Workers' compensation experience-rating rules and the danger to worker's safety in the temporary work agency sector

By putting a price on workplace health and linking this to costs incurred in individual businesses, experience-rating rules encourage employer 'gaming' - cost-reduction attempts that do not necessarily increase workplace safety. We argue that experience-rating rules, together with the rise of non-standard employment arrangements, have fostered the growth of the temporary work agency sector to which employers can outsource workplace injury risk. This study explored how temporary work agencies in Ontario, Canada carry out workplace injury prevention and return to work. We aimed to understand why these agencies would shoulder experience-rating costs when they cannot control the work environment. Focus groups and in-depth interviews were held with 64 participants between 2009 and 2011. Participants included low-wage agency workers, temporary work agencies, client employers and key informants. Legal and documentary data were also analysed. Our findings show how experience-rating rules create a market for outsourcing risky jobs to temporary work agencies, which cannot properly manage injury prevention and return to work. We detail how agencies are positioned to absorb experience-rating costs for their clients and avoid financial risk through cost transfer, premium rate groups, legal positioning, influencing accident reporting practices, and shutting down and re-opening the business. Our findings also show how experience-rating arrangements can distort the responsibility these agencies have for work and health. In Ontario, these facilitate employer 'gaming', largely within the rules. We propose that workplace health would be less of a tradeable commodity, and workers' safety and return to work a more significant priority for employers, if experience rating were applied to the client employer who controls the conditions of workhttp://www.ingentaconnect.com/content/iosh/pphs/2012/00000010/00000001/art00006