A Successful Model for Reducing Kitchen Injuries Diane Schweitzer, PhD, SNS School City of Hammond Hammond, IN [email protected] Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Why is Safety in the Kitchen So Important? • Kitchens are hazardous • Injuries can be frequent • Medical costs can be expensive Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Kitchen Work is Dangerous • • • • • • • • Pushing Pulling Lifting Bending Stretching Slipping, Tripping, Falling Performing Repetitive Work Fatigue Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Consider This • Most school foodservice workers are women • Women have their own susceptibility to injury due to gender, increasing with age Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Gender-Specific Physiological Changes • Bone density issues- Bones become more porous • Atrophy of muscles; Loss of muscle tone and elasticity • Loss of adipose tissue (thinning of skin) Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Aging Physiological Changes • • • • Loss of hearing Eye changes Cardiovascular changes High blood pressure Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org More Physiological Changes • Diabetes and neuropathy • Insomnia • Smoking increases susceptibility to injury Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org A Model for Reducing Injuries Annual (District) Cost Savings of $1 Million in 22 Hammond, Indiana Schools Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Admin. Support Safety Team Retraining Audits/ Analysis of Data Hazard Inspections Safety Plan School City of Hammond Safety and Risk Management Program Return To Work Programs Communication Education & Training Accident Investigation Medical Treatment Injury Reporting Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Components of Model • Administrative Support- Board Policy, Supervisors “Walking the Talk” • Safety Team- Key Stakeholders • Safety Plan- Identification of expected outcomes (zero accidents) • Communication- Written and verbal (2 languages) Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Components of Model • Education and Training- No time to train new employees; New employees most susceptible to injury within first 3 months of employment; Unfamiliar, unaware of hazards Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Components of Model • Medical Treatment- Employee welfare is first; Good follow up; Onsite medical personnel is best first contact • Injury Reporting- Within 24 hours; Nurses know how to document expertly Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Components of Model • Incident “Accident” Investigation- ASAP, no longer than 24 hours later- Conditions change; Root cause analysis; Management accountability; Management commitment to corrective action Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Components of Model • Return to Work Programs- “Occ doc” on board with our RTW expectations. Return with light duty work- any kind of work… • Hazard Inspections- Building hazard inspections; OSHA and codes; Write work orders for corrective action Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Value of Inspections • • • • • • • Injury Prevention Write Work Orders for corrective action Take Unsafe Equipment Out of Service Raise Safety Awareness Everyone Involved in the Safety Process Accountability- Top to Bottom and in Between Interdepartmental Cooperation- Foodservice, Custodians, Maintenance as Safety Partners Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Components of Model • Audits/Analysis of Data- Quarterly review with insurance company; Sort data & review for frequency and cost by school and department; Medical case management review; Watch for “at risk or frequent flier employees” • Retraining, to refresh and remind, caution, or train on new equipment Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Design as Part of Safety Plan • • • • Smaller Kitchens Logical Traffic Flow Wider Aisles Non-Slip Floor Surfaces Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Logical Traffic Flow • Receiving Area • Storage- Freezer, Cooler, Dry Storage, Chemical Storage • Prep Area • Cooking Area • Service Area • Dishwashing Area Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Wider Aisles, Clutter-Free Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Engineering • • • • • Heating Air Conditioning Noise Ventilation Good Lighting Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Good Reflective Lighting Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Equipment • • • • • Mobile Equipment- On Wheels Personal Protective Equipment (PPE) Mechanical Equipment Production Equipment Guards Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Mobile Equipment (On Wheels) Mobile Carts & Bins Ergo Carts Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Personal Protective Equipment Safety Cutter Box Safety Knit Gloves Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Safeguards Mixer with Bowl Guard Slicer with Ergo Handle Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Ergo Issues Bending Reaching Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Pushing/Pulling • • • • Pushing Easier Than Pulling Carts on Heavy Duty Casters Cooking Equipment on Casters Reduce Weight Loads- Smaller Packages, Smaller Cases; Don’t Overload Carts Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Wheels, Wheels Everywhere! Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Easier Lifting • Order Food in Smaller Cases • Use Smaller Pan Sizes • Use Mechanical Equipment for LiftingPallet Jacks • Use Dollies and Carts Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Ergo Equipment Tilt Skillets/Kettles Drop Down Front Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Reduce Bending • Use Upper Shelves on Worktables, Spice Shelves; Over-shelves • Use High Density Storage Shelving • Place Heavy Cases on Middle Storage Shelves • Rotate Jobs to Reduce Cumulative Trauma to Muscles Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Reduce Stretching • Keep Items Within Arms reach • Use Tall Shelving on Wheels Next to Worktables Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Stretching and Reaching Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Slipping, Tripping, Falling • Clean Up Water Around Dishwashers & Sinks, When Cleaning • Use rubber mats • Don’t Carry Water- Use hose reels Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Steamtable with Valves (Notice Floor Drain) Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Slipping, Tripping, Falling • Be Careful of Transitions From One Room to the Next to Prevent Tripping • Be Careful of Uneven Surfaces • Make Sure Lights are On and Are Bright • Watch Stairs- Going Up and Down Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Rubber Mats • Prevents slipping on wet floors • Cushions against breakage • Use for static posture (standing) • Use for anti-fatigue Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Slipping, Tripping, Falling • • • • Write Work Order to Repair Leaks Tell Everyone to Use Caution Wear Anti-Skid Shoes Use Wet Floor Signs Shoes for Crews Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Types of Wet Floor Signs Pop up Style Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Reduce Repetitive Work • Rotate Jobs • Use Correct Hand Tools • Use Mechanized Equipment for Slicing, Chopping; Purchase Foods With Some Preparation Already Done • Cashier Handling Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Reduce Fatigue • Eyes- Minimize Shiny Paint on Walls; Good Lighting • Noise- Reduce Noise Where PossibleMotors, Sink Agitators, Fans • Smaller Kitchens to Minimize Running From One End to the Other • Use Carts and Mobile Equipment • Wear Comfortable Shoes Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Stress in the Workplace • Insist on Pleasant Workplace; Deal with “Difficult” Employees Who Make the Workplace Unpleasant Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Invest in Safety Safe Can Opener Bucket with Drain Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org More Safety Power Soak Sink Safety Ladder, Hand Rails Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org Benefits of Safety • • • • • • • • • Safer Workplace Confidence in Management Higher Employee Morale Greater Employee Retention (Less Turnover) Increased Productivity Greater Efficiency Reduced Costs Higher Profits More funding for meal cost or equipment replacement Copyright © 2009 School Nutrition Association. All Rights Reserved. www.schoolnutrition.org
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