Title: Thinking Differently About Health
1Thinking Differently About Health Safety
Successful Partnerships That Make A Difference
SAWS/IALI Conference April 13 14, 2006 Beijing,
China
SAWS/IALI ?? 2006?4?13-14? ????
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M. Shaw, IAPA President CEO www.iapa.ca
2Industrial Accident Prevention Association
3Industrial Accident Prevention Association
4Ontario Ministry of Labour ??????
- Mission Is
- To advance safe, fair and harmonious workplace
practices that are essential to the social and
economic well-being of the people of Ontario
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5Ontario Ministry of Labour (Contd)??????(?)
- Through the ministrys key areas of occupational
health and safety, employment rights and
responsibilities, labour relations and internal
administration, the ministrys mandate is to set,
communicate and enforce workplace standards while
encouraging greater workplace self-reliance
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6- To purpose of this presentation is to tell the
story of the Ontario Canada model of employing a
cooperative approach through partnerships to
achieve breakthroughs in establishing healthier
and safe workplaces
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7Ontario Experience
- Although enforcement is positioned as an
important motivator, legislation and enforcement
alone, do not provide sustainable outcomes - Judicious mix of focused evidence-based
strategies and targeted sectoral-based resources
are needed - Training, education and consulting products
developed for size and sector of business bring
greater improvements - Resources must reflect an integration of the
traditional physical work environment with the
psychosocial work environment including health
and wellness practices
8Ontarios Model
- Model consists of three pillars of prevention
- Ontario Ministry of Labour
- Ontario Workplace Safety and Insurance Board
- 14 Sector-Specific Health and Safety
Associations - Management, labour, research institutes,
universities, and community colleges support this
model
9Pillars of Prevention
Ontario Ministry of Labour (MOL)
- MOLs mandate is to set, communicate, and enforce
workplace standards while encouraging greater
workplace self-reliance - Activities include
- Setting standards through legislation and
regulations - Conducting inspections of high risk firms
- Conducting investigations and issuing orders
- Prosecuting for non-compliance
- Communication with employers, labour, general
public stakeholders
10Pillars of Prevention (contd)
Workplace Safety and Insurance Board (WSIB)
- WSIBs mandate is to ensure prevention,
return-to-work, rehabilitation and compensation
(no fault insurance system) - Activities include
- Acting as insurance agency for workplace injuries
and illness - Working with health and safety association to
promote workplace safety and health - Assessing and collecting funds from employers for
services - Instituting surcharges and rebates based on
performance - Promoting and supporting applied research
11Pillars of Prevention (contd)
- The fourteen Health and Safety Association in
Ontario have a mandate to provide programs for
the prevention of workplace injury and illness - Activities include
- Developing and implementing educational and
training programs - Assisting firms to implement health and safety
management systems - Identifying and communicating best practices and
standards - Providing solutions-based consulting of workplace
systems - Promoting health, safety and wellness and
psychosocial awareness
12Occupational Health and Safety Council of
Ontario (OHSCO)
- OHSCO is a strategic body comprised of the
leaders of Ontarios Prevention System - It plays a strategic and advisory role in
aligning and enhancing Ontarios Health and
Safety System - It leverages the strengths and resources of its
member organizations to achieve its vision and
mission - On behalf of workers and employers, OHSCO
inspires, leads and enables the creation of the
healthiest and safest workplaces in the world,
continuously working towards the goal of
eliminating work-related injuries, illness and
death in Ontario Canada
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Workplace Safety andInsurance Board (WSIB)
- Continue to exist as an insurance agency
- Provide injury and illness data to the SWAs and
other parties - Work with the SWAs and others to promote
safety and health - Institute surcharges or rebates to firms based
on their performance - Assess and collect funds from firms to provide
funding for the purpose of prevention - Administer framework for prevention network
- Research priorities
Health Safety Associations
Ministry of Labour (MOL)
- Assist firms to implement H S systems
- Identification communication of best
practices/standards - Situations-based consulting of workplace
systems - Develop implement educational training
programs - Promotion of health, safety and wellness
- Working with partners
- Set clear standards
- Inspections of high risk firms
- Investigations
- Issue orders
- Prosecute for non-compliance where necessary
- Communicate
- Working with partners
Workplaces
- Applied Knowledge Strategies
Training Centres Occ. Hlth Clinics
- Cross sectoral training information and support
A Network To Enable Ontario Workplaces To
Establish and Maintain Healthier and Safer
Workplaces
Others
- Health Safety Agencies (local, national,
international) - Institute for Work Health
- RAC
- Universities/Community Colleges
- Consultants
- ILO
- WHO
- Minerva Canada
- Threads of Life
- IRSST
- CSA
- CME and other Trade Associations
Source Maureen C. Shaw, IAPA
14Program Logic Model for the Prevention System
Leading Indicators
Trailing
Inputs
Activities/Outputs
Reactions
Outcomes
Research
OHSCO
IWH,
Knowledge
Purpose
RAC
Attitudes
Transfer
To make and
Fewer
Values
keep Ontario as
Set Standards,
MOL
Beliefs
the healthiest
Injuries
Communicate,
safest place in
Knowledge
Enforce
Illnesses
the world to
Strategy, Organization, Resources
work
Information,
SWAs
Systems
Diseases
Training,
Target Clients
Fatalities
Reduced
As
sistance
Ontario
Hazardous
Workers,
WSIB
Financial Incentives,
Employers
Exposures
Social Marketing,
Society
System Support
Effectiveness in Workplace
System Qualities
Source OHSCO System Measurement Sub-Committee
15Evidence Based Data and Research???????????
The transfer of evidence-based research outcomes
is not about the collection and dissemination of
information
16Evidence Based Data and Research
(contd)???????????(?)
- It is about transforming, interpreting, and
innovating the knowledge onto a wiser path of
health and safety awareness to empower, change,
and evolve organizations and people - Knowledge transfer is achieved through an
exchange of information and dialogue that ensures
that research is both relevant and applicable
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17Wisdom How Is It Created?
Wisdom using what is understood - informed by
purpose, principles, ethics, and memory
for making better choices
Holistic, subjective, spiritual conceptual,
creative and rare
Separable, mechanistic, objective and abundant
Transformation/Innovation transformation and
innovation of knowledge for use by intervenors
to effect change
Understanding when knowledge is related and
becomes systemic and useful for conceiving,
anticipating, evaluating, judging and predicting
Knowledge integrating information so that it can
be used for taking action
Information assembled data that adds meaning -
that informs, a difference that makes a
difference
Data discernable cognitive patterns, separable,
objective, and linear - cause effect
Noise sensory, pervasive random
Ken Smith Strategic Solutions
Adapted from Dee Hock - Birth of the Chaordic Age
18The Case for Action
- 300,000 people injured annually in Ontario
- 100,000 injured seriously enough to take time off
work - 100 died in traumatic workplace accidents in 2004
- 196 died due to occupational diseases in 2004
- 296 Total deaths in 2004
- 35 fatalities in construction in 2004
- Workplace injuries cost Ontario economy 12
billion per year CME/WSIB study - Note in 2004, estimated number of workers in
Ontario was 6.316 million
Source Ministry of Labour and WSIB
19The Case for Action
Lost Time Injury Rate Employment Growth In
Ontario 1976-2004
Source Ministry of Labour
20OHS System-wide Partnership Last Chance and
High Risk
MOL and Ontario System Target 20 reduction in
injuries over four years (2004-2008) from 300,000
injuries per year to 240,000 injuries per year
- 6000 firms (2 of registered firms with WSIB)
represent 10 of all LTI, 21 of the claim costs - High Risk Initiative (worst 2) Ministry
lead - High risk target list 5000 (05/06), 5800
(06/07) - Reactive HSA assistance workplace demand for HSA
services driven by compliance orders - Goal to build sustainable workplace self-reliance
21OHS System-wide Partnership Last Chance and
High Risk (contd)
MOL and Ontario System Target 20 reduction in
injuries over four years (2004-2008) from 300,000
injuries per year to 240,000 injuries per year
- Motivate next 8 (15,000 last chance) HSAs
leading - proactive HSA assistance motivate workplaces to
achieve compliance (mitigate potential orders)
build sustainable workplace self-reliance
22OHS System-wide Partnership Results Last
Chance and High Risk
MOL and Ontario System Target 20 reduction in
injuries over four years (2004-2008) from 300,000
injuries per year to 240,000 injuries per year
- High Risk Activities
- Year 1 of high risk initiative 132 new
inspectors targeting over 5000 workplaces 4 times
a year - Greater than 2 times the number of serious
offences - LTI reductions in targeted firms range from 20
27
23OHS System-wide Partnership Results Last
Chance and High Risk (contd)
MOL and Ontario System Target 20 reduction in
injuries over four years (2004-2008) from 300,000
injuries per year to 240,000 injuries per year
- Last Chance Activities
- 5 HSAs visit to last chance firms of firms
taking up HAS assistance range from 12 to 97 - of firms failing to respond to HSA offer range
from 0.03 to 2 referrals to MOL
24Safety Groups Program??????
- ???????? WSIB ???,???????????,?????????????????
- The Safety Groups program is sponsored by the
WSIB and provides for a network of companies who
share the common goal of reducing injuries and
illnesses
Source www.wsib.on.ca/wsib/wsibsite.nsf/public/S
afetygroups
25Safety Groups Program??????
- Safety Group members pool resources, share best
practices and help each other develop and manage
effective health and safety programs -
- While improving workplace safety they can reduce
their compensation premiums and earn financial
rebates
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Source www.wsib.on.ca/wsib/wsibsite.nsf/public/S
afetygroups
26Safety Groups Program
- Each safety group has a sponsor from a trade
association or a health and safety association.
Sponsor promotes group interaction through
meetings, workshops and guidance on action-plan
development and tracking progress - The Safety Groups Program started in 2000 and is
now an ongoing prevention program. In 2004 there
were 40 participating Safety Groups with rebate
recipients receiving 19,992,371 - Participating firms average a 25 reduction in
injuries annually
27Safe Communities
- There are 97 Safe Communities world-wide. This
model is currently supported by 18 communities in
China - 4 communities in China have been designated
- 1 is projected for 2006
- 13 have designation in preparation
Source Safe Communities Foundation,
httpwww.safecommunities.ca/milestones.htm
28Safe Communities Incentive Program (SCIP)
- SCIP promotes safety in the workplace and helps
small businesses reduce WSIB insurance premiums.
It involves a partnership with the WSIB, the 28
Safe Communities and the Health and Safety
Associations based in Ontario - Participating firms gain access to health and
safety training programs, resources and access to
health and safety experts to help them to become
better, safer workplaces
29Safe Communities Incentive Program (SCIP)
- SCIP requires the owner/senior manager to
participate in The 5 Steps to Managing Health and
Safety training program - SCIP is in its ninth successful year. Since 1997,
5.400 firms have participated in SCIP and
received rebates totaling 11 million - In 1999, with a control group of 3 communities,
participating firms experienced a reduction of
injuries by 23 on average
30Accreditation Program
- The general objective of an accreditation program
is to promote the adoption of good OHS policies,
programs and practices in workplaces - The goal is to encourage employers to adopt an
Integrated Management System driven by a
comprehensive continual improvement process,
designed to assist them in managing and
integrating their organizations safety, health
and environmental needs with overall business
requirements in a manner which is sustainable
31Accreditation Program
- Accreditation has the potential to strengthen
workplace commitment to high standards of OHS
practice through economic, social and possibly
legal motivators - The WSIB is developing a Health Safety
Accreditation Plan for Ontario workplaces. An
Accreditation Working Group has been established
and recommendations will be made to the WSIB in
June 2006
32System Measurement
- System alignment annual assessment of alignment
between partners - Enforcement
- MOL orders per 100 workers
- of orders related to serious contraventions
- Knowledge and skill transfer
- Participant days in training per 100 workers
- Conference attendance per 100 workers
- Consultant interventions Number of visits and
number of firms
33System Measurement
- WSIB Database on Registered Firms
- Lost time injury rate per 100 workers
- Non-lost time injury rate per 100 workers
- Annual severity rate Number of lost days due to
severe injuries - Fatalities and category of fatality
- Type of injury and numbers of each
- Insurable earnings and premiums
- Long term, short term and health care benefit
costs
34Outcomes
MOL and Ontario System Target 20 reduction in
injuries over four years (2004-2008) from 300,000
injuries per year to 240,000 injuries per year
- MOL Statistics (2004 to2005)
- High risk firms (low 2) reduced LTI rate by 28
- Last chance firms (next 8) reduced LTI frequency
by 11
35Summary of Ontarios LTI Statistics
Source Ministry of Labour
36Recognition??
- Recognition is an important part of any strategy.
In this case it must of course be part of a
formal verification process by organizations
accredited to undertake the verification to an
approved set of standards. An organizations
policies and programs must meet the requirements
of an effective, integrated occupational health
and safety management system
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37Recognition
- The key objective is to promote effective
workplace policies, programs and practices and to
recognize enterprises that go beyond compliance.
The primary benefit of a Recognition Process
would be the systematic prevention of injuries,
illnesses and fatalities as well as the human and
financial costs - Secondly, it verifies and recognizes good
performers and provides a market-driven standard - Thirdly, it allows for focus by enforcement
bodies on poor performers
38IAPA Health and SafetyAchievement Awards
- Recognize a firms progressive achievement in
health and safety - Recognize a firms demonstrated commitment to
staff, customers,and community - Provide guidance to firms in their quest towards
occupational health and safety - Three distinct honours
Achievement Award Marking the progression of a
health and safety program with three levels of
achievement
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40Centre for Health Safety Innovation????????
Vision Communities free of injury and illness
prevention
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- Mission
- Provide a meeting place for knowledge exchange,
learning and innovation in prevention
41Centre for Health Safety Innovation
- The Centre will
- Provide innovative training and educational
programs by offering dynamic training
opportunities to participants - Foster evidence-based research in health and
safety by working with universities, colleges and
other academic institutions that will result in
practical solutions - Be a key resource in health and safety trends,
initiatives and issues - Develop new health and safety programs in areas
such as occupational disease - Participate in and encourage excellence in
workplace health and safety by rewarding efforts
of individuals and employers
42Coming together is a beginning, staying together
is progress, and working together is
success ? Henry Ford
43Conclusion
- Through relationships that have developed, we are
more prepared to respond to unexpected issues
that arise - Much was learned about the value of these
structured relationships as a result of the SARS
outbreak that occurred in the Toronto area in
2003 - Recently, when an outbreak of Legionnaires
Disease occurred, the partners were able to
respond to the respective stakeholders within a
few hours with relevant information
44(No Transcript)
45Innovative Strategies for Safer and Healthier
Workplaces???????????????
We invite you to attend the 2007 IALI
Conference April 18, 19 20, 2007 Toronto,
Ontario, CANADA Please pick up the brochure here
at the conference or visit the IAPA web
site www.iapa.ca
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- 2007 IALI ???
- 2007 ? 4 ?18?19 20 ?
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- ?????????
- IAPA ??????
- www.iapa.ca
46Vision