Transcript Slide 1
How to find your way around … You can play the PowerPoint and the Test here. START FINISH How to find your way around … Always click the ‘home’ icon to save your progress and log off. This is important! START FINISH Fit for Work For all staff. START FINISH Introduction The main piece of law governing Health & Safety is: The Health & Safety at Work etc. Act 1974 Fit for work COURSE OBJECTIVES On completion of the Fit for Work module you will be able to: • Describe why an awareness of health and safety issues in the workplace is important. • Demonstrate how to lift, carry, and deposit an inanimate load safely. • Describe how to adjust seating position and posture whilst using display screen equipment. • Identify dangers associated with using hazardous chemicals. • Take appropriate measures to relieve stress and fatigue whilst carrying out certain tasks. START This Act defines responsibilities and duties for all people at work and provides a system for other Health & Safety law (Regulations) to fit into. The Fit for Work module is designed to encourage and promote safe working practices which help you to look after your health. To remain safe you should: - be aware of the risks involved in activities; - ensure that you use equipment that has been provided to assist you in your work; - operate equipment and handle materials according to health and safety guidelines. FINISH Ergonomics What is Ergonomics? In its simplest term ergonomics is the study of people in relation to their working environment. This means how you and the things around you at work fit together. To ensure efficient operation and to avoid strain and injury, you and your workplace environment must be arranged, organised, and designed. In this section we shall help you to understand ergonomics at work. START FINISH Scenario Jane works in a busy Admin office. She is only 5‘0" tall and all her colleagues are much taller. The photocopier paper is always kept on an high shelf which is easily reached by Jane’s taller colleagues. However, whenever Jane needs to refill the copier, it's a struggle to reach the paper and she often has to stand on her tiptoes to reach. What should she do? Stand on a chair? Ask someone else to get it down for her? Knock it down with an umbrella? Ask for the shelf to be lowered? Keep the paper elsewhere? From these options it may seem very clear what the correct course of action is but it also shows that some options are dangerous and some may cause injury. It also demonstrates that this is not a very efficient way to run an office. The “fit” between a person and their working environment needs to be addressed. A basic understanding of ergonomics within your workplace can improve your work routine. Ergonomic solutions can often be simple to make, such as altering the height of a chair. START FINISH What can it do? By applying ergonomics within the workplace it has the potential for reducing: Accidents; Potential for injury or ill health; It can also lead to improved performance and productivity. The use of Ergonomics reduces the potential for ill health at work, such as aches and pains of the wrists, shoulders, and back by considering the layout of your working equipment and how objects and work tools should be positioned in relation to how they are used. For example, items used most often should be placed where they are within easy reach and use reducing the need for stooping, stretching, etc. Failure to observe ergonomic principles may have serious repercussions, not only for individuals, work colleagues, their families, but also for the Trust. START FINISH What can I do? If you find a problem the next step is to look for the cause and consider possible solutions. A slight alteration may be all that is necessary to make a task easier and safer to perform. Here are some examples: Use adjustable chairs so individuals can work at their seating position; Remove any obstacles from under desks to create sufficient leg room; Arrange items stored on shelving so that those that are the heaviest are between waist and shoulder height; Change shift work patterns; Rotation of different tasks to reduce physical and mental fatigue; Talk to colleagues and get them to suggest ideas and discuss possible solutions; Always make sure that any alterations are properly evaluated by the people who do the job. Be aware that a change introduced to solve one problem does not create another. START FINISH Ergonomics Ergonomics is normally known for resolving problems that are more physical in nature. For example, ensuring that desking is high enough to allow adequate clearance for an individual’s legs. However, ergonomics also deals with psychological and social aspects of the individual and their work. For example, a workload that is too high or too low, not having clear and defined tasks, time pressures, inadequate training, or poor social support can all contribute to having negative effects on an individual and their work. The following are some examples of ‘typical’ ergonomic problems that can be found and addressed in the workplace: Display Screen Equipment Manual Handling Work-related Stress Managing the Working Day START FINISH Question Problems attributed to poor ergonomics may result in mistakes being made at work? FALSE TRUE Continue START FINISH Display Screen Equipment Considerations • • • • • • Is the screen poorly positioned is it too high / low / close / far from the worker, or is it off-set to one side? Is the mouse too far away and do you have to stretch to use it? Is the chair properly adjusted to fit the person, or is it awkward and causing uncomfortable postures? Is there glare on the screen from windows or overhead lights, as this will increase the risk of eyestrain? Is the hardware and / or software suitable for the task and the person using it, or is it causing frustration and distress? Remember to take enough breaks or changes of activity? START If any of the above problems are not dealt with it may result in mistakes and poor productivity, stress, eye strain, headaches, or other aches and pains. The correct set up is demonstrated in the picture. FINISH Manual Handling Considerations Is the load heavy and / or bulky, placing unreasonable demands on the person? Does the load have to be lifted from the floor and / or above the shoulders? Does the task involve frequent repetitive lifting? Does the task cause an awkward posture, such as bending or twisting? Can the load be gripped properly? Is the task performed on an uneven, wet, or sloping floor? Is the task performed under time pressure and / or have too few rest breaks? Any of the above, if not addressed, may result in physical injuries such as low back pain, injury to the arms, hands, or fingers. The problems may also contribute to the risk of slips, trips, and falls. START FINISH Work Related Stress Considerations Are work demands too high or too low? Does the employee have little say in how they organise their work? Is there poor support from management and / or colleagues? Are there conflicting demands, e.g. high productivity and quality? Any poor control of the risks causing workrelated stress could lead to ill health and, therefore, reduced performance and productivity. START FINISH Scenario Sheila works on a conveyor assembly line. In her job she has to use her hands to pick up and fill small boxes of goods ready to dispatch to retail outlets. The assembly line makes and dispatches 800 boxes a day and it takes approximately 30 seconds to pack each box. As well as the risk from repetitive strain, Sheila often has to adopt poor postures to reach the goods for packing. She has to repeatedly stretch out her arm and constrain her posture while packing. After some time on the job, Sheila found she was leaving work with shoulder and wrist pain. One tea break, Sheila’s line manager saw her rubbing her neck and wrists and recognised the pain could be due to the type of work she was doing. The Line Manager told the company Health and Safety Representative about what she had seen. Considering Sheila’s problem, think about what actions her employers could take to improve the work area? START FINISH What the Company Implemented Whilst considering the possible actions, WELL DONE if you thought of any of the following:- Modify the workplace layout and allow workers better access to the conveyor, so they didn’t need to adopt poor working postures; Introduce grab tools that allowed the gathering of the goods, which will reduce the repetitive movements; Implement a job rotation scheme, whereby five workers on the line are moved around a number of different tasks. This now completes the Ergonomics part of the training Continue START FINISH Display Screen Equipment It is very likely that in the course of your work you will be using a computer, keyboard, mouse, and Screen or monitor (referred to as a Visual Display Unit or VDU). However, to minimise any risks in using this equipment your employer must ensure that the workplace, desks, and jobs are well designed. As a user of the equipment, you are also responsible for using the equipment and resources provided to you correctly. In this section we will look at how you can work safely and avoid injury while using equipment of this type. START FINISH What can I do? To make full use of the equipment provided, you will need to adjust your workstation to get the best from it and to avoid any potential health problems. Firstly, set up your workstation properly to make this as comfortable as possible. The following slides will help you see how best to set up your workstation and then complete the Risk Assessment so that you will be able to print, sign, and give it to your Manager. START FINISH What can I do? As a broad guide, your forearms should be approximately horizontal to the desk surface and your eyes the same height as the top of the VDU. Make sure you have enough work space for whatever documents or other equipment you need. Please Note Make sure that your chair has five spokes to its base. Older models with only three or four spokes are dangerous and should be withdrawn. Adjust your chair and screen to find the most comfortable position for your work. Look beneath the seat of your chair for adjustment controls for lift, tilt, and back height. START FINISH Question Your eyes should be level with the top of the VDU screen to avoid neck and eye strain? FALSE TRUE Continue START FINISH What can I do? Try different arrangements of keyboard, screen, mouse and documents to find the best arrangement for you. A document holder may help you avoid awkward neck and eye movements. Arrange your desk and VDU to avoid glare, or bright reflections on the screen. This will be easiest if neither you nor the screen is directly facing windows or bright lights. Adjust curtains or blinds to prevent unwanted light. START FINISH What can I do? Make sure there is space under your desk to move your legs freely. Move any obstacles such as boxes, files, or equipment. Avoid excess pressure from the edge of your seat on the backs of your legs and knees. A footrest may be helpful, particularly for smaller users. Support your forearm on the desk, and don’t grip the mouse too tightly. Use a mouse mat with wrist support if required. Rest your fingers lightly on the buttons and do not press them hard. START FINISH Position the mouse within easy reach, so it can be used with the wrist straight. Sit upright and close to the desk, so you don’t have to work with your mouse arm stretched. What can I do? Adjust your keyboard to get a good typing position. A space in front of the keyboard is sometimes helpful for resting the hands and wrists when not typing. Try to keep your wrists straight when typing. Keep a soft touch on the keys and don't overstretch your fingers. Good keyboard technique is important. Adjust the brightness and contrast controls on the screen to suit lighting conditions in the room & make sure the screen surface is clean. When setting up and working on any applications, adjust the settings so text is large enough to read easily on your screen. Individual characters on the screen should be sharply focused and should not flicker or move. START FINISH What can I do? Don’t sit in the same position for long periods. Make sure you change your posture as often as practicable. Some movement is desirable, but avoid repeated stretching for things you need (if this happens a lot, rearrange your workstation). Most jobs provide opportunities to take a break from working on a screen. Make use of them. If there are no such natural breaks in your job, your Manager should help you plan for regular short breaks from the typing position. Frequent short breaks are better than fewer long ones. START FINISH Answers to some common questions from VDU users: “Are aches and pains caused by using a VDU? What about RSI”? Some users may get aches and pains in their hands, wrists, arms, neck, shoulders, or back, especially after long periods of uninterrupted VDU work. “Repetitive Strain Injury” (RSI) has become a popular term for these aches, pains, and disorders, but can be misleading - it means different things to different people. A more accurate name for this whole group of conditions is “Upper Limb Disorders” (ULD). Usually, these disorders do not last but in a few cases they may become persistent or even disabling. “Can work with VDUs affect eyesight”? Extensive research has found no evidence that VDUs can cause disease or permanent damage to eyes, although long spells of VDU work can lead to tired eyes and discomfort. Also, by giving your eyes more demanding tasks, it might make you aware of an eyesight problem you had not noticed before. You and your employer can help your eyes by ensuring your VDU is well positioned and properly adjusted, and that the workplace lighting is suitable. Ask for an Eye Test if you still think there is a problem. START FINISH Answers to some common questions from VDU users: Headaches may result from several things that occur with VDU work, such as:screen glare poor image quality a need for different spectacles stress from the pace of work anxiety about new technology reading the screen for long periods without a break poor posture or a combination of these. Many of these things can easily be put right once the cause of the problem has been found. People who use a VDU sometimes complain of stress, but this usually arises from an increased pace of work or pressure to meet deadlines, not the VDU itself. Some VDU workers find stress reduced because the VDU makes their job easier or more interesting, but for others stress becomes worse. This can happen when a system does not work well or when the user does not feel in control or competent to operate it. Employers can help overcome stress by providing the right training, and by designing systems and tasks to match the abilities of the people who work with them. START FINISH The Health and Safety (Display Screen Equipment) Regulations 1992 require employers to minimise the risks in VDU work by ensuring that workplaces and jobs are well designed. The Regulations apply where staff habitually use VDUs as a significant part of their normal work. People who use VDUs only occasionally are not covered by the Regulations (apart from the workstation requirements). However, their employers still have general duties to protect them under other Health and Safety legislation. I am self-employed - am I covered? The Regulations do not place any duties on the self-employed. However, parts of them apply if you habitually use a VDU for a significant part of your normal work and are using a client employer’s workstation. The client employer has to assess and reduce risks, ensure the workstation complies with the minimum requirements, and provide information as if you were an employee. However, there is no requirement for employers to plan work breaks, provide eye tests, or provide training for the self-employed. I work at home: am I covered? Yes, the Regulations apply if you are an employee working at home and habitually using a VDU for a significant part of your normal work. START FINISH Finally, before we leave this subject, don't forget about your other piece of display screen equipment - your eyesight! Have it checked regularly for your general medical health. If you use a computer for work your employer may also pay towards your eye test. This now completes the DSE part of the training START FINISH Continue Manual Handling What is Manual Handling? A good definition of Manual Handling is: the transporting or supporting of a load, including lifting, putting down, pushing, pulling, carrying, or moving of a load. More than a third of all 4+ day injuries reported across the country each year are caused by manual handling - the transporting or supporting of loads by hand or by bodily force. Manual handling injuries account for approximately 40% of all general workplace reported injuries. However, these only represent the tip of a very large pyramid. For every injury that is reported there is an estimated 10 additional injuries that have not and approximately 200 near misses. START FINISH What does the law say? This is covered by the Health and Safety at Work etc. Act 1974 which aims to make the workplace as safe as reasonably possible for staff and anyone affected by their work and puts requirements on both employers and employees. Along with Manual Handling Operations Regulation 1992 there are other regulations that also come under the Health and Safety at Work etc. Act 1974 that are also relevant. START FINISH Manual Handling Operations Regulation 1992 The Regulations require employers to: • • • • Avoid the need for hazardous manual handling, so far as is reasonably practicable; Assess the risk of injury from any hazardous manual handling that can ’t be avoided; Reduce the risk of injury from hazardous manual handling, so far as is reasonably practicable; Review Risk Assessments regularly. However, Employees have duties, too. They are: • • • • • START Follow appropriate systems of work laid down for their safety; Make proper use of equipment provided for their safety; Co-operate with their employer on health and safety matters; Inform the employer if they identify hazardous handling activities; Take care to ensure that their activities do not put others at risk. FINISH Risk Assessment - the Difference Between an Hazard and a Risk Central to understanding the risk assessment process is the difference between an hazard and a risk. In everyday language these terms are used interchangeably. For example, “that was hazardous” and “that was risky”. In Risk Assessments, however, they have distinct and different meanings. An Hazard is anything that has the potential to cause harm. Trailing leads, confined spaces, water on the floor are all examples of hazards. START A Risk is the chance or likelihood of harm occurring from an hazard and takes into account the possible seriousness of the injury or incident should it occur. For example, an identical trip hazard, such as a box, is an higher risk on stairs than it is in the corner of a seldom used store room. FINISH Question When lifting a load , twisting and lifting at the same time is better than turning by moving the feet? FALSE TRUE Continue START FINISH The Risk Assessment Process in Manual Handling - TILEE We often undertake Risk Assessments in everyday life, for example, driving a car and crossing a road. These assessments are, of course, informal and not structured, certainly not written down! When completing a Manual Handling Risk Assessment it is useful to have a structured approach so that hazards are easier to see and risks are easier to control. In Manual Handling the Risk Assessment must consider the hazards and risks in the following areas: T START I L FINISH E E Risk Assessment - T I L E E Task Things (Risk Factors) to consider about the Task: • How is the task performed? • How long does the task take? • Is our posture compromised? • When and how often is it done? • Is there sufficient rest between this task and the next? Load The Load is central to the task. We would assess the following factors about the load: • Its weight; • Its size and shape (how easy is it to handle); • Does it have suitable handles? • Is it evenly balanced? • Is there anything inside the load that could move and shift the centre of balance? • Are there any sharp edges and should we wear suitable gloves and clothing (at work this would be Personal Protective Equipment PPE)? Individual (you and me) • Are you fit enough to do the task or do you have an injury or a medical condition that might prevent you from applying best practice techniques? • Are you pregnant? • Are you trained and confident to undertake this particular task? • Have you read the moving and handling plan? • Are you familiar with any equipment used in the workplace? Environment • Is there enough space for the task? (This includes you, your colleagues and any equipment.) • Are there problems in the design? (Are the doorways and corridors too narrow or is the shape of the environment awkward?) • Is there anything on the floor that you might slip or trip on? • Is it too hot or too cold which might impair your grip or cause fatigue? • Is your environment very busy, noisy, or distracting? Equipment Does the Task require equipment, for example, a trolley or sack barrow and if so: • Is it available when needed? • Is the equipment safe, serviced, and maintained? • Is everyone trained and competent in using the equipment? • Is it compatible with the environment, ie too big or small for the room? Work Equipment It must be… • • • Suitable for the intended purpose; Safe for use and maintained in a safe condition; Used by people who have received adequate training and instruction; • Fitted with adequate guards and warning signs where appropriate. And we must use it for the intended purpose, sensibly, safely, and in accordance with any training received Moving and Handling Forms These are available from the Trust Intranet within the Policies and Procedures section. START FINISH A Quick Anatomy Lesson The human spine consists of 32 individual bones (vertebrae) that are stacked one on top of another to form a flexible column. Viewed from the side the spine has a series of curves which act like a spring to protect our heads from the forces generated by walking and jumping. What are the different structures that form the spine? (Intervertebral) Discs - are flat, round discs that act as shock absorbers and physical spacers to separate the vertebrae to allow room for the spinal nerves to exit the spine. The discs also allow the spine to be flexible. Ligaments - are tough bands of tissue that surround the facet joints and also pass between the bodies of the vertebrae. Ligaments help limit movement and they hold everything together Facet Joints - are paired joints at the back of the spine which direct and limit the range of movement between vertebrae. Spinal Muscles - like all muscles these provide the power to move bones, in this case the vertebrae. These muscles are small, delicate and weak (when compared with the large leg muscles) and form a network that runs the length of the spine. Our leg muscles are much more powerful and better suited for the power of lifting. Vertebrae (individual spinal bones) gives the spine shape and structure, transmits weight and forces as acts as attachment points for the discs, muscles and ligaments Tendons - are non-contractile bands that join the muscles to the bone. These are needed because they take up less space on the bone. Remember - The spine is a very strong and flexible structure but only when used correctly ,it can be prone to injury if misused. Summary Do Not Jerk Keep Close to the Load Recommended Loads START FINISH Small children lift with a nice straight back and using the hips and knees, both to bend and for power, because of their lack of balance and back muscle strength but this is the way that we are designed to lift. The way that most adults move, lift, and handle loads and objects is essentially a learned bad habit. This now completes the Manual Handling part of the training START FINISH Continue Stress What is Stress? Stress can become an issue for anyone at any level of business and research shows us that work related stress is quite widespread and is not confined to any particular sector, job, or industry. The Health & Safety Executive defines stress as: "the adverse reaction people have to excessive pressure or other types of demand placed on them". Pressure is part and parcel of all work and can help to keep us motivated. However, exposure to excessive pressure can lead to stress which can then undermine performance, be costly to employers, and can make individuals ill. Stress is not an illness, but if stress becomes too excessive and prolonged serious illness can develop. Work-related stress can affect us all at some time or another. Recognising it, preventing it, and doing something about it can help avoid mistakes, injury, and illness. START FINISH Dealing with stress Stress can be an unnoticed and gradual build-up of the many pressures experienced in work, at home, and in everyday life. Most people are able to cope with the big issues in life and can find them exciting but for some they are too demanding or, combined with everything else going on, they can become overwhelming, resulting in stress. Many of life’s demands can cause stress, particularly work, relationships, and money problems. When you feel stressed it can get in the way of sorting out these demands, or can even affect everything you do. Stress can affect how you feel, think, behave, and how your body works. In fact, common signs of stress include sleeping problems, sweating, loss of appetite, and difficulty concentrating. You may feel anxious, irritable, or low in self esteem, and you may have racing thoughts, worry constantly, or go over things in your head. You may notice that you lose your temper more easily, drink more, or act unreasonably. START FINISH Question In some cases, prolonged stress can lead to physical and/or mental ill health? FALSE TRUE Continue START FINISH Dealing with Issues Many of life’s demands beyond work can cause stress, particularly relationships and money problems. A person can experience more stress outside of the working day than during it, or vice versa, and stress from one can affect the other. Finding the correct balance between work and all the demands, responsibilities, and rewards of everyday life can be difficult. Conflicting demands are stressful and when you feel stressed it can get in the way of sorting out these demands or can even affect everything you do. The less control you have over potentially stress-inducing events and the more uncertainty they create, the more likely you are to feel stressed. Even the typical day-to-day demands of living can contribute to your body's stress response. START FINISH Stress Recognising your Stress Triggers If you're not sure what's causing your stress, keep a diary and make a note of stressful episodes for two-to-four weeks. Then review it to spot the triggers. Take Action to Tackle Stress There's no quick-fix cure for stress, and no single method will work for everyone. However, there are simple things you can do to change the common life problems that can cause stress or make stress a problem. These include relaxation techniques, exercise, and talking the issues through with someone. The Trust has many resources available that can be found on the Intranet, it also has a systematic and planned approach to promoting and supporting all staff. This is part of the Trust’s commitment to support work / life balance and work force planning. START FINISH Mental health issues, including stress, anxiety and depression, are the reason for one-in-five visits to a GP. Stress Take Action to Tackle Stress If you've tried self-help techniques and they aren't working, you should go to see your GP. They may suggest other coping techniques for you to try or recommend some form of counselling or cognitive behavioural therapy. Remember Stress can affect anyone. This now completes the Stress part of the training please START FINISH Continue Control Of Substances Hazardous to Health (COSHH) What is COSHH? COSHH is the law that requires employers to control substances that can be hazardous to health. This section aims to give you an awareness of COSHH and help you to identify and deal with potential hazardous substances. Using chemicals or any other hazardous substances at work can put your own and other people's health at risk. The law requires employers to control exposure to hazardous substances to prevent ill health. These controls have to protect both employees and any other person who may be exposed to the substance by ensuring compliance with the Control of Substances Hazardous to Health Regulations 2002 (COSHH). START FINISH What is an Hazardous Substance? An hazardous substance is defined as: a substance with the potential to cause ill-health effects. Examples of these are: • Chemicals - these are identified by orange hazard warning symbols on the container e.g. very toxic, toxic, harmful, corrosive, etc; • Any substance that has been assigned a workplace exposure limit; • Dusts can become hazardous in concentrated form; • Biological agents, such as bacteria, viruses, fungi, and parasites; • Asphyxiates, such as carbon dioxide and nitrogen; • Carcinogens, such as tobacco smoke or radon gas. Care should be taken with any containers that are not marked! START FINISH Substances may be hazardous not only due to their toxicity but also through the route of entry they take into the body. These routes may be: • • • • • Inhalation - breathing in vapours, gasses, dusts and fumes; Ingestion - eating or drinking substances or foods contaminated by hazardous substances; On or through the skin - contact with the skin can cause harm to the skin or substances can be absorbed into the body through the skin causing harm to internal organs; Eyes - contact with the eyes by fumes, vapours, liquids, or dusts; Injection - liquids, solids, or gasses passing through the skin either by puncture wounds or through cuts. START FINISH A chemical is not just something used by scientists in laboratories. Most people use chemicals as part of their job or at home every day. Cleaning products such as bleach and oven sprays are chemicals. So are paints, inks, glues, and oils. Most of the chemicals you might use at work are not dangerous if you use them properly and know what to do if something goes wrong (such as a spillage), however, some chemicals need more careful handling than others. Labels can help you identify the more hazardous chemicals: tell you what the dangers are, and how to avoid them. All hazardous substances must be segregated and stored correctly; they must be kept locked in a COSHH cupboard when not in use. START FINISH A label can tell you a lot. Take a look at a typical label you can find on a chemical used in the workplace. You will see that it gives basic information which alerts you to the dangers and precautions, and gives details about the supplier so you can get further advice. Look for the label on all chemicals you use. Any substance must be approved through a Risk Assessment before they can be used in the Trust. These are usually controlled by the Facilities Department which can provide further information on request. For further information about Risk Assessments please visit the Trust intranet. Manufacturers may also include instructions, either on the label or on a leaflet supplied with the product. Suppliers must provide Safety Data Sheets for chemicals used in the workplace. This is a detailed information sheet provided by chemical suppliers to their customers so that workers and the environment can be properly protected. First Aid instructions appear on most hazardous substances. You should familiarise yourself with these instructions before using rather than after an incident occurs. START FINISH Question If there are no ‘Instructions for use’ on the label or supplied as a leaflet with the product, you should consult your manager or supplier for advice? FALSE TRUE Continue START FINISH Each workplace should have a register of hazardous substances usually located with the Facilities staff, who most use the chemicals - ensure that you know where this register is. If you have any questions about safety precautions for hazardous chemicals, ask your manager before using them. For your own safety, and the safety of those you work with, each time you use a chemical pause for a moment and… ALWAYS READ THE LABEL This now completes the COSHH part of the training START FINISH Continue Accident and Incident Reporting All staff have a duty to report an incident or accident when it happens, but only one report is required per incident. On completion of this Reporting section, you should understand: • The reporting process • RIDDOR reports Within SEPT incidents and accidents are reported electronically on a database system called Datix. Datix can be accessed via a link on the front page of the Trust intranet site. START FINISH The word "accident" is used in day-to-day language quite often. In Health & Safety it has a specific meaning, which is:“any unplanned event that resulted in injury or ill health of people, or damage or loss to property, plant, materials or the environment or a loss of business opportunity”. A “near miss” is where harm could have resulted but was avoided. Accident Causes ALL accidents are the result of human failures, either by acts or omissions. Of these accidents, it is calculated that 70% of them are preventable. People cause accidents by a number of different methods, these include: • • • • • • A lack of knowledge Poor or defective tools or equipment Lack of ability / training By taking short-cuts Not following correct Policy or Procedures System Errors START FINISH Factors Despite all of the things just mentioned, we, as people, do not usually choose to cause an accident. There are personal factors which can affect our behaviour. These can include: • Complacency / Over-eagerness • Disinterest • Illness / Fatigue • Boredom • Distraction • Worry / Stress RIDDOR All RIDDOR incidents must have a 7Day Report attached to the incident record. START FINISH Under RIDDOR (Reporting of Illness, Disease, and Dangerous Occurrence Regulations) there are certain types of incidents and accidents that must be reported, these include:• • • • • • • Any fracture, not including fingers, thumbs, or toes Any amputation Dislocation of the shoulder, hip, knee, or spine Loss of sight (temporary or permanent) Chemical or hot metal burn to the eye Any penetrating injury to the eye Any injury resulting from electric shock or electrical burn A RIDDOR incident also includes time-off sick after an accident or incident at work, where the person is off sick for four or more days (reported externally to the HSE if off sick for eight or more days). Employees who are off-sick because of an incident or accident whilst at work must, by law, inform their manager once they are off-sick for four or more days. The Manager then reports this fact to the Risk Management Team and completes a 7-Day Report Form. RIDDOR reports are made in the usual way on Datix and the Risk Management Team should be notified immediately by telephone (01268-739-731). Updates and changes to the Datix record will be made by the Manager, or their deputy, as they occur. It is very important that staff report any possible RIDDOR to the Risk Management Team (RMT) as soon as the incident occurs. The RMT are required to report incident to the HSE immediately (serious cases) or within 10 days (usual cases) of the incident happening. START FINISH Question All staff have a duty to report any incident or accident ? FALSE TRUE Continue START FINISH Datix Form Completion Datix Forms are very easy to complete. A form should be completed immediately after an incident or accident happens - anyone can complete the form. The Datix form is completed on-line, via the intranet. On the form all the areas marked with the red asterisk must be completed. START FINISH Any Witness Statements, or other relevant documents, should be scanned and attached to the Datix form. Ensure the documents are saved and are ready to be attached before completing the incident form. Any documents added to a Datix record must have any passwords removed before attaching them. Enter all the details of those involved including Patients (Service Users), Staff, Visitors, etc. By selecting the Add Another button you will be able to add all those named persons involved in the incident / accident. START FINISH Once the Datix form is complete you finish by clicking on the “Submit” button at the bottom of the form. Once a form has been submitted the system will automatically send out any necessary alerts; the form is then available for the Manager of the area identified to complete their part, which includes any investigations or reports. START FINISH Remember The Trust can only be proactive in Health & Safety if you report ALL accidents, incidents, and near miss events. For further help and advice on reporting please contact the Risk Management Team. The Team’s details and contact numbers can be found on the Trust Intranet. This now completes the Reporting part of the training START FINISH Continue Slips, Trips, and Falls “You take hundreds of steps every day, but how many of those steps do you take seriously?” Controlling slips and trips risks at work Introduction Slips and trips are the most common cause of injury at work. On average, they account for 40% of all reported major injuries and can also lead to other types of serious accidents, for example, falls from height. Slips and trips are also the most reported injury to members of the public. This lesson covers :• What causes slips and trips; • Assessing the risks; • Spotting potential hazards; • Being aware of your environment. START FINISH Slips and trips are funny aren’t they?? Slip and trip accidents are often used in cartoons and videos to raise a laugh, but ask a victim if they’re funny. Slip and trip injuries are serious enough on their own, but they often cause serious injury. Incidents such as falls can cause life long problems. Example A young person, who was working in a fast food outlet, slipped on water leaking from a freezer. She put out her hand to break her fall but her arm landed in a deep fat fryer, causing severe scalding. The company, who were aware of the leak but had not taken steps to cure it or to contain it, were prosecuted by the Local Authority and were fined £15,000. START FINISH Regulations The Health and Safety at Work etc. Act 1974 requires employers to ensure the health and safety of all employees and anyone who may be affected by their work, so far as is reasonably practicable. This includes taking steps to control slip and trip risks. Also, employees have a duty not to put themselves or others in danger, and must use any safety equipment provided. Employers are required to assess risks (including slip and trip risks) and, where necessary, take action to address them. The Regulations require floors to be suitable, in good condition, and free from obstructions. People should be able to move around safely. On average, fracture injuries result in at least one month off work and the cost of treating slip and trip injuries for the NHS is more than £150m pa. • • • To the individual: lost income, pain, reduced quality of life; To employers: over £500m pa in damages, admin, insurance, lost production, on-going absences; To society: over £800m pa loss of potential output, medical costs, social security. START FINISH Spotting an Hazard What could be a potential hazard? Poorly Lit Areas Manhole covers Extension leads Heaved Concrete Computer Wiring Phone wires Stairs and steps wet Surfaces Door Thresholds Loose floor tiles Loose Carpet Frost, Snow Mats Uneven or Ice Surface Sudden Inattention Change of Direction START FINISH Open drawers These are only examples. There are many others so please be aware of your environment. Preventing a Slip or a Trip There are many simple ways to control slip and trip risks and prevent accidents in your workplace. Here are a few examples:Stop floors becoming contaminated by: • • • • • Use entrance matting; Fix leaks from machinery or buildings; Make sure plant and equipment are maintained; Design tasks to minimise spillages; Plan pedestrian and vehicle routes to avoid contaminated areas. Get the right footwear: • Where floors cannot be kept clean and dry, slip-resistant footwear can help prevent slip accidents. Consider the flooring and work environment: • • Check for loose, damaged, and worn flooring and replace as needed; Floors likely to get wet or have spillages on them should be of a type that does not become unduly slippery; START • • • Make sure lighting is sufficient and that slopes or steps are clearly visible; Keep walkways and work areas clear of obstructions; Make sure that wires, cables are leads are not a trip hazard. FINISH Question Slips, Trips or Falls do not have to be reported? FALSE TRUE Continue START FINISH Summary In all workplaces: • If you have an incident, accident, or near miss make sure you report it via Datix; • If you see a spillage, clean it up or make arrangements for it to be cleaned; • Report any damaged floors or mats; • Play your part and keep the workplace clean, clear, and tidy; • If you see items on the floor where someone could trip over them, remove them, arrange for them to be removed, or for the situation to be made safe; • If you are given PPE (Personal Protective Equipment), wear it, use it, and look after it reporting any faults or damage to your Manager.; • Tell the Trust about any work situation that you think is dangerous, or if you notice that something has gone wrong with your health and safety arrangements. This now completes the Slips Trips and Falls And Fit for Work. START FINISH Remember, if you want to find more information / evidence about this subject or anything else which is relevant to your work or study, join your local healthcare library. For staff in Essex contact Basildon Healthcare Library. www.btuheks.nhs.uk [email protected] 01268 524900 EX3594 It may be that you work in a different area, for example Luton. Details of all the Health Libraries in the East of England can be found at this site… www.eel.nhs.uk You are welcome to join any of these. START FINISH Review of Objective(s) Before completing the test, please ensure you have acquired the relevant knowledge against the modules objective(s) below: On completion of the Fit for Work module you will be able to: • Describe why an awareness of health and safety issues in the workplace is important; • Demonstrate how to lift, carry, and deposit an inanimate load safely; • Describe how to adjust seating position and posture whilst using display screen equipment; • Identify hazards associated with using hazardous chemicals; • Take appropriate measures to relieve stress and fatigue whilst carrying out certain tasks. If not, please take this opportunity to revisit the presentation content. CONTINUE START FINISH You now need to take the test! Remember to click the ‘home’ icon when you have finished the test to save your results! START FINISH