ADMINISTRATIVE REPORT


                                                    DATE:     July 10, 1996



    TO:       Vancouver City Council

    FROM:     Manager, Occupational Health, Safety & Rehabilitation, Human
    Resource Services in consultation with the        Director of Finance 

    SUBJECT:  Occupational Health and Safety  - Activity Update


    INFORMATION

         The City Manager notes significant achievements have already been
         made in reducing WCB costs and submits this report for
         INFORMATION.



    COUNCIL POLICY

    On June 2, 1994 and March 7, 1995, Council approved the following:

    -    re-focusing of OH&S activities based upon a City-wide Task
         Force at an annual on-going cost of $414,000;

    -    supporting the principle of expanding OH&S activities as
         necessary funded by savings in WCB costs subject to Council's
         approval;

    -    allocating up to $600,000 to fund transitional work
         opportunities for employees who are temporarily disabled. 
         The source of these funds are $300,000 from long term
         disability reserves and $300,000 from reduced WCB
         assessments.  The cost of activities in both of these reports
         were at no net cost to the City. 

    SUMMARY

    City Departments have been working to change their OH&S programs to
    meet recommendations made in the 1993 Task Force report.  Activities
    for the past two years have included: working with front line employees
    through a number of processes giving them more control over OH&S
    activities, re-focusing the City's claims management efforts,
    implementation of a comprehensive rehabilitation program, and
    amalgamation of OH&S staff and activities throughout the City.

    Results of these and other training initiatives have achieved, from
    1994 to 1995, a 16% or $650,000 reduction in WCB wage loss, 13%
    reduction in reportable claims, a $378,000 reduction in WCB assessment,
    and a reduction in the WCB wage percentage of the City s total payroll
    from 1.7% in 1993 to 1.0% in 1995.

    The Transitional Work Fund established by Council for modified work for
    temporarily disabled employees was necessary to get our rehabilitation
    efforts off the ground.  The modified work assignments enabled
    departments to have valuable work performed as well as boosting the
    morale of the employees involved.  The intention of this fund is to
    establish practices and eventually have the departments fund this work. 
    Of the approved funds for WCB return to work, $200,000 remains.  It is
    desirable to expand the rehabilitation program to include short-term
    disability absences in 1996.

    The savings gained by these programs ultimately reduce our overhead
    costs of operations.  As this is a new program, yearly cash pay-back
    savings will be the norm.  At some point, the yearly savings will
    plateau and provisions will have to be made to keep these programs in
    place.  These programs are necessary for City operations to remain
    competitive and to help us avoid increased costs in the future.


    PURPOSE

    This report updates Council on the implementation of our re-focused
    occupational health and safety activities.

    BACKGROUND

    In March of 1994, Council approved funding to re-focus the City
    Occupational Health and Safety Activities based on a 1993 Task Force
    report. In May of 1994, Council also approved creating a one-time
    Transitional Work Fund.  The cost of both of these programs was to be
    offset by reduced WCB assessments starting in 1997.  This report
    details the results of those two reports.  Of the 29 recommendations in
    the Task Force report, 27 have been implemented.  The City s WCB costs
    have improved due to the coordinated efforts of all departments. In
    fact, results have occurred sooner than anticipated.  Our experience to
    date is:

    1.   The City reduced its 1995 WCB Assessment by $378,000.
         However, because the WCB raises the earnings ceiling each
         year, the net savings in 1995 was $150,000.  We predict the
         same for 1996 and 1997;
              
    2.   The 1995 Actual WCB Wage Loss reduction from 1994 is
         $646,000(16%);

    3.   1995 WCB Loss of Earnings Pension (cost of employees with
         permanent restrictions) has been reduced by $11.9 million
         dollars from 1994 due to placement of these individuals in
         the City system.

    4.   The number of lost time accidents has been on a steady
         decline since 1991; the 1993 to 1994 reduction was 9%, and
         1994 to 1995 reduction was 13%.
       
    Our approach is to develop and implement a contemporary Occupa-tional
    Health and Safety (OH&S) Program that both lowers costs and focuses
    efforts and accountability on the work group.  The new program combines
    and reflects Council s priorities for effective service delivery and
    fiscal responsibility.  The activities that the City has undertaken to
    make reductions are beginning to have effect.  The same principles used
    to create this trend have been applied to our Long Term Disability Plan
    with similar results.  We intend to apply the same principles to
    non-WCB related injuries and illnesses in 1996, as will be approved in
    a report to be submitted in future.

    DISCUSSION

    WCB assessments are a cost of doing business in British Columbia. The
    WCB Experience Rating Assessment (ERA) system provides finan-cial
    incentives to employers for developing safety programs and paying
    attention to claims management. The ERA system is being reviewed by the
    WCB and will most likely be changed in 1996 or 1997 to take into
    account pro-active activities of employers.  The history of the City s
    WCB assessment (provided by the WCB) for the last 5 years is:

                        ERA (%)   Wage loss claims    Assessment
    1991                11.7      *$3,850,192         $4,081,348
    1992                13.6      *$4,062,699         $5,506,475
    1993                14.5      *$4,921,904         $6,441,065
    1994                14.5      *$3,556,419         $6,951,963
    1995                14.5      *$3,343,523         $6,819,279
    1996(projected)     15.0           N/A            $6,350,000
         
     *  Includes wage loss and pensions but not medical or rehabilitation costs

    This does not include reductions anticipated due to the transfer of the
    Health Department to the Vancouver Health Board.  Antici-pated
    reduction in WCB assessment from this transfer is $500,000.  The
    projected reduction for 1996 is due to reduced WCB claims costs in the
    previous two years.

    Preventing accident and injury is the main area of activity for City
    departments as it yields the best return in the long run.  
    Each department is developing an OH&S program to fit their needs.  The
    downside to these efforts is that the financial return is 7 to 10 years
    in the future.  Each department is developing broad-based best
    practices that build and learn from prior steps in the process. 
    Effective OH&S systems are not static.  They must grow and change with
    the organization.  Building safety cultures is a difficult task.  Such
    a culture must be able to respond well to the immediate requirements of
    regulatory bodies as well as propel the organization towards its
    desired future.

    The pro-active approach being undertaken is geared toward developing a
    work environment where motivation comes from the work group.  The
    organization plays a constructive and supportive role to the work group
    in assisting its members to achieve their OH&S goals and objectives. 
    This must occur within regulatory, union-management and corporate
    frameworks.

    The 1993 Task Force report defined seven areas to review with the aim
    of redesigning our processes.  The status of each area is outlined
    below.

     
    1.   Focusing OH&S Activities on the Work Group

    Numerous pilot processes were developed to assist work groups in having
    more control over OH&S activities that affect their jobs.  The pilots
    are designed to generate best practices that will work in our
    organization.  Eight pilots were completed: three in the Park Board,
    two in the Fire Department, two in Engineering and one in the Health
    Department.

    Basically, the work group with their supervisor develops OH&S goals,
    implements plans and assesses progress.  Overall, the group develops
    the ability to learn from and improve the quality of their work
    experience.  Traditional problem solving is hierar-chical and leads to
    a dependency on supervisors for the most rudimentary requests.  By
    developing and monitoring processes and allowing work groups to learn
    and measure how well they are doing, the work group begins to solve
    their own problems.  The pilots have met with varying success and a
    detailed report will be released later this year. 


    2.   Setting Health & Safety, Cost Control, and Departmental 
         Accountability as a Priority

    Intuitively, the saying "what gets measured gets managed" has some
    merit.  The City has not traditionally measured the activi-ties or
    costs associated with WCB.  Consequently, costs have escalated and
    efforts have been ad hoc. Initial efforts to create an accountability
    system have focused on providing departmental managers with tools to
    deal with OH&S issues and WCB claims.  1996 and 1997 will see further
    refinement of a cost account-ability and statistical system.  A report
    on this will go to Council in the Fall of 1996.  WCB is now sending our
    claims cost statement on computer disk which allows us to track our
    costs more efficiently. 

    3.   Re-focusing the Role of the City Occupational Health and    Safety
         Committees

    The role of OH&S Committees has been and still is to ensure departments
    are complying with WCB regulations.  Most departments do.  Two pilots,
    one in Health and one in Engineering, were con-ducted to see if a
    better focus for these committees could be found.  Unfortunately, these
    committees end up trying to solve problems that no one wants to deal
    with.  This leads to frustra-tion on behalf of committee members who
    want to make a differ-ence.  We still do not have an effective model
    that works with all committees.  Efforts are ongoing to develop a
    useful model.

    4.   Becoming Self-Regulating in OH&S

    The main thrust of the self-regulation process is to achieve compliance
    with WCB regulations and to prevent accidents through education and
    consultation with the workforce.  Self-regulation means that the City
    deals with its OH&S problems internally and only involves outside
    agencies when serious conflict arises.  Presently, the City is moving
    towards self-regulation by meeting with WCB representatives quarterly
    (claims and safety) to address specific concerns before they translate
    into orders or fines.  The City s pro-active and rehabilitation
    activities have shown the WCB that the City is serious about the safety
    of its employ-ees.  While not intentional, this has resulted in
    decreased inspection activity by the WCB.

                   Inspections    Orders         Fines
         1992      110            101            3
         1993      74             132            1
         1994      76             83             0
         1995      59             80             0

    All fines were successfully removed because the City was able to show
    it had trained and supervised employees to the best of its abilities. 
    Our training programs are by far the most comprehen-sive in the region. 
    In fact, other municipalities have sent employees to our OH&S training
    programs.

    5.   Involving Unions in the OH&S Process

    The key to successful OH&S processes is union involvement in
    priorities.  All unions except Vancouver Firefighters  and the BCNU
    were hesitant to be involved in 1993 Task Force recommenda-tions. 
    Activities have included: development of rehabilitation principles and
    guidelines with CUPE 1004, CUPE 15 and Vancouver Firefighters ;
    establishment of a rehabilitation committee comprised of Fire
    Department management and Vancouver Fire-fighters;  CUPE 1004
    involvement in the work group process and development of a peer audit
    process in Fire, Police, Park Board and Engineering.

    6.   Re-focusing the Claims/Attendance System

    Traditional claims management focuses on getting claims denied and
    appealing WCB decisions.  Our efforts have been re-directed to City
    employees who get hurt and want to help themselves get better.  In the
    spring of 1995 the City initiated an early inter-vention rehabilitation
    program.  In October of 1995, a one year pilot with the WCB was agreed
    upon to determine if the benefits of this program can be duplicated in
    other industries.

    The two main components of this program are:

    I.   Early Intervention

    The focus of early intervention rehabilitation is to have employ-ees
    with temporary injuries or illnesses access appropriate treatment
    quickly.  The City has established a preferred provider network of
    rehabilitation clinics in the Lower Mainland.  These clinics use the
    sports medicine (active) model of rehabilitation and will admit our
    employees within 24 to 48 hours after referral by an employee's
    physician.  In 1995, 147 employees attended this type of treatment and
    only two of these individuals required further ongoing treatment.

    II.  Transitional Work
                                                        
    Due to the WCB benefit structure, the City effectively pays an injured
    employee full wages whether they are at home or at work. The temporary
    modified work fund allows departments to bring employees back to work
    in this interim period without penalizing them monetarily.  Modified
    work assignments enable the department to have valuable work performed,
    as well as boost the morale of the employee involved.  Efforts in both
    areas have reduced our WCB claims costs by 16% as shown below.  

                               1993             1994             1995             %Diff.from 94

     Engineering               $1,778,117       $2,004,142       $1,873,190       ( 7%)
     Park Board                   614,475           592,128          453,816      (23%)

                               1993             1994             1995             %Diff.from 94

     Police                       544,386           631,810          473,097      (25%)
     Fire                       1,080,909           875,571          641,387      (27%)
     Corp. Serv.                  129,913            64,577          124,532      (92%)
     General              65,483           100,038           56,194      (44%)

     TOTAL            $4,213,283       $4,268,266       $3,622,216       (16%)

     These costs are the total the City pays and is different from
   WCB s costs.  WCB does not pay the full cost of wage loss because
   each year they establish a cap.  The cap for 1995 was $52,400. 
   Due to contractual agreements, the City is required to pick up
   any wages above this amount.

   City departments have had success in creating transitional work
   without loss of productivity.  Council approved funding to pay
   employees who were temporarily unable to perform their normal job
   without penalizing the departments.  The intention is that
   even-tually departments will themselves fund this type of
   temporary work.

   Permanent modified work has been harder to find.  As part of the 
   early return to work program, the City had the WCB purchase two
   additional litter carts to be used in the Street Cleaning
   Program. Council recently endorsed these purchases as it will
   allow two employees to return to work in a modified work
   situation earlier than would otherwise be possible.  WCB is   providing the vehicle funding and the City is paying the
   employees' wages with operating savings that result in reduced
   WCB pensions.  A further refinement of our WCB accountability
   system this year will hopefully be developed to cover the costs
   of these positions.  While this is a rare event, appropriate work
   functions such as litter pick-up and anti-graffiti may need to be
   found in the future instead of letting employees drift onto WCB
   pensions and out of the City system.
     
   Departments have also used the transitional work funding for
   wages or for buying equipment to create these opportunities.  For
   example, Fire and Police have been successful in identifying jobs
   for transitional work but lacked the required equipment. 
   Engineer-ing and the Park Board have been successful in locating
   temporary placements but unfortunately ten employees with
   permanent disabili-ties had to be funded until permanent
   placements could be made within the City s existing job bank. 
   Usage is shown below.

   Engineering    $353,000       Police         $ 30,000
   Fire           $ 45,700       Park Board     $  5,000
   City           $ 13,700
                                 Total          $447,400

   Of the approved funds for WCB return-to-work, $200,000 remains
   (as of June 1996). In 1996, City staff wish to apply the
   rehabilitation program principles to sick leave.  this is
   detailed in a companion report.

   7.   Consolidating Occupational Safety, Claims Administration
        and Occupational Health into a Unified Structure.

   In 1995, Council approved the out-sourcing of Occupational Health
   Services.  This was the last step in combining all OH&S
   activities in a unified structure.

   FINANCIAL IMPLICATIONS

   The trend is positive.  Our claims cost, which drives our
   assess-ment rate, is declining.  Council approved two funding
   sources for the OH&S program:  $413,000 for staff and programming
   costs of the OH&S program plus $600,000 Transitional Work Fund
   for modified work for temporarily disabled employees.  Both of
   these funds will be offset in reduced WCB assessments and wage
   loss.  We are using 1993 as our benchmark year for comparative
   purposes and the success of our efforts is evident in the graph
   below.


























   


     NOTE:  Yearly wage loss costs dictate assessment cost 2 years later
     The results are clear and our efforts have paid off sooner than
   expected.  Initial investment in this program for 1994, 1995 and
   1996 will be $1.02 million.  Our WCB assessment to the end of
   1996 has been reduced by $900,000.  Further reduction will occur
   because there was an actual reduction in WCB wages and pensions
   from 1994 of $2.4 million.  Our actual WCB wage loss reduction in
   the program's first year was $650,000.

   Accurate future predictions concerning the City s WCB assessment
   are virtually impossible as the WCB is currently reviewing, and 
   will shortly revise, the ERA system.  We do, however, know the
   trend is positive.  


   PERSONNEL IMPLICATIONS

   Efforts are being made to have staff return to work earlier,
   which means fewer days lost but potentially fewer opportunities
   for replacement staff.  Our efforts also transfer accountability
   and the development and maintenance of an effective safety
   program to front-line staff.

   This report has been distributed to all Civic unions and employee
   group representatives.


   CONCLUSION

   This is a good initiative for both the City and its employees. 
   We have stopped uncontrolled, increasing costs in this area.  We
   are constantly assessing our safety needs through the processes
   we have undertaken.  Progress has been slower in the initial
   stages than anticipated but concrete changes have been made. The
   same approach can and will be used to reduce sick leave costs.  



                           *   *   *   *   *