Work-related fatal injuries in parking lots, 1993-2002

PROBLEM: Although parking facilities are a common feature of the landscape in the United States, little is known about their safety. METHOD: A dataset of parking lot fatalities for 1993-2002, created from the Census of Fatal Occupational Injury (CFOI) research file, was analyzed. RESULTS: The most common events in parking lots were contact with objects (15%), pedestrian fatalities (13%), homicides (36%), and suicides (11%). The perpetrators of parking lot fatalities, compared to all workplace homicides, were more likely to be known to the victim. CONCLUSION: The 206 work-related fatalities per year in parking lots present challenges to the safety community. Although much of the risk results from the usage of motor vehicles, violent acts are even more prominent. IMPACT ON INDUSTRY: Because homicides are most prevalent in parking lots, both administrative and environmental measures may lower the risk of homicide. Although difficult to assess, various elements of the design of parking facilities may have an influence on the occurrence of injuries.     

Occupational fatality under-reporting in rural areas of the Western Cape Province, South Africa

Following a previously published study which reported that 28% of occupational fatalities in the Cape Town metropole of the Western Cape Province of South Africa had not been reported in terms of statutory regulations, this rural-based study found that 85% of occupational fatalities were unreported. Two hundred and twenty four work-related deaths occurring in 10 rural magisterial districts in the Western Cape Province over a two and a half year period (January 1990-August 1992) were identified by examination of state mortuary death registers and police inquest reports. A review of the registers of the occupational safety inspectorate found that only 15% (n = 33) of these deaths had been reported. Drowning (68%), chemical poisoning (10%) and tractor accidents (9%) accounted for the greatest number of unreported fatalities. Only 5% of fatalities in women were reported. Underreporting of even the most direct occupational accidents highlights the gross inadequacy of the current reporting system for rural areas. Greater co-ordinated efforts within and between the government departments of health and labour are urgently required to address environmental hazards in rural areas and in particular on farms. Differential underreporting of occupational fatalities by gender to the disadvantage of women needs further investigation.     

Control chart for monitoring occupational asthma

INTRODUCTION: Work-related asthma has become the most prevalent occupational respiratory disease in the developed world. Occupational asthma is thought to affect 5%-10% of people worldwide. The first step in the diagnosis of occupational asthma is to establish work-relatedness. Although considerable research has been conducted in the area of occupational asthma, no simple, effective, and statistically sound method has been developed that can be used as an initial step to effectively identify the workers at risk for occupational asthma. The purpose of this research was to investigate whether Shewhart control chart method can be used as an effective method to detect occupational asthma. METHOD: Forty-five workers who completed the study and provided usable peak expiratory flow (a lung function marker) recordings while at work and away from work were included in this study. Control charts were developed using Shewhart's Method. The lower control limit of at work control chart (LCL(W)) was compared to each subject's Personal Best (PB) value. RESULTS: Reviewing the results of this comparison showed LCL(W)<60% PB to have a sensitivity of 85.71%, specificity of 87.50%, and an error rate of 13.33%. When the subjects suspected for false positive and false negative diagnoses were identified, the test produced a sensitivity of 95.24%, a specificity of 95.83% and an error rate of 4.44%. CONCLUSIONS: Our results were as good as, and in some cases better than, published clinical guidelines. IMPACT ON INDUSTRY: Our research showed that the control chart method is an effective, simple, and inexpensive tool for early intervention in workers suspected for occupational asthma.     

Shipyard fatalities in Turkey

The objective of this paper is to investigate causes and incidence rates of 115 fatalities between 2000 and 2010 in Turkish shipyards and to propose mitigation measures. The fatality rate in Turkish shipbuilding industry is unacceptably high, being 3.5 times the average of all industry groups. Classification of fatal occupational accidents revealed five major fatality reasons for the shipbuilding industry; falling from higher elevation to a lower level, exposed to electric shock, fire and/or explosion, being struck by or struck against objects, and caught in between. The highest number of cases of fatal accidents was found among welders, blasters, painters and substructure workers. Statistically analyzed data showed that working on Mondays and Saturdays have special impact on the fatality probability. Also, the number of fatalities is highest in working temperatures above average 25 °C, which covers from June through September. Strategies recommended to minimize the fatalities at shipyards are discussed. Furthermore a risk framework of fatal occupational accidents were drawn so that when working conditions are within the high risk region, extra precautions can be taken in order to minimize the occurrence of accidents and fatalities.     

欧洲国家工伤保险费率管理实践及其对我国的启示——用经济手段促进企业改善劳动安全条件的尝试

笔者从平均基准费率水平、工伤保险基金期望的支出构成比较和工伤保险刺激事故预防的费率机制的形成 3个方面 ,对欧洲国家工伤保险费率进行了分析 ,对若干欧洲国家用工伤保险经济手段促进企业改善劳动条件的成功经验给以总结 ,并对我国新近出台的《工伤保险条例》提出一些修改建议。     

Occupational fatalities due to electrocutions in the construction industry

Introduction

Occupational fatalities due to contact with electricity account for approximately 9% of all deaths in the construction industry and is the fourth leading cause of death in this industry.

Method

Differences in the proportions of electrocutions in the construction industry are significantly different from other industries based upon the age of the worker and the source of the electricity.

Results

This study found that, in the construction industry, the proportion of occupational fatalities due to contact with electric current is significantly higher for workers in the 16 to 19 years old age group. Contact with overhead power lines occurred more frequently with younger workers, while contact with electric wiring, transformers, and related equipment was found to occur more frequently with older workers. The proportion of fatalities due to this event was also found to account for a significantly greater proportion of fatalities in the construction industry overall.

Impact on industry

The proportions of electrocution fatalities in the construction industry were found to be significantly higher for younger workers when compared to all other industries. Focusing prevention measures toward younger workers who work near overhead power lines could have a significant impact upon death rates. For older workers, the focus should be on those who work on or near transformers, electrical wiring, and components. Across the construction industry, implementation of effective lockout-tagout programs, and verification of energy isolation, can prevent approximately 125 fatalities per year in the construction industry.     

Application of Prevention through Design for hearing loss in the mining industry

INTRODUCTION: Overexposure to noise remains a widespread and serious health hazard in the U.S. service providing and goods producing industries. Excessive noise can lead to poor verbal communication and reduce the ability to recognize warning signals. These dangerous work conditions can also cause stress and fatigue. Occupational hearing loss is a permanent illness, with no recovery currently possible. METHOD: National Institute for Occupational Safety and Health (NIOSH) has recognized Noise Induced Hearing Loss (NIHL) as one of the ten leading work-related diseases and injuries in the United States, and has emphasized its importance as one of the critical areas expressed in the National Occupational Research Agenda. RESULTS: One of the most serious noise problems in the goods producing industries is the operation of continuous mining machines during underground coal mining. In order to minimize occupational hearing loss, noise hazards are "designed out" early in the design process. NIOSH is leading a national initiative called Prevention through Design (PTD) to promote this concept. This paper describes the quiet-by-design approach of a noise control that reduced noise exposures of continuous mining machine operators by 3dB(A) using the four functional areas of PTD, namely Practice, Policy, Research, and Education.     

Aerial lift fall injuries: a surveillance and evaluation approach for targeting prevention activities

PROBLEM: Work on aerial lift platforms exposes workers to fall hazards. The objective of this study was to identify the most common injury scenarios and determine current research gaps for addressing fall incidents associated with aerial lifts. METHODS: Three databases were searched: Census of Fatal Occupational Injuries (CFOI), NIOSH Fatality Assessment and Control Evaluation (FACE) reports, and OSHA Incident Investigation Records. RESULTS: The majority of falls/collapses/tipovers were within the height-category of 10-29 feet. Tipovers comprised 44-46% of boom-lift falls and 56-59% of scissor-lift falls. Constructing and repairing activities were most commonly associated with fall/collapse/tipover incidents. DISCUSSION: CFOI and OSHA/FACE show convergent data, suggesting similar scenarios for aerial lift tipovers. IMPACT ON INDUSTRY: The analysis provides the aerial lift industry information to prioritize their efforts on aerial lift design.     

推广工伤保险对我国生产事故统计的影响

我国安全生产统计工作所依托的行政手段还不能完全适应变化中的市场经济环境 ,政府安全生产管理不到位 ,监管不严 ,各类事故的少报、瞒报、不报现象相当普遍 ,极大地影响了伤亡事故统计的准确性。2 0 0 4年我国已实施新的《工伤保险条例》 ,笔者认为 ,会在一个较长的时期内对生产事故统计带来较明显的影响 ,使生产事故造成的伤亡人数统计变得更为全面和科学 ,这种影响必然会对原有统计偏差的修正 ,有利于今后加强和完善对安全生产的宏观决策和管理 ,会从根本上促进安全生产水平的提高。     

Identifying an appropriate driving behaviour scale for the occupational driving context: The DBQ vs. the ODBQ

Self reported driving behaviour in the occupational driving context has typically been measured through scales adapted from the general driving population (i.e., the Manchester Driver Behaviour Questionnaire, (DBQ), Reason et al., 1990). However, research suggests that occupational driving is influenced by unique factors operating within the workplace environment, and thus, a behavioural scale should reflect those behaviours prevalent and unique within the driving context. To overcome this limitation, Newnam et al. (2011) developed the Occupational Driver Behaviour Questionnaire ((ODBQ), Newnam et al., 2011) which utilises a relevant theoretical model to assess the impact of the broader workplace context on driving behaviour. Although the theoretical argument has been established, research is yet to examine whether the ODBQ or the DBQ is a more sensitive measure of the workplace context. As such, this paper identifies selected organisational factors (i.e., safety climate and role overload) as predictors of the DBQ and the ODBQ and compares the relative predictive value in both models. In undertaking this task, 248 occupational drivers were recruited from a community-oriented nursing population. As predicted, hierarchical regression analyses revealed that the organisational factors accounted for a significantly greater proportion of variance in the ODBQ than the DBQ. These findings offer a number of practical and theoretical applications for occupational driving practice and future research.     

Global trend according to estimated number of occupational accidents and fatal work-related diseases at region and country level

Background

Although occupational accidents and work-related diseases have been of interest for a long time, due to lack of proper recording and notification systems the official numbers of occupational accidents and work-related diseases are missing for many countries. Presently, the demand for effectiveness and an interest in the economic aspects of accidents have increased prevention activities at company and country levels.

Methods

Occupational accident data of selected countries and of World Health Organization regional divisions together with the global burden of disease were used in estimating global occupational accidents and fatal work-related diseases. The trend of global occupational accidents and work-related diseases is presented at region and country levels. The years 1998, 2001, and 2003 are compared in the case of occupational accidents and the years 2000 and 2002 in the case of work-related diseases.

Results

The total number of occupational accidents and fatal work-related diseases has increased, but the fatality rates per 100,000 workers have decreased. There were almost 360,000 fatal occupational accidents in 2003 and almost 2 million fatal work-related diseases in 2002. Every day more than 960,000 workers get hurt because of accidents. Each day 5,330 people die because of work-related diseases.

Conclusions

Information on occupational accidents and work-related diseases is needed so that countries may understand better the importance of occupational health and safety at country and company level. Especially companies in developing countries are not familiar with occupational safety and health. Statistical data is essential for accident prevention; it is a starting point for the safety work.     

Occupational electrical injuries in the United States, 1992-1998, and recommendations for safety research

PROBLEM: CFOI and SOII data show that 2,287 U.S. workers died and 32,807 workers sustained days away from work due to electrical shock or electrical burn injuries between 1992 and 1998. METHOD: The narrative, work activity, job title, source of injury, location, and industry for each fatal electrical accident were examined. A primary causal factor was identified for each fatality. RESULTS: Electrical fatalities were categorized into five major groups. Overall, 44% of electrical fatalities occurred in the construction industry. Contact with overhead power lines caused 41% of all electrical fatalities. DISCUSSION: Electrical shock caused 99% of fatal and 62% of nonfatal electrical accidents. Comprising about 7% of the U.S. workforce, construction workers sustain 44% of electrical fatalities. Power line contact by mobile equipment occurs in many industries and should be the subject of focused research. Other problem areas are identified and opportunities for research are proposed. IMPACT ON INDUSTRY: Improvements in electrical safety in one industry often have application in other industries.     

职业安全健康管理体系对企业经济和社会效益影响研究

为了评估职业安全健康管理体系的建立与企业经济和社会效益的关系 ,笔者对 12 5家企业的安全生产投入 ,因事故、职业病或违约造成的经济投入 (损失 ) ,以及建立职业安全健康管理体系后对企业经营活动及社会形象的影响进行了分析。结果发现 ,企业在建立职业安全健康管理体系期间及之后其安全生产投入比未建企业和建立体系之前增加 ;对事故、职业病或违约造成的经济投入加大 ;签订合同额和投标活动的中标率上升 ,员工抱怨次数及相关方抱怨次数下降。上述结果表明 ,职业安全健康管理体系的建立和运行对企业有良好的经济和社会效益。     

工伤总估校正发生率及工伤发生时间分析

为完整地了解总的工伤发生率，探讨工伤发生的时间分布规律，在某厂调查了１９８８～９１年工伤发生情况。用俘获——再俘获（Ｃ－Ｍ）方法估计总的工伤发生率。结果表明，若按安环科登记的工伤记录，四年共发生工伤２００人次，粗发生率为１０．０‰；但是，若用安环科和卫生科两个来源收集到的工伤人次数，以Ｃ－Ｍ的方法估计，总的工伤发生人次数为５３３，总估校正发生率为２６．７‰。安环科工伤登记的工伤仅是全部工伤的５０．７％，漏记率为４９．３％。工伤发生率在年龄小于２０岁和工龄小于５年的最高．工伤多发生在一年中的第三季度和三月份；一星期中，周一工伤最多；一天中工伤发生在早班最多，占５８．２％，而发生在工作后１—２小时之间也最多，占２３．７％，上午９—１０点之间是工伤发生最多的时段（占１７．５％）。     

我国南方某省1988～1992年工伤调查分析

通过对南方某省１９８８～１９９２年工伤发生情况的调查，五年间工伤事故数、工伤死亡率及重伤率有逐年增加的趋势，煤炭、交通、建筑三个行业的工伤死亡人数约占工伤死亡总数的５０％；县以下乡镇企业中的工伤事故数、死亡率及重伤率均居首位。工伤事故中造成死亡的原因主要集中在物体打击、触电、高空坠落；引起重伤的原因集中在机械伤害、物体打击、车辆伤害和高空坠落。因此在劳动安全卫生管理工作上，要采取一些强有力的干预措施，特别要加强对乡镇工业企业及那些易发生工伤事故企业的管理。     

Occupational safety and health in Spain

Occupational Health and Safety in Spain has improved considerably over the last decade, most likely due to a new concept where an overall concept of safety culture is defined. Important changes in industrial safety, hygiene, and psychosocial factors present an optimistic panorama for the future of Spain. Despite this general improvement, according to the European Convergence Program, Spanish statistics still offer far from good safety results. In fact, according to 1997 official statistics, Spain had the highest incidence rate for nonfatal occupational accidents of all European Union (EU) countries, and occupied third place for fatal accidents. This paper summarizes the organizational structure of the Spanish National System of Health & Safety at Work, its effective health and safety laws, and statistics on the Spanish work environment obtained from III Spanish National Survey on Work Conditions (1997). The researchers hope that the findings of this work will have an impact on Spanish industry that will subsequently bring about improvements in work conditions and develop assessment and intervention models in occupational health and safety, from a theoretical position integrating environmental, human, and organizational factors.     

Occupational Safety Culture Index (OSCI)——measuring the community and employees awareness,attitude and knowledge towards workplace safety and health in Hong Kong SAR

Promoting occupational safety and health in Hong Kong,Special Administrative Region of China is an important and ongoing mission. As the major organization with statutory responsibilities,the Occupational Safety and Health Council understand the importance to strengthen and cultivate our safety culture. It is widely believed that numbers of occupational related diseases and injuries could be prevented with the improvement of the awareness and attitudes of the employees and the public. Therefore,a comprehensive and in-depth study to monitor the occupational health and safety level and status of the community and working population is needed. Objectives: Our Council has developed the Occupational Safety Culture Index ( OSCI) to measure the current level of community and workplace safety and health awareness,knowledge and attitude. Benchmarking measures of the key safety performance indicators are to be derived thereof. Methods: A territory-wide random telephone survey was conducted to assess the community and employees’awareness,attitude and knowledge in 2008. A structured questionnaire was designed with the content validity and reliability assessed before the survey administration. A series of quality control approaches were also applied to assure the quality of the fieldwork and the reliability of the data. Results: 1,531 eligible participants’data were collected and computed into 2 types of composite indices,Occupational Safety Culture Index ( Community) ( OSCIC) and Occupational Safety Culture Index (Workplace) (OSCIW) . With the maximum score of index at 100,the overall score of OSCIC is 66. 9 and the OSCIW is 61. 3 in Hong Kong. Achievements: OSCI served as an effective management tool to measure the safety culture in Hong Kong. With a representative sample and high quality study control and validated assessment approaches,the OSCI and the sub-indices are reliable indicators to assess the effectiveness of safety culture enhancement strategy and the OSH intervention measures.     

1900个乡镇工业的工伤职业病医疗保障现状分析

在调查的１９００个乡镇工业企业中,有９．３％ 的企业对职工工伤职业病没有任何保障,其中尤其是个体联户所办企业则高达１５％ 。按行业进行分析,最易发生工伤职业病的各种矿山采选业、建材生产业,能给予报销医疗费的企业占７８．５％ ,部分给予报销的企业占１０．２％ ,不予报销企业占１１．３％ 。从保障程度看,能给予全部报销医疗费的企业仍以乡办企业为最高（９３．２％ ）,其次为村办企业（９０．２％ ）和个体联户所办企业（８８．５％ ）     

Occupational Safety and Health in Finland

In Finland, occupational safety is the responsibility of the employer, while the occupational safety and health laws are enforced by the Labour Inspection Service, an organization of the state. The Labour Inspection is divided in 11 administrative districts, and it employs 360 professionals. They are mandated to carry out site visits without prearranged appointments to inspect safe work situations, working hours, construction safety, or any aspect of accident risks. The inspectors are also mandated to verify the existence of sufficient occupational health services as prescribed by the Occupational Health Services Act for all employees. The occupational health services are typically provided by enterprise-owned medical departments, by mutually owned health care centers, by private practitioners, or by municipal health care centers. The latter are required by law to provide all services as prescribed by the legislation to anyone who comes to the facility. This situation is prevalent in the countryside, where there are very few private caregiving centers. Declaring occupational accidents and disease cases is mandatory, and the Inspection districts examine all accidents to establish causes and consequences, and to initiate prosecution in case of criminal negligence. Labour Inspection Districts are also notified of the new occupational disease cases as they are declared to insurance companies. Insurance for occupational disease, accidents, and death is an obligation of the employer, although they can choose the insurance company. The medical confidentiality between the workers and their occupational health care providers is very strict. Official statistics are maintained by the state Statistics Finland organization, and they may be used, for example, for research purposes by scientific institutes like the Finnish Institute of Occupational Health. Construction industry accounts for 25% of all fatal accidents (120 cases per 1 million working hours), followed by mechanical, wood, metal, machinery, and pulp and paper industry (10% each of fatal accidents) with rates ranging from 100–160 cases per 1 million working hours. There are some 5,000 occupational disease cases per year (rate 22/10,000 employed). The major disease categories include repetitive strain injuries (1,300 cases), respiratory allergies (600 cases), occupational skin diseases (1,000 cases), and 900 cases of noise-caused hearing loss. In 1998, 589 cases of asbestos-related diseases were reported.