NATIONAL MACHINE GUARDING PROGRAM: DESIGN OF A MACHINE SAFETY INTERVENTION

Background: Incidence rates for lost-time injuries (133.1 per 10,000) and amputations (2.6 per 10,000) are elevated among metal fabrication workers compared to U.S. private industry as a whole (105.2 and 0.6 per 10,000, respectively), indicating a need for improved safety practices. Objective: This manuscript describes the development of an intervention to help small metal fabrication businesses (< 150 employees) establish and maintain machine safety programs, implement applicable standards, and conduct regular safety audits. Methods: A business-research partnership was formed to update audit methods utilized previously and translate our prior findings into a standardized intervention to be delivered nationwide. The RE-AIM model was applied to frame research questions that can be quantitatively evaluated. Conclusions: This translation research initiative provides a new model for outreach to small businesses. Cost-effective intervention measures will enable businesses to build sustainable machine safety programs. If effective, this research would form the basis for new, widely-applicable practice guidelines.

[1]  Anca Bejan,et al.  A qualitative evaluation of owner and worker health and safety beliefs in small auto collision repair shops. , 2012, American journal of industrial medicine.

[2]  Survivors Insurance,et al.  County business patterns , 1948 .

[3]  Lisa Brosseau,et al.  A comparison of the perceptions and beliefs of workers and owners with regard to workplace safety in small metal fabrication businesses. , 2007, American journal of industrial medicine.

[4]  이수정 해외산업간호정보 - 미국 산업안전보건연구원(National Institute for Occupational Safety and Health) 소개 , 2009 .

[5]  Theo Nichols,et al.  Size of employment unit and injury rates in British manufacturing: a secondary analysis of WIRS 1990 data , 1995 .

[6]  W. Sieber,et al.  Surveillance of safety and health programs and needs in small U.S. businesses. , 2001, Applied occupational and environmental hygiene.

[7]  B. McCall,et al.  An assessment and quantification of the rates, costs, and risk factors of occupational amputations: analysis of Kentucky workers' compensation claims, 1994-2003. , 2006, American journal of industrial medicine.

[8]  Lisa Brosseau,et al.  Machine safety evaluation in small metal working facilities: an evaluation of inter-rater reliability in the quantification of machine-related hazards. , 2005, American journal of industrial medicine.

[9]  Doug McVittie,et al.  The effects of firm size on injury frequency in construction , 1997 .

[10]  David Parker,et al.  Mapping Safety Interventions in Metalworking Shops , 2007, Journal of occupational and environmental medicine.

[11]  P. Hasle,et al.  A review of the literature on preventive occupational health and safety activities in small enterprises. , 2006, Industrial health.

[12]  Lisa Brosseau,et al.  Organizational Characteristics of Small Metal-Fabricating Businessesin Minnesota , 2007, International journal of occupational and environmental health.

[13]  K. Rosenman,et al.  Work-related amputations in Michigan, 1997. , 2003, American journal of industrial medicine.

[14]  Danièle Champoux,et al.  Occupational health and safety management in small size enterprises: an overview of the situation and avenues for intervention and research , 2003 .

[15]  Rh Simonds,et al.  Factors apparently affecting injury frequency in 11 matched pairs of companies , 1977 .

[16]  Danièle Champoux,et al.  Health and Safety in Small Workplaces: Refocusing Upstream , 2010, Canadian journal of public health = Revue canadienne de sante publique.

[17]  Cora Roelofs,et al.  Assessment of occupational safety and health programs in small businesses. , 2004, American journal of industrial medicine.

[18]  David P Gilkey,et al.  Management commitment to safety and health in residential construction: HomeSafe spending trends 1991-1999. , 2003, Work.

[19]  Harry S. Shannon,et al.  Overview of the relationship between organizational and workplace factors and injury rates , 1997 .

[20]  C. Heaney,et al.  The Intervention Research Process in Occupational Safety and Health: An Overview From the National Occupational Research Agenda Intervention Effectiveness Research Team , 2001, Journal of occupational and environmental medicine.

[21]  R. Glasgow,et al.  Why don't we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. , 2003, American journal of public health.

[22]  Lisa Brosseau,et al.  Profile of machine safety in small metal fabrication businesses. , 2006, American journal of industrial medicine.

[23]  Fong Chan,et al.  Employer Factors Related to Workers' Compensation Claims and Disability Management , 1991 .

[24]  K. Guire,et al.  Establishment size and risk of occupational injury. , 1995, American journal of industrial medicine.

[25]  D Parker,et al.  Nature, incidence, and cause of work-related amputations in Minnesota. , 2000, American journal of industrial medicine.

[26]  H.Harvey Cohen,et al.  Characteristics of successful safety programs , 1978 .

[27]  Medical, personal, and occupational outcomes for work-related amputations in Minnesota. , 2000, American journal of industrial medicine.

[28]  Lisa M Brosseau,et al.  A Randomized, Controlled Intervention of Machine Guarding and Related Safety Programs in Small Metal-Fabrication Businesses , 2009, Public health reports.

[29]  R. Glasgow,et al.  Evaluating the public health impact of health promotion interventions: the RE-AIM framework. , 1999, American journal of public health.