'Risk Management'

HR Update - Retaliation for Workers’ Compensation Claim

Wednesday, November 14th, 2007

The following case was highlighted in a recent edition of BNA’s Bulletin to Management.

Was Termination Retaliation for Workers’ Compensation Claim?

“You fired me for filing for workers’ comp,” complained employee Jennifer Lilly. “That’s illegal retaliation.”

“We let you go because of your poor work habits,” countered Human Resources Director Sylvia Potter. “Nothing more.”

Did the employer retaliate?

Facts: A worker at a door factory injured her back at work. Her doctor put her on light duty and referred her to a specialist. A few days later, the department supervisor gave the employee a step warning for substandard performance. Under company policy, an employee would be fired for receiving four step warnings within a certain time frame.
The employee’s doctor faxed more specific work restrictions to the company. Three days later, a supervisory assistant issued the employee another step warning for substandard work. Her doctor notified the workers’ comp insurer that the employee had a herniated disc with nerve root impingement.

Two days later, the employee’s supervisor sent an e-mail to a human resources official suggesting that the employee be assigned a list of dirty jobs, including cleaning the rest rooms, or be moved back to her previous, lower-paying job in another department. The worker reluctantly accepted the transfer, which also resulted in a loss of seniority.
There, her new supervisor questioned whether her work restrictions were necessary. He picked up the chair that she used—as directed by her doctor—for periodic rest breaks and threw it across the room.

The employee was injured again when a co-worker pushed a stack of doors onto her ankle. She twisted her knee at work weeks later, and her supervisor questioned whether she should continue working at the company in light of her “excessive” injuries.

The employee hired an attorney to help obtain workers’ comp benefits. Her supervisor issued her a third step warning for using the wrong machine. She then complained to the human resources department about her supervisor. Two weeks later, he gave her a fourth-step warning for substandard work, triggering her discharge.

A jury ruled in favor of her claim of wrongful discharge in violation of public policy and awarded her $25,000 for emotional distress, $50,000 in back pay, $150,000 in future pay, and $775,000 in punitive damages. The employer challenged the award, and the appeals court sent the case back to the trial court for reconsideration of damages. The trial court found in the employer’s favor.

Award: The Iowa Court of Appeals Oct. 12 reinstated the $1 million jury verdict for the employee (Holding v. Graham Mfg. Corp., Iowa Ct. App., No. 7-411/06-1729, 10/12/07).

Discussion: Reversing the lower court and upholding the earlier jury verdict, the appeals court said that “a reasonable juror could conclude [the employee] was disciplined under false pretenses because most, if not all, of the four step warnings for improper performance did not reflect any mistake on her behalf.”

Her first supervisor’s e-mail to human resources and a meeting to discuss workers’ compensation costs in his department “may be viewed as showing that she was demoted because of the expenses associated with her workers’ compensation benefits,” the court said. It also found that her new supervisor demonstrated “open hostility” toward her work-injury claims.

Pointers: Under workers’ compensation programs, injured employees usually receive benefits regardless of fault, that is, whether the employee, the employer, or a third party such as another employee caused the injury.

Employers cannot call or harass employees who file workers’ compensation claims to find out when they plan to return to work.

Most states require employers to work with an employee, the insurer, and the medical provider to attempt to return the employee to work.

If employers fail to follow the required workers’ comp procedures, they may be subject to penalties from their state.

There is one circumstance when an employer is permitted to terminate an employee on workers’ compensation leave. This is when the employee’s medical condition has been discussed with her physician and it has been determined she will not be released to return to work without job restrictions (e.g., the employee can no longer lift more than 10 pounds) and those job restrictions preclude her from performing the essential functions of her position.

If an employer wants to terminate an employee for fraudulently collecting workers’ compensation benefits when the employee is capable of working, its first call should be to the state workers’ compensation agency’s fraud department (for A Plus clients this call would go to Justin Rowley, VP Risk Management).

This case discussion illustrates the handling of a problem in employee relations. It is based on an actual court ruling, although the names and dialogue are fictitious.

Further discussion: An employee who has experienced a work place accident can be discharged if the employee tests positive for substance abuse. Even though the employee has tested positive for drug abuse the medical costs will still be covered by workers’ compensation insurance but the employee will not qualify for TTD – total temporary disability payments. Also, an employee who is terminated for testing positive for drug use subsequent to an on the job injury will not qualify for unemployment insurance benefits.

A Plus Benefits suggests that clients take the opportunity of discussing a possible discharge for any employee who is currently on leave or light duty due to a workers’ compensation covered injury with the Human Resources department.

Randall Barker is the VP of Human Resources for A Plus Benefits, Inc.

Read Randall’s previous HR update.

Top 10 OSHA Citations

Thursday, July 12th, 2007

According to www.OSHA.gov the Top 10 listing of OSHA’s most frequently cited standards are:

Scaffolding
Standard 1926.451
This standard covers the generally safety requirements for the construction, maintenance and use of scaffolding. Basically, employers must protect workers from falls and falling objects while working on or near scaffolding at heights of 10 feet or more.

1926.451(g)(1) Failure to provide fall protection.
1926.451(e)(1) Failure to provide proper access.
1926.451(b)(1) Failure to ensure adequate platform construction.
1926.451(g)(1)(vii) Lack of personal fall arrest or guardrail systems.
1926.451©(2) Failure to properly support scaffolding.

Hazard Communication
Standard 1910.1200
This standard addresses the hazards of chemicals, both chemicals produced in the workplace and those imported into the workplace. It also governs the communication of those hazards to workers.1910.1200(e)(1) Failure to develop and maintain a written program.

1910.1200(h)(1) Failure to maintain training.
1910.1200(h) Lack of employee training.
1910.1200(g)(1) Failure to have a Material Safety Data Sheets for each chemical.
1910.1200(f)(5)(i) Failure to label each container with the identity of the chemical within.

Fall Protection
Standard 1926.501
This standard tells workers and employers where fall protection is required, which fall protection systems are appropriate for given situations, the proper construction and installation of safety systems, and the proper supervision of employees to prevent falls. The standard is designed to protect construction personnel working above 6 feet.

Every year OSHA issues thousands of citations to companies that supply inadequate safety training to their employees. Although the majority of OSHA standards do not call for safety training, you can be cited for violating almost any standard if your employees aren’t trained.For example, your employees might be required to wear respirators before entering a restricted area where cadmium exposure is high. But if they don’t choose the correct respirator, or if they don’t know how to conduct fit tests, you’ll be cited for violating the cadmium standard. What led to the citation? Lack of training.This scenario can be adapted to virtually every OSHA standard. Training is always an essential element of compliance. Without it, you will face fines. On a broader spectrum, training is often the key to maintaining a safe workplace because employee’s attitudes can often mean the difference between safety and tragedy. After all, no safety program or equipment will be of any use unless employees commit themselves to working safely, using the appropriate personal protective equipment as instructed, and following safe work procedures.

This makes your training program vital. When training is thorough, complete, and correct, it contributes to everyone’s safety. When it falls short, the results can be tragic.

Safety training should be one of your top priorities. Through education and training, you can teach workers to stay safe, and you can stay in compliance with OSHA’s training requirements. To achieve both of these very important goals, take the following approach to safety training:

Know When To Train

As soon as workers are hired, be sure to familiarize them with your company’s philosophy toward safety. You should use training to instill the right attitude in your new workers. You want them to take the issue of safety seriously and to make the commitment to following the safety rules. Then provide specific training to address the particular hazards they will face on the job. In addition, update company training material, equipment, or work procedures whenever there is a change. Finally, provide training updates as often as the OSHA standards require.

Know What To Cover
It’s crucial to provide training that is mandated by the OSHA standards. If you don’t, workers could become injured or ill and you could be fined. In all, there are 75 standards that require you to train workers in specific hazards. So take a good look at the standards and insure you cover the required topics.

Required Training by OSHA Regulation
You have a general duty to teach your employees how to do their jobs safely. OSHA mandates training in a number of its standards. And there’s always the chance that your training program did not adequately cover the mandates. If applicable to your operations the following tasks must include formal, initial and annual refresher training.

1. 1910.38 Evacuation Plans
2. 1910.66 Powered Platforms
3. 1910.134 Open Surface Tanks
4. 1910.95 Hearing Protection
5. 1910.96 Ionizing Radiation
6. 1910.106 Flammable/Combustible Liquids
7. 1910.109 Explosives
8. 1910.1200 Hazardous Materials
9. 1910.110 Liquefied Petroleum Gases.
10. 1910.120 Hazardous Waste and
11. 1910.134 Respiratory Protection
12. 1910.147 Lockout/tagout
13. 1910.151 Medical Services and First Aid
14. 1910.155 Fire Protection
15. 1910.177 Material Handling and Storage
16. 1910.178 Powered Industrial Trucks
17. 1910.179 Overhead and Gantry Cranes
18. 1910.217 Machine Guards
19. 1910.253 Welding and Cutting Procedures
20. Subpart Z Toxic and Hazardous Substances
21. 1910.1200 Hazard Communication

Be Thorough
To make each of your training programs as thorough and effective as possible, A Plus Benefits can provide Job Hazard Analysis, Safety Policies, Written Training Programs, Videos, Hands on Training, and the list continues. One simple call to our safety director can be the answer to your training needs.

In summary, take your safety training obligations very seriously, after all, Utah OSHA does. Utah OSHA and your workers are counting on you to provide thorough education and training. If you fulfill this requirement, you’ll be rewarded with fewer injuries, illnesses, OSHA citations, and LOWER WORKERS’ COMPENSATION COSTS!!!Rick Scott is the Safety Director for A Plus Benefits, Inc.

What is an Emergency Action Plan?

Thursday, July 5th, 2007

An emergency action plan describes the actions employees should take to ensure their safety if a fire or other emergency situation occurs. Well-developed emergency plans and proper employee training (such that employees understand their roles and responsibilities within the plan) will result in fewer and less severe employee injuries and less structural damage to the facility during emergencies. A poorly prepared plan, likely will lead to a disorganized evacuation or emergency response, resulting in confusion, injury, and property damage.

Putting together a comprehensive emergency plan that deals with those issues specific to our worksite is not difficult. It involves taking what was learned from your workplace evaluation and describing how employees will respond to different types of emergencies, taking into account your specific worksite layout, structural features, and emergency systems. Most organizations find it better to include a diverse group of representatives (management and employees) in the planning procedure to meet frequently to review progress and allocate development tasks. The commitment and support of all employees is critical to the plan’s success in the event of an emergency; ask for their help in establishing and implementing your emergency action plan.

What should an emergency action plan contain?

How do I develop an emergency action plan?

What are the essential evacuation elements?

In some instances, is it better to shelter in place?

How are portable fire extinguishers integrated into the emergency action plan?

How are fire, rescue and medical services arranged?

What are the options for reporting an emergency and alerting employees?

Your planning process and site-specific emergency plan should address each of the following elements:

· Preferred procedures for reporting emergencies such as dialing 911, or an internal emergency number, or pulling a manual fire alarm.

· A description of the alarm system to be used to notify employees (including disabled employees) to evacuate and/or take other actions. The alarms used for different actions should be distinctive and might include horn blasts, sirens, or even public address systems.

· An evacuation policy, procedures, and escape route assignments so employees understand who is authorized to order an evacuation, under what conditions an evacuation would be necessary, how to evacuate, and what routes to take.

· Procedures for employees who remain on site after the evacuation alarm sounds, if required before evacuating. Employees may be required to operate fire extinguishers or shut down electrical equipment.

· Procedures to account for employees after the evacuation to ensure that everyone got out might include procedures for designated employees to sweep areas, checking offices and securing rooms, before being the last to leave a workplace or conducting a roll call in the assembly. Many employers designate an “evacuation warder” to assist others in an evacuation and to account for personnel.

· The duties, responsibilities, and names of employees assigned with rescue and medical tasks. Most small organizations rely on local public resources such as the local fire department.

· A description of how employees will be informed on the contents of the plan and trained in roles and responsibilities.

· The names, titles, departments, and phone numbers of employees who be contacted for additional information or clarification of some aspect of the plan.

· A list of key personnel who should be contacted during off hours emergencies.

· The site of an alternative communication center to be used in the event of a fire or explosion.

· A secure on-off site location to store originals or duplicate copies of accounting record, documents, your employee’s emergency contact lists, and other essential records.

· Effective plans often call for retraining employees annual and include drills in which employees practice evacuating their workplace

· And gathering in the assembly area.

How do I develop an Emergency Action Plan?

It is essential that the emergency plan developed be site specific with respect to emergency conditions evaluated, evacuation policies and procedures, emergency reporting mechanisms, and alarm systems. To assist you in your planning, a series of checklist have been provided that identify is that that must be considered when drafting a comprehensive emergency action plan. Contact Rick Scott at A Plus Benefits to obtain this checklist.

Rick Scott is the Safety Director for A Plus Benefits, Inc.

Preventing Unsafe Acts

Monday, July 2nd, 2007

In today’s work environment, employees are protected by a variety of safety laws, rules, and regulations and of course, concerned employers. Safety is just good business and it requires a team effort and responsibility by all employees.

Safety Professionals have always relied upon three essentials, called the three E’s. Education, Engineering and Enforcement.

Education means training, explaining the proper procedures of job responsibilities, safety rules and of course, constant awareness for working and acting safely.

Engineering is finding safety hazards and correcting them before they contribute to an accident. Engineering also includes proper selection of equipment and facilities. Engineering focuses primarily on physical hazards in the workplace, but can also include job safety analysis, ergonomics and other safety engineering functions.

The third E is enforcement of safety rules. It doesn’t do any good to have rules if they aren’t enforced. This message addresses the enforcement of safety rules.

Insurance companies and governmental agencies have compiled accident statistics from all industries over the years. The results of analyzing hundreds of accidents reveal 85 to 98 percent of all accidents causes from the unsafe acts of employees. There may be more than one cause of an accident, but most accidents are caused, in whole or in part, by the unsafe acts of employees.

Does this mean employees intentionally hurt themselves, or they don’t care, or that they’re irresponsible? No!

Quite often, it’s the hard working, dedicated, loyal employee, who gets busy and tries to take a short cut, or simply isn’t thinking about safety and contributes to the accident cause.

Remember, we’re speaking about great employees, people wanting to do a good job and certainly people who want to be accident free.

What is an unsafe act?An unsafe act is any personal characteristic or condition that may cause or influence an employee to act unsafely. The conditions may be mental, emotional or physical. Some of the types of unsafe acts could be: unaware of the job hazard, inattention to job hazards, low level of job skill or inadequately trained for a specific job. It could be the employee tried to avoid extra effort or tried to gain or save time by taking a shortcut

A slip and fall is an unsafe act because the employee could have prevented the slip and fall if he or she had been paying attention to walking surface. Attention to the walking surface can prevent slips and falls even if the floor is uneven, slippery, wet or has a physical hazard, such as a hole or torn carpet.

Certainly the unsafe condition of the floor should be corrected, but that’s not a reason to slip and fall. Inattention to walking surface contributed to the accident.

Let’s move on to the enforcement of safety rules and what happens when you experience an accident or injury as a result of an unsafe act. Enforcement of safety rules has always been management’s responsibility. Management is required to investigate accidents and take corrective action to prevent similar accidents. NOTE: Just filling out an accident report and sending to A Plus is not an investigation. It’s a little more complicated than that. Management is legally required to enforce safety rules. For a safety program to be judged effective, there are several elements or tests the program must pass.

1. Does the company have written safety rules and procedures?

2. Are employees advised of these rules through education and training?
3. Is the training documented? Documentation includes what information was taught, when it was taught and who provided the training.
4. Are safety hazards identified and corrected. This is why routine safety inspections are necessary and action taken to correct identified deficiencies.
5. Are safety rules enforced? If yes, management must prove this with documentation. That’s what we want to talk about now.


How do you document that rules are enforced? When an employee causes an accident or injury through an unsafe act, the employee must be told what he or she did wrong and management must explain how to correct the unsafe behavior. We call it Safety Counseling.

It’s not disciplinary action; the employee isn’t being called on the carpet to face a chewing out. It’s a requirement for management to explain what type of behavior or unsafe act caused the accident. An employee can’t be expected to correct something without knowing what it is that needs correcting. After explaining the unsafe act, management is obligated to explain how to correct the deficiency.

If it’s a back injury, perhaps additional training in the safe lifting technique is needed. Or, an engineering study needs to be conducted to determine if equipment is needed.

Safety is serious business and all employees must accept responsibility for working and acting safely.

That brings us to the question of what about the accident-prone employees. There really aren’t accident-prone employees; there are employees who have more injuries than others. This relates more to their attitudes, experience, training, awareness and safety behavior. Perhaps they haven’t been counseled so as to effect a change in their safety behavior.

Safety is really nothing more than preventing accidents by your personal behavior.

It’s not complicated and it certainly doesn’t take time to think safety. It’s a personal responsibility. It’s a personal responsibility when driving your car or at home or even during recreation.

Rick Scott is the Safety Director for A Plus Benefits, Inc.

Why do we Investigate Injuries, Illness and Near Misses?

Friday, June 29th, 2007

General Reasons
All injuries, illnesses and incidents are preventable. They are symptoms of problems in the safety management process. Investigations are conducted to learn the cause of injuries, illnesses and incidents so they can be corrected and to prevent future occurrences. Investigations are an opportunity to learn and to improve the company’s safety and health program.

Investigations also increase awareness among management and workers of the importance of following established safety practices. The investigation should focus on identifying the direct and indirect causes of the incident. Indirect causes are the underlying factors (such as inadequate training) that lead to the direct or obvious cause of the incident. Investigations should never be used to assign blame. If an operator error caused the problem, it is crucial to understand what caused the operator error. Was it a lack of training? Were the operating procedures clear? Was the job design at fault?

The nature of the investigation will depend on actual or potential loss. All minor injuries and illnesses need to be reported, treated and investigated. Serious incidents require a more thorough investigation. These include incidents that resulted in or could have resulted in serious injuries, illnesses, and property damage or business interruption. A team that includes (at minimum) management, safety professional, supervisors, foremen and employees should conduct investigation of serious incidents.

Cost Associated With Worker’s Compensation
Safety and health professionals think and talk mostly in terms of hazards, usually involving personal injury. They use terms like “accident frequency”, usually meaning frequency rates of disability injuries and lost workday incidents. To get an accurate snapshot, this data should be provided for at least three years, called the Experience Modification Ratio (EMR).

An EMR is an insurance industry measure based on the client’s loss history for three years, not including the previous year, which is used as a modifier for rating purposes. A modification of 1.00 can be termed neutral. EMRs above one indicate a loss experience greater than the average for like companies. Each report of injury or illness counts against the 1.00. Is your worker’s compensation premium high? Wait until your EMR goes over 1.00. Frequency and Severity will hurt you!!!

Just a reminder, according to Utah Administrative Code R614-1-5.C.2- each employer shall within 8 hours of occurrence, notify Utah OSHA of any work related fatalities, of any disabling, serious, or significant injury and of an occupational disease incident. Failure to do so, most commonly is a $500.00 fine.

Prevention is the Key to Your Business’s Success.
When an incident occurs please complete this corrective action report, find out the “root” cause of the reported illness/injury and do you’re very best to correct it.

Rick Scott is the Safety Director for A Plus Benefits, Inc.