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Accident and Illness Prevention Programs

Tuesday, December 8, 2009
Accident and Illness Prevention Programs A Formula for Success

The Commonwealth of Pennsylvania requires insurers, individuals who are self-insured, and group self-insurance funds to develop and maintain accident and illness prevention programs (AIPP) in order to provide workers’ compensation coverage. Failure to do so may mean the removal of the right to provide such coverage.

Why are these programs required?

Prior to implementing this requirement and other workers’ compensation reforms in the mid-1990s, Pennsylvania employers were experiencing very high injury and illness rates, losses, and increased premiums. They were losing money and jobs to other states! Something had to be done, and AIPP was part of the solution.

What is required, and how can you make AIPP compliance a formula for success?

There are two sets of requirements: those for required accident and illness program elements (A-O elements) and those for work environment procedures (P elements).

The A-O elements must be present within the AIPP that was developed, implemented, and monitored by the self-insured employer. These elements are required by the Pennsylvania Bureau of Workers’ Compensation. Each element has descriptive language stating the requirements. For example, the following is the description for the Safety Program Policy Statement:

“A written statement regarding the Accident and Illness Prevention Program that contains the employer’s philosophy regarding accident and illness prevention. The Safety Program Policy Statement is the foundation for all program activities. The statement is signed by a Chief Executive Officer and is communicated to all employees in the organization.”

The P elements are written work environment procedures that must be developed, implemented, and maintained if you have those exposures. Each of those elements also has descriptive language stating the requirements.

Implementing an effective AIPP-compliant program can have significant positive impacts. Examples of the success achieved by some winners of the 2003/2004 Governor’s Award for Safety Excellence are:

  • Centocor: A biopharmaceutical company located in Malvern, Pennsylvania, their OSHA recordable rate dropped from 1.65 in 1996 to 0.59 in 2001.
  • Grove Worldwide: A manufacturer of mobile hydraulic cranes and aerial platforms located in Shady Grove, Pennsylvania, their OSHA lost workday incident rate dropped from 3.7 in 1998 to 1.0 in 2002, a 72.9 percent reduction.
  • EME Homer City Generation L.P.: One of the largest coal-fired power plants in the mid-Atlantic region, it is located in Homer City, Pennsylvania. They exceeded over 2 million hours without a lost-time injury.

On a final note, the Pennsylvania Bureau of Workers’ Compensation conducts random and planned audits of ALL businesses, schools, hospitals, etc., that are required to have an AIPP program. Depending on the outcome of the audit, they have the authority to suspend the self-insured status of an organization.

To learn more about AIPP compliance, how to achieve it, the benefits it provides, and auditing procedures, please contact Colin J. Brigham, CIH, CSP, CPE at 610.524.5525 ext 24 or email.

Graphic Content

A-O Elements
a. Safety Program Policy Statement
b. Safety Coordinator Designation
c. Safety Program Responsibility Assignment
d. Hazard Identification Methods
e. Industrial/Occupational Health Services
f. Industrial Hygiene Services
g. AIPP Training
h. Emergency Action Plan
i. Employee Safety Suggestion Program
j. Employee Involvement Methods
k. Safety Rule Enforcement Procedure
l. Accident Reporting and Investigation
m. Availability of First Aid and CPR
n. Program Evaluation Methods
o. Program Goals and Objectives


p. Elements

1. Electrical and Machine Guarding
2. Personal Protective Equipment
3. Hearing Conservation Program
4. Vision Conservation Program
5. Lockout/Tag Out Program
6. Hazardous Materials and Waste Program
7. Confined Space Entry Program
8. Fire Prevention & Protection Program
9. Bloodborne Pathogens Exposure Control
10. Pre-Operational Process Review
11. Substance Abuse Awareness & Prevention