Book Effective-Measurement-for-Safety-Guide PDF
Book Effective-Measurement-for-Safety-Guide PDF
Book Effective-Measurement-for-Safety-Guide PDF
for Safety
Guide
www.worksafesask.ca
Table of contents
Definitions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii
Introduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
What is in this guide. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Chapter 1: Measurement — Why?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Chapter 2: Measurement — What?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Chapter 3: Measurement — Where?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Chapter 4: Data Management — Collecting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Chapter 5: Data Management — Building. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Chapter 6: Data Management — Products. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Chapter 7: Data Management — Reporting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Chapter 8: Training. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Chapter 9: Communications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Chapter 10: Continuous Improvement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Chapter 11: Quick Start Process Map . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Important Websites . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
Appendices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Appendix 1: Cause of Injury Reference Sheets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Appendix 2: Factors Reference Guide – Indirect and Root Cause Examples . . . . . . . . . 93
Appendix 3: First Aid Register . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Appendix 4: Incident Investigation Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Appendix 5: Medical Aid/Treatment versus First Aid Decision Chart . . . . . . . . . . . . . 100
Appendix 6: Medical Restrictions Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Appendix 7: Safety Incident Log Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
Appendix 8: Leading and Lagging Indicator Examples . . . . . . . . . . . . . . . . . . . . . . . . . 106
Please note
The information/training provided is not a substitute for nor does it take precedence over
The Workers’ Compensation Act. This material does not take the place of or take precedence
over OH&S legislation. This material may be used to complement or supplement your OH&S
obligations but in no way replaces any obligations that exist under OH&S legislation. Should
you choose to use this material, WorkSafe Saskatchewan assumes no responsibility or liability
for any outcomes that may arise from its use. All employers and workers should be familiar with
The Workers’ Compensation Act, The Saskatchewan Employment Act and The Occupational Health
and Safety Regulations. This material should be adapted to meet the particular requirements
of your workplace.
To purchase copies of The Saskatchewan Employment Act or The Occupational Health and Safety
Regulations, 1996, contact:
Publications Saskatchewan
B19 – 3085 Albert Street
Toll Free: 1.800.226.7032
Phone: 306.787.6894
Fax: 306.798.0835
Email: publications@gov.sk.ca
Online: www.saskatchewan.ca
You can also download copies for free.
Industries under federal jurisdiction, such as transportation, broadcasting and telecommunications,
are governed by The Canada Labour Code. If you work in a federally regulated industry, please
contact Employment and Social Development Canada at www.esdc.gc.ca.
ii October 2017
Definitions
The definitions are intended to clarify common health and safety terms used in Saskatchewan
workplaces. While not all definitions are referenced throughout the materials, they may be of use
as the employer develops, implements and maintains a measurement system for safety as part
of the health and safety management system.
It is important to note that definitions explain words. When words are presented in OHS legislation,
it is imperative to abide by the interpretations of those words as set out by legislation.
Accident: An unwanted, unplanned event that results in a loss; these losses could include production
loss, property damage and/or injury or illness including death; Joint Industry Committee, A guide
to the Framework of Standards for Health and Safety Programs
Arising out of employment: Means the injury must have a link to, originate from, or be the result of
a hazard from employment; WCB Policy Manual 6.1 Arising Out of and In the Course of Employment
(POL 12/2013)
Claim suppression: Actions undertaken by an employer that hinder the appropriate reporting of a
worker’s injury or illness resulting from work; Institute for Work & Health, Issue Briefing Suppression
of workplace injury and illness claims: Summary of evidence in Canada
Direct cause: Usually happens immediately before the incident; what led directly to the incident,
described by: struck by, fall to lower level, caught in or between, contact with, exposure to, etc.
WorkSafe Saskatchewan OHC Level 2 Inspections and Investigations Workbook.
Duty of employer to notify board of injury: Within five days after the date on which an employer
becomes aware of an injury that prevents a worker from earning full wages or that necessitates
medical aid, the employer shall notify the board in writing of: (a) the nature, cause and circum-
stances of the injury; (b) the time of the injury; (c) the name and address of the injured worker;
(d) the place where the injury happened; (e) the name and address of any physician who attends
the worker for his or her injury; and (f) any further particulars of the injury or claim for compensation
that the board may require; The Worker’s Compensation Act (27)
Employment: Means employment in the service of an employer whether the worker’s duties are
performed at, near or away from the employer’s place of business; The Worker’s Compensation Act
(Preliminary Matters 2(1)(n))
First aid: Means immediate assistance given in case of injury until medical aid has been obtained;
Occupational Health and Safety Regulations Interpretation 2(1) (y)
In the context of safety statistics a “first aid” includes any one-time treatment
and any follow-up visit for the purpose of observation of minor scratches, cuts, burns,
splinters, or other minor industrial injuries, which do not ordinarily require medical care.
This one-time treatment, and follow-up visit for the purpose of observation, is considered
first aid even though provided by a physician or registered professional personnel;
Occupational Health and Safety Administration (OSHA). First Aid include visits to
a doctor or health care professional solely for observation or counseling, diagnostic
procedures, including administering prescription medications that are used solely for
diagnostic purposes; and any procedure that can be labeled first aid.
Frequency: How often a given type of incident occurs; for example, a lost time frequency would
express how many lost time incidents are taking place per a given number of hours worked (e.g.
TL/200,000 hours).
Hazard: The inherent potential to cause injury or damage.
Health care professional: Means a physician, dentist, chiropractor, optometrist, psychologist,
occupational therapist, physical therapist, nurse or any other person who is registered or licensed
pursuant to any Act to practice any of the healing arts; The Worker’s Compensation Act (Preliminary
Matters 2(1)(p))
Hours worked/exposure hour: All employees (including management), training & overtime hours
worked. Exclude leave, sickness, and other absences.
Incident: An unplanned, unwanted event that results in or could have resulted in a loss; these losses
could include production loss, property damage and/or injury including death. An accident and near
miss are different categories of an incident.
Indirect cause: These substandard acts, procedures and conditions that set the stage for the
accident. Examples are lack of training, departures from safe work practices, using inadequate
or defective tools, equipment or materials, inadequate guards or barriers.
Injury: Means all or any of the following arising out of and in the course of employment: The Worker’s
Compensation Act (Preliminary Matters 2(1) (r))
i. The results of a willful and intentional act, not being the act of the worker
ii. The results of a chance event occasioned by a physical or natural cause
iii. A disabling or potentially disabling condition caused by an occupational disease
iv. Any disablement
Injury: For the purposes of the Act and in these regulations and all other regulations made pursuant
to the Act, “injury” includes any disease and any impairment of the physical or mental condition of
a person. The Occupational Health and Safety Regulations, 1996 Preliminary Matters 2(2)
“In the course of employment” means the injury must:
(a) Happen in a time and place linked to employment, and
(b) Be the direct result of a worker performing a task which is part of their obligations
and purpose of employment.
(WCB Policy Manual 3.1.1 Arising Out of and In the Course of Employment (POL 03/2017)
iv October 2017
Job Hazard Analysis (JHA), Job Safety Analysis (JSA): The process of systematically evaluating a job,
task, process or procedure to identify hazards and their associated risks, and then eliminating or
reducing the risks or hazards to as low as reasonably practicable in order to protect workers from
injury. To conduct a JHA:
• Break the job down into its basic steps
• Identify the hazards present in each of the steps
• Assess the risk associated with each hazard
• Develop controls to eliminate or reduce the risk associated with each hazard
Lagging indicator: A measure of past performance and trends after the fact.
Leading indicator: A measure of future performance, management commitment or systems to drive
performance change.
Measurement: A means to qualify, order and quantify certain events and use the results as a basis
for the control and prediction of performance.
Medical aid: Means the provision of medical and surgical aid, of hospital and professional nursing
services, of chiropractic and other treatment and of prosthetics or apparatus; The Worker’s
Compensation Act (Preliminary Matters 2(1)(v)).
Medical restrictions: Clear and specific limits, including, but not limited to, specific work activities,
exposures, body motions, time frames, and lifting capabilities, as identified by the injured worker’s
Health Care Practitioner, required to protect the worker from further injury. Medical restrictions
arising from an injury may be physical, cognitive and/or psychological and be of a temporary or
permanent nature.
Medical treatment: In the context of safety statistics, sometimes referred to as a medical aid being
medical treatment beyond first aid. Involves a significant injury or illness diagnosed by a physician
or Health Care Professional; Canadian Association of Petroleum Products (CAPP) Reporting of
Occupational Injuries June 2008.
Near miss: An unwanted, unplanned event that didn’t but could have resulted in a loss (production,
property or human).
Occupational disease: Means a disease or disorder that arises out of and in the course of
employment and that results from causes or conditions that are: (i) peculiar to or characteristic of
a particular trade, occupation or industry; or (ii) peculiar to a particular employment; The Worker’s
Compensation Act (Preliminary Matters 2(1) (aa)).
Occupational health and safety: means
• The promotion and maintenance of the highest degree of physical, mental and social
well-being of workers;
• The prevention among workers of ill health caused by their working conditions;
• The protection of workers in their employment from factors adverse to their health;
• The placing and maintenance of workers in working environments that are adapted
to their individual physiological and psychological conditions; and
• The promotion and maintenance of a working environment that is free of harassment
The Saskatchewan Employment Act (SEA) 3-1(1)(o).
Permanent disability: Any disability from which an injured worker is not expected to recover to his/
her pre-injury level.
Probability: The likelihood that a given event will occur; often is a combination of how frequently
an individual is around a hazard in combination with how likely the event is to occur.
In the context of hazard identification and control; the process of systematically
evaluating a job, task, process or procedure to identify hazards and their associated
risks, and then eliminating or reducing the risks or hazards to as low as reasonably
practicable in order to protect workers from injury.
Record: Something that recalls or relates past events, a body of known or recorded facts regarding
something or someone; Implementing an Occupational Health and Safety (OHS) Program Canadian
Centre for Occupational Health and Safety (CCOHS).
Recordable or recordable incident: In the context of safety statistics a medical aid is sometimes
referred to as a recordable or a recordable incident. A recordable definition could include those work-
related injuries and illnesses that result in:
• Death;
• Loss of consciousness;
• Days away from work;
• Restricted work activity or job transfer; or
• Medical treatment beyond first aid.
• Includes work-related injuries and illnesses that are significant such as cancer,
chronic irreversible disease, a fractured or cracked bone, or a punctured eardrum.
OSHA recordable: An injury or illness meets the general recording criteria, and therefore to be
recordable, if it results in any of the following: death, days away from work, restricted work or
transfer to another job, medical treatment beyond first aid, or loss of consciousness. You must
also consider a case to meet the general recording criteria if it involves a significant injury or illness
diagnosed by a physician or other licensed health care professional, even if it does not result in
death, days away from work, restricted work or job transfer, medical treatment beyond first aid,
or loss of consciousness. Occupational Safety and Health Administration (OSHA) 1904.7(a) United
States Department of Labor.
vi October 2017
Restricted work: Restricted work activity occurs when, as the result of a work-related injury or
illness, an employer or health-care professional keeps, or recommends keeping, employees from
doing the routine functions of their jobs or from working the full work day that they would have been
scheduled to work before the injury or illness occurred.
Risk: The probability that during a given period of activity, a hazard could result in an accident with
definable consequences
A combination of the likelihood of an occurrence of a hazardous event and the severity
of injury or damage to a person or object
Root cause: Root cause often explains why substandard acts and conditions were allowed to exist.
They are fundamental flaws such as lack of employer’s health and safety management system.
Examples would be lack of supervision, no training plan, lack of a preventative maintenance plan,
no inspection plan, etc.
Safety performance indicator (SPI): A set of parameters that are easy to follow up and which give
a sufficiently clear picture of the safety status of the operation, and which at an early stage will give
the operation management an indicator that some aspect of the operation is about to deteriorate
so that corrective action can be initiated before the situation creates an unacceptable risk.
Safety program: A program of administrative and procedural plans for hazard identification, hazard
control and loss prevention; the process of putting them into place, and a method for maintaining
their effectiveness; the combined and interrelated processes for the control of avoidable loss.
Severity: A measure of the seriousness of the negative consequences of an accident (actual or
potential). Severity is often expressed as a measure of the lost time work day rate: Number of Days
Lost x 200,000 Hours/Total Hours Worked.
Statistics: Dealing with the collection, analysis, interpretation and presentation of masses
of numerical data; Implementing an Occupational Health and Safety (OHS) Program Canadian
Centre for Occupational Health and Safety (CCOHS).
Temporary disability: Any disability from which an injured worker is expected to recover to his/her
pre-injury level.
Total recordable injuries: The sum of fatalities, lost work day cases, restricted work cases, and
medical treatment cases; Canadian Association of Petroleum Products (CAPP) Reporting of
Occupational Injuries June 2008.
Waiver of Act prohibited: Every agreement between a worker and his or her employer to waive or
forego any of the compensation to which the worker or the worker’s dependents are or may become
entitled pursuant to this Act is void. (2) No employer or person acting on behalf of an employer
shall compel, induce or attempt to compel or induce a worker by intimidation, coercion, promise,
the imposition of a pecuniary or other penalty, threat, including a threat of dismissal, or any other
means: (a) not to apply for or pursue an application that has been made for compensation; or (b)
not to receive compensation.(3) No employer or person acting on behalf of an employer shall take
or threaten to take discriminatory action against a person for reporting or attempting to report an
alleged contravention of this section to the board. (4) Every person who contravenes subsection (2)
or (3): (a) is guilty of an offence and liable on summary conviction to a fine of not more than $1,000;
and (b) if the board so orders, shall pay to the board the amount of any compensation that the
worker is entitled to, whether or not the employer has been convicted of an offence. The Worker’s
Compensation Act, 163.
When compensation payable: If a worker is not disabled beyond the day on which the worker
is injured, no compensation, other than medical aid, is to be paid. (2) If the worker is disabled
for longer than the day on which the worker is injured, compensation must be paid on and from
the day of the commencement of the worker’s loss of earnings resulting from the injury, excluding
the day on which the worker is injured. The Worker’s Compensation Act, 31.
Work injury: A work injury is an injury that: Happens at work, on company property or on company
business. Needs medical treatment. May or may not need time away from work. WCB Employer
Responsibilities Duty to Report Injuries: www.wcbsask.com/employers/employer-responsibilities/.
2 October 2017
Chapter 7: Data Management — Reporting
This chapter includes guidelines on reporting and distribution.
Chapter 8: Training
Review this chapter for information on training requirements and documentation.
Chapter 9: Communication
This chapter includes information on communication methods, improving safety communication
and communication benefits.
Appendices
Appendix 1: Cause of Injury Reference Sheets
Appendix 2: Factors Reference Guide – Indirect and Root Cause Examples
Appendix 3: First Aid Register
Appendix 4: Incident Investigation Form
Appendix 5: Medical Aid/Treatment versus First Aid Decision Chart
Appendix 6: Medical Restrictions Form
Appendix 7: Safety Incident Log Sheet
Appendix 8: Leading and Lagging Indicator Examples
Notes
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4 October 2017
Chapter 1: Measurement — Why?
• Benefits of keeping safety statistics
• Regulatory Requirements
• The Human Element — the injured worker, the employer
• Business Case for Safety — What do incidents cost?
• Management and Leadership
Introduction
Why measure, compile, analyze and communicate safety statistics? This chapter outlines the
requirements, benefits and business case for keeping safety statistics.
Fundamentals
There is a saying “You can’t improve what you don’t measure.” Measurement is the starting point
for improvement for health and safety and gives a basis from which to establish targets. Just
as monitoring and targets are important for production, quality and customer service, the same
principles apply for safety performance.
Employers must comply with legislation and to ensure the health, safety and welfare at work of all
the employer’s workers. The employer measures safety to comply with the legislation, to eliminate
injuries and health issues related to the workplace, to reduce human suffering, reduce costs, improve
morale and productivity, and attract and retain employees. The ultimate goal of understanding safety
statistics is to provide a healthy and safe workplace.
Keeping safety statistics provides a measurement of the progress and effectiveness of the
occupational health and safety program.
Occupational health and safety involves more than correcting unsafe actions and conditions.
Under SEA 3-1(1)(o), it includes:
• The promotion and maintenance of the highest degree of physical, mental and social
well- being of workers;
• The prevention among workers of ill health caused by working conditions;
• The protection of workers from factors adverse to their health;
• The placing and maintenance of workers in working environments that are adapted
to their individual physiological and psychological conditions; and
• The promotion and maintenance of a workplace free of harassment.
The workplace must set objectives for health and safety that are appropriate and meaningful for the
workplace. Statistics are used to measure and evaluate the effectiveness of the health and safety
system. Examples of tracking of safety statistics include the number of near misses, first aids, lost
times, lost work days, restricted work days, property/equipment damage.
6 October 2017
Chapter 1: Measurement — Why?
Regulatory Requirements
The Saskatchewan legislation covers the minimum legal requirements. Relevant information is
found in The Saskatchewan Employment Act (SEA), 2013; The Occupational Health and Safety
Regulations, 1996; The Mines Regulations, 2003; and The Worker’s Compensation Act, 2013.
The Workplace Responsibility System (WRS) places requirements on all employees in the workplace to
the degree of authority and control they have. This means that the employer, supervisors, committee,
representative and employees must work cooperatively to ensure a safe workplace. Everyone must
follow the safety rules and the legislation.
The employer has a great deal of responsibility as they have the most control and authority. SEA 3-8
General Duties of Employer states that “Every employer shall: a) ensure, insofar as it is reasonably
practicable, the health, safety and welfare at work of all the employer’s workers…”
Important legislation relevant to safety statistics and reporting is listed below; however the list is not
meant to be all inclusive list. There is a requirement to review the legislation and be knowledgeable
as to what is applicable to your workplace.
SEA 3-64 Obtaining Information includes the requirements for the employer to compile occupationally
related injury and illness statistics for the place of employment as directed by the Director of Occupa-
tional Health and Safety. This includes any information in any form and manner in prescribed circum-
stances, within the time frame specified. The employer shall compile the statistics in a manner
that protects the confidentiality of workers, post the information and provide the statistics to the
Occupational Health Committee, the representative or the workers.
SEA 3-16 Duty to Provide Information speaks to “required information” and is necessary to
identify and control any existing or potential hazards with respect to a place of employment. As
the compilation of safety statistics are used to determine where incidents are occurring they are
paramount in determining trends and existing and potential hazards that need to be addressed. By
looking at first aid registries, incident investigations, inspections, etc., hazards can be identified, risk
assessed and control measures implemented.
Relevant Occupational Health and Safety Regulations, 1996 include:
Regulation 11 Reporting re injuries — The employer can be required to provide details of person-
hours worked and work-related injuries during the preceding year to the minister or any other agency
the minister designates.
Regulation 32 Injuries requiring medical treatment — Lost time injuries requiring medical treat-
ment must be reported to the co-chairpersons, the representative or their designate and allow
a reasonable opportunity to review the lost-time injury during normal working hours and without
loss of pay or other benefits.
Regulation 56 First Aid Station — An employer or contractor shall provide and maintain for every
worksite a readily accessible first aid station that contains: (a) a first aid box containing the supplies
and equipment set out in Table 10 of the Appendix; (b) a suitable first aid manual; and (c) any other
supplies and equipment required by these regulations.
Regulation 57 First Aid Register — An employer or contractor shall ensure that: (a) each first aid
station is provided with a first aid register; (b) all particulars of the following are recorded in the
first aid register: (i) each first aid treatment administered to a worker while at work; (ii) each case
referred to medical attention; (c) a first aid register is readily available for inspection by the committee
or representative; and (d) a first aid register no longer in use is retained at the place of employment
for a period of not less than five years from the day on which the register ceased to be used.
Table 9 Summary of First Aid Requirements — Minimum: Every place of employment requires
a first aid box containing standard supplies (see Table 10), a manual, a register and emergency
information. Table 9 lists the additional requirements based on the proximity to a medical facility
and classification of the activities regarding high hazard work (Table 8) or low hazard work as
defined in Table 9.
Table 8 Activities That Constitute High Work — Table 8 includes a list of activities that constitute high
hazard work. Examples are: building construction, drilling for gas, oil and minerals, service for gas and
oil wells, logging, sawmilling, iron and steel processing and fabrication, road construction, earthwork,
tunneling and trenching, local and provincial hauling and trucking, mining and smelting, exploration
drilling, shaft sinking, quarrying and crushing of rocks, manufacturing of concrete block, brick, artificial
stone and other clay and cement products, power line construction and maintenance.
Regulation 48 Opportunity for necessary activities — Members of a committee or a representative
are allowed to examine records, reports and logbook that an employer or contractor is required to
keep at the place of employer pursuant to the Act or regulations.
Regulation 8 Accidents causing serious bodily injury — An employer or contractor shall give notice
to the division as soon as is reasonably possible of every incident that (a) causes, or may cause,
the death of a worker; or (b) will require a worker to be admitted to a hospital as an in-patient for
a period of 72 hours or more. Regulation 8 deals with incidents that cause injury.
The OHS Division requires employers, contractors and owners to report any incident requiring
a worker to receive emergency medical attention in a hospital if the employer:
• Knows or believes that the incident will cause the worker to be hospitalized for 72 hours
or more; or
• Is not notified the day after the incident that the worker will be discharged from hospital
before the 72 hour period is up
Regulation 9 Dangerous occurrences — means any occurrence that does not result in, but could
have resulted in, a condition or circumstance set out in subsection 8(1). Regulation 9 discusses
8 October 2017
Chapter 1: Measurement — Why?
incidents that could have hurt someone, but did not (near misses). Regulation 9(1)(a-h) does not
list every dangerous occurrence that must be reported; it only provides examples.
In the investigation of Regulation 29 Investigation of certain accidents and Regulation 31
Investigation of dangerous occurrences that the employer ensures that the co-chairpersons or
designates, the employer and the representative or where there is no committee or representative,
the employer is involved.
The Mines Regulations, Regulation 10 Monthly Statistics “Not later than 14 days after the end of
each calendar month, an employer or contractor must provide the division and the co-chairpersons
of the committee with employment and accident statistics for the previous calendar month in a form
satisfactory to the chief mines inspector.”
The Workers Compensation Act 140 Forwarding information re injury records — “The board may
forward to the Occupational Health and Safety Division any information respecting the injury record
of an employer or any class or subclass of industries that the board considers appropriate for the
purpose of improving occupational health and safety.”
Injured Worker
In the previous section, we reviewed the legislative requirements. Employers have a legal and moral
responsibility for health and safety in the workplace. The WRS also places responsibility on all
employees in the workplace to the degree of authority and control they have.
A personal injury can be physical, a work-related disease, an illness, psychological or emotional
conditions that may be related to stressful work, discrimination, harassment, a hostile work
environment, violence or a fatal injury.
Money cannot measure all the harm done by accidents and illnesses. Being injured at work has
serious and sometimes permanent and irreversible effects on its victims and their families as well
as first responders and co-workers.
There are varied ranges of social and economic consequences for the injured that are caused by
a number of factors. Injury or illness put a strain on relationships in a number of ways, through
emotional stress, financial pressures and isolation.
Workers die, lose their health, income, careers, dreams and futures. Eliminating and reducing the
impact of work-related injuries and illnesses is a moral and legal responsibility of all those in the
workplace.
Employer
Employers are required to provide a healthy and safe workplace, to identify, assess and control
hazards. Employers are required to train and inform employees on the hazards in their workplace
and the controls in place.
Employers and supervisors must be duly diligent or can face prosecution, fines, contraventions,
stop work orders or summary offence tickets.
Employers are also impacted by the human side of safety and their employees’ injuries and
illnesses. They must face the employee and the employee’s family and often live with guilt of the
workplace injury — what they did or what they didn’t do that may have contributed to the incident.
Those employers who have experienced a serious injury, illness or fatality understand that “safety
is personal”. In the video “Safety is Personal: An Employer’s Story” produced by WorkSafeBC, Mike
Honeyman has a message for employers sharing the hard lesson he learned as a business owner
after one of his workers was seriously injured on the job.
The cost of risk can be calculated from reactive events such as time spent on insurance issues, time
spent on managing claims, fees for consultants and attorneys, regulatory fines. A more effective way
to spend money on risk activities is on the proactive side in activities such as hazard identification,
cost of personal safety, safety equipment and training time.
10 October 2017
Chapter 1: Measurement — Why?
12 October 2017
Chapter 1: Measurement — Why?
The WorkSafeBC Small Business Accident Cost Calculator has example for trucking, retail, land-
scaping, hospitality, construction and sawmills but is also customizable allowing the entry of specific
injury costs. WorkSafeBC also offers a free app and a video is available to instruct the user on how
to use the online calculator or the free app.
In this example, the total cost of the incident was estimated to be $3,630, the average profit margin
was 3% and the average revenue per day was $10,000. The recovery costs would require $121,000
in gross sales/12.1 days.
14 October 2017
Chapter 1: Measurement — Why?
• Providing safety program and services where required (SEA 3-19, 3-20 Duty to provide
occupational health and safety service and safety programs, Regulation 22 Occupational
Health and Safety Program)
• Ensuring equipment, materials and protective devices are provided, used and maintained
as required (Regulation 25 Maintenance and Repair of Equipment and Regulation 86, 87
Use of equipment required and General Responsibilities)
Effective Leadership
Clear safety leadership is one of the top priorities in establishing a positive safety culture. What are
the leadership principles that promote a positive safety culture?
• Safety as a top priority — In making business decisions there are a number of competing
priorities such as cost, quality, yield and customer satisfaction. It is imperative that senior
management should give safety a high status in the business objectives, and safety should
be prioritized in all situations.
• Leading by Example — It is important that senior management demonstrate visibility and
reiterate their commitment to safety throughout all areas of the organization. For example, if
senior management fails to challenge unsafe behaviours they unwittingly reinforce the notion that
this behaviour is acceptable to the organization. Senior management decisions and actions must
match their words — this creates a shared vision of the importance of safety to the organization.
• Increasing Visibility around Safety — It is good to develop a habit of personally conducting safety
walkabouts. This demonstrates commitment and managers will become personally aware of the
real safety conditions in their area. These walkabouts will also provide an opportunity for managers
to meet their teams in their work areas and to have proactive discussions regarding safety.
• Safety Reporting — A positive safety culture requires effective reporting from staff of front line
safety issues and problems e.g. incidents, near misses and safety concerns. Communicating a
problem or concern is only one step on the route towards a good safety culture. It is important
that feedback mechanisms should be in place to respond to the reporting regarding any actions
taken. Effective safety leaders should respond to all incidents in a positive, learning way. They
lead teams to prompt and thorough investigation of all reports identifying root causes and
implementing corrective actions. This sends a strong message that knowing about anything
that goes wrong is vital to creating the conditions necessary to eliminating the next injury. It
also sends a clear message that management views safety performance as important as other
business objectives.
• Employee Involvement — Active employee participation is a positive step towards preventing and
controlling hazards. Ownership for safety can be improved by providing forums for employees
who assist in getting them to be personally responsible for areas of safety. It should be easy
for staff to report concerns about decisions that are likely to affect them and feedback
mechanisms should be established.
• Creating a Learning Culture — All employees should be involved in learning by contributing ideas
for improvement, and should be encouraged to become aware of what good safety performance
actually means in terms of their own jobs. The existence of a learning culture enables the
organization to identify, learn and change unsafe conditions and behaviour.
• Provide Recognition — A safety leader will give recognition to the delivery of good safety
performance. Recognize the achievements of employees who improve safety in the
organization, including those who voluntarily contribute to safety.
• A Reporting Culture — Employees should feel that they are able to report issues or concerns
without fear that they will be personally blamed or disciplined as a result. Leaders should
demonstrate care and concern towards employees and should have an open door policy
in place to demonstrate this.
• Effective Communication — Effective communication from management to staff is vital
for the success of safety leadership. This can be achieved by:
o A visible safety policy
o Emphasis on safety related issues and policies via staff communication systems, memos,
newsletters, messages from top management, quarterly reports, annual reports, safety
sheets, the organization’s safety objectives/goals and performance against the goals,
and the communication of major accidents.
o Communication systems should be in place within the organization for the effective
transfer of safety and health information between individuals, departments, work
groups and teams
• Safety Management System — Organizations should have effective systems in place for the
management and co-ordination of safety. This should be led by the most senior person in the
organization, with the support of the senior management team. Objectives should be set to
monitor the performance of the system. Outcomes should be communicated to all staff within
the organization at regular intervals.
The Saskatchewan Employment Act (SEA) requires an employer at a prescribed place of employment
(Table 7 Prescribed Places of Employment Occupational Health and Safety Regulations) to provide
an Occupational Health and Safety Program. The requirements of the program are described in
Regulation 22 of the Occupational Health and Safety Regulations. The Safety Program must be
reviewed at specified intervals that are not greater than three years.
16 October 2017
Chapter 1: Measurement — Why?
The employer must include a statement of their policy with respect to the protection and main-
tenance of the health and safety in the workplace. Policies may vary, but most state:
• The commitment of the employer
• The objectives of the Safety Management Program
• The general responsibilities of management and employees
• The role of the occupational health committee/safety representative
• How the program works and is enforced
• The organization’s health and safety philosophy. For example:
o That Health and Safety will not be sacrificed
o That employees are accountable for their performance
o That unacceptable performance will be not be tolerated
Verification of meeting the requirements regarding the policy statement includes such questions as:
• Is there a written corporate safety policy?
• Is the safety policy signed by current senior management (highest level of management
for the employer)?
• Is the policy current?
• Does the policy include the employer’s commitment to safety?
• Does the policy include the employer’s safety philosophy?
• Does the policy include the goals of the safety management system?
• Does the policy include employee responsibilities?
• Does the policy address accountability?
• Is the policy posted in highly visible areas?
• Is the policy communicated to all employees?
• Do employees understand the safety policy?
18 October 2017
Chapter 1: Measurement — Why?
The Occupational Health and Safety Committee assists the workplace by working with the employer
in identifying, assessing and controlling hazards, providing regular inspections, talking with workers
about their health and safety concerns, and performing all other legislated duties of committee.
Substandard health and safety performance will not be accepted. Working in a safe and healthy way
is a condition of employment.
It is our commitment that all work will be performed in an environment created by a healthy and safe
workforce.
Signed by: Vice President of Operations_______________________________ Date Signed:_______________________
The workplace organizational and management measures can be evaluated using surveys. One such
survey was developed by the Institute for Work & Health (IWH) as follows:
The OPM Survey is eight questions regarding health and safety practices. The participant is asked to
answer the questions in regards to the percent of time that each practice takes place. The scores are
interpreted using the logic of green — performing well in health and safety practices, yellow — needs
some improvement, and red — the health and safety likely needs attention and improvement.
The results of the OPM survey can help in selecting leading indicators that might best suit the
specific activities based on the maturity of the OHS system.
20 October 2017
Chapter 1: Measurement — Why?
With a good sense of where your organization is at in terms of its OHS performance level, you can
start thinking about specific activities that drive your organization’s desired OHS outcomes. If those
activities can be measured, they are leading indicators and can be used as a performance metric for
your OHS management system.
Notes
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22 October 2017
Chapter 2: Measurement — What?
• Measurement defined
• Safety objectives or safety performance indicators (SPI)
• Qualitative versus quantitative
• Leading and lagging Indicators
• Validity of data — Behaviour based safety principles, maturity path for reporting incidents
and assessment tool to evaluate reporting and analysis
• Suppression of workplace injury or illness claims
• Basis of data
Introduction
Measurement can be defined as to qualify, order, and quantify certain events and use the results as
a basis for the control and prediction of performance. Multiple words can be used for measurement
such as metrics, analytics and dash boarding — it is important to use the term most understood by
your organization.
Fundamentals
Measurement is the key to problem definition and solution and without it the state of the operation
is unknown. Sound measurement is a prerequisite to control and accountability. People will expend
effort in those areas in which they are being measured. Without it safety is something that will get
done when time permits. Remember you can’t improve what you don’t measure.
24 October 2017
Chapter 2: Measurement — What?
Quantitative data provides quantifiable and easy to understand results. The data is clearer, simpler
and provides objectivity and improved accuracy. There is no bias and is not personality based.
Lagging Indicators
Definition: A measure of past performance and trends, after the fact
Examples: Lost time injuries, medical aids, first aids, lost work days, number of serious injuries,
property damage, etc.
Pros:
• Normally easy to measure and capture
• Important as increasing workplace injuries or illness signal where improvements
are needed in the workplace safety system
Cons:
• Focus on negative things that have already happened in the workplace
• Record outcomes only
• Are reactive
• Poor indicators of major accidents
• Many workplaces have too few injuries to be able to distinguish real trends from random
occurrences
• Rely on injuries being reported — it is possible that not all injuries are being reported.
Leading Indicators
Definition: A measure of future performance, management commitment or systems to drive
performance change
Examples: Inspections and observations compared to plan, percentage of corrective actions com-
pleted, training completed, safety meetings completed versus planned, percentage of maintenance
work orders completed on time, equipment checks completed, emergency exercises planned and
carried out, near-miss reports, etc.
Pros:
• Associated with positive things that happen in the workplace — they measure the presence
of safety rather than the absence
• Help employees see how well they are managing their major incident risks
• Valuable to employers for benchmarking OHS practices against their industry peers, and to
regulatory authorities for targeting resources to interventions likely to have the most impact
• Are a measure of the inputs that people are making to the OHS management process
• Leading indicators are proactive and precede occupational health and safety outcomes;
they are relevant to prevention of work injury and illness and the prevention and
management of work disability
Cons:
• Difficult to identify and capture; often new measures with no history within the organization,
therefore lack of quality data
• Challenge may exist in how to interpret changes in scores, how to use indicators to improve
prevention and how much to tailor indicators to the specific workplaces
Leading indicators are an organization’s indicators that predict a higher risk of work injuries before
they occur so that preventive steps can be taken to avert harm.
The aim is to develop performance indicators that help employees see how well they are managing
their major incident risks.
When establishing leading indicators that are of value for the organization it can be helpful
to examine the three broad categories:
Systems Based Indicators that relate to the management of the Employer’s Health and Safety
System, facility level, region/business unit or corporate level, such as:
• Pre-job planning (task analysis)
• Completion of preventative/corrective action
• Near-miss reporting
26 October 2017
Chapter 2: Measurement — What?
• Learning system
• Management system component evaluation, recognition/disciplinary/reinforcement
program, dashboard for leading indicators: training, stoplight, safety perception survey
• Top 10 risk assessments by area, incident investigation
• Auditing (worksite), orientation training, drug and alcohol screening, permit-to-work system,
pre-job hazard assessments, pre-planning, data use plan (how, when and to whom you
communicate information)
Operations Based are relevant site specific infrastructure such as machinery and operations,
such as:
• Risk Assessment — JSA
• Management of Change Process
• Outstanding (or completed) corrective actions, operating discipline
• Equipment and maintenance (calibration) preventative maintenance, training
• Compliance, prevention through design
• Management system review, safe work orders, process safety information validation
Behaviour Based Indicators measure the behaviour or actions of individuals or groups in the
workplace and the people-to-people interactions related to supervision and management such as:
• Leadership and employee engagement
• Near-miss reporting
• At-risk behaviours
• Area observations, number of walk arounds/field walks
• Safe behaviours, participation rate — observations, close — out of open issues
from observations
• Number and quality of comments
• Safety violations, percent of coached observations (expert/leader involvement)
• Distraction in the work environment, community, off-the-job
• Number of new-to-site/job turnover
• Culture assessment
• Procedure versus policy
Source: The transformative force in EHS — Practical guide to leading indicators NSC 2013: Transforming EHS Performance
Measurement through Leading Indicators by the Campbell Institute — Sandy Smith
Hazard
LAGGING INDICATORS
Respond to detection Control
of holes Control
Control
Harm
LEADING INDICATORS
Test the integrity of
controls
Figure 1 — Safety Performance Indicators and the Swiss cheese model
28 October 2017
Chapter 2: Measurement — What?
The leading indicators are there to identify the failing through routine checking, to plug the holes
before an incident occurs.
The lagging indicators reveal the holes through the occurrence of incidents or defects at which point
action can be taken to prevent recurrence.
Together leading and lagging indicators provide a solid, bigger picture perspective on what is and is
not working in your OHS management program.
In summary, the steps to establish effective SPIs:
1. Establish the organizational structure and leadership commitment.
2. Identify the risk control in place and set lagging indicators that indicate failure.
3. Identify critical elements of the risk control system; actions or processes which must
function correctly and set associated leading indicators.
4. Prepare and implement the Safety Performance Indicators (SPIs).
5. Establish a data collection and reporting system.
6. Review the data and take action.
7. Review the effectiveness of the tracking system — continuous improvement.
Validity of the data, behaviour-based safety principles, and maturity path for
reporting incidents, and assessment tool to evaluate reporting and analysis
The most powerful consequences are certain, soon and significant; however positive consequences
are preferred because of how negative consequences make people feel.
To sustain employee safety improvement employees must feel the effort is worthwhile, recognized
and appreciated. Formal and informal efforts must be made to support active engagement in safety
improvement efforts.
Think about how a reward, personal recognition, or a group celebration makes you feel compared
to a reprimand or criticism. Both are consequences that are significant with regard to behavioural
impact. The difference is in the accompanying attitude or feeling. When feelings or attitudes are
considered, people-based safety is implicated. The principle is important when applied to reporting
of safety incidents and near misses. It is important to reward and encourage reporting so that the
conclusions drawn from the safety statistics collected are valid and therefore will result in proactive
measures that will reduce injuries. If non-reporting has negative consequences this will motivate
reporting. Reward for reporting, do not place blame.
The organization could offer rewards for spotting dangerous situations, broken machinery or health
hazards. Present employees with recognition and gift cards if they become certified by taking
and passing a certain number of safety courses. Give recognition to employees who use proper
safety equipment or demonstrate safe workplace behaviour. If there is an incident, react positively,
commend the person who reports the incident or takes other immediate proper actions. Proper
30 October 2017
Chapter 2: Measurement — What?
handling of injury reports removes the fear and stigma employees normally associate with reporting
work related injuries and illness.
Shown following and adapted from Geller,2005; Creating a Culture Where Employees Own Safety by Anne R, French, PhD. and E.
Scott Geller, PhD., the ABC Model is a basic principle of understanding the behaviour-based and people-based approach to safety.
Environment
behaviours will occur because a positive attitude toward safety is developed. So, recognizing people’s
involvement in safety will facilitate more learning and positive motivation than criticizing people’s
risky behaviours and/or lack of involvement in safety.
Organizations need to use behaviour-based principles appropriately to build internal feeling states like
self-efficacy, personal control, optimism, self-esteem, and belonging which relates to people-based
safety. To get employee involvement, organizations must understand the interdependency between
behaviour-based and person-based approaches to behaviour management.
For improved safety performance, an organization’s safety culture must promote a sense of shared
responsibility for safety through genuine empowerment. When people feel as though they have
influence, are important and are part of something larger they are more likely to put forth the
“discretionary effort” needed for the success of any safety improvement initiative.
32 October 2017
Chapter 2: Measurement — What?
Maturity path for incident reporting and analysis and assessment tool
Maturity path is a concept that can be used to evaluate your reporting and analysis system.
Questions are answered using a four-point scale;
• Beginning
• Improving
• Achieving
• Leading
Beginning indicates the component is nonexistent or poorly designed. Leading indicates the
component is “cutting edge.” An employer can adapt the tool to fit their workplace. Answering
a few simple questions can help show the gaps in your reporting and analysis system and help
the employer to assess and redesign their existing safety management system for reporting.
Source: Beyond Observation and Feedback; Integrating Behavioral Safety Principles into Other Safety Management Systems
by Sherry R. Perdue
34 October 2017
Chapter 2: Measurement — What?
As defined by the IWH: “claim suppression can be defined as actions undertaken by an employer
that hinder the appropriate reporting of a worker’s injury or illness resulting from work.” This includes:
• Instances where the employer induced the worker not to report the occurrence
to a provincial workers’ compensation authority.”
• Situations where the employer’s actions lead to under-reporting of the severity of the
worker’s condition or, the amount of time that the worker was off work due to his or her
injury or illness.
• Claim suppression can be the result of coercive and overt actions by the employer, such as
intimidating the worker with threats of repercussions. Claim suppression can also be more
subtle, such as the employer wrongly offering an injured worker continued wages in lieu of
the worker submitting a claim for workers’ compensation.
Claim suppression is distinct from employer under-reporting and worker under-claiming. Although
claim suppression may involve employer under-reporting and worker under-claiming, without
inducement by the employer, these events alone do not constitute claim suppression.
The violations and penalties available under The Saskatchewan Workers’ Compensation Act, 2013
are as follows:
36 October 2017
Chapter 2: Measurement — What?
The following terminology refer to choosing your workplace definitions for the purpose of your
worksite’s internal data collection. Examples of common terms tracked include:
• Near miss
• First aid
• Medical treatment
• Recordable incident (as defined by Canadian Association of Petroleum Products (CAPP)
or Occupational Safety and Health Administration (OSHA ))
• Reportable incident (reportable to WCB, 52 Duty of employer to notify board of injury,
The Saskatchewan Workers’ Compensation Act, 2013 and/or Labour Relations and
Workplace Safety (LRWS) Regulation 8 & 9, The Occupational Health and Safety
Regulations, 1996.
• Lost time
• Lost work days
• Fatality
• Restricted work
• Environmental
• Property/equipment damage
It is up to the workplace to define these. Often there can be discussions as to when an injury or
illness is work-related and how you decide if the case involved restricted work. The WCB policies
and procedures provide guidance on these topics. Following is information from a legislative and
best practice approach as examples.
Arising out of employment means the injury is the result of an activity that has a link to, originates
from, or is the result of a worker’s employment and would not have happened if not for their employ-
ment. (WCB Policy Manual 3.1.1 Arising Out of and In the Course of Employment (POL 03/2017).
In the course of employment means the injury must:
a) Happen in a time and place linked to employment, and
b) Be the direct result of a worker performing a task which is part of their obligations
and purpose of employment.
(WCB Policy Manual 3.1.1 Arising Out of and In the Course of Employment (POL 03/2017).
Injury presumed out of and in course of employment
Unless the contrary is proven, Section 27 of the Act directs the WCB to presume the following:
a) If an injury arises out of a worker’s employment, it is presumed that it occurred
in the course of employment.
b) If an injury occurs in the course of a worker’s employment, it is presumed that it arose
out of employment.
38 October 2017
Chapter 2: Measurement — What?
Establishing clear guidelines between the classification of a first aid versus a medical aid is important
and normally an area where consistency in application can break down. Defining what is a first aid
and what is a medical aid allows the workplace to understand the severity and therefore the ability
to quantify the risk.
Employers need to understand their legal requirements regarding privacy and to respect employee’s
privacy as it pertains to diagnosis and treatment. Canada does not have a mandatory reporting
system such as the United States Occupational Safety and Health Administration (OSHA) and
therefore health care professionals and employees are not mandatorily required to share this
information with the employer.
Consideration should be given to employers who have dedicated paramedics, nurses, or occupa-
tional therapists on site to handle more advanced treatment of injuries and illnesses versus an
employer who has first aid attendants. The employer with first aid attendants only would likely send
employees to a health care professional for anything that requires further investigation or a second
opinion. Without good definitions in the workplace on what is a first aid and what is a medical aid; one
employer would rarely have medical aids/treatment while the other employer would have numerous
for the same type of incidents.
Some injury definitions are included in Saskatchewan Legislation and/or are generally accepted
terms that are used in Saskatchewan workplaces.
Near miss — an unwanted, unplanned event that didn’t but could have resulted in a loss (production,
property or human)
Work injury — a work injury is an injury that: Happens at work, on company property or on company
business. Needs medical treatment. May or may not need time away from work. WCB Employer
Responsibilities Duty to Report Injuries: www.wcbsask.com/employers/employer-responsibilities/
By definition any time an employee sees a Health Care Professional for a work related injury or
illness it is considered to be reportable to the WCB whether or not there is time lost. The WCB pays
the fees of Health Care Professionals for work-related injury and illnesses. The employer report (E1)
and the worker report (W1) need to be completed for all of these cases.
Injury — means all or any of the following arising out of and in the course of employment:
The Worker’s Compensation Act (Preliminary Matters 2(1) (r))
i. The results of a willful and intentional act, not being the act of the worker
ii. The results of a chance event occasioned by a physical or natural cause
iii. A disabling or potentially disabling condition caused by an occupational disease
iv. Any disablement
Occupational disease — means a disease or disorder that arises out of and in the course of
employment and that results from causes or conditions that are: The Worker’s Compensation Act
(Preliminary Matters 2(1) (aa))
(i) peculiar to or characteristic of a particular trade, occupation or industry; or
(ii) peculiar to a particular employment;
Restricted work — restricted work activity occurs when, as the result of a work-related injury or
illness, an employer or health-care professional keeps, or recommends keeping, employees from
doing the routine functions of their jobs or from working the full work day that they would have been
scheduled to work before the injury or illness occurred.
First aid — means immediate assistance given in case of injury until medical aid has been obtained;
Occupational Health and Safety Regulations Interpretation 2(1)(y)
In the context of safety statistics a “first aid” includes any one-time treatment, and any follow-up visit
for the purpose of observation of minor scratches, cuts, burns, splinters, or other minor industrial
injuries, which do not ordinarily require medical care. This one-time treatment, and follow-up visit for
the purpose of observation, is considered first aid even though provided by a physician or registered
professional personnel; Occupational Health and Safety Administration (OSHA). First Aid include
visits to a doctor or health care professional solely for observation or counseling, diagnostic
procedures, including administering prescription medications that are used solely for diagnostic
purposes; and any procedure that can be labeled first aid. Canadian organizations have adopted
similar definitions to an OSHA first aid. As an example the Canadian Association of Petroleum
Producers (CAPP) published a “Guide for Health & Safety Performance Metrics Reporting November
2013” in which first aids are defined.
Medical aid — means the provision of medical and surgical aid, of hospital and professional
nursing services, of chiropractic and other treatment and of prosthetics or apparatus; The
Worker’s Compensation Act (Preliminary Matters 2(1)(v))
Medical treatment — in the context of safety statistics , sometimes referred to as a medical aid
being medical treatment beyond first aid. Involves a significant injury or illness diagnosed by a
physician or Health Care Professional. (CAPP)
Recordable or recordable incident — In the context of safety statistics a “medical aid” is sometimes
referred to as a recordable or a recordable incident. A recordable definition could include those
work-related injuries and illnesses that result in:
• Death;
• Loss of consciousness;
• Days away from work;
• Restricted work activity or job transfer; or
• Medical treatment beyond first aid.
40 October 2017
Chapter 2: Measurement — What?
Including work-related injuries and illnesses that are significant such as cancer, chronic irreversible
disease, a fractured or cracked bone, or a punctured eardrum.
The term recordable tends to be associated with the Occupational Health and Safety Administration
(OSHA), however this has been adapted/adopted by Canadian organizations such as The Canadian
International Development Agency (CIDA) and the Environmental Services Association of Alberta —
Incident Classifications ( Authors: Jim Swiss, Cari Chernichen, Rafael Gay-de-Montella), Canadian
Association of Petroleum Producers, and Co-op Refinery Complex (CRC).
OSHA recordable — An injury or illness meets the general recording criteria, and therefore to
be recordable, if it results in any of the following: death, days away from work, restricted work
or transfer to another job, medical treatment beyond first aid, or loss of consciousness. You must
also consider a case to meet the general recording criteria if it involves a significant injury or illness
diagnosed by a physician or other licensed health care professional, even if it does not result in
death, days away from work, restricted work or job transfer, medical treatment beyond first aid,
or loss of consciousness. Occupational Safety and Health Administration (OSHA)
Total recordable injuries — the sum of fatalities, lost work day cases, restricted work cases,
and medical treatment cases (CAPP)
The term “recordable” is often associated with the United States Occupational Health and Safety
Administration (OSHA) mandatory reporting requirements. However many Canadian industries have
adopted this term and provided definitions that are the same or very similar to an OSHA recordable
definitions.
Remember that some employers may benefit from starting with the simpler approach, tracking only
first aids, no time lost and lost times.
The following Medical Aid/Medical Treatment Chart is an example of a chart that can be developed
at the workplace to help guide decision making between First Aids (non-recordable) and Recordables
(Medical Aid /Medical Treatment).
42 October 2017
Chapter 2: Measurement — What?
Source: https://www.jjkeller.com/learn/guide-to-OSHA-recordable-injuries-and-illnesses
In summary, employers must decide what depth of incident classification is the best for their
workplace. Starting at a basic level may benefit some workplaces.
Chapter 2 covered determining what to measure. This requires the workplace to establish the
policies and definitions for classifying incidents at the workplace (first aids, medical aid, lost time).
Ensuring the data is valid means that the employer has established effective incident reporting
policies, time lines and responsibilities and has determined what Safety Performance Indicators (SPI)
will provide value at the workplace, and ensures that both leading and lagging indicators have been
selected. The next step is to determine the sources of where to collect the safety data.
Notes
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44 October 2017
Chapter 3: Measurement — Where?
Introduction
To calculate safety statistics the workplace will need to gather the correct data on a consistent basis.
Fundamentals
Employers can obtain historical data from the Workers’ Compensation Board however workplaces are
encouraged to maintain their own statistics. It is strongly recommended that the employer establish
a routine method to collect the safety data. This will provide accurate and timely information in terms
the employer and employees understand.
46 October 2017
Chapter 4: Data Management — Collecting
Introduction
There are a number of ways to store safety information from very basic to very sophisticated
or complex.
Fundamentals
When it comes to data management, usually the more sophisticated a data collection system is,
the more cost associated with the purchase and maintenance of the system. Employers have options
and should choose the best solution for their workplace.
The example given in the Appendices section of this guide includes an Excel spreadsheet (Safety
Incident Log sheet) for logging the safety data and production of the visual safety products (graphs).
Notes
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48 October 2017
Chapter 5: Data Management — Building
Introduction
Once a data collection tool has been selected (spreadsheet, data base, EHS Management Software)
then it is time to determine what data to track. The terminology used will provide data that is
meaningful and clear to your workplace.
Fundamentals
Customization in terms of what your workplace tracks may depend on the maturity of your current
tracking system. The employer should decide what is important and can choose to grow as they are
ready. For some employers starting with basic data may be the correct approach. Showing the merits
and values of data collection to the workplace will gain acceptance and support.
To assist with selection of the data, an explanation and the benefits of building specific data
is described as follows:
Date of the incident — Date of injury, incident, near miss, etc.
Date reported — By documenting date of the incident and the date the incident is reported the
employer has a proactive measure of whether the reporting/investigating policies and procedures
are being followed. The spreadsheet provides factual data on where improvements can be made
and who to follow-up with. For instance, if the employer establishes that all incidents must be
investigated within 24 hours and the investigations are lagging by several days or even weeks then
there is objective evidence that investigations are not completed as per the employer’s policies.
Injury or no injury — Initially employers may want to record and track basic information. The
basic criteria would be First Aids, Medical Aids, Lost Time but these will be based on the standard
definition decisions made by the employer as discussed in Chapter 2 Basis of the Data. Restricted
Work may or may not be an area that employers choose to record. A column is also provided for
recording of “No Injury” events such as Near Miss, Property Damage, and Environmental Damage.
Reporting and investigating “near misses” are working on the proactive side of safety, controlling
an identified risk before someone gets hurt.
Description of incident — This should be a very brief description of the incident. If this information
is already entered in the Incident Investigation the employer will decide how much, if any of this
information you want to capture in the Safety Incident Log sheet.
Part of the body injured — The Part of the Body Injured categories aligns with the WCB
method of classification of reporting injuries which can be found on the WCB website;
www.wcbsask.com/about-wcb/statistics/ in the Statistical Supplements. These are; Head, Eyes,
Neck, Shoulder, Chest, Back, Abdomen, Arms, Hands, Legs, Feet, Body System, Pelvic Region,
Multiple, other. This is an area where customization for the workplace may be of benefit.
Causes of the injury — Categories are based on the WCB Statistical Supplement and include broad
categories. The workplace may want to customize or add to the Data Validation choices to be more
specific and meaningful to their workplace as the general areas may not apply or give enough
information for the users of the data. The categories used in the example spreadsheet are:
Assaults & Violent Acts, Bodily Reaction & Exertion, Contacts with Objects and Equipment,
Exposure to Harmful Substances or Environments, Falls, Fires & Explosions, Transportation
Accidents, Other events or exposures. Reference Material has been provided in the Appendices
in the “Cause of Injury Reference Sheets” which lists all the line items that make up the broad
categories as a “cheat sheet” for employers when deciding which category to select.
Department/cost centre — Should be customized for the workplace. It can reflect cost centre
numbers or the departments in the organization. It is recommended to keep this at a manageable
level.
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Reported by, supervisor, employee — Input into the data collection tool must be consistent
for sorting purposes. Example: Michael or Mike — must be always consistently entered.
Job family/class — Should be customized for the workplace. It can reflect positions, job family, and
class. Example: Maintenance may be set up as a department or cost centre but within maintenance
there may be pipefitters, welders, millwrights, electricians, carpenters. You may want to subdivide
maintenance into job classes to better track where injuries are occurring.
Years job experience — Can be customized for the workplace such as categories of; < 6months,
< 2years, 2-10 years, >10 years.
Employment status — Categories such as Temporary, Full Time, Casual, Summer Student,
Contractor. This should be customized.
Primary factors — A simple but effective way of determining the causes for an incident is to keep
asking who, what, where, when and how for every essential event until satisfied you know why the
incident happened. Consider each event before, during and immediately after the incident and
evaluate the role of every factor, including; People, Material, Environment, System, Work Process.
When determining root or underlying cause for any of the factors determined to relate to the incident
it is important to ask the question “why were the factors allowed to exist or go uncorrected.” Often
this requires using the principle of “5 whys” which will be discussed later in this guide. Reference
Material titled “Factors Reference Guide” has been provided in the Appendices which lists all the
line items that make up the broad categories as a “cheat sheet” for employers when deciding which
category to select. Customization to fit the workplace is recommended.
Corrective action (short & long term) — This should be a very brief list of corrective action. This
information is contained in the incident investigation and therefore may not need to be repeated in
the spreadsheet, the employer should review if these columns have value to them. If the employer
feels this is a duplication of work, the columns can be deleted.
Corrective action target completion date, corrective action actual completion dates (short and
long term) — The employer should customize the inputs to suit what is meaningful for them to report.
Tracking completion against target is a measure of a leading indicator.
Follow-up (high risk) — Using risk assessment the employer establishes which hazards are
priorities. Those with highest risk based on frequency, severity, probability must be addressed.
The employer is required to monitor the effectiveness of the corrective action. This column provides
a means of due diligence around tracking to be sure that high risk/priority items are follow-up on to
ensure effectiveness of controls and documentation of the same. The employer must decide if this
is something they wish to track and establish policies regarding the follow-up.
Comments — Text field for entry of any additional information the employer wishes to document.
Samples of the reference materials are shown below. For the complete references materials
see the appendices section of this guide. The tools are also available on the WorkSafe website.
Cause of injury reference sheets — Aligned with WCB classification of injuries.
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Factors Reference Guide — Incident Indirect and Root Cause Reference Sheet Examples
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First Aid Register — Referenced in the Incident Investigation Form — legislative requirement for every
first aid station.
Note: The first aid register must be readily available for inspection by the committee or representative and records must be retained for a period of not less
than five years from the day on which the register ceased to be used.
Incident Investigation Form — Example Incident Investigation Form. The full Incident Investigation
Form is listed in the Appendices.
A. Event information
Date investigation Investigation type: - Select -
started: Reportable under regulation 8 or 9 in the OH&S Regulations is defined as a “serious bodily injury”
and/or “dangerous occurrence”. These require immediate investigation by the employer and the OHC
co-chairs or representative (regulations 29 and 31). Notification must be provided as soon as
reasonably possible to OH&S Division at 1.800.667.5023 (Saskatoon) or 1.800.567.7233 (Regina)
Regulation 30 – Prohibition re scene of accident. Unless authorized and except for the purposes of
saving life, the scene must be preserved and nothing can be altered or removed.
Injury/illness: (Complete WCB forms E1 and W1 when treatment of injuries requires medical aid administered by a physician or
registered health care professional)
No injury First aid Medical aid Restricted workday Lost workday Fatality
Worksite location: - Select - Department/cost centre where incident happened:
- Select -
Description of incident: (Sequence of events - describe in detail what happened before, during and after the incident. Include where
the incident occurred, what the employee was doing at the time, weather conditions, size type and weight of the equipment or materials
involved. Be concise. Bullet format is acceptable. Attach additional pages, diagrams and photos as necessary.)
Names of all witnesses: Did you get witness statements? Pictures/diagrams attached?
- Select - - Select -
This form does not take the place of or take precedence over OH&S legislation. This form may be used to complement or supplement your OH&S obligations but in no way replaces any obligations that exist
under OH&S legislation. Should you choose to use this form, WorkSafe Saskatchewan assumes no responsibility or liability for any outcomes that may arise from its use. All employers and workers should be
familiar with The Saskatchewan Employment Act and the Occupational Health and Safety Regulations. This form should be adapted to meet the particular requirements of your workplace.
Medical Restrictions Form — referenced in the Incident Investigation Form — as per employers
program required by employees when seeking medical attention on first visit to assist employer
in providing modified or alternate work.
MEDICAL RESTRICTIONS FORM – Enter Employer Here
Early and Safe Return to Work
The purpose of this form is to; provide restrictions to the employer to enable the worker to return to alternate or
modified work as soon as possible, to identify suitable work that is both productive and safe, and to provide work
assignments that honour the outlined restrictions. If the employer is unable to offer work that is appropriate to the
outlined restrictions the worker will be off work.
Section A: Employee Information (to be completed by Employee)
__________________ _______________________ ____________________________
Print Employee Name Department Occupation/Duties
I, _______________________(Employee Signature), authorize the release of the following information to my employer to assist in an
early and safe Return‐to Work. Dated (dd/mm/yy) _____________________________
Section B: Restrictions, Limitations & Precautions (to be completed by Health Care Professional).
Please take the time to consider the following so we may ensure the duties offered meet the needs of the employee.
Strength Safety and Balancing
lifting, carrying, pulling or pushing objects to a maximum of: avoid work on slippery or uneven surfaces
5 Kilograms 10 Kilograms 20 Kilograms avoid the operation of vehicles or equipment
avoid firm or repetitive right-hand grip avoid work at heights
avoid firm or repetitive left-hand grip avoid stairs
no strength restrictions avoid work in areas requiring full peripheral vision
no balancing or safety restrictions
Postures and Tasks Environmental Factors
avoid prolonged bending and/or twisting of the torso avoid work in extreme temperatures
avoid prolonged kneeling, squatting, or crawling avoid work in dust, chemical vapors, etc.
avoid overhead or above shoulder work avoid work with vibrating hand tools
restrict standing/walking to _______ hrs. per shift restrictions on PPE – respirator, hard hat, safety glasses
provide changes between standing, sitting and walking fall protection, etc.
no posture or task restrictions no environmental concerns
Work Hours Medical Treatment
restrict work hours to _______ hrs. per shift/week Employee required to wear assistive devices or braces
no restrictions - full time hours Employee involved with treatment and/or
medications that may affect his/her ability to work?
Can this employee safely return to work if the restrictions are accommodated Yes No
Expected date for return to full duties _______________________________
Other Medical Restrictions/or Comments:
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Safety Incident Logsheet — Example of the use of an Excel spreadsheet sheet for building the data.
Risk Analysis
Corrective action plans and controls must be based on risk assessment for prioritization. Risk
assessment should be applied to job hazard analysis, hazards, inspections, and investigations.
What is probability? Probability is the chance that a hazard will cause harm. Consider: How many
workers are exposed? How often?
What is severity? Severity is the seriousness of the harm that could result from contact with
a hazard, consider: Catastrophic, critical, marginal, negligible (fatality or paper cut).
What is a risk? Risk describes the odds that a hazard will cause harm. It refers to the probability
and severity.
What is Risk Analysis?
The combination of identifying hazards and assessing their risk is called risk analysis. Risk Analysis
can help set priorities. Normally, hazards with the highest risk that affect the most workers should
receive the greatest attention.
The simple risk estimator following is covered in Level 2 Committee Training and described
in “Inspections: A Guide for Committees and Representatives.”
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Remember when considering risk, it is important to consider the “potential for harm,” not just what had
happened. Consider the “high potential” near misses where the organization should spend prevention
energy. Establish leading indicators to identify the holes and plug them before injury occurs.
Example of 5 Whys
Why? Because...
1 Why is Tom injured? ... he had a fall
2 Why did he fall? ... the floor was wet
3 Why was the floor wet? ... there was a leaking valve
4 Why was the valve leaking? ... there was a seal failure
5 Why did the seal fail? ... it was not maintained
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Introduction
By capturing the data on a consistent basis the employer will be able to produce basic information
of value for their workplace.
Fundamentals
A decision of what to track will need to be decided by the workplace. Either initially (such as number
of first aids, number of medical aids, number of lost times) or as confidence and skills develop in the
tracking safety statistics consideration should be given to tracking indicators such as Total Recordable
Incident Rate (TRIF), Severity Rate, Lost Work Day Rate, and DART Rate. Having insight into how
these statistics are calculated can be helpful for employers to ensure they choose the calculations
that are best suited to their workplace.
# of first aids
# of medical aids
# of lost times
Head
Neck
Shoulder
Chest
Arm Back
And associated:
Part of the body injured
Cause of injury Hand
Finger
Leg
Foot
For the:
Site
Division
Department
Following are explanations and examples of safety statistics that can be used in the workplace
to track safety.
Incident Rates are examples of lagging indicators because they describe past history. Incident rates
can be helpful when compared to other companies in similar fields that are a similar size. They tend
to be most useful when you compare them over several periods, so you can identify trends. Most
medium or larger companies would benefit from computing these rates each month, and tracking
the trends from month to month.
Smaller companies that experience recordable incidents will most likely have high incident rates,
or the incident rates will fluctuate significantly from year to year. This is because of the small number
of employees and lower number of labour hours worked at the company.
With incident rates if you notice that your rates are climbing you need to investigate to determine
what is happening. If they are declining, it’s a sign that your workers are following safe practices
and that your injury rates are reducing, but vigilance and continuous improvement by looking at
the leading indicators remains very important to evaluate the safety program.
Remember leading indicators measure future performance; work on the proactive side, filling the holes
in the safety system before someone gets hurt. Major incidents result when a series of failings in risk
control systems occur at the same time, or in other words the holes in the Swiss cheese line up.
Definition:
Total Recordable Injury Frequency (TRIF) — Total recordable injuries are the sum of fatalities,
lost work day cases, restricted work cases, and medical treatment cases per 100 workers. (Source
Canadian Association of Petroleum Producers (CAPP) — Guide Reporting of Occupational Injuries
June 2008)
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3 medical aids
+
TRIF = 5 x 200,000
1 lost day
91,140
+
TRIF = 10.97
1 restricted work
5 recordable injuries
What is known now is that for every 100 employees, 11 employees have been involved in a work-
related recordable injury or illness.
Why 200,000? This was to develop a standardized way to measure rates, so that companies
of different sizes could be compared fairly. They chose 200,000, because it represents the
number of hours that 100 employees working 40 hours a week for 50 weeks would accumulate.
Note in Saskatchewan, by legislation we get three weeks of vacation. Therefore the calculation
would actually be 100 employees working 40 hours a week for 49 weeks, which is 196,000 hours —
the fact is that there is many different work schedules and hours so the 200,000 hours chosen is an
approximation of 100 employees in a year.
When calculating the hours worked each year, month, etc. consider:
• The total number of hours worked by employees should not include any time
that was not worked, such as vacation or sick time, even if it was paid.
• Should include overtime hours worked
• Should include all employees including managers, supervisors, etc.
• Can usually be supplied by payroll or human resources
Injury Frequency
Source: Canadian Centre for Occupational Health and Safety (CCOHS)
Definition:
Injury frequency — Number of new lost-time claims for assessable employers per 100 workers
of assessable employers
Medical Incidents are sometimes referred to as Recordable Incidents, which is a term that
comes from OHSA mandatory reporting in the United States. Instead of using the term recordable
the employer could substitute Medical Aid Incident Rate and use the same calculation or create
the workplace definition for what a “recordable” is. The OSHA definitions are available online.
Definitions:
Recordable incident — In the context of safety statistics a medical aid is sometimes referred
to as a recordable or a recordable incident. A recordable definition include those work-related
injuries and illnesses that result in:
• Death;
• Loss of consciousness;
• Days away from work;
• Restricted work activity or job transfer; or
• Medical treatment beyond first aid.
• Includes work-related injuries and illnesses that are significant such as cancer,
chronic irreversible disease, a fractured or cracked bone, or a punctured eardrum.
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Definition:
Recordable incident rate — A mathematical calculation that describes the number of employees
per 100 full-time employees that have been involved in a recordable injury or illness.
Definition:
A mathematical calculation that describes the number of lost days experienced as compared to the
number of incidents experienced.
Definition:
A mathematical calculation that describes the number of lost cases per 100 full-time employees
in any given time frame.
Definition:
A mathematical calculation that describes the number of lost work days per 100 full-time employees
in any given time frame.
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Definition:
A mathematical calculation that describes the number of recordable incidents per 100 full time
employees that resulted in lost or restricted days or job transfer due to work-related injuries or
illnesses.
Graphs and charts are part of visual safety. Graphs are processed by the brain faster than text.
Advantages:
1. Quick way for the audience to visualize what you are saying — trends up or down
2. Forceful — emphasizes main points
3. Convincing — proves a point — see and hear
4. Compact way to convey information
5. More interesting than just talk or print
Disadvantages:
1. Time commitment — decision must be made in advance for layout, etc.
2. Some technical competence required — must have some skills to create and knowledge
of what you want to present
Line Graphs:
Line graphs are the most common graph type. They are used to connect the data points that are
plotted. Line graphs are must useful for showing trends and identifying whether two variables relate
to each other. They work well for continuous variation such as complete range of measurements
from one extreme to the other. Height is a good example of continuous variation. Individuals can
have a complete range of heights, for example; 1.6, 1.61, 1.62, 1.625 meters high.
Examples:
• First aids per month: How do first aids vary from month to month?
• Medical aids per month or year
• Graph shown below: Number of Youth Claims per month from 2008-2013
(Saskatchewan WCB)
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Bar Graphs:
Often the choice of graph depends on how easy the trend is to spot. If a line graph can be used for
the data, then often a bar graph can be used just as well. However, the opposite is not always true.
When your x axis variable represents discontinuous data (such as male/female) than a bar graph
can only be used.
Discontinuous variation — This is where individuals fall into a number of distinct classes or cate-
gories, and is based on features that cannot be measured across a complete range. You either have
the characteristic or you don’t. Blood groups are a good example: you are either one blood group or
another — you can’t be in between. Such data is called discrete (or categorical) data.
Bar graphs show relationships between different data series. The height of the bar represents
the measured value or frequency. The higher or longer the bar — the greater the value.
Examples:
• First aids per department over three years
• Work-related death claims by age at time of death and category of disease (WorksafeBC
2013 Data)
Pie Charts
Pie charts compare parts to a whole and show percentage distribution. The entire pie represents
the total data set. Each segment of the pie is a particular category of the whole. Pie charts must
use the same unit of measure within a pie chart or the data will be meaningless. One of the draw-
backs of a pie chart is that sometimes percentages are difficult to discern.
Despite the obvious nature of a pie charts message, bar graphs provide a much better means
to compare the magnitudes of each part. Pie charts only make it easy to judge the magnitude of a
slice when it is close to 0%, 25%, 50%, 75%,or 100%. Any percentages other than these are difficult
to discern in a pie chart, but can be accurately discerned in a bar graph, thanks to the quantitative
scale. If using a pie chart, adding data labels that indicate percentage can be helpful.
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Below is a pie chart with six slices. Notice how easy it is to determine the value of Company C
(the green slice) is 25%, one quarter of the pie.
Now notice how that even the green slice, which was easy to read as 25 % above, is no longer
as easy to recognize as 25% in the chart below.
None of the values have changed; the slices were simply sorted by size.
Notes
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72 October 2017
Chapter 7: Data Management – Reporting
Introduction
The employer will need to determine how often the Safety Statistics are compiled and the
information distributed.
Fundamentals
In Chapter 1, we discussed the benefits of keeping safety statistics. Reporting facilitates the sharing
of the knowledge gained. The benefits include providing an objective evaluation of the magnitude of
occupational illness and injuries, providing a measurement of the progress and effectiveness of the
health and safety program, enabling the identification of high-hazard tasks, facilities and problem
areas so that extra effort can be made in those areas, creating an interest and awareness in safety
and health amongst the employees, helping establish the need for and content of training programs
and ultimately reducing human suffering, costs and improve morale.
Reporting
Timeliness for reporting can depend on the size of the workforce or the maturity of the Safety
Statistics Measurement System. A large workforce may want to report daily, smaller workforces
may choose to report weekly or monthly. Consider the best reporting frequency for the workplace:
• Daily
• Weekly
• Monthly
• Quarterly
• Annually
• Trends over 5 years, etc.
When considering distribution of the safety statistics consider:
• Management — minimum of monthly reporting
• Occupational Health Committee — minimum of quarterly
• Health and Safety Bulletin Boards — minimum of quarterly
Departments, managers and supervisors should be aware of their safety performance relative to
their departments and the organization as a whole. They should be held accountable for their safety
objectives and this requires measurement. “You can’t improve what you don’t measure.”
The Occupational Health Committee should review the safety statistics at every meeting looking
for trends and identifying hazards — identify, assess and control. A summary of the safety statistics
should be a part of the agenda issued for each committee meeting.
Health and Safety Bulletin Boards should have regular updates to the safety performance. Post
graphs and summaries. Some employers may choose to have a special board or electronic posting
boards to provide safety statistics information.
74 October 2017
Chapter 8: Training
Introduction
There are many training requirements in the workplace.
Fundamentals
The employer must provide workers with a comprehensive health and safety orientation and
workplace-specific training. It is important that all employees receive training so they understand
their responsibilities and procedures relevant to reporting. Meaningful statistics cannot be collected
if there is non-existent reporting or properly conducted investigations. Remember the principle
of GIGO — garbage in, garbage out.
Training
It is always important to understand what the legislation says. The employer must provide workers
with a comprehensive health and safety orientation and workplace-specific training. Supervisors
have a general duty to protect workers under regulation 17(2) that includes orientation and training.
The supervisor is expected by the employer to ensure the work is being done in a competent manner.
Orientation and training are the responsibility of the supervisor.
Train: SEA 3-1(1)(ff) Definition
To give information and explanation to a worker with respect to a particular subject-matter and
to require a practical demonstration that the worker has acquired knowledge or skill related to
the subject-matter.
General duties of employer SEA 3.8(f) “ensure that: (i) the employer’s workers are trained in all
matters that are necessary to protect their health, safety and welfare”
Training of Workers The Occupational Health and Safety Regulations, 1996 Regulation 19
“An employer shall ensure that a worker is trained in all matters that are necessary to protect
the health and safety of the worker…”
Resources:
CSA Z1001-13 Occupational health and safety training — This standard addresses the organization’s
need to be able to select and provide appropriate occupational health and safety training to ensure
workers are suitably trained to perform their work.
Training must include information about the employer’s health and safety system and details
about safety policies, rules and especially safe operating procedures or guidelines. Training should
include how to report hazards, concerns, accidents, incidents and dangerous occurrences. Training
should include any specific policies that the employer deems necessary to protect the health and
safety of workers. Workers need to know their rights for safety under the OHS legislation. Important
information to cover is the worker’s health and safety responsibilities.
Examples of training and those that are directly relevant to safety statistics are shown in blue text:
• Orientations — induction or transfer
• First aid facilities’ location and first aid register
• Safety policies, rules & procedures
• Reporting unsafe conditions and hazards
• Reporting and investigating incidents
• Inspections
• Return to work procedures and responsibilities
• Hazards & controls
• Precautions for the protection from physical, chemical or biological hazards
• Fire and emergency procedures
• OHS responsibilities
• Any other matters that are necessary to ensure the health and safety of the worker
while at work
It is important to keep a record of the orientation and training as well as written work procedures.
Remember to document and keep:
• A record of the orientation and training provided.
• A record of follow-up instruction.
• A copy of any associated written work procedures & policies.
Act Section 3-81 — Onus on accused re Training of Workers: “In any proceedings for an offence
pursuant to this Act or the regulations consisting of a failure to comply with a duty or requirement
related to the training of workers, the onus is on the accused to prove that the training provided
met the requirements of this Act and the regulations.”
Induction training should be taken seriously as every place of employment has hazards. Induction
training should include fire escape routes and exits, alarms, fire extinguishers, how to contact a first
aider, PPE, reporting and investigations.
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Chapter 9: Communications
Introduction
Communication is what we do to inform, get information from or influence others. It includes what
we say or write, gestures, body language, tone of voice and expression and actions or lack of action.
Everything in the workplace involves communication.
Fundamentals
An effective training and communications program will significantly reduce the risk of personal injury,
reduce damages to property, produce a quality product, increase production, improve employee
morale, and improve employee loyalty and retention.
Communication
Research suggests 70 per cent of workplace mistakes are caused by poor communication. How
we start our message often determines the result. People quickly determine the meaning of our
message and whether they will be receptive at the beginning. We only have a short time to get our
messages across.
• 2 minutes when we are face to face
• 30 seconds on the telephone
• 10-15 seconds by voice mail
Communication methods include:
• Induction training
• Formal training
• Tool Box talks, safety meetings
• Occupational Health Committee
• Signs
• Notices and posters
• Face-to-face communication
• Emails, text messages, safety flash, and handouts
• Company newsletter
• Intranet
• Videos
Communication methods should always provide an opportunity for discussion, questions and
feedback.
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Chapter 9: Communications
8. Use positive language. Avoid words like don’t and can’t. Focus on the behaviour you want,
rather than talking about what you don’t want.
9. Expectation clarity. Let everyone know what is expected of them and how you will
be measuring it. Clearly set goals and targets.
10. Follow-up with action. While workers might accept your words, they will want to see action
that you believe what you say. “Actions speak louder than words.”
(Sources: Communication of health and safety in the workplace (Future Engineering Talent) and 10 ways to Improve your Workplace
Safety Communication – Digicast.com)
Hints:
• Polish dull safety statistics into shining examples of effective communication.
• Convert numbers and percentages into dollars and human beings. Relate to flesh
and blood, to fathers, mothers, sons, daughters, brothers, sisters, grandparents
and grandchildren.
• Discuss specific incidents behind the figures.
• Ask people to think and talk about what effects a given case may have had upon the family.
• Use visuals to create clear mental pictures of what the losses mean in terms of people,
property, production and profits.
Notes
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80 October 2017
Chapter 10: Continuous Improvement
Introduction
Continuous improvement, sometimes called continual improvement, is the ongoing improvement
of products, services or processes through incremental and breakthrough improvements.
Fundamentals
Continuous improvement occurs when the amendments are acted upon and improvements
are made so that the value of the Health and Safety Management System is enhanced.
Continuous Improvement
Continuous improvement requires that set objectives are measured at planned intervals and
the organization is prepared to assess whether or not they have met them relative to suitability,
adequacy and effectiveness.
It is important to make all employees part of the continuous improvement team and encourage
them to act. Regularly assess engagement levels and ask employees whether the organization
has communicated its strategy well.
Evaluate changing circumstances, including legal and other requirements related to applicable OHS
in the workplace.
Identify resource deficiencies. Improvements should continue uninterrupted, reflecting a culture
that values the safety of people, products and processes.
Regulation 22 states that an Employer’s Health and Safety Program must be reviewed at intervals
not greater than 3 years and whenever there is a change in circumstance that may affect the health
and safety of workers.
CCOHS — Continuous Improvement — Section 21 — Implementing an Occupational Health and Safety
(OHS) Program
• Has management commitment and leadership been demonstrated and is it effective?
• Are OHS policy and objectives being achieved?
• Do policies and procedures meet legal and other requirements?
• Have hazard and risk controls been implemented and are they effective?
• Is worker participation in OHS activities effective?
• Has the OHS Program been evaluated and areas for improvement identified
and implemented?
• Have incidents, illnesses and near misses been investigated and root causes identified
and remedied?
• Are training programs for employees effective?
• Are communication programs for employees and external interested parties effective?
• Is information being produced, reviewed and used for the continual improvement
of the OHS Program?
The four phases in the Plan-Do-Check-Act Cycle for continuous improvement involve:
• Plan: Identifying and analyzing the problem.
• Do: Developing and testing a potential solution.
• Check: Measuring how effective the test solution was, and analyzing whether it could be
improved in any way.
• Act: Implementing the improved solution fully.
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Assess opportunities for continual improvement and the need for changes to the organization’s
OHS policy and objectives.
Ensure the Safety Performance Indicators (SPIs) (leading and lagging indicators) selected to monitor
are providing the information that was intended and are providing benefit in safety improvement
efforts.
In Chapter 2 Measurement — What? — We discussed selection of the safety objectives and safety
performance indicators to:
• Consider if there are problems to be solved, or an important area where improvement
is needed
• Consult workers, the committee and representatives
• Ensure compliance with legal requirements
• Determine SPIs with consideration of the organization’s operational and business
requirements
• Make sure the indicators selected have direct ties to the outcomes you are trying
to achieve and that the SPIs are within your sphere of influence
• Include leading and lagging indicators to establish and monitor the objectives
• Designate responsibility for achieving objectives and targets
• Determine the means and time frame within the objectives to be met
• Communicate the objectives to all employees
• Hold employees accountable for their safety related actions, employee accountability
must be consistently enforced
• Include safety in performance evaluations
• Maintain an element of continuous improvement
• Discuss and evaluate safety objectives at regular and planned intervals by management
(at least once per year)
The continuous improvement efforts should include a review of whether the employer is meeting
its objectives and if the correct SPI were selected.
Notes
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84 October 2017
Chapter 11: Quick Start Process Map
Introduction
This guide has covered the why, what and where of measuring safety statistics. Data management
considerations such as collection, building, products and reporting were discussed. Finally a section
of training, communication and continuous improvement was included to help workplaces ensure
their efforts in developing Safety Performance Indicators (SPIs) were being communicated and
evaluated for effectiveness.
Fundamentals
The intent of this guide is to provide work places with information and tools needed to set safety
objectives, select Safety Performance Indicators (SPI), track and communicate performance to
reduce and eliminate work related injuries and illnesses.
Designate Responsibilities
• Meaningful
Identify Objectives (Safety
• Actionable
Performance Indicators (SPI)
• Valid
Evaluate Effectiveness
86 October 2017
Important Websites
Source Website
American National Standards Institute (ANSI) www.ansi.org
Canadian Association of Oilwell Drilling Contractors (CAODC) www.caodc.ca
Canadian Centre for Occupational Health and Safety (CCOHS) www.ccohs.ca
Canadian Manufacturers and Exporters (formerly the Canadian www.cme-mec.ca
Manufacturers Association)
CSA Group (formerly the Canadian Standards Association) www.csagroup.org
Energy Safety Canada www.energysafetycanada.com
Heavy Construction Safety Association of Saskatchewan (HCSAS) www.hcsas.sk.ca
International Organization for Standardization (ISO) www.iso.org
LRWS Occupational Health and Safety Division www.saskatchewan.ca
Motor Safety Association (MSA) www.motorsafety.ca
National Fire Protection Association (NFPA) www.nfpa.org
National Institute for Occupational Safety and Health (NIOSH) www.cdc.gov/niosh
National Safety Council (US) www.nsc.org
Public Health Agency of Canada www.phac-aspc.gc.ca
Publications Saskatchewan www.saskatchewan.ca
Safe Manitoba www.safemanitoba.com
Safe Saskatchewan www.safesask.com
Safety Association of Saskatchewan Manufacturers (SASM) www.sasm.ca
Saskatchewan Association for Safe Workplaces in Health (SASWH) www.saswh.ca
Saskatchewan Construction Safety Association (SCSA) www.scsaonline.ca
Saskatchewan Safety Council www.sasksafety.org
Saskatchewan Workers’ Compensation Board www.wcbsask.com
Service and Hospitality Safety Association (SHSA) www.servicehospitality.com
US Department of Labour, Occupational Safety and Health www.osha.gov
Administration (OHSA)
WorkSafe Saskatchewan www.worksafesask.ca
WorkSafeBC www.worksafebc.com
Notes
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88 October 2017
Appendix 1: Cause of Injury Reference Sheets
The information/training provided is not a substitute for nor does it take precedence over The Workers’ Compensation Act. This form does not take the place of or take precedence over OH&S legislation. This form
may be used to complement or supplement your OH&S obligations but in no way replaces any obligations that exist under OH&S legislation. Should you choose to use this form, WorkSafe Saskatchewan assumes
no responsibility or liability for any outcomes that may arise from its use. All employers and workers should be familiar with The Workers’ Compensation Act, The Saskatchewan Employment Act and The
Occupational Health and Safety Regulations. This form should be adapted to meet the particular requirements of your workplace.
v1r2_171012 Page 1 of 4
v1r2_171012 Page 2 of 4
90 October 2017
Appendix 1: Cause of Injury Reference Sheets
Falls
Fall down stairs or steps
Fall from floor, dock, or ground level, n.e.c.
Fall from ground level to lower level
Fall from ladder
Fall from loading dock
Fall from nonmoving vehicle
Fall from piled or stacked material
Fall from roof edge
Fall from roof, n.e.c.
Fall from roof, uns
Fall from scaffold, staging, platform
Fall on same level, n.e.c.
Fall on same level, uns
Fall onto or against objects
Fall through existing floor opening
Fall through existing roof opening
Fall through floor surface
Fall through roof surface
Fall to floor, walkway, or other surface
Fall to lower level, n.e.c.
Fall to lower level, uns
Fall, n.e.c.(Includes: Jumps on Same Level)
Fall, uns
Jump from nonmoving vehicle
Jump from scaffold, platform, loading dock
Jump from structure, structural element, n.e.c.
Jump to lower level, n.e.c.
Jump to lower level, uns
v1r2_171012 Page 3 of 4
Transportation Accidents
Aircraft accident during takeoff or Landing
Aircraft accident, n.e.c.
Aircraft accident, uns
Collision between railway vehicle and other vehicle
Collision between vehicles or mobile equip.
Collision between vehicles, mobile equipment, n.e.c.
Collision between vehicles, mobile equipment, uns
Derailment
Fall from moving vehicle, mobile equipment-nonhighway
Fall from ship, boat, n.e.c.
Fall on ship, boat
Fell from and struck by vehicle, mobile equipment
Highway accident, n.e.c.
Highway accident, uns
Jack-knifed or overturned--no collision
Loss of control-nonhighway accident
Moving and standing vehicle, mobile equip.--in roadway
Moving in intersection
Moving in opposite directions, oncoming
Moving in same direction
Moving/standing vehicle/mobile equipment--side of road
Noncollision accident, n.e.c.
Noncollision accident, n.e.c.-nonhighway accident
Noncollision accident, uns
Nonhighway accident, n.e.c.
Overturned-nonhighway accident
Pedest. struck by veh., mobile equip on side of road
Pedest. struck by veh., mobile equip. in parking lot
Pedestrian struck by veh., mobile equip. in roadway
Pedestrian struck by vehicle, mobile equip., uns
Pedestrian struck by vehicle, mobile equipment, n.e.c.
Railway accident, n.e.c.
Ran off highway--no collision
Re-entrant collision
Struck by shifting load
Sudden start of stop, n.e.c.-nonhighway accident
Sudden start or stop, n.e.c.
Transportation accident, n.e.c.
Transportation accident, uns
Vehicle struck stationary obj.,equip. on side of road
Vehicle struck stationary obj./equip. in roadway
Vehicle, mobile equip. struck stationary object
Other
Other events or exposures, n.e.c.
Other events or exposures, uns
Unknown
The information/training provided is not a substitute for nor does it take precedence over The Workers’ Compensation Act. This form does not take the place of or take precedence over OH&S legislation. This form
may be used to complement or supplement your OH&S obligations but in no way replaces any obligations that exist under OH&S legislation. Should you choose to use this form, WorkSafe Saskatchewan assumes
no responsibility or liability for any outcomes that may arise from its use. All employers and workers should be familiar with The Workers’ Compensation Act, The Saskatchewan Employment Act and The
Occupational Health and Safety Regulations. This form should be adapted to meet the particular requirements of your workplace.
v1r2_171012 Page 4 of 4
92 October 2017
Appendix 2: Factors Reference Guide
93
Appendix 2: Factors Reference Guide
October 2017
should be adapted to meet the particular requirements of your workplace.
v1r2_171012
Appendix 3: First Aid Register
Note: The first aid register must be readily available for inspection by the committee or representative and records must be retained for a period of not less than
five years from the day on which the register ceased to be used.
The information/training provided is not a substitute for nor does it take precedence over The Workers’ Compensation Act. This form does not take the place of or take precedence over OH&S legislation. This form may be used to complement or supplement your OH&S obligations but in no way replaces any obligations that exist
under OH&S legislation. Should you choose to use this form, WorkSafe Saskatchewan assumes no responsibility or liability for any outcomes that may arise from its use. All employers and workers should be familiar with The Workers’ Compensation Act, The Saskatchewan Employment Act and The Occupational Health and
Safety Regulations. This form should be adapted to meet the particular requirements of your workplace.
v1r2_171012
95
Appendix 3: First Aid Register
WorkSafe Saskatchewan
A. Event information
Date investigation Investigation type: - Select -
started: Reportable under regulation 8 or 9 in the OH&S Regulations is defined as a “serious bodily injury”
and/or “dangerous occurrence”. These require immediate investigation by the employer and the OHC
co-chairs or representative (regulations 29 and 31). Notification must be provided as soon as
reasonably possible to OH&S Division at 1.800.667.5023 (Saskatoon) or 1.800.567.7233 (Regina)
Regulation 30 – Prohibition re scene of accident. Unless authorized and except for the purposes of
saving life, the scene must be preserved and nothing can be altered or removed.
Injury/illness: (Complete WCB forms E1 and W1 when treatment of injuries requires medical aid administered by a physician or
registered health care professional)
No injury First aid Medical aid Restricted workday Lost workday Fatality
Worksite location: - Select - Department/cost centre where incident happened:
- Select -
Description of incident: (Sequence of events - describe in detail what happened before, during and after the incident. Include where
the incident occurred, what the employee was doing at the time, weather conditions, size type and weight of the equipment or materials
involved. Be concise. Bullet format is acceptable. Attach additional pages, diagrams and photos as necessary.)
Names of all witnesses: Did you get witness statements? Pictures/diagrams attached?
- Select - - Select -
The information/training provided is not a substitute for nor does it take precedence over The Workers’ Compensation Act. This form does not take the place of or take precedence over OH&S legislation. This form may be used to
complement or supplement your OH&S obligations but in no way replaces any obligations that exist under OH&S legislation. Should you choose to use this form, WorkSafe Saskatchewan assumes no responsibility or liability for any
outcomes that may arise from its use. All employers and workers should be familiar with The Workers’ Compensation Act, The Saskatchewan Employment Act and The Occupational Health and Safety Regulations. This form should
be adapted to meet the particular requirements of your workplace.
v1r2_171012 Page 1 of 4
96 October 2017
Appendix 4: Incident Investigation Form
Injury recorded in first-aid If attending offsite medical treatment, record the medical facility:
register:
- Select -
C. Person directly involved/injured or ill person
Last name: First name: Occupation/title:
Years’ service: Injured worker’s experience in present job: Time worked since start of shift:
- Select - Hours Minutes
Reported to (name): Reported to (position): Date reported:
- Select - Time reported:
Cause of injury: (Include detail to further define, ex. “Falls” – enter Part of body injured: (Include left/right, both, etc.)
details such as “Fall from ladder, Fall on same level, Fall down stairs,” etc.)
-Select -
- Select -
Was a medical restrictions form completed and returned? (If no, describe reason why and follow up.) - Select -
Will this employee be on Modified duties offered to Modified duty description: (Include any capabilities
modified duty? employee? evaluation.)
- Select - - Select -
D. Property damage/loss/fire (if applicable)
List all property damage: Estimated cost:
The information/training provided is not a substitute for nor does it take precedence over The Workers’ Compensation Act. This form does not take the place of or take precedence over OH&S legislation. This form may be used to
complement or supplement your OH&S obligations but in no way replaces any obligations that exist under OH&S legislation. Should you choose to use this form, WorkSafe Saskatchewan assumes no responsibility or liability for any
outcomes that may arise from its use. All employers and workers should be familiar with The Workers’ Compensation Act, The Saskatchewan Employment Act and The Occupational Health and Safety Regulations. This form should
be adapted to meet the particular requirements of your workplace.
v1r2_171012 Page 2 of 4
F. Direct cause (what led directly to the incident described by struck, fall, trip, caught in or between, contact with,
exposure to, etc.)
G. Indirect (those substandard acts, procedures and conditions that set the stage for the incident) and
root causes (root cause often explains why substandard acts and conditions were allowed to exist)
(include applicable causes – check only those that apply)
People
Failure to follow procedure Removing safety devices Unsafe work practices
Failure to warn/secure Improper lifting Training/experience
Using defective equipment Failure to use PPE Mental/physical stress or fatigue
Rushing Failure to lockout/tag out Supervision/leadership
Operating without authority Other (explain):
Material
Inadequate guarding Inadequate PPE Defective tools/equipment
Hazardous substances Machine design Incorrect tool for task
Substandard materials Labeling Engineering/design/purchasing
Equipment failure Other (explain):
Environment
Noise Visibility/illumination Temperature Toxic gases/fumes/dusts
Chemical/biological Weather Ventilation Walking surface
Time of day/shift/week Vibration Awareness of surroundings/changing conditions
Workspace overcrowded/awkward/static Conditions changed to make normally safe work unsafe
Other (explain):
System
Policies/procedures/plans/written instructions Standards & specifications Inspections
Legislation & best practices Training/orientation Notices of contravention
Resources allocated to health & safety Other (explain):
Work process
Work flow design Controls and safety devices on equipment New/modified procedures
Work area/housekeeping Worker selection/work procedures/ergonomics
Maintenance Lack of control over work pace Appropriate tools and materials available
Other (explain):
Root cause(s)
Identify all root causes that contributed to the incident. Describe how or why the above causes were allowed to go uncorrected. Root causes
are fundamental flaws, such as lack of employer’s health and safety management system (e.g., hazard identification, management
commitment and administration, leadership training, planned inspections, preventative maintenance, safe work practices and procedures,
inadequate previous incident investigation, purchasing controls, emergency preparedness and response, company safety rules and work
permitting, worker knowledge and skill training, PPE, communications, hygiene and sanitation, hiring and placement standards, etc).
The information/training provided is not a substitute for nor does it take precedence over The Workers’ Compensation Act. This form does not take the place of or take precedence over OH&S legislation. This form may be used to
complement or supplement your OH&S obligations but in no way replaces any obligations that exist under OH&S legislation. Should you choose to use this form, WorkSafe Saskatchewan assumes no responsibility or liability for any
outcomes that may arise from its use. All employers and workers should be familiar with The Workers’ Compensation Act, The Saskatchewan Employment Act and The Occupational Health and Safety Regulations. This form should
be adapted to meet the particular requirements of your workplace.
v1r2_171012 Page 3 of 4
98 October 2017
Appendix 4: Incident Investigation Form
H. Hazard evaluation
Describe current countermeasures (what is currently in place to prevent/control):
I. Corrective action
Actions taken/required to eliminate the ROOT CAUSE(s) in section G:
Corrective action (short, intermediate and long term) By when By whom Complete?
- Select -
- Select -
- Select -
- Select -
- Select -
J. Investigator information
Name of Supervisor Name of Safety Manager OHC member investigating (if
investigating: investigating (if applicable): applicable):
Date:
Signatures:
The information/training provided is not a substitute for nor does it take precedence over The Workers’ Compensation Act. This form does not take the place of or take precedence over OH&S legislation. This form may be used to
complement or supplement your OH&S obligations but in no way replaces any obligations that exist under OH&S legislation. Should you choose to use this form, WorkSafe Saskatchewan assumes no responsibility or liability for any
outcomes that may arise from its use. All employers and workers should be familiar with The Workers’ Compensation Act, The Saskatchewan Employment Act and The Occupational Health and Safety Regulations. This form should
be adapted to meet the particular requirements of your workplace.
v1r2_171012 Page 4 of 4
100
Example of a Medical Aid versus a First Aid Decision Chart
first aid list Visits solely for counselling
Diagnostic procedures, including
prescribing or administering of
prescription medications used solely for
diagnostic purposes
Cuts, Lacerations, Sutures (stitches) Any wound coverings or bandaging by any
Punctures, and Staples medical personnel
Abrasions Surgical glue Liquid bandage
Treatment of infection with prescription meds Cleaning, flushing or soaking wounds on
on any visit the surface of the skin
Application of prescription antiseptic or non‐ Using wound coverings such as bandages,
prescription antiseptic at prescription strength Band‐AidsTM, gauze pads, etc; or using
Surgical debridement (butting away dead skin) butterfly bandaged or Stiri‐StripsTM
Inoculations Inoculations such as gamma globulin, rabies, Tetanus immunizations
etc. given to treat a specific injury or illness, or Immunizations and inoculations that are
in response to workplace exposure provided for public health or other
purposes, where there is no work‐related
injury or illness
Splinters Foreign bodies which require more than simple Removing foreign bodies from the eye
means to remove because of their location, using only irrigation or a cotton swab
depth of penetration, size or shape, surgical Removing splinters or foreign material
removal of foreign bodies in the eye from areas other than the eye by
irrigation, tweezers, cotton swabs or other
simple means (needles, pins or small tools)
The information/training provided is not a substitute for nor does it take precedence over The Workers’ Compensation Act. This form does not take the place of or take precedence over OH&S legislation. This form may be used to complement or supplement your OH&S obligations but in no way
replaces any obligations that exist under OH&S legislation. Should you choose to use this form, WorkSafe Saskatchewan assumes no responsibility or liability for any outcomes that may arise from its use. All employers and workers should be familiar with The Workers’ Compensation Act, The
Saskatchewan Employment Act and The Occupational Health and Safety Regulations. This form should be adapted to meet the particular requirements of your workplace.
v1r2_171012
October 2017
Medical Aid First Aid
Strains, Sprains, and Casts or immobilization with rigid stays Hot or cold therapy
Dislocations Chiropractic manipulation Any non‐rigid means of support, such as
Exercises recommended by a health care elastic bandages, wraps, non‐rigid back
professional who trains the worker in the belts, etc.
proper frequency, duration and intensity of the Finder guards
exercise Temporary immobilizations devices while
Physical therapy transporting an incident victim (splints,
slings, neck collars, back boards, etc.)
Burns, Skin rashes, Any condition that result in days away from Draining fluid from a blister
and work, restricted work, transfer to another mob,
Blisters or medical treatment beyond first aid
The information/training provided is not a substitute for nor does it take precedence over The Workers’ Compensation Act. This form does not take the place of or take precedence over OH&S legislation. This form may be used to complement or supplement your OH&S obligations but in no way
replaces any obligations that exist under OH&S legislation. Should you choose to use this form, WorkSafe Saskatchewan assumes no responsibility or liability for any outcomes that may arise from its use. All employers and workers should be familiar with The Workers’ Compensation Act, The
Saskatchewan Employment Act and The Occupational Health and Safety Regulations. This form should be adapted to meet the particular requirements of your workplace.
v1r2_171012
101
Appendix 5: Medical Aid/Treatment Versus Decision Chart
102
Medical Aid First Aid
Physical Therapy Exercises recommended by a health care
professional who trains the worker in proper
frequency, duration and intensity of the
exercise
Physical therapy
WorkSafe Saskatchewan
The information/training provided is not a substitute for nor does it take precedence over The Workers’ Compensation Act. This form does not take the place of or take precedence over OH&S legislation. This form may be used to complement or supplement your OH&S obligations but in no way
replaces any obligations that exist under OH&S legislation. Should you choose to use this form, WorkSafe Saskatchewan assumes no responsibility or liability for any outcomes that may arise from its use. All employers and workers should be familiar with The Workers’ Compensation Act, The
Saskatchewan Employment Act and The Occupational Health and Safety Regulations. This form should be adapted to meet the particular requirements of your workplace.
v1r2_171012
October 2017
Appendix 6: Medical Restrictions Form
MEDICAL RESTRICTIONS FORM – Enter Employer Here
Early and Safe Return to Work
The purpose of this form is to; provide restrictions to the employer to enable the worker to return to alternate or
modified work as soon as possible, to identify suitable work that is both productive and safe, and to provide work
assignments that honour the outlined restrictions. If the employer is unable to offer work that is appropriate to the
outlined restrictions the worker will be off work.
Section A: Employee Information (to be completed by Employee)
__________________ _______________________ ____________________________
Print Employee Name Department Occupation/Duties
I, _______________________(Employee Signature), authorize the release of the following information to my employer to assist in an
early and safe Return‐to Work. Dated (dd/mm/yy) _____________________________
Section B: Restrictions, Limitations & Precautions (to be completed by Health Care Professional).
Please take the time to consider the following so we may ensure the duties offered meet the needs of the employee.
Strength Safety and Balancing
lifting, carrying, pulling or pushing objects to a maximum of: avoid work on slippery or uneven surfaces
5 Kilograms 10 Kilograms 20 Kilograms avoid the operation of vehicles or equipment
avoid firm or repetitive right-hand grip avoid work at heights
avoid firm or repetitive left-hand grip avoid stairs
no strength restrictions avoid work in areas requiring full peripheral vision
no balancing or safety restrictions
Postures and Tasks Environmental Factors
avoid prolonged bending and/or twisting of the torso avoid work in extreme temperatures
avoid prolonged kneeling, squatting, or crawling avoid work in dust, chemical vapors, etc.
avoid overhead or above shoulder work avoid work with vibrating hand tools
restrict standing/walking to _______ hrs. per shift restrictions on PPE – respirator, hard hat, safety glasses
provide changes between standing, sitting and walking fall protection, etc.
no posture or task restrictions no environmental concerns
Work Hours Medical Treatment
restrict work hours to _______ hrs. per shift/week Employee required to wear assistive devices or braces
no restrictions - full time hours Employee involved with treatment and/or
medications that may affect his/her ability to work?
Can this employee safely return to work if the restrictions are accommodated Yes No
Expected date for return to full duties _______________________________
Other Medical Restrictions/or Comments:
____________________________________________________________________________________
____________________________________________________________________________________
104
Safety Incident Logsheet
Part of
Date of Incident Date Reported Department or Job
Injury No Injury Description of incident Body Cause of Injury Reported by: Supervisor Employee
DD-MMM-YY DD-MMM-YY Cost Center Famiy/Class
Injured
15-Jan-15 15-Jan-15 Lost Time Employee caught left foot Feet Contact with Objects & Maintenance Jane Story Mike Bossy Bill Block Shipper
WorkSafe Saskatchewan
24-Dec-14 30-Dec-14 Medical Aid Slipped on ice, back sprain Back Contact with Objects & Administration Fay Wildes Vern Hays Fay Wildes Accounting
Equipment Clerk
12-Dec-14 12-Dec-14 Near Miss Truck rolled away from loading Shipping Jane Story Mike Bossy Jane Story Shipper
dock
02-Jan-15 12-Jan-15 First Aid Foreign Debris in Left Eye while Eyes Exposure to Harmful Maintenance Jim Jones Mike Bossy Jim Jones Welder
grinding Substances or
Environments
The information/training provided is not a substitute for nor does it take precedence over The Workers’ Compensation Act. This form does not take the place of or take precedence over OH&S legislation. This form may be used to complement
or supplement your OH&S obligations but in no way replaces any obligations that exist under OH&S legislation. Should you choose to use this form, WorkSafe Saskatchewan assumes no responsibility or liability for any outcomes that may
arise from its use. All employers and workers should be familiar with The Workers’ Compensation Act, The Saskatchewan Employment Act and The Occupational Health and Safety Regulations. This form should be adapted to meet the
particular requirements of your workplace.
v1r2_171012
October 2017
Short Term Long Term
Short Long Term Follow-up -
Corrective LONG Term Corrective Action Corrective
SHORT Term Corrective Action Corrective Corrective High Risk
Years Job Employment Primary Action (Actions taken to address root cause - why Action
Action Target Action Target (target within Comments
Experience Status Factor (Immediate Steps taken to protect the Completion Completion
Date substandard acts & conditions were allowed to Date 120 days of
health and safety) Date Date
DD-MMM-YY exist) DD-MMM-YY Incident Date)
DD-MMM-YY DD-MMM-YY
<6 months Summer People 30-Jan-15 30-Jan-15
Student
2-10 years Full Time Process Publish safety flash on slip hazards, 31-Dec-14 05-Jan-15 Set up plan for snow/ice removal to occur 20-Jan-15 05-Jan-15 03-Feb-15
awareness, and reporting automatically
Publish safety flash on slip hazards, awareness, and
reporting
< 2 years Full Time System Post signage "wheels must be chocked" 17-Dec-14 16-Dec-14 Create and review unloading procedure with 14-Jan-15 10-Jan-15 20-Jun-15 Copies of Tool Box Meetings are on
Review at Morning Tool Box Meetings shippers and truckers: file - all employees and truck
-Truckers use of wheel chocks is mandatory. drivers have signed off
-Shippers must check chocks are place prior to
The information/training provided is not a substitute for nor does it take precedence over The Workers’ Compensation Act. This form does not take the place of or take precedence over OH&S legislation. This form may be used to complement
or supplement your OH&S obligations but in no way replaces any obligations that exist under OH&S legislation. Should you choose to use this form, WorkSafe Saskatchewan assumes no responsibility or liability for any outcomes that may
arise from its use. All employers and workers should be familiar with The Workers’ Compensation Act, The Saskatchewan Employment Act and The Occupational Health and Safety Regulations. This form should be adapted to meet the
particular requirements of your workplace.
v1r2_171012
105
Appendix 7: Safety Incident Logsheet
Appendix
8: Leading and Lagging Indicator Examples
106
Training completed against plan Number of first aids
Safety meetings completed against plan Total Recordable Injuries Frequency (TRIF)
Percent of maintenance work orders completed on time Percent or dollar value of property damage
Equipment checks completed Number of serious injuries
Emergency exercises planned and carried out Number of lost work days
Near miss reporting Severity Rate (SR)
Hazards assessed specific to job tasks Fatalities
Percent of workforce completed organization specific health and safety training
Percent of job descriptions with specific health and safety accountabilities
Percent of near misses that have been scheduled for follow‐up and responsibility
assigned
Percent of leadership that is meeting job observation targets
Communication forums – tool box meetings
Hazard identification processes
Field level hazard assessments
Employee perception surveys
Health programs – ergonomics, respiratory protection, proactive injury prevention
The information/training provided is not a substitute for nor does it take precedence over The Workers’ Compensation Act. This form does not take the place of or take precedence over OH&S legislation. This form may be used to
complement or supplement your OH&S obligations but in no way replaces any obligations that exist under OH&S legislation. Should you choose to use this form, WorkSafe Saskatchewan assumes no responsibility or liability for
any outcomes that may arise from its use. All employers and workers should be familiar with The Workers’ Compensation Act, The Saskatchewan Employment Act and The Occupational Health and Safety Regulations. This form
should be adapted to meet the particular requirements of your workplace.
v1r2_171012
October 2017
Labour Relations and Workplace Safety WorkSafe Saskatchewan
Occupational Health and Safety Division Head Office
300 - 1870 Albert Street 200 - 1881 Scarth Street
Regina SK S4P 4W1 Regina SK S4P 4L1
Phone 306.787.4496
Toll free 1.800.567.7233 Saskatoon Office
115 24th Street East
Online www.saskatchewan.ca Saskatoon SK S7K 1L5
Phone 306.787.4370
Toll free 1.800.667.7590
Fax 306.787.4311
Toll-free fax 1.888.844.7773
Online www.worksafesask.ca
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