  Most workers today do not report a near miss, which give us less opportunity to do a root cause analysis.  We have to wait until the near miss becomes an incident. 

We hurry or speed because we are required more things today.  When I teach defensive driving, speed is still the #1 cause of motor vehicle incidents.  Speed also keeps people from focusing on the task at hand.  Remember the I Love Lucy episode where the candy was coming down the conveyor belt?  The candy was coming down at a rate that made it impossible for Lucy and Ethel to pack it properly in the boxes.  Haste not only made waste, but look closely and you will also see possible near misses.

Think of your last few Slip, Trip or Fall incidents.  Our workplace had more than we wanted in the past few months.  Many were caused when someone wanting to get somewhere a little faster.  How about you, Mr./Ms safety professional?   It is finally time to leave work and go home.  What are you concentrating on:
· How fast you get out of the building
· Picking up your kids
· Making that one stop to get dinner
· Meeting someone someplace

 Whatever the case, you are probably not thinking of the ground around you, even if there is sow, ice or an uneven surface, and all of a sudden you slip and fall.
 As I stated above, haste keeps us from not being aware of our surroundings.  At home you need a box off a high shelf, so you pull up a nearby chair and stand on it.  Do you think about how unsafe this act is?  Probably not.  You cutting your lawn wear your flip-flops.  An unsafe act?  Your probably not thinking about this act either.  The company sales rep is trying to place and order and get to the next appointment at the same time.  Do you think they are thinking about their surroundings?  Bet not, until they have an vehicle incident. 

In today’s environment, safety people are dealing with these actions more and more.  What can we do to prevent more incidents?  The message has to start at the top with senior leadership.  While every CEO wants their company to be more efficient and leaner, they cannot proceed to a point where it promotes unsafe behaviors to be more productive.  The CEO must be the leader to make sure everyone is aware that safety is high priority.   The message should state that behaving in an unsafe manner is not acceptable and actually costs the company more when an incident occurs.

Managers and supervisors have to be held accountable that their employees are working safer and smarter.  The workers should understand to report if part of their job creates an unsafe work behavior.  In other words, EVERYONE has to be responsible for having a safe workplace.  Safety people have to make sure that workers are acting in a safe manner.  Slowing down enough to make their job safe and giving the worker an opportunity to focus on being aware of their surrounding.  Through training, reminders and other forms of communication, the message must be constant and often.

Hopefully as workers slow down and become more aware of their surroundings, we can eliminate the phase HASTE MAKES WASTE and replace it with SLOW, STEADY AND SAFE MAKES YOU MORE PRODUCTIVE.

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. 
   

Work-related accidents tend to peak in January, so the safety agency recommends making preparations now
History has a tendency to repeat itself. And as icy conditions return, so do the expectations for winter accidents.

Falls, spills, cuts and numbness in appendages result when Jack Frost comes nipping, resulting in setbacks to construction schedules and more workers’ compensation claims. But according to the Oregon Occupational Safety and Health Administration, the best time to plan for really bad weather is December.

According to OSHA safety records, January consistently sees a spike in work-related accidents. OSHA Safety Manager Sam Drill attributed the peak to workers and managers not changing their work habits to fit the changing weather patterns.

“Part of (staying safe) is slowing down (and) having a greater awareness and attention to the things we wouldn’t normally do,” Drill said. “Here you are (during winter) on a slick surface when normally you are not.”

Falls and automobile accidents account for the majority of injuries during the winter, when surfaces get coated with a thin veneer of ice.

Sometimes the accidents seem innocuous.

Last January, for example, a vineyard worker slipped and fell while crossing a driveway at work. He fractured his hip and stayed in a hospital overnight.

In the same month, a truck driver slipped in a parking lot. She fell backward onto her tailbone and cracked open her battery-powered headlamp. She was taken to the hospital with a concussion and muscle strain.

Other times, the accidents are more severe.

In 2005, a worker at a lumber yard fell 11 feet off an icy ladder and later died of head and neck injuries.

“(Winter) accidents probably could have been even worse,” said Melanie Mesaros, OSHA’s public information officer.

In the construction trades, perhaps more than most, that appears to be the case.

Michael Moore is the safety manager for Max J. Kuney Co. He said that at his company there isn’t necessarily a greater emphasis of safety hazards during the winter months – the company emphasizes safety year-round – but he does see a “different type of awareness.”

“You can’t just come in skipping around all the time,” Moore said, and he makes sure his workers understand this.

It’s awareness, Moore said, based on seasonal shifts: Because it tends to be wetter during winter, for example, workers must stay vigilant in grounding all electrical devices to prevent electrocution. They must also stay on top of weather reports because they can’t expect the weather to stay the same every day.

But there’s also a psychological effect that’s often overlooked. The dark winter months tend to accentuate depression and anxiety, often tied to financial concerns stemming from the holidays.

“You also have people with other things on their mind, like they’re grieving for someone or they have bills,” Moore said. “It’s a real interesting time of the year.”

He expects this winter, with the slowdown in the construction industry, to be especially bad on workers’ psyches.

Nonetheless, common sense can reveal safety solutions that are easy to achieve as long as workers and managers stay focused. Moore said that slowing the pace, assessing all work conditions and dressing in layers are the keys to staying safe.

Although bundling up may be accepted universally as a way of staving off frostbitten fingers and hypothermia, there’s no consensus on how bundled up one should be, said Chris Miller, the safety and loss control expert for the Oregon-Columbia chapter of Associated General Contractors.

When someone bundles up, Miller said, that person is constricting his or her movements.

“You don’t want to wear gloves when you’re working with a drill, for example,” she added.

She tells chapter members that the first half of December is an ideal time to discuss safety, before either wintertime blues or the full-blown doldrums of the season take hold.

“Winter is dreary, and you’re waiting out there for the sun to come out,” she said. “And it’s typically a slower time of the year, so people tend not to focus on what they are doing.”