Injury management self audit tool results

1 - Management Commitment - 25 %
2 - Consultation - 33.3%
3 - Training and Education - 12.5%
4 - Early Intervention and Return to Work - 33.3%
5 - Document, Report and Improve - 62.5%
1 - Management Commitment: 25%
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2 - Consultation: 33.3%
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3 - Training and Education: 12.5%
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4 - Early Intervention and Return to Work: 33.3%
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5 - Document, Report and Improve: 62.5%
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1 - Management Commitment

Results

There is most likely a lack of management commitment to manage injuries properly.

This may be because managers perceive that managing injuries is not their responsibility or it may be due to a lack of support from senior management. Workers may feel as though they are a problem or burden to their employer and colleagues and this can lead to poorer return to work outcomes, a perception of bullying or harassment and generally higher claims costs.

It can seem that employers with this culture have fewer injuries than others but in fact what is occurring is that injuries are not being reported when they should be and this leads to significantly higher claims costs and time lost as claims are only lodged when they have got to a point where they are very serious.

Employers that tick mostly in the red zone tends to have much higher than average injury durations and a high percentage of “problem” claims.

Next steps

  1. Make sure that you introduce a clear and simple policy for injury management based on the principals of early return to work, support and tolerance.
  2. Clearly define everybody’s place in the injury management process. Train all managers and staff in the process and enforce functions through performance reviews.
  3. Appoint and train a return to work coordinator. The return to work coordinator should be recruited from within the organisation and have a good understanding of the business and people.
  4. Once this person is appointed give them the time and resources to carry out their functions properly. A return to work coordinator should have the authority of senior management to make decisions on return to work and should not need to ask permission to fulfil the role.
  5. Make sure that all managers are responsible and accountable for injured workers in their direct sphere. Managers should be involved in all return to work negotiations and decisions (under the guidance of the return to work coordinator).

2 - Consultation

Results

You probably do not have an effective consultation system. Consultation forms a part of any organisation’s legal obligations but more than this it helps you to engage and understand your workforce. Workers that are involved in decision making and feel part of the business are less likely to have injuries and more likely to want to return to work if they do have an injury.

Employers who do not have any consultative mechanism run the risk of having a disengaged workforce. This can lead to a greater level of injury and absence and higher costs for claims as workers may feel suspicious of the employer’s motives.

Included in the concept of consultation is transparency of actions. Workers and managers should always work together as part of your injury management process and each party should be aware of what the other is doing and why they are doing it. This engenders a level of trust and will result in less time lost and more successful long term return to duties.

Next steps

  1. Make sure that you introduce a clear and simple consultation procedure based on the principals of transparency and inclusion. Make sure the procedure details the mechanisms of your consultation (i.e. when and how you will consult) as well as the way staff can engage the business (e.g. feedback mechanisms, issues register, suggestion box etc).
  2. Ensure that staff are consulted in the development and implementation of any injury management process and that an affected worker is always included in any return to work discussions or decisions.
  3. Provide a way for employees to express their views on a regular basis (e.g. team meetings, suggestion box) and then ensure that suggestions are read and considered and staff who provide the feedback are made aware of what has happened to their suggestions.

3 - Training and Education

Results

You probably do not have an adequate training program. In relation to injury management this can mean that your worker’s are unaware of your early return to work policy, their responsibilities to report injuries and disclose information or your expectations of behaviours.

In addition your line managers (supervisors) will most likely not be aware of the importance of their roles and consider that return to work and management of injuries is not their responsibility. This will invariably lead to lengthier periods of time off of work (for even relatively minor injuries) and can also create a general level of dissatisfaction amongst the workforce.

It will be difficult for you to enforce your business code of conduct or behavioural expectations if you do not provide adequate training for your staff which may mean your general work culture and climate will be negative.

Next steps

  1. Perform a simple training needs analysis for your employees. This can be as simple as creating a spreadsheet that lists all of your business roles/tasks with a list of the skills required to perform the tasks. You should include a knowledge of your safety and injury management procedures in this. You could then consult with your employees to determine what skills and knowledge they have and cross reference this against your skill matrix. This will help you to understand the training gaps within the business which you can begin to address systematically. This method will ensure that all training is covered but just as importantly is relevant to your business.
  2. Make sure that injury management/early return to work is part of your standard induction program.
  3. Make sure that you keep training current. In the case of injury management you may wish to have injury management as an agenda item for team meetings or you may diarise regular updates to training as part of your training matrix (above).
  4. It is important to keep records of what you have done. This will prevent double-ups of training and also will be a vital part of any disciplinary or SafeWork SA activity. It is also a legislative requirement.

4 - Early Intervention and Return to Work

Results

It is likely that you have no early intervention process or a limited one. This does not mean that you do not care about your employees or that you never provide duties – simply that you do not have a systematic approach to early intervention.

An important aspect of injury management is integration into your normal business process. Where the response to an injury is “I am too busy to deal with that now” or where your response is to await what the agent does you are dramatically increasing the likelihood of longer periods of time off of work and increasing your overall risk as workers that are so inclined will know this and you may develop a culture of claim = time-off. This can be avoided by implementing and managing an injury management system.

Next steps

  1. Design and implement an early intervention system. This is a simple process of writing out your expectations and describing the roles and responsibilities of all employees. Your procedure should contain tight timeframes for reporting of injury and protocols for workers, supervisors and the return to work coordinator to follow. The procedure should also include your commitment to return to work and how you will communicate this and the availability of duties to the employee’s treating doctor. You may also include details on preferred medical providers if applicable (refer below).
  2. Include supervisors as the first contact and provide training and authority for them to be the “frontline” for early intervention and return to work. Your supervisors are in a position to know the employees, what jobs are available and how an injured worker is coping with duties. It makes sense to rely on them for ensuring the return to work process is working.
  3. Remember the injured employee. Make sure they are involved in all aspects of the process and are kept informed.
  4. Always provide alternative duties where at all possible. Remember that in a vast majority of cases alternative duties are temporary in nature and you do not need to restructure your entire business to accommodate them. The benefits in the reduction of time lost and claim costs far exceed the inconvenience of providing work for a little while.
  5. Where it is practical to do so develop a relationship with a nearby clinic. Invite doctors to meet you and tour the worksite. This will assist in identification of duties and will reduce the instance of time lost due to doctors being unaware of what workers do.

5 - Document, Report and Improve

Results

You have a formal system in place but it may not be fully integrated into your other business systems. In practice your documents are well controlled but it may be that there is not restricted access and there may be some doubling up of procedures or unauthorised editing. You may informally review incidents but there is no systematic approach to analysis and addressing of emerging trends.

You may not have a robust system of internal audit or the audit may not be used properly to address system and practice issues. Your system of goal and KPI setting may not be sophisticated or properly targeted based on your own business needs.

Next steps

  1. Consider your business structure and how it operates. Integrate your injury management into your other systems. Make injury management part of what you do rather than a legislative obligation.
  2. Set goals, targets and KPIs for your injury management system and make sure you report on them regularly. The frequency of reporting will be dependent on the size of the business but should ideally be no less than quarterly. Review your goals annually based on previous and desired performance and never set goals that you cannot achieve. Remember KPIs are there to let you know that there may be a problem developing and to allow you to make adjustments before issues become big.
  3. When you identify issues or set programs to reduce injuries/incidents place your actions on an action plan. This will assist management with ensuring required actions are completed and provide a record of actions and time taken to address issues. They can also assist with making sure actions are consistent with business requirements and that accountabilities are maintained.

Need more help?

Email injuryprevention@rtwsa.com for questions about this self-assessment or for assistance with management systems development.

Email coordinators@rtwsa.com for information about the role of a return to work coordinator and certificate training.

Claims agents

EML
Phone: 08 8127 1100
Toll free: 1800 688 825
Fax: 08 8127 1200
info@eml.com.au
www.eml.com.au
GPO Box 2575 Adelaide SA 5001

Gallagher Bassett
Phone: 08 8177 8450
Toll free: 1800 774 177
Fax: 08 8177 8451
GBAUSouthAustraliaReception@gbtpa.com.au
www.gallagherbassett.com.au
GPO Box 1772 Adelaide SA 5001