Best Practices in Workplace Surveillance

Florida Develops A Workplace Safety and Health Program Based on Promising Practices of Other State Programs

Robert E. Nesbit, Charlene Vespi, and Dr Stuart M. Brooks

Purpose: In the fall of 1996 Florida's Division of Safety began an ambitious plan to re-engineer their safety and health program to include promising safety and health practices, implemented by other states, into the Florida safety and health program. This paper describes how the Division was re-engineered using promising practices of other states to develop specific programs to address Florida's workplace injury problems. The paper includes a discussion of the 1998 test results of the program.

Workplace Setting: The Florida Division of Safety and Florida employers including construction, heavy industry, and service. The Division of Safety developed specific measures for determining the success of the promising practices project based on performance based budgeting. These measures included reductions in the loss workday injury rates, reductions in accident frequency rates, increases in the services provided, decreases in the cost of providing services, and customer satisfaction surveys.

Summary of Surveillance program: Databases were developed and tracking systems were implemented to measure the successes and failures of the project. Teams of managers and associates were organized to rewrite inspection policy and procedure, design databases, develop training materials, design a marketing plan, develop specific goals and performance measures for the performance based budget and gather input from Florida business owners, associations, consultants, and employee representative groups. The Division's statistical unit was reorganized and given new data analysis tasks. New sources for gathering accident injury data were developed and new processes for utilizing the data were implemented. Implications for small business: Florida's re-engineered safety and health program emphasized targeting for inspection employers with high injury and illness rates. The employers were selected from the Workers' Compensation "Lost Time" data set. Most important, the program emphasized consultation, training, education, and safety programs tailored to the employer's worksite.

Summary of observations: The new Division of Safety program was tested for the first time starting in July 1998. The 1998 test involved per and post-consultation services for 1,271 employers at 3,259 establishments. The 1998 pre and post-consultation survey results at these establishments showed a total injury and illness incidence rate decrease of 5.6 percent, declining from 12.4 injuries and illnesses per 100 workers to 11.7 injuries and illnesses per 100 workers. The pre- and post-consultation lost/restricted workday injury and illness rate decreased by 5.3 percent, overall dropping from 3.8 to 3.6 injuries and illnesses per 100 workers. The 1998 pre- and post-consultation disabling compensable injury and illness incidence rate decreased from 0.8 to 0.2 injuries and illnesses per 100 workers. This change represents a drop in the post-consultation period of 75% over the pre-consultation period. At a conservative estimate of $11,105 per disabling compensable claim in Florida, this decrease represents a savings of approximately $10.6 million on 957 claims.

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NOTE: This document is provided for historical purposes only.

Page last updated: 22 December, 2002
Page last reviewed: 22 December, 2002
Content Source: National Institute for Occupational Safety and Health (NIOSH) - Division of Surveillance, Hazard Evaluations, And Field Studies (DSHEFS)

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