When Geoffrey Smith joined the risk management team at Iron Mountain in 2008, it was clear that the company required a sea change when it came to its workers' compensation program.

As the largest records-management company in the U.S. with operations in 35 countries, Iron Mountain's employees face a number of on-the-job exposures. "We pick up and store boxes of customer paper records, computer tapes and media, and then return these records to our customers upon request," explains Smith—boxes that can easily weigh up to 80 pounds. As a result, back and shoulder injuries are common.

By 2009, every year 1 out of 3 Iron Mountain employees were going to the hospital with some sort of work-related injury. Workers' comp costs were close to $18 million a year, and growing at a 10% clip.

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