229771 How to measure success: Is OSHA identifying effecitve worksite health and safety programs or promoting the underreporting of job injuries and illnesses?

Monday, November 8, 2010 : 2:50 PM - 3:10 PM

Nancy Lessin, MS , United Steelworkers - Tony Mazzocchi Center for Health, Safety and Environmental Education, Boston, MA
The OSH Act charges the Department of Labor with collecting and compiling accurate statistics that reflect the extent and nature of workplace injuries, illnesses and fatalities. OSHA uses these statistics to target resources and evaluate the effectiveness of its efforts. The accuracy of these statistics, along with OSHA's reliance on employer-kept injury and illness data, has been called into question. In 2008 and 2009 the problems of underreporting of workplace injuries and illnesses were the subject of Congressional investigation and action. A Government Accountability Office (GAO) report in 2009 documented that more than two-thirds of injured or sick workers feared discipline or job loss if they reported job injuries, and over half of occupational health practitioners reported being pressured by employers to downplay or undertreat job injuries to prevent them from being OSHA-recordable. Another 2009 GAO report questioned the adequacy of OSHA's efforts evaluate effectiveness of its Voluntary Protection Programs (touted as workplaces with exemplary safety and health programs and systems), specifically noting OSHA's reliance on employer-kept injury and illness statistics. In September, 2009 OSHA initiated a national emphasis program on recordkeeping to assess the accuracy of injury and illness data recorded by employers. This interactive session will review OSHA programs and practices that use employer data to judge success, discuss continuing impacts of reliance on this data, evaluate OSHA's efforts to address problems of injury and illness underreporting, and identify additional strategies to discourage manipulation of statistics and ensure truly effective worksite health and safety programs.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Occupational health and safety

Learning Objectives:
This session will (1) describe specific OSHA programs and practices that in whole or in part use employer-kept injury and illness statistics to evaluate the success of worksite health and safety programs; (2)explain the continuing impacts of OSHA's focus on employer-kept injury and illness statistics on the underreporting of workplace injuries and illnesses; (3) discuss recent Congressional and Government Accountability Office reports and studies questioning OSHA's records audit process, it's oversight of a high-profile program touting employers' exemplary worksite health and safety practices, and the reliability of employer-kept injury and illness statistics, (4) review and analyze actions taken by OSHA in response to recommendations made in these reports and studies, (5) evaluate additional strategies to discourage manipulation of statistics and ensure truly effective worksite health and safety programs

Keywords: Occupational Health, Occupational Injury and Death

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been presenting educational programs on occupational safety and health for over 30 years, including presentations on underreporting of workplace injuries and illnesses. I have helped to design and evaluate worker surveys describing employer policies, practices and programs that discourage workers from reporting injuries and illnesses. I served for five years on the National Advisory Committee for Occupational Safety and Health, advising OSHA and NIOSH on their policies and programs.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.