Handedness, Hand Roles, and Hand Injuries at Work

Hand injuries form a significant proportion of all workplace injuries. They are costly to treat, and lead to significant loss of time at work. This paper has two parts. First, there is a review of the literature that discusses prevalence of hand injury, and the significance of hand roles and handedness in industrial injuries. The second part represents an initial attempt to document the roles of the two hands in a particular industry, the metal manufacturing industry. The purpose of this survey of 30 different work stations in seven different industrial plants was to see whether there is a significant bias in terms of movement requirements for one or the other hand, leading to a possible differential risk of injury for the left and right hands. Overall, there was no clear bias favoring the right hand in activities assigned to the hands in seven different movement categories (MTM). However, the location of emergency controls favored the right hand unequivocally. The implications of biases favoring the left/right hand for safety of machine operation are discussed in the light of current findings on left/right hand performance in right- and lefthanders.     

Port safety and the container revolution: A statistical study on human factor and occupational accidents over the long period

Several factors can affect occupational accident frequency, namely economical factors, technologies used (low automation, discontinuous operating) job design, organization of work/environmental conditions and human factors. In particular, technological advances in industrial activities can give rise to improvement in productivity and in occupational health and safety, but not necessarily simultaneously. The beginning of the container transport dates back to 50 years ago, but while containerization changed everything, from ships and ports to patterns of global trade, its impact on work injuries was not explored at all. The aim of this paper is to investigate the relationship between work organization, job experience, productivity and occupational accidents, from the starting of the container expansion to nowadays, considering Genoa port (Italy), one of the largest of the Mediterranean Sea. In order to minimize possible reporting biases, such as underreporting or reclassification to a lower level of severity, injury statistics are elaborated starting from data collected directly on-site, from internal accident or medical-aid reports. An in-depth statistical analysis on occupational injuries in the years 1980–2006 is carried out, with reference to frequency indexes, mechanism of injury and material causes. The increase of container-ships traffic and, consequently, the sharp change in port infrastructure involved a rapid modification also in the work organization, with particular reference to the number and characteristics of workforce (decrease from 5783 to nearly 1000 employees and increase of low experience workers from 28% to 74%). The striking high percentage increase of young or low experienced workers in handling container (and performing correlated new tasks) caused a remarkable increase of the risk for occupational injuries. In the studied port, we recorded an increase of the frequency index (injuries per hundred thousand hours worked) from 13.0 to 29.7. It results that the increased expansion of shipping container utilization is not connected to a correspondent human factor safety implementation. Main risk factors are pointed out, revealing an increase of accidents due to transport vehicle (+8.3%) and a reduction of accidents caused by substance or materials (?4.5%). These factors show a statistical significant correlation with the new job tasks. Consideration of these findings may enable managerial solutions and workplace organization interventions for the prevention of injuries and safety performance improvement in port activities.     

Emergency room evidence on the role of alcohol intoxication in injury at work in the U.S.

Alcohol is a known risk factor for many kinds of injuries, but past research has failed to implicate alcohol intoxication as a major cause of work injuries in the U.S. Local and regional studies have indicated that alcohol-related injuries are relatively less common in work settings than non-work settings. In a six-month study, the National Electronic Injury Surveillance System collected the first national sample data on alcohol and injuries presenting to hospital emergency rooms. The study included both work injuries and product-related non-work injuries. Alcohol intoxication was ascertained by emergency room chart review. Alcohol involvement was much lower than in other studies, probably because of poor sensitivity in ascertainment, and it was 10 times lower among work injuries than non-work injuries. “Non-work activities at the time of injury” were a significant risk factor for alcohol-related injuries (odds ratio = 7). Thus, results of this national study are consistent with previous research in finding that alcohol poses a greater risk for nonwork injury than for work injury.     

Time of day effects on railroad roadway worker injury risk

IntroductionThe purpose of this study is to examine how time of day affects injury risk of railroad maintenance of way employees and signalmen (roadway workers). Railroads reported 15,654 serious roadway worker injuries between 1997 and 2014. Roadway workers primarily work outdoors on or near railroad tracks and frequently encounter hazardous conditions. To avoid closing an active rail line during peak hours, railroads sometimes require roadway workers to work at night. Previous studies of roadway worker injury have not adequately accounted for exposure to time of day effects, nor have they investigated the human factors issues contributing to roadway worker injury.MethodThe Federal Railroad Administration (FRA) database of injury reports provided data for circadian rhythm models of the odds of fatal and nonfatal injuries. The FRA database and fatal injury investigation reports also permitted an analysis of the circumstances and the human factors issues associated with injuries that occur at different times of day.ResultsOdds of injury increased during nighttime work. The odds of nonfatal injury for both roadway worker crafts rose above 9:1 in the early morning hours. The relative odds of a fatal injury also increased significantly at night. A human factors analysis suggested that during all three shifts most nonfatal injuries involve workload, but workload was not identified as a factor in fatal injuries.ConclusionsNighttime work is more hazardous for roadway workers than daytime work. Several factors related to fatigue and other conditions appear to increase the risk of injury during the outdoor, nighttime work required of roadway workers.Practical applicationFor practical reasons, nighttime roadway work is sometimes unavoidable. Therefore, new practices for nighttime work must be developed to adequately address fatigue and protect roadway workers from harm.     

The relationship between employees' perceptions of safety and organizational culture

PROBLEM: With limited resources to help reduce occupational injuries, companies struggle with how to best focus these resources to achieve the greatest reduction in injuries for the optimal cost. Safety culture has been identified as a critical factor that sets the tone for importance of safety within an organization. METHOD: An employee safety perception survey was conducted, and injury data were collected over a 45-month period from a large ready-mix concrete producer located in the southwest region of the United States. RESULTS: The results of this preliminary study suggest that the reductions in injuries experienced at the company locations was strongly impacted by the positive employee perceptions on several key factors. Management's commitment to safety was the factor with the greatest positive perception by employees taking the survey. DISCUSSION: This study was set up as a pilot project and did not unitize an experimental design. That weakness reduces the strength of these findings but adds to the importance of expanding the pilot project with an appropriate experimental design. SUMMARY: Management leadership has been identified, along with several other factors, to influence employee perceptions of the safety management system. Those perceptions, in turn, appear to influence employee decisions that relate to at-risk behaviors and decisions on the job. IMPACT ON INDUSTRY: The results suggest that employee perceptions of the safety system are related to management's commitment to safety, which, in turn, appear to be related to injury rates. Management should focus on how to best leverage these key factors to more positively impact injury rates within their companies.     

Epidemiology of occupational acute traumatic hand injuries: a literature review

The purpose of this review was to summarize the literature on occupational, acute, traumatic hand injury and suggest directions for future research. In 1996, the leading occupational injury treated in United States' hospital emergency departments was an acute hand injury (e.g. laceration, crush or fracture). These injuries affected 30% of an estimated 3.3 million injured workers (990,000). Cuts and lacerations of the fingers ranked third after back and leg strains in the number of lost workday cases in the USA in 1994. The incidence rate of hand injuries studied in seven manufacturing environments around the world ranged from 4 to 11 per 100 workers per year. Workers aged 24 years or less had the highest risk of hand injury. Men had higher rates of severe hand injury than women.Despite the high frequency and significant amount of lost work time associated with these injuries, they are poorly understood from an etiological perspective. There is only one case-control study of occupational hand injury in the literature. That study suggested an important role for both fixed (age) and transient risk factors (doing an unusual task) at the time of the injury. More analytic epidemiological research is needed to identify potentially modifiable risk or protective factors (e.g. glove use) for acute hand injuries. In this regard, the case-crossover design, a relatively new epidemiological approach using cases as their own controls, could prove an efficient method for determining transient, modifiable risk factors for acute, occupational hand injury.     

The characteristics of fatal occupational injuries in Korea’s construction industry, 1997–2004

This study is aimed at exploring the characteristics of fatal occupational injuries in Korea’s construction industry and comparing the causes in various occupations within that industry. There were 10,276 fatal occupational injury victims in Korea over 8 years (1997–2004). The mortality risk due to injuries in construction and non-construction industries was calculated, and their causes were compared. The number of victims of fatal occupational injuries in the construction industry was 4333 (42.2% of the total fatal occupational injuries), and the 1 year mortality risk was higher (23.7/100,000 persons) than in non-construction industries (10.4). Falling was the most frequent (52.7%) cause of fatal injuries. In addition, deaths due to structural collapse and electric shock were significantly higher than in other industries. When the distribution of the causal factors in various occupations within the construction industry was investigated, some factors appeared more frequently in certain occupations than in others. As the construction industry encompasses a large proportion of occupational injuries, a reduction in this field alone will substantially contribute to an overall reduction of occupational injuries in Korea. Further research for effective prevention is needed.     

高技能人才工伤保护改进路径

高技能人才由于职业、岗位、才技与众不同,其工伤保护也存在一些特殊性。实践中,并未专门针对高技能人才制定特别的工伤保护措施。为此,笔者分析高技能人才工作时段和场所较易变动、劳动强度较大等特点,提出风险和事故的高发生率是科技活动内在的客观规律等,提出应给予失败者和事故责任者必要的宽容。建议政府应结合不同行业、不同岗位的技术含量和风险特点,从工伤认定、劳动能力鉴定、工伤保险待遇及浮动费率核算几方面改进现有工伤保护政策,且应加强高技能人才工伤预防和促进高技能人才职业康复。结合前文论述,笔者提出了相应政策和实用的对策。     

Work environment risk factors for injuries in wood processing

Problem

The reported injury rate for wood product manufacturing in Maine, 1987-2004, was almost twice the state-wide average for all jobs. Method: A case-control study was conducted in wood processing plants to determine preventable risk factors for injury. A total of 157 cases with injuries reported to workers' compensation and 251 controls were interviewed. Results: In multivariable analyses, variables associated with injury risk were high physical workload, machine-paced work or inability to take a break, lack of training, absence of a lockout/tagout program, low seniority, and male gender. Different subsets of these variables were significant when acute incidents and overexertions were analyzed separately and when all injuries were stratified by industry sub-sector. Impact on industry: Generalizability may be limited somewhat by non-representative participation of workplaces and individuals. Nevertheless, these findings provide evidence that many workplace injuries occurring in wood processing could be prevented by application of ergonomics principles and improved work organization.     

Assessment and improvement of integrated HSE and macro-ergonomics factors by fuzzy cognitive maps: The case of a large gas refinery

This study analyzes and assesses the integrated health, safety, environment (HSE) and ergonomics (HSEE) factors by fuzzy cognitive maps (FCM) approach. This is achieved through integrating ergonomic and macro-ergonomic as well as occupational health and safety arrangements in an integrated modeling for assessment of their multi-faceted impact on workers' productivity, injury rate and satisfaction. This paper uses FCM to assess the direct and indirect effects of HSEE factors on system performance indicators. The results of FCM are used to develop leading indicators useful for proactive management of productivity, injury rate, and job satisfaction. The result of a comprehensive survey of 37 experts in control rooms and maintenance activities in a large gas refinery is used to show the applicability and usefulness of FCM approach. Moreover, FCM results are used to determine the causal structure of HSEE factors and system performance indicators. It is concluded that macro-ergonomics factors such as instructions and education, familiarity with organization's rules, and proper communications most contribute to improve workers' safety, satisfaction, and productivity.     

Parental risk perceptions of childhood pedestrian road safety

Problem: Pedestrian injury is a major hazard to the health of children in most developed countries, including Australia. In a previous study it was found that parental road risk perception is a significant factor associated with their modeling of safe behavior as pedestrians. This study aimed to investigate factors that affect parental road risk perception. Method: This cross-sectional population-based randomized telephone survey aimed to study factors associated with risk perception on pedestrian road safety among parents with young children aged 4–12 years. Results: Five factors were found to be significantly associated with parental risk perception. They included age of child, sex of parent, employment of parent, living environment, and previous injury experience. The results suggested that the age of the child contributed greatest to the variance explained by the regression model. However, other factors remained significant even after adjusting for each other. Discussion: Results were discussed in light of the design and development of childhood pedestrian road safety campaigns. Impact on industry: Parental risk perceptions determine their safe road modeling behavior. In this study, significant factors that affect parental road risk perception have been identified. The information obtained can be used in the design of road safety programs that aim at changing the road risk perception of parents.     

复杂工业系统中班组人因失误分析

在复杂工业系统中 ,人因可靠性分析 (HRA)是预防和减少人因失误的有效方法。人在复杂工业系统中的生产活动 ,往往是由组织中班组成员集体完成的 ,完整的HRA必须充分考虑班组人误的产生。班组人误的产生有其自身的规律 ,如何合理地定义人员行为形成因子 (PSFs)是班组人因失误分析的难点 ,也是班组人因失误分析的重要手段 ,被广泛应用在核电厂 ,航空和造船工业领域的事故分析中。笔者详细分析和探讨了班组人因失误的定义、产生过程及相关的人的行为形成因子 ,以期能使大规模工业系统中的人因失误分析更加合理和完善。     

Occupational injuries and health problems in the Egyptian Mediterranean fisheries

Marine fishing is one of the most dangerous occupations. So far, no studies addressing occupational safety and health in the Egyptian fisheries have been conducted. The objective of this study is to explore and identify the types and causes of, as well as some factors associated with, occupational accidents and illnesses in the Egyptian marine fisheries. A sample of 686 fishermen in El-Maaddiya fishing port were interviewed for collecting relevant data. This paper presents the types of injuries mentioned by the interviewed fishermen and their potential causes in terms of accident type and involved agency/agency part. Also, major health problems and potential causes are presented. Furthermore, a logistic regression analysis was performed to study the significance of the association of some factors, such as age, experience, education and fishing gear with the occurrence of injuries and illnesses. The results of this study show that the Egyptian fishing industry involve many hazardous work conditions and practices that result in high morbidity and mortality rates, and high injury rates. The study recommends further research on suitable measures for the management of this problem.     

Animal-related injuries: a population-based study of a five-state region in the upper Midwest: Regional Rural Injury Study II

PROBLEM: While agricultural injury has been identified among the major causes of occupational injury mortality and morbidity, data have been limited pertinent to the magnitude, consequences, and potential risk factors for animal-related injuries -- a major source of morbidity among agricultural operations. METHODS: Demographics, exposure, and injury data were collected for 1999 and 2001 among agricultural households in a five-state region. Causal models facilitated survey design, data analyses, and interpretation of results; directed acyclic graphs guided multivariate modeling. RESULTS: From 7,420 households (84% response of eligible), a total of 5,045 injury events were reported; 1,016 (20.1%) were animal-related. Multivariate analyses revealed increased risks for those <20 years; residents of all states compared to Minnesota; all age groups compared to 0-4 years; >0 hours worked; and prior agricultural injury history. For those 20+ years, increased risks were identified for: South Dakota residents; males; >0 hours worked; and prior agricultural injury history. For those cases <20 and 20+ years of age, 58% and 46%, respectively, resulted in lost work time on their agricultural operations (31% and 50%, one week or more). CONCLUSIONS: Animal-related injury has a major impact on the agricultural industry. Results serve as a basis for interventions and further research. IMPACT ON INDUSTRY: The impact of animal-related injuries on the agricultural industry appears significant; among age groups <20 and 20+, 85% and 82%, respectively, had some resulting restriction. For all events combined, 29% and 30%, respectively, involved restriction from one week to 3+ months; 12% and 15% involved restriction for one month or more. Among those <20 and 20+ years of age, 58% and 46%, respectively, lost work time on their own agricultural operation as a result of injuries associated with their own operation; 22% and 15% lost one week or more. Moreover, of the non-agriculture-related injuries, 31% and 50% resulted in lost work time on their own operation; 15% and 28%, respectively, lost one week or more. Restrictions such as these can affect the productivity of the operation, resulting in financial impacts, especially on small operations that have few people to manage the required tasks.     

Internal and External Factors Influencing Time-Related Injury Risk in Continuous Shift Work

Time-related accident risk in shift work may be attributed to internal factors, such as fatigue, level of performance, sleep propensity, and to some external factors, like shift system, physical and social environment. Six hundred and sixty-eight events in the metallurgical industry have been analysed in terms of time of day, time on task, consecutive day of the shift block, day of the week, and season.

The injury rate was similar on all shifts but more severe accidents happened in the nighttime. Somewhat more injuries occurred in the second half of the shift, in the second part of a shift block, and in summer compared with winter. There were fewer injuries at weekends.     

Occupational injury rates among Norwegian farmers: A sociotechnical perspective

Introduction: This study addressed relative injury risk among Norwegian farmers, who are mostly self-employed and run small farm enterprises. The aim was to explore the relative importance of individual, enterprise, and work environment risks for occupational injury and to discuss the latent conditions for injuries using sociotechnical system theory. Method: Injury report and risk factors were collected through a survey among Norwegian farm owners in November 2012. The response rate was 40% (n = 2,967). Annual work hours were used to calculate injury rates within groups. Poisson regression using the log of hours worked as the offset variable allowed for the modeling of adjusted rate ratios for variables predictive of injury risk. Finally, safety climate measures were introduced to assess potential moderating effects on risk. Results: Results showed that the most important risk factors for injuries were the design of the workplace, type of production, and off-farm work hours. The main results remained unchanged when adding safety climate measures, but the measures moderated the injury risk for categories of predominant production and increased the risk for farmers working with family members and/or employees. An overall finding is how the risk factors were interrelated. Conclusions: The study identified large structural diversities within and between groups of farmers. The study drew attention to operating conditions rather than individual characteristics. The farmer’s role (managerial responsibility) versus regulation and safety climate is important for discussions of injury risk. Practical Applications: We need to study sub-groups to understand how regulation and structural changes affect work conditions and management within different work systems, conditioned by production. It is important to encourage actors in the political-economic system to become involved in issues that were found to affect the safety of farmers.     

A socio-technical approach of risk management applied to collisions involving fishing vessels

To make a study of accident and risk management, it is necessary to analyze the socio-technical system in which these accidents occur. The strategies by which the actors involved respond to critical situations can only be understood within their own context, by recognizing the exigencies and constraints of the system in which they operate. According to the chart of migrations and transgressions of professional practices [Amalberti, R., 2001. The paradoxes of almost totally safe transportation systems. Safety Science 37, 109–126], a system, any system, is conceived as responding to the triple pressure of social regulations, available technology and the financial returns of performance. Without curbs or checks, the system would evolve toward an increase in performance and individual profit. Barriers define the boundaries within which operations are considered to be safe.A case-by-case analysis of collisions at sea enabled us to identify two basic causes: undetected signals, and wrong diagnoses. It has also allowed us to define the real operating space of the functional units (fishing vessels) most often involved in collisions, as well as the permeable areas of the safety barriers, through which operations are allowed to migrate toward unsafe zones. As far as the collision risk is concerned, functional units work in a borderline area, close to the limits of safe behavior. To prevent accidents, it will be necessary to reinforce these too-permeable safety barriers, thus limiting the migration factor and bringing the functional units back into an area in which the factors of safety, performance and individual profits are all acceptable.     

Back injuries among nursing personnel — identification of work conditions with cluster analysis

The aim of the present study was to identify work conditions that are typical for nursing personnel and relevant for the risk of back injuries, and to analyse how individual characteristics contribute to the risk of injuries in these situations. Six well-defined clusters were identified by cluster analysis. Two clusters had an over-representation of injuries and they were characterised by a combination of full-time work, work on a rolling schedule, regular patient transfers and a high proportion of assistant nurses. In the three clusters with a lower proportion of injuries the nurses worked part-time. In the cluster with the lowest rate of injuries no one performed regular patient transfers. Working part-time seemed to be a preventive factor for back injury, even when regular patient transfers were performed. The decreased risk of injury among the general registered nurses may thus be a joint effect of fewer working hours, fixed working schedule and less patient handling. The advantages of cluster analysis for detecting the pattern of interacting risk indicators and modifiers are discussed.     

A survey of forest workers in New Zealand. Do hours of work, rest, and recovery play a role in accidents and injury?

PROBLEM: A number of structural and organizational changes have occurred recently within the New Zealand Forestry Industry, with concerns being raised about the impact of these changes on the forestry worker in terms of fatigue, sleepiness, and compromised safety. This study explored the relationship of fatigue, and some of its key determinants, with accidents and injuries in a group of forestry industry workers in New Zealand. METHOD: A total of 367 forestry workers responded to a self-administered questionnaire. RESULTS: Fatigue was found to be commonly experienced at work in the forest, with 78% of workers reporting that they experienced fatigue at least "sometimes." This study found that certain groups of workers reported long working hours, reduced sleep, compromised recovery time, and intensely paced work. The results of logistic regression analysis showed that recent sleep, number of breaks taken during the workday, and specific job/tasks were independently associated with reporting of high fatigue levels at work. Near-miss injury events were significantly more common among those reporting a high level of fatigue at work. Accidents and lost-time injury were associated with length of time at work, ethnicity, and having had near-miss injury events. DISCUSSION: Together, these results suggest that fatigue and aspects of work organization, which are likely to be fatiguing, may be associated with compromised safety for forest workers. IMPACT ON INDUSTRY: With an already slim margin of error present in forest operations, an impairment due to increased fatigue may constitute a significant risk factor for accidents and injuries in this workforce. The results indicate the need for further examination of shift and workload management among forestry workers, as well as a role for improving industry awareness about the causes and consequences of fatigue.     

Impact of safety attitude,safety knowledge and safety leadership on chemical industry workers’ risk perception based on Structural Equation Modelling and System Dynamics

In chemical industry, major accidents occur occasionally. Past research has demonstrated that risk perception was relevant to safety as it might affect the behavior, which could exert influence on the probability of accidents. It is important to adjust workers' risk perception to reduce accidents in chemical industry. To achieve this goal, some key influencing factors of workers’ risk perception of were identified from 3 aspects including safety attitude, safety knowledge and safety leadership. This was accomplished by gathering empirical data from 287 workers employed in 6 Chemical plants in Jiangsu, China. The model of influencing factors of risk perception for workers was established based on Structural Equation Modelling (SEM), and the path coefficients and weights were analyzed by the SEM. On that basis, the System Dynamics (SD) model of risk perception for workers was established. The study findings revealed safety attitude and safety leadership have a direct positive impact on perception of risk probability and perception of risk severity, safety knowledge has a direct positive impact on perception of risk severity, while safety knowledge has no direct positive impact on perception of risk probability. The findings of the study can provide theoretical supports and method guidance for adjusting the risk perception of workers in chemical industry.