and adolescents in Washington state were claims for medical benefits only (Miller, 1995). There is also evidence that workers' compensation claims are less likely to be filed for injuries to adolescents than for injuries to adults (Brooks and Davis, 1996; Fingar et al., 1992).

Fatal Work-Related Injuries

There are a number of sources from which information on work-related deaths among children and adolescents can be garnered. State workers' compensation records, death certificates, medical examiner's records, federal and state safety-inspection records, and newspaper clippings are among those commonly examined. A number of federal systems draw on many of these records for their information. These datasets are collected for different purposes and from different sources, so each yields different estimates of the number of work-related fatalities. Each of the datasets also contains slightly different information and has its own advantages and drawbacks for understanding fatal injuries among youngsters under the age of 18. The Census of Fatal Occupational Injuries, an important recent initiative by the Bureau of Labor Statistics, combines data from multiple sources to obtain a comprehensive count of fatal injuries at work. There are four key sources of federal data on work-related fatalities:

  • Census of Fatal Occupational Injuries;

  • National Traumatic Occupational Fatality Surveillance System;

  • Fatality Assessment and Control Evaluation Program; and

  • Integrated Management Information System.

Census of Fatal Occupational Injuries

The Census of Fatal Occupational Injuries (CFOI), begun in 1992, is a cooperative effort of the Bureau of Labor Statistics (BLS) and the states to develop a complete and accurate count of work-related deaths. Because no single source of data provides an exhaustive count of all workplace fatalities, CFOI uses multiple sources to identify, verify, and profile all work-related fatalities. At least two independent source documents are used to verify the work-relatedness and the circumstances of the incident for each death recorded in CFOI. Source documents come from both the state and federal



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