Lipscomb Hester J, Glazner Judith, Bondy Jessica, Lezotte Dennis, Guarini Kenneth
Division of Occupational and Environmental Medicine, Department of Community and Family Medicine, Duke University Medical Center, Durham, North Carolina 27710, USA.
J Occup Environ Med. 2004 Nov;46(11):1166-73. doi: 10.1097/01.jom.0000141769.48553.1b.
We combined payroll data, coded workers' compensation (WC) data, and text descriptions of injuries from the construction of Denver International Airport to create a more comprehensive picture of falls from height (FFH) than is typically available from WC data. Text descriptions were coded to identify circumstances surrounding falls. Slips/trips preceded one third of FFH, often involving motor vehicles or heavy equipment. Another third involved movement or collapse of work surfaces, usually ladders or scaffolds.
The significant contribution of motor vehicles and heavy equipment to FFH, particularly those preceded by slips/trips, was not apparent from coded data. Heavy equipment engineering modifications are called for and workers in street/roadway construction/site development need fall protection training. Text analyses allow exploration of factors not identified at the time of data collection and better understanding of the context in which injuries occur.
我们整合了薪资数据、编码后的工伤赔偿（WC）数据以及丹佛国际机场建设中受伤情况的文字描述，以构建一幅比通常从WC数据中获取的更为全面的高处坠落（FFH）情况图。对文字描述进行编码以识别坠落周围的情况。滑倒/绊倒占FFH的三分之一，通常涉及机动车辆或重型设备。另外三分之一涉及工作表面的移动或坍塌，通常是梯子或脚手架。
从编码数据中并不明显看出机动车辆和重型设备对FFH的重大影响，尤其是那些由滑倒/绊倒引发的情况。需要对重型设备进行工程改造，并且街道/道路建设/场地开发中的工人需要进行坠落防护培训。文本分析有助于探索数据收集时未识别的因素，并更好地理解受伤发生的背景。
