McDonald Mary Anne, Lipscomb Hester J, Bondy Jessica, Glazner Judith
Division of Community Health, Department of Community and Family Medicine, Duke University Medical Center, Durham, N.C., USA.
J Safety Res. 2009;40(1):53-61. doi: 10.1016/j.jsr.2008.12.005. Epub 2009 Feb 8.
Construction risk management is challenging.
We combined data on injuries, costs, and hours worked, obtained through a Rolling Owner-Controlled Insurance Program (ROCIP), with data from focus groups, interviews, and field observations, to prospectively study injuries and hazard control on a large university construction project.
Lost-time injury rates (1.0/200,000 hours worked) were considerably lower than reported for the industry, and there were no serious falls from height. Safety was considered in the awarding of contracts and project timeline development; hazard management was iterative. A top-down management commitment to safety was clearly communicated to, and embraced by, workers throughout the site. DISCUSSION AND IMPACT: A better understanding of how contracting relationships, workers' compensation, and liability insurance arrangements influence safety could shift risk management efforts from worker behaviors to a broader focus on how these programs and relationships affect incentives and disincentives for workplace safety and health.
建设风险管理具有挑战性。
我们将通过滚动式业主控制保险计划（ROCIP）获得的伤害、成本和工作时长数据，与焦点小组、访谈及现场观察的数据相结合，以前瞻性地研究一个大型大学建设项目中的伤害情况和危险控制。
误工伤害率（每200,000工时1.0起）远低于该行业报告的数据，且未发生严重的高处坠落事故。在合同授予和项目时间表制定过程中考虑了安全因素；危险管理是迭代式的。自上而下对安全的管理承诺清晰地传达给了整个工地的工人，并得到了他们的认同。讨论与影响：更好地理解承包关系、工人赔偿和责任保险安排如何影响安全，可能会将风险管理工作从关注工人行为，转向更广泛地关注这些计划和关系如何影响工作场所安全与健康的激励因素和抑制因素。
