Factors related to injury of shiftworking fire fighters in the Northeastern United States

Fire fighters, who provide society with an essential and life-saving service, are subjected to the effects of shiftwork and to the demands (physical and mental) and dangers of their profession, all of which can contribute to injuries. To identify factors involved in injuries to fire fighters, the timing, frequency, types, and places of occurrence of injuries sustained by fire fighters in three different municipal fire departments were examined. Data was obtained from analysis of Workers' Compensation forms. The most frequent injuries involved inhalation of hazardous materials and lacerations. Ninety-two percent of the injuries occurred at the fire scene, and their causes were related to fire fighting duties, such as rescue, extinguishment and overhaul. Although only 54% of fire alarms nationwide occurred from 12:00 to 16:00 and from 18:00 to 24:00 (42% of a 24 hour day), 68% of the injuries sustained by the fire fighters studied occurred during these time periods. Per alarm, at meal time or on the night shift fire fighters were more likely to be injured. Serious injuries were more prevalent at standardly accepted meal-times. The timing of the highest frequencies of injuries suggests that, due to the shiftwork nature of firefighting, both disruption of eating patterns and fatigue increase the risk of work-related injury to fire fighters. By understanding the contribution of factors, especially human ones, such as altered metabolism (due to disruption) and fatigue (due to time elapsed since awakening, alteration/disruption of sleep-wake pattern, or hypoglycaemia), interventions can be developed, which should decrease the incidence of injuries to fire fighters.     

Injury prevention in natural disasters. A theoretical framework

A theoretical framework for conceptualizing injury patterns in natural disasters is described. In this conceptual framework, natural disasters are divided chronologically into predisaster, disaster and postdisaster phases. Within each phase, four factors (human, engineering/technological, physical environmental and socioeconomic) are identified that play an important role in the causation of injury. By combining these phases and factors into a three by four matrix, one may begin to identify points in the natural history or evolution of a disaster that may be amenable to therapeutic or preventive intervention. The application of this proposed three-phase matrix model to a disaster will permit researchers to reduce a large, complex problem into more manageable, conceptually simpler parts. It may also be of value to disaster planners by suggesting preventive and mitigation measures, as well as aiding in the setting of priorities so that scarce resources can be allocated to achieve maximum reduction of injuries.     

Exploring safety knowledge sharing among experienced and novice workers

Introduction: This paper investigates how members of a culinary and hospitality arts program generate, share, and learn safety knowledge via social and identity mechanisms. Method: We conducted semi-structured interviews with 20 participants of varying roles and experience (i.e., students, culinary instructors, and restaurant chefs) in the culinary and hospitality arts program at a large polytechnic in western Canada. Results: The emergent themes from these interviews indicated that the circulation of safety knowledge relied on the interaction among individuals with various levels of experience, such that those who were more experienced in the culinary arts were able to share safety knowledge with novices, who had less experience. Comparing safety knowledge gleaned from within the school against that gleaned from within the industry highlighted differences between the construction of safety in the two contexts. Notably, many aspects of safety knowledge are not learned in school and those that are may not apply in the industry context. We found that safety knowledge was shared through informal means such as storytelling, a process that allowed members to come to a deep, collective understanding of what safety meant, which they often labeled “common sense.” Conclusion: We found that safety knowledge was a currency through which participants achieved legitimacy, generated through continual practical accomplishment of the work in interaction with others. Practical Applications: Our findings provide novel insights into how safety knowledge is shared, and we discuss the implications of these findings for classroom, work-based learning, and other forms of curricula.     

Assessment of perceived injury risks and priorities among truck drivers and trucking companies in Washington State

Problem

The trucking industry experiences one of the highest work-related injury rates. Little work has been conducted previously in the United States to assess the hazards, needs, and injury prevention priorities in trucking. Method: Two separate industry-wide surveys of 359 trucking companies and 397 commercial truck drivers were conducted in Washington State. Results: Trucking companies and drivers both ranked musculoskeletal and slip, trip, fall injuries as the top two priorities. Controlling heavy lifting, using appropriate equipment, and addressing slippery surfaces were frequently listed as solutions. There appears to be a gap in safety climate perception between workers and employers. However, driver and company priorities agreed with industry workers' compensation claims. There is room for safety program management improvement in the industry. The study findings detail opportunities for prioritizing and reducing injuries. Impact on Industry: This information can be used to focus and design interventions for the prevention of work-related injuries while improving industry competitiveness.     

Falls from height during the floor slab formwork of buildings: Current situation in Spain

Problem

One of the phases with the highest risk of falls from a height in the construction of a building is during the floor slab formwork stage. This paper analyzes this particular risk, as well as the most frequently used fall-protection systems.

Method

A survey was carried out to define the current situation in Spain with regard to falls from a height during floor slab formwork and the fall-protection systems used to prevent such a risk.

Results

The results of the survey clarified the current situation in Spain with regard to this risk, and made it clear that there is considerable risk of falling from a height during the floor slab formwork stage.

Discussion

All the safety systems analyzed presented a series of weak points that should be studied in detail before they can be used on building sites.

Impact on industry

The risk of falling associated with floor slab formwork and the most frequently used protection systems are analyzed. As no research had been carried out to date on this type of risk, we consider the research presented in this article to be a pioneer in the field.     

Human resource management practices and organizational injury rates

Introduction: This study investigated the extent to which five human resource management (HRM) practices—systematic selection, extensive training, performance appraisal, high relative compensation, and empowerment—simultaneously predicted later organizational-level injury rates. Methods: Specifically, the association between these HRM practices (assessed via on-site audits by independent observers) with organizational injury rates collected by a national regulatory agency one and two years later were modeled. Results: Results from 49 single-site UK organizations indicated that, after controlling for industry-level risk, organization size, and the other four HRM practices, only empowerment predicted lower subsequent organizational-level injury rates. Practical Applications: Findings from the current study have important implications for the design of HRM systems and for organizational-level policies and practices associated with better employee safety.     

Health Impact of Injuries: A Population-Based Epidemiological Investigation in a Local Community of Bangladesh

Due to the lack of valid injury data, the objective of this study was to assess the injury morbidity and mortality in a local community of Bangladesh. A population-based survey of 3,258 households was conducted in 1996. The information was collected by trained field-level health workers using three pretested structured forms. The estimated crude morbidity from injuries was 311 per 1,000 population per year, and injury accounted for 13% of all morbidity. The children and old-age groups experienced higher injury rates than others, and male children aged 5–15 years had the highest incidence rates (546/1,000 person-years). Falls and cutting injuries tended to be the most frequently (62.4%) observed types of injuries in this survey. The home (42%) and workplace (42%) were where most of the injuries occurred, and the majority (70.7%) of the injuries were minor. Of all deaths, mortality from injuries was 2.9%, and drowning (27.8%) and homicide (16.7%) were found as common forms of injury-causing deaths. This study invites more detailed investigation on injury morbidity and mortality.     

Falls from buildings and other fixed structures in New Zealand

Epidemiologic studies of falls from buildings and other fixed structures have historically focused on the urban environment. In this study, national injury mortality and hospitalisation data, supplemented by Coroner's investigation reports, were used to describe the epidemiology of such falls across an entire nation, New Zealand. The overall death rate was 0.30 per 100,000 persons per year. Ninety-three percent of cases were older than 14 years of age. Sixty-nine percent of falls were from buildings, with 31% from other structures. Sixty-seven percent of fatal falls were from a height of 10 meters or less. The incidence rate of hospitalisations was 21.4, with the highest rates among those aged 0–9. Fifty-five percent of non-fatal falls were from buildings, with 45% from other structures. National measures to prevent falls from structures should extend to a wide variety of structures and environments. Data presented on the age distributions of falls from different types of structures and structural components (windows, etc.) provide indicators for fall prevention.     

Blasting injuries in surface mining with emphasis on flyrock and blast area security

PROBLEM: Blasting is a hazardous component of surface mining. Serious injuries and fatalities result from improper judgment or practice during rock blasting. This paper describes several fatal injury case studies, analyzes causative factors, and emphasizes preventive measures. METHOD: This study examines publications by MSHA, USGS, and other authors. The primary source of information was MSHA's injury-related publications. RESULTS: During the 21-year period from 1978 to 1998, the mean yearly explosive-related injuries (fatal and nonfatal) for surface coal mines was 8.86 (95% CI: 6.38-11.33), and for surface metal/nonmetal mines 10.76 (95% CI: 8.39-13.14). Flyrock and lack of blast area security accounted for 68.2% of these injuries. This paper reviews several case studies of fatal injuries. Case studies indicate that the causative factors for fatal injuries are primarily personal and task-related and to some extent environmental. A reduction in the annual injuries in surface coal mines was observed during the 10-year period of 1989-1998 [5.80 (95% CI: 2.71-8.89) compared to the previous 10-year period of 1979-1988 [10.90 (95% CI: 7.77-14.14)]. However, such reduction was not noticed in the metal/nonmetal sector (i.e., 9.30 [95% CI: 6.84-11.76] for the period 1989-1998 compared with 11.00 [95% CI: 7.11-14.89] for the period 1979-1988). DISCUSSION: A multifaceted injury prevention approach consisting of behavioral/educational, administrative/regulatory, and engineering interventions merits consideration. IMPACT ON INDUSTRY: The mining community, especially the blasters, will find useful information on causative factors and preventive measures to mitigate injuries due to flyrock and lack of blast area security in surface blasting. Discussion of case studies during safety meetings will help to mitigate fatal injuries and derive important payoffs in terms of lower risks and costs of injuries.