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2010 Health and Safety Performance

In 2010, Baxter’s recordable case rate improved 7% from 2009, its cases with days lost rate worsened 13%, its days lost rate worsened 10% and its restricted days rate worsened 15%. This decline in performance occurred after four years of significant progress in controlling injuries and illnesses.

The following table summarizes Baxter’s health and safety performance from 2005-2010, and includes the company’s 2010 goals in this area. Click on underlined items to view performance graphs with regional and other breakdowns and global rates.

Indicator 2005 2006 2007 2008 2009 2010 2010
Recordable Case
1, 2
1.52 1.35 1.41 1.29 1.07 1.00 1.25
Cases with Days Lost Rate1, 2 0.30 0.31 0.25 0.19 0.15 0.17 0.16
Days Lost Rate1, 2 7.08 6.94 5.45 4.23 4.16 4.56 3.98
Restricted Days Rate1, 2 22.80 16.80 15.72 19.46 12.68 14.59 n/a
Days Away (Lost), Restricted or Transferred Rate (DART)1, 2 29.88 23.74 21.17 23.69 16.84 19.15 n/a
Employee/Contractor Serious Incidents (total number)3 9/0 4/0 12/1 8/2 12/2 5/0 n/a
Employee/Contractor Fatalities (total number) 2/2 0/1 0/0 0/1 0/05 0/0 n/a
Worldwide Workers' Compensation Cost Estimate
(in millions)4
$20.6 $15.2 $14.9 $14.4 $15.9 $17.8 n/a

1 All rates based on 100 full-time employees working one year, which equals 200,000 work hours. For tracking purposes, Baxter’s position is to follow U.S. Occupational Safety and Health Administration recordkeeping requirements worldwide. Thus, in cases where an injury occurs and conflicting medical opinions arise as to the number of days away and/or restricted days that should be recorded, Baxter records on the basis of the most authoritative physician’s opinion.
2 Recordable cases – Work-related injuries or illnesses requiring medical attention beyond first-aid, including cases with days lost. Baxter modified its 2010 recordable case rate goal in 2008 from 1.27 to a more ambitious rate of 1.25 based on 2008 safety performance.
Cases with days lost – Work-related injuries or illnesses that cause an employee to lose at least one full day after the date of the incident. Baxter modified its 2010 cases with days lost rate goal in 2008 from 0.22 to a more ambitious rate of 0.16 based on 2008 safety performance that exceeded the goal two years early.
Days lost – The number of days lost (including weekends and holidays) recommended by the most authoritative physician's opinion due to work-related injuries and illnesses. Baxter does not count the date of injury and date of return to full duty as lost days. Baxter modified its 2010 days lost rate goal in 2008 from 5.00 to a more ambitious rate of 3.98 based on 2008 safety performance that exceeded the goal two years early.
Restricted days – The number of days recommended by the most authoritative physician's opinion that an employee or supervised contractor is unable to work full duty (including weekends and holidays) due to a work-related injury or illness. Baxter does not count the date of injury and date of return to full duty as restricted days.
DART – The combined number of days lost, restricted days and days transferred to another job function (including weekends and holidays) due to work-related injury or illness severe enough to prevent working full-duty. Baxter does not count the date of injury and date of return to full duty in the DART calculation.
3 Serious workplace incidents are work-related incidents that result in an employee or contractor being hospitalized overnight, sustaining an amputation or dying.
4 Workers’ compensation costs are medical expenses due to work-related injury or illness and a portion of the employee’s salary while disabled. Exact costs worldwide are difficult to obtain due to international privacy laws and public health payment strategies for work-related injuries outside of the United States. Therefore, Baxter extrapolates global figures based on data from the United States.
5 In November 2009, a contractor died while performing on-site dredging of a pond at Baxter's Deerfield, Illinois, United States, headquarters. The Lake County medical examiner determined that the individual died of natural causes, and that the death was not work-related. It therefore is not included in this data.

As described in the table, Baxter’s performance worsened in 2010 compared to 2009 on several key metrics and the company failed to achieve two of the three goals it reset in 2008 following several years of strong performance. In 2010, versus the prior year:

  • The recordable case rate improved by 7% globally, with gains in each region except Europe, Middle East and Africa (EMEA). It worsened by 34% in EMEA, predominantly due to increased noise exposure, slips/trips and falls, caught in or between incidents, and ergonomic factors.
  • The cases with days lost rate worsened by 13% worldwide, including an increase of 129% in Latin America due to elevated incidents of slips/trips and falls and non-ergonomics-related injuries. In EMEA the rate worsened by 25% due to increased slips/trips and falls, caught in or between incidents, and ergonomic-related injuries. In North America the rate worsened by 5%, and in Asia Pacific the rate improved by 33%.
  • The days lost rate worsened by 10% globally. It increased in EMEA by 55%, partly due to a number of unusual cases with extended lost time (for example, three complicated fractures that required extended healing time) and a number of carpal tunnel cases. The rate worsened in Latin America by 38%, due partly to several falls and one machine guarding incident resulting in a hand injury that could not be accommodated with modified work. The Latin America team has analyzed these incidents, identified employee behavior as a key contributing factor, and is mounting a campaign to address this in 2011. The days lost rate also worsened by 12% in Asia Pacific, where local regulations prohibiting early return to work led to a high number of days lost. Another contributing factor globally was incidents that occurred in locations without case management programs in place to return employees to work more efficiently and thereby reduce the number of days lost. The rate was flat in North America.
  • The restricted days rate worsened by 15% globally, including increases in all regions except North America, where it improved by 2%. An increase in restricted work days is not necessarily a negative indicator. It may show that employees are being brought back into the workforce proactively, while they may need minor modification of their duties prior to full recovery.

On a global basis, ergonomic injuries continue to be the primary driver of recordable cases, days lost and restricted days (see graph below). See Health and Safety Programs and Initiatives for details on the ergonomic strategies Baxter employs to address this ongoing challenge.

Although safety performance worsened in 2010, Baxter achieved and surpassed each of the three original 2010 injury rate goals it set in 2005. Overall performance has improved significantly during that five-year period, including:

  • 34% reduction in recordable case rate
  • 45% decrease in cases with days lost rate
  • 36% reduction in days lost rate

In a comparison of 19 healthcare companies reporting global safety data to Mercer (formerly ORC Worldwide), Baxter’s performance ranked third in cases with days lost rate in 2009, the most recent year industry benchmarking data were available.

View a comparison of Baxter’s performance to average occupational injury and illness rates for several related U.S.-based industries.

Analysis of Injuries and Illnesses

Baxter’s safety function regularly evaluates the main sources of work-related injuries at the company to identify trends and address opportunities for improvement. The following chart shows the sources of injuries at Baxter in 2010. The two major sources of recordable injuries and serious incidents for the past six years (when the company began analyzing these data) have been ergonomic issues and slips, trips and falls. To address this, Baxter has initiated focused programs in each of these areas.

Sources of Recordable Injury and Serious Incidents

Serious Incidents

Serious workplace incidents are work-related incidents that result in an employee or contractor being hospitalized overnight, sustaining an amputation or dying.

Baxter’s five serious incidents in 2010 involving six employees is the lowest number of serious injuries since 2006. When a serious incident occurs, facility management conducts an evaluation and follows formal processes and reporting mechanisms to share knowledge throughout the company to prevent reoccurrence. Baxter’s EHS policy also requires regional and business EHS groups to prepare and distribute a report about the incident. In addition, safety personnel discuss each incident with the vice president of EHS and the corporate safety director to evaluate root causes and preventive measures.

Early in 2011, an incident at Baxter’s Los Angeles, California, United States, facility resulted in the death of one employee and the hospitalization of a contractor and another employee. More information about this incident will be included in the Baxter 2011 Sustainability Report.

Great Performers

See a list of Baxter's Great Health and Safety Performers in 2010. These facilities completed at least 10 years of work and/or reached 1 million hours or more (the equivalent of 500 people working for a year) without an occupational injury or illness resulting in days lost.