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Job Safety Behavioral Observations (JSBO) - Food Services
Carol Clancy; Rob Seeley; Matt Rabesa; Ross Simon; Chris Weiss; Kelsey Whalen; Mieka Martin; Gary Visnick
BIDMC
Introduction/Problem
Results
Healthcare workplaces are among the most hazardous in the nation. In 2010 health care
employees reported 653,900 workplace injuries and illnesses, more than 152,000 more than
the next most afflicted sector, manufacturing. In 2013 we launched the first job safety
behavioral observations process in the East OR. A technique and tool used in industry, Job
Safety Behavioral Observations (JSBO) make the workplace safer through observations of
work performed and subsequent mitigation of hazards recognized.
Building on the success of this first team, similar teams were launched in CPD, and
Environmental Services. In 2016 we launched this JSBO Food Services Team, providing an
opportunity to spread to Food Services the learning we developed and deployed in the OR,
CPD and EVS which significantly reduced employee injury. It originally launched on east
campus with great results so we implemented this best practice on west campus in 2017.
180 employees in our
department and only
20 injuries in 2017.
Goal
Less than 1.65 injuries per month (injury was defined as any treatment beyond First Aid).
The Team
Team Member
Carol Clancy, MSN, ANP-BC (CoLeader)
Gary Visnick
Rob Seeley
Mieka Martin
Matt Rabesa
Title
Department
Nurse Practioner
Employee Occupational Health
& Safety
Food Services
EH&S
Food Services
Employee Occupational Health
& Safety
Office of Improvement and Innovation /
Perioperative Services
Food Services
Food Services
Executive Chef
Safety Officer
PFS Manager
Director, Employee Health Management
Ross Simon (Facilitator)
Sr. Management Engineer
Chris Weiss (Co-Leader)
Kelsey Whalen
Assistant Director, Food Services
PFS Manager
Strategy
• Determined lost work days for Food Services in 2015. Categorize injuries appropriately
(i.e.: sharps, MSK, slips & falls, etc.)
• Delivered “Job Safety Behavioral Observations Tool Kit” to the team and Food
Services staff.
• Developed and launched a survey for Food Services staff to solicit their input on
causes of injuries.
• Performed observations; create a schedule for these to include:
• Utilized Food Safety Handler’s Guide, OSHA and NIOSH standards as they apply to
this project
• Utilized Food Services Huddles on Wednesdays as a forum for safety call-outs,
specifically near misses and injuries.
For more information, contact:
Carol Clancy, MSN, ANP-BC, caclancy@bidmc.harvard.edu; Chris Weiss, MBA, cweiss@bidmc.harvard.edu
�Job Safety Behavioral Observations (JSBO) - Food Services
Carol Clancy; Rob Seeley; Matt Rabesa; Ross Simon; Chris Weiss; Kelsey Whalen; Mieka Martin; Gary Visnick
BIDMC
Interventions
Replaced broken, too narrow casters that
lodged in elevator gaps causing injury
Developed and Implemented Cut Glove Policy
Enhanced Internal Audit focused on
providing feedback for both “safe” and
“unsafe” observations
Operational Standard:
Cut-Resistant Gloves
EFFECTIVE DATE:
September 1, 2016
DATE OF REVIEW:
8-8-2016
PAGE:
1 of 1
APPROVED BY: Chris Weiss, Mike Hanley
POLICY:
Personal protective equipment in the form of cut-resistant gloves is mandatory for all staff when
using a mandolin or meat slicer. It is also mandatory when making more than five consecutive
cuts with a knife. While washing the mandolin, meat slicer or knife a cut glove must again be
worn.
PURPOSE:
To prevent or reduce the risk of personal hand injury.
PROCEDURE:
o
o
o
Cut resistant gloves will be made available to all staff required to perform food
preparation duties with a knife, mandolin or meat slicer.
Hands must be clean and covered with a disposable glove prior to wearing a cutresistant glove. After the cut glove is added, a second disposable glove is required to
go on over the cut glove.
Gloves cannot be re-used once removed until sanitized.
Delineated eye wash station to
keep access clear at all times
Added pot racks to improve
ergonomics when staging
items to be cleaned
Before
After
Slip-Resistant Shoes
Silicone hot holding pads to
prevent burns
Offered vouchers for staff
to purchase discounted
shoes, 112 pairs of shoes
sold between both
campuses!
Installed dollies under all barrels
to help prevent musculoskeletal
injury
Purchased shoe covers for staff
that may have forgotten their
shoes at home.
Pareto Analysis of internal audit results illustrate
where the team should concentrate its efforts:
PPE is the current number one issue
Lessons Learned
• Using the Job Safety Behavioral Observation methodology within a cross-functional team setting
can significantly reduce injury to employees.
• All accidents are preventable.
Next Steps
2018 AOP goal of 7.5 observations per month – 20% increase from 2017 (6/month).
For more information, contact:
Carol Clancy, MSN, ANP-BC, caclancy@bidmc.harvard.edu;
Ross Simon, BA, rwsimon@bidmc.harvard.edu; Chris Weiss, MBA, cweiss@bidmc.harvard.edu
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Silverman Symposium
Description
An account of the resource
Each year the Silverman Symposium poster session offers BIDMC staff and affiliates the opportunity to share experiences and learn about efforts to improve Quality and Safety.
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
Silverman Poster
Primary Contact
If you would like more information about this project, contact this person. Make email address clickable.
Carol Clancy (<a href="mailto:caclancy@bidmc.harvard.edu">caclancy@bidmc.harvard.edu</a>)<br />Chris Weiss (<a href="mailto:cweiss@bidmc.harvard.edu">cweiss@bidmc.harvard.edu</a>)<br />Ross Simon (<a href="mailto:rwsimon@bidmc.harvard.edu">rwsimon@bidmc.harvard.edu</a>)
Department
Any departments listed on the poster or identified in the spreadsheet.
Food Services
Employee Occupational Health and Safety
Office of Improvement and Innovation/Perioperative Services
Project Team
Carol Clancy
Gary Visnick
Rob Seeley
Mieka Martin
Matt Rabesa
Ross Simon
Chris Weiss
Kelsey Whalen
BIDMC Location
The BIDMC location where the poster team resides if identified in spreadsheet. If not identified, choose BIDMC.
BIDMC
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Job Safety Behavioral Observations (JSBO) - Food Services
Date
A point or period of time associated with an event in the lifecycle of the resource
2018
Format
The file format, physical medium, or dimensions of the resource
pdf
Compliance
Effectiveness
Efficiency
Safety