1. WORKPLACE INJURIES Shell Be Right?

2. The Current Issue: Sub-Topic and Selected Target Population Workplace Injuries = Significant Financial & Social Burden in NZ (35% of all ACC claims 09) Construction Industry in NZ = Dangerous! Construction Industry is 5 th Largest Sector. Highest Fatal Injury Rates (22%) and Rank 4 th for Serious Injury ACC Claims and Entitlement Claims (ACC 08). Several Government Strategies Recognise This Problem. Small Construction Businesses Dominate. Poor Health and Safety Practices. Lack of Funding and Resources.

3. Community Visits Accident Compensation Corporation Auckland Meat Processors Limited Department of Labour (OSH) Fletcher Aluminium Site Safe NZ Winstone Aggregates SoPH Research Fellow

4. Likely Success of Strategy – A Mixed Models Approach 1. IDENTIFICATION OF POTENTIAL BARRIERS Limited Resources Concern of Harming Business by Reporting Culture of Unsafe Work Practices Lack of Self-Empowerment and Advocacy Lower Socio-Economic Status Cultural Barriers

5. 2. INCORPORATION OF HEALTH PROMOTION MODELS Ottawa Charter for Health Promotion – 5 Key Action Areas. Our Intervention Will Focus on 3 Action Areas. - Create Supportive Environments - Strengthen Community Action - Develop Personal Skills Community Health Development Model – Top-Down vs. Bottom-Up Approaches Running in Parallel. 3. EVIDENCE-BASED APPROACH Cochrane Review 2008 Working Well Together – UK Based Programme Farm Safe NZ Site Safe NZ – Non-Governmental, Not-For-Profit Likely Success of Strategy – A Mixed Models Approach

6. The Intervention – Pilot Programme S.O.S – Safety On-Site Making Good Enough Better! Objective/Aim: To Create Supportive Working Environments, Strengthen Community Action and Develop Personal Skills. Combined Top-Down and Bottom-Up Approach: Education AND Networking Running in Parallel S afety O n S ite Making Good Enough, Better Making Good Enough, Better.

7. The Intervention – Pilot Programme S.O.S – Safety On-Site Making Good Enough Better! S afety O n S ite Making Good Enough, Better Making Good Enough, Better. Target Population: Small Construction Businesses (<10 Individuals). Aim to Recruit 50 Businesses. Range of Recruitment Methods. Run For One-Year End of Winter Case-Control to Assess Feasibility of the Programme.

8. The Intervention – Pilot Programme 1.Top-Down Approach Collaboration With Site Safe NZ Education and Training by Site Safe NZ – e.g. Safety Passports Induction Day Small Business Site Safety Kit

9. The Intervention – Pilot Programme 2. Bottom-up Approach Facilitate Networking – Self-Determined Action, Empowerment. Providing Initial Meeting Place at Induction Day. Funding Provided For Four-Monthly Meetings – Interesting Industry Expert Speakers and Demonstrations/Exhibitions. Main Focus is on the Small Businesses Determining What They Want. Proposed incentive in form of reduced ACC Levies.

10. The Intervention – Pilot Programme Evaluation Primary Outcome Measure: Pre and Post Injury Rates. Secondary outcome measures: Qualitative Assessment – Surveys.

11. Stay Safe Guys! Report Unsafe Practice: 0800 90 20 90