Workplace Stress

Stress Linked to Workers’ Comp Claims

A study concludes that stress at work increases the likelihood of worker injury.
By: | November 4, 2016 • 4 min read

Reducing employee stress levels could help organizations reduce workers’ compensation claims, according to a new study from the Center for Health, Work & Environment at the Colorado School of Public Health.

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The study, which analyzed claims occurrence and cost from nearly 17,000 employees at 314 organizations of various sizes across multiple industries, found that stress at work increased the likelihood of workers getting injured, while the source of stress was found to influence claims cost.

“Stress at work is predictive of workplace accidents — if you want to prevent workers’ comp claims, you need to look at causes of stress in the work environment,” said Dr. Natalie Schwatka, lead author of the report, entitled “Health Risk Factors as Predictors of Workers’ Compensation Claim Occurrence and Cost.”

Dr. Natalie Schwatka, instructor and researcher, Colorado School of Public Health

Dr. Natalie Schwatka, instructor and researcher, Colorado School of Public Health

The U.S. Bureau of Labor Statistics data suggests the frequency of occupational injuries and illnesses is gradually declining in line with improving health and safety measures, but the cost per workers’ compensation claim is rising. Overall, workers’ compensation claims cost employers around $250 billion annually.

In 2013, more than three million non-fatal workplace injuries and more than 4,000 fatal injuries occurred. Of the non-fatal injuries, around one-third resulted in lost work time, with an average absence of eight days.

“With the exception of PTSD (post-traumatic stress disorder) among first responders, stress is not covered under a workers’ comp policy, but stress can manifest itself as a physical claim that would fall under workers’ comp,” said Karen Curran, director of worksite wellness for Colorado WC insurer Pinnacol Assurance.

“There are a number of health risk factors that are predictive of frequency and severity of industrial injuries, but when that data is modified to take into account demographics and work environments, stress keeps rising to the top,” she said.

“Businesses these days have robust safety programs but the next step is to introduce worksite wellness programs to tie safety and wellness together.”

According to Schwatka, the majority of claims analyzed in the study concerned injuries such as strains, sprains, lacerations and contusions. While several health risk factors — such as obesity and smoking — were commonly found among claimants, stress was the only factor to display a consistent relationship with claims occurrence and cost when researchers factored in demographics and workplace variables such as employment type, occupation, income and company size.

“The first thing you have to do as an employer is take the taboo out of the workplace. Depression is a clinical diagnosis, not a character flaw.” — Karen Curran, Karen Curran, director of worksite wellness, Pinnacol Assurance

One notable finding was that claims made by workers experiencing stress at home were typically more expensive, while those made by workers perceiving stress over their finances were less costly.

Schwatka said it appears workers who don’t get enough support at home struggle more with recovery than workers who worry about financial risk and thus get back to work as soon as they can.

Holistic Approach to Work Safety

The study called for organizations to implement a “total worker health” approach, including heightened focus on mental well-being, which may reduce both the occurrence and cost of workplace injuries.

Karen Curran, director of worksite wellness, Pinnacol Assurance

Karen Curran, director of worksite wellness, Pinnacol Assurance

“Our findings strengthen the argument that businesses should address stress management as part of their safety programs and also focus on the systemic factors in their business that may cause stress, such as poor leadership, poor social support, lack of control over work demands and lack of work/life balance,” said Schwatka.

“If you are an employer with limited resources, there are simple things that can be done to help employees identify and manage stress,” said Curran.

Measures organizations could take to reduce workplace stress include flexible working hours and the inclusion of dedicated breaks for deep breathing or meditation during the working day to help keep workers minds’ “in the present,” she said.

Schwatka added that companies should also consider incorporating stress management into return-to-work programs.

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However, Curran noted, many male-driven industries still struggle to overcome cultural stigma associated with mental health issues.

“Industries with high suicide rates such as construction, and oil and gas are also the ones that have the hardest time wrapping their arms around workplace stress, which is seen as a touchy-feely subject,” she said.

“The first thing you have to do as an employer is take the taboo out of the workplace. Depression is a clinical diagnosis, not a character flaw. Leaders have to acknowledge it is OK to talk about stress.” &

Antony Ireland is a London-based financial journalist. He can be reached at [email protected]

More from Risk & Insurance

More from Risk & Insurance

Emerging Risks

Stadium Safety

Soft targets, such as sports stadiums, must increase measures to protect lives and their business.
By: | January 10, 2018 • 8 min read

Acts of violence and terror can break out in even the unlikeliest of places.

Look at the 2013 Boston Marathon, where two bombs went off, killing three and injuring dozens of others in a terrorist attack. Or consider the Orlando Pulse nightclub, where 49 people were killed and 58 wounded. Most recently in Las Vegas, a gunman killed 58 and injured hundreds of others.

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The world is not inherently evil, but these evil acts still find a way into places like churches, schools, concerts and stadiums.

“We didn’t see these kinds of attacks 20 years ago,” said Glenn Chavious, managing director, global sports & recreation practice leader, Industria Risk & Insurance Services.

As a society, we have advanced through technology, he said. Technology’s platform has enabled the message of terror to spread further faster.

“But it’s not just with technology. Our cultures, our personal grievances, have brought people out of their comfort zones.”

Chavious said that people still had these grievances 20 years ago but were less likely to act out. Tech has linked people around the globe to other like-minded individuals, allowing for others to join in on messages of terror.

“The progression of terrorist acts over the last 10 years has very much been central to the emergence of ‘lone wolf’ actors. As was the case in both Manchester and Las Vegas, the ‘lone wolf’ dynamic presents an altogether unique set of challenges for law enforcement and event service professionals,” said John

Glenn Chavious, managing director, global sports & recreation practice leader, Industria Risk & Insurance Services

Tomlinson, senior vice president, head of entertainment, Lockton.

As more violent outbreaks take place in public spaces, risk managers learn from and better understand what attackers want. Each new event enables risk managers to see what works and what can be improved upon to better protect people and places.

But the fact remains that the nature and pattern of attacks are changing.

“Many of these actions are devised in complete obscurity and on impulse, and are carried out by individuals with little to no prior visibility, in terms of behavioral patterns or threat recognition, thus making it virtually impossible to maintain any elements of anticipation by security officials,” said Tomlinson.

With vehicles driving into crowds, active shooters and the random nature of attacks, it’s hard to gauge what might come next, said Warren Harper, global sports & events practice leader, Marsh.

Public spaces like sporting arenas are particularly vulnerable because they are considered ‘soft targets.’ They are areas where people gather in large numbers for recreation. They are welcoming to their patrons and visitors, much like a hospital, and the crowds that attend come in droves.

NFL football stadiums, for example, can hold anywhere from 25,000 to 93,000 people at maximum capacity — and that number doesn’t include workers, players or other behind-the-scenes personnel.

“Attacks are a big risk management issue,” said Chavious. “Insurance is the last resort we want to rely upon. We’d rather be preventing it to avoid such events.”

Preparing for Danger

The second half of 2017 proved a trying few months for the insurance industry, facing hurricanes, earthquakes, wildfires and — unfortunately — multiple mass shootings.

The industry was estimated to take a more than $1 billion hit from the Las Vegas massacre in October 2017. A few years back, the Boston Marathon bombings cost businesses around $333 million each day the city was shut down following the attack. Officials were on a manhunt for the suspects in question, and Boston was on lockdown.

“Many of these actions are devised in complete obscurity and on impulse, and are carried out by individuals with little to no prior visibility.” — John Tomlinson, senior vice president, head of entertainment, Lockton

“Fortunately, we have not had a complete stadium go down,” said Harper. But a mass casualty event at a stadium can lead to the death or injury of athletes, spectators and guests; psychological trauma; potential workers’ comp claims from injured employees; lawsuits; significant reputational damage; property damage and prolonged business interruption losses.

The physical damage, said Harper, might be something risk managers can gauge beforehand, but loss of life is immeasurable.

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The best practice then, said Chavious, is awareness and education.

“A lot of preparedness comes from education. [Stadiums] need a risk management plan.”

First and foremost, Chavious said, stadiums need to perform a security risk assessment. Find out where vulnerable spots are, decide where education can be improved upon and develop other safety measures over time.

Areas outside the stadium are soft targets, said Harper. The parking lot, the ticketing and access areas and even the metro transit areas where guests mingle before and after a game are targeted more often than inside.

Last year, for example, a stadium in Manchester was the target of a bomb, which detonated outside the venue as concert-goers left. In 2015, the Stade de France in Paris was the target of suicide bombers and active shooters, who struck the outside of the stadium while a soccer match was held inside.

Security, therefore, needs to be ready to react both inside and outside the vicinity. Reviewing past events and seeing what works has helped risk mangers improve safety strategies.

“A lot of places are getting into table-top exercises” to make sure their people are really trained, added Harper.

In these exercises, employees from various departments come together to brainstorm and work through a hypothetical terrorist situation.

A facilitator will propose the scenario — an active shooter has been spotted right before the game begins, someone has called in a bomb threat, a driver has fled on foot after driving into a crowd — and the stadium’s staff is asked how they should respond.

“People tend to act on assumptions, which may be wrong, but this is a great setting for them to brainstorm and learn,” said Harper.

Technology and Safety

In addition to education, stadiums are ahead of the game, implementing high-tech security cameras and closed-circuit TV monitoring, requiring game-day audiences to use clear/see-through bags when entering the arena, upping employee training on safety protocols and utilizing vapor wake dogs.

Drones are also adding a protective layer.

John Tomlinson, senior vice president, head of entertainment, Lockton

“Drones are helpful in surveying an area and can alert security to any potential threat,” said Chavious.

“Many stadiums have an area between a city’s metro and the stadium itself. If there’s a disturbance there, and you don’t have a camera in that area, you could use the drone instead of moving physical assets.”

Chavious added that “the overhead view will pick up potential crowd concentration, see if there are too many people in one crowd, or drones can fly overhead and be used to assess situations like a vehicle that’s in a place it shouldn’t be.”

But like with all new technology, drones too have their downsides. There’s the expense of owning, maintaining and operating the drone. Weather conditions can affect how and when a drone is used, so it isn’t a reliable source. And what if that drone gets hacked?

“The evolution of venue security protocols most certainly includes the increased usage of unmanned aerial systems (UAS), including drones, as the scope and territorial vastness provided by UAS, from a monitoring perspective, is much more expansive than ground-based apparatus,” said Tomlinson.

“That said,” he continued, “there have been many documented instances in which the intrusion of unauthorized drones at live events have posed major security concerns and have actually heightened the risk of injury to participants and attendees.”

Still, many experts, including Tomlinson, see drones playing a significant role in safety at stadiums moving forward.

“I believe the utilization of drones will continue to be on the forefront of risk mitigation innovation in the live event space, albeit with some very tight operating controls,” he said.

The SAFETY Act

In response to the terrorist attacks on Sept. 11, 2001, U.S. Homeland Security enacted the Support Anti-Terrorism by Fostering Effective

Warren Harper, global sports & events practice leader, Marsh

Technologies Act (SAFETY Act).

The primary purpose of the SAFETY Act was to encourage potential manufacturers or sellers of anti-terrorism technologies to continue to develop and commercialize these technologies (like video monitoring or drones).

There was a worry that the threat of liability in such an event would deter and prevent sellers from pursing these technologies, which are aimed at saving lives. Instead, the SAFETY Act provides incentive by adding a system of risk and litigation management.

“[The SAFETY Act] is geared toward claims arising out of acts of terrorism,” said Harper.

Bottom line: It’s added financial protection. Businesses both large and small can apply for the SAFETY designation — in fact, many NFL teams push for the designation. So far, four have reached SAFETY certification: Lambeau Field, MetLife Stadium, University of Phoenix Stadium and Gillette Stadium.

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To become certified, reviewers with the SAFETY Act assess stadiums for their compliance with the most up-to-date terrorism products. They look at their built-in emergency response plans, cyber security measures, hiring and training of employees, among other criteria.

The process can take over a year, but once certified, stadiums benefit because liability for an event is lessened. One thing to remember, however, is that the added SAFETY Act protection only holds weight when a catastrophic event is classified as an act of terrorism.

“Generally speaking, I think the SAFETY Act has been instrumental in paving the way for an accelerated development of anti-terrorism products and services,” said Tomlinson.

“The benefit of gaining elements of impunity from third-party liability related matters has served as a catalyst for developers to continue to push the envelope, so to speak, in terms of ideas and innovation.”

So while attackers are changing their methods and trying to stay ahead of safety protocols at stadiums, the SAFETY Act, as well as risk managers and stadium owners, keep stadiums investing in newer, more secure safety measures. &

Autumn Heisler is a staff writer at Risk & Insurance. She can be reached at [email protected]