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SAFETY ALLIANCE Trips Slips Falls November, 2010

WHAT THIS PRESENTATION COVERS The costs of slips, trips, and falls Definitions Causes of slips and trips Factors increasing the risk of slips and trips: Work environment Human factors Note: These Slips, Trips, and Falls modules mainly cover injuries caused by slips and trips leading to falls at the same level.

SLIPS, TRIPS, AND FALLS ARE COSTLY Slips and trips can happen in any part of the workplace, inside or outdoors. Slips and trips often result in falls and more serious outcomes, including disabling injuries and even death. The costs to both worker and employer can be great: To Worker: pain lost wages temporary or permanent disability reduced quality of life depression To Employer: loss in productivity and business increased industrial insurance premiums costs associated with training replacement worker

SLIP, TRIP, AND FALL INCIDENTS OCCUR FREQUENTLY According to the U. S. Department of Labor, slips, trips, and falls make up the majority of general industry accidents. 15 percent of all accidental deaths ( 12,000/year), second leading cause behind motor vehicles One of the most frequent types of reported injuries about 25% of reported claims per fiscal year Over 17% of all disabling work injuries are the result of falls

INJURIES FROM SLIPS, TRIPS, AND FALLS Common types of injuries: Sprains, strains Bruises, contusions Fractures Abrasions, cuts Commonly affected body parts: Knee, Ankle, Foot Wrist, Elbow Back Shoulder Hip Head

SLIPS AND TRIPS CAN INITIATE A CASCADE OF EVENTS RESULTING IN MORE SERIOUS INJURIES OR DEATH The following is a fatality case from the National Institute for Occupational Safety and Health (NIOSH) Fatality Assessment and Control Evaluation (FACE) Program. Apprentice Lineman Electrocuted While Setting Utility Pole A 34-year-old male apprentice lineman (the victim) was electrocuted while assisting a co-worker in setting a wooden utility pole. The pole had been raised between two phases of a 34,500-volt overhead power-line and the victim was helping set the pole by steadying the butt over the hole. The victim slipped on the wet ground and his unprotected upper body fell against the pole while the top of the pole contacted Confusing one phase the of the powerline (19,900- volt phase to ground). The victim was bottom wearing step rubber with lineman's gloves as required by company policy. The wet the connections floor is a allowed the current to travel down the pole, entering the victim's chest common and exiting to ground through the occurrence when victim's right elbow. Cardiopulmonary resuscitation was initiated immediately it s not marked. No by the co-worker and a passing emergency missing the medical last technician; however, efforts to revive the victim were unsuccessful. step here.

DEFINITIONS Slip When there is too little friction or traction between your feet (footwear) and the walking or working surface, and you lose your balance.. Trip When your foot (or lower leg) hits an object and your upper body continues moving, throwing you off balance. Can lead to: Friction: The resistance encountered when an object (foot) is moved in contact with another (ground). Friction is necessary in order to walk without slipping. Fall Occurs when you are too far off your center of balance. When you step down unexpectedly to a lower surface (Misstep) and lose your balance, e.g., stepping off a curb.

DEFINITIONS Two types of falls: Fall-at-the-same-level When you fall to the surface you are walking or standing on, or fall into or against objects at or above the surface. Slip-resistant strips on steps Fall-to-lower-level When you fall to a level below the one on which you are walking, working, or standing. For example: Step or stairs Ladder Skid-resistant coating Platformon ramp. Note highlighted Loading edges for dock better visibility to prevent walking off ramp and Truck falling. bed

CAUSES OF SLIPS Some common causes of slips include the following: wet contamination/spills on smooth floors or surfaces: water, fluids, mud, grease, oil, food Equipment left in the belly of bucket truck. Scattered Tools, Equipment in work area, dry contamination making surfaces slippery: dusts powders granules wood lint plastic wrapping

sloped walking surfaces CAUSES OF SLIPS Too close to the edge of an elevated surface without wearing fall restraint equipment wet, muddy, areas Not using the designed exit and entry points on equipment Jumping off equipment

CAUSES OF SLIPS Ramps and gang planks without skid/slip-resistant surfaces Access ladders on equipment Metal surfaces, such as dock boards and dock plates, platforms, construction plates or Tracks on equipment Metal has a lower force of friction/traction and can be more slippery than many other materials. Metal surfaces can become smooth and slippery with wear, and are extremely slick when wet, muddy, or greasy.

CAUSES OF SLIPS mounting and dismounting trucks, tractors, heavy equipment, machinery getting on and off truck trailers & truck beds climbing up and down ladders Metal rungs, steps, footholds, treads, running boards, platforms, on equipment and ladders become even slicker when worn smooth and contaminated with water, mud, oil, grease, dirt, and debris.

CAUSES OF SLIPS loose irregular surfaces, such as gravel sloped or uneven terrain, sidewalks muddy terrain weather hazards: rain, sleet, ice, snow, hail, frost leaves, pine needles, plant debris (especially if wet)

CAUSES OF TRIPS AND MISSTEPS Some common causes of trips include: uncovered cables, wires, or extension cords across aisles or pathways clutter, obstacles in aisles, walkways, and work areas materials stored in pathways, aisle, and stairways In an emergency, you don t want any obstructions blocking your exit route or causing you to fall while attempting to escape.

CAUSES OF TRIPS AND MISSTEPS changes in elevation or levels (unmarked steps, ramps) rumpled or rolled up carpets/ mats, carpets with curled edges irregularities in walking surfaces (rutted up right of ways)

CAUSES OF TRIPS AND MISSTEPS damaged steps taller or shorter (varying rise) shallower tread depth otherwise irregular Steep stairs (52-degree slope) with tall steps. Note that it is also missing a handrail on the left and a mid-rail on the existing one. Over 2.5 million falls on stairways result in about 2 million disabling injuries yearly.

CAUSES OF TRIPS AND MISSTEPS debris, accumulated waste materials trailing cables, pallets, tools, in work area objects protruding from walking surface uneven surfaces sidewalk/curb drops Building materials, hoses, debris clutter the pathway. A trip here will likely result in falling on something that will cause further injury. Slightly sloping, uneven sidewalk and adjoining parking lot entrance with deep cracks, gaps

TRIPS IN PARKING LOTS AND GARAGES Unmarked elevation changes: speed bumps curbs Speed bumps Curbs wheelchair accessible ramps driveways Wheelchair accessible ramp

HUMAN FACTORS INCREASING THE RISK OF SLIPS AND TRIPS Physical Condition Health and physical condition can impair a person s vision, judgment, and balance. Eyesight, visual perception Age Physical state, fatigue Stress, illness Medications, alcohol, drugs

HUMAN FACTORS INCREASING THE RISK OF SLIPS AND TRIPS Human Behavior Behaviors actions you choose and control can contribute to a slip, trip, and fall injury if you practice careless work habits. Carrying or moving oversized objects, or too many objects, that may: - obstruct your view - impair your balance - prevent you from holding onto handrails

HUMAN FACTORS INCREASING THE RISK OF SLIPS AND TRIPS Inattentive walking, distractions (using cell phone, talking and not watching where you re going, etc.) Taking shortcuts; not using walkways or designated cleared pathways Being in a hurry, rushing around; moving too fast for safe practices in work environment

WHAT CAN YOU DO TO REDUCE RISK? Safety is everybody business. Inform your crews of Slip, Trip and Fall hazards in your Daily Job Briefings. Employees can improve their own safety by: taking your time and paying attention to where you are going, adjusting your stride to a pace that is suitable for the walking surface and the tasks you are doing, walking with the feet pointed slightly outward, and making wide turns at corners. always using installed light sources that provide sufficient light for your tasks or, using a flashlight if you enter a dark room where there is no light, and ensuring that things you are carrying or pushing do not prevent you from seeing any obstructions, spills, etc. BE YOUR BROTHERS KEEPER. POINT OUT THE HAZARDS

WHAT CAN YOU DO TO REDUCE RISK? Use 3 points of Contact

WHAT CAN YOU DO TO REDUCE RISK? Use the Proper PPE

WHAT CAN YOU DO TO REDUCE RISK? HOUSEKEEPING: CLEAN IT UP Ø Ø Ø