Loss Control Strategies for Lifeguards Atlantic County Municipal Joint Insurance Fund. June 28, 2016 Ocean City, New Jersey

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1 Loss Control Strategies for Lifeguards Atlantic County Municipal Joint Insurance Fund June 28, 2016 Ocean City, New Jersey

2 In honor of Honolulu (HI) Firefighter Clifford Rigsbee June 17, 2016 Firefighter Rigsbee was found unconscious and floating in the water immediately after being separated from a jet ski / rescue sled while participating in a rescue watercraft training exercise. The firefighter operating the jet ski jumped into the water to initiate a rescue and with the assistance of others, brought Rigsbee to shore. In spite of all efforts, Firefighter Rigsbee, who had suffered a spinal column injury, succumbed two days later while in the hospital.

3 What is Risk Control? A proactive approach to identify hazards and take actions to eliminate or mitigate them Preventative Lifeguarding

4 What Risk Control isn t The Safety Police A PEOSH Inspector Judge, Jury & Executioner

5 Components of Risk Control Programs Facility Self Inspections Safety Policies & Training Job Site Observations Accident Investigations

6 Risk Control Focus Points of Facility Self-Inspections Slip Trip Fall hazards Floor surfaces Changes in elevation Housekeeping Don t make a mess.. Clean up.. Wipe your feet.. Storage practices Where & how should heaviest objects be stored?

7 Risk Control Considerations

8 Risk Control for Policies or Procedures and Training Programs Have a Plan. Document your Plan.

9 NJPEOSH Training & Programs Bloodborne Pathogens Emergency Action & Fire Prevention Plans Fire extinguisher Hazard Communication / Right to Know PPE

10 Risk Control Considerations for Training Programs Sprains & strains - most frequent injury Patient lifting, moving, & carrying Moving stands Proper warm-up before physical exercises and training evolutions Other frequent or severe injuries causes

11 Evaluate the Training Ground Does your agency have a guideline to account for the heat of the sand?

12 Evaluate the Water / Surf Conditions Does your agency give the test before the class? With an accelerated training schedule, it is easy to skip steps in the progression of training skills

13 Skill Instruction on stable area Training Progression Skill practice on stable area Skill practice in low risk area

14 Use pictures to create learning aid

15 The Great Shoes / No Shoes Debate Benefits v. Risk? What can be done to maintain the benefits, while reducing risks?

16 Proper Warm-up & Acclimation Stretching & Moving Jogging & Swimming

17 Breaks, Cool Down, & Rehab Provide ample time for fluid & food replenishment Provide rehab and medical monitoring

18 Moving Stands

19 Moving Lifeboats

20 Moving Jet Skis A Growing Risk

21 Job Site Observations and Injury-Incident Reviews

22 Job Site Observations Who is doing them? Who is using the JIF form? What is being observed? How? What has been your experience? What has been challenges? Seen any benefits?

23 Job Site Observation Taking it to the next level What has been some of your comments & observations? Loss control focus Strains & sprains Slip-trip-falls

24 What can be learned from this observation? Look at the way people are working: What did you see that should be complimented? What did you see that needs to be changed or improved? What could be done to make the operation safer? Comments moved stand closer to water all ok nothing nothing

25 What can be learned from this observation? Look at the way people are working: What did you see that should be complimented? What did you see that needs to be changed or improved? What could be done to make the operation safer? Comments Crew of two moved stand approx 15 ft to water s edge. Crew followed procedure to tip and drag stand. Coordinated movements well Smaller guard did the heavier lifting. Handhold was awkward for smaller guard. 2 nd set would help for crew of 2 smaller guards.

26 Risky Behavior What strategies have been effective in controlling this natural reaction to a call for help?

27 One Idea

28 The Next Level - Pictures

29 Tricked-out JSO - Videos

30 Accident & Near Miss Reviews

31 Why are accidents investigated?

32 Every problem is really an opportunity. Every system defect, a treasure Kitchiro Toyoda Founder of Toyota

33 Fact-Finding, not Fault-Finding Do workers see Accident Investigations as a positive thing?

34 The Process Gather facts Root Cause & factors Action Plan

35 Gathering the Facts Camera Note paper Just the facts, ma am Accident Forms Clip board

36 Gather Facts - Interview Put the person at ease Interview witnesses separately Establish facts and time line Ask open-ended questions Avoid assumptions, insinuations, and accusations Let the person talk Separate the investigation process from the disciplinary process Listen, then summarize And then what did you do?

37 Is this enough information? A guard slipped on ramp. A guard slipped walking down the ramp to the beach. A 1 st yr. guard slipped while walking quickly down the untreated side of ramp to the beach in bare feet while carrying 4 torpedoes at 7 a.m.

38 Let s try some information Let s try gathering some facts for a good accident review gathering

39 a Supervisor s Injury Report from our Injury files In mid-june, a lifeguard was hit in the chin by his paddleboard during training. The Action Plan was to tell the guard to be more aware.

40 Gather Facts - Complete Report A new resource for 2016

41 Identifying Root Cause & Contributing Factors Root Cause - most fundamental and direct cause of an accident Contributing Factors - events or conditions that combined with other causes increase the likelihood or severity of an incident Accident Investigation is ineffective unless all causes are determined and handled

42 Ask WHY until can t ask more Worker wasn t wearing gloves - WHY? Gloves are too big - WHY? Only one size purchased - WHY? Purchaser didn t know more sizes needed or available - WHY? Etc....

43 Develop an Action Plan ID # Date Description of event Root Cause & other factors Action Plan (who & when) Rescue, training, PT, other Rescue, training, PT, other

44 Summary Great success has been made by beach patrols There s still more to be done Safety is a process of continual improvement Focused approaches to safety can reap the greatest benefits. What can the Safety Director s Office do to help?

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