Amputations, a serious form of work-related trauma, affect between 15,000 and 20,000 Americans each year. Minnesota Sentinel Event Notification System for Occupational Risk (MN SENSOR) data indicates that primary and fabricated metal industries have the fourth highest rate of work-related amputations. The number of potentially affected workers in these industries is several folds greater than other high-risk industries. In addition, amputations represent only a fraction of the cases of upper extremity trauma. In spite of the fact that many companies provide services to assist in the development of work-related safety programs, the effectiveness of such programs has not been evaluated in a controlled intervention study. In addition, there has been little research with regard to hazard control within small (4-50 employees) industrial establishments. The specific objectives of this research are to: (1) evaluate small machining and metal stamping shops with regard to the availability, functionality, and use of machine guarding; (2) identify critical factors for implementing and conducting effective machine guarding programs, including the identification and elimination of barriers to program success; and (3) implement and assess the effectiveness of an intervention that uses a combination of control technology, regulatory guidelines, and worker/owner training in a randomized controlled trial. The intervention will be designed using a health promotion model. We will work with an advisory board of industry leaders and workers throughout the proposed research study. A randomized controlled trial consisting of two groups will be conducted. These groups will consist of: (1) control group (minimal intervention); (2) owner and worker intervention. A technical and peer-based intervention will be conducted by peer educators. Shops in each intervention group will be evaluated at the time they are enrolled and one year after their initial evaluation. Two measurements will be developed for this purpose: (1) self-administered worker and owner surveys grounded in health promotion models; and (2) an evaluation performed by industrial hygienists of frequency of machine use and machine guarding availability, functionality and utilization for targeted machines. Our primary outcome is a change in shop score which measures machine use and machine guarding availability and functionality. Regression analysis will be used to compare change in shop scores from base-line and follow-up evaluations between the treatment groups. Data from worker and owner surveys will be summarized using basic descriptive statistics and used as both outcome and process measures. Data will be disseminated to the scientific and industrial communities.

Agency
National Institute of Health (NIH)
Institute
National Institute for Occupational Safety and Health (NIOSH)
Type
Research Project (R01)
Project #
5R01OH003884-06
Application #
7118187
Study Section
Safety and Occupational Health Study Section (SOH)
Program Officer
Newhall, Jim
Project Start
2001-09-30
Project End
2008-09-29
Budget Start
2006-09-30
Budget End
2008-09-29
Support Year
6
Fiscal Year
2006
Total Cost
$321,977
Indirect Cost
Name
Park Nicollet Institute
Department
Type
DUNS #
099794901
City
Minneapolis
State
MN
Country
United States
Zip Code
55416
Parker, David L; Yamin, Samuel; Xi, Min et al. (2017) Findings From the National Machine Guarding Program: Safety Climate, Hazard Assessment, and Safety Leadership in Small Metal Fabrication Businesses. J Occup Environ Med 59:1172-1179
Yamin, Samuel C; Bejan, Anca; Parker, David L et al. (2016) Analysis of workers' compensation claims data for machine-related injuries in metal fabrication businesses. Am J Ind Med 59:656-64
Parker, David L; Yamin, Samuel C; Xi, Min et al. (2016) Findings From the National Machine Guarding Program: A Small Business Intervention: Lockout/Tagout. J Occup Environ Med 58:61-8
Parker, David L; Yamin, Samuel C; Xi, Min et al. (2016) Findings From the National Machine Guarding Program-A Small Business Intervention: Machine Safety. J Occup Environ Med 58:885-91
Parker, David L; Yamin, Samuel C; Brosseau, Lisa M et al. (2015) National Machine Guarding Program: Part 1. Machine safeguarding practices in small metal fabrication businesses. Am J Ind Med 58:1174-83
Parker, David L; Yamin, Samuel C; Brosseau, Lisa M et al. (2015) National Machine Guarding Program: Part 2. Safety management in small metal fabrication enterprises. Am J Ind Med 58:1184-93
Samant, Yogindra; Parker, David; Wergeland, Ebba et al. (2012) Work-related upper-extremity amputations in Norway. Am J Ind Med 55:241-9