Handbook Of Methods: Chapter 9. Occupational Safety And Health Statistics

Transcription

Chapter 9.Occupational Safety and Health Statisticsata on safety and health conditions for workers onthe job have been produced by the Bureau of LaborStatistics (BLS) since before World War I. The firstsafety and health report issued by BLS summarized industrialaccidents in the iron and steel industries during the warperiod, presenting information on the frequency and severityof injuries, the occupation of the injured workers, and thenature of their injuries.1 Work-related illnesses also were thesubject of BLS studies conducted in the early 1900s, such asthe pioneering research on lead poisoning in the workplacedone by Dr. Alice Hamilton.2It was not until the passage of the Occupational Safetyand Health Act of 1970 that Congress delegated to BLSthe responsibility for developing a comprehensive statisticalsystem covering work-related injuries, illnesses, andfatalities in private industry. In 1972, BLS, in cooperationwith many state governments, designed the annual Surveyof Occupational Injuries and Illnesses (SOII) to estimate thenumber and frequency of work-related injuries and illnessesby detailed industry for the nation and for states participatingin the SOII. This survey information continues to be of valueto the safety and health community when deciding how toallocate prevention resources among several hundred diverseindustries, across which, workers’ risks of injury and illnessvary widely.As originally designed, however, the SOII had itsshortcomings. Although the survey identified industrieswith dangerous work settings, it shed little light on thecircumstances of an injury or illness; for example, the surveydid not ask about the manner in which an incident occurredand which occupations were involved.3 The SOII also failedto produce a reliable count of workplace fatalities or profilesD1The Safety Movement in the Iron and Steel Industry, Bulletin 234 (Bureauof Labor Statistics, 1918).2The White-Lead Industry in the United States, Bulletin 95 (Bureau ofLabor, 1911).3Between the mid-1970s and early 1990s, a limited amount of data on casecircumstances of work-related injuries and illnesses and characteristics ofthe workers involved were aggregated for selected states participating in theSupplementary Data System and Work Injury Reports. For a description ofthose programs, see BLS Handbook of Methods, Bulletin 2414 (Bureau ofLabor Statistics, 1992), chapter 14.IN THIS CHAPTERPart I. Common Coding SystemsNorth American Industry Classification System (NAICS). 2Standard Occupational Classification (SOC). 3Occupational Injury Illness Classification System (OIICS). 4Race and Ethnicity Standards. 4Part II. Survey of Occupational Injuries and Illnesses. 5Background. 5SOII Definitions. 6SOII Measures. 8Scope of the SOII. 9State Participation in the SOII. 9SOII Sample Design. 10SOII Data Collection. 10SOII Estimation Procedures. 11Uses and Limitations of SOII Estimates. 15Survey Forms. 15Part III. Census of Fatal Occupational Injuries. 15Background. 16CFOI Definitions. 16CFOI Collection Methods. 17CFOI Measures. 17Fatal Injury Rates. 17Presentation of CFOI Data. 19Uses and Limitations of CFOI Data. 20Part IV. Special Topic Surveys. 21Technical References. 22depicting the victims’ demographics and the circumstancessurrounding their deaths.In 1987, a National Academy of Sciences study recommended that these deficiencies be corrected by collectingdetailed data on severe, nonfatal occupational injuries andillnesses reported in the SOII and by compiling completeaccounts of occupational fatalities from administrative records, such as death certificates and workers’ compensationreports.4 This critical review of the SOII, which highlighted4See E.S. Pollack and D.F. Keimig, eds., Counting Injuries and Illnessesin the Workplace: Proposals for a Better System (Washington, NationalResearch Council, National Academy Press, 1987), pp. 103–06.

North American Industry ClassificationSystem (NAICS)longstanding deficiencies, provided the impetus for its redesign.With congressional funding, technical support from thesafety and health community, and assistance from some 40participating states, BLS began a multiyear effort to redesignand test an improved safety and health statistical system,which was fully implemented in 1992. Beginning that year,SOII estimates of nonfatal workplace injuries and illnesseswere expanded to profile detailed case circumstances andworker characteristics for cases that involved days awayfrom work, and a separate Census of Fatal OccupationalInjuries (CFOI) was established to capture counts and profilesof work-related fatalities. (For more information on casecircumstances and worker characteristics, see discussion ofthe Occupational Injury and Illness Classification systemand the Standard Occupational Classification system inPart I. Common Coding Systems, which follows this section.)The changes to the BLS Occupational Safety and HealthStatistics (OSHS) program implemented in 1992 addedtwo new outputs for the program. The three distinct outputsinclude the Census of Fatal Occupational Injuries (CFOI);Survey of Occupational Injuries and Illnesses—Case andDemographics (SOII—C&D); and the original Survey ofOccupational Injuries and Illnesses—Annual Summary(SOII—AS). The results of the survey and census arereported in separate news releases published annually by thefollowing titles: Census of Fatal Occupational Injuries includesdetailed case circumstances and workercharacteristics for work-related fatalities (CFOI) Workplace Injuries and Illnesses includes industrylevel estimates of nonfatal work-related injuries andillnesses from the SOII (SOII—AS) Nonfatal Occupational Injuries and IllnessesRequiring Days Away From Work includes detailedcase circumstances and worker characteristics forcases involving days away from work from the SOII(SOII—C&D)The SOII and CFOI adopted a new industry classificationsystem beginning with data for reference year 2003. TheStandard Industrial Classification (SIC) system served as thefoundation for SOII and CFOI statistics since the inceptionof each program—1972 and 1992, respectively, and wasrevised numerous times during its life cycle (most recently in1987) to account for changes in the composition of the U.S.economy.Despite periodic updates to the SIC system, increasingcriticism led to the development of a new, more comprehensivesystem that reflects more recent and rapid economic changes.Many industrial changes were not accounted for under theSIC system, such as recent developments in informationservices, new forms of health care provision, expansion ofthe services sector, and high-tech manufacturing.The North American Industry Classification System(NAICS) was developed in cooperation with Canada andMexico to replace the SIC system, and it was one of themost profound changes for statistical programs focusedon measuring economic activities. NAICS uses a processoriented conceptual framework to group establishments intoindustries according to the activity in which they are primarilyengaged. Establishments using similar raw material inputs,similar capital equipment, and similar labor are classifiedin the same industry. In other words, establishments that dosimilar things in similar ways are classified together.NAICS provides a new tool to ensure that SOII and CFOIstatistics accurately reflect changes in a dynamic U.S. economy. The downside of this change is that these improvedstatistics resulted in time series breaks due to the significantdifferences between SIC and NAICS. Every sector of theeconomy was restructured and redefined under NAICS. Anew Information sector combined communications, publishing, motion picture and sound recording, and online services,recognizing our information-based economy. NAICS restructured the Manufacturing sector to recognize new high-techindustries. A new subsector was devoted to computers andelectronics, including reproduction of software. Retail tradewas redefined. In addition, eating and drinking places weretransferred to a new Accommodation and Food Services sector. The difference between the Retail Trade and WholesaleTrade sectors is now based on how each store conducts business. For example, many computer stores were reclassifiedfrom wholesale to retail. Nine new service sectors and 250new service-providing industries were recognized with theadoption of the NAICS revision in 2002.NAICS uses a 6-digit hierarchical coding system to classifyeconomic activities into 20 industry sectors—4 sectors aremainly goods-producing sectors and 16 are entirely serviceproviding sectors. This 6-digit hierarchical structure allowsgreater coding flexibility than the 4-digit structure of theSIC. NAICS allows for the identification of 1,170 industriescompared with the 1,004 found in the SIC system.Several changes that have had significant impacts on datafrom the BLS safety and health statistics program, includingupdated recordkeeping requirements, new industry andoccupation classification systems, and changes in race andethnicity standards, are discussed in Part I. Common CodingSystems.Part I. Common Coding SystemsThe Survey of Occupational Injuries and Illnesses (SOII)and the Census of Fatal Occupational Injuries (CFOI) shareseveral systems to classify industry, occupation, and casecircumstances and worker characteristics. Changes amongthese systems over the past several years have significantlyimpacted SOII and CFOI outputs, as described below.2

In late 2004, BLS began publishing survey year 2003occupational safety and health statistics using NAICS, firstwith the CFOI in September, followed by summary estimatesfrom the SOII in December. In March 2005, BLS publishedNAICS-based detailed case circumstances and workercharacteristics estimates from the 2003 SOII. Because of thesubstantial differences between the NAICS and SIC systems,the results by industry since 2003 constitute a break in series,and users are advised against making comparisons betweenthe 2003 industry categories and the results for previousyears.The NAICS 2002 structure was revised on a planned5-year cycle to reflect changes in the economy, resultingin the NAICS 2007 standard. SOII and CFOI industry dataincorporated NAICS 2007 coding with the release of data for2009. The differences between the NAICS 2002 and NAICS2007 were not as broad as those between SIC and NAICS.Therefore, adoption of NAICS 2007 did not result in seriesbreaks. For additional information regarding differencesbetween NAICS 2002 and NAICS 2007, visit the U.S.Census Bureau NAICS webpage at http://www.census.gov/eos/www/naics/. Natural resources and mining—combining Agriculture,forestry, fishing, and hunting (NAICS 11), and Mining(NAICS 21) Trade, transportation, and utilities—combiningWholesale (NAICS 42) and Retail trade (NAICS 44–45), Transportation and warehousing (NAICS 48–49),and Utilities (NAICS 22) Financial activities—combining Finance and insurance(NAICS 52) and Real estate and rental and leasing(NAICS 53) Professional and business services—combiningProfessional, scientific, and technical services (NAICS54); Management of companies and enterprises(NAICS 55); and Administrative and support and wastemanagement and remediation services (NAICS 56) Education and health services—combining Educationservices (NAICS 61) and Health care and socialassistance (NAICS 62) Leisure and hospitality—combining Arts, entertainment,and recreation (NAICS 71) and Accommodation andfood services (NAICS 72)The following list identifies the individual goods-producingand service-providing sectors according to 2007 NAICSclassifications:Standard Occupational Classification(SOC)Beginning with the 2011 reference year, the CFOI andthe SOII began using the 2010 Standard OccupationalClassification system for coding occupations. Prior to 2011,the 2000 Standard Occupational Classification system foroccupations was used. Because of the differences betweenthe current and older 2000 SOC version, CFOI and SOIIresults by occupation in 2011 constitute a break in series, andusers are advised against making comparisons between the2011 (and subsequent years) occupation categories and theresults for previous years. The 2010 SOC system classifiesworkers at four levels of aggregation: Goods-producing NAICS sectors: Agriculture, forestry, fishing, and hunting (NAICS 11) Mining (NAICS 21) Construction (NAICS 23) Manufacturing (NAICS 31–33) Service-providing NAICS sectors: Wholesale trade (NAICS 42) Retail trade (NAICS 44–45) Transportation and warehousing (NAICS 48–49) Utilities (NAICS 22) Information (NAICS 51) Finance and insurance (NAICS 52) Real estate and rental and leasing (NAICS 53) Professional, scientific, and technical services (NAICS54) Management of companies and enterprises (NAICS55) Administrative and support and waste managementand remediation services (NAICS 56) Education services (NAICS 61) Health care and social assistance (NAICS 62) Arts, entertainment, and recreation (NAICS 71) Accommodation and food services (NAICS 72) Other services (except Public administration) (NAICS81) Public administration (NAICS 92) Major groupMinor groupBroad occupationDetailed occupationAll occupations are clustered into one of 23 major groups,within which are 97 minor groups, 461 broad occupations,and 840 detailed occupations. Occupations with similarskills or work activities are grouped at each of the four levelsof hierarchy to facilitate comparisons. For example, Life,Physical, and Social Science Occupations (19-0000) is dividedinto four minor groups: Life Scientists (19-1000), PhysicalScientists (19-2000), Social Scientists and Related Workers(19-3000), and Life, Physical, and Social Science Technicians(19-4000). Life Scientists contains broad occupations such asAgriculture and Food Scientists (19-1010), and BiologicalScientists (19-1020). The broad occupation BiologicalScientists includes detailed occupations such as Biochemistsand Biophysicists (19-1021) and Microbiologists (19-1022).In addition to these NAICS sectors, SOII and CFOI statisticsare tabulated for several additional NAICS aggregationsthat are unique to BLS, including the following:3

The OIICS revision in September 2010 was the first major revision since the 1992 manual. The BLS OIICS Revision Team developed the new manual using input from manystakeholders. In February 2008, BLS issued a Federal Register Notice requesting suggestions for proposed changes to themanual. In addition, the OSHS program sent out numerousletters and e-mails to others who use the OIICS to classifyinjury and illness data. In April 2010, the OSHS program senta draft of the revised OIICS manual to interested parties fortheir comments. The team considered comments received,made revisions, and completed the final manual in September2010. OIICS 2.0 differs significantly enough from the original version to be considered a break in series, so data may notbe comparable to previous years.The SOII—C&D and CFOI use five classifications todescribe each incident that led to a serious nonfatal injury orillness or a fatal injury:Each item in the hierarchy is designated by a six-digitcode. The first two digits of the SOC code represent themajor group; the third digit represents the minor group; thefourth and fifth digits represent the broad occupation; and thedetailed occupation is represented by the sixth digit. Majorgroup codes end with 0000 (e.g., 33-0000, Protective ServiceOccupations), minor groups end with 000 (e.g., 33-2000, FireFighting Workers), and broad occupations end with 0 (e.g.,33-2020, Fire Inspectors). (The zeros are not always printed.)All residuals (“Other,” “Miscellaneous,” or “All Other”),whether at the detailed or broad occupation or minor grouplevel, contain a 9 at the level of the residual. Detailed residualoccupations end in 9 (e.g., 33-9199, Protective ServiceWorkers, All Other), broad occupations which are minorgroup residuals end in 90 (e.g., 33-9190, MiscellaneousProtective Service Workers), and minor groups which aremajor group residuals end in 9000 (e.g., 33-9000, OtherProtective Service Workers): Nature—the physical characteristics of the disablinginjury or illness, such as cuts and lacerations, fractures,sprains and strains, or electrocution 33-0000 Protective Service Occupations 33-9000 Other Protective Service Workers Part of body affected—the part of body directly linked tothe nature of injury or illness cited, such as finger, arm,back, or body systems33-9190 Miscellaneous Protective ServiceWorkers 33-9199 Protective Service Workers, AllOther Event or exposure—the manner in which the injuryor illness was produced or inflicted, such as caught inrunning equipment; slips, trips, or falls; overexertion; orcontact with electric currentAlso note, prior to 2003, both CFOI and SOII used theU.S. Census Bureau Occupational Coding structure to codeoccupation. Beginning with 2003 data, CFOI and SOII-C&Dboth used 2000 SOC for the first time to classify occupation.Because of the substantial differences in the Census BureauOccupational Coding structure and the 2000 SOC system,users are advised against making comparisons between the2003–2010 occupation categories and the results for yearsbefore 2003. Source—the object, substance, exposure, or bodilymotion that was responsible for producing or inflictingthe disabling condition, such as machinery, ground,patient, or electrical wiring Secondary source—the object, substance, or person, ifany, that generated the source of injury or illness or thatcontributed to the event or exposure, such as ice or waterthat contributed to a fallOccupational Injury and IllnessClassification System (OIICS)Figure 1 is an illustrative example of how SOII—C&D mayuse OIICS codes to describe an injury incident.(see page 5)The Occupational Injury and Illness Classification System(OIICS) was developed by BLS to provide a consistent setof classifications of the circumstances of the characteristicsassociated with workplace injuries, illnesses, and fatalities.The circumstances of each case are classified based on the BLSOIICS manual. The Bureau of Labor Statistics ClassificationStructure Team developed the original OIICS with input fromdata users and states participating in the BLS OccupationalSafety and Health Statistics (OSHS) federal/state cooperativeprograms. The original system was released in December1992 and approved for use as the American National Standardfor Information Management for Occupational Safety andHealth in 1995 (ANSI Z16.2—1995). In September 2007,OSHS staff updated the 1992 manual to incorporate variousinterpretations and corrections.Race and Ethnicity StandardsBoth the Census of Fatal Occupational Injuries (CFOI)and the Survey of Occupational Injuries and Illnesses(SOII—C&D) were implemented in 1992, followingrecommendations of a National Academies of Science reviewhighlighting the need to capture detailed case circumstancesand worker characteristics for fatal and nonfatal workplaceincidents, respectively. At their inception, each of these seriesused separate methods to categorize the race or ethnicityof injured or ill workers. The SOII—C&D categorizedHispanics separately, while the CFOI categorized Hispanicsby race (e.g., Black or White) and also provided a total count4

Figure 1and ethnicity is one of the few data elements that are optionalin the SOII. This resulted in 37 percent of the cases involvingdays away from work for which race and ethnicity were notreported in the 2009 SOII.of Hispanics. The remaining race and ethnicity categories forboth series were WhiteBlackAsian or Pacific IslanderAmerican Indian or Native Alaskan.Part II. Survey of OccupationalInjuries and IllnessesThe classification of workers by race and ethnicity for theCFOI and the SOII is based on the 1997 Standards forFederal Data on Race and Ethnicity as defined by the Officeof Management and Budget. In 1999, the CFOI amended racecategories so that Hispanics no longer counted as a race, butsolely as an ethnicity. Three additional changes were alsoincorporated to race and ethnicity categories:BackgroundThe current BLS Survey of Occupational Injuries and Illnesses(SOII) evolved from annual BLS surveys first conducted inthe 1940s, when injury recordkeeping standards becamesufficiently uniform to permit the collection of nationwidework injury data. Spanning 3 decades, those nationwidesurveys proved useful in measuring and monitoring injuryfrequency and severity, but they had two major limitations.First, the survey data were compiled from and representedonly employers who volunteered to record and report workinjuries. Second, work injuries were limited to those thatresulted in death, permanent impairment, or temporarydisability, defined as unable to perform regular job dutiesbeyond the day of injury. Thus, survey estimates excludedmany employers and, by definition, numerous cases that Asian became a separate category. Native Hawaiian was combined with PacificIslander to form a new category, Native Hawaiianor Pacific Islander. “Multirace” was added.In 2002, the SOII—C&D incorporated these same racecategories. One result of this revision is that individuals maybe categorized in more than one race or ethnic group. Race5

1, 2002, and used by employers to keep logs and case detailsof such incidents throughout the survey (calendar) year. (Seethe Technical References section for citations of instructionalmaterials useful in understanding the types of cases recordedunder current recordkeeping guidelines.)required medical treatment (beyond first aid) or restrictedwork duties but did not result in days away from work.These and other limitations were addressed in a landmarkpiece of safety legislation passed by the Congress: theOccupational Safety and Health Act of 1970. The 1970 actand its implementing regulations required that most privateindustry employers regularly maintain records (logs) andprepare reports on work-related injuries and illnesses, whichinclude all disabling, serious, or significant injuries andillnesses, whether or not involving time away from work.5The 1970 act called for a wider statistical net to gather workinjury and illness data and to measure their numbers andincidence rates. The current mandatory survey, modified onseveral occasions to incorporate various changes discussed inlater sections, still meets the basic requirements of the 1970act for counts and rates covering a broad spectrum of workinjuries and illnesses in various work settings. Beginningwith the 1992 calendar year, the SOII began to collectinformation on the circumstances of the most serious of itsnonfatal cases—those involving days away from work—andthe characteristics of workers sustaining such injuries andillnesses.The SOII estimates the number and frequency (incidencerates) of workplace injuries and illnesses based on logs keptby employers during the year. These records reflect notonly the year’s injury and illness experience, but also theemployer’s understanding of which cases are work-relatedunder recordkeeping guidelines promulgated by the U.S.Department of Labor’s Occupational Safety and HealthAdministration (OSHA). Effective January 1, 2002, OSHArevised its requirements for recording occupational injuriesand illnesses. These requirements were further refined toinclude guidelines for recording of hearing loss cases asa separate category of illness, for which SOII estimatesare available beginning with the 2004 survey year. Detailsabout the revised requirements, including a summary ofthe revisions and a comparison between the old and newrequirements, are available online at http://www.osha.gov/recordkeeping/index.html or from OSHA’s Office of PublicAffairs, available via telephone at 202-693-1999.Because of the revised recordkeeping requirements, SOIIestimates for 2002 are not comparable with those fromprior years. Similarly, SOII estimates since 2003 are notcomparable to those for previous years owing to changes inindustry and occupation coding systems. (See Part I. CommonCoding Systems for discussion of NAICS and SOC.) TheSOII was not designed to be able to determine the impactof these revisions on the estimates of nonfatal occupationalinjuries and illnesses. (The revised recordkeeping definitionsare reflected in the SOII Definitions section.)Recording criteriaNonfatal recordable workplace injuries and illnesses arethose that result in any one or more of the following: Loss of consciousnessDays away from workRestricted work activity or job transferMedical treatment beyond first aidIn addition to these four criteria, employers must alsorecord any significant work-related injuries or illnesses thatare diagnosed by a physician or other licensed health careprofessional or other instances that meet additional criteriadiscussed below. Significant work-related injuries or illnessesinclude cancers, chronic irreversible diseases, fractured orcracked bones (including teeth), or punctured eardrums.Additional cases that must be recorded as workplace injuriesor illnesses include the following: Any needlestick injury or cut from a sharp objectthat is contaminated with another person’s blood orother potentially infectious material Any case requiring an employee to be medicallyremoved under the requirements of an OSHA healthstandard Tuberculosis infection as evidenced by a positiveskin test or diagnosis by a physician or other licensedhealth care professional after exposure to a knowncase of active tuberculosisAn employee’s hearing test (audiogram) reveals1) that the employee has experienced a StandardThreshold Shift (STS) in hearing in one or bothears (averaged at 2kHz, 3kHz, and 4kHz) and 2) theemployee’s total hearing level is 25 decibels (dB)or more above audiometric zero (also averaged at2kHz, 3kHz, and 4kHz) in the same ear(s) as theSTS.Additional details regarding recordability of nonfatal workrelated injuries and illnesses can be found in the OSHARecordkeeping Handbook. Injuries and illnessesThe distinction between occupational injury and occupationalillness was eliminated from OSHA recordkeeping guidelineswhen revisions were implemented in 2002. The OSHAguidelines now define an injury or illness as an abnormalcondition or disorder. For purposes of clarification for theSOII, these terms are defined separately below. Nature codesfrom the OIICS manual are used to code distinct injuries andSOII DefinitionsThe following definitions of nonfatal occupational injuriesand illnesses used in the SOII are the same as those establishedin the recordkeeping guidelines of OSHA, effective January5See section 24(a) of the Occupational Safety and Health Act of 1970(Public Law 91–596).6

illnesses for more severe cases. (See discussion of OIICS inPart I. Common Coding Systems.) Occupational injury is any injury, such as a cut,fracture, sprain, amputation, and so forth, thatresults from a work-related event or from a singleinstantaneous exposure in the work environment. Occupational illness is any abnormal condition ordisorder caused by exposure to factors associatedwith employment, other than those resulting froman instantaneous event or exposure. It includesacute and chronic illnesses or diseases that may becaused by inhalation, absorption, ingestion, or directcontact. Five categories of occupational illnesses anddisorders are used to classify recordable illnesses,described as follows. Examples of each categoryare provided, but these are not a complete listing ofthe types of illnesses and disorders that are countedunder each category. (See the OIICS manual for amore comprehensive list of injuries and illnessesand their associated codes.) Occupational skin diseases or disorders areillnesses involving the worker’s skin that arecaused by work exposure to chemicals, plants, orother substances. Examples: Contact dermatitis,eczema, or rash caused by primary irritants andsensitizers or poisonous plants; oil acne; frictionblisters; chrome ulcers; or inflammation of theskin. Hearing loss. Noise-induced hearing loss isdefined for recordkeeping purposes as a changein hearing threshold relative to a baselineaudiogram of an average of 10 dB or more ineither ear at 2kHz, 3kHz, and 4kHz, and theemployee’s total hearing level is 25 dB or moreabove audiometric zero (also averaged at 2kHz,3kHz, and 4kHz) in the same ear(s). All other occupational illnesses. Includes allother occupational illnesses not covered in thepreceding categories. Examples: Heatstroke,sunstroke, heat exhaustion, heat stress, andother effects of environmental heat; freezing,frostbite, and other effects of exposure to lowte

worker characteristics for cases that involved days away from work, and a separate Census of Fatal Occupational Injuries (CFOI) was established to capture counts and profiles of work-related fatalities. (For more information on case circumstances and worker characteristics, see discussion of the Occupational Injury and Illness Classification system