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原文传递 Kentucky Occupational Safety and Health Surveillance (KOSHS) Program.

题名：	Kentucky Occupational Safety and Health Surveillance (KOSHS) Program.
作者：	Bunn, T.; Slavova, S.
关键词：	Occupational health programs, Surveillance programs, Injury prevention, Information dissemination, Epidemiology, Motor vehicles, Drivers, Pesticides and agricultural chemicals, Safety education, Training, Safety culture, Mortality rates, Morbidity rates
摘要：	The KOSHS expanded program advanced occupational injury/illness surveillance through 1) improved data sources, collection, quality, and analyses; 2) implemented occupational fatality investigation recommendations; 3) enhanced partnerships and collaborations; 4) targeted dissemination of results; and 5) informed policies and practices. The KOSHS occupational motor vehicle (OMV) injury indicator justified further epidemiological studies on semi truck fires, sleeper berth passengers, and truck driver demographics. The workers' compensation (WC)- based OMV injury indicator identified public- sector solid waste collector drivers and short-haul truck drivers as high injury-risk worker populations. Our published epidemiological study on dataset concordance in drug identification among injured drivers showed that surveillance data from multiple public health datasets is necessary to identify the presence of drugs in injured drivers involved in crashes. A KOSHS published work-related concussion surveillance study estimated the 2011 Kentucky work-related concussion rate was 32/100,000 employed using three data sources, compared to 12/100,000 with WC data alone. External funding was leveraged for OMV injury surveillance quality improvement based on our published work-related traumatic injury study that assessed completeness and accuracy of occupation and industry variables. KOSHS outputs, including 31 fatality reports and 11 hazard alerts were disseminated to 13 industry-specific dissemination lists representing 3,800 companies. KOSHS program staff and partners educated stakeholders on the need for pesticide illness surveillance; acute pesticide-related illness was added as a notifiable disease condition to be reported within 1 business day in 2015 (902 KAR 2:020). KOSHS program staff and the Kentucky Trucking Association (KTA) testified before the Ky Senate Transportation Committee in support of a law passed in 2013 that mandated annual truck driver safety training for commercial carriers registering for interstate and intrastate licenses. Although the law was repealed in April 2015, stakeholders recognize the continued need for available online new driver and commercial vehicle inspector safety training, and KOSHS is collaborating with KTA to develop two driver safety training modules. Due to Ky FACE report #14KY001 "Auto Technician Mistakes Handicapped Accessible Accelerator Pedal (HAAP) for Brake Pedal and Fatally Pins Co-worker", a manufacturer redesigned their HAAP so that the HAAP does not function while the vehicle is being serviced; the employer now requires removal of all handicapped equipment on vehicles before servicing, and desks moved away from the service area. Ky FACE report 13KY042 "A Metal Fabrication and Finishing Foreman Dies after 25 Foot Fall at a Commercial Building Site" recommended general contractors coordinate and stagger subcontractors' work to avoid creating additional hazards, conflict and obstructions. Based on the report recommendations, the construction contractor implemented new policies that require multiple sub-contractor staggered work schedules to avoid schedule conflicts, and require fall protection tie-off at all times. There has been a statistically significant decrease in Ky occupational fatality rates over the last two decades (approximately 0.2 worker deaths/100,000 workers annually). The KOSHS program is meeting its goals of informing market- ready engineering controls, increasing employee safety behavior, enhancing company safety culture, increasing regulatory action based on surveillance data and results, and contributing to decreased occupational fatality rates.
报告类型：	科技报告