Parker David L, Yamin Samuel C, Xi Min, Brosseau Lisa M, Gordon Robert, Most Ivan G, Stanley Rodney
HealthPartners Institute, Bloomington, Minnesota (Dr Parker, Mr Yamin, Dr Xi, Mr Gordon); University of Illinois at Chicago, School of Public Health, Division of Environmental and Occupational Health Sciences (Dr Brosseau); University of New England, School of Public Health (Dr Most); and MEMIC, Loss Control Division, Portland, Maine (Mr Stanley).
J Occup Environ Med. 2016 Sep;58(9):885-91. doi: 10.1097/JOM.0000000000000836.
The purpose of this nationwide intervention was to improve machine safety in small metal fabrication businesses (3 to 150 employees). The failure to implement machine safety programs related to guarding and lockout/tagout (LOTO) are frequent causes of Occupational Safety and Health Administration (OSHA) citations and may result in serious traumatic injury.
Insurance safety consultants conducted a standardized evaluation of machine guarding, safety programs, and LOTO. Businesses received a baseline evaluation, two intervention visits, and a 12-month follow-up evaluation.
The intervention was completed by 160 businesses. Adding a safety committee was associated with a 10% point increase in business-level machine scores (P < 0.0001) and a 33% point increase in LOTO program scores (P < 0.0001).
Insurance safety consultants proved effective at disseminating a machine safety and LOTO intervention via management-employee safety committees.
这项全国性干预措施的目的是改善小型金属制造企业（3至150名员工）的机器安全性。未能实施与防护和锁定/挂牌（LOTO）相关的机器安全计划是职业安全与健康管理局（OSHA）发出违规通知的常见原因，并且可能导致严重的创伤性伤害。
保险安全顾问对机器防护、安全计划和LOTO进行了标准化评估。企业接受了一次基线评估、两次干预访问以及一次为期12个月的随访评估。
160家企业完成了干预。增设安全委员会与企业层面机器评分提高10个百分点（P<0.0001）以及LOTO计划评分提高33个百分点（P<0.0001）相关。
事实证明，保险安全顾问通过管理层-员工安全委员会来传播机器安全和LOTO干预措施是有效的。
