Modeling using dynamic variables – An approach for the design of loss prevention programs

Records from The National Safety Council [National Safety Council, 2007. Safety Intervention Evaluation: A Systematic Approach. <http://www.acgih.org/events/ControlBand/Thomas_SafetyIntervention.pdf> (accessed 10.01.07)] have shown that in 2004 alone, on-the-job injuries to workers constituted 35% of total recorded injuries in the United States. This generated an associated cost of about $142.2 billion. Unfortunately, the safety intervention programs enforced at work places to mitigate such losses are driven mainly by intuition and experience of involved safety personnel. This paper details implementing a computer program to furnish safety personnel with an empirical basis for designing loss prevention programs based on historical safety data. The computer tool is driven by a dynamic mathematical model which adapts itself to variations in data patterns and explains the correlation between historical incident rates and corresponding resources committed to interventions. This study empowers the industry with a tool that is capable of forming the core of optimizing valuable human resource allocation in safety program designs.     

The relationship of occupational injury and use of mental health care

Introduction: Symptoms of depression and anxiety are a common consequence of occupational injury regardless of its cause and type. Nevertheless, mental health care is rarely covered by workers’ compensation systems. The aim of this study was to assess the use of mental health care post-injury. Methods: We used a subsample of patient-care workers from the Boston Hospital Workers Health Study (BHWHS). We matched one injured worker with three uninjured workers during the period of 2012–2014 based on age and job title (nurse or patient-care associate) and looked at their mental health care use pre- and post-injury using medical claims data from the employer sponsored health plan. We used logistic regression analysis to assess the likelihood of mental health care use three and six months post-injury controlling for any pre-injury visits. Analyses were repeated separately by job title. Results: There were 556 injured workers between 2012 and 2014 that were matched with three uninjured workers at the time of injury (n = 1,649). Injured workers had a higher likelihood of seeking mental health care services than their uninjured counterparts during the six months after injury (OR = 1.646, 95% CI: 1.23–2.20), but not three months post-injury (OR = 0.825, 95% CI: 0.57–1.19). Patient-care associates had a higher likelihood to seek mental health care post-injury, than nurses (OR: 2.133 vs OR: 1.556) during the six months period. Conclusions: Injured workers have a higher likelihood to experience symptoms of depression and anxiety based on their use of mental health care post-injury and use is more predominant among patient-care associates; however, our sample has a small number of patient-care associates. Practical Applications: Treating depression and anxiety as part of the workers’ compensation system has the potential of preventing further physical ailment and improving the return to work process regardless of nature of injury.     

The role of behavioral factors on safety management in underground mines

Traditional approaches on the prevention of accidents/injuries in mines reached its limit of effectiveness in improving safety performance and a fresh approach is utmost required. Behavioral safety analysis has been identified as an effective alternative in many industries. This paper is therefore sought to examine the role of behavioral factors on the occurrence of mine accidents and injuries through a case study. Data were collected from two neighboring underground coalmines operating under a large public sector organization of India. High–low plots and t-test were done to explore the differences between behavioral characteristics of accident involved (case) and non-involved (control) workers. How these differences could cause accidents/injuries in mines was estimated through structural equation modeling. The case study results show that accident group of workers (cases) are more job dissatisfied, negatively affected, and highly risk taking compared to the non-accident group of workers (controls). The accident model path analysis shows that negative affectivity, job dissatisfaction, and risk taking behaviors predict an increased number of injuries in mines. Apart from direct influences to work injuries, negative affectivity and job dissatisfaction make workers to take more risks and behave unsafely. These findings contribute to the design of safety programs including safety training, which should be behaviorally motivated. Mine safety management of the case study mines should outskirt their age old belief that accidents/injuries are due to hazardous nature of mining and only engineering control and regulatory monitoring are sufficient for improving safety of the mines. The multivariate analysis also shows that experience bears no relationships with work injury indicating that a less experienced worker is equally likely to be injured as an experienced worker. It implies that experience though helps workers in understanding the physical hazards, however, avoiding the imminent danger is much more behavioral. The variables negative affectivity, job dissatisfaction, and risk taking behaviors are therefore crucial in avoiding accident/injuries in mines.     

Do fixed-term workers have a higher injury rate?

One of the most remarkable changes in the labour markets of industrialised countries has been the increase of fixed-term employment. Naturally, the ways in which this development impacts on the quality of working life has awoken increasing scientific discussion. The aim of this paper is to examine these connections from the perspective of occupational injury. The majority of research literature in this field has shown that fixed-term workers have a risk of occupational injury that is several times higher than permanent workers.The analysis presented here is based on three large independent statistical data sets. In the Work and Health Study 10.9% of fixed-term and 10.0% of permanent workers experienced occupational injury during the previous 12 months. In The Victim Survey of Finland 5.4% of fixed-term and 6.5% of permanent workers were injured at work. In The Quality of Working Life Survey 3% of fixed-term and 5% of permanent workers were involved in occupational injury. These three data sets showed unanimously that fixed-term workers did not have a higher occupational injury rate than permanent workers. The most important explanatory factor was that in Finland fixed-term contracts are concentrated in public services such as education and health care with a predominance of female workers. Still, the connection remained after adjusting the basic background variables of age, socio-economic status and industry.     

The impact of the economic crisis on occupational injuries

IntroductionThe potential influence of the current economic crisis on occupational accident rates and accident severity is studied in an analysis of all workplace accidents that occurred in Spain throughout the period 2000–2009.Method and resultsThe investigation confirms that occupational accidents in Spain are affected by the current economic crisis, which has provoked a sharp fall in both the number of accidents and the probability of having one. This may be justified by certain factors such as age, gender, length of service, size of the firm, and the employment stability of the injured worker. The influence of these factors is analyzed.Practical applicationsThe economic crises seems to provoke a sort of “natural selection” in the labor market and only the best adapted tend to remain (older workers, with more experience, a higher percentage of women, more workers in larger companies and permanent contracts), all of which means that the probability of workers having an injury is considerably reduced.     

The NIOSH Construction Program: Research to practice, impact, and developing a National Construction Agenda

The U.S. National Institute for Occupational Safety and Health (NIOSH) conducts research to improve and protect the health and safety of workers. This paper describes the experience of the NIOSH Construction Program with two recent program planning initiatives intended to improve the program: (a) an independent external review of work over the past decade and (b) the development of strategic goals organized into a “National Construction Agenda” to guide a decade of future work. These goals, developed with input from construction industry stakeholders and researchers, are a part of the NIOSH National Occupational Research Agenda (NORA) initiative. The NORA goals are intended to provide an ambitious set of goals for all construction stakeholders to work together on. Both efforts relate to insuring the relevance and impact of research, reflecting an emerging policy perspective that research programs should be judged not just by the quality and quantity of science produced, but by the industry impact and tangible benefit resulting from the research. This paper describes how views on research planning have evolved to incorporate lessons learned about how research leads to improved safety and health for workers. It also describes the process used to develop the goals and the resulting strategic and intermediate goals that comprise the National Construction Agenda.     

The use of proactive risk management to reduce emergency service vehicle crashes among firefighters

IntroductionEmergency service vehicle crashes (ESVCs), including rollovers and collisions with other vehicles and fixed objects, are a leading cause of death among U.S. firefighters. Risk management (RM) is a proactive intervention to identifying and mitigating occupational risks and hazards. The goal of this study was to assess the effect of RM in reducing ESVCs. Methods: Three fire departments (A, B and C), representing urban and suburban geographies, and serving medium to large populations, participated in facilitated RM programs to reduce their ESVCs. Interventions were chosen by each department to address their department-specific circumstances and highest risks. Monthly crash rates per 10,000 calls were calculated for each department an average of 28 months before and 23 months after the start of the RM programs. Interrupted time series analysis was used to assess the effect of the RM programs on monthly crash rates. Poisson regression was used to estimate the number of crashes avoided. Economic data from Department A were analyzed to estimate cost savings. Results: Department A had a 15.4% (P = 0.30) reduction in the overall monthly crash rate immediately post-RM and a 1% (P = 0.18) decline per month thereafter. The estimated two-year average cost savings due to 167 crashes avoided was $253,100 (95%CI= $192,355 – $313,885). Department B had a 9.7% (P = 0.70) increase in the overall monthly crash rate immediately post-RM and showed no significant changes in their monthly crash rate. Department C had a 28.4% (P = 0.001) reduction in overall monthly crash rate immediately post-RM and a 1.2% (P = 0.09) increase per month thereafter, with an estimated 122 crashes avoided. Conclusions: RM programs have the potential to reduce ESVCs in the fire service and their associated costs; results may vary based on the interventions chosen and how they are implemented. Practical applications: Risk management may be an effective and broadly implemented intervention to reduce ESVCs in the US fire service.     

Assessment of medical care costs of injuries due to alcohol-related motor vehicle crashes

The purpose of this study was to estimate the total medical care costs of individuals injured in motor vehicle crashes and in crashes where alcohol was involved. Crashes were studied that involved 2,728 vehicle occupants and 191 pedestrians with injuries as reported in 1979 by the National Accident Sampling System, a probability sample of all motor vehicle crashes occurring in the united States. Medical care costs were assigned by using Abbreviated Injury Scale codes in accordance with other published research. Determination of alcohol involvement was based on crash characteristics. Results indicate that 20.2 % of medical care costs for motor vehicle crash injuries may be due to crashes where alcohol was involved. It was estimated that alcohol-related motor vehicle crashes cost between $434 million and $483 million in medical care alone in the United States in 1979.     

Small businesses and OH&S advisors

Traditionally occupational health and safety (OH&S) enquiry has viewed the world of work as if it comprised of blue-collar male workers employed on a full-time basis in large organisations. However, to continue to analyze workplace health and safety within the narrow confines of unionized labour situated in large organisations is to ignore the health and safety in non-unionised small businesses. Therefore, this paper challenges existing OH&S research by investigating the compliance experiences of small businesses. The paper also demonstrates that small business employers are becoming increasingly reliant on their accountant to provide a range of compliance advisory services, including OH&S. However, the notion that small accounting firms act as ‘intermediary advisors’ between the OH&S regulatory agencies and the small business sector may influence the way in which regulatory agencies achieve OH&S compliance in small workplaces. Finally, the study reinforces the need for a more flexible approach to OH&S in the small business sector.     

Occupational deaths and injuries by the types of street cleaning process

This study aims to obtain an overall picture of occupational injuries by the types of street cleaning process. Three hundred and fifty-four injured persons were analyzed in terms of the company size and details of the injured persons and accidents. Results show that ‘roadway cleaning’ was the most common type of cleaning process for injuries, followed by ‘sidewalk cleaning,’ ‘going/returning to work by bike’ and ‘lifting/carrying.’ The findings also show that most accidents which occur when ‘going/returning to work by bike’ are in the form of traffic accidents, while in other processes they happen most often in the form of slips. Most of the accidents related to ‘lifting/carrying’ affected workers in their 50s or younger while other processes had a large portion of injured persons in their 50s or older. The findings of this study can be used as baseline data for preventative policies.     

What are we to make of safe behaviour programs?

Safe behaviour programs are currently a popular strategy for improving safety in large organizations. This paper provides a critical look at the assumptions that underlie such programs and identifies some of their limitations.Safe behaviour programs run the risk of assuming that unsafe behaviour is the only cause of accidents worth focusing on. The reality is that unsafe behaviour is often merely the last link in a causal chain and not necessarily the most effective link to focus on, for the purposes of prevention.One major drawback of these programs is that they miss critically important unsafe behaviour, such as attempts by workers to re-start processes that have been temporarily interrupted. Conventional safe behaviour programs aimed at front line workers are also of no use in preventing accidents in which the behaviour of front line workers is not involved.Given that it is the behaviour of management that is most critical in creating a culture of safety in any organization, behavioural safety observations are likely to have their greatest impact if directed upwards, at managers.The paper concludes with an appendix about accident repeater programs that are sometimes introduced along with safe behaviour programs.     

Work-related injuries of educational support staff in schools

This study aims to describe the characteristics of occupational injuries to educational support staff (service worker) in schools. In this research, 803 injured workers registered in 2015 were analyzed in terms of their gender, age, work experience, school type, work type, accident type, agency of accident, nature of injury and injured part of the body for each occupation. The workers were classified into after-school instructor, custodian and cooking staff. Accidents occurred mainly due to slips (35.6%) on floor/stair or contact with high temperature (18.1%). Also, the workers mostly fractured (41.2%) or had burns (19.3%) on their leg/foot (37.1%) or arm/hand/finger (29.8%). The results showed the difference in characteristics and injury pattern of injured persons for each occupation type, addressing the need for customized preventative measures for each situation. The results of this study can be a baseline in devising policies and guidelines for preventing accidents of service workers in schools.     

A stochastic approach for risk analysis in vapor cloud explosion

A stochastic approach for evaluating the risk of vapor cloud explosions is proposed in this work. The proposed methodology aims to incorporate the effect of uncertainty into the risk analysis to produce a better overall view for the risk. Some stochastic variables are used to estimate the probability of vapor cloud explosions: frequency of the release, the probability of not having an immediate ignition, the probability of delayed ignition and the probability of a vapor cloud explosion given a delayed ignition, as well as different possible meteorological conditions. These stochastic variables are represented with probability distribution curves. Different curves for the frequencies of releases from process equipment types (steel process pipes, flanges, manual valves, actuated valves, etc.), different equipment diameters and different leak sizes are also used in this analysis. Monte Carlo simulation is performed to obtain the risk as a probability distribution using the Analytic Solver Platform. Then the risk distribution curve obtained by Monte Carlo simulation is used to estimate the probability of satisfying the risk tolerance criterion.     

Personal injury recovery cost of pedestrian–vehicle collisions in New South Wales,Australia

Background: There is a need for routine estimates of injury recovery costs from pedestrian collisions using hospital separation records for economic evaluations.

Objective: To estimate the cost of injury recovery following pedestrian–vehicle collisions using the personal injury recover cost (PIRC) equation using key demographic and injury characteristics.

Method: An estimation of the costs of on-road pedestrian–vehicle collisions involving individuals who were injured and hospitalized in New South Wales (NSW), Australia, from 2002 to 2011 using the PIRC equation. The PIRC estimates individual injury recovery costs and does not include costs associated with property damage, vehicle repair, or rescue services. Individual recovery costs associated with severe traumatic brain injury (TBI) were estimated. The injured individual's mean, median, and total injury recovery costs are described for key demographic, injury, and crash characteristics.

Results: There were 9,781 pedestrians who were injured, costing an estimated total of $2.4 billion in personal injury recovery costs, an annual cost of $243 million. Males had a total injury recovery cost 1.7 times higher than females. The median injury recovery cost decreased with increasing age. TBI ($248,491) and spinal cord and vertebral column injuries ($264,103) had the highest median injury recovery costs for the body region of the most severe injury. TBI accounted for 22.6% of the total injury recovery costs for the most severe injury sustained. Just over one third of pedestrians sustained 4 or more injuries, with a median cost of $243,992, which was 1.6 times higher than the cost for a pedestrian who sustained a single injury ($153,682).

Conclusions: Personal injury recovery costs following pedestrian–vehicle collisions where a pedestrian is injured are substantial in NSW. The PIRC equation enables the economic cost burden of road traffic injury to be calculated using hospital separation data. The PIRC enables comprehensive personal injury recovery costs to be estimated and would aid in economic evaluations of preventive strategies in road safety.     

Action-Oriented Support for Occupational Safety and Health Programs in Some Developing Countries in Asia

Action-oriented support programs have been increasingly playing vital roles in promoting safety and health in developing countries in Asia. This paper studied achievements of 3 action-oriented support programs: the WISE program for small enterprises, the WIND program for farmers, and the POSITIVE program for workers and trade unions. Special attention was paid to how the programs have strengthened local efforts for sustainable actions in safety and health improvements. The results showed that there were significant achievements in action-oriented support programs in the region, including a large number of improvement examples, integration into government policies, and network support through employers’ and workers’ organizations. Participatory, action-oriented training tools such as action-checklists, local good example photos, and group work methods played key roles in the effective implementation of the programs. It was of note that there were a number of local efforts to extend the coverage of action-oriented support even to hard-to-reach workers such as home-based workers, rural workers, and ethnic minorities. The efforts included the equal participation in the training by female and male farmers, shortened and weekend training programs, photo sheets showing local good examples, and reasonable fee collection for better sustainability. In conclusion, action-oriented support programs provided local people with concrete means to promote safety and health improvements. The successful programs commonly focused on local initiatives and were built on local wisdom and resources.     

Enabling youth to advocate for workplace safety

Work-related injury rates for Canadian youth (ages 15–24) are alarmingly high compared to adult workers even though youth are less likely to be performing hazardous jobs. This paper reports on a document analysis of youth workplace safety education initiatives sponsored by national and provincial/territorial governmental and non-governmental agencies. Web-based documents were analyzed through the theoretical lens of self-advocacy. The self-advocacy framework highlights how youth can be agentic in altering high-risk workplaces by publicly articulating their own interests, needs, and rights (Test et al., 2005); thus, self-advocacy is a critical component in studying educational programs for youth safety. The analysis revealed that instruction on workplace safety identifies safety issues to workers and tells youth to work safely but does little to promote self-advocacy in young workers.     

Fatal occupational injuries in Jordan during the period 1980 through 1993

All fatal occupational injuries compensated by the Social Security Corporation (SSC) in Jordan during the period 1980–1993 were studied. Variables considered in the analysis included gender, age, nationality, occupation, salary, cause of injury, body part injured and cause of death. The overall fatality rate, of the 705 cases reviewed, was 25.5/100,000/year. The majority (98%) of fatalities were males. The risk of fatal injuries increased with age. Workers over 55 years, had the highest annual fatality rate (37.8). Immigrant workers had a higher fatality rate (32.26) than Jordanians (23.95). Unskilled workers constituted 58.3% of decedents and professionals had the highest fatality rate (52.9). Transportation sector had the highest fatality rate (122.4) followed by construction (50.6). Over the study period, fatality rates tended to decrease significantly in manufacturing, construction and trade economic sectors while no such trend was established by transportation, agriculture and services sectors. The leading causes of fatal injuries were motor-vehicle related accidents (63.0%) and fall of persons (11.1%). Head was the body part most injured and was involved in 46.6% of all deaths. Haemorrhage was the main reported cause of death (24.5%). It is concluded that intervention measures targeting specific occupations (transportation and construction) and causes of fatalities such as motor-vehicle incidents are needed.     

From input to outcome: Changes in OHS-education and training

Work organization, technology and working population characteristics change rapidly in many countries, although not always in the same direction. In many industrialized countries new trends are a growing services sector, an aging working population, and an increased work pressure.The participation rate of women is growing in the Netherlands, in contrast with the rate of handicapped workers. In the working population, work-related musculoskeletal diseases and psychic problems like mental break-down and burn-out prevail. Sickness absence and disability are important issues. Risk assessment and health and safety information are new duties of the employer.Nowadays Occupational Health and Safety Services are more multidisciplinary organized and have to prove their quality and utility. Therefore, occupational health and safety professionals have to learn skills like risk assessment, health and safety promotion, consultation, rehabilitation, and interdisciplinary cooperation.Experiential learning connects the practical experience of the participants with reflection and new insights during the course.     

A Quasi-Experimental Study of the Effects of the Erggi Action Model of Musculoskeletal Symptoms and VDU Working Conditions Among University Staff

Purpose. The aim of this study was to investigate musculoskeletal symptoms and working conditions of university workers with and without contact with an Erggi action model. Methods. A quasi-experimental and longitudinal field study design examined effects of the Erggi action model with 3 types of questionnaires filled by 1000 university workers. The statistical analyses used logistic regression. Results. Subjects who had contact with the Erggi action model had a higher probability of weekly musculoskeletal symptoms impairing their work, perceived more possibilities to influence their musculoskeletal symptoms and had lower risk for sick leave compared to those without contact with the Erggi action model. Conclusions. The Erggi action model increases the probability of influencing workers’ musculoskeletal symptoms, decreases the number of sick leave and increases awareness of musculoskeletal symptoms and working conditions.