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WORKPLACE INJURIES “She’ll Be ‘Right?“. Workplace Injuries = Significant Financial & Social Burden in NZ (35% of all ACC claims ‘09) Construction Industry in NZ = Dangerous!
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Workplace Injuries = Significant Financial & Social Burden in NZ (35% of all ACC claims ‘09) Construction Industry in NZ = Dangerous! Construction Industry is 5th Largest Sector. Highest Fatal Injury Rates (22%) and Rank 4th for Serious Injury ACC Claims and Entitlement Claims (ACC ’08). Several Government Strategies Recognise This Problem. Small Construction Businesses Dominate. Poor Health and Safety Practices. Lack of Funding and Resources. The Current Issue: Sub-Topic and Selected Target Population
Community Visits • Accident Compensation Corporation • Auckland Meat Processors Limited • Department of Labour (OSH) • Fletcher Aluminium • Site Safe NZ • Winstone Aggregates • SoPH • Research Fellow
Likely Success of Strategy – A Mixed Models Approach 1. IDENTIFICATION OF POTENTIAL BARRIERS • Limited Resources • Concern of Harming Business by Reporting • Culture of Unsafe Work Practices • Lack of Self-Empowerment and Advocacy • Lower Socio-Economic Status • Cultural Barriers
Likely Success of Strategy – A Mixed Models Approach 2. INCORPORATION OF HEALTH PROMOTION MODELS • Ottawa Charter for Health Promotion – 5 Key Action Areas. Our Intervention Will Focus on 3 Action Areas. - Create Supportive Environments - Strengthen Community Action - Develop Personal Skills • Community Health Development Model – ‘Top-Down’ vs. ‘Bottom-Up’ Approaches Running in Parallel. 3. EVIDENCE-BASED APPROACH • Cochrane Review 2008 • ‘Working Well Together’ – UK Based Programme • Farm Safe NZ • Site Safe NZ – Non-Governmental, Not-For-Profit
The Intervention – Pilot Programme S.O.S – Safety On-Site Making ‘Good Enough’ Better! SafetyOnSite Making Good Enough, Better. • Objective/Aim: • To Create Supportive Working Environments, Strengthen Community Action and Develop Personal Skills. • Combined ‘Top-Down’ and ‘Bottom-Up’ Approach: • Education AND Networking Running in Parallel
The Intervention – Pilot Programme S.O.S – Safety On-Site Making ‘Good Enough’ Better! SafetyOnSite • Target Population: Small Construction Businesses (<10 Individuals). • Aim to Recruit 50 Businesses. Range of Recruitment Methods. • Run For One-Year • End of Winter • Case-Control to Assess Feasibility of the Programme. Making Good Enough, Better.
The Intervention – Pilot Programme1.‘Top-Down’ Approach • Collaboration With Site Safe NZ • Education and Training by Site Safe NZ – e.g. Safety Passports • Induction Day • Small Business Site Safety Kit
The Intervention – Pilot Programme2. ‘Bottom-up’ Approach • Facilitate Networking – Self-Determined Action, Empowerment. • Providing Initial Meeting Place at Induction Day. • Funding Provided For Four-Monthly Meetings – Interesting Industry Expert Speakers and Demonstrations/Exhibitions. • Main Focus is on the Small Businesses Determining What They Want. • Proposed incentive in form of reduced ACC Levies.
The Intervention – Pilot ProgrammeEvaluation • Primary Outcome Measure: Pre and Post Injury Rates. • Secondary outcome measures: Qualitative Assessment – Surveys.
