By Ruth Kiefer, ARM, Loss Control Manager

As many of you know, we base our annual safety inspections on injury trends and MiOSHA’s most common cited violations. Last year MiOSHA issued 408 general industry health citations with the average citation being $1,708, that’s $696,911 collected in health citations with regards to general industry.

For general industry Safety violations, a total of 1.38 Million was collected and 543 citations issued. So the average citation issued in 2018 was $2,555. This year MiOSHA broke down the top violations into both Health Violations and Safety Violations. If you are unsure if you have a Health or Safety violation, please ask your Loss Control consultant for more guidance on any of these violations noted below.

Listed below are the 2018 most recent general industry HEALTH violations cited by MiOSHA:

By Donna Motley, Vice President of Claims

One of the important reasons we stress an injured worker should seek medical treatment soon after an injury is to obtain an accurate diagnosis. what may appear to be a “simple cut or laceration” may actually be diagnosed as a “nicked” or lacerated tendon. An MRI may be required for an accurate diagnosis. 

Tendons attach or connect muscle to bone, which in turn allows for movement at the joint. Tendons control your hand and fingers, wrist, elbows, feet and toes, ankles and shoulders. Tendon laceration will result in trouble in bending or straightening the (attached) body part. These injuries typically require surgery. Hands and fingers should be repaired within 48 hours to prevent scarring. Tendon adhesions can become stuck to nearby tissue, usually requiring a surgical release. Delayed treatment will result in scar tissue and the tendon retracting. Depending on the mechanism of injury, there could also be damage to the bone, nerve and/or ligament.

By Travis Halsted, Loss Control Consultant

Year after year, motor vehicle accidents are at the top of the list for causes of workplace fatalities. Whether it is delivery drivers dropping off products to customers, the sales department visiting customers, the maintenance department running for parts, or office personnel completing different errands, there are often numerous members of your company on the road. Roadway exposures often contain some of the highest number of variables, as you cannot control a great deal of the residual risks of this hazard. According to the National Highway Traffic Safety Administration, there were an estimated 6.3 million police-reported car accidents in the United States in 2015. Motor vehicle crashes are the leading cause of workplace injuries according to the Bureau of Labor Statistics. In 2013, motor vehicle incidents contributed to 40% of all workplace fatalities. MTMIC has had 97 motor vehicle collision claims since the 2011 policy year. These claims has resulted in an incurred sum of $1.8 million. As most companies can’t eliminate the need for the use of the roads, we need to identify where the exposures come from and how to reduce the likelihood of those motor vehicle claims.

In January we mailed out information relating to Proposal 1 – Michigan Regulation & Taxation of Marihuana Act Passage. We mentioned that we were in the process of putting together a template for a substance abuse policy and that process is almost complete. It has gone a little slower than anticipated but should be in your hands in the next few weeks. For more information, please contact Megan Brown at (248) 715-0012 or your loss control representative.

By Ruth Kiefer, ARM, Loss Control Manager

Each year we look at January as a new beginning, with the coming of a new year, I would also like you and I to make a renewed commitment to safety and keeping our employees safe in our workplaces. Our Loss Control team has worked hard to inform you of recent MIOSHA changes, provide current and up to date training videos along with safety program templates. All of these and more are at your finger tips when you log onto our on-line portal. So this is a new year and new beginnings for many of us and I wanted you to be aware of this years focus of the compliance department of MIOSHA and MTMIC. I say MTMIC, because we too see the injury trends in the industry and we have worked hard to make you the tools to assist you with the MIOSHA Initiatives. These initiatives are created to help reduce injury trends in the workplace and I want to review a few of them with you.

By Ruth Kiefer, Loss Control Manager, ARM

With the ever tightening labor force and your need to fulfill orders and production, more of you are turning to a temp agency to fill this need. So what are your obligations to this temporary worker? Or to your new hires for that matter? I’m here to tell you that there is no longer an experienced workforce, or the days where you can find a good lathe operator, someone who knows the ins and outs of the presses in your shops. Those days are gone, the good ones are already working or retired, so you are left with inexperienced workers to choose from. As you know, schools no longer have in house training programs, it’s now left to you, the businesses to do the training, to create and form the “experienced worker”. It’s now on you to educate the younger workers entering the manufacturing sector.

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By Chris Demeter, Senior Loss Control Consultant

It’s 10:00 a.m., you hear a knock on the door, you get up and see someone who looks very official standing there, you open the door and they introduce themselves. “Hi my name is Kristin, I’m with MIOSHA CET…” your heartbeat quickens, you are no longer listening to the woman at the door, you’re thinking, is the boss here? What am I going to do? Before you know it, she has passed you a business card and turned away, leaving you standing there. You take a second and realize she is not coming in, so you just pass it off as a near miss and put the card in your desk without a second thought. That might be a mistake not inviting her in for a non-enforcement hazard survey. You may already know this, but MTMIC has had an alliance with MIOSHA CET for many years and have assisted many policyholders with CET services with positive results. As you know we are a proactive insurance company and are always finding ways to reduce injuries and provide our policyholders with valuable resources to use.

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By Ruth Kiefer, Loss Control Manager, ARM

Outside the cicadas are singing their song signifying the end of summer, and the kids are getting ready for school, but I can’t seem to enjoy this annual transition from the winding down of summer to fall because my mind can’t stop wondering why we are having so many traumatic injuries this year. My team and I have been called out to conduct way too many accident investigations regarding amputations. This traumatic event, in which a part of the body is violently removed from your employee has plagued us since the beginning of the year. So, I must ask myself, why the sudden increase in this type of traumatic injury?

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By Travis Halsted, Loss Control Consultant

First and foremost, I hope everyone is having a spectacular summer! Whether you are spending time on the water, relaxing and reading a book on your front porch or traveling, I hope that you are all able to enjoy this beautiful Michigan weather. I am not quite sure how it worked out this way, but I find myself scheduling a great deal of my Loss Control visits on the west side of the state this time of year. It must be some kind of coincidence.

With these elevated temperatures, the need to use the air movement fans also rises. The air movement fans have a plethora of different hazards that can cause injuries. Within the first week of July, MTMIC had two injuries directly related to fans. Some of the most common hazards that are found with fans include, but are not limited to:

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By Chris Demeter, Senior Loss Control Consultant

Every year, workers are unnecessarily exposed to hazardous energy sources such as mechanical, hydraulic, pneumatic, chemical, thermal, gravity, or other energies utilized by machines in manufacturing. This occurs during servicing, maintenance, or setting up on equipment. Accidental start-up of machinery or unintended release of stored energy often presents catastrophic risks including but not limited to crush, amputation, shock, and burn injuries as well as equipment damage. This exposure can cause serious physical injuries or death to workers unaware that someone else has started a machine or energized a circuit. MIOSHA requires employers to establish a Lockout-Tagout program and use procedures for affixing appropriate lockout devices or tag out devices to energy isolating devices, and to otherwise disable machines or equipment to prevent unexpected re-energizing, start up or release of stored energy in order to prevent injury to employees.

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By the time you receive this newsletter, MTM staff will be in the final phase of delivering the 2018 member dividends. This year’s dividend is $4 million made up of two Board declarations. The $3.5 million amount matches the dividend amounts from March, 2017 and March, 2016. Plus this year the Board declared an additional $500,000 from savings of the tax bill signed into law in December. The total dividend amounts to an average dividend of 22% of member’s premium. Staff has 802 dividend checks. Delivery methods vary from mailing, to agency delivery, MTM Loss Control Reps, Megan Brown – VP of Marketing and Sales and me. Last year Megan and I drove over 12,000 miles in 3 weeks delivering checks to members. Each stop was a surprise, great conversation, plant tour and pictures.

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By Travis, Loss Control Consultant

Through every loss control visit, one particular hazard can be found in each facility. The hazard that I am speaking of is electricity. With each cord, disconnect, panel, receptacle and connection there are a plethora of hazards that must be guarded. Each of these electrical items have rules that pertain to them and failure to abide by these rules can not only provide the opportunity for severe injuries and possibly fatalities, but also the potential for substantial fines from the MIOSHA enforcement division. During a recent MIOSHA training class, the speakers informed the class that any and all electrical infractions will now hold a minimum $5,000 fine. That is only a minimum, as if they feel that the particular infraction is negligent then the fine will only escalate from there. While the fines are an eye opening factor, the safety of the employees should always remain as our top priority.

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By Travis Halsted, Loss Control Consultant

While visiting any of our valued policyholders, I am witness to some incredible machinery that complete even more amazing processes. While so much attention is paid to the machinery and the guarding that is required, there are tools that are often overlooked. Within each work area there is often a work bench that is filled with screwdrivers, clamps, pliers, files, and wrenches. In other facilities, a maintenance area may hold axes, hammers, mauls, circular saws, powder actuated tools and pneumatic grinders. With each of these tools there are rules regarding maintenance and testing.

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By Ruth Kiefer, Loss Control Manager, MSc, ARM

Last year was a record year in the State of Michigan for high fall injuries and fatalities related to those falls. Our policyholders were fortunate enough not to sustain any of the noted fatalities, but we did however, have some severe high fall injuries along with other worker injuries related to slip, trip, and fall hazards. In a collaborative effort to combat these types of injuries, the federal government and our state MIOSHA are making efforts to reduce the amount of injuries and fatalities related to high falls along with addressing slip, trip and fall injuries from poorly maintained production floors.

To accomplish this push in safety MIOSHA will be adopting major changes to their walking-working surfaces and fall protection general industry standards. The new ruling, will also be referred to as Subpart D, and will follow the federal OHSA’s updates to this standard.

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By Donna Motley, Vice President of Claims

I think, as an insurance company, we are automatically given a bad reputation. Most people, at one time or another over the course of years, have had an experience with their insurance carrier, either vehicle or home owners. I am no exception. I would agree with most people that when dealing with a home or auto insurance carrier, there is a huge emphasis placed on damages that equates with “money”. While it is the carrier’s responsibility to make the insured whole, the dollar and cents are watched closely. And I do realize there is a lot of fraud in auto and home owners insurance make this scrutiny necessary.

In Workers’ Compensation, our responsibility is to make the “injured worker” whole. With all the possible variables surrounding a work related injury, how do you place a dollar value on that? There is a book sometimes utilized in the Workers’ Compensation industry entitled “Official Disability Guidelines” – or the ODG. Easily accessible on the Internet, the ODG categorizes by injury and provides the average number of days away from work for that injury, the estimated Indemnity and Medical costs associated with that injury, billing procedure codes, best practices for a return to work (with or without surgery) and suggested restrictions for returning to work based on job duties of the injured worker. In a perfect world, right?

While interesting reading, we at MTMIC do not utilize the ODG. Similarly, medical (treatment) decisions are not based on the “cost” of a procedure. Yes, when a claim is established in our system we have to establish a dollar figure that should cover full treatment until the injured worker is recovered and returned to work. This “reserve” is medical based description of the injury, extent of the injury, taking in to consideration the age of the injured worker, possible co-morbidities and physical skills required to return to work. It is not the decision of the Claims Department for an employee to have a CT Scan vs. MRI – that is the decision of the treating physician. We can make suggestions and ask questions, ask for an explanation and decide to dispute the requested test, but the dispute is based on medical evidence and not dollars spent or to be spent. We do make sure testing or physical therapy is not being performed because “they can”. Before authorization is extended, there has to be a medical basis and is warranted.

I can’t tell you how many times injured workers have accused us of making a decision “just to save money”. Or that we only allow injured workers to treat with a “Workers’ Compensation” doctor. It is true that we will not allow treatment with certain doctors, our decisions are not based on money, they are based on medical outcomes. We handle a lot of claims in our office and are able to witness physicians’ results. We want the best doctor for the injury. No one benefits, physically or monetarily, if the treating physician is not skilled in their practice – not the employee, employer or insurance carrier.

Adjusters are human too! Among our Claims Department staff and family members, we have experienced broken bones, trigger finger, tendinitis and carpal tunnel syndrome. And who did we seek to treat – the same physicians that we utilize for our claimants. If we are personally satisfied with the physician’s results, why wouldn’t an injured worker be satisfied? We tend to utilize physicians that are no nonsense so maybe the injured worker just doesn’t like what the doctor has to say. We are not cold or heartless, our goal is to have the injured worker recover, while at the same time keeping an eye out for fraud!

Harvey and Irma

Harvey and Irma continue to be front page news. Headlines in the paper “Insurance Premiums could Climb beyond Disaster Areas” and “Companies Look to Recoup Billions Paid in Hurricane Harvey and Irma”. This may be a good time for an insurance executive class 101. Reinsurance is insurance bought by insurance companies. A primary purpose of reinsurance is to cover catastrophic events not anticipated in day-to-day insurance operations. At MTM, we know that bad things can happen in our shops. A serious employee injury is something we deal with on a daily basis. But what if there was a shop explosion that seriously injured 10 or 20 employees or a vehicle accident with 5 employees affected. This could dramatically change our loss ratio for the year and the surplus cushion of the company for years to come. So, like most other insurance companies, MTM buys reinsurance.

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All too often we read of crane and rigging accidents that cause death and extensive damage. Crane operators following basic safe hoisting can prevent most crane and rigging accidents. The most important step in any rigging operation is determining the weight of the load to be hoisted. This information can be obtained from shipping papers, design plans, catalogue data, manufacturer’s specifications, and other dependable sources. When such information is not available, it is necessary to calculate the load weight. There are a number of steel weight calculator available online that will help you determine the weight of your load.

Operators must also know the rated capacity of the crane. This is the maximum amount of weight a crane can safely lift. The rated capacity should be marked directly on the beam of the crane. Even though the equipment is suitable for the weight of the load, operators need to consider the following:

• Will the angle of the rigging devise take away any of the cranes capacity?
• Operator rigged the load to the center of gravity of the crane and lift line?
• Are there any sharp surfaces or corners in the rigging that could cause a rigging devise such as a sling to tear? Should padding be used to protect the sling?
• Will the load be under control along the entire path of the lift?
• Should a tag line be used to guide the load?
• Are there any obstructions along the lift path that must be cleared? Can they be moved out of the way?
• Will the suspended load be clear of all personnel?

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