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Environmental Health and Safety

Slips, Trips, and Falls: Understanding, Preventing, and Mitigating Risks

By Gian Joseph, Safety Advisor

As we enter the rainy and cold season, we face several risks , which include slips , trips, and fall s in our day-to-day activities. It is important t o be aware of hazards around us and learn how to properly identify and assess any risks with each step.  

Slips, trips, and falls (STFs) are common accidents that can lead to severe injuries. These incidents occur in various settings, from homes and workplaces to public spaces , and i t is essential to understand the causes, consequences, and , most importantly, strategies for prevention and mitigation.   

1. Understanding the Dynamics of STFs. STFs are caused by the following .  

Insu fficient friction between the shoe and the walking surface. Common causes include wet or greasy floors, spills, and loose debris (Slip and Fall Accidents, 2021).  

When a person's foot collides with an object or an uneven surface, it caus es them to lose balance. Typical trip hazards include cluttered walkways, electrical cords, uneven flooring, and damaged or upturned mats (Slip and Fall Accidents, 2021).  

2. The Impact of STFs  

Slips, trips, and falls have far-reaching effects, affecting individuals and society . Personal i njuries range from minor cuts , bruises, sprains , and abrasions to fractures, dislocations, and head injuries (National Safety Council, 2021). The medical expenses associated with treating STF-related injuries can be substantial , including hospital stays, surgeries, rehabilitation, and ongoing care (National Safety Council, 2021). STFs can result in missed workdays and reduced productivity for both individuals and employers. Workers' compensation claims and absenteeism contribute to economic costs (National Safety Council, 2021). Lastly, t he physical and psychological consequences of STFs can limit mobility, independence, and overall quality of life, especially among older adults ( Sahyoun et al., 2020).  

3. Prevention and Mitigation Strategies  

Preventing and mitigating STFs involves a combination of awareness, environmental modifications, and education . H ere are some ways you can take precaution s against STFs in your daily activities;  

Clear Pathways: Maintain clear, unobstructed walkways by removing clutter and tripping hazards such as cords, toys, and loose rugs (Occupational Safety and Health Administration [OSHA], 2002).  

Adequate Lighting: Ensure proper lighting in all areas, both indoors and outdoors, to improve visibility and reduce the risk of tripping over obstacles (OSHA, 2002).  

Slip-Resistant Flooring: Install slip-resistant flooring materials, especially in areas prone to moisture, like bathrooms and kitchens (OSHA, 2002).  

Footwear: Encourage the use of proper footwear with good traction, especially in environments where slip hazards are prevalent ( Sahyoun et al., 2020).  

Handrails and Guardrails: Install and maintain handrails and guardrails on stairs, ramps, and elevated platforms to provide support and prevent falls (OSHA, 2002).  

Warning Signs: Use signage to alert individuals to potential hazards, such as wet floors or uneven surfaces (OSHA, 2002).  

Education and Training: Promote awareness and provide training to individuals on recognizing and avoiding STF hazards (National Institute for Occupational Safety and Health [NIOSH], 2015).  

Workplace Safety: Employers should implement safety protocols and conduct risk assessments in the workplace, addressing potential STF risks (NIOSH, 2015).  

Regular Maintenance: Routinely inspect and maintain buildings, walkways, and outdoor areas to identify and address potential hazards promptly (NIOSH, 2015).  

4. A Holistic Approach to STF Prevention  

Preventing and mitigating STFs require a collaborative approach involving individuals, organizations, and communities:  

Individuals : Exercise caution when walking, especially in unfamiliar or potentially hazardous environments. Wear appropriate footwear and take your time, especially in wet or slippery conditions ( Sahyoun et al., 2020).  

Employers: Create a safe work environment by identifying and mitigating STF risks. Provide training to employees on safety protocols and the proper use of equipment (OSHA, 2002).  

Property Owners and Managers: Ensure properties are well-maintained and free from hazards. Regularly inspect and address issues promptly (NIOSH, 2015).  

Government and Local Authorities: Enforce building codes and regulations that promote safety, especially in public spaces and commercial buildings (OSHA, 2002).  

Conclusion  

Slips, trips, and falls are preventable accidents that carry substantial personal, economic, and societal costs. By comprehending the causes, consequences, and prevention strategies, we can significantly reduce the incidence of STFs and mitigate their impact. Whether at home, at work, or in public spaces, prioritizing safety and fostering awareness about STFs is crucial for the well-being of individuals and communities. Let us strive collectively to create environments where everyone can move safely and confidently, free from the fear of falling.  

References:  

National Institute for Occupational Safety and Health (NIOSH). (2015). Preventing Slips, Trips, and Falls in Wholesale and Retail Trade Establishments. https://www.cdc.gov/niosh/docs/2015-100/pdfs/2015-100.pdf  

National Safety Council. (2021). Injury Facts. https://injuryfacts.nsc.org/work/overview/work-safety-introduction/work-...  

Occupational Safety and Health Administration (OSHA). (2002). OSHA Publication 3151-12R. Preventing Slips, Trips, and Falls in Wholesale and Retail Trade Establishments. https://www.osha.gov/Publications/osha3151.pdf  

Sahyoun , N. R., Pratt, L. A., & Lentzner , H. (2020). The Changing Profile of Nursing Home Residents: 1985-1997. Journal of Aging and Health, 12(3), 336-363.  

Slip and Fall Accidents. (2021). InjuryClaimCoach.com. https://www.injuryclaimcoach.com/slip-and-fall-accidents.html  

Please note that the sources cited are accurate as of the time of writing this article. For the most current information, consult authoritative sources and local health authorities.  

Go to the staff directory for individual contacts within EHS. You may also use the Weill Cornell Medicine online directory to search for faculty and staff.

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25th July, 2023

14 Causes Of Slips Trips And Falls In The Workplace

Around 30% of workplace injuries are caused by slips, trips and falls on the same level. But what's causing this huge amount of accidents at work? Here are 14 causes of slips trips and falls that led to around 170,000 injuries in the UK last year.

14 Causes Of Slips Trips And Falls In The Workplace header image

Slips, trips and falls on the same level might not seem like a major issue. You don't have that far to fall. So apart from the obvious embarrassment if other people are watching - where's the harm?

It's estimated around 170,000 injuries in the UK in 2021/22 were from slips, trips and falls on the same level - 30% of all non-fatal injuries - according to HSE statistics . And over 18,000 of those are reported injuries.

That's more than a little embarrassment. Did you have a nice trip? No, I'm in agony. I spent 9 hours in A&E and I'll be off work for a month.

It's not just minor injuries that result from slips, trips and falls. Reported injuries are generally more serious injuries involving things like broken bones, dislocations, or more than seven days off work.

So what's causing these accidents? Here are 14 common causes of slips and trips at work:

  • Slippery floors
  • Dusty floors
  • Loose mats and floor coverings
  • Unsuitable footwear
  • Icy conditions
  • Loose flooring
  • Uneven flooring
  • Obstructions
  • Trailing cables
  • Bad lighting
  • Poor housekeeping

The causes of slips, trips and falls are often easy, and cheap, to fix. Simple quick actions, like cleaning up a spillage, or moving a cable, can eliminate the risk.

Removing a slip or trip hazard is often all it takes to stop the problem before someone gets hurt.

Causes of slips

Slips can be caused by a variety of things, not just the obvious spillages. Let's look at some common examples you might find in your workplace.

1. Wet floors

Wet floors can be caused by a variety of things. Spillages are an obvious culprit. Cleaning activities can also create wet floor surfaces.

wet floor sign

When it's raining outside, entrance areas can become wet as rain travels in from people's shoes and clothing.

Poorly maintained buildings may also leak and let rain and wet weather conditions in from the outside.

2. Slippery floors

Glossy, polished floor tiles can be a slip hazard if they are used in an unsuitable place, like a bathroom or entrance, where the floor may become wet.

If footwear with smooth soles, or socks are worn, the flooring may be slippy even in dry conditions.

3. Dusty floors

It's not just liquids that can cause slips. Dusty surfaces can also create a slip hazard, preventing shoes from gripping the floor.

Some work activities like sawing wood or breaking up materials can generate loose fragments or dust that create a slippery surface on top of the floor.

wood dust

4. Loose mats and floor coverings

Some mats create a slip hazard if they don't grip well with the surface underneath. Step on it in the wrong way and it can slide from under you. Ouch!

Workers might also try to temporarily protect a new floor with sheets or cardboard. If floor protection is not secured to the surface, it can also slip and slide underneath you.

5. Unsuitable footwear

Ever tried running in slippers, or socks? It's not recommended.

Shoes with a slippery sole aren't going to help you avoid slip hazards. They become one.

6. Icy conditions

Working outdoors in winter, or in cold environments?

footprint in snow

Ice is a slippery surface, even for the most robust footwear. Make sure you consider the possibility of ice forming on surfaces causing a slip hazard .

7. Wet ground

Speaking of working outside, in wet weather the ground can become slippery, especially in grassy or muddy areas.

In autumn, wet leaves on paths can also increase the risk of slips.

Causes of trips

Now you know what to look out for when it comes to causes of slips, but what about trips? Trip hazards can happen in any type of work environment, and it's not just cables you need to look out for.

1. Obstacles

Leaving materials, tools or equipment lying around, especially in walkways, are a common cause of trips at work. You need to use tools to work, but placing a tool or material in the wrong place can be unexpected to someone else.

packaging on floor

Packaging and waste materials are also common causes of trip hazards at work.

2. Loose flooring

So we mentioned loose mats and floor coverings can be a slip hazard. They can also be a trip hazard.

  • a rug curled up at the corners
  • a loose floorboard sticking up
  • an unsecured tile lifting up
  • a temporary floor covering

3. Uneven flooring

When you are walking along a familiar pathway, looking forward, you might not notice uneven flooring ahead of you.

Potholes, broken slabs, cracked surfaces, and uneven paving on footpaths can create trip hazards where you don't expect them.

uneven floor

4. Obstructions

Obstructions are like obstacles but fixed rather than temporary. Examples of obstructions include:

  • floor-mounted socket covers left open

You might not realise an obstruction is there until you trip up - that's what makes it a trip hazard. And it's why you see those yellow mind-the-step signs, that you also didn't see until it was too late.

5. Trailing cables

Electricity is everywhere, or at least it feels like we need it everywhere. But unless you are using wireless equipment, you need to plug it in.

And, that cable that you use, might just get in someone else's way. Be mindful when using mobile cabled equipment, because when you're moving around, so does the cable.

training cable tripping worker up

6. Bad lighting

Obstacles and obstructions are worse if you can't see them. If you can't see them, you can't avoid them.

Hopefully, they won't be there to begin with, but good lighting helps identify hazards and gives you a chance to clear them away before they cause an accident.

Lighting can also be used to help highlight changes in floor level.

7. Poor housekeeping

Poor housekeeping is a leading cause of slips, trips and falls at work because if you don't clean up after yourself, you get more of those obstacles we talked about earlier.

cleaned up waste in bags

Removing waste and cleaning up regularly can help keep your workplace free from slip and trip hazards.

Now you know the causes, it's easy to see how a quick tidy-up of spillages and obstacles can prevent many slips and trips from happening. Our simple guide to slips and trips at work can help you spot slip and trip hazards and fix them before they cause an accident.

Reducing the risk of slips, trips and falls at work is not a one-time thing. But regular housekeeping can keep you on top of those hazards.

Regular maintenance will help remove broken, loose or frayed floor coverings, and highlight when flooring needs replacing.

Highlighting changes in floor levels or surfaces, and providing handrails can also increase safety where slip and trip hazards can't be fully removed.

Keeping your workforce aware of the dangers can also help increase compliance with housekeeping practices, cleaning up spillages, removing obstacles and wearing the right footwear. Download the free slip and trip toolbox talk to help raise awareness in your workplace.

This article was written by Emma at HASpod . Emma has over 10 years experience in health and safety and BSc (Hons) Construction Management. She is NEBOSH qualified and Tech IOSH.

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A "caution wet floor sign" in an entryway to prevent slips trips and falls with people walking past.

Prevent Workplace Slips, Trips, and Falls—8 Safety Tips

Mopping up a spill or double-checking a guardrail might seem like simple common sense, but slips, trips, and falls are the second most common cause of death at work. These are life-saving procedures. Keep reading for practical tips to prevent workplace accidents.

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  • Slip, Trip, and Fall Hazards Listed
  • Clarifying OSHA Standards
  • Prevent Workplace Slips, Trips, and Falls

These are familiar scenarios at home: slipping on a wet floor in the kitchen and tripping over a toy left out by the kids. While annoying, these accidents are typically minor hazards in the home. You might stub your toe, but rarely are there severe consequences.

In the workplace, it’s a different and far more serious story. Slips, trips, and falls account for over 200,000 workplace injuries per year. In 2020, nearly one in five accidents leading to missed work was due to a slip, trip, or fall. They’re also the second-leading cause of workplace fatalities.

As a safety leader, you’re responsible for your company’s duty of care and for providing a safe workplace . This blog post will examine common hazards leading to slips, trips, and falls and the steps you can take to minimize injury risks for your team.

Download Our Workplace Safety Checklist

What are slip, trip, and fall hazards in the workplace.

Accidents involving slips, trips, and falls are often grouped together. While they’re similar, it’s important to understand the distinction since they each have different causes and consequences.

Slips occur when someone’s footwear loses traction with the surface they’re on, causing a loss of balance. Under some circumstances, slipping can lead to a fall.

Trips happen when someone hits their foot or lower leg on an object. As their upper body continues moving forward while their lower body remains stationary, the person may lose their balance in the process.

Falls often result from slips or trips, but they can also happen on their own. For example, a worker on a ladder or scaffolding can lose their balance and fall without slipping or tripping. Falls are also possible on flat surfaces and can still cause serious injuries.

Once you understand the hazards that lead to each type of accident, you can identify and mitigate risks in your workplace. Here are some of the most common causes of slips, trips, and falls in the workplace:

AM-News-EmployeeSafetyReport2024-700x370-v1

Slip Hazards

  • Spills of wet or dry substances
  • The cleaning process during spill removal
  • Employees rushing or not paying attention to workplace conditions, especially while carrying objects
  • Slippery floor surfaces such as marble or laminate
  • Wet surfaces
  • Poor lighting that obscures hazards
  • Inappropriate footwear for the environment
  • Transitioning between different types of surfaces

Trip Hazards

  • Objects or obstructions in walkways
  • Uneven surfaces on flooring or concrete
  • Cables, cords, and hoses that aren’t properly secured or organized
  • Unmarked steps or ramps
  • Irregular stairs or stairs without railings
  • Carpet, rugs, or mats with wrinkles or lifted edges

Fall Hazards

  • Improperly used or poorly maintained ladders
  • Elevated surfaces without guardrails
  • Floor and wall openings
  • Working in elevated environments without a safety harness
  • Ill-fitting or improperly used PPE, such as helmets and safety lines

slips trips and falls cause

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Are There OSHA Standards Related to Slips, Trips, and Falls?

Despite how common these injuries are, there is no specific OSHA standard on slips, trips, and falls. However, several OSHA rules indirectly address the same hazards.

The most important regulation to be aware of is 29 CFR 1910 Subpart D, which covers walking and working surfaces. OSHA updated the standard in 2017, introducing many upgrades to fall protection system requirements, improved employer-provided inspection guidelines, and a greater emphasis on safety training for employees.

For the construction industry, 29 CFR 1916 contains numerous fall-related regulations. Subpart M specifically addresses fall prevention, but other sections, such as Subpart L (scaffolds) and Subpart E (personal protective and lifesaving equipment), are also relevant. OSHA used 29 CFR 1916 as guidance when revising 29 CFR 1910, so the two guidelines now reflect many of the same OSHA violations .

As with any other workplace hazard or accident, OSHA recordkeeping requirements still apply in the event of a slip, trip, or fall incident. Internally, the reporting process is also an opportunity to review the details of the incident and determine how you can update your workplace safety policy to prevent similar accidents in the future.

How to Prevent Slips, Trips, and Falls in the Workplace

Many hazards that cause slips, trips, and falls are inevitable. However, injuries and accidents are not. To prevent slips, trips, and falls, train your employees to follow a three-step process:

  • Recognize the hazard: Identify conditions that could lead to a slip, trip, or fall.
  • Evaluate the hazard: Examine the situation and determine what level of risk it presents and who it affects.
  • Control the hazard: Avoid the risk by removing the hazard (such as mopping up a spill) or implementing safety equipment and procedures (such as installing handrails on an elevated platform).

Here are eight workplace safety tips to prevent falls, trips, and slips.

1. Teach situational awareness

Since many causes of slips, trips, and falls are foreseeable, situational awareness in the workplace is one of the best preventative measures. Encourage your employees to pay attention to their surroundings and the risks they present:

  • Look at walking surfaces for spills, obstacles, or other potential hazards
  • Watch for signage that warns of increased hazards
  • Be aware of conditions such as weather or time of day that might increase the risk of an accident
  • Take shorter and more cautious steps on slippery surfaces

2. Encourage proper footwear

Like any other form of PPE, proper footwear can significantly reduce the risk of accidents. Research has found that slip-resistant shoes can reduce injury claims by 67% in environments with slippery work surfaces.

Employees should regularly inspect their shoes and make sure the soles aren’t worn out, as the lack of tread increases the danger of slipping. Additionally, anyone who works in conditions exposed to winter weather hazards should wear insulated boots. Cold temperatures can decrease muscle function, increasing the risk of slipping, tripping, or falling.

3. Utilize signage

Signage is an effective warning system for many workplace risks, but it can be especially effective in preventing slips, trips, and falls. There are two types of signs you can use to increase occupational safety:

  • Temporary: Use warning signs while addressing a new hazard, such as cleaning up a spill, repairing a handrail, or replacing a ripped carpet. While temporary signage can help prevent injuries, you still need to address the actual hazard as quickly as possible.
  • Permanent: For unavoidable hazards, such as slippery surfaces, a permanent sign can help warn employees to be careful. Use these sparingly, though, as it’s easy for people to ignore signs they see every day.

4. Keep floors clear and clean

Good housekeeping can help prevent most slips, trips, and falls. The details of keeping walking areas clean will vary widely by work environment, but there are a few common themes to encourage workplace safety:

  • Report spills immediately, and warn nearby employees until someone can clean the contaminated surface
  • Keep walkways clear of obstacles, loose objects, and anything that someone could trip over
  • Place mats at entrances and exits so people can dry their shoes and avoid tracking water or other substances around the workplace
  • Install handrails on stairways and elevated walkways

5. Apply non-slip mats and coatings

In some situations, keeping floors from becoming slippery is nearly impossible. Whether it’s liquid splashing or steam condensing, you must focus on mitigating the risk rather than avoiding it altogether.

For smaller or less demanding settings, non-slip mats can help employees maintain traction while walking around. In other cases, treating the floor with a permanent coating can help reduce slipping risks, even in the constant presence of liquids.

Who is at risk for slips, trips, and falls?

While all industries have some level of risk for a slip, trip, or fall, there are some industries where the risk is much higher, and the potential result could be much more dangerous. Here are some of the highest-risk industries:

  • Construction
  • Manufacturing
  • Transportation/shipping/logistics
  • Outdoor maintenance/groundskeeping
  • Foodservice/hospitality

6. Ensure proper lighting

To identify slip, trip, and fall hazards, your employees need to be able to see their surroundings. Make sure that all of your work areas have proper lighting, especially in areas that are more prone to unsafe conditions.

While this can be a challenge in outdoor work environments, especially at night, it’s even more critical in those situations. Environmental conditions can lead to increased risks, and employees need to be able to see and avoid them. Adequate lighting should also extend to parking lots and walking areas around your facilities.

7. Develop safety programs

Your company’s safety plans and programs should include specific guidelines for preventing slips, trips, and falls. There are a few key topics to consider when developing these policies:

  • The types of surfaces employees work and walk on and whether they present extra risks
  • Seasonal or regional conditions that could heighten hazards, such as winter weather threats
  • Specific OSHA regulations that apply to your workplace
  • Potentially hazardous equipment training such as ladder safety
  • Regular inspection plans to ensure your team is maintaining a safe work environment
  • Policies to report hazards using your company’s two-way communication platform
  • First aid training , so employees are prepared to respond safely should injuries occur

8. Provide Slips, Trips, and Falls Training

Lastly, training your employees to avoid slips, trips, and falls will help keep them safe. Provide specific guidance on the environments they’ll work in and the hazards they’ll face. For example, a slips, trips, and falls safety talk for food service workers should focus on wet floors and walking safely in crowded, fast-paced environments. Conversely, office workers could use extra reminders to watch for stray power cords and keep walkways clear of boxes, files, and other tripping hazards.

Working slips, trips, and falls into your safety topics for meetings is also helpful. Regular safety talks or safety moments are an excellent opportunity to remind your team about seasonal risks or update them on newly installed safety measures.

Don’t Let Your Safety Standards Slip

Slips, trips, and falls are some of the most common workplace injuries. Fortunately, you can usually prevent them with proper planning and safety measures.

By making slip, trip, and fall prevention a part of your company’s safety culture, you can ensure your employees are aware of their surroundings and ready to look out for each other’s safety. Enable them to report hazards easily, address risks quickly, and train them to avoid situations that are likely to cause injury.

With the right planning and prevention, even the most intense work environments can be as safe as a walk in the park.

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Winter Slips, Trips, and Falls: Prevention and Training to Protect Your Employees

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Prevention of Slips, Trips and Falls

On this page, how do falls happen, how to prevent falls due to slips and trips, what can you do to avoid falling at work.

Statistics show that the majority (67%) of falls happen on the same level resulting from slips and trips. The remaining 30% are falls from a height. This document will summarize information on "falls on the same level" (slips and trips). Falls from an elevation, such as falls from ladders, roofs, down stairs or from jumping to a lower level, etc., is discussed in other documents since each type of fall must be assessed as part of a fall prevention program .

Slips happen where there is too little friction or traction between the footwear and the walking surface. Common causes of slips are:

  • wet or oily surfaces
  • occasional spills
  • weather hazards
  • loose, unanchored rugs or mats
  • flooring or other walking surfaces that do not have the same degree of traction in all areas

Trips happen when your foot collides (strikes, hits) an object causing you to lose balance and, eventually fall. Common causes of tripping are:

  • obstructed view
  • poor lighting
  • clutter in your way
  • wrinkled carpeting
  • uncovered cables
  • bottom drawers not being closed
  • uneven (steps, thresholds) walking surfaces

Both slips and trips result from unintended or unexpected change in the contact between the feet and the ground or walking surface. This fact shows that good housekeeping, quality of walking surfaces (flooring), selection of proper footwear, and appropriate pace of walking are critical for preventing fall incidents.

Housekeeping

Good housekeeping is the first and the most important (fundamental) level of preventing falls due to slips and trips. It includes:

  • cleaning all spills immediately
  • marking spills and wet areas
  • mopping or sweeping debris from floors
  • removing obstacles from walkways and always keeping walkways free of clutter
  • securing (tacking, taping, etc.) mats, rugs and carpets that do not lay flat
  • always closing file cabinet or storage drawers
  • covering cables that cross walkways
  • keeping working areas and walkways well lit
  • replacing used light bulbs and faulty switches

Without good housekeeping practices, any other preventive measures such as installation of sophisticated flooring, specialty footwear or training on techniques of walking and safe falling will never be fully effective.

For more information about effective housekeeping, visit the OSH Answers document on Workplace Housekeeping - Basic Guide .

Changing or modifying walking surfaces is the next level of preventing slip and trips. Recoating or replacing floors, installing mats, pressure-sensitive abrasive strips or abrasive-filled paint-on coating and metal or synthetic decking can further improve safety and reduce the risk of falling. However, it is critical to remember that high-tech flooring requires good housekeeping as much as any other flooring. In addition, resilient, non-slippery flooring prevents or reduces foot fatigue and contributes to slip-prevention measures.

In workplaces where floors may be oily or wet or where workers spend considerable time outdoors, prevention of fall incidents should focus on selecting proper footwear. Since there is no footwear with anti-slip properties for every condition, consultation with manufacturers is highly recommended.

Properly fitting footwear increases comfort and prevents fatigue which, in turn, improves safety for the employee. For more information on footwear visit the OSH Answers document on Safety Footwear .

You can reduce the risk of slipping on wet flooring by:

  • taking your time and paying attention to where you are going
  • adjusting your stride to a pace that is suitable for the walking surface and the tasks you are doing
  • walking with the feet pointed slightly outward
  • making wide turns at corners

You can reduce the risk of tripping by:

  • keeping walking areas clear from clutter or obstructions
  • keeping flooring in good condition
  • always using installed light sources that provide sufficient light for your tasks
  • using a flashlight if you enter a dark room where there is no light
  • making sure that things you are carrying or pushing do not prevent you from seeing any obstructions, spills, etc.
  • Fact sheet last revised: 2023-03-28

Educating Injury Victims

  • Slip and Falls
  • Leading Causes

Top 10 Leading Causes of Slips, Trips and Falls: Who is Liable for Injuries?

slips trips and falls cause

Dustin Reichard, Esq.

Licensed Attorney

Dustin is an experienced attorney with 20 years of work in the legal field. He is a former JAG attorney for the US Navy and was awarded the Navy Achievement Medal.

Explore the most common causes of slip and fall accidents. Find out if someone else’s negligence means they owe you compensation.

1. weather-related falls, 2. wet floor accidents, 3. debris on the floor, 4. uneven walking surfaces, 5. tripping hazards, 6. falls down dangerous stairs, 7. animals causing fall injuries.

  • 8. Inappropriate Footwear

9. Pedestrian Distractions

10. falls due to intoxication.

  • Who is Liable for a Slip and Fall?

Millions of Americans visit an emergency room every year as a result of slip and fall accidents . ¹ Their injuries range from scratches and bruises to broken bones, traumatic brain injuries (TBI), and fatalities.

Most slip or trip and fall accidents are preventable. Government, commercial, and private property owners are responsible for preventing and removing hazards. If they’re aware of a potential danger or should have been aware of one but didn’t act, they’re negligent.

Negligence simply means that a person or entity didn’t act as a reasonable person would , or failed to correct a dangerous condition.

Slip and fall accidents can happen nearly anywhere – a neighbor’s home, a grocery store, a school, or on government properties . Although each slip and fall case is unique, most arise from ten common causes.

Poor weather conditions cause a significant number of slip and fall injuries. Icy or snowy outdoor walkways , parking lots, or moisture tracked into a building result in dangerous conditions.

All property owners have a legal responsibility to minimize the risk of slip and falls, no matter the weather. During wintery weather conditions, they need to take specific actions to prevent falls.

Actions aimed at preventing slips include:

  • Plowing parking areas
  • Shoveling sidewalks
  • Salting walkways and steps
  • Frequent cleaning of entryway floors
  • Using absorbent rugs on entryway floors

If they haven’t taken the proper precautions and someone gets injured, they may face financial responsibility for the fall victim’s damages .

Wet floors and other slippery surfaces almost always create a risk to a person’s safety.

Wet surfaces are usually the result of:

  • Spilled liquids or foods
  • Melted snow, slush, or ice in entryways and exits
  • Recently cleaned or waxed floors
  • Water in or around bathtubs
  • Leaking roofs
  • Splashing from swimming pools

Property owners must keep their floors clean and dry. They should be aware of the potential for floors to get wet.

If they can’t immediately remedy a wet floor, property owners should warn others about the potential hazard by placing a wet floor sign or cordoning off the slippery surface.

Non-liquid debris can also cause someone to slip and fall. If certain substances are on the ground or floor, preventing traction between the surface and the shoe, the risk of injury increases substantially.

Debris that can cause slips and falls include:

  • Kitty litter
  • Dirt or sand
  • Pine needles

Property owners should take every precaution to prevent and remove debris that can potentially cause slip and falls. When someone reports debris on the floor, it’s the owner’s responsibility to act within a reasonable amount of time to keep visitors safe.

Uneven or unstable floor surfaces are the basis of many fall incidents. They cause people to trip or result in the inability for a person to hold their footing. Several factors can cause level floor surfaces to become uneven and dangerous.

Injuries from falls on uneven surfaces are typically caused by:

  • Broken and cracked sidewalks
  • Potholes in parking lots
  • Differences in flooring elevation that require even a small step up or down

Severe injury accidents often occur because of tripping hazards. Nearly any object on the floor or ground can become a hazard, including chairs and other furniture , although some obstructions are more common than others.

Property owners should be on the lookout for:

  • Ripped, buckled, or loose rugs, mats, and carpets
  • Rugs without non-slip backing
  • Merchandise displays
  • Unsecured electrical cords
  • Uneven paving stones
  • Elevators that open above or below other floors
  • Loose or broken floorboards

Stairs are a frequent cause of falls on all property types. Stairs that are older, broken, or lack an anti-slip surface or handrails can all result in an accident. Also, stairs with clutter or poor lighting increase the risk of a fall.

Other fall risks can be present on stairs, such as ripped carpets, debris, snow, or ice.

Escalators present a similar risk for slips and falls.

Failure to clean up animal urine, vomit, or other waste can cause an unsuspecting person to slip and fall.

The behavior of animals can cause someone to trip or be pushed to the ground. For example, a loose dog could jump up on a visitor and cause them to fall. A neighbor’s cat could walk in front or rub against the leg of someone carrying a load of boxes to their vehicle, causing them to trip.

Depending on who owns or controls the animal and the property where a fall occurs, a victim who sustains an injury under these circumstances might have a valid personal injury claim.

8. Inadequate or Inappropriate Footwear

Footwear is a factor in nearly one-quarter of all slip and fall accidents. While a victim’s use of inadequate footwear doesn’t excuse a property owner’s negligence, it might decrease their claim value.

There’s a reasonable expectation that people will wear the right shoes for the expected activities or conditions.

You might have shared fault for your damages if you wore:

  • High-heeled shoes while there’s ice on the ground
  • Dress shoes with little to no traction to the gym
  • Shoes several sizes too big for your feet to go for a walk
  • Open-toed sandals that can catch on a stair

Cell phones are one of the biggest culprits when it comes to fall injuries. Nearly everyone has a cell phone, increasing the risk of distracted walking. One study revealed that distracted walking resulted in more than 10,000 serious injuries over a ten-year period.

Besides cell phones, other things such as watching or talking to other people, eating or drinking, daydreaming, or looking through a purse or wallet while walking, can also cause distractions.

If your actions might have contributed to your injuries, you should consider meeting with an attorney about your liability. You can take steps to highlight the at-fault party’s actions and minimize your own.

Slip and falls that happen at bars and nightclubs, casinos, and even restaurants often involve injury victims who had been consuming alcohol prior to the incident. The insurance company for the business will almost certainly blame the victim’s injuries on intoxication .

When alcohol is the sole cause for a person’s fall, the victim lacks the basis for a slip and fall claim. In these scenarios, the property owner did nothing to cause the person’s fall, and cannot be held liable. But for the fall victim’s intoxication, the accident would not have happened.

You can still try and hold the owner liable if a hazardous condition played a role in the fall.

For example, a person might fall because of both having too much to drink and an owner’s negligence in not treating an icy walkway. When this occurs, a victim may still be eligible for compensation, but the amount will be reduced per their state’s comparative fault rules .

Who is Liable for a Slip and Fall Accident?

Liability is a legal term meaning responsibility. If another party acted unreasonably or carelessly and caused your slip and fall, they are liable for your damages.

Typically, the property owner is liable for a slip and fall accident . But the injury victim has the burden of proving the owner’s negligence to establish liability.

Property owners are only liable if they knew or should have reasonably known about a condition that could cause a slip and fall. It’s unreasonable to expect that they have an immediate awareness of every fall hazard and the time to fix it.

A property owner is not automatically liable for every injury that happens on their property.

Case Example: Startled Pedestrian Fall Down Stairs

In 2013, Ajanaffy Njewadda fell down the stairs at the Grand Central subway station in New York, injuring her foot and ankle. She fell after seeing an oversized “scary” poster for the popular Showtime series “Dexter.”

Ms. Njewadda claimed that, after seeing the poster, she became fearful, panicked, and lost her balance, causing her to fall to the ground.

She described the poster as “disturbing, provocative, shocking and fear-inducing,” featuring the main character’s face under a plastic wrap with his eyes open.

She alleged that Showtime, CBS, and the NYCTA/MTA  intentionally and negligently created a hazardous condition by placing the poster under or on the subway stairs.

In 2015, her attorneys filed a personal injury lawsuit against Showtime, CBS, and NYCTA/MTA for the presence of the visible poster in the stairway.

In January 2019, a judge dismissed the case, saying that Showtime and CBS owed Ms. Njewadda no duty of care. Further, because there was no evidence of a physical hazard on the stairs, she had no cause of action against NYCTA/MTA.

Njewadda v. Showtime Networks, Inc., et al

If you can’t provide clear and convincing evidence of the property owner’s liability , their insurance company is unlikely to pay your claim.

Evidence that might be helpful includes:

  • Video surveillance recordings, if available
  • Eyewitness statements
  • Incident reports filed before your slip and fall if the condition was ongoing (e.g. a leaky roof, a broken floor tile, etc.)

Any of these types of proof can potentially reveal when and if a store owner or employee became aware of the danger. If the injured party shows that the store owner or employee was aware of the spill but didn’t act within a reasonable amount of time, they deserve compensation for their injuries.

In other situations, property owners must use common sense. If it’s snowy outside, it’s reasonable to expect that they’ll need to act to keep their floors from becoming wet and hazardous. An employee doesn’t have to see the wet floors or have someone report them. It’s reasonable to expect that employees know that customers will track snow into the building.

Shared Fault for Slip and Fall Injuries

Sometimes fall victims can contribute to their own injuries, and the legal framework of comparative negligence applies. The result is that an injured victim will receive less compensation, even if an owner was liable for their injuries.

Most states have modified rules of comparative negligence . These rules apply when injured parties are partly to blame for causing their accidents and injuries. In these cases, most states say that your injury compensation is reduced by your percentage of fault in causing the accident.

Insurance adjusters will always try to blame injured slip and fall victims whenever possible to decrease the insurance company’s liability.

Workplace Slip and Fall Liability

If you suffer a fall injury on the job , you won’t have to prove liability to collect workers’ compensation benefits. You are entitled to benefits even if you made a mistake that led to your fall.

State workers’ comp rules prohibit the injured employee from suing the employer in most circumstances. However, in cases of extreme negligence, you may have a case.

OSHA has health and safety rules to prevent workplace injuries. If conditions in your work area were in blatant violation of state or federal workplace safety rules, you may have grounds for a lawsuit.

Do You Need an Attorney?

To obtain a fair settlement for trip or slip and fall injuries, you must be able to prove that the property owner is liable. For slip and fall victims with severe injuries, the best way to accomplish this is to hire a reputable slip and fall attorney .

Most injury law firms offer a free consultation to victims. If you decide to hire an attorney after your consultation,  they usually work on a contingency fee basis. With this arrangement, you won’t owe them anything until your case settles.

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Occupational Health and Safety Blog

Slips, Trips, And Falls Hazards | How To Prevent Them

Every year, countless individuals experience the unexpected mishap of a slip, trip, or fall. These incidents occur across all age groups and settings, from homes and public spaces to workplaces. While often brushed off as minor inconveniences or embarrassments, slips, trips, and falls can lead to serious injuries and significant financial and emotional costs.

The key to tackling this pervasive issue lies in understanding the factors contributing to these accidents and implementing effective prevention measures. In this blog, we delve into the causes of slips, trips, and falls, their impact, and, most importantly, how we can prevent them.

By understanding these risks, we empower ourselves to create safer environments, whether looking at the comfort of our homes, the safety of public spaces, or the well-being of employees in a workplace. This guide aims to heighten awareness, encourage preventive action, and highlight our shared responsibility in reducing the risks and consequences of slips, trips, and falls. Join us as we navigate through this important topic step by carefully step.

The Importance of Preventing Slips, Trips, and Falls

The impact of slips, trips, and falls can be highly significant, from bruised shins to broken bones. These incidents aren’t just about physical injury. The repercussions can ripple outwards, affecting an individual’s quality of life, workability, and mental well-being. In the workplace, such accidents can lead to significant downtime, loss of productivity, and even legal implications for businesses. It’s estimated that the annual costs associated with occupational falls run into billions of dollars globally, impacting not just individuals but entire economies. Therefore, it’s clear that these everyday accidents are anything but trivial and that preventing them should be a top priority for everyone.

Basic Understanding of Slips, Trips, and Falls

To prevent these incidents, we first need to understand them. So, what exactly are slips, trips, and falls? A slip occurs when there is too little friction or traction between your footwear and the walking surface, leading to a loss of balance. A trip happens when your foot or lower leg hits an object, and your upper body continues moving, resulting in loss of balance. A fall can result from a slip or trip but can also occur due to other factors, like poor lighting, lack of handrails, or sudden illness.

Each of these incidents can occur under various circumstances. While some common causes include wet or uneven surfaces, poor footwear, and cluttered walkways, there can also be less obvious contributors, like insufficient training or awareness. This article aims to delve deeper into the world of slips, trips, and falls, elucidating their causes, impacts, and, most importantly, the strategies for prevention. The goal is not to instill fear but to inspire a culture of safety, vigilance, and proactive measures to keep everyone safe.

Slips and Trips

Definition and Differences: Slips, Trips, and Falls

While the terms ‘slips,’ ‘trips,’ and ‘falls’ are often used interchangeably, they refer to distinct occurrences. As we’ve already discussed, a slip occurs when there is insufficient traction between your foot and the walking surface. This lack of grip may cause an imbalance, leading you to fall.

Trips, on the other hand, occur when your foot contacts an object in its path or drops unexpectedly, causing you to lose balance. A trip might occur due to clutter, an obstacle in the pathway, or an uneven walking surface.

Finally, a fall is a sudden, uncontrolled descent for various reasons, including slips, trips, loss of consciousness, or other health-related issues. Falls can occur on the same level (for example, falling on the floor) or from one level to another (like falling down the stairs or from a ladder).

Common Causes of Slips, Trips, and Falls

Understanding the common causes of these incidents is the first step toward prevention. Below are some major factors that often contribute to slips, trips, and falls.

  • Wet or Oily Surfaces: One of the most common causes of slips is the presence of wet or oily surfaces. This might occur in areas prone to spills or leaks, such as kitchens, bathrooms, and certain industrial environments.
  • Uneven Surfaces, Irregularities, and Obstacles: Uneven walking surfaces or irregularities such as potholes, cracks, or abrupt transitions can cause trips. Obstacles might include clutter, cords, open drawers, and other items that haven’t been stored properly.
  • Poor Lighting Conditions: Inadequate lighting can make it difficult to see and avoid potential hazards like spills, obstacles, or changes in level. This can lead to both trips and falls.
  • Weather Hazards: Outdoor slips and falls often increase during bad weather conditions such as rain, snow, or ice, which make surfaces slippery and vision less clear.
  • Human Factors: Rushing, distraction, fatigue, or lack of proper training can also contribute to slips, trips, and falls. These can often be mitigated through awareness and training.
  • Improper Footwear: Footwear unsuitable for the work environment or the current weather conditions can increase the risk of slips, trips, and falls. For example, smooth-soled shoes might not provide enough traction on a wet or oily surface, leading to slips.
  • Loose or Unsecured Mats or Rugs: Unsecured mats, rugs, or carpets can shift underfoot or present tripping hazards with their edges.
  • Improper Use of Equipment: This might involve using chairs instead of ladders, climbing on shelves, or not using safety equipment correctly, all of which can lead to falls.
  • Poor Housekeeping: If work and walkway areas are not kept clean and orderly, they can contribute significantly to slips, trips, and falls. Examples include cluttered workspaces, cables across walkways, or spills not promptly cleaned up.
  • Lack of Safety Training: Employees not properly trained on the correct job procedures, including safety equipment, can be at higher risk for accidents.
  • Inadequate Maintenance: Neglecting maintenance can lead to hazards such as leaky pipes (leading to wet surfaces), potholes, or uneven flooring, which can cause slips, trips, and falls.
  • Poorly Designed Walkways: Walkways with sudden drops, absence of handrails, sharp turns, or inadequate space can increase the risk of falls.
  • Medical Conditions: Certain conditions like poor vision, balance disorders, or mobility problems can also increase the risk of slips, trips, and falls.
  • Age: Both the very young and the elderly are at an increased risk for falls, partly due to factors such as lack of coordination, decreased strength, or reduced balance.

Remember, while this list of causes is extensive, it is not exhaustive. There may be other contributing factors depending on the specific circumstances or environment. That’s why it’s crucial to carry out regular risk assessments to promptly identify and address potential hazards.

Prevention of Slips Trips and Falls

Impact and Consequences Of Slips, Trips, And Falls

The impacts of slips, trips, and falls extend beyond the immediate event and can have lasting effects on the individuals involved and the organizations they belong to. These incidents can result in physical injuries, financial costs, and psychological distress.

Physical Injuries: From Minor to Severe

Physical injuries resulting from slips, trips, and falls can range from minor to severe. Minor injuries may include bruises, abrasions, or sprains. At the same time, more severe cases can lead to fractures, concussions, or even life-threatening injuries such as traumatic brain injuries or spinal cord damage.

In some cases, these incidents can lead to chronic pain or long-term disability, affecting the individual’s ability to perform daily activities or return to work. Falls, in particular, can be especially dangerous for older adults, leading to hip fractures or other serious injuries that significantly impact their independence and quality of life.

Financial Implications: Costs of Accidents

The financial implications of these incidents are also considerable. For individuals, this can include medical expenses, rehabilitation costs, and lost wages during recovery. Additionally, they might face expenses related to modifying their home for accessibility if the fall leads to a long-term disability.

For businesses, the financial costs can be substantial. There are indirect costs besides direct costs like medical expenses and workers’ compensation claims. These can include lost productivity due to employee absence, costs related to training replacement employees, and potential increases in insurance premiums. In severe cases, businesses may also face legal fees if they are negligent in providing a safe environment.

Psychological Implications: Fear and Anxiety After a Fall

The psychological impacts of slips, trips, and falls should not be underestimated. People who have experienced such an incident may develop a fear of falling again. This fear can limit their activities, reduce their independence, and decrease their quality of life.

Anxiety, depression, and social isolation can also result from the fear of falling or the consequences of an injury, such as disability. Employees may experience stress or anxiety about returning to work, especially if they feel the environment is unsafe.

Understanding these impacts highlights the importance of preventive measures to ensure safe environments, reducing the risk of slips, trips, and falls. The following sections will explore strategies to identify potential hazards and implement effective control measures.

Slips Trips And Falls Hazards

Slips, Trips, And Falls Hazards Risk Assessment

Risk assessment is critical in preventing slips, trips, and falls. It involves identifying potential hazards, evaluating their risks, and determining appropriate control measures. A thorough risk assessment should consider all areas and activities in a given environment, from the home to the workplace.

Identifying High-Risk Areas in the Home or Workplace

High-risk areas vary depending on the setting. These might include staircases, bathrooms, and kitchens in the home, where wet surfaces are common. Outdoor areas like driveways or walkways can also present risks, especially in adverse weather conditions. Any area without sufficient support structures could be risky for older adults or those with mobility issues.

In the workplace, high-risk areas could be those with heavy foot traffic, wet or uneven surfaces, or places with lots of equipment and machinery. Industrial kitchens, construction sites , warehouses, and healthcare facilities are examples of workplace environments that often have high-risk areas.

Key Considerations for Risk Assessment

A comprehensive risk assessment should consider various factors. These include:

  • The Environment: Assess the condition of the floors, lighting, staircases, and walkways. Look for hazards like wet surfaces, uneven floors, poor lighting, or lack of handrails.
  • Human Factors: Consider the behavior and health of individuals in the environment. Are they rushing? Are they carrying heavy items that may obstruct their view? Do they have any health conditions that increase their risk?
  • Tasks: Evaluate the tasks being performed. Does the job involve working at height, handling hazardous substances, or heavy physical labor? Are workers exposed to distractions or time pressure?
  • Footwear and Clothing: Assess whether appropriate footwear and clothing are worn for specific environments and tasks.
  • Previous Incidents: Look at the history of slips, trips, and falls in the environment. A pattern might indicate a persistent problem that needs addressing.

Importance of Regular Safety Audits

Regular safety audits are essential to maintain a safe environment. These audits involve routinely inspecting the environment and practices to ensure that safety measures are up-to-date and effectively implemented. They help identify new or overlooked hazards and assess the effectiveness of current control measures.

Regular audits also demonstrate a commitment to safety, which can encourage individuals to take responsibility for their safety and that of others. This fosters a proactive safety culture where hazards are promptly reported and addressed, further reducing the risk of slips, trips, and falls.

Slips and Trips Hazards

Prevention and Control Measures For Slips, Trips, And Falls

Once potential hazards have been identified through risk assessment, it’s crucial to implement prevention and control measures to mitigate these risks. This involves a range of strategies, from good housekeeping practices to installing safety features.

Housekeeping Best Practices

Proper housekeeping is one of the most effective ways to prevent slips, trips, and falls. Here are some best practices:

  • Regular Cleaning: Clean floors regularly and immediately clean up any spills. Ensure to put up “wet floor” signs until the area is dry.
  • Declutter: Keep walkways and work areas clear of clutter and obstacles.
  • Proper Storage: Store materials and equipment properly when not in use.
  • Maintenance: Promptly repair any damages to walkways and work areas, like cracks or uneven surfaces.

Installing Safety Features (Handrails, Non-Slip Mats, etc.)

Installing safety features can greatly reduce the risk of accidents. Here are a few examples:

  • Handrails: Install sturdy handrails on all staircases and other areas where individuals may need extra support.
  • Non-slip Mats: Use non-slip mats in areas prone to wet or slippery conditions.
  • Guard Rails: Install guardrails around elevated platforms, mezzanines, and other fall hazards.
  • Visible Markings: Use reflective tape or other visible markings to highlight changes in floor level or other hazards.

Appropriate Footwear for Different Surfaces

Wearing the right footwear can significantly reduce the risk of slips, trips, and falls. Choose shoes with good traction, especially for wet or slippery surfaces. Protective footwear should be worn in workplaces where specific hazards are present, such as construction sites.

Prompt Removal or Correction of Identified Hazards

Address identified hazards as quickly as possible to prevent accidents. If a hazard cannot be immediately removed or corrected, ensure it is clearly marked, and individuals are informed about it until it can be addressed.

Adequate Lighting

Ensure all areas have sufficient lighting to allow individuals to see and avoid potential hazards. This is particularly important for stairways, hallways, and outdoor paths. Replace burnt-out bulbs promptly and consider installing automatic lights in often-used areas.

By implementing these prevention and control measures, you can greatly reduce the risk of slips, trips, and falls, promoting a safer environment for everyone. In the next section, we’ll explore additional strategies and considerations specific to the workplace.

Slip Trip And Fall Hazards Control Measures

Workplace-Specific Considerations

While many of the principles of slips, trips, and falls prevention apply universally, certain considerations are particularly relevant to workplaces. These involve safety training, employer responsibilities, and industry-specific hazards.

Importance of Safety Training and Awareness Programs

Safety training is vital to workplace safety . Regular training sessions can ensure that employees are aware of potential hazards and the best practices for avoiding them. Training should cover topics such as proper use of equipment, safe handling of materials, and emergency procedures.

Awareness programs, too, can play a crucial role in maintaining a safe work environment. These programs could include regular safety reminders via bulletins, emails, or meetings, encouraging employees to be vigilant and proactive about safety.

Employer Responsibilities and Employee Rights

Employers have a responsibility to provide a safe work environment. This involves conducting regular risk assessments, addressing identified hazards promptly, and providing necessary safety training and equipment. They should also have procedures in place for reporting accidents or hazards and ensure that employees feel comfortable using these procedures without fear of retaliation.

Employees, on the other hand, have the right to a safe workplace and the right to speak up about safety concerns. They also have a role in maintaining safety by following established procedures, using provided safety equipment, and promptly reporting any hazards or incidents.

Industry-Specific Hazards and Control Measures

Every industry has its unique set of hazards, so it’s important to consider these when planning prevention and control measures. For example, spills and hot surfaces might be major hazards in a restaurant kitchen. Measures could include non-slip mats, appropriate footwear, and caution signs. In a construction site, falls from a height might be the primary concern, necessitating guardrails, safety harnesses, and fall arrest systems.

In conclusion, slips, trips, and falls are common but preventable incidents. By understanding their causes and impacts, conducting regular risk assessments, and implementing effective prevention and control measures, we can significantly reduce these accidents, fostering safer homes, workplaces, and communities.

Slips Trips And Falls

Preventing slips, trips, and falls is no small task, but it is a crucial one. As we’ve explored in this guide, these incidents are far from trivial, carrying the potential for serious physical injuries, significant financial costs, and profound psychological impacts. Yet, armed with the knowledge of what causes these incidents and understanding their impacts, we’re already halfway towards prevention.

The steps to creating safer environments—at home, in public spaces, or at workplaces—aren’t overly complex. They begin with recognizing the potential hazards and involve a thoughtful blend of risk assessment, implementing practical measures, and fostering a culture of safety awareness. From basic housekeeping to installing safety features, each action reduces the risk.

It’s important to remember that the responsibility of preventing slips, trips, and falls doesn’t rest on a single individual or group—it’s a collective effort. Employers, employees, homeowners, and public facility managers all have roles to play. And in our various roles, we all contribute to a larger, shared goal: creating safer environments for everyone.

Preparing for and preventing these incidents can seem daunting in a world where the unexpected is expected. But, as we’ve seen, it’s not only possible; it’s a critical part of our commitment to safety for ourselves and others. Let this guide serve as a reminder and resource for that commitment, helping us make each step we take a safer one. Thank you for joining us on this journey towards safer environments and greater awareness. Let’s continue to take steps, big and small, toward a safer tomorrow.

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Waheed Riaz

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Blog / May 5, 2015

The Surprising Cause of Most Slips, Trips and Falls

Housekeeping bucket and wet floor

Slips, trips and falls are a major challenge for safety professionals. Not only are they responsible for 25% of all occupational injuries that require time off work, but they’re also notoriously difficult to solve.

So how do you reduce the number of slips, trips and falls in the workplace? To answer that question, you need to know what causes them in the first place—and it’s not what you think.

Most traditional solutions to slips, trips and falls focus on physical factors like wet floors, tripping hazards and walking speed. There are three major ways of dealing with the physical causes of slips, trips and falls:

  • regular maintenance
  • rules and procedures
  • proper equipment and guards

Establishing detailed housekeeping procedures and then providing products like anti-slip cleaning products and high-traction mats will go a long way towards helping keep your workers on their feet.

But slip, trip and fall incidents are still prevalent despite these solutions being widely available. And you don’t even need an external trip hazard to fall—people trip over their own feet all the time.

In addition to physical factors there’s another major contributor to slips, trips and falls: human factors. These include:

  • distraction (like texting while walking)
  • walking too quickly
  • not looking where you’re walking

These are best addressed with human factors training that builds and reinforces important habits like maintaining a safe walking speed, approaching blind corners cautiously and keeping an eye out for trip hazards. Proper human factors training should address distraction and give workers the means to stay focused on where they’re walking.

The most comprehensive solution to slips, trips and falls is combining physical solutions with human factors training. A well-rounded approach will help you drastically cut down on how often your employees are injured by a same-level fall, and the human factors training will provide spillover benefits to other areas of your safety program too.

On-demand webinar

Slips, Trips and Falls: Balancing Human and Physical Causes

Are you overlooking hidden risk factors of slips, trips and falls? Do you know how to reduce inattention blindness? This presentation covers most common elements missing from the majority of slip, trip and fall prevention efforts—and lets you know what you can do to keep workers on their feet.

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Slip, Trip, and Fall Prevention for Healthcare Workers

December 2010, dhhs (niosh) publication number 2011-123.

cover of 2011-120

According to the U.S. Bureau of Labor Statistics [2009], the incidence rate of lost-workday injuries from slips, trips, and falls (STFs) on the same level in hospitals was 38.2 per 10,000 employees, which was 90% greater than the average rate for all other private industries combined (20.1 per 10,000 employees). STFs as a whole are the second most common cause of lost-workday injuries in hospitals.

Slip, Trip, and Fall Prevention for Healthcare Workers pdf icon [PDF 979.73KB]

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Slips, trips and falls

Each year slips, trips and falls cause thousands of preventable injuries.

  • Safety by topic

The most common ones are: 

  • musculoskeletal injuries (injuries to muscles, nerves, tendons, joints, cartilage and spinal discs)
  • dislocations. 

More serious injuries and deaths can also happen. 

Slip, trip and fall hazards 

Some things that can cause you to slip are: 

  • the wrong footwear 
  • polished, wet or greasy floors. 

In most cases, people trip on low obstacles that are hard to spot, such as: 

  • uneven edges in flooring 
  • loose mats 
  • open drawers 
  • untidy tools, or 
  • electrical cables. 

Falls can result from a slip or trip, but many occur from low heights. For example: 

  • ditches, or 
  • wet or slippery surfaces. 

WHS duties  

As a person conducting a business or undertaking (PCBU), you must always aim to eliminate the risk of slips, trips and falls, so far as is reasonably practicable. If that is not possible, you must minimise risks so far as is reasonably practicable. 

You must identify hazards, and assess and control risks. Think about your: 

  • work areas 
  • work procedures 
  • equipment.  

Consulting with workers can help you find better and easier ways to identify and minimise risks. You should also review control measures to ensure they are working as planned.  

Workers also have duties, including taking reasonable care for their own health and safety. 

Managing risks  

The best way to manage the risk of slips, trips and falls is to eliminate hazards at the design stage of the workplace.  

If you can’t eliminate the risk, you must minimise it so far as is reasonably practicable. 

Designing safe workplaces 

In designing floors, stairs, lighting, drainage and storage: 

  • keep floors at a single level and use slip-resistant floor coverings 
  • install extra power points to avoid trip hazards from trailing cords 
  • ensure all areas are well lit, particularly stairwells 
  • have good drainage and slip resistant grates 
  • have lots of storage, so things aren’t left in walkways. 

Safe work procedures 

Work procedures can also impact on the incidence of slips, trips and falls. Have clear procedures to: 

  • remove rubbish to avoid trip hazards 
  • return tools and other items to their storage areas after use 
  • report and clean spills 

Keep the workplace clean 

All workers share responsibility for keeping the workplace clean and tidy.  

Make sure you: 

  • have adequate rubbish and recycling bins 
  • have cleaning schedules in place 
  • dry floors after cleaning 
  • don’t have cords on walkway or work area floors. 

Training helps workers become more aware of slip and trip hazards and helps to prevent injuries.  

Training should include:  

  • awareness of slip and trip hazards 
  • identifying effective control measures 
  • duties of workers. 

Using personal protective equipment (PPE) 

As a PCBU, you should only use PPE: 

  • after you have implemented all other possible control measures. 
  • as an interim measure until you can use a better control measure 
  • as a backup in addition to other control measures. 

Slip-resistant footwear 

Slip-resistant footwear is a type of PPE. 

Slip-resistant footwear should be appropriate for the work and workers must wear it properly. 

In wet conditions, the shoe sole tread should: 

  • be deep enough to help penetrate the surface water 
  • make direct contact with the floor. 

In dry conditions, the shoe sole tread: 

  • pattern should be a flat bottom construction 
  • should grip the floor with maximum contact area. 

Types of slip-resistant footwear 

Urethane and rubber soles are more slip resistant than vinyl and leather soles.  

Sole materials that have tiny cell like features are slip resistant. 

Supporting information

  • Model Code of Practice: How to manage work health and safety risks  
  • Model Code of Practice: Managing the work environment and facilities 
  • Slips and trips at the workplace fact sheet  
  • The interactive safe work method statement (SWMS) tool provides information on preparing, using and reviewing SWMS for high risk construction work.

News related to this topic

Know your duties - a tool for those working in a labour hire arrangements, now available online

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Slips, Trips, and Falls: A Comprehensive Guide For The Proactive Manager (Part One – Regulatory Requirements)

Posted 11.05.23 by: Jeremy Shantz

Slips, trips, and falls in the workplace are common and the number one cause of workplace injuries. We’re not just talking about minor injuries, either. Believe it or not, something as simple as a carpet in your entranceway can cause severe trauma and, in rare cases, death.

Table of Contents

Understanding Impact

Slips, trips, and falls happen often. In fact, 27.4% of nonfatal workplace injuries in private industry were caused by slips, trips, and falls. If we look at the big data, in 2019 in the United States, there were 888,220 workplace injuries (reported), and 244,000 were slips, trips, and falls caused. ( source )

Statistically, these numbers are quite revealing. The median number of injuries one can expect is 2.8%. So, three of every 100 workers will have an injury at work this year, according to the injury statistics.

This guide will review all the ins and outs of slips, trips, and fall incident management. I’ll provide a roadmap for making management and prevention much easier for you. Stick with me to the end, and I’ll give you my favorite not-so-secret incident management tool advice so you can make your job easier too. Let’s get started.

Understanding Slips, Trips, And Falls

To create a safe and manageable work environment, we must understand exactly what slips, trips, and falls are. You know the common definition, but let’s examine how the authorities view such terms.

Definitions

Most countries in the G20 or UN follow a basic understanding of the incident definition. However, for the purpose of clarity, we’ll use OSHA (Occupational Safety and Health Administration in the United States) for our definitions.

According to OSHA, a slip is when a person loses balance due to a lack of friction between the floor and their footwear. Examples might include wet smooth tile or marble flooring, or if you live in the north, a typical slip scenario is ice on the ground.

Common Causes

  • Oil or similar lubricating chemicals
  • Wet surfaces

A trip is a scenario where a person loses balance due to a collision between a foot and an object. Practical scenarios might include a fold in a moveable floor rug, uneven flooring or steps, or even objects left on the floor. Trips are potentially dangerous not just due to the collision between foot and object but because they have a tendency to throw a person to the ground. Well, I don’t need to tell you how dangerous that can be when:

  • Working at heights
  • Working around sharp objects
  • Working around moving equipment or vehicles

For obvious reasons, a trip can quickly escalate into a life-or-death severe scenario.

  • Uneven flooring
  • Objects in walkways

OSHA views a fall as the movement towards a lower level, typically at rapid speed or acceleration (gravity). You might go so far as to assume that the fall is the tail-end of the trip, and in many cases, you would be correct in making that assumption. However, the wording that OSHA uses to define a fall makes the assumption more evident that it intends to regard falling from a higher level to a lower level as the pre-emptive definition of a fall.

Examples of falls include falling off a loading dock edge, falling down some stairs, or falling off your chair (it happens more than you know).

  • Unguarded work platforms
  • Lack of fall prevention equipment
  • Trips and slip events

A worker is about to trip on an electrical cord - a common cause for trip and fall incidents at work. Learn more at 1stReporting.com.

I’ve provided a few causes of slips, trips, and falls in the workplace, but let’s define the more broad reasons to get the proper perspective.

Environmental Factors

As mentioned earlier, if you’re in North America, Europe, or another place that sees ice and snow in winter, you know that environmental factors can easily cause slips, trips, and falls. Ice, snow, and hail can easily make a person slip and fall.

Rain is also a factor in slipping on smooth surfaces. Naturally, we don’t have many smooth outdoor places where people might slip, but even a wood walkway outside can turn into a slippery surface in the right wet conditions.

Human Factors

Humans are notorious for making problems for each other, and often, it isn’t even intentional. Take a worker who is carrying some boxes and set them down for a moment to answer the phone. Maybe they get distracted and merely forget the box was placed in an aisle. Sure enough, if Murphy is afoot, then someone is going to trip over the box.

Human factors may not be limited to the common practice of leaving a parcel in a walkway. Some jobs require workers to instigate slippery conditions; just think of anyone who has to wash down a truck with soapy water, work with oily equipment, or any number of other common work scenarios that involve processes that could cause slippery conditions. A janitor mopping up a spill is the simplest human factor that comes to mind, especially if there are no slippery when wet floor signs are posted.

Equipment Factors

Although equipment can play a significant role in workplace slips, trips, and falls (in several ways), truth be told, each of the ways that equipment factors into slip, trip, and fall events all go back to a person in some way or another. Here are some of the ways people let 

equipment causes dangerous situations that can cause slips, trips, falls, and injury to people.

  • Poor Maintenance: Equipment that people improperly maintain can create hazards. For instance, a machine can leak oil or other fluids, creating a slippery surface. Machines or other equipment might also have loose parts that could cause someone to trip.
  • Improper Use: Misusing equipment can lead to accidents. For instance, if you use a ladder that’s too short, you might overreach and fall. Don’t stand on chairs or tables in the office instead of using a step stool or ladder. I have found in every job that one person thinks they can stand on a wheeled desk chair to reach something, but I warn you: Don’t do it. You aren’t Spiderman.
  • Equipment Placement: The location of equipment can also cause accidents. Electrical cords and cabling are notoriously making people faceplant. If you have ever worked in maintenance (or entertainment), then you’ll know what I’m talking about. 
  • Inadequate Safety Features: Some equipment may lack necessary safety features that could prevent slips, trips, and falls. For example, a ladder without non-slip feet can easily slide on a smooth surface, leading to a fall. 

Similarly, machinery without proper guardrails or other safety devices could put workers at risk of falling. Check your equipment for necessary safety features. Machinery should have proper guardrails or other safety devices to prevent falls. Furthermore, it would be best to insist on daily walk-around safety inspections for all your vehicles or equipment . Enacting smart safety protocols reduces the risk.

  • Inappropriate Equipment: Sometimes, the equipment itself is not suited for the job or the environment, increasing the risk of slips, trips, and falls. For instance, forklifts used in an area with a slippery floor can lead to accidents.
  • Personal Protective Equipment (PPE): The absence or misuse of PPE can also contribute to slips, trips, and falls. For instance, workers not wearing appropriate footwear for their environment (like non-slip shoes in a wet or oily environment) can easily slip and fall. Similarly, workers who don’t use precautions like a fall protection safety harness are asking for accidents to happen.

To mitigate these risks, ensure that regular maintenance and safety checks of all equipment are standard practice at your workplace. Workers should also have training in correctly using and placing all equipment, and appropriate PPE should be provided and used consistently.

Common injuries

A worker gets treated for a knee injury following a trip and fall incident at work. Learn how to mitigate slip and fall incidents from 1stReporting.com.

Knowing something and doing nothing about it is pointless. If we look at the data, then we know that each year it is expected that 2.8% of workers will have an at-work accident. That’s 1.4 workers out of 50 (0.7 out of 25). With these numbers, a team of 12 can expect one worker every two years to have an at-work injury. Let’s see what injuries are most common.

Sprains And Strains

Workplace sprain and strain injuries happen most to the torso. In many cases, this means someone’s back. Nearly 40% of injuries in 2021 (In the US) involved the torso.

Not to put too fine a point on it, but the US Bureau of Labor Statistics said back in 2005 that sprains and strains accounted for 43%, and mostly back injuries, of private industry, lost time accidents. That is, 43% of the 1.3 million injuries and illnesses reported in 2003. Twenty years ago, and things haven’t changed much. 

According to the injury attorney Adam Skutner (no affiliation), you have a five percent chance of breaking a bone when you slip and fall. I’ve known three people who slipped, fell, and tried to put their hands out to stop the fall. Two of them broke their wrist; the third person sprained it. And that’s just off the top of my memory. So when I hear that five percent break bones, I’m not surprised it’s five percent; I’m surprised it isn’t more.

Dislocations

If you’ve ever dislocated something, then you know it’s as painful as a break. I think of the classic Mel Gibson in Lethal Weapon. He was known for dislocating his shoulder and painfully re-locating it with violent force against a wall or similar structure. However, nothing is entertaining about real-life dislocations, so it’s best to avoid them for obvious reasons.

Contusions And Abrasions

Contusions and abrasions are quite common in workplaces. Even office staff get paper cuts – no one is safe! However, in your business, it’s no laughing matter. A simple paper cut can lead to an infection that can lead to any number of complications. That’s why it’s critical to document everything, even a cut. 

At a former job I managed, we had a simple first-aid use form to complete any time a first-aid kit was opened. It was a simple way to document simple injuries like cuts and scrapes that did not require medical attention beyond the first aid kit.

Concussions And Head Injuries

Concussions and head injuries are the most serious concern for anyone in a slip-and-fall event. The healthiest of people can fall the wrong way, hit their head, and end their day (or life). 

According to the Washington Post , a study showed that the human skull can withstand 6.5 GPa of pressure. That’s compared to oak (wood) at 11, concrete at 30, aluminum at 69, and steel at 200. Therefore, I wouldn’t put my head in a fight against anything harder than my pillow.

Regulatory Requirements

Workplace regulations to prevent slip, trip and fall incidents are there for good reason. Learn about your requirements at 1stReporting.com.

It’s time to get into regulations. You are responsible for those under your charge as a manager or employer. Let’s see what OSHA has to say about the matter.

Occupational Safety and Health Administration (OSHA) standards

Navigating the landscape of safety protocols and OSHA standards can be overwhelming, but we’re here to break it down for you. The core standards you need to be aware of when it comes to preventing slips, trips, and falls in the workplace are these:

General Requirements (29 CFR 1910 Subpart D): It’s all about ensuring safe walking-working surfaces for your team. Make it a priority to keep these surfaces free from hazards like sharp objects, loose boards, leaks, or spills. Let’s not forget about seasonal hazards like snow and ice too!

Stairways and Ladders (29 CFR 1926.1052 and 1926.1053): These rules are a must-know if you’re in the construction industry. The focus here is on providing safe stairways and ladders to help prevent falls.

Fall Protection (29 CFR 1926.501): Another one for the construction folks out there. This standard mandates that employers provide fall protection systems when workers operate at heights of 6 feet or above a lower level.

Walking-Working Surfaces (29 CFR 1910.22): This one circles back to the general requirements but emphasizes cleanliness and orderliness. You must ensure that all walking and working surfaces are sanitary and well-maintained.

Personal Protective Equipment (29 CFR 1910 Subpart I): Here’s where the right gear comes in. OSHA requires employers to provide employees with appropriate personal protective equipment (PPE) and ensure its proper use. This could include non-slip footwear to help prevent slips and falls.

Remember, it’s not just about ticking boxes and meeting legal requirements. It’s about creating a safe working environment where your team members can perform their duties without fear of slips, trips, and falls. 

International Organization for Standardization (ISO) Guidelines

ISO has a specific standard that addresses occupational health and safety: ISO 45001. These standard guides organizations in creating robust health and safety management systems, which inherently involve the prevention of slips, trips, and falls. However, the standard doesn’t go into specific details about these incidents. Instead, it focuses on risk management and hazard identification that would help anticipate and prevent such accidents.

Industry-Specific Regulations

All industries must follow a basic duty standard to provide safe working conditions. However, some industries have specific regulations, which I will review a sample cross-section of below.

Construction Industry

OSHA’s construction safety standards (29 CFR 1926) include detailed requirements for fall protection (29 CFR 1926.501), stairways and ladders (29 CFR 1926.1052 and 1926.1053), and scaffolding (29 CFR 1926.451). These standards mandate using guardrails, safety nets, or personal fall arrest systems when workers are working at heights of 6 feet or above a lower level.

General Industry

OSHA’s walking-working surfaces standards (29 CFR 1910 Subpart D) apply to all general industry workplaces. They require employers to provide safe walking-working surfaces and keep them free from hazards such as sharp or protruding objects, loose boards, corrosion, leaks, spills, snow, and ice.

Healthcare Industry

While there’s no specific OSHA standard for slip, trip, and fall hazards in the healthcare industry, these workplaces must comply with the general industry standards, including the walking-working surfaces standards. OSHA’s guidelines for nursing homes recommend implementing a comprehensive safety and health program that includes an analysis of fall hazards and a plan to control these hazards.

Maritime Industry

For shipyards (29 CFR Part 1915), long shoring (29 CFR Part 1918), and marine terminals (29 CFR Part 1917), OSHA has specific regulations that include requirements for working surfaces, guarding floor and wall openings, and maintaining ladders, stairways, and scaffolds.

Company Policies And Procedures

We have covered what the regulations say, and now it’s time to put that information into action. Creating a health and safety manual is a requirement for most businesses. Although the regulations may vary from state to state or province to province, the concept remains the same: If you operate a business with employees, you should have a health and safety manual.

Along with your health and safety manual, it’s advisable to have job hazard analysis a part of every role within your company or organization. Furthermore, it’s easy to include standards to maintain by providing your team with instructions and procedures to follow within each role. For example, you could include in your housekeeping role manual to utilize wet floor signs and keep pace with any spills to ensure fast clean-up and reduced chances of incidents.

That’s it for part one of our Slips, Trips, and Falls guide for the proactive manager. Check out Part Two for even more about the processes you can implement to take control of slips, trips, and fall incidents at your place of business.

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Common Triggers of Slips, Trips, and Falls – And How To Avoid Them

Slips, trips, and falls are some of the most common causes of workplace injuries in the US, accounting for over 8 million emergency room treatments every year. While not all these incidents are severe, some will have serious consequences, such as bruises, strains, sprains, fractures, and head injuries.

In many cases, a slip or fall can make it difficult for you to move around, do everyday activities, or live as independently as you used to. It could even force you to take a few days or weeks off work, which will affect your income and productivity. 

“Slips, trips, and falls can be frustrating, embarrassing, painful, and costly to you and your family. These accidents often leave victims hospitalized for days or weeks while the utility bills, medical bills, and other expenses collect at your doorstep,” says Alex Bouganim and Joseph Capetola, slip and fall lawyers in NYC . 

What To Do If You Slip, Trip, Or Fall

Sometimes, no matter how careful you are, accidents can still happen, and it is crucial that you know what to do in this kind of situation so you can manage it in the best way possible. One of the first steps is to immediately seek medical attention, especially if the fall was quite hard and you are feeling pain anywhere in your body. 

Injuries may not always be apparent, and a doctor can help determine specific problems and recommend the proper treatment. Aside from this, a trip to the doctor can help establish credibility if you decide to file a personal injury case or claim compensation against whoever was liable for the accident.

However, if you experience difficulty moving around, do not force yourself to get up right away and look for someone to help you instead. For severe trauma or injury, it is best to call an ambulance and stay in place until they arrive since any sudden movement could aggravate the damage to your body. 

Finally, remember to report the incident to the property owner or manager or get someone to do it for you if you cannot move around freely, and make sure that there is proper documentation to help you establish evidence when you claim compensation. It is also a good idea to consult with a legal expert for specific guidance on what to do after a slip and fall accident since the actual steps to do may vary depending on the location and circumstances of the accident. 

Common Causes And How To Avoid Them

Awareness is vital in preventing you from becoming a victim of these accidents. When you know the causes of slips, trips, and falls, it becomes easier to avoid them and you can even prevent them from happening to others. Take a look at these common triggers of slips, trips, and falls and what you can do about them:

1. Poor Lighting

Poor lighting can make it difficult to see hazards and other dangers, such as stairs, curbs, or wet and slippery surfaces, increasing your risk of slipping or falling. If you have poor vision, this is even more of a problem because the dim and dark surroundings can hide any obstructions in your path and prevent you from taking evasive action to avoid getting tripped.

To prevent slip and fall accidents due to poor lighting, ensure that all walkways are well-lit, especially in areas with high foot traffic or potential hazards. Install adequate lighting sources, such as overhead lighting or task lighting in darker areas, and immediately replace light bulbs when they burn out. 

2. Slippery Or Uneven Surfaces

One of the most common triggers of slips, trips, and falls are slippery or uneven surfaces because they can cause you to lose your footing easily. These are often caused by ice, snow, water, oil or grease, sand, mud or dirt, loose gravels or stones, and man-made causes like waxed floors, which could become slippery due to spills or leaks. 

Fortunately, there are many ways you can avoid falling victim to these triggers, and wearing proper footwear is at the top of the list. Shoes with good traction and non-slip soles can help prevent slips and falls, while smooth or worn-out soles can increase your risk. Take extra precautions by immediately cleaning up any spills or wet areas, using non-slip mats in areas prone to getting wet, such as bathrooms or kitchens, and being careful when walking on freshly cleaned or waxed floors. 

3. Mats And Rugs

When not correctly displayed or maintained, mats and rugs can result in a slip or trip, especially for an unsuspecting passerby. For example, curled-up edges or lumps in the middle of a rug could entangle your feet and cause you to lose your balance. It is also highly possible for a loose and unsecured rug to slip out of place right when you step on it, leading to a nasty fall and an injury. 

To prevent rugs and mats from becoming a tripping hazard, ensure they are properly secured and maintained. Regularly inspect them for signs of wear and tear, and immediately replace any rugs that are frayed, have holes, or are lumped in certain parts. Keep them completely flat, with no bumps or curls on the edges, and use non-slip pads underneath so they stay firmly in place.

4. Excessive Clutter

Aside from being a tripping hazard, clutter can also cause fires, which is why it is essential to do regular housekeeping to prevent these incidents from occurring. Excessive clutter like books, shoes, toys, cords, loose rugs, and stacks of newspapers on the floor create environmental hazards that impede movement and result in blockages that hinder people from walking safely.

You can minimize the occurrence of these incidents by making sure that all walkways, hallways, and stairways are always clear of clutter. Keep your space organized, secure loose cords, and use storage solutions such as shelves, cabinets, or drawers to keep items off the floors and tables. 

5. Uneven Or Poorly Built Stairs

Stairs that are damaged or not built according to safety standards can lead to serious injuries, especially if you fall from a higher level. This includes stairways with no handrails covered in dirt and debris or have broken, loose, uneven, or missing steps. Aside from these, obstructions like boxes or clutter on the steps can also cause people to trip and fall.

You can reduce the risk of slipping firstly by ensuring that your stairs are built according to strict guidelines , with the stair slope maximum range being from 30 to 50 degrees. As an additional preventive measure, you can install non-slip surfaces on the stairs, such as rubber or slip-resistant paint, and ensure that stairways are well-lit and have a clear path by removing any items left on the steps like shoes or work equipment that can create potential hazards. Carpeted stairs should also be in good condition with no noticeable deterioration, excessive wear, or missing treads.

The post Common Triggers of Slips, Trips, and Falls – And How To Avoid Them appeared first on What's Trending .

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Your Expert Root Cause Analysis Resource

Slips, trips and falls: a root cause analysis primer.

Slips, trips and falls happen every day.  Falls are responsible for tens of thousands of deaths each year.  (Slips and trips are considered a subset of falls, and are included in these numbers.)  Falls on the job account for 12-15% of all worker’s comp costs.  The direct and indirect costs of workers injured and killed on the job are estimated to be billions of dollars each year, both in worker’s comp claims and in lost productivity.  In 1999, as an example, 5,100 workers were killed by falls and over 570,000 injuries were reported.  However, there are many things that can be done to prevent and lessen the impact of falls.  Performing a Cause Map, a visual root cause analysis , will allow us to identify all the potential causes of falls.  A thorough root cause analysis built as a Cause Map can capture all of the causes in a simple, intuitive format that fits on one page.  Once we’ve done that, we can identify all the solutions.

The worker strikes the floor or other object because he or she falls, and there is no other support for the body, such as a handrail, or a harness.   There are four different ways to fall: slips, trips, the “step and fall” (where a person gets off-balance while stepping), and becoming unbalanced on moving equipment.

A worker slips when there is inadequate traction, either because the force of stepping off is too high, or the coefficient of friction is too low.  The force of stepping off can be higher than average if the worker is walking quickly or running, making a sudden change in direction, or if he or she has an awkward gait, from injury or old age, for example.  The coefficient of friction is a function of the traction provided by the shoes the worker is wearing and the “slipperiness” of the walking surface.  The coefficient of friction is too low if the traction of the worker’s shoes is inadequate and if the floor is slippery, because the surface is wet, icy and/or oily and does not have a non-skid coating.  Of course, for this to be an issue at all, the worker has to step into the slippery area.

A worker can become off-balance by encountering an unexpected height difference (known as the “step and fall”).  This occurs in one of two ways.  Either the front foot lands on a surface lower than expected, or the ankle turns due to one side of the foot ending up higher than the other side, with footwear that inadequately supports the ankle.  These are both due to an unexpected height difference.

When a worker trips, it is because his or her toe is stopped, but his or her upper body is not stopped.  The upper body is moving because the worker is moving and he toe is topped because it encounters an object in the walking path, a rise in the walking path, or a difference in height of subsequent stairs.

Last but not least, falls can be caused by workers who become unbalanced on moving equipment.  For this to occur, the worker must be inadequately secured to the equipment while the equipment changes motion, either by turning, decelerating or stopping, or accelerating or starting to move.

Once we have built our Cause Map and found all the potential causes, we can assign potential solutions to all appropriate causes.  The solutions are in green boxes, near the cause(s) they “solve”.   You can see that some of the solutions are the responsibility of the company, and some are the responsibility of the worker, and some are both.   Although many of the responsibilities lie with the worker, it is in a company’s best interest to provide training on how to prevent, manage and mitigate falls.  Falls may seem like everyday, ordinary minor occurrences, but the consequences can be anything but minor.

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EHS Daily Advisor

Practical EHS Tips, News & Advice. Updated Daily.

Song of the Week

slips trips and falls cause

EHSDA Song of the Week: Stand or Fall

Updated: Apr 12, 2024

When it comes to worker safety, fall prevention remains a high priority. Despite our best efforts, slips, trips, and falls continue to be one of the leading causes of occupational injuries and deaths. The Song of the Week keeps that in mind with a new wave gem from the early ’80s, “Stand or Fall” by the Fixx.

The London-based band had been together for a few years before releasing its debut in 1982, Shuttered Room. Led by singer Cy Curnin, the group’s first hit was “Stand or Fall,” which featured the chiming guitar work of Jamie West-Oram.

The song was written when Cold War tensions were high and nuclear war seemed to be an inevitability.

“Is this the value of our existence/Should we proclaim with such persistence/Our destiny relies on conscience/Red or blue, what’s the difference?/Stand or fall, state your peace tonight/Stand or fall, state your peace tonight/It’s the Euro theatre.”

“Stand or Fall” was the Fixx’s first song to chart in the U.S., hitting #76 on the Billboard Hot 100 and #7 on the Top Rock Tracks chart. The band’s follow-up single, “Red Skies,” also had an anti-war theme and also became a hit.

The Fixx broke through in a big way with their next album, 1983’s Reach the Beach, which had two top 40 hits in “Saved by Zero” and “One Thing Leads to Another” (the latter went all the way to #4 on the Hot 100). The band had several more hits throughout the ’80s, but none since 1991’s “How Much is Enough?” Still, the Fixx has released six albums over the last 30 years and tours every so often.

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  1. Prevent Slips Trips & Falls Poster

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  2. 3 Big Causes of Slips, Trips and Falls

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  3. Share this infographic that outlines the common causes of slips and

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  4. OSHA Guidelines on Slips Trips and Falls

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COMMENTS

  1. How to Prevent Slips, Trips, and Falls

    Slips, Trips, and Falls in Numbers. The US Bureau of Labor Statistics (BLS) reports alarming rates of slip, trip, and fall incidents in 2021. Their most recent data show that slips, trips, and falls are among the top causes of fatal and non-fatal injuries in the workplace.

  2. Slips, Trips, and Falls: Preventing Workplace Trip Hazards

    In fact, according to OSHA, slips, trips, and falls cause nearly 700 workplace fatalities per year - that's 15% of all workplace deaths. The trouble is that the circumstances that lead to slips and trips tend to be spontaneous and changeable - they don't exist until suddenly they do. That means preventing slips, trips, and falls is an ...

  3. Slips, Trips and Falls

    A fall can end in death or disability in a split second, but with a few simple precautions, you'll be sure stay safe at home and at work. The second leading cause of unintentional injury-related death is falls, resulting in 42,114 deaths at home and at work. Depending on the industry, falls can be the leading cause of death at work.

  4. Slips, Trips, and Falls: Understanding, Preventing, and Mitigating

    Slips, trips, and falls are preventable accidents that carry substantial personal, economic, and societal costs. By comprehending the causes, consequences, and prevention strategies, we can significantly reduce the incidence of STFs and mitigate their impact. Whether at home, at work, or in public spaces, prioritizing safety and fostering awareness about STFs is crucial for the well-being of ...

  5. 3 Big Causes of Slips, Trips and Falls

    This is an excerpt from our free guide on preventing slips, trips and falls.. A 2014 survey of 1,294 safety professionals revealed the most frequent factors in slip, trip and fall incidents at their workplaces—and a whopping 95% of respondents cited one of three causes.. The main characteristic the three biggest causes have in common is they're the result of the errors or errors in ...

  6. 14 Causes Of Slips Trips And Falls In The Workplace

    The causes of slips, trips and falls are often easy, and cheap, to fix. Simple quick actions, like cleaning up a spillage, or moving a cable, can eliminate the risk. Removing a slip or trip hazard is often all it takes to stop the problem before someone gets hurt. Causes of slips.

  7. Slips Trips and Falls

    Slips, trips and falls are a major safety concern in almost every industry. Based on data gathered by the National Safety Council: Falls are the third-most common cause of off-the-job deaths among workers. Slips, trips and falls account for 26% of all injury-related visits to the emergency department for people ages 25 and up.

  8. How to Prevent Workplace Slips, Trips, and Falls [+Checklist]

    Here are eight workplace safety tips to prevent falls, trips, and slips. 1. Teach situational awareness. Since many causes of slips, trips, and falls are foreseeable, situational awareness in the workplace is one of the best preventative measures. Encourage your employees to pay attention to their surroundings and the risks they present:

  9. Young Workers: Slips, Trips, and Falls

    Slip, Trip, and Fall Prevention for Healthcare Workers. OSHA. Young workers can slip when they lose their footing, trip when catching their foot on or in something, and fall when coming down a ladder. Common causes of slips, trips, and falls include: spills, greasy floors, ice, snow and rain, loose mats or rugs, and stepladders.

  10. CCOHS: Prevention of Slips, Trips and Falls

    Housekeeping. Good housekeeping is the first and the most important (fundamental) level of preventing falls due to slips and trips. It includes: cleaning all spills immediately. marking spills and wet areas. mopping or sweeping debris from floors. removing obstacles from walkways and always keeping walkways free of clutter.

  11. Falls on the Same Level, Trips, and Slips: Can They Be Prevented?

    Slips, trips, and falls on the same level have consistently appeared among the top causes of workplace injuries in the U.S. 1,2 In 2020, there were nearly 128,000 nonfatal, same-level falls that resulted in days away from work. 3 That means an average of just over 500 same-level falls each day, based on about 250 workdays (without weekends and holidays). 4

  12. Top 10 Leading Causes of Slips, Trips and Falls

    Escalators present a similar risk for slips and falls. 7. Animals Causing Fall Injuries. Failure to clean up animal urine, vomit, or other waste can cause an unsuspecting person to slip and fall. The behavior of animals can cause someone to trip or be pushed to the ground. For example, a loose dog could jump up on a visitor and cause them to ...

  13. Preventing Slips, Trips and Falls at Home and in the Workplace

    Falls cause nearly one-third of all nonfatal injuries, according to the National Safety Council. Technically speaking, slips, trips and falls are three separate things. Slips consist of situations in which you lose your footing and balance. Trips happen when you lose your balance because your foot, leg or body hits a fixed object.

  14. PDF Slips Trips Falls Hand out for Safety Committee Meetings

    Slips, trips, and falls cause nearly 700 fatalities per year and many more injurious accident in the workplace according to the Bureau of Labor Statistics. There are three physical factors involved in slips, trips, and falls: friction, momentum, and gravity. Each one plays a role. Friction is the resistance between objects, momentum is affected ...

  15. Facing the Human Factors of Slips, Trips, and Falls

    Other human factors like distractions, stress, fatigue, and rushing play important roles in the slips, trips, and falls incidents our industries see so often. The role of inattention is huge. According to the National Institute for Occupational Safety and Health (NIOSH), 27% of the 888,220 nonfatal work injuries resulting in days away from work ...

  16. Slips, Trips, And Falls Hazards

    Common Causes of Slips, Trips, and Falls. Understanding the common causes of these incidents is the first step toward prevention. Below are some major factors that often contribute to slips, trips, and falls. Wet or Oily Surfaces: One of the most common causes of slips is the presence of wet or oily surfaces. This might occur in areas prone to ...

  17. The Surprising Cause of Most Slips, Trips and Falls

    There are three major ways of dealing with the physical causes of slips, trips and falls: regular maintenance. rules and procedures. proper equipment and guards. Establishing detailed housekeeping procedures and then providing products like anti-slip cleaning products and high-traction mats will go a long way towards helping keep your workers ...

  18. Slip, Trip & Fall Prevention for Healthcare Workers

    Slip, Trip, and Fall Prevention for Healthcare Workers. According to the U.S. Bureau of Labor Statistics [2009], the incidence rate of lost-workday injuries from slips, trips, and falls (STFs) on the same level in hospitals was 38.2 per 10,000 employees, which was 90% greater than the average rate for all other private industries combined (20.1 ...

  19. PDF Slips, Trips and Falls: A Root Cause Analysis Primer

    Slips, trips and falls happen every day. Falls are responsible for tens of thousands of deaths each year. (Slips and trips are considered a subset of falls, and are included in these numbers.) Falls on the job account for 12-15% of all worker's comp costs. The direct and indirect costs of workers injured and killed on the job are estimated to ...

  20. Causes and prevention

    Learn how to prevent slips and trips at work by understanding the factors that can contribute to accidents and the action to take. The slip potential model explains the role of walkways, housekeeping, design and maintenance, and environmental factors in slip accidents.

  21. - Slips, trips and falls

    Slip, trip and fall hazards Some things that can cause you to slip are: the wrong footwear polished, wet or greasy floors. In most cases, people trip on low obstacles that are hard to spot, such as: uneven edges in flooring loose mats open drawers untidy tools, or electrical cables. Falls can result from a slip or trip, but many occur from low ...

  22. Slips, Trips, and Falls: A Comprehensive Guide For The Proactive

    equipment causes dangerous situations that can cause slips, trips, falls, and injury to people. Poor Maintenance: Equipment that people improperly maintain can create hazards. For instance, a machine can leak oil or other fluids, creating a slippery surface. Machines or other equipment might also have loose parts that could cause someone to trip.

  23. Common Triggers of Slips, Trips, and Falls

    Slips, trips, and falls are some of the most common causes of workplace injuries in the US, accounting for over 8 million emergency room treatments every year. While not all these incidents are ...

  24. Slips, Trips and Falls: A Root Cause Analysis Primer

    Slips, trips and falls happen every day. Falls are responsible for tens of thousands of deaths each year. (Slips and trips are considered a subset of falls, and are included in these numbers.) Falls on the job account for 12-15% of all worker's comp costs. The direct and indirect costs of workers injured and killed on the job are estimated to ...

  25. EHSDA Song of the Week: Stand or Fall

    When it comes to worker safety, fall prevention remains a high priority. Despite our best efforts, slips, trips, and falls continue to be one of the leading causes of occupational injuries and deaths. The Song of the Week keeps that in mind with a new wave gem from the early '80s, "Stand or Fall" by the Fixx.