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Challenges and Opportunities in Setting up Europe-wide Safety Reporting Systems

Andrew BowersDirector Environment, Health, Safety & Sustainability, Europe, Middle East & Africa Area

Baxter International

6 March 2015, EU OSHA Healthy Workplace Campaign Partners Event, Brussels

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Company Overview

Saving Lives

Baxter is a global, diversified healthcare company applying innovative science to develop specialty therapeutics and medical products that save and sustain lives.

Baxter products are infused, injected or inhaled more than two billion times annually—or six million times a day—to treat life-threatening acute or chronic medical conditions.

People with hemophilia, end-stage kidney disease, primary immune deficiency and a range of other diseases depend on our products at their times of most urgent need.

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Corporate Overview

Recognized expertise in:• Drug packaging and formulation technologies • Enhanced drug delivery technologies• Direct-to-home delivery of dialysis solutions and supplies • Contract manufacturing services • Compounding systems and services • Specialized cytotoxic manufacturing capabilities • Clinical services training and implementation support• Patient and clinical education programs

The business is a leading supplier of:• IV solutions and parenteral nutrition products • Premixed drugs in flexible containers • Electronic infusion pumps and administration sets• Peritoneal dialysis solutions and devices• Hemodialysis products• Inhaled anesthetic agents • Critical care products • Continuous renal replacement therapy products • BioSurgery products for hemostasis, wound healing and

tissue sealing

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Corporate Overview

Global Presence

Baxter’s far-reaching global infrastructure is one of its key strengths.

The company is committed to being there whenever and wherever patients have a need, in major population centers and remote locations, in hospitals, critical care centers and homes, when healthcare is needed most—even at times of crisis and natural disaster.

• Approximately 61,500 employees in nearly 70 countries (21,000 in EMEA)

• Manufacturing facilities in28 countries (14 in EMEA)

• Products sold in more than100 countries

• More than half of sales and earnings come from outside the United States

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Our Sustainability Priorities

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Why do we collect Safety Statistics? Opportunities….

• Governments and organizations around the world ask companies for occupational injury and illness data and documentation.

• Each country has slightly different reporting requirements, but overall, employers are required to keep records of fatalities, injuries and illnesses associated with work.

• Organizations use safety metrics to measure performance in the same way they use metrics to measure quality and quantity in production. We use them: – To analyse improvement or changes in our safety performance– To benchmark with our peers to meet our Global Sustainability Goals.– To report statistics as required to various Government agencies– To promote effective strategic planning in order to continually reduce

our accidents

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Why standardise? – The Challenges

Are these cases work-related?

• A fall in the car park of the manufacturing plant where the employee fractures her ankle. She tripped over her own feet; there were no holes or debris in her pathway.

• A car accident in which an employee is injured on his way to work.

• Two employees are laughing and playfully shoving each other on Monday morning, celebrating their football team’s win over the weekend. One employee falls and fractures his arm. This incident takes place in the manufacturing area where they work.

Are they Recordable/Reportable?

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What have we standardised?

• We use United States’ OSHA record-keeping Standards

• Recordable Cases – (Also known as Company Recordable Case) All work-related illnesses and injuries which result in:– medical treatment beyond first aid (Note: with a finite list of first aid treatments)

– restricted activity, – One or more lost day(s), – the loss of consciousness or – death.

• Rates based on 200,000 hours – (100 employees x 40 hours x 50 weeks per year)

• All cases must be recorded on our system within 7 working days of occurrence.

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We have had to introduce ONE Global Safety Reporting System

• EHS Web-Based Information Management System - InSite– Baxter’s occupational injury and illness recordkeeping is housed in one

electronic database. – This program meets Baxter’s reporting requirements and allows for

country-specific reporting. – It tracks the injuries and illnesses, the severity of the cases, injury/illness

type, causal factors, and restricted or lost days for each location or group of facilities.

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Opportunity to examine the accidents

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Further opportunities

• Target Recordable Cases not Lost Time only

• Introduce Occupational Health review of the cases to confirm “recordability of the case”

• “Public” reporting of each recordable incident using Lean theory:– “A3-format” reporting – one large sheet

summary– Define – Measure – Analyze – Improve –

Control (DMAIC) Process– Root Cause process– Ownership lies with the Plant Managers– Opportunities to improve and share after

every accident– “Gemba” Review Points – “Where value

is created” / “Where it happens”

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Baxter International Inc.

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