Tips to prevent re-injury after return-to-work

When an employee suffers a work injury and is returning to work, first and foremost, make sure the employee understands the importance of working within medical restrictions to avoid re-injury.

Once restrictions have been lifted, there are still things you can do to make sure the employee is not re-injured on the job:

  • Empower the employee to speak up. Ask for feedback about the employee’s comfort level returning to regular duty. If the employee is concerned about re-injury, he or she may not be ready to go back to regular duties.
  • Discuss ways to prevent similar incidents in the future. Talk with the employee about the root cause of the injury, and find ways to eliminate any environmental or behavioral hazards. Don’t take any chances of the same incident happening again.
  • Point out the not-so-obvious. For example, a shoulder injury might limit an employee’s ability to catch himself or herself in a slip-and-fall incident. This kind of thing is surprisingly common. Being injured is an unfamiliar state. With it comes new sensations and limitations employees might not be aware of.
  • Check in with the employee regularly. Doing the same job tasks an employee did before they were injured may aggravate the same issues and cause re-injury. If the injury was due to repetitive stress, returning to the same job is probably not an option.
  • Promote job readiness. Work readiness is important for all workers, not just those who have been re-injured.
    • Encourage employees to stretch before beginning work, if it fits within their medical restrictions. For employees working in a labor-intensive work environment, stretching can help gain flexibility, reduce strains and sprains and enhance overall physical fitness and help avoid re-injury.
    • Make proper lifting techniques a priority.
    • Reinforce wellness and positive life habits. Support awareness and application of proper eating, adequate sleep and regular exercise. Healthy employees are productive employees.

 

Cut down the risk of injury for your new employees

Hiring new employees always comes with certain risks.

Maybe they won’t fit in. Or they’ll decide they didn’t want the job after all.

But have you thought about the risks to them — to their safety?

According to SFM claims data, more than half of workplace injuries involve employees who are in their first five years of employment at their workplace.

Why do new employees get injured?

Recent data shows that as the unemployment rate drops, the number of new workers increases, along with the percentage of claims with less than a year of employee tenure. When unemployment is low, there is a smaller pool of job candidates to choose from, and your new hires might not stick around as long.

New workers can be more susceptible to injury because they often haven’t developed the necessary skills to safely do their work. For those who work in manual labor jobs, they may not have built up the muscle strength, flexibility and endurance needed to complete the jobs.

Additionally, open jobs tend to be the heavier, riskier ones, and so inexperienced workers get their start doing the most challenging work. This can result in fast turnover and injuries. It happens across many different job fields, including manual labor and education.

Rather than having new employees fill the open, difficult jobs, it’s best to start them off slowly. Bring them in to the easiest jobs and then move them to harder jobs once they’ve had time to adapt. Your workers with the most experience have been trained and conditioned to do the more challenging jobs, and so they are less likely to be injured.

Focus on good hiring practices

When you have an open position that you’ve been struggling to fill, it can be tempting to relax some of your hiring practices in order to find someone to fill the job.

But lowering your standards could result in hiring someone who isn’t suited to the job, which increases the likelihood of injuries and employee turnover.

“In my experience, it’s better to endure times when you have positions sitting open and get creative about how you get jobs done, rather than picking someone you know isn’t right,” said SFM Loss Prevention Technical Leader Lee Wendel. “Otherwise, you end up adding people on your staff that you know don’t meet the same standards as the rest of your employees.”

If your experienced employees think you aren’t holding new employees to the same standard, it can affect morale and bring negativity into the workplace, Wendel said. It’s better to have a robust hiring process and stick to it.

When you’re hiring, keep these best practices in mind*:

  • Have a formal application and a current job description that includes the physical requirements of the job.
  • Have multiple people interview the candidate and conduct multiple interviews, including questions about safety.
  • Be thorough when conducting background checks.** Include checking references, verification of education credentials and legal status, pre-employment physicals and drug testing.
  • Keep all documentation following the hire, including application forms, job descriptions and payroll and attendance records.

Once your new hire has been at the job for a few weeks, evaluate the situation and ask yourself if you would hire them again. If not, work backward through your hiring process to see what you can change to avoid the problem in the future.

Make sure prospective hires understand the job

The interview process is often focused around getting to know the job candidate. But once you think you’ve found the right person, it’s important to make sure that individual gets to know all the job duties before accepting the position. The alternative is hiring new employees who aren’t prepared to do the work required because they didn’t know what to expect.

It’s important that employers give prospective employees a realistic view of what the job is.

In some cases, new employees may stop showing up to work after finding they have to perform certain tasks they weren’t expecting and don’t want to do. Or employees who do keep showing up might be more likely to be injured, because they weren’t prepared or were less dedicated to learning the proper procedures than someone who knew what to expect.

“It’s important that employers give prospective employees a realistic view of what the job is,” Wendel said. “Show them someone doing the job while it’s happening, if possible.”

Create an in-depth safety training program

The best way to make sure your new workers avoid injury is to give them proper training.

If you’ve been understaffed, or still are, it can be easy to cut corners on safety training, but it’s important to start safety training on day one so that your new hires know what to expect going forward.

“Think about preparing your employees to work safely in broad terms,” Wendel said. “It’s being familiar with the hazards, it’s being trained for the hazards and it’s knowing how to avoid situations that result in injury.”

Your training program should include the following:

  • Get them familiar with the dangers of the equipment they’re using and the processes they’re performing.
  • Let them know not to expect to perform at the same level as more experienced workers until they’ve accumulated more skill, experience and knowledge.
  • Teach them the best practices right away that they would otherwise learn from experience.
  • Make sure they understand the hazards present in the workplace, including ones that may not be obvious, such as paint vapors, flammable vapors or carbon monoxide.
  • Enforce the use of personal protective equipment and make sure they know how to match the correct equipment with the job they’re performing.
  • Teach them about how their jobs might intersect with others they share space with.

Remember that training isn’t going to all sink in on the first day. You need to periodically revisit safety with your employees to make sure the important pieces stay fresh in their minds.

Pay attention to what causes injuries

Your injury trends might reveal a weak spot in your current safety training. If you notice that a certain type of injury is repeatedly occurring, or if employees with a certain job tend to be injured more often, this could be a clue that something isn’t being covered in training.

SFM claims data shows that workers with less than a year of experience are most likely to receive sprains and strains. This could be a signal that they aren’t getting enough training on safe lifting techniques. Implement weight limits for manual lifting and remind your employees to lift from a position of power: keep the head up, bend at the knees, keep the load close and remember “nose follows toes” to keep from twisting.

Or maybe you need to reevaluate how heavy objects are stored. Keeping them between knee and shoulder height can reduce the risk of back injuries from lifting. There is also equipment that can assist with lifting heavier objects.

Take the time to perform a workplace analysis. When reviewing your previous injury records, use a checklist to make sure you aren’t overlooking any hazards. You can create your own checklist based on what you observe at your workplace, or download SFM’s workplace analysis supervisor checklist from our resource catalog.

Once you’ve identified problem areas, you can implement changes to your safety training program to correct oversights. Seek advice from your contacts at SFM or search the resource catalog.

Comprehensive hiring practices and safety training are more important than ever. Finding and training new hires can be a challenge, but it’s one that pays off.

*This is not intended to serve as legal advice for individual fact-specific legal cases or as a legal basis for your employment practices.

**Some of these items may not be permissible until a conditional offer of employment has been made. Be sure to consult your employment law attorney.

Want more content like this?

Get the latest Simply Work Comp blog posts in your inbox.

Get our quarterly email newsletter

Workers’ compensation and home office telecommuting

Have you ever thought about what happens if an employee is injured while taking a coffee break or walking to the restroom?

Courts in most states have ruled that employees who are injured while taking short breaks from work to seek personal comfort can be eligible for workers’ compensation benefits.

This raises the question: What happens when that injury occurs while the employee is working from home?

With more people telecommuting , it’s an issue of growing concern for employers.

That coffee break may be compensable

In a December 2008 case, the Minnesota Workers’ Compensation Court of Appeals confirmed extension of the personal comfort doctrine  to employees working from a home office. The personal comfort doctrine states that an employee can be entitled to benefits for an injury that occurs during work hours, but while the employee is taking care of personal needs.

In the case (Munson v. Wilmar/Interline Brands ) the court awarded benefits to an employee who was injured when descending the stairs to get a cup of coffee while working from his home office.

The employer in the case required the employee to maintain a home office as part of his job as a sales representative. On a Saturday morning, the employee was planning to prepare a month-end sales report. He dialed into the company’s server and prepared the report, but had some technical difficulty sharing the report. The employee decided to take a break, and went downstairs to the kitchen to get a cup of coffee. As he went down the stairs, he slipped and fell on his back, fracturing his T9 vertebrae and requiring surgery. The employer and insurer denied the claim, and denied that the personal comfort doctrine applied to a home office setting.

While the court recognized that determining liability for injuries occurring in home office settings may be difficult, the court examined the specific circumstances of the case presented, and found the injury compensable through application of the personal comfort doctrine. The court noted that the employee was working shortly before he took his break, was performing duties required by the employer, and did not engage in any unreasonably dangerous or risky behavior when he went to get his coffee. The court found it no different than an employee working at the employer’s main facility who takes a coffee break and walks to the break room, sustaining an injury in the process.

Person working from home with coffee cup in hand

The personal comfort doctrine in other states

Case law in most states reflects recognition of the personal comfort doctrine or some similar principle, generally allowing workers to be compensated for injuries that occur on short comfort-related breaks from work. Whether the personal comfort doctrine applies to telecommuters hasn’t yet been tested in all courts. If an employee is injured while taking a brief break during the workday to grab a snack, go to the bathroom, get a cup of coffee, or similar personal convenience tasks — whether at an employer’s corporate office or at the employee’s home office — a court is likely to find the employee eligible for workers’ compensation. These types of cases will be very fact-dependent to determine whether the worker has deviated from his or her employment activities at the time of the injury.

Confirm that telecommuters have a safe working environment

Presumably, injuries suffered while home office employees take breaks to do housework, provide care to children, etc., will not be found compensable. Courts will examine whether the injury arose out of and occurred in the course of employment activities, or instead occurred while performing activities normally performed as a homeowner or household resident.

Because there will not typically be any witnesses to the accident other than the employee, it is paramount that employers allow only the employees whom they trust to work in any unsupervised setting, including a home office. Employers should clearly define any expectations or policies governing the terms and conditions of telecommuting work activities and environments. When accidents do occur, employers should promptly make a detailed investigation of exactly when the accident occurred, what the employee was doing at the time of the injury (as well as before and after the injury), and how the accident happened. 

Additionally, while employers cannot completely eliminate safety hazards in a home office setting, just as they cannot in the traditional employment setting, employers should enforce good risk management practices to ensure that home office workplaces are as safe as possible.

Planning for safe remote work

You can prepare for the safety of your remote workers by creating or reviewing your policies and procedures for remote work:

  • Develop a remote work policy that covers eligibility, safety, equipment and security
  • Have the employee sign a remote work agreement, acknowledging their responsibilities
  • Create a safety checklist or assessment for remote workspaces
  • Require a dedicated workstation in their home
  • Consider equipment and security needs
  • Provide safety training and resources
  • Follow up on a regular basis to ensure safety procedures are being followed

Safety concerns in home offices

As an employer, you can monitor and enforce safety practices at your central office. It becomes more challenging when you don’t control your worker’s environment.

Do all you can to ensure that employees’ working spaces meet minimum criteria for safety. Workers may be more complacent in their own homes, and disregard tripping hazards or poor ergonomics.

A dedicated home workstation is beneficial because, unlike lounging on the couch with a laptop, the workstation can be set up for proper ergonomics. An optimal setup includes:

  • An appropriate chair and desk
  • The computer, keyboard and mouse in the correct positions
  • A telephone, possibly with a headset
  • Proper lighting to reduce eye strain
  • Adequate, accessible storage to eliminate tripping and lifting dangers
  • Awareness about electrical and fire hazards

Frequent travel introduces additional risks, such as those associated with driving and outdoor slips and falls. The employee must remain vigilant about the risks that go along with traveling from location to location.

No matter where your employee is located — whether it’s their home, a coffee shop or a co-working space — be sure they recognize the importance of safety.

This is not intended to serve as legal advice for individual fact-specific legal cases or as a legal basis for your employment practices.

Free return-to-work resource provides ideas for light-duty jobs

One of the best ways you can keep your workers’ compensation costs under control is by bringing injured employees back to work as soon as they are medically able.

Even if the employee can’t return to his or her regular job due to medical restrictions, you can bring the employee back to work in a light-duty, modified-duty or transitional role.

Because work injuries are unexpected, you might have trouble thinking of light-duty jobs for your employee to perform. That’s why SFM created a free listing of ideas — broken down by industry — of potential light-duty jobs.

Here are links to the transitional work ideas by industry:

Transitional jobs listed include:

  • Answering phones
  • Completing equipment inspection logs
  • Data entry
  • Greeting customers
  • Filing
  • Shredding documents

Even if the jobs listed don’t quite fit your organization, they might help you think of other ideas.

Research shows that timely return-to-work helps speed recovery and increase the likelihood that injured workers will ultimately work again. That makes it worth the effort to bring employees back, even if at a reduced capacity.

Read more on how return-to-work helps control workers’ compensation costs in our post, why early return-to-work benefits your employees and bottom line.

This is not intended to serve as legal advice for individual fact-specific legal cases or as a legal basis for your employment practices.

Are employees working overseas covered by work comp?

By Brian Bent, CPCU, ARM

With an increasingly globalized economy, more and more people are traveling overseas for their jobs. But how does overseas travel affect workers’ compensation coverage?

Employees who are working overseas temporarily are generally covered by their employers’ domestic workers’ compensation policies.

The issue is that “temporarily” is not clearly defined in the policy language or by state statute. Because of this, viewpoints differ on what constitutes a temporary work assignment. This is why it’s important to make sure your insurer knows about any foreign business travel your employees are doing.

Additional coverage might still be needed

Even if your employees are covered by your domestic policy, the countries to which they’re traveling might have additional requirements. Depending on where employees are traveling, you may also want to look at additional coverage options such as kidnap and ransom coverage or foreign voluntary workers’ compensation to cover any loss potential that might not be covered fully by your domestic policy.

This is not intended to serve as legal advice for individual fact-specific legal cases or as a legal basis for your employment practices.

Slip-resistant shoes prevent falls in kitchen environments

It’s easy to see why employees who work in kitchen environments are at risk for slip-and-fall injuries. When you combine fast-moving workers with spills from dishwashing and food preparation, serious injuries can result.

Encourage or require your employees to wear slip-resistant shoes to reduce the risk of injuries. A good pair of slip-resistant shoes will significantly reduce the potential to slip on water, oil or soap. And because they are comfortable, available in many styles and generally no more expensive than non-slip-resistant shoes, there’s really no reason not to use them.

A side-benefit of requiring slip-resistant shoes is the potential to reduce the number of floor mats commonly used in kitchens, resulting in reduced costs and reduced risks related to handling the mats.

Slip-resistant shoe basics

  • High-quality slip-resistant shoes look and feel like other shoes, but they’re built to increase traction through special sole materials and tread design.
  • Look for the statement “slip resistant” (or something similar) stamped onto the sole of the shoe, not just on the box.
  • They are designed to be most effective on liquids and grease. It’s generally advised not to wear the shoes in snow, as it can pack into the soles.
  • Find them at shoesforcrews.com or through local vendors.
  • If you can’t completely eliminate water, soap or grease from your employees’ work environment, slip-resistant footwear is an absolute must for injury prevention.

This is not intended to serve as legal advice for individual fact-specific legal cases or as a legal basis for your employment practices.

How opioid painkiller use can impact a workers’ compensation claim

Opioid painkiller misuse is now a public health emergency in the United States.

Taking opioid painkillers long term, or in high doses can have a major impact on an injured worker’s recovery and return to work.

“Well-meaning people can fall into this addiction, and into the trap of disability,” said SFM Director of Medical Services Ceil Jung. “The drugs can limit your ability to work, and then you get depressed and it’s a downward spiral.”

Opioid painkiller use tied to delayed return-to-work

Studies have shown that injured workers given high doses of opioid painkillers end up spending significantly more time off work due to their injuries than those who use other types of painkillers or lower dosages.

A 2008 California Workers’ Compensation Institute study cited by The New York Times showed that injured workers receiving high doses of opioid painkillers stayed off work three times longer than those with similar injuries taking lower doses.

A Washington State Department of Labor and Industries study cited by the National Safety Council showed that receiving a one-week supply of opioids, or two or more opioid prescriptions soon after an injury, doubles the risk that a worker will still be off work a year after the injury.

When someone becomes addicted to opioids, they develop a tolerance. This means they need higher and higher doses of the drug to get the same effect. As they take more of the drug, they become more sedated and less able to work.

How opioid painkiller use affects workers’ compensation claim costs

In part because of higher lost wages due to delayed return to work, studies have shown that claim costs for injured workers using opioid painkillers are significantly higher, on average, than those with similar injuries who aren’t using the drugs.

A Johns Hopkins University study cited by Claims Management magazine showed a nine-fold increase in average claim costs associated with long-acting opioids.

Additional claim costs could also include drug addiction and dependency treatment.

Opioid painkiller use could cause workplace safety risks

Opioids can make you less alert and slower to react.

This means employees using opioid painkillers could pose risk to themselves and coworkers if they work in safety-sensitive situations, such as operating heavy machinery, working at height or driving. This could lead to another workers’ compensation claim if an injury occurs.

For more information on opioid painkillers, see our post, Opioids and workers’ compensation: Why employers should care.

For educational and prevention-related resources on prescription drug addiction visit drugabuse.gov .

This is not intended to serve as legal advice for individual fact-specific legal cases or as a legal basis for your employment practices.

Prevent late-winter slips and falls at the workplace

As winter ends and spring begins, cycles of melting and re-freezing can lead to dangerously slippery conditions.

Warmer days cause snow and ice to melt into pools and puddles, which freeze up again during the cooler nights.

Black ice is especially prevalent this time of year. This thin, nearly invisible coating of ice is caused when temperatures rise above freezing and quickly drop below freezing.

These conditions can put you and your employees at greater risk for slip-and-fall injuries.

How you can prevent slip-and-fall injuries

So, what can you do to prevent a slip-and-fall injury at work during this time of year?

Follow these tips:

  • Monitor the weather and changing conditions so you know what to expect.
  • Shovel and apply ice melt as necessary to keep walking areas clean and dry.
  • Watch for areas where ice tends to form. Remove ice accumulations promptly and apply additional ice melt to prevent buildup.
  • Place high-quality, beveled edge mats in walking areas subject to water or snow accumulation. Change mats regularly to ensure those in place are dry.
  • Make your employees aware of the risk, and ask them to remain cautious whenever walking outside.

Train your employees on fall prevention

There’s a lot your employees can do to avoid slip-and-fall injuries, such as:

  • Wear appropriate winter footwear. 
    Footwear should be well insulated and waterproof, and have a nonslip, thick sole and a wide, low heel. Ice grippers can also improve walking on ice or snow.
  • Use walkways that have been salted or shoveled. 
    Don’t take shortcuts over snow piles or in areas where snow and ice removal isn’t feasible.
  • Test your travel path for slickness.
    Slide your shoe or boot on a path before proceeding.
  • Do the penguin shuffle. 
    Walk flat-footed. Take short steps to maintain your center of balance over your feet. Keep your head up and don’t lean forward. Walk slowly.
  • Step down, not out. 
    When getting out of your car, it’s important to step down, not out. To do this, swing both legs out of the door, place both feet on the ground, flat footed. Grab onto the door frame or steering wheel to support you as you stand up. Use at least three points of contact, two feet and one hand. When stepping down from a curb, step flat footed off the curb to minimize your forward momentum. Don’t allow the leading foot to land heel-first.

Find many free winter slip-and-fall awareness and training resources including posters and videos on our winter slips and falls prevention page.

This is not intended to serve as legal advice for individual fact-specific legal cases or as a legal basis for your employment practices.

How to prevent eye injuries in the workplace

An estimated 2,000 eye injuries happen every day in workplaces across the United States. According to the Occupational Safety and Health Administration, workplace eye injuries have a yearly cost of $300 million in lost production time, medical expenses and workers’ compensation costs.

What to watch out for

Nearly 70 percent of eye-related accidents result from flying and falling objects or sparks striking the eye. Particles such as dust, cement chips, metal slivers and wood chips can be sent flying following the use of a tool, or else can be blown into the eye by the wind or fall from above a worker.

Other dangers include penetration from sharp objects, such as nails, staples or slivers of wood, and exposure to chemicals.

Before removing eye protection, brush any particles out of your hair and eyebrows that may have gotten trapped while you were performing the job.

It’s also important to maintain your eyewear. Dirt and scratches can reduce vision, cause glare and may not offer full protection.

What eyewear should you use?

There are several kinds of eyewear that offer different protection. Make sure to use eyewear that is appropriate for the job:

  • Side shields are required when there are flying particles
  • Face shields are required when grinding, welding or removing slag
  • Splash goggles or face shields are required when pouring chemicals

Over-the-glasses eye protection is available for workers who wear glasses.

Emergency eyewash stations

All employees should be aware of the location of emergency eyewash stations. If your eyes come into contact with foreign particles or chemicals, immediately use an eyewash station.

To use the eyewash station, active the flow and being to flush the eyes out with water. Use your fingers to keep your eyes open as wide as possible, but only if your hands are clean. If they aren’t, have a co-worker hold your eyes open for you. Roll your eyes as much as possible to remove loose particles or wash chemicals from under the eyelids. Rinse off your face as well.

It will feel uncomfortable, but it’s important to flush the eyes for the recommended amount of time, generally between 15 and 30 minutes. After you finish, notify your supervisor and seek medical attention.

Pay attention to any chemicals you may use while working. The Material Safety Data Sheet will list which chemicals may cause irritation, burns, corneal damage or blindness. Container labels or tags will warn for chemical burns or state that the material is corrosive, caustic or toxic.

While it’s important to know how to use an eyewash station, remember that the best way to prevent damage is to use protective eyewear. Approximately 90 percent of injuries are preventable with the use of proper eye safety.

Fatigue and sleep deprivation in the workplace common, studies find

More than a third of workers in a recent study  got less than the recommended seven hours of sleep a night – and those in certain occupations were more likely to fall short.

In the National Institute for Occupational Health (NIOSH) study , 36.5 percent of workers reported short sleep duration.

This matches the results from Gallup polls on sleep  going back more than 25 years. In polls from 1990 through 2013, Gallup consistently found that 40 percent of Americans get less than seven hours of sleep.

The cost of fatigue

Falling short of the recommendation comes with severe costs to health, safety and the economy. People who experience sleep deprivation may be more at risk for workplace injuries and accidents.

“Short sleep duration has been linked to various negative health outcomes including cardiovascular disease, obesity, and depression, as well as to safety issues related to drowsy driving and injuries,” study author Taylor Shockey said.

Combined with the economic costs (the CDC reports 1.2 million lost working days and up to a $411 billion cost to the economy each year), insufficient shut-eye should concern every employer.

Sleep deprivation by occupation

Workers in some industries and with alternative work schedules are more prone to fatigue or sleep deprivation.

The National Safety Council reports that while more than 43 percent of workers are sleep-deprived, 62 percent of night shift workers experience sleep loss. In the CDC research, industries where shift work is more common were more likely to report a shortage of sleep.

The five occupation groups where short sleep duration is most prevalent were:

  1. Production (42.9%)
  2. Health care support (40.1%)
  3. Health care practitioners and technical (40.0%)
  4. Food preparation and serving-related (39.8%)
  5. Protective service (39.2%)

 

Three recommendations for sleep-deprived workers

Seven hours of sleep is the recommended amount  for adults ages 18-60, based on findings from the American Academy of Sleep Medicine and the Sleep Research Society.

While you can’t control what your employees do at home, you can take steps to encourage them to get enough sleep each night.

  • Build awareness
    At SFM, our safety and wellness committee simply asked employees to record their sleep times for four weeks, with the goal of helping them become more aware of how much (or little) they were typically sleeping. Anyone who participated was entered in a drawing for a prize.
  • Adjust the work environment
    In some cases, working conditions can contribute to employees’ poor sleep habits. Does your company culture encourage employees to be responding to email messages during off hours? Do employees have to take on extra shifts due to low staffing? Even the brightness of the work environment can help.
  • Help employees learn
    Help employees learn how to get better quality sleep by offering educational opportunities like seminars at the office, articles on your intranet or informational email messages. Encourage shift workers to maintain a consistent sleep schedule, even on days off.

See more ways to improve sleep hygiene at the American Academy of Sleep Medicine’s Sleep Education website or from the National Safety Council .

Sleep is often undervalued. Emphasizing the benefits of sleep at your workplace will encourage your employees to go from sleep-deprived to well-rested.

 

Want more content like this?

Get the latest Simply Work Comp blog posts in your inbox.

Get our quarterly email newsletter

css.php