A proactive process and written program required for all companies by the state of California. IIPPs help prevent workplace injuries, illnesses and deaths, the suffering these events cause workers and the financial hardship they cause both workers and employers.

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INJURY & ILLNESS
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PREVENTION PROGRAMS
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Liz Kroft
Sequoia Insurance Company

2. STATISTICS
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 Every year 4.1 mil workers suffer a serious
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job-related injury or illness
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 Every day 12+ workers die on the job
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 Every year 4,500+ die on the job
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 That’s more than 90/week and 13/day
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3. DIRECT COSTS
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Cost per injury averages
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Back $50k
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- - - - - - Slip/Fall $62K
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IA Carpal Tunnel $40k
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4. DIRECT COSTS TO EMPLOYERS
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 Medical Treatment
 Worker’s Compensation Premiums
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 Indemnity
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 Litigation
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5. INDIRECT COSTS TO EMPLOYERS
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 Wages paid not covered by workers’ comp
 Administrative time spent following injuries
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 Employee training & replacement costs
 Lost productivity
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 Replacement of damaged material, machinery &
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property
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 Clean up & start up of interrupted operations
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 Reduced morale among employees
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6. IMPACT ON EMPLOYEES
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 Physical pain & suffering
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 Loss of employment & wages
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 Burdensome debt
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 Decreased standard of living
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 Loss of homeownership
 Bankruptcy
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 Missed opportunity for job
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advancement
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7. INJURY & ILLNESS PREVENTION PROGRAM
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A proactive process & written program
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The Goal: IA
Prevent workplace injuries, illnesses &
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deaths, the suffering these events cause
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workers & the financial hardship they
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cause both workers & employees.
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8. WE HEAR PEOPLE SAY THINGS LIKE
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“We haven’t had an “We already
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injury in years” have one”
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“We are small enough
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we don’t need one”
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9. INJURY & ILLNESS PREVENTION PROGRAM
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Every business is different, one size IIPP does
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not fit all.
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Need to scale & adapt to meet the needs of the
organization depending on:
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 Size
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 Industry sector
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 Complexity of operations
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An IIPP is a living document
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10. BENEFITS TO EMPLOYERS
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 Decrease in workplace  Reduce time to
injuries replace/reassign injured
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 Transform workplace workers
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culture  Reduce workers
 Improve employee morale compensation claims
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 Higher productivity & quality  Greater employee
satisfaction
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 Reduce turnover
Reduce costs  Minimize potential for code
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
violation penalties
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11. BENEFITS
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Improved Morale &
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Job Satisfaction 6%
Employee
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Retention 7% Other 16%
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Increased
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Productivity 43%
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Reduced
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Costs 28%
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Source Huang et. al., 2009. Data based on responses from 231 U.S. Companies with 100 or more employees

12. EFFECTIVENESS
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Net decrease in injuries after IIPP was implemented:
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 Alaska - 17.4%  Massachusetts -  20.8%
 California - 19%  North Dakota -  38%
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 Colorado -  23%
IA  Texas -  63%
 Hawaii - 20.7%  Washington -  9.4%
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13. 8 ELEMENTS OF AN IIPP
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1. Responsibility
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2. Compliance
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3. Communications
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4. Hazard Assessment
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5. Accident Investigation
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6. Hazard Correction
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7. Training & Instruction
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8. Recordkeeping
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14. 1. RESPONSIBILITY
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Identify the person(s) with authority
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& responsibility for implementing the
program.
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15. 1. RESPONSIBILITY (CONTD)
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 Questions to ask:
 What is the person’s name, title & contact
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information that has overall responsibility for
ensuring the company has an effective IIPP?
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 Where will copies of the IIPP be available?
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 Your program’s success hinges on the individual you choose 
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16. 2. COMPLIANCE
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A system for ensuring that employees comply
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with safe & healthy work practices.
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Substantial compliance includes:
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 Recognition of employees who follow safe &
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healthful work practices
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 Training & retraining programs
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 Disciplinary actions or any other such means that
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ensures employee compliance with safe & healthful
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work practices
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17. 2. COMPLIANCE (CONTD)
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 Questions to ask:
 What method will be used for compliance?
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 How does the company recognize employees
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that consistently perform safe & healthful work
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practices?
 Other means (e.g. peer mentoring) in addition
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to those listed in the compliance section of the
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written IIPP used to ensure employee
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compliance with safe & healthful work
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practices?
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18. 3. COMMUNICATIONS
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A system for communicating with employees in a
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form readily understandable by all affected
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employees on matters relating to occupational
safety & health, including provisions designed to
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encourage employees to inform the employer of
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hazards at the worksite without fear of reprisal.
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19. 3. COMMUNICATIONS (CONTD)
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Methods of communication may include:
 Meetings
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 Training programs
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 Posters
 Written communications
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 A system of anonymous notification by employees about
hazards IA
 Labor/management safety & health committees
 Any other means that ensures communication with
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employees
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20. 3. COMMUNICATIONS (CONTD)
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Questions to ask:
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 What method of communication will be used?
 What is the schedule?
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 How do you arrange for employees to anonymously
notify management of safety & health concerns?
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 What other means are used to ensure communication
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with employees?
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21. 4. HAZARD ASSESSMENT
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Involves procedures for identifying &
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evaluating work place hazards including
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scheduled periodic inspections to identify
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unsafe conditions & work practices.
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- - - - - - - - - -
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22. 4. HAZARD ASSESSMENT (CONTD)
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The survey should evaluate workplace conditions with
respect to:
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 Safety & health regulations
 Generally recognized safe work practices & physical hazards
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 Use of any hazardous materials
 Employee work habits
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 A discussion of safety & health problems with employees
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OSHA Hazard Assessment: http://www.dir.ca.gov./DOSH/etools/09-031/HazAssessCheck.pdf
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23. 4. HAZARD ASSESSMENT (CONTD)
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Conducted when
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 New substances, processes, procedures or
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equipment are introduced into the workplace
that represent a new occupational safety and
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health hazard.
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 Employer is made aware of a new or
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previously unrecognized hazard.
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24. 4. HAZARD ASSESSMENT (CONTD)
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Questions to ask:
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 How will inspections be conducted?
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 Who will conduct the periodic inspections?
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 What is the schedule for inspections?
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 What will be inspected?
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25. 5. ACCIDENT INVESTIGATION
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A process utilized to identify and investigate
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workplace injuries, illnesses and accidents,
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hazardous substance exposures and near
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misses. IA
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26. 5. ACCIDENT INVESTIGATION (CONTD)
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Questions to Ask:
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 Who conducts the investigation?
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 When are the investigations conducted?
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 Where does the report go?
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 Who reviews the report?
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 What is done with the information?
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27. 5. ACCIDENT INVESTIGATION (CONTD)
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28. 6. HAZARD CORRECTION
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 Include methods &/or procedures for correcting
unsafe or unhealthy conditions, work practices &
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work procedures in a timely manner based on the
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severity of the hazard.
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 When observed or discovered
 When an imminent hazard exists which cannot be
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immediately abated without endangering employee(s)
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and/or property, remove all exposed personnel from
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the area except those necessary to correct the existing
condition.
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 Employees necessary to correct the hazardous
condition shall be provided the necessary safeguards.
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29. 7. TRAINING & INSTRUCTION
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 When the IIPP is first established
 To all new employees
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 To all employees given new job assignments
 Whenever new substances, processes, procedures or
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equipment are introduced to the workplace & represent a
new hazard 74 Aero Camino
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 Whenever the employer is made aware of a new or
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previously unrecognized hazard
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 For supervisors to familiarize themselves with the safety
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& health hazards to which employees under their
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immediate direction & control may be exposed
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30. 7. TRAINING & INSTRUCTION (CONTD)
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Questions to Ask:
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 Who conducts for new employees?
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
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Who conducts for on-the-job?
 Specific safety training needed (operating equipment,
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chemicals, etc.)
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31. 7. TRAINING & INSTRUCTIONS (CONTD)
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 Effective Training:
 Communicates information in a language & by methods
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understandable to all employees
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 Helps establish a relationship with employees to improve trust &
communication
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 Is participatory & involves employees by drawing on their own real
life experiences
 Allows group hazard identification and problem solving by means
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of demonstrations, asking questions, discussing ideas, &
providing observations & stories
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 Provides opportunities to demonstrate newly learned safe work
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practices & the safe use of tools, equipment, & chemicals
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 Provides concrete safety & health changes in how work is set-up
& performed
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 Is repeated as often as necessary
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32. 7. TRAINING & INSTRUCTIONS (CONTD)
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Training Steps:
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33. 8. RECORDKEEPING
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 No operation can be successful without adequate
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recordkeeping, which enables you to learn from past
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experience & make corrections for future operations.
 Records of accidents, work-related injuries, illnesses &
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property losses serve as a valuable purpose.
Under Cal/OSHA recordkeeping requirements, information
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on accidents is gathered & stored. Upon review, causes
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can be identified & control procedures instituted to prevent
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the illness or injury from recurring. Keep in mind that any
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inspection of your workplace may require you to
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demonstrate the effectiveness of your program.
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34. ALL DONE!...?
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“My IIPP is written, I’m
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done! Huzzah!”
IN “But is it effective?”
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35. WHAT MAKES AN IIPP EFFECTIVE?
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 Worker Participation
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 Fully involve all employees, supervisors &
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management
 Identify specific workplace hazards employees
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are exposed to
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 Correct identified hazards in an appropriate &
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timely manner
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 Provide effective training
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36. MEASURING EFFECTIVENESS
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1. Responsibility
Are employees made aware of who the person is
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with authority & responsibility for their IIPP & can
they access the person if they want to?
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Yes No
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How is this accomplished? What actions are required?
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37. MEASURING EFFECTIVENESS (CONTD)
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2. Compliance
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Are employees recognized for Yes - How is this
accomplished?
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performing safe & healthful work No - What actions are
practices? required?
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Yes - How is this
Are employees disciplined for
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performing unsafe or unhealthful No - What actions are
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required?
work practices?
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Are employees given training or re- Yes – Where are training
records available?
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training to ensure compliance with No – What training will
safe and healthful work practices? be provided?
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38. MEASURING EFFECTIVENESS (CONTD)
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3. Compliance
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Do employees know and use our
organizations methods of communication to
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inform management about health & safety
matters?
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Does our organization use a
Yes – How is this
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labor/management safety & health committee
to comply with the communication accomplished?
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requirements of subsection (a)(3) of T8CCR No – What actions
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3203? are required?
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Does our organizations labor/management
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safety & health committee meets all the
requirements of T8CCR 3203 (7) (c) (1)–(7)?
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39. MEASURING EFFECTIVENESS (CONTD)
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4. Hazard Assessment
Do our organization’s periodic inspections for hazard
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assessment result in a comprehensive evaluation of
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any hazards present at our workplace?
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Yes No
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Description of procedures. What actions are required?
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40. MEASURING EFFECTIVENESS (CONTD)
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5. Accident Investigation
Does the use of our organization’s investigation procedures
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result in:
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a) The determination of the cause (s) of accidents, hazardous
substance exposures & near misses
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b) Effective corrective actions being taken in a timely
manner? IA
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Yes No
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Description of procedures What actions are required
for both (a) and (b) for both (a) and (b)?
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41. MEASURING EFFECTIVENESS (CONTD)
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6. Hazard Correction
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Do we use our organization’s procedures to correct
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identified hazards in a timely manner based on the
severity of the hazard?
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Yes No
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Description of procedures. What actions are required?
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42. MEASURING EFFECTIVENESS (CONTD)
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7. Training & Instruction
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Does our organization provide effective
training to instruct employees & Yes – Describe the
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documentation of training.
supervisors on general safe work No – Describe future training
practices & on the hazards specific to
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topics & schedules.
their job assignments & work tasks?
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Yes – Describe worksite
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Does our organization’s effective observations, evaluations of
training result in an increase in
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training, reports of hazards,
employees’ and supervisors’ reduced accidents &
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exposures
understanding of workplace hazards &
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No – Retraining required (list
improvements in their safe & healthful of training subjects & worker
work practices? training instruction record)
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43. COMMON MISTAKES
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 Failure to have an active IIPP at your workplace
 Failure to document all safety-related activities,
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particularly training & inspections
 Neglecting to carry out regular safety inspections
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 Neglecting to create required written safety
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programs
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 Not having all safety-related documentation up to
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date & ready for inspection
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44. GETTING STARTED
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1. Assign responsibilities
Look at what you have
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2.
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3. Safety & health survey
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4. Workplace assessment
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5. Review & compare
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6. Develop an action plan
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Take action
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8. Maintain your program
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45. IIPP & SMALL BUSINESSES
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 May seem daunting
 Lend themselves to low-cost approaches
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because they are highly flexible - core elements
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can be implemented at a basic level suitable for
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the smallest business, as well as at a more
advanced, structured level that may be needed
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in a larger, more complex organization
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46. IIPP & SMALL BUSINESSES
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 OSHA study of nine SHARP firms, ranging in size from 15 to 160 employees,
found that the firms achieved the following as a result of their programs:
 A reduction in the number of injuries and illnesses.
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 Improved compliance with regulatory requirements.
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 Improved business and cost savings including reduced workers'
compensation premiums, reduced administrative and human resources
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burden associated with filing injury and illness reports, managing
workers' compensation cases and training new employees. The
companies also experienced improved efficiency in operations and
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material use, and improved productivity. They were able to leverage their
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limited health and safety resources.
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 An improved workplace environment with greater collective responsibility
for workplace health and safety.
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 Improved reputation and image in the community including relationships and
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cooperation between employers and OSHA, between employers and
employees, and among employers in the business community.
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47. CONCLUSIONS
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 Despite efforts more than 4,500 workers lose their lives &
more than 4 million are seriously injured each year. Tens of
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thousands more die or are incapacitated because of
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occupational illnesses. The human toll is incalculable & the
economic toll is enormous.
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 Employers in the U.S. have been slow to adopt a workplace
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"safety culture" that emphasizes planning & carrying out work
in the safest way possible.
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 IIPPs are based on proven managerial concepts that have
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been widely used in industry to bring about improvements in
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quality, environment & safety, and health performance.
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48. CONCLUSIONS (CONTD)
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 Effective programs emphasize
Top-level ownership of the program
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 Participation by employees
 A "find and fix" approach to workplace hazards.
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 IIPPs do not have to be resource-intensive
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 IIPPs can be adapted to meet the needs of any size
organization.
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49. CONCLUSIONS (CONTD)
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--- final thought ---
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Taking risks is part of running a
business, but risking the safety
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and health of those who work for
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you should not be one of them.
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50. SE
QUESTIONS?
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