Post Incident/Injury Response

1. Post Incident/Injury Response Presented by:

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

3. 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

4. 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)

5. 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

6. Near Misses • Complete Accident Investigation Report • Investigate and document as if an injury happened

7. 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

8. Determining Severity of Emergency • Does the person appear to need medical treatment? • Does the person want to seek medical treatment?

9. Injury and Incident Forms • Nurse’s office • Safety Coordinators office

10. 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

11. 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

12. 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

13. 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

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

15. 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

16. 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)

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

18. 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

19. 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

20. 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

21. 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

22. Reward vs. Discipline • Tactful approach • Care enough about employees that you will discipline them so they don’t hurt themselves or others • Reward simple safety items

23. Superintendant Responsibility • If you must discipline: Don’t 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 don’t want to see them get hurt.

24. Proactive Injury Prevention • “Everyone knows this doesn’t work” • “Everyone knows that this is a problem” • “Everyone knows that hasn’t 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.

25. 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