Thinking Differently About Health & Safety: Successful Partnerships That Make A Difference

1. SAWS/IALI Conference April 13 & 14, 2006 Beijing, China SAWS/IALI 会议 2006年4月13-14日 中国北京 Thinking Differently About Health & Safety: Successful Partnerships That Make A Difference 关于保健与安全的不同思考：成功的合作伙伴让事情变得不同 M. Shaw, IAPA President & CEO www.iapa.ca

2. Vision A World where risks are controlled because everyone believes suffering and loss are morally, socially and economically unacceptable Industrial Accident Prevention Association

3. Mission To improve the quality of life in workplaces and communities we serve by being an internationally recognized leader in providing effective programs, products and services for the prevention of injury and illness Industrial Accident Prevention Association

4. Ontario Ministry of Labour 安大略劳工部 使命是．．． 为了安大略人最基本的社会和经济安宁而促进安全、公平且和谐的工作守则。 Mission Is… • To advance safe, fair and harmonious workplace practices that are essential to the social and economic well-being of the people of Ontario

5. Ontario Ministry of Labour (Cont’d)安大略劳工部（续） • Through the ministry’s key areas of occupational health and safety, employment rights and responsibilities, labour relations and internal administration, the ministry’s mandate is to set, communicate and enforce workplace standards while encouraging greater workplace self-reliance • 通过其关键领域：职业健康和安全、雇佣权利和义务、劳资关系和内部行政管理，劳工部的任务是制订、交流和执行工作场所标准以促使工作场所具有更强的自我依赖性。

6. To purpose of this presentation is to tell the story of the Ontario Canada model of employing a cooperative approach through partnerships to achieve breakthroughs in establishing healthier and safe workplaces 此演示的目的是让您了解加拿大安大略的模式，即采用伙伴合作途径来建立更健康、安全的工作场所，从而实现突破。

7. Ontario Experience • Although enforcement is positioned as an important motivator, legislation and enforcement alone, do not provide sustainable outcomes • Judicious mix of focused evidence-based strategies and targeted sectoral-based resources are needed • Training, education and consulting products developed for size and sector of business bring greater improvements • Resources must reflect an integration of the traditional physical work environment with the psychosocial work environment including health and wellness practices

8. Ontario’s Model • Ontario Ministry of Labour • Ontario Workplace Safety and Insurance Board • 14 Sector-Specific Health and Safety Associations Management, labour, research institutes, universities, and community colleges support this model Model consists of three pillars of prevention:

9. Pillars of Prevention Ontario Ministry of Labour (MOL) MOL’s mandate is to set, communicate, and enforce workplace standards while encouraging greater workplace self-reliance Activities include: • Setting standards through legislation and regulations • Conducting inspections of high risk firms • Conducting investigations and issuing orders • Prosecuting for non-compliance • Communication with employers, labour, general public stakeholders

10. Pillars of Prevention (cont’d) Workplace Safety and Insurance Board (WSIB) WSIB’s mandate is to ensure prevention, return-to-work, rehabilitation and compensation (no fault insurance system) Activities include: • Acting as insurance agency for workplace injuries and illness • Working with health and safety association to promote workplace safety and health • Assessing and collecting funds from employers for services • Instituting surcharges and rebates based on performance • Promoting and supporting applied research

11. Pillars of Prevention (cont’d) The fourteen Health and Safety Association in Ontario have a mandate to provide programs for the prevention of workplace injury and illness Activities include: • Developing and implementing educational and training programs • Assisting firms to implement health and safety management systems • Identifying and communicating best practices and standards • Providing solutions-based consulting of workplace systems • Promoting health, safety and wellness and psychosocial awareness

12. Occupational Health and Safety Council of Ontario (OHSCO) • OHSCO is a strategic body comprised of the leaders of Ontario’s Prevention System • It plays a strategic and advisory role in aligning and enhancing Ontario’s Health and Safety System • It leverages the strengths and resources of its member organizations to achieve its vision and mission “On behalf of workers and employers, OHSCO inspires, leads and enables the creation of the healthiest and safest workplaces in the world, continuously working towards the goal of eliminating work-related injuries, illness and death in Ontario Canada”

13. 一个启动安大略工作场所、 建立和维护更健康、更安全的 工作场所的网络 Workplace Safety andInsurance Board (WSIB) • Continue to exist as an insurance agency • Provide injury and illness data to the SWAs and other parties • Work with the SWAs and others to promote safety and health • Institute surcharges or rebates to firms based on their performance • Assess and collect funds from firms to provide funding for the purpose of prevention • Administer framework for prevention network • Research priorities Health & Safety Associations • Assist firms to implement H & S systems • Identification & communication of best practices/standards • Situations-based consulting of workplace systems • Develop & implement educational & training programs • Promotion of health, safety and wellness • Working with partners Ministry of Labour (MOL) • Set clear standards • Inspections of high risk firms • Investigations • Issue orders • Prosecute for non-compliance where necessary • Communicate • Working with partners Workplaces • Applied Knowledge & Strategies Training Centres & Occ. Hlth Clinics • Cross sectoral training information and support A Network To Enable Ontario Workplaces To Establish and Maintain Healthier and Safer Workplaces Others • Health & Safety Agencies (local, national, international) • Institute for Work & Health • RAC • Universities/Community Colleges • Consultants • ILO • WHO • Minerva Canada • Threads of Life • IRSST • CSA • CME and other Trade Associations Source: Maureen C. Shaw, IAPA

14. Program Logic Model for the Prevention System Leading Indicators Trailing Inputs Activities/Outputs Reactions Outcomes Research & OHSCO IWH, Knowledge Purpose RAC Attitudes Transfer To make and Fewer Values keep Ontario as Set Standards, MOL Beliefs the healthiest & Injuries Communicate, safest place in Knowledge Enforce Illnesses the world to Strategy, Organization, Resources work Information, SWAs Systems Diseases Training, Target Clients Fatalities Reduced As sistance Ontario Hazardous Workers, WSIB Financial Incentives, Employers & Exposures Social Marketing, Society System Support Effectiveness in Workplace System Qualities Source: OHSCO System Measurement Sub-Committee

15. Evidence Based Data and Research有证据基础的数据和调查 The transfer of evidence-based research outcomes is not about the collection and dissemination of information 有证据基础的调查结果的转化与信息的搜集和传播无关

16. Evidence Based Data and Research (cont’d)有证据基础的数据和调查（续） • It is about transforming, interpreting, and innovating the knowledge onto a wiser path of health and safety awareness to empower, change, and evolve organizations and people • Knowledge transfer is achieved through an exchange of information and dialogue that ensures that research is both relevant and applicable 它是把知识转变、解释和改革为一种更明智的途径，使人们能够具有健康和安全意识，从而使各个机构和人们能够改变和发展。 知识转化是通过信息交流和对话实现的，信息交流和对话确保了调查的相关性和适用性。

17. Wisdom – How Is It Created? Wisdom: using what is understood - informed by purpose, principles, ethics, and memory for making “better” choices Holistic, subjective, spiritual conceptual, creative and rare Separable, mechanistic, objective and abundant Transformation/Innovation: transformation and innovation of knowledge for use by intervenors to effect change Understanding: when knowledge is related and becomes systemic and useful for conceiving, anticipating, evaluating, judging and predicting Knowledge: integrating information so that it can be used for taking action Information: assembled data that adds meaning - that informs, “a difference that makes a difference” Data: discernable cognitive patterns, separable, objective, and linear - cause & effect Noise: sensory, pervasive & random Ken Smith Strategic Solutions Adapted from Dee Hock - Birth of the Chaordic Age

18. The Case for Action • 300,000 people injured annually in Ontario • 100,000 injured seriously enough to take time off work • 100 died in traumatic workplace accidents in 2004 • 196 died due to occupational diseases in 2004 • 296 Total deaths in 2004 • 35 fatalities in construction in 2004 • Workplace injuries cost Ontario economy $12 billion per year: CME/WSIB study Note: in 2004, estimated number of workers in Ontario was 6.316 million Source Ministry of Labour and WSIB

19. 5.0 6,500 4.5 6,000 4.0 5,500 3.5 LTI Plateau 3.0 5,000 2.5 4,500 2.0 1.5 4,000 1.0 3,500 0.5 0.0 3,000 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 2004 1985 1976 1977 1978 1979 1980 1981 1982 1983 1984 1999 2000 2001 2002 2003 LTI rate Workers (thousands) The Case for Action Lost Time Injury Rate & Employment Growth In Ontario 1976-2004 Source Ministry of Labour

20. OHS System-wide Partnership “Last Chance and High Risk” MOL and Ontario System Target 20% reduction in injuries over four years (2004-2008) from 300,000 injuries per year to 240,000 injuries per year 6000 firms (2% of registered firms with WSIB) represent 10% of all LTI, 21% of the claim costs: “High Risk” Initiative: (“worst 2%”) Ministry lead • High risk target list – 5000 (05/06), 5800 (06/07) • Reactive HSA assistance: workplace demand for HSA services driven by compliance orders • Goal to build sustainable workplace self-reliance

21. OHS System-wide Partnership “Last Chance and High Risk” (cont’d) MOL and Ontario System Target 20% reduction in injuries over four years (2004-2008) from 300,000 injuries per year to 240,000 injuries per year Motivate next 8% (15,000 – “last chance”) HSAs leading • proactive HSA assistance: motivate workplaces to achieve compliance (mitigate potential orders); build sustainable workplace self-reliance

22. OHS System-wide Partnership –Results “Last Chance and High Risk” MOL and Ontario System Target 20% reduction in injuries over four years (2004-2008) from 300,000 injuries per year to 240,000 injuries per year “High Risk” Activities • Year 1 of high risk initiative – 132 new inspectors targeting over 5000 workplaces 4 times a year • Greater than 2 times the number of serious offences • LTI reductions in targeted firms range from 20 – 27%

23. OHS System-wide Partnership –Results “Last Chance and High Risk” (cont’d) MOL and Ontario System Target 20% reduction in injuries over four years (2004-2008) from 300,000 injuries per year to 240,000 injuries per year “Last Chance” Activities • 5 HSAs visit to “last chance” firms % of firms taking up HAS assistance range from 12% to 97% • % of firms failing to respond to HSA offer range from 0.03% to 2% – referrals to MOL

24. Safety Groups Program安全小组计划 • The Safety Groups program is sponsored by the WSIB and provides for a network of companies who share the common goal of reducing injuries and illnesses: • 安全小组计划是由 WSIB 发起的，旨在为企业网络提供服务，这些企业的共同目标是减少损伤和疾病： Source: www.wsib.on.ca/wsib/wsibsite.nsf/public/Safetygroups

25. Safety Groups Program安全小组计划 • 安全小组成员集合各种资源、严格遵守工作守则，并互相帮助以开发和管理有效的健康和安全计划。 -在提高工作场所安全的同时，他们还可以减少赔偿费用并获得财政收益。 • Safety Group members pool resources, share best practices and help each other develop and manage effective health and safety programs • While improving workplace safety they can reduce their compensation premiums and earn financial rebates Source: www.wsib.on.ca/wsib/wsibsite.nsf/public/Safetygroups

26. Safety Groups Program • Each safety group has a sponsor from a trade association or a health and safety association. Sponsor promotes group interaction through meetings, workshops and guidance on action-plan development and tracking progress • The Safety Groups Program started in 2000 and is now an ongoing prevention program. In 2004 there were 40 participating Safety Groups with rebate recipients receiving $19,992,371 • Participating firms average a 25% reduction in injuries annually

27. Safe Communities • There are 97 Safe Communities world-wide. This model is currently supported by 18 communities in China • 4 communities in China have been designated • 1 is projected for 2006 • 13 have designation in preparation Source: Safe Communities Foundation, http:www.safecommunities.ca/milestones.htm

28. Safe Communities Incentive Program (SCIP) • SCIP promotes safety in the workplace and helps small businesses reduce WSIB insurance premiums. It involves a partnership with the WSIB, the 28 Safe Communities and the Health and Safety Associations based in Ontario • Participating firms gain access to health and safety training programs, resources and access to health and safety experts to help them to become better, safer workplaces

29. Safe Communities Incentive Program (SCIP) • SCIP requires the owner/senior manager to participate in The 5 Steps to Managing Health and Safety training program • SCIP is in its ninth successful year. Since 1997, 5.400 firms have participated in SCIP and received rebates totaling $11 million • In 1999, with a control group of 3 communities, participating firms experienced a reduction of injuries by 23% on average

30. Accreditation Program • The general objective of an accreditation program is to promote the adoption of good OHS policies, programs and practices in workplaces • The goal is to encourage employers to adopt an Integrated Management System driven by a comprehensive continual improvement process, designed to assist them in managing and integrating their organization’s safety, health and environmental needs with overall business requirements in a manner which is sustainable

31. Accreditation Program • Accreditation has the potential to strengthen workplace commitment to high standards of OHS practice through economic, social and possibly legal motivators • The WSIB is developing a Health Safety Accreditation Plan for Ontario workplaces. An Accreditation Working Group has been established and recommendations will be made to the WSIB in June 2006

32. System Measurement • System alignment – annual assessment of alignment between partners • Enforcement • MOL orders per 100 workers • % of orders related to serious contraventions • Knowledge and skill transfer • Participant days in training per 100 workers • Conference attendance per 100 workers • Consultant interventions – Number of visits and number of firms

33. System Measurement WSIB Database on Registered Firms • Lost time injury rate per 100 workers • Non-lost time injury rate per 100 workers • Annual severity rate – Number of lost days due to severe injuries • Fatalities and category of fatality • Type of injury and numbers of each • Insurable earnings and premiums • Long term, short term and health care benefit costs

34. Outcomes MOL and Ontario System Target 20% reduction in injuries over four years (2004-2008) from 300,000 injuries per year to 240,000 injuries per year MOL Statistics (2004 to2005) • High risk firms (low 2%) reduced LTI rate by 28% • Last chance firms (next 8%) reduced LTI frequency by 11%

35. 6 5 4 3 LTI's per 100 workers 2 pilot high risk priority 1 last chance Schedule 1 0 2000 2001 2002 2003 2004 2005 Summary of Ontario’s LTI Statistics Source: Ministry of Labour

36. Recognition认识 Recognition is an important part of any strategy. In this case it must of course be part of a formal verification process by organizations accredited to undertake the verification to an approved set of standards. An organization’s policies and programs must meet the requirements of an effective, integrated occupational health and safety management system 认可是任何策略的重要部分。因此，各个机构必须将其确认为一个正式的认定过程并使其达到一套认可的标准。一个机构的政策和计划必须符合有效、整合的职业健康和安全管理体系的要求。

37. Recognition • The key objective is to promote effective workplace policies, programs and practices and to recognize enterprises that go beyond compliance. The primary benefit of a Recognition Process would be the systematic prevention of injuries, illnesses and fatalities as well as the human and financial costs • Secondly, it verifies and recognizes good performers and provides a market-driven standard • Thirdly, it allows for focus by enforcement bodies on poor performers

38. IAPA Health and SafetyAchievement Awards • President’s Award: • For best-in-class organizations • Must exemplify the principles of an effective and integrated managed system for health and safety • Must have achieved a Level I, II, or III Award • Safety Award: • Achieving one year or 20,000 hours without injury or illness • Must have achieved at least Level I Achievement Award • Recognize a firm’s progressive achievement in health and safety • Recognize a firm’s demonstrated commitment to staff, customers,and community • Provide guidance to firms in their quest towards occupational health and safety • Three distinct honours: Achievement Award: Marking the progression of a health and safety program with three levels of achievement • Achievement Award • Safety Award • President’s Award

40. Centre for Health & Safety Innovation健康&安全改革中心 Vision Communities free of injury and illness prevention 远景 使社区成员不受损伤和疾病预防的困扰 使命 在防治中提供一个交流知识、学习和创新的聚会地点 Mission Provide a meeting place for knowledge exchange, learning and innovation in prevention

41. Centre for Health & Safety Innovation The Centre will: • Provide innovative training and educational programs by offering dynamic training opportunities to participants • Foster evidence-based research in health and safety by working with universities, colleges and other academic institutions that will result in practical solutions • Be a key resource in health and safety trends, initiatives and issues • Develop new health and safety programs in areas such as occupational disease • Participate in and encourage excellence in workplace health and safety by rewarding efforts of individuals and employers

42. “Coming together is a beginning, staying together is progress, and working together is success”  Henry Ford

43. Conclusion • Through relationships that have developed, we are more prepared to respond to unexpected issues that arise • Much was learned about the value of these structured relationships as a result of the SARS outbreak that occurred in the Toronto area in 2003 • Recently, when an outbreak of Legionnaire’s Disease occurred, the partners were able to respond to the respective stakeholders within a few hours with relevant information

45. Innovative Strategies for Safer and Healthier Workplaces更安全和健康工作场所的改革策略 我们邀请您参加 2007 IALI 讨论会 2007 年 4 月18、19 & 20 日 加拿大安大略多伦多 请在大会现场或登录 IAPA 网站获取手册 www.iapa.ca We invite you to attend the 2007 IALI Conference April 18, 19 & 20, 2007 Toronto, Ontario, CANADA Please pick up the brochure here at the conference or visit the IAPA web site www.iapa.ca

46. Vision