“Slippery” work surfaces: Towards a performance definition and quantitative coefficient of friction criteria

There have been 50 years of research in walking/working surface slipperiness and coefficient of friction (COF) measurements. Nevertheless, numerous standards address slip/fall accidents only in terms of requiring surfaces to be qualitatively “nonslippery.” The literature useful for establishing quantitative criteria for “slippery” vs. “slip-resistant” have been summarized here. A performance definition for “slippery work surfaces” is proposed. Recommendations applicable to standards-making organizations are made, including changing terms such as “non-slip” to “slip-resistant” and defining “slippery” in terms of quantitative COF values. For persons walking unloaded on level surfaces, a COF standard of 0.5 would be reasonable. Research is recommended to determine if “slip-resistance” requirements and accident prevention could be achieved more easily be controlling the type of shoe, type of task, or amount of surface contaminant rather than controlling only the COF of the basic surface and its coating.     

Bystander injury evaluation of children from midwestern agricultural operations

Background

With more than a million youth living on agricultural operations, it is important for parents to understand the consequences of bystander injuries that children experience in these environments. We identified the childhood injuries for bystander status and compared the severity of these injuries to the working children in the Regional Rural Injury Study-II (RRIS-II).

Methods

RRIS-II followed 16,546 children (∼ 85% of eligible) from rural communities in the Midwest for two six-month recall periods in 1999 and 2001. Demographic, injury, and exposure data were collected through comprehensive computer-assisted telephone interviews. Child injuries were cataloged using narrative scenarios into four categories: (a) directly work-related; (b) indirectly work-related; (c) non-working accomplice; and (d) non-working attendant; the latter three all being bystander categories. Poisson regression modeling was used to calculate rates of bystander injuries. Frequencies were used for comparison of severity measures.

Results

Among the 463 child injuries (aged < 20 yrs), 102 were bystander injuries. Of the bystander-related injuries, 14 were identified as indirectly work-related (working bystanders), 27 as non-working accomplice (passengers/tag-alongs), and 60 as non-working attendant (playing on the operation). The overall rate of bystander injuries was 6.4 per 1,000 people, 95% CI (5.0, 8.1). Males, compared with females, had more than twice the injury rate (8.7; 95% CI 6.4-11.8, and 3.9; 95% CI 2.7-5.7, per 1,000 people, respectively). Bystanders in this population had more severe injuries with 4% having life-threatening circumstances; of these, 4% of the accomplices and 2% of the attendants subsequently died.

Conclusions

Children who live or work on agricultural operations are vulnerable to many hazards. Therefore, this study examined child injuries and found a clear difference in the consequences of these injuries between working-related and bystanding-related injuries.

Impact on Industry

Unlike occupations such as construction and mining, where laws and organizations have been created for the protection of bystanders, agricultural bystanders have remained unprotected and have had to face the consequent injury and death outcomes. As public health professionals considering these risks, it is necessary that we work to develop more intervention studies and continue to propose suggestive guidelines for child safety in these environments so as to challenge family traditions and possibly spark public policies that will give further protection to this population.     

Prevention and suppression of explosions in gas-air and dust-air mixtures using powder aerosol-inhibitor

The prevention and suppression of explosions is a very topical field of research because annually hundreds of coal mine workers became their victims. In this research a very effective powder “powder for suppression of explosions” (“PSE”) for the suppression of explosions has been developed and tested. The experiments on suppression of explosions of a methane–air mixture (MAM) at a laboratory conditions using “PSE”-powder have been carried out. The possibility of lowering the power of coal-dust explosion with the help of a “PSE”-powder has been investigated. The feasibility of almost instantaneous disperse of powders using intentionally created mini-explosions (ammonal) was investigated. The barrel-suppressor of explosion in the experimental adit (tunnel) was studied and the large-scale tests for suppression of MAM-explosions in experimental adit were also subjects of study.     

Slip and fall accident prevention: A review of research, practice, and regulations

This paper summarizes current research, practices, and regulations regarding walking/working surface slipperiness and coefficient of friction (COF) measurements. The literature and data are reviewed from three aspects:

1. (a) the biomechanics of walking and psychophysiological factors involved in slips and falls studied by the scientific community,

2. (b) various measuring devices and methods developed in an attempt to quantify the “slipperiness” of walking/working surfaces, and

3. (c) an acceptable quantitative standard for the “slipperiness” of surfaces and the impact of the Americans with Disabilities Act (ADA) on such a standard.

Unresolved issues related to slip-resistance are identified. A multifaceted approach and synergy from researchers, the building industries, standards organizations, and government are needed to obtain concensus on such issues.     

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.     

Identifying high-risk built environments for severe bicycling injuries

Introduction: This study is aimed at filling part of the knowledge gap on bicycling safety in the built environment by addressing two questions. First, are built environment features and bicyclist injury severity correlated; and if so, what built environment factors most significantly relate to severe bicyclist injuries? Second, are the identified associations varied substantially among cities with different levels of bicycling and different built environments? Methods: The generalized ordered logit model is employed to examine the relationship between built environment features and bicyclist injury severity. Results: Bicyclist injury severity is coded into four types, including no injury (NI), possible injury (PI), evident injury (EI), and severe injury and fatality (SIF). The findings include: (a) higher percentages of residential land and green space, and office or mixed use land are correlated with lower probabilities of EI and SIF; (b) land use mixture is negatively correlated with EI and SIF; (c) steep slopes are positively associated with bicyclist injury severity; (d) in areas with more transit routes, bicyclist injury is less likely to be severe; (e) a higher speed limit is more likely to correlate with SIF; and (f) wearing a helmet is negatively associated with SIF, but positively related to PI and EI. Practical applications: To improve bicycle safety, urban planners and policymakers should encourage mixed land use, promote dense street networks, place new bike lanes in residential neighborhoods and green spaces, and office districts, while avoiding steep slopes. To promote bicycling, a process of evaluating the risk of bicyclists involving severe injuries in the local environment should be implemented before encouraging bicycle activities.     

Antecedents of injury among youth in agricultural settings: a longitudinal examination of safety consciousness,dangerous risk taking,and safety knowledge

PROBLEM: Injuries are the leading cause of death for adolescents in the United States. METHODS: This study longitudinally examined three psychological mediators of injury among 3,081 youths in agricultural settings: (a) safety consciousness, (b) dangerous risk taking, and (c) safety knowledge. These variables are examined within a nomological network of contextual variables. RESULTS: Cross-sectional results revealed that safety consciousness and dangerous risk taking were the strongest predictors of reported injury at Time 1 and Time 2. Safety knowledge had an unexpected negative association with injury, albeit weak. As predicted, participating in safety activities was positively associated with safety consciousness, and time spent working was strongly associated with safety knowledge. Furthermore, self-esteem had both positive and negative safety outcomes, suggesting a more complex functioning. Males exhibited fewer safety cognitions than females as predicted. Longitudinal data also revealed that injury at Time 1 and dangerous risk taking were the strongest predictors of Time 2 injury. IMPACT ON INDUSTRY: Results from this study emphasize the importance of assessing dangerous risk-taking perceptions when attempting to predict future injuries.     

Expert opinions, fuzzy probabilities, and warnings: toward a mathematical method for evaluating warning “read and heed” effectiveness

In many situations, and particularly in legal matters, decisions may be based on whether some possibility is judged to be “more probable than not”, as for example, whether a warning, had it been present, would “more probably than not” have prevented an injury. The probability of a warning accomplishing its purpose of preventing injury can, in principle, be computed based on probability calculus. However, this paper proposes that: (1) such computations must use “fuzzy” probability statements which as a result produce a range of weighted possibilities for the final outcome and, moreover; (2) the critical statistic for determining whether the outcome is “more probable than not” is the median rather than the mean of the possible outcomes. This paper briefly outlines the mathematics for such computations and provides several examples. The paper basically treats fuzzy probabilities as standard “random variables” restricted to the range of [0,1].For brevity, this paper only treats the multiplication of two or more fuzzy probabilities. However, this is adequate for evaluation of a two stage “read and heed”, or of longer multiple step linear sequences and is indicative of the general approach. Treatment of the additive and general case will be found in later publications.     

“Vybuchovy trojuhelnik”: A software tool for evaluation of explosibility of coal mine atmosphere

Rescue operations during mine fires or methane explosions are highly dangerous for rescue workers. The knowledge of the composition of the coal mine atmosphere and the calculations of its explosibility may help to increase the safety of the rescuers. In the Czech Republic, a system called “Mine Gas Laboratory” (DPL) has been used for these purposes. The DPL allows measurement of the composition of the mine atmosphere and transmits the data necessary for evaluation to the surface. Up to now the explosibility evaluation of the coal mine atmosphere has depended either on the rescuers’ experience or on software code calculation. The code called “Vybuchovy trojuhelnik” (explosion triangle) is a graphical computing system intended for fast assessment of explosibility of fuel–air mixture. This article introduces the code and describes two simple methods of explosibility evaluation. The first method is “explosion triangle analysis”—a graphical method based on empirical graphs transformed into equations. The second method uses thermodynamic calculation based on chemical balance dynamics and Gibbs and Helmholtz energy. According to the requirements of the Czech Bureau of Mining (CBU) and Central Mine Rescue Service (HBZS), the code solves the problems of explosion triangle for both standard and non-standard coal mine atmosphere compositions. Unfortunately, the atmosphere composition must be introduced manually due to the unknown format of the data transmitted from the old DPL model. On 1 September 2005, a project started to develop a new system for on-line monitoring and atmosphere explosibility evaluation. The system should be able to measure CO₂, O₂, CH₄, H₂ and CO concentrations as well as the wind speed, temperature and humidity. The “Vybuchovy trojuhelnik” code will be used as a basis for explosibility evaluation, and an on-line connection with the new model of DPL will be established.     

Field investigation of child restraints in side impact crashes

OBJECTIVE: Various test procedures have been suggested for assessing the protection afforded by child restraints (CRS) in lateral collisions. Analyses of real world crashes can be used to identify relevant characteristics of the child, restraint, collision, and injury mechanisms that should be incorporated into the design of the test procedures as well as in the design of related ATDs and injury metrics. The objective of this work is to use in-depth crash investigations of children restrained in CRS in side impacts to elucidate specific sources and mechanisms of injuries and explore the role of crash severity variables such as magnitude and location of intrusion and specific impact angle. METHODS: Real world crashes involving children restrained in forward facing CRS in side impacts were analyzed from Partners for Child Passenger Safety, an on-going child specific crash surveillance system in which insurance claims are used to identify cases. In-depth crash investigations using standardized protocols were used to calculate the crash severity and determine the mechanisms and sources of the injuries sustained. RESULTS: Cases of 32 children restrained in CRS in 30 side impact crashes were examined. Twenty-five percent sustained AIS 2+ injuries. The most common injuries sustained by children restrained in CRS in side impact crashes were to the face, head, and lower extremity. Characteristics of the crashes that appeared related to injury were intrusion that entered the child's occupant space or caused an interior part of the vehicle to enter the child's occupant space, forward component of the crash, and the rotation of the CRS, restrained by a seat belt, towards the side of the impact. CONCLUSIONS: The ability to assess the injury potential in a laboratory setting for the body regions of common injury, the head, face, and lower extremity, must be explored. Characteristics of a regulatory-based test procedure to assess injury risk should include a frontal component to the crash and intrusion into the occupant's seating position. Design enhancements of the CRS should address rotation during lateral impacts. These results provide guidance to current efforts to design and regulate these restraints for the safety of child passengers in side impacts.     

Development of a method for predicting the ignition of explosive atmospheres by mechanical friction and impacts (MECHEX)

Mechanical friction and impacts is still today a main cause of ignition of explosive atmospheres (ATEX) in the industry and this trend seems to be stable in time. This situation certainly results from a significant gap of knowledge in the underlying mechanisms so that the parameters to play on are not precisely identified. In this programme of European dimensions, the process of degradation of the mechanical energy into heat during friction and impacts have been studied.

An extensive experimental programme is presented to this end. The mechanisms of dissipation of the mechanical energy into heat during friction has been studied with rubbing machines in which a slider equipped with temperature sensors rubs against a rotating wheel. For impacts, a new device has been developed using a special “air driven cannon” to propel a projectile accurately up to 50 m/s onto an inclined target. A very significant effort has been reserved to the investigation of the ignition mechanisms, not only for ATEX but also for dust accumulations.

Some “simple” modelling is proposed on purpose of practical applications. For frictional situations, a critical rubbing power is calculated without any limitations about any lower boundary concerning the rubbing velocity. For “impacts”, the relevant parameter for ignition is not the kinetic energy of the projectile but its velocity and the nature of the materials.     

Coding agricultural injury: Factors affecting coder agreement

Objectives: To determine coders’ agreement level for the Occupational Injury and Illness Classification System (OIICS) source of injury and injury event codes, and the Farm and Agricultural Injury Classification (FAIC) code in the AgInjuryNews.org and to determine the effects of supplemental information and follow-up discussion in final code assignments. Methods: Two independent researchers initially coded 1304 injury cases from AgInjurynews.org using the OIICS and the FAIC coding schemes. Code agreement levels for injury source, event, and FAIC and the effect of supplemental information and follow-up discussions on final coding was assessed. Results: Coders’ agreement levels were almost perfect for OIICS source and event categories at the 3-digit level, with lower agreement at the 4-digit level. By using supplemental information and follow-up discussion, coders improved the coding accuracy by an average 20% for FAIC. Supplemental information and follow-up discussions had helped finalize the disagreed codes 55% of the time for OIICS source coding assignments and 40% of time for OIICS event coding assignments for most detailed 4-digit levels. Five key themes emerged regarding accurate and consistent coding of the agricultural injuries: inclusion/exclusion based on industry classification system; inconsistent/discrepant reports; incomplete/nonspecific reports; effects of supplemental information on coding; and differing interpretations of code selection rules. Practical applications: Quantifying the level of agreement for agricultural injuries will lead to a better understanding of coding discrepancies and may uncover areas for improvement to coding scheme itself. High level of initial and final agreement with FAIC and OIICS codes suggest that these coding schemes are user-friendly and amenable to widespread use.     

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.     

Risk assessment of antagonistic hazards

This paper considers the risk to major hazard plant from terrorists deliberately causing catastrophic industrial accidents. The United States of America Department of Justice [Assessment of the increased risk of terrorist or other criminal activity associated with posting off-site consequence analysis information on the internet, 2000] reports that “breaching a containment vessel of an industrial facility with an explosive or otherwise causing a chemical release may appear relatively simple to…a terrorist”. They concluded that the risk of such action is “real and credible”.

Analysis of terrorism is often hampered by its being described as ‘irrational’; one corollary would be that it is unpredictable. However, terrorism may usefully be treated as a rational behaviour and in doing so it becomes possible to assess the risks it causes.

We analyse the vulnerability of major hazard plant to terrorist attack and identify nine factors (access, security, visibility, opacity, secondary hazard, robustness, law enforcement response, victim profile, and political value) that might be used as a starting point for more formal risk assessment and management.     

Epidemiology of injury patterns for 4- to 10-year-olds in side and oblique impacts

Abstract

Objectives: With regard to the pediatric population involved in vehicle side impact collisions, epidemiologic data can be used to identify specific injury-producing conditions and offer possible safety technology effectiveness through population-based estimates. The objective of the current study was to perform a field data analysis to investigate injury patterns and sources of injury to 4- to 10-year-olds in side and oblique impacts to determine the potential effect of updated side impact regulations and airbag safety countermeasures.

Methods: The NASS-CDS, years 1991 to 2014, was analyzed in the current study. The Abbreviated Injury Scale (AIS) 2005–Update 2008 was used to determine specific injuries and injury severities. Injury distributions were examined by body region as specified in the AIS dictionary and the Maximum AIS (MAIS). Children ages 4 to 10 were examined in this study. All occupant seating locations were investigated. Seating positions were designated by row and as either near side, middle, or far side. Side impacts with a principal direction of force (PDOF) between 2:00 and 4:00 as well as between 8:00 and 10:00 were included. Restraint use was documented only as restrained or unrestrained and not whether the restraint was being used properly. Injury distribution by MAIS, body region, and source of injury were documented. Analysis regarding occupant injury severity, body region injured, and injury source was performed by vehicle model year to determine the effect of updated side impact testing regulation and safety countermeasures. Because the aim of the study was to identify the most common injury patterns and sources, only unweighted data were analyzed.

Results: Main results obtained from the current study with respect to 4- to 10-year-old child occupants in side impact were that a decrease was observed in frequency of MAIS 1–3 injuries; injuries to the head, face, and extremities; as well as injuries caused by child occupant interaction with the vehicle interior and seatback support structures in 1998 model year passenger cars and newer.

Conclusions: Results from this study could be useful in design advances of pediatric anthropomorphic test devices, child restraints, as well as vehicles and their safety countermeasure systems.     

Accident rates of drivers with bioptic telescopic lenses

The major purpose of this study was to determine the accident rate of drivers with bioptic telescopic lenses (“bioptic drivers”) in California. The bioptic driver group consisted of 229 drivers, while a randomly selected comparison sample consisted of 21,064 drivers. The 2-year total and fatal/injury accident rates of the bioptic group were normalized to the age/sex distribution of the comparison sample. Normalized accident rates for bioptic drivers were significantly greater than the corresponding rates for comparison drivers. The study also included an analysis of the driving records of bioptic drivers prior and subsequent to acquisition of telescopic lenses and an analysis of total and fatal/injury accidents for bioptic and comparison drivers with valid licenses only. It was recommended that California continue to license bioptic drivers, but with greater use of license restrictions and more stringent post-licensing control.     

Head injuries in child pedestrian accidents--in-depth case analysis and reconstructions

OBJECTIVE: The aim of this study was to investigate head injuries, injury risks, and corresponding tolerance levels of children in car-to--child pedestrian collisions. METHODS: An in-depth accident analysis was carried out based on 23 accident cases involving child pedestrians. These cases were collected with detailed information about pedestrians, cars, and road environments. All 23 accidents were reconstructed using the MADYMO program with mathematical models of passenger cars and child pedestrians developed at Chalmers University of Technology. The contact properties of the car models were derived from the European New Car Assessment Program (EuroNCAP) subsystem tests. RESULTS: The accident analysis demonstrated that the head was the most frequently and severely injured body part of child pedestrians. Most accidents occurred at impact speeds lower than 40 km/h and 98% of the child pedestrians were impacted from the lateral direction. The initial postures of children at the moment of impact were identified. Nearly half (47%) of the children were running, which was remarkable compared with the situation of adult pedestrians. From accident reconstructions it was found that head impact conditions and injury severities were dependent on the shape and stiffness of the car front, impact velocity, and stature of the child pedestrian. Head injury criteria and corresponding tolerance levels were analyzed and discussed by correlating the calculated injury parameters with the injury outcomes in the accidents. CONCLUSIONS: Reducing head injuries should be set as a priority in the protection of child pedestrians. HIC is an important injury criterion for predicting the risks of head injuries in child pedestrian accidents. The tolerance level of head injuries can have a considerable variation due to individual differences of the child pedestrians. By setting a suitable speed limit and improving the design of car front, the head injury severities of child pedestrians can be reduced.     

Injury outcomes and costs for cross-median and median barrier crashes

Introduction

The objective of this research was to quantify the injury outcomes and develop reliable and comprehensive injury costs for cross-median crashes (CMC) and median barrier crashes (MBC).

Method

A three-step methodology was developed to quantify the crash costs for each crash severity and type. All CMC and MBC between 2001 and 2007 in Wisconsin were identified and used in this analysis. The Wisconsin CODES database provided comprehensive injury costs based on the injury types and severities suffered by participants in study crashes.

Results

As expected, multi-vehicle CMC result in more total injuries and more severe injuries than single-vehicle CMC. Injury costs for the same injury level on KABCO scale are different for different crash types. Injury costs for concrete MBC are 33% to 50% less than those of multi-vehicle CMC, while the injury costs of concrete MBC for lower severities (B and C) are similar to those of single-vehicle CMC for the same severities; but for incapacitating injuries the costs are 30% less. As expected, concrete MBC result in lower severities than CMC. The costs, by crash severity, vary significantly between different crash types. Concrete median barrier injury crashes are roughly 20% of multi-vehicle CMC costs and 50% of single-vehicle CMC costs.

Conclusions

Results indicate that using one set of crash costs for all crash types biases any evaluation. Therefore, it is recommended that crash-type-specific costs be used in applications such as development of median barrier warrant where specific types of crashes are considered (CMC and MBC).

Impact on industry

Using crash specific costs can lead to a more realistic benefit-cost analysis and enable better decision-making.     

Reconstruction of crashes involving injured child occupants: the risk of serious injuries associated with sub-optimal restraint use may be reduced by better controlling occupant kinematics

OBJECTIVE: To determine whether injuries to sub-optimally restrained child occupants in real-world crashes were likely to be preventable by alternative restraint usage practices and to assess the usefulness of crash reconstruction for exploring injury mechanisms in child occupants. METHODS: Real-world crashes in which child occupants sustained significant injuries were reconstructed on a laboratory crash sled using the Hybrid III family of child dummies. Alternative restraint scenarios and cases in which children were not seriously injured were also simulated to compare dummy kinematics and dynamic responses in optimal restraint configurations. RESULTS: Restraint misuse was associated with greater motion of the dummy torso and head during crashes, often allowing contact between the child and the vehicle interior, resulting in injury. Poor pre-crash posture for a child inappropriately restrained in an adult belt appeared to worsen the geometry of the sash (shoulder) belt, resulting in a cervical injury due to direct interaction with the belt. Dynamic dummy data did not appear to discriminate between injury and non-injury cases. CONCLUSIONS: Dummy kinematics suggest that injuries in which inappropriate use and misuse were a factor were less likely if the most appropriate restraint was used correctly. Adequately controlling the head and upper body of the child occupant was seen to prevent undesirable interactions with the vehicle interior and restraint system, which were associated with injury in the real world. Neck forces and moments and injury criteria calculated from these did not predict injury reliably.