Posts filed under: Loss Control

By Donna Motley, Vice President of Claims

As your Workers’ Compensation carrier, we provide a service. Hopefully, part of that service is to make your job a little easier. In today’s world, everyone is busy. We can help take some tasks off your shoulders. After a work related injury, we can contact the doctor’s office or medical facility and provide the insurance and/or claim information. Any authorization to treat, refer for testing or to another physician, should be provided by our department pursuant to the Workers’ Compensation Act and Michigan Health Care Services Rules. We can contact the injured worker and relay necessary information; and answer the employee’s questions as to “how does this (the compensation process) work”?

In order for us to help “you”, we need you to help “us”. The first and best way to aid in the Workers’ Compensation process is to promptly report the injury to us. The second best way, is to make sure we have complete and detailed information. While I realize sometimes the Employer’s Basic Report of Injury (Form 100) has to be completed in haste, the more information provided, the least likely we are to call or e-mail you with questions or requests for additional information. Please realize, when detailing “how” an injury occurred, what may make perfect sense to you may raise additional questions in our minds. We are not necessarily familiar with your facility, the employee’s work duties, work process, the machines on site or how they operate.

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By Travis Halsted, Loss Control Consultant

Whether it be a foundry, fabrication facility, snack food warehouse, welding facility or one of the many other industries that MTMIC works with, compressed gas cylinders can be found in the majority of them. Compressed gas cylinders serve a plethora of purposes, but also provide just as many hazards. From oxygen displacement and toxic effects of some gases, to physical hazards such as a ruptured cylinder and explosions, any failure of a cylinder can be catastrophic. It is paramount to understand the pressure that these cylinders are under. If a cylinder has a sudden release of any of the gases, it can become a dangerous missile-like projectile. There have been documented cases of compressed gas cylinders, under the sudden release condition, to have breached a cinder block wall. In other events, vehicles have been destroyed by explosions when the cylinder wasn’t properly secured during transport or if the valve was inadvertently opened. An essential part of working with gas cylinders is to ensure that you have a clear understanding of what gas or gases you are working with. Gases include, but are not limited to; flammable gases, oxygen and oxidizing gases, acid and alkaline gases, toxic gases, cryogenic gases and inert gases. Each of these gases have their own benefits and hazards.

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By Chris Demeter, Senior Loss Control Consultant

The term “robot” readily evokes a mental image to most people. Depending on your age, it could be R2D2 from the Star Wars movies, the Mars Land Rover, or you may have iRobot Roomba vacuum cleaner. In 1954, George Devol developed the first programmable Robot. It weighed two tons and was controlled by a program on a magnetic drum. Nowadays, the number and type of robots are changing rapidly.

Industrial robots are designed to move materials, as well as perform a variety of programmed tasks in manufacturing and production settings. They are often used to perform duties that are dangerous or unsuitable for human workers, such as repetitious work that causes boredom and could lead to injuries because of the inattentiveness of the worker.

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By Ruth Kiefer, Loss Control Manager, MSc, ARM

As our economy is ramping back up, and our facilities are becoming busy again, the decision to hire permanent workers or use temporary workers is a factor that you must debate. When reviewing this decision, you should be aware of MIOSHA’s new initiative regarding temporary workers and what your responsibilities are as an employer.

MiOSHA considers both host employers and staffing agencies are responsible to comply with the workplace health and safety requirements. The key is to ensure that the staffing agency has conducted a general safety and health training to determine what is missing. The host employer is responsible for providing specific training tailored to the particular workplace hazard or equipment operation. The key is communication between both the agency you’re working with and you the host employer to ensure that the necessary training is provided.

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By Travis Halsted, Loss Control Consultant

As companies attempt to reduce costs, one particular item that I have been seeing a great deal of is companies having their own drivers. These drivers provide companies with the ability to pick up and deliver their product, get product from one location to the next, or to send products to secondary operations. While convenient, it is vital to point out that the simple roadway hazards that most commuting drivers only face for a short period of time in a day, are constant hazards that professional drivers face all day.

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Donna Motley, Vice President of Claims 

Owning and operating a business is multi-faceted. Having Workers’ Compensation insurance, required by law, is one of those many facets. Hopefully, most employers rarely have to utilize their Workers’ Compensation insurance. BUT, should an employee be injured in the course of employment, you, as the employer need to be prepared.

So how far does the employer’s responsibility reach? The employer is responsible for providing a safe working environment, for training employees in the proper way to perform their job, for proper machine and facility maintenance and for properly handling a work related injury, should one occur. An employee injury is costly in many ways. An injured employee is affected professionally and socially. The employer’s production and work product is affected. A work injury has a financial impact on everyone involved. The employer has a vested interest in making the employee be the best he/she can be, as the employer will reap the rewards.

Don’t ignore the signs. If a Supervisor walks past a work station and notices an employee stretching their back, rubbing their shoulder or playing “windmill” with their arms, that should be the employers first clue that something may not be right. Ignoring “signs” rarely benefits the employer. It is doubtful the situation will resolve itself or just “go away”. On the contrary, what usually happens is the employee will start treating with their primary care physician for the medical condition. Then when it starts to cost the employee a lot of money, or the condition does not resolve, or someone tells them they should file a Workers’ Compensation claim, the employee will bring the situation to the attention of the employer. By this time, treatment has been rendered and we would have to obtain all those medical records; suspicion overshadows the entire claim because it is being reported so late and after the employee has received treatment; and we will not allow treatment until the matter has been investigated. This delay in treatment will in turn delay the employee’s recovery and impact work product and production.

While we are not suggesting that a Supervisor “suggest” to an employee that the employee has a work injury, a simple “Is everything o.k.? I noticed you rubbing your shoulder” can go a long way. At that point the employee may admit that he has an injury that occurred outside of work (make note in the personnel file if that is the case); the employee may alert the employer to a machine set up or situation that could maybe be changed to be more ergonomic; and the employee may come away feeling their employer “cares”.

If the employee advises that something he did at work has caused an injury, the employee should be immediately sent to the clinic. Remember, it is not up to the employee to decide whether or not they “want” to go to the clinic if they have reported a work injury. Whether the employee alleges nothing is wrong, an injury occurred outside of work (i.e. they just slept wrong) or there was a work incident, the Supervisor should follow up with the employee later that day, the next day and the next week, and ask if everything is o.k. or if they are having any other issues. Again, ignoring these situations do not make them go away – instead, they tend to “fester”.

As an employer, you should review all employee injuries, your injury logs and/or loss runs to determine how many and what kind of injuries are occurring and where they occur. Then review to see if there are any changes that could be made so injuries do not continue. Your Loss Control Consultant can be a tremendous help in this regard. Remember, we are a team, all working toward the same goal – a safe and productive work environment! We all benefit!

By Chris Demeter, Senior Loss Control Consultant

I have been with MTM for over 13 years, and prior to that I was the Safety Director at a prototype sheet metal stamping manufacturer. Every 18-months or so, I would get a visit from MIOSHA. It was not because we had a great deal of injuries, it was because we were considered a “High-hazard industry”.

Every year, MIOSHA targets certain industries that shows a higher than normal injury rate. Their main goal is to “improved workplace safety and health for all workers, as evidenced by fewer hazards, reduced exposures, and fewer injuries, illnesses and fatalities”.

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By Chris Demeter, Senior Loss Control Consultant

Have you ever experienced an eye injury at work or maybe at home while using that new weed whacker? The National Institute for Occupational Safety and Health (NIOSH) reports that every day about 2,000 U.S. workers sustain job-related eye injuries that require medical treatment. Using the right eye protection can lessen the severity or even prevent many of these eye injuries.

Chemicals or foreign objects in the eye and cuts or scrapes on the cornea are common eye injuries that occur at work and even at home. Other common eye injuries come from splashes with grease and oil, burns from steam, ultraviolet or infrared radiation exposure, and flying wood or metal chips.

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By Travis Halsted, Loss Control Consultant

A vast majority of facilities that I visit each year have a welding operation present. Whether it be a large welding area with a plethora of welding cells or a smaller one table welding work station, there are a great deal of potential hazards present whenever welding operations are being completed. This is evident by the $119,803 MTMIC has spent on claims since 2009 that were traced back to welding operations. Of the 82 injuries reported, the injuries range from burns, strains, foreign bodies, inflammation, lacerations, and punctures. As there are a great deal of factors that go into these injuries, one particular item can often be found to be a root cause. In many cases, the lack of proper personal protective equipment was found to play a large role.

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How Does Your Loss Experience Compare?

I am often asked this question by our shop owners, plant manager, or CFO. Some of the shop owners/managers have an inkling of whether they’re better than average, average, or have loss challenges. However, their specific knowledge of other shops is usually vague at best.

I often start my response to this type of question with information on how general insurance industry and MTMIC losses overall are trending. I then move to individual company experience modifications as a specific company indicator. I state, IN GENERAL, an experience mod above 1.00 says your experience is worse than average. IN GENERAL, an experience modification below 1.00 tells me that your experience is better than average. I say IN GENERAL because an experience modification that is above 1.00 because of one loss is different in my mind than an experience mod above 1.00 caused by multiple losses year after year.

An experience mod of 1.00 is meant to be the guidepost of what losses are expected to be given a company’s payroll and classification. So, losses above that expected amount will cause a mod above 1.00 and if your losses are better than what was expected, then the experience mod will be below 1.00. For comparisons purposes, experience modifications we have at MTMIC range from a low of .57 to a high of $3.09. That is, a firm with a $2 rate and an experience mod of .57, their effective workers compensation rate is 1.14. For the shop with an experience modification of $3.09 is, their effective workers compensation rate is $6.18. A significant difference for these shop’s overhead costs.

Sometimes global numbers are helpful, so we took a looked at the track of the experience mods in 2016 compared to 2015. In 2016, 51% of experience mods have decreased. That is, the customer’s loss experience is improving. 26% of 2016 experience modifications are the same and 23% have increased (i.e. member experience has deteriorated).

As you know, we have three field loss control representatives. They are assigned about 270 accounts each. That allows them to spend significant time helping MTMIC members get the best loss control results. I, again, am volunteering them to help you any way we can to reduce your loss frequency. A reduced loss frequency is good for your employees, good for your shop and its costs of workers comp, and also good for MTMIC.

Call me anytime I can help you.

The last two months the staff has been working hard to get the MTMIC member dividends calculated and distributed. We are now nearing the end of that process for this year and as usual, it was great fun delivering checks to our member-owners. A few more pictures of the member delivery process are in this Newsletter. While the member dividend is clearly one of the most important benefits of being an MTMIC member, there are several others. Two of the most important are small case load for focused claims handling and hands on Loss Control Services. Both of those functions are helpful in achieving company results that allow for reduced premium and member dividends.

Today let me tell you about the MTMIC Loss Control services. Many of you probably know much about MTMIC Loss Control because you have a close relationship with your Loss Control Consultant. However, some operating details may be helpful. Consistent staffing and messaging give more predictable insurance results. Regarding staffing, the average MTMIC staff member has been with the company for 18 years. In 2016 we have had NO employee turnover. In 2015 there was NO employee turnover; the same in 2014. In 2013 we had a new hire and it was me. Gary Wood retired and I was hired by the Board of Directors in August, 2013. I remain the shortest tenured employee of the MTMIC staff. I should note that the MTMIC staff remind me of this on a regular basis.

The MTMIC Loss Control staff includes three veteran technicians with varying backgrounds and experience. One is the daughter of a physician, who grew up with a medical and mechanical emphasis, and two come actually from insured members shops overseeing shop safety. They have worked and know shop operations very well. The second strength of our Loss Control department is the focus that the Board of Directors give to this function. After all, if we want to pay member dividends, controlling losses is an integral part of making that happen. In a standard Michigan insurance company, it would be normal for one Loss Control representative to have in the vicinity of 3,000 members to take care of. The MTMIC approach is significantly different. We have one field Loss Control Consultant for every 270 members. Or said another way, each MTMIC Loss Control Consultant could visit all of their assigned accounts by visiting one a day. At the beginning of every year we review loss trends for MTMIC, individual accounts and then determine how many visits we think would be helpful for each member.

Another difference with the large insurance company approach, is that loss control is most often done by webinars, mass mailings, and newsletters. We think that our small, mid-sized shops need more than that. They need someone who will give them the onsite advice and be a sounding board and resource for issues at their shop. Those issues could be the recent accident, employee concern or MISOHA issues. The MTMIC Loss Control Consultant does not think of themselves as an outside advisor but rather an important component to our members shop operation. Just as you do, our/your Loss Control Consultant take their individual shop member responsibilities very seriously. Before closing, any time you see an MTMIC Loss Control Consultant please know that they are three of the states finest. The Loss Control Manager is Ruth Kiefer, and our two Loss Control Consultants are Chris Demeter and Travis Halsted. Until next time, have a safe and productive spring.

More 2016 Dividend Recipients

By Ruth Kiefer, MSc, ARM Loss Control Manager

As the economy is slowly rebounding and we are adding newer equipment to our production floors, you must ensure that you are taking a closer look at the machine guarding prior to the production phase. During my recent MIOSHA Level 1 Training class, I learned a very important point with regards to guarding equipment; if you have two pieces of equipment that perform the same job, the old one must be guarded equal to or better than the new piece of equipment. If it is not, then the violation for machine guarding becomes a SERIOUS and WILLFUL offense.

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By Chris Demeter, Senior Loss Control Consultant
Have you ever forgot to put on your safety glasses and hammered a few nails into a board? How about sanding that old dresser and not wearing a dust mask? Truth be told, I have before I realized the importance of using the proper PPE.

While PPE use can help prevent injuries and illnesses, engineering controls should be the primary method used to eliminate or minimize hazard exposure in the workplace. However, it may not be possible to eliminate all hazards through engineering design, guarding, or administrative controls. In these cases, the use of PPE is necessary.

If PPE is to be used, employers must implement a PPE program. The program should address the hazards present, the selection of the proper PPE, maintenance, proper use of PPE, the training of employees, and monitoring of the program to ensure its ongoing effectiveness.

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By Donna Motley, Vice President of Claims

What is meant by “late reporting”? Typically, we like to receive notice of injuries (via the Form 100 – Employers Basic Report of Injury) within a week of the occurrence. The earlier a report is submitted, the earlier we can set the claim up in our system. Then, if there are telephone calls regarding medical treatment, we will at least have the basic information. The “basic” information required to set up a claim is the employee’s name, address, social security number and date of birth. Obviously, we need to know the type of injury and body part involved. We also require the employee’s date of hire, occupation and the date the employer was notified of the injury. These are mandatory fields to obtain a claim number. You can submit an injury report without knowing the current medical status, treatment plan or whether or not the employee will be losing time from work. We can obtain that information once the claim has been established.

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By Travis Halsted, Loss Control Consultant
fire-hydrantAs the winter months are upon us, so is the use of furnaces, personal heaters, propane heaters and a plethora of other heating devices. These heating devices can often cause safety concerns, especially those regarding
potential fire factors. This concern brought about thoughts of other fire hazards that we see during loss control visits and how to possibly remedy those hazards. During our loss control visits, we attempt to identify potential and present exposures for that particular facility. As each facility is different and may complete different processes, the hazards found will vary. Possibly, one of the most effective ways to avoid fires, is to aim at strategic fire prevention.

How can fire prevention be strategic you ask? By recognizing the hazards, putting procedures in place, auditing those procedures and continuing education for new and existing employees, your workplace will strategically reduce the likelihood of a fire. Fire hazards can be found within office settings, maintenance areas, industrial production floors, paint booths, plating facilities and other types of environments. This often leads companies to question what they can do to properly prevent fires. The topics below are just some of the items that I often make recommendations about during the loss control visits. These particular topics could greatly assist in fire prevention.

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posterIt is that time of the year when you will be receiving sales calls informing you that there have been important changes on the State and Federal Labor Law posters.

We are aware of those changes and are in the process of compiling these updates ~ please expect your new 2016 updated labor law posters to arrive at the end of December.

By Donna Motley, Vice President of Claims

If you have ever been involved in litigation, you are aware that the legal process moves at a snail’s pace. Workers’ Compensation litigation is no different. The average litigated case takes approximately 2 years to resolve; that’s resolution without trial. If the case goes to trial, it would be even longer than 2 years. The Workers’ Compensation Agency has now put rules in place in hopes of expediting the process to “18 months”. As an employer, it is understandable how frustrating this can be – we feel your pain! Let me explain what happened on a recent case.

The “alleged” injury “allegedly” occurred on March 25, 2013. After a verbal altercation with a co-worker, the 52 year old employee walked off the job. The employee went to an emergency room the next day and returned to work on March 28, 2013 and proceeded to walk off the job again. The employer informed the employee to report to work on April 1, 2013 if they still wanted their job. Instead, the employee returned to the emergency room on March 31, 2013 and called the employer on April 1, 2013 to advise of the alleged work injury (first notice of claim).

The Claims Department was notified of the incident on April 11, 2013 – 17 days after the date of injury. The insured advised they wanted us to “take a hard line on this” claim. The employee alleged a back injury after lifting a box; names of witnesses were provided. Three witnesses were contacted, and no one knew anything about any type of injury the claimant may have sustained. Medical records were requested from the treating physicians.

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During a regular business week I receive notices from outside vendors, state associations, and government bulletins. Most of the time there is nothing exciting to report from them; but last week I received two that were interesting. The first was a report from the state on the number of time loss injuries for Michigan employees. In 2007, the state recorded 11,262 time loss injuries. Three years later in 2010, time loss injuries had decreased to 9,566. And then in 2013, the number was 7,109. This study goes on to give credit for management’s focus on improved employee risk management, but they also credit changes in the manufacturing process and the reduction of hazardous work. Overall; this data does give us a good story on the improvement in employee safety. I wanted to pass these numbers on to you to give credit for the important role you play.

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By Donna Motley, Vice President of Claims

Workers’ Compensation insurance coverage is mandated in the State of Michigan. Even so, Workers’ Compensation is a “benefit” to the employee (and the employer). Employees are “entitled” to medical care and compensation should they have an injury while in the course of employment. But that does not allow the injured worker to have an “entitlement attitude”. Workers’ Compensation is not a “social program”. Benefits are governed by laws that were enacted over 100 years ago. Those laws have been periodically modified to change with the times. When you talk about laws, you are talking about attorneys – hence the modifications! Our success in the Workers’ Compensation courts is strongly influenced by the current political arena in our State at that time.

Employers know the part they play in the process: safety programs, safety training, drug screening, employment physicals, prompt reporting of injuries, accident investigations (and preventions).

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By Travis Halsted, Loss Control Consultant

As companies strive to reach customer deadlines, growing production numbers, and do so with the smallest amount of overhead, it is understandable that some of the new ergonomic tools and resources have gone unutilized. While understandable, it is essential to understand how not having those tools in place not only affect your employees in a negative manner, but could also have a large impact on your daily operations.

Upon a review of MTMIC’s current loss run, it shows that of the top 50 lost time injuries, strains account for 46% of them (23 of 50). When looking at the same top 50 lost time injuries, strains accounted for 38% of the total dollars spent on those injuries. That is a sum of $8.6 million dollars. Of the 23 strain injuries, 39% are from the lower back (9 of 23). The sum of those 9 lower back injuries accounts for 50% of the total dollars spent on strains within that top 50 lost time injuries list. That is a staggering 4.0 million dollars spent on just 9 lower back claims.

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