The Michigan Occupational Safety and Health Administration (MIOSHA) this week issued updated COVID-19 workplace rules that all employers must follow. The rules supersede the Emergency Rules (“Rules”) filed on Oct. 14, 2020, and extended by the Governor in April through October 2021.

These rules have been scaled back for those who are vaccinated and are designed to be more aligned with the new Centers for Disease Control (CDC) guidance and the Michigan Department of Health and Human Services (MDHHS) Epidemic Orders (current and new as of June 1). The new Rules require employers to:

By Chris Demeter, Senior Loss Control Consultant

How many of you remember your first paying job? My first job was at Kentucky Fried Chicken. At 16-years old, I was frying chicken in 350°F oil in a pressure fryer until golden brown. I do recall a few burns from splattering oil while performing my duties. Overall, the job was alright since I was able to eat all the chicken I wanted and I saved up enough money to buy my first car. It was a 1970 Ford Torino GT, in which I tended to have a lead foot that led to a few unwanted but deserved traffic tickets. According to my wife, I drive like a grandpa now so no more driving like that young inexperienced driver.

Young workers have high rates of job-related injury. According to the Department of Labor, in fiscal year 2020, teens age 15-19 were treated in the emergency room for a workplace injury approximately every 5 minutes. These injuries are often the result of the many hazards present in the places they typically work, such as sharp knives and slippery floors in restaurants. Young workers are at risk of workplace injury because of their inexperience at work and their physical, cognitive, and emotional developmental characteristics, and a lack of safety training also contribute to high injury rates. They often hesitate to ask questions and may fail to recognize workplace dangers. To help address this problem, MIOSHA enacted the Youth Employment Standards Act 90 of 1978. The Act defines a minor who is less than 18-years of age, including but not limited to employees, volunteers, independent contractors, and performing artists.

By Donna Motley, Vice President of Claims

Statistics indicate 70% to 80% of individuals experience low back pain in their lifetime. I think most likely, everyone has had a sore back at some point in time.Think back to the last time you were working in your yard or garden, washing your car, cleaning your house, playing with your children/grandchildren. Or maybe your sore back is simply the result of an old bed mattress, saggy couch, sitting in one position for too long or driving a long distance. Could be anything.

A sore back can be the result of lifting, pushing, pulling, holding, carrying, throwing, slip/trip with a fall or without a fall, extended leaning, falling from ground level, falling from a height, climbing, bending, crawling, reaching, twisting, stepping, motor vehicle accident and repetitive motions.

By Travis Halsted, ARM, COSS, Loss Control Consultant

As the snow starts to build up, each of us would love to be thinking about the days where we will be turning on the air conditioning. The thoughts of doing our favorite activities in the sun seem to creep into our heads more, and more often. Those days will hopefully be here soon enough, and we should start to think about the preparation of the cooling fans that may be used in your work environment. These cooling fans include, but are not limited to: pedestal fans, box fans, pole mounted fans, industrial drum fans, and even the turbine air movers. With each of these fans there are infractions to be reviewed, and best practices to be considered. These fans are often moved from area to area, and due to this they can have particular items that are damaged, thus causing infractions.

Common Infractions

On any type of cooling fan there are some very common infractions that you can easily identify at a quick glance. Here are a few of those common infractions:

By Ruth Kiefer, MSc, ARM, Vice President of Loss Control

As you know an outbreak at your facility can be devastating not only to your staff morale but to your production line as well. This puts you in a pinch and scrambling for staff to complete your orders for 14 days while they are quarantining. As of December 8, 2020 the CDC has put forth new guidelines for quarantining. So here is the bottom line… those who have had close contact still need to quarantine and the local health department will determine the length of time, but this time could be significantly reduced.

By Travis Halsted, ARM, COSS

Well, as much as we tried to avoid it, our warmer temperatures are slipping away. As we all awake to cooler mornings, furnaces throughout Michigan are starting up. Regardless of the industry that you are in, so are the heating devices at yours. Whether it be by gas, electric or propane, whenever there is a heat source there is a hazard of fire. Workers’ Compensation Loss Control often focuses on how to reduce lacerations, strains, contusions and fractures to name a few. Life safety items are often touched on, but not a point of focus as catastrophic events are less frequent. Even the smallest fire could result in respiratory distress, burns, and even fatality claims. It is vital that loss control looks at all aspects, and because of this, I wanted to point out some tips on how to prevent potential fires from heating devices in your workplace.

With the current changes that we are seeing on a weekly basis, the MTMIC Loss Control staff have put together a Best Work Practices During COVID-19 guide. If you have questions regarding this guide or anything related to COVID-19, please contact us at losscontrol@mtmic.com. 

By Ruth Kiefer, MSc, ARM, Vice President of Loss Control

My team and I have been trying to keep up with these crazy times and have developed a tool-kit on our portal to help assist you with this event. The MTMIC Loss Control Department is eager to assist you with providing a safe workplace for your current employees. To help you with this, we have developed Best Practices for protecting your employees, a medical check log, and have tried to clear the interpretation of how to report Covid-19 on your 300s if any employees test positive for the virus.

By Donna Motley, Vice President of Claims

By the time you are reading this, it is hoped that we are slowly getting back to “normal”, or at least our regular routine. The last couple of months have seen some employers reduce staff, temporarily shut down and/or even close their doors permanently. Once everyone is able to return to work, will everyone still have a job? Will business increase to make up for the lost time and revenue? It is anyone’s guess.

By Chris Demeter, Senior Loss Control Consultant

Every once in a while my brother will send me a link to a YouTube video of a workplace mishap caught on film. Most of the videos he sends are involving forklifts. They range from a forklift overturning, an unstable load resulting in losing its load, using a forklift improperly to elevate personnel, and forklifes driving into a racking system causing them to fall like a stack of dominoes. This may be riveting to watch, but there is a good chance someone was seriously injured not to mention the thousands of dollars in damage. To put it in perspective, the average automobile weighs approximately 3,000 lbs. and the average forklift not including the load weighs close to 9,000 lbs. To prevent the forklift from tipping forward while lifting a load, forklifts are equipped with a counterweight in the rear of the vehicle. To accommodate narrow aisle and restricted area operations, forklifts are designed with a tight turning radius. With the tight turning radius, it’s common for the rear of the forklift to strike an object such as a storage rack causing damage. It’s common for the damage to go unreported for fear of an employee write-up.

By Donna Motley, Vice President of Claims

An Occupational Clinic plays a very important role in the world of Workers’ Compensation insurance. An Occupational Clinic differs from an Urgent Care Clinic. The treating personnel at Occupational Clinics, primarily, if not exclusively, treat work related injuries.

Work injuries greatly differ from an injury that may occur at home or result from a motor vehicle accident. Think about machine shops, foundries, stamping plants, etc. and all the equipment utilized to manufacture product within those facilities. Even a restaurant kitchen exposes an employee to more hazards than would be encountered at home. Work injuries can affect virtually every part of the human body (and we have seen it all!).

Occupational Clinic personnel “specialize” in work injuries. We encourage you to develop a close working relationship with your chosen Occupational Clinic. Invite a physician or therapist from your Occupational Clinic to tour your facility so they can see the type of work being performed; so they are familiar with the type of injuries that may occur; and thereby also aid them in determining whether or not the injured worker can return to work with restrictions. Most Occupational Clinics are very familiar with the rules governing Workers’ Compensation and attempt to treat accordingly. The personnel know a disability slip is required for an employee to provide to his employer. Occupational Clinics generally know authorization for testing is required prior to scheduling.

By Travis Halsted, Loss Control Consultant

During our daily discussions within MTMIC’s Loss Control team, we are constantly looking for ways to help our policyholders identify ways to be proactive and compliant with MIOSHA’s standards. One area that comes up quite often are confined spaces. Whether it be construction or general industry,

MIOSHA regularly cites infractions for these often overlooked areas. Through the 10 years I have been involved in workplace safety, I have found the confined space topic to be the most difficult topic to complete, discuss, teach and interpret. Is it a confined space? If so, is the area a permit required confined space? If it is a permit required confined space then am I able to eliminate the need for the permit? These are all great questions and they often leave people with their head spinning. In many cases, the person just ends up not completing the necessary items.

By Chris Demeter, Senior Loss Control Consultant

When is the last time you had to use your first aid kit at home? Of like me, do you know where it is located at? About a month ago my wife was cutting up vegetables for dinner when she calls out “Could you please come in here now”. As I enter the kitchen, she is standing at the counter with a wad of paper towels around her finger. Me being the concerned husband asking the obvious “What did you do”? I cut my finger; could you please grab the first aid kit please? Where is it? It is in the bathroom under the sink. After securing the first aid kit and saving her finger, I ask “what time will dinner be done”? Needless to say, I finished dinner and cleaned up.

The Occupational Safety and Health Administration (OSHA) medical services and first aid regulation, 29 Code of Federal Regulations (CFR) 1910.151(b) states, “In the absence of an infirmary, clinic, or hospital in near proximity to the workplace which is used for the treatment of all injured employees, a person or persons shall be adequately trained to render first aid. Adequate first aid supplies shall be readily available.”

By Donna Motley, Vice President of Claims

I received notice of litigation the other day regarding an injury that allegedly occurred many years ago. The injury did not occur while MTMIC was the Workers’ Compensation carrier, but we currently insure the employer where the employee works. The original injury occurred in 2002. That’s correct – the employee sustained an injury to his foot when he jumped off a truck 17 years ago, and he is now alleging “total disability”. The employee has been working these past 17 years, not necessarily without incident or treatment, but certainly there have been other circumstances in his life that may have had an impact on his feet!

By Travis Halsted, Loss Control Consultant

If you ask any member of our Loss Control Department, what is one of the questions that we hear most often, our answer will be “how do you remember all of these rules”. While our answers to that question may vary, the most accurate answer, is that we take continuing education opportunities in the field of safety items, ergonomics and MIOSHA standards. These classes provide us with knowledge of new standards, changes in current standards, how rules can be interpreted in different manners, risk management efforts and an overall understanding of the current safety world. At MTMIC, we encourage our policyholders to also take part in continuing their education. As we are all aware of the need to manage costs, MTMIC offered this class to our policyholders at no charge to them.

By Donna Motley, Vice President of Claims

A while ago I wrote about the medical profession’s new diagnosis of “Text Neck” – concerns about physical conditions being created by a person’s head being constantly bent forward while using a cell phone. Reading material I have received recently from a physical therapy facility now lists additional “new” diagnoses: Texting Thumb, Selfie Elbow, Text Neck and Tablet Tingling. These are new titles for “overuse conditions” officially titled Trigger Thumb, DeQuervains Tenosynovitis, Epicondylitis and Carpal Tunnel Syndrome. All of these conditions relate to straining and overuse of said body part resulting in inflammation.

By Donna Motley, Vice President of Claims

Truly, it wasn’t that long ago everyone was complaining about snow, ice, cold and asking the question “Where is Spring?” As most assumed, we really didn’t have a “Spring”, instead, we went right into summer. That “sudden change” is a stressor to our bodies. Being immediately thrust into heat and humidity can take a toll on anyone. Typically, Spring gives us time to gradually acclimate to warmer weather conditions. Now that the heat has arrived we have to learn to deal with it!

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:

Every weekday MTM loss control representatives work to improve the safety of our member’s shops. Sometimes that work involves safety recommendations, sometimes safety presentations, and sometimes research for a member on a new system, rule, or procedure.

At the annual MTM member’s meeting last October, we had a presentation on “Active Shooter” in the workplace. Given the headlines this topic has garnered recently, it was no surprise that the October, 2018 annual meeting had its largest member attendance in company history.

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.