Seong Si Kyung, Mendeloff John
Graduate School of Public and International Affairs, University of Pittsburgh, Pittsburgh, Pennsylvania 15260, USA.
Am J Ind Med. 2004 Apr;45(4):313-28. doi: 10.1002/ajim.10362.
In the preambles to the safety and health standards that it has issued since 1987, the Occupational Safety and Health Administration (OSHA) projected that new safety standards would prevent over 2,600 death each year. For six safety standards issued since 1990, we compare OSHA's projections of the impact of full compliance on fatalities with actual fatality changes and examine the reasons for the differences.
We reviewed the preambles to OSHA standards and the Regulatory Impact Analyses (RIAs) prepared for them to identify the baseline and the prevention factor that the agency used to project the number of deaths that would be prevented. We used three data sources to track the relevant categories of fatalities: the Census of Fatal Occupational Injuries (CFOI), the National Traumatic Occupational Fatality program, and OSHAs Fatality/Catastrophe investigations.
For all six standards, OSHA appeared to overestimate the number of deaths prevented. The availability of CFOI led to better estimates of the fatality baseline, but the prevention factor was always overestimated, especially for standards which emphasized training.
OSHA needs to develop better methods for projecting injury impacts. Research is needed to help OSHA predict the effects of behavioral requirements (e.g., training) on actual work practices and injury outcomes. For non-fatal injuries, new methods of data collection will be required.
自1987年以来,职业安全与健康管理局(OSHA)在其发布的安全与健康标准前言中预计,新的安全标准每年将预防超过2600例死亡。对于自1990年以来发布的六项安全标准,我们将OSHA对完全遵守标准对死亡人数影响的预测与实际死亡人数变化进行了比较,并研究了差异产生的原因。
我们查阅了OSHA标准的前言以及为其编写的监管影响分析(RIA),以确定该机构用于预测可预防死亡人数的基线和预防因素。我们使用了三个数据源来跟踪相关类别的死亡人数:致命职业伤害普查(CFOI)、国家创伤性职业死亡计划以及OSHA的死亡/灾难调查。
对于所有六项标准,OSHA似乎都高估了可预防的死亡人数。CFOI的可用性使我们能够更好地估计死亡基线,但预防因素总是被高估,尤其是对于强调培训的标准。
OSHA需要开发更好的方法来预测伤害影响。需要开展研究以帮助OSHA预测行为要求(如培训)对实际工作实践和伤害结果的影响。对于非致命伤害,将需要新的数据收集方法。