Operational safety practices as determinants of machinery-related injury on Saskatchewan farms.

Agricultural machinery is a major source of injury on farms. The importance of machinery safety practices as potential determinants of injury remains incompletely understood. We examined two such safety practices as risk factors for injury: (1) the presence of safety devices on machinery and (2) low levels of routine machinery maintenance. Our data source was the Saskatchewan Farm Injury Cohort baseline survey (n=2390 farms). Factor analysis was used to create measures of the two operational safety practices. The farm was the unit for all analyses and associations were evaluated using multiple Poisson regression models. Limited presence of safety devices on machinery during farm operations was associated with higher risks for injury (RR 1.94; 95% CI 1.13-3.33; p(trend)=0.02). Lower routine maintenance scores were associated with significantly reduced risks for injury (RR 0.54; 95% CI 0.29-0.98; p(trend)=0.05). The first finding implies that injury prevention programs require continued focus on the use of safety devices on machinery. The second finding could indicate that maintenance itself is a risk factor or that more modern equipment that requires less maintenance places the operator at lower risk. These findings provide etiological data that confirms the practical importance of operational safety practices as components of injury control strategies on farms.

[1]  W P Carr,et al.  Machinery-related injuries: regional rural injury study--I (RRIS--I). , 1998, Accident; analysis and prevention.

[2]  Punam Pahwa,et al.  Relationship Between Sleep Loss and Economic Worry Among Farmers: A Survey of 94 Active Saskatchewan Noncorporate Farms , 2008, Journal of agromedicine.

[3]  Hyesook Park,et al.  Risk Factors for Machinery-related Injury among Iowa Farmers: A Case-Control Study Nested in the Agricultural Health Study , 2002, International journal of occupational and environmental health.

[4]  Bruce H Alexander,et al.  Tractor-related injuries: a population-based study of a five-state region in the Midwest. , 2005, American journal of industrial medicine.

[5]  D. Dillman Mail and telephone surveys : the total design method , 1979 .

[6]  Lindley R. Higgins,et al.  Maintenance Engineering Handbook , 1967 .

[7]  R J Brison,et al.  Non-fatal farm injuries on 117 eastern Ontario beef and dairy farms: a one-year study. , 1992, American journal of industrial medicine.

[8]  Mark A. Purschwitz Personal Protective Equipment and Safety Engineering of Machinery , 2006 .

[9]  Punam Pahwa,et al.  The Saskatchewan Farm Injury Cohort: Rationale and Methodology , 2008, Public health reports.

[10]  Punam Pahwa,et al.  Application of novel communication technologies to the study of farm families: a randomized controlled trial. , 2008, Preventive medicine.

[11]  J M Lauritsen,et al.  Incidence of unintentional injuries in farming based on one year of weekly registration in Danish farms. , 2000, American journal of industrial medicine.

[12]  L M Hagel,et al.  Case reports of on-site investigations of auger-related farm injuries. , 2003, Journal of agricultural safety and health.

[13]  Jennifer L. Kelsey,et al.  Methods in Observational Epidemiology , 1986 .

[14]  J M Roseman,et al.  Agricultural injuries among a population-based sample of farm operators in Alabama. , 1994, American journal of industrial medicine.

[15]  R J Brison,et al.  Nonfatal farm injuries in eastern Ontario: a retrospective survey. , 1991, Accident; analysis and prevention.

[16]  S. Schuman,et al.  Agricultural Medicine A Practical Guide , 2006 .

[17]  S. G. Simpson,et al.  Farm machinery injuries. , 1984, The Journal of trauma.

[18]  T. Y. Lee,et al.  A population-based study of tractor-related injuries: Regional Rural Injury Study-I (RRIS-I). , 1996, Journal of occupational and environmental medicine.

[19]  C. Bain,et al.  Essential Epidemiology: An Introduction for Students and Health Professionals , 2005 .

[20]  F. Floyd,et al.  Factor analysis in the development and refinement of clinical assessment instruments. , 1995 .

[21]  P M Layde,et al.  Beyond surveillance: methodologic considerations in analytic studies of agricultural injuries. , 1990, American journal of industrial medicine.

[22]  Terry Wireman Total Productive Maintenance , 2004 .

[23]  B Marlenga,et al.  Prevention of agricultural injuries: an evaluation of an education-based intervention , 2008, Injury Prevention.

[24]  D L Nordstrom,et al.  Machine-related occupational injuries in farm residents. , 1995, Annals of epidemiology.

[25]  Lisa Hartling,et al.  Economic burden of agricultural machinery injuries in Ontario, 1985 to 1996. , 2003, The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association.

[26]  Dennis J. Murphy,et al.  Safety and Health for Production Agriculture , 1992 .

[27]  D. Mohan,et al.  Equipment-related injuries in agriculture: an international perspective , 2000 .