Appendix D
Updates on Recommendations from the 1987 National Research Council Report Counting Injuries and Illnesses in the Workplace: Proposals for a Better System
1987 RECOMMENDATIONS | ACTIONS |
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Annual Survey | |
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OSHA’s revised recordkeeping requirements, including modifications to the forms, became effective on January 1, 2002. The OSHA Form 301 (previously Form 101) includes fields asking whether the injured worker was treated in the emergency room or as inpatient within the hospital. |
The BLS Census of Fatal Occupational Injuries (CFOI), created after the 1987 set of recommendations, collects data on all occupational fatalities using a multisource approach (see also the response to Recommendation 4, below). | |
1987 RECOMMENDATIONS | ACTIONS |
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The Survey of Occupational Injuries and Illnesses now collects, codes, and publishes data on many categories of injuries and illnesses including those listed in Recommendation #2. |
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OSHA’s revised recordkeeping requirements became effective on January 1, 2002. The separate recording criteria that distinguished between injuries and illnesses were removed. OSHA Form 300 has six general categories for each injury and illness recorded: injuries, skin disorders, respiratory conditions, poisoning, hearing loss, and all other illnesses. |
The BLS SOII Case and Demographic product allows for additional detailed illness data to be made available (such as the nature of the illness). Specific distinctions between acute and chronic are not made but estimates are published for the categories listed in this recommendation, based on the Occupational Injury and Illness Coding System. | |
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As a result of the 1987 report, BLS collects detailed case data for Days Away From Work (DAFW). Recently, BLS began collecting information on whether DAFW cases include a visit to the emergency room or result in a hospital stay. Pilot efforts are under way to collect data for Days of Job Transfer or Restriction for select industries. Fatal occupational illnesses are not included in the CFOI. |
1987 RECOMMENDATIONS | ACTIONS |
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BLS has explored this issue in a variety of ways, including the initial undercount qualitative interviews in the mid-2000s, the four state studies, the Washington state follow-back interviews, and the Westat follow-back study. |
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BLS conducted a quality assurance (QA) study in the mid-2000s and has an ongoing QA study to review logs from subsampled establishments against the submissions to SOII. In general, if an injury or illness is on the log, it is included in the establishment’s response to the SOII. |
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Subsequent research found that gaining regular access to medical records from across the nation is not feasible. This research included using the methodology from the Massachusetts/Missouri study to evaluate the records of a representative sample of employers that reported data to OSHA through the OSHA Data Initiative. |
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BLS conducted relevant studies in response to this recommendation and noted that the results indicated that obtaining medical data from multiple sources from across the nation would not be feasible. |
1987 RECOMMENDATIONS | ACTIONS |
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Efforts regarding the 1987 National Health Interview Survey are not known. The household SOII pilot now being planned is a survey of employees, but the sample is specifically not linked to sampled SOII establishments. Differences in results between the household and establishment surveys will be available by various characteristics, such as occupation and industry. |
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CFOI collects data on all occupational fatalities using a multisource approach. Ongoing CFOI efforts at BLS are exploring the identification of occupational fatalities referenced in public documents, such as print media, and providing rapid turnaround in disseminating this information. |
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BLS includes a section in survey materials on “how your injury and illness data are used.” BLS provides data to employers, employees, and other data users in many web-based formats, including the incidence rate calculator, flat data files, tables, charts, publications, and other products. |
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Since 1987 BLS has introduced the SOII Case and Demographic expansion and implemented CFOI, which provide extensive data on specific injuries and industries. Additionally, partnerships with NIOSH have focused on respirator use and workplace violence prevention. |
1987 RECOMMENDATIONS | ACTIONS |
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BLS Supplementary Data System | |
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The Supplementary Data System was replaced with the SOII Case and Demographics and CFOI. |
Use of Other Data Systems | |
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Additional funding has not been provided for a comprehensive system, however NIOSH has been able to work with federal and state partners to collect and explore data on national trends in some areas. NIOSH has developed standardized case definitions for elevated blood levels, pesticide poisonings, work-related asthma, and silicosis. |
NOTE: The examples of actions were provided by staff from NIOSH, OSHA, and BLS in response to a request from the committee. The agency responses were edited to provide some examples of the extensive efforts.
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