Slips, Trips, Falls, Ladders and Steps for Residential Care Staff

Preventing everyday floor, stair, access and low-height work injuries in adult social care

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Reporting hazards, near misses and incidents

Sticky note reading incident report on notebooks

Reporting converts individual observations into information the service can act on. A near miss is evidence that something in the environment, equipment, staffing, storage or routine needs attention—not a lucky escape to ignore.

What is Slips and Trip Mapping? | Slips, Trips & Falls Prevention Training | iHASCO

Video: 1m 55s · Creator: iHasco. YouTube Standard Licence.

This iHASCO video describes slip and trip mapping. It shows a practical method for identifying where slips, trips and falls have occurred or are likely to occur, and for choosing actions to remove hazards or reduce risk.

The video sets out four steps. First, draw a map of the workplace, including inside and outside areas. Second, mark high-risk locations such as entrances, level changes, stairs, sources of liquid, cables and wires, damaged or loose surfaces, mats or rugs, slippery finishes and places that are risky during cleaning.

Third, record accidents and near misses from the accident book or staff reports, noting the type of event, date, time and cause. Fourth, use any pattern you find to introduce safeguards. Examples include revising cleaning routines, gritting floors in icy weather, using warning signs or providing safety footwear if the risk assessment requires it.

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What to report

  • Immediate hazards: wet floors, blocked routes, damaged flooring, poor lighting, loose mats, icy paths, broken handrails or unsafe cables.
  • Unsafe access: damaged stepladders, missing equipment, staff standing on furniture, overfilled high shelves or repeated need to climb.
  • Near misses: slips, stumbles, trips, almost-falls, equipment nearly tipping, or residents nearly falling because of an environmental issue.
  • Incidents: any fall, injury, collision, staff injury, resident injury, visitor injury or event requiring first aid, clinical review or escalation.
  • Patterns: repeated hazards in the same area, at the same time of day, after the same routine or involving the same equipment.

How to report well

Report promptly using your workplace system. Be factual and specific: give the exact location and time, who was affected, what the hazard was, what immediate action was taken, who was informed, whether anyone was injured, and what follow-up is needed. Avoid blame, assumptions or vague language such as "staff should be more careful". Clear reports help services make effective changes.

Scenario

A resident catches their walking frame on the edge of a loose mat near the front entrance but does not fall. A staff member straightens the mat and says, "No harm done, so no need to report it."

Why should this still be reported?

 

A near miss is a free warning. Treat it as useful information before it becomes an injury.

Ask Dr. Aiden


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