thinking differently about health & safety: successful partnerships that make a difference

M. Shaw, IAPAPresident & CEO

www.iapa.ca 1

Thinking Differently About Thinking Differently About Health & Safety:Health & Safety:

Successful Partnerships That Make A Successful Partnerships That Make A DifferenceDifference

SAWS/IALI ConferenceSAWS/IALI ConferenceApril 13 & 14, 2006April 13 & 14, 2006

Beijing, ChinaBeijing, China

SAWS/IALI SAWS/IALI 会议会议20062006 年年 44月月 13-1413-14 日日中国北京中国北京

关于保健与安全关于保健与安全的不同思考：的不同思考：成功的合作伙伴让事情变得不同成功的合作伙伴让事情变得不同


www.iapa.ca


www.iapa.ca 2

A World where risks are controlled because everyone believes suffering and loss are morally, socially and economically unacceptable

Vision

Industrial Accident Prevention Association


www.iapa.ca 3

To improve the quality of life in workplaces and communities we serve by being an internationally recognized leader in providing effective programs, products and services for the prevention of injury and illness

Mission

Industrial Accident Prevention Association


www.iapa.ca 4

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

Ontario Ministry of Labour 安大略劳工部

使命是．．．为了安大略人最基本的社会和经济安宁而促进安全、公平且和谐的工作守则。


www.iapa.ca 5

Through the ministry’s key areas of occupational health and safety, employment rights and responsibilities, labour relations and internal administration, the ministry’s mandate is to set, communicate and enforce workplace standards while encouraging greater workplace self-reliance

Ontario Ministry of Labour (Cont’d)安大略劳工部（续）

•通过其关键领域：职业健康和安全、雇佣权利和义务、劳资关系和内部行政管理，劳工部的任务是制订、交流和执行工作场所标准以促使工作场所具有更强的自我依赖性。


www.iapa.ca 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

此演示的目的是让您了解加拿大安大略的模式，即采用伙伴合作途径来建立更健康、安全的工作场所，从而实现突破。


www.iapa.ca 7

Ontario 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


www.iapa.ca 8

Ontario’s Model

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

Model consists of three pillars of prevention:Model consists of three pillars of prevention:


www.iapa.ca 9

Pillars of Prevention

MOL’s mandate is to set, communicate, and enforce workplace standards while encouraging greater workplace self-relianceActivities 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

Ontario Ministry of Labour (MOL)Ontario Ministry of Labour (MOL)


www.iapa.ca 10

Pillars of Prevention (cont’d)

WSIB’s 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

Workplace Safety and Insurance Board (WSIB)Workplace Safety and Insurance Board (WSIB)


www.iapa.ca 11

Pillars of Prevention (cont’d)

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


www.iapa.ca 12

Occupational Health and Safety Council of Ontario (OHSCO)

OHSCO is a strategic body comprised of the leaders of Ontario’s Prevention System

It plays a strategic and advisory role in aligning and enhancing Ontario’s 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”

Workplaces• Applied

Knowledge& Strategies

A Network To EnableOntario Workplaces To Establish and Maintain Healthier and Safer Workplaces

Source: Maureen C. Shaw, IAPA

Workplace Safety andInsurance Board (WSIB)

Ministry of Labour (MOL)

Health & Safety Associations

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

Cross sectoral training information and support

Set clear standards Inspections of high risk firms Investigations Issue orders Prosecute for non-compliance

where necessary Communicate Working with partnersTraining Centres & Occ. Hlth Clinics

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

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

一个启动安大略工作场所、建立和维护更健康、更安全的工作场所的网络

Program Logic Model for the Prevention System

Source: OHSCO System Measurement Sub-Committee

Inputs

Activities/Outputs

Set Standards, Communicate,

Enforce

Research & Knowledge

Transfer

Information, Training, Assistance

Financial Incentives, Social Marketing, System Support

Systems

Attitudes Values Beliefs

Knowledge

Reduced Hazardous Exposures

Reactions

Leading Indicators

Trailing

System Qualities Effectiveness in

Workplace

Fewer Injuries Illnesses Diseases Fatalities

Outcomes

IWH, RAC

MOL

SWAs

WSIB

Stra

tegy

, Org

aniza

tion,

Res

ourc

es OHSCO Purpose

To make and keep Ontario as the healthiest & safest place in the world to

work

Target Clients Ontario Workers,

Employers & Society


www.iapa.ca 15

Evidence Based Data and Research有证据基础的数据和调查

The transfer of evidence-based research outcomes is not about the collection and dissemination of information

有证据基础的调查结果的转化与信息的搜集和传播无关


www.iapa.ca 16

Evidence Based Data and Research (cont’d)有证据基础的数据和调查（续）

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

它是把知识转变、解释和改革为一种更明智的途径，使人们能够具有健康和安全意识，从而使各个机构和人们能够改变和发展。知识转化是通过信息交流和对话实现的，信息交流和对话确保了调查的相关性和适用性。

Noise: sensory, pervasive & random

Data: discernable cognitive patterns, separable, objective,and linear - cause & effect

Information: assembled datathat adds meaning - that informs,“a difference that makes a difference”

Knowledge: integratinginformation so that it can be used for taking action

Understanding: when knowledge is related and becomes systemic and useful for conceiving, anticipating, evaluating, judging and predicting

Separable, mechanistic,objective and abundant

Holistic, subjective, spiritualconceptual, creative and rare

Adapted from Dee Hock -Birth of the Chaordic Age

Wisdom: using what is understood - informed by purpose, principles, ethics, and memory formaking “better” choices

Transformation/Innovation: transformation and innovation of knowledge for use by intervenors to effect change

Ken SmithStrategic Solutions

Wisdom – How Is It Created?


www.iapa.ca 18

The 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 studyNote: in 2004, estimated number of workers in Ontario was 6.316 million

Source Ministry of Labour and WSIB


www.iapa.ca 19

The Case for Action

Source Ministry of Labour

Lost Time Injury Rate & Employment Growth In Ontario 1976-2004

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

5.0

1976

1977

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1989

1990

1991

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

3,000

3,500

4,000

4,500

5,000

5,500

6,000

6,500

LTI rate Workers (thousands)

LTI Plateau


www.iapa.ca 20

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

OHS System-wide Partnership “Last Chance and High Risk”

MOL and Ontario System TargetMOL and Ontario System Target20% reduction in injuries over four years (2004-2008) from 300,000 injuries 20% reduction in injuries over four years (2004-2008) from 300,000 injuries

per year to 240,000 injuries per yearper year to 240,000 injuries per year


www.iapa.ca 21

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

OHS System-wide Partnership “Last Chance and High Risk” (cont’d)




www.iapa.ca 22

OHS System-wide Partnership –Results “Last Chance and High Risk”

“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%




www.iapa.ca 23

OHS System-wide Partnership –Results “Last Chance and High Risk” (cont’d)

“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

MOL and Ontario System TargetMOL and Ontario System Target20% reduction in injuries over four years (2004-2008) from 300,000 20% reduction in injuries over four years (2004-2008) from 300,000

injuries per year to 240,000 injuries per yearinjuries per year to 240,000 injuries per year


www.iapa.ca 24

Safety Groups Program安全小组计划

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/Safetygroups

安全小组计划是由 WSIB 发起的，旨在为企业网络提供服务，这些企业的共同目标是减少损伤和疾病：


www.iapa.ca 25

Safety Groups Program安全小组计划

– 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

Source: www.wsib.on.ca/wsib/wsibsite.nsf/public/Safetygroups

- 安全小组成员集合各种资源、严格遵守工作守则，并互相帮助以开发和管理有效的健康和安全计划。- 在提高工作场所安全的同时，他们还可以减少赔偿费用并获得财政收益。


www.iapa.ca 26

Safety 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


www.iapa.ca 27

Safe Communities

Source: Safe Communities Foundation, http:www.safecommunities.ca/milestones.htm

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


www.iapa.ca 28

Safe 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


www.iapa.ca 29

Safe 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


www.iapa.ca 30

Accreditation 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 organization’s safety, health and environmental needs with overall business requirements in a manner which is sustainable


www.iapa.ca 31

Accreditation 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


www.iapa.ca 32

System 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


www.iapa.ca 33

System 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


www.iapa.ca 34

MOL and Ontario System TargetMOL and Ontario System Target20% reduction in injuries over four years (2004-2008) from 300,000 20% reduction in injuries over four years (2004-2008) from 300,000

injuries per year to 240,000 injuries per yearinjuries per year to 240,000 injuries per year

Outcomes

MOL Statistics (2004 to2005) High risk firms (low 2%) reduced LTI rate by

28% Last chance firms (next 8%) reduced LTI

frequency by 11%


www.iapa.ca 35

Summary of Ontario’s LTI Statistics

Source: Ministry of Labour

0

1

2

3

4

5

6

2000 2001 2002 2003 2004 2005

LTI's

per

100

wor

kers

pilot high risk prioritylast chance Schedule 1


www.iapa.ca 36

Recognition认识

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 organization’s policies and programs must meet the requirements of an effective, integrated occupational health and safety management system

认可是任何策略的重要部分。因此，各个机构必须将其确认为一个正式的认定过程并使其达到一套认可的标准。一个机构的政策和计划必须符合有效、整合的职业健康和安全管理体系的要求。


www.iapa.ca 37

Recognition

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


www.iapa.ca 38

Recognize a firm’s progressive achievement in health and safety

Recognize a firm’s 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

Achievement Award

Safety Award:Achieving one year or 20,000 hours without injury or illness Must have achieved at least

Level I Achievement Award

Safety Award

President’s Award:For best-in-class organizations Must exemplify the

principles of an effective and integrated managed system for health and safety

Must have achieved a Level I, II, or III Award

President’s Award

IAPA Health and SafetyAchievement Awards


www.iapa.ca 40

Centre for Health & Safety Innovation健康 & 安全改革中心

MissionProvide a meeting place for knowledge exchange, learning and innovation in prevention

VisionCommunities free of injury and illness prevention

远景使社区成员不受损伤和疾病预防的困扰使命在防治中提供一个交流知识、学习和创新的聚会地点


www.iapa.ca 41

Centre 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


www.iapa.ca 42

“Coming together is a beginning, staying together is progress, and

working together is success” Henry Ford


www.iapa.ca 43

Conclusion

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 Legionnaire’s Disease occurred, the partners were able to respond to the respective stakeholders within a few hours with relevant information


www.iapa.ca 45

Innovative Strategies for Safer and Healthier Workplaces更安全和健康工作场所的改革策略

我们邀请您参加2007 IALI 讨论会

2007 年 4 月 18 、 19 & 20 日加拿大安大略多伦多请在大会现场或登录IAPA 网站获取手册

www.iapa.ca

We invite you to attend the

2007 IALI ConferenceApril 18, 19 & 20, 2007

Toronto, Ontario, CANADA Please pick up the

brochure here at the conference or visit the

IAPA web sitewww.iapa.ca


www.iapa.ca 46

Vision

thinking differently about health & safety: successful partnerships that make a difference

Documents