1. Work Place Violence Pam Cant IH MS, Industrial Hygienist

2. Workplace violence causes a significant number of deaths and injuries in Washington and throughout the country. In 2010, workplace violence was the third leading cause of workplace deaths in Washington State.

3. Inspection Data  2004-2014 Labor and Industries /DOSH conducted approximately 49 compliance inspections  Resulting in approximately $130,000 in penalties

4. Assaults in NAICS 62 Between 1/1/09 - 9/30/2014 # of Claims Paid-to-Date TotalAverage Cost Per Claim Assaults And Violent Acts By Person(s), N.E.C.1988$19,644,878$9,881.73 Biting731$871,753$1,192.55 Assaults And Violent Acts By Person(s), Unspecified517$5,699,969$11,025.09 Shooting7$123,481$17,640.14 Stabbing6$13,273$2,212.17 Threats Or Verbal Assaults2$27,928$13,964.00 Rape2$32,698$16,349.00 Assaults And Violent Acts, Unspecified1$345$345.00 Total3255$26,414,325$8,115.00 # of Claims% of Claims Female229571% Male96029% Total3255

5. Potential Risk Factors  Working in isolation and after regular work hours  Lack of controlled access to worksite  Customers with past violent behavior  Potential weapons (such as scissors) easily visible and accessible  Lack of alternate escape route and quick communication to security personnel

6. Statute, Regulations, and Directives  Violence Prevention in State Psychiatric Hospitals RCW 72.23.400.  Workplace Violence Prevention Law: Health Care Settings Chapter 49.19 RCW.

7. Statute, Regulations, and Directives  WAC 296-800-140, Accident Prevention  Workplace Violence Prevention in Health Care: WRD 5.07

8. Chapter 49.19 RCW SAFETY — HEALTH CARE SETTINGS "Violence" or "violent act" means any physical assault or verbal threat of physical assault against an employee of a health care setting.

9. Workplace Violence Plan  Workplace Security and Safety Assessment  Violence Prevention Training  Violence Act Records

10. Security and Safety Assessment  The physical attributes of the health care setting  Staffing, including security staffing  Personnel policies  First aid and emergency procedures  The reporting of violent acts  Employee education and training.

11. Violence Prevention Training  General/personal safety procedures, and workplace violence prevention plan  De-escalate and minimize violent behavior  Obtaining patient history from a patient with violent behavior

12.  Restraining techniques (chemical and physical)  Documenting and reporting incidents  Debriefing process, and resources available to employees for coping with violence Violence Prevention Training

13. Violent acts — Records.  The health care setting's name and address  The date, time, and specific location at the health care setting where the act occurred  The name, job title, department or ward assignment, and staff identification or social security number of the victim, if an employee

14. Records: a description of the:  person against whom the act was committed  person committing the act  type of violent act  any weapon used  any body part injured  number of employees in the vicinity of the act when it occurred  actions taken by employees and facility in response to the act

15. Violent acts — Records.  Keep at least five years following the reported act  Make these records available to Labor and Industries for inspection upon request.

16. RCW 49.19.020 Workplace violence plan — Security and safety assessment  Failure to tailor the Accident Prevention Program (APP) to the workplace under WAC 296-800-14005.  Normally a serious violation with associated penalties

17. RCW 49.19.030 Violence prevention training  WAC 296-800-14020 Accident Prevention Program (APP) Failure to tailor APP.  Usually a serious violation with associated penalties.

18. RCW 49.19.040 Violent acts — Records  APP WAC 296-800-14005 and WAC 296-800- 14025 failure to tailor your accident prevention program.  Recordkeeping violations are cited serious if it appears that the failure to keep records results in a failure to address serious hazards.

19. Resources and RCW.  Labor and Industries/DOSH http://www.lni.wa.gov/IPUB/417-140-000.pdf Labor and Industries/DOSH http://www.lni.wa.gov/IPUB/417-140-000.pdf  OSHA https://www.osha.gov/SLTC/etools/hospital/ha zards/workplaceviolence/viol.html#saferroom OSHA https://www.osha.gov/SLTC/etools/hospital/ha zards/workplaceviolence/viol.html#saferroom  SHARP http://www.lni.wa.gov/Safety/Research/Pubs/d efault.asp#Violence SHARP http://www.lni.wa.gov/Safety/Research/Pubs/d efault.asp#Violence

20. Ebola Updated  Safety and Health  Claims Information

21. Thank you Pam Cant, IH, MS Labor and Industries edwp235@lni.wa.gov (360)902-6457