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Health and Safety Aspects of the Construction Industry Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

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Page 1: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Health and Safety Aspects of the Construction Industry

Occupational Health: The Anna Baetjer CourseBruce Lippy, Ph.D., CIH, CSP

Director of Safety Research, CPWR5/5/12

Page 2: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Topics we will cover:

1. Fatality and injury data for the construction industry

2. Major hazards on construction sites

3. Managing and controlling construction exposures

4. Safety of green construction

5. Construction workers during disaster responses

Page 3: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Fatality and injury data for the construction

industry

Topic One

Page 4: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Rate of deaths from injuries in construction, selected countries, 2005

Page 5: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Rate of work-related deaths from injuries, by major industry, 2005 (All employment)

4.2

1.0

2.1

2.3

3.0

4.5

11.1

12.7

20.7

30.9

All industries

Finance

Services

Manufacturing

Wholesale and Retail

Public admin

Construction

Transportation

Mining

Agriculture

Rate per 100,000 full-time workers

Page 6: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Rate of nonfatal injuries and illnesses with days away from work, by major industry, 2005 (Private wage-and-salary workers)

135.7

25.9

74.7

110.7

131.9

145.9

146.2

146.3

147.1

210.8

239.5

292.8

All industries

Finance

Information

Services

Utilities

Wholesale

Mining

Retail

Manufacturing

Agriculture

Construction

Transportation

Rate per 10,000 full-time workers

Page 7: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Rate of work-related deaths from injuries, selected industries, 1992-2005 (All employment)

0

5

10

15

20

25

30

35

1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

Year

Rat

e p

er 1

00,0

00 f

ull-

tim

e w

ork

ers

Construction Agriculture Mining Manufacturing

Why does agriculture lead?

Page 8: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Rate of nonfatal injuries and illnesses with days away from work , selected industries, 1992-2005 (Private wage-and-salary workers)

100

200

300

400

500

600

1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005

Year

Rat

e p

er 1

0,00

0 fu

ll-ti

me

wor

ker

s

Construction Agriculture Mining Manufacturing

Page 9: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Distribution of construction employment and work-related deaths from injuries, by establishment size, 2005

Work-related deaths(n=724)

21%

55%

24%

Page 10: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Percentage of injuries and illnesses resulting in days away from work, by ethnicity and establishment size, 2005

Page 11: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Latino crew at the leading edge

Photos courtesy of Robert Carr

Page 12: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Distribution of deaths from injuries in construction, by age group, 1992 versus 2005

Page 13: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Distribution of nonfatal injuries and illnesses resulting in days away from work in construction, by age group, 1992 versus 2005

0%

5%

10%

15%

20%

25%

30%

35%

40%

16-19 20-24 25-34 35-44 45-54 55-64 65+

Age group

% o

f n

onfa

tal i

nju

ries

1992 2005

Page 14: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Rate of work-related deaths from injuries, selected construction occupations, 2003-2005 average

Page 15: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Number of work-related deaths from injuries, selected construction occupations, 2003-2005

Page 16: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Major Hazards on Construction Jobs

Topic Two

Page 17: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

IUOE National Training Fund

Have you heard of the Focus Four hazards? Why does OSHA single them out? 1. Falls

2. Struck By

3. Caught in Between

4. Electrical

Page 18: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

IUOE National Training Fund

Out of 2,355 total construction fatalities, 79% were Focus Four hazards!

1,856 Focus Four fatalities in 2003/2004 (BLS)

Page 19: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Leading causes of work-related deaths, construction, 1992-2005

Page 20: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Falls

Page 21: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

IUOE National Training Fund

What happens when

you fall?• It takes most people

about 1/3 of a second to become aware

• It takes another 1/3 of a second for the body to react

• A body can fall up to 7 feet in 2/3 of a second

0.33 sec./2 feet

0.67 sec./7 feet

1 sec./16 feet

2 sec./64 feet

Page 22: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Distribution of causes of deaths from falls in construction, 1992-2005 average

From girder, struct. steel (8%)

From scaffold, staging (18%)

Page 23: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Distribution of causes of injuries from falls involving days away from work, construction, 2005

From scaffold (8.3%)

From roof (6.1%)

From ladder (24.2%)

On same level (34.0%)Other (27.5%)

Page 24: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

What are “struck-by” hazards?

What are “struck-by” hazards?

Page 25: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Powder-actuated hand toolsWhat are the hazards?

• 37,000 people go to emergency rooms from nail gun injuries every year

• The hazards are similar to those of firearms

• Sequential-trip triggers could prevent 65 percent of injuries

What is wrong with this picture?

Photo courtesy Laborers-AGC

Page 26: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Pneumatic nailers have been made safer• Penetration checks must be made• All proper PPE must be worn

Page 27: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Distribution of causes of trenching-related deaths in construction, 2003-2005

Struck by vehicle load (8%)

Struck by vehicle part (8%)

Total = 159 deaths

Page 28: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Dedicated to Patrick Walters

One of over 50 workers who needlessly die in trenching and

excavation each year

Page 29: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

What do we know about the 542 “Patricks” who died in excavations from 1992 to 2001?• Average age was 38• Nearly half of their

companies had less than 10 employees

• Nearly all were employed by private companies

• Cave-ins accounted for 76% of the deaths

Recovery of Patrick Walters’

body

Page 30: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Is this a death trap?

YES!

!

Page 31: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Rate of deaths from electrocutions, selected construction occupations, 2003-2005 average

Page 32: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Deaths caused by contact with electricity among electrical workers in construction, 2003-2005 average

Electrical equipt & wiring (44%)

Overhead power lines (32%)

Lighting fixtures (17%)

Total = 124 deaths

Page 33: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Deaths caused by contact with electricity among non-electrical workers in construction, 2003-2005 average

Overhead power lines (57%)Electrical equipt & wiring (15%)

Machinery & appliances (16%)

Energized objects (5%)

Total = 238 deaths

Page 34: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Managing and Controlling Exposures on

Construction Jobs

Topic Three

Page 35: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

American National Standards Institute has a standard called, “Occupational Health and Safety Management Systems”

ANSI/AIHA Z10-2005

Page 36: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

ANSI Z10 focuses on the strategic levels of policy and processes

Policy

Processes

Job Instruction

Documents

Layers of Management System Implementation

Page 37: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Z-10 specifically uses the hierarchy of controls (Section 5.1.1)

Elimination

Substitution

Engineering Controls

Warnings

Administrative Controls

Personal Protection4-37

Most Effective

Least Effective

Page 38: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

ANSI Z-10 provides a framework built on a quality control model from business

Plan

Do

Check

Act

Page 39: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

What key elements does ANSI, OSHA VPP and DOE ISM have in common?

1. Management leadership

2. Employee involvement

3. Hazard assessment

4. Hazard control

5. Worker training

Page 40: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Involving workers pays off! (Raines, 2011)

• Gallup (2006) surveyed 125 organizations and found top fourth of the companies scoring on worker involvement had 62% less accidents than the bottom fourth

• Molson Coors saved $1.7 million in safety costs in 2002 by strengthening employee involvement. Engaged employees were 5X less likely to have a safety incident and 7X less likely to have a loss-time incident

Page 41: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Let’s face a real supervisor’s choiceCommercial building HVAC / energy upgrades

Page 42: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Must lift the unit on the roof from the wrong side of the building

Page 43: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

This could be the result. What do you do?

Page 44: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Training supervisors reduces lost-time injuries (Constr Safety Assoc of Ontario)

Page 45: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Getting to root causes isn’t easy. Go beyond blaming the workers.

Scrubbing tower dropped 10 feet from large tanks of acid

Page 46: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

IUOE National Training Fund

Here are the main systems for working safely on roofs. Any preferences?

Safety Monitors

Guardrails and warning lines

Fall Arrest

Page 47: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

IUOE National Training Fund

What practices are needed when working around holes?

• Cover holes with materials of adequate strength and ensure they are secured

• Mark covers so workers know there are holes underneath

• Use guardrails

Photo courtesy of Laborers-AGC

Page 48: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

How can we apply the hierarchy to skylights?

Page 49: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Photo courtesy Trench Shoring ServicesPhoto courtesy Trench Shoring Services

Trench shields or trench boxes are intended to

shield workers from cave-ins

Page 50: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Safety of Green Construction

Topic Four

Page 51: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Our current building costs are unsustainable• 40% of raw materials consumed globally

are used by the building construction industry

• U.S. building construction:– Uses 68% of total electricity consumption– Creates 38% of carbon dioxide emissions– Uses 12% of potable water– Creates 272 million tons of construction and

demolition waste annuallySource: The Guide to Green Buildings

Page 52: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Examples of green construction projects

Modular, insulated wall units

Rooftop rain garden

Wind turbine

Page 53: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Green roofs have many advantages

A green roof in Chicago, courtesy of the City of Chicago

Page 54: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Can you think of any disadvantages?

This 2,300sf high-rise green roof is part of a modern building construct. A crane was used to lift the soil and gravel onto three floors, courtesy DCGreenworks.org and the IUOE

Page 55: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Weatherization is an important part of green construction. What risks from spray insulation?

Page 56: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

City Center, Las Vegas

Page 57: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

“How many construction site deaths should there be to make a building not green regardless of the environmental benefits?”

Page 58: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Construction workers during disaster responses

Topic Five

Page 59: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Why do disaster sites present greater

risks?

Why do disaster sites present greater

risks?

Page 60: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Greater chances are

taken, like at the World

Trade Center.

What is the violation

here?

Greater chances are

taken, like at the World

Trade Center.

What is the violation

here?

Page 61: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

What were the most deadly disasters from 1992-2006?

Source: U.S. Bureau of Labor Statistics, Census of Fatal Occupational Injuries, 2007

Fre

quen

cy

Bureau of Labor Statistics

Page 62: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Activities during hurricane-related fatalities (Fayard, APHA, 2006)

Cleanup, debris removal, tree trimming (44%)

Restorativeconstruction (26%)

Restoring public utilities (8%)

Law and order (6%)

Other (16%)

Source: U.S. Bureau of Labor Statistics, Census of Fatal Occupational Injuries, 2007

What is the lesson here?

Page 63: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Tornado destruction poses serious risks for cleanup and disposalCheck OSHA’s website for guidance

Clean-up of F5 tornado in Greenburg, KS, May 07

Disposal and burning of debris at the Greenburg dump, nearly entire

town needed to be burned

Photos by Greg Henshall, FEMA.

Page 64: Occupational Health: The Anna Baetjer Course Bruce Lippy, Ph.D., CIH, CSP Director of Safety Research, CPWR 5/5/12

Ice storms pose particular falling debris hazards for responders

Republic, MO, 2-27-07. A loader on debris pile after an ice storm created two million cubic yards of debris.

FEMA Photo/Michael Raphael