Number of injuries and illnesses with days away from work, 2003-2006 1,400,000 1,200,000 407,610 408,400 394,090 1,000,000 380,440 800,000 Goods-producing industries Service-providing industries 600,000 908,310 400,000 Total injuries and illnesses 850,930 840,580 803,060 2003: 1,315,920 2004: 1,259,320 2005: 1,234,680 200,000 2006: 1,183,500 0 2003 2004 2005 2006 In 2006, injuries and illnesses with days away from work declined by 4.1 percent. Goods-producing industries had a decline of 3.5 percent, while service-providing industries had a decline of 4.5 percent. Source: Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, cases involving days away from work. Chart 1 Percent change in incidence rate of injuries and illnesses by selected events and exposures, 2005-2006 Below average improvement Did not improve Above average improvement Repetitive motion Fall on same level Transportation accidents Fall to lower level Overexertion in lifting Overexertion All events or exposures -5.8% Total Slips, trips Struck by object Contact with object, equipment Assaults, violent act, by person Caught in object, equipment, material Exposed to harmful substances 10.0% 5.0% 0.0% -5.0% -10.0% -15.0% -20.0% Incidence rates for all events fell by 5.8 percent between 2005 and 2006. Repetitive motion fell by 15 percent; falls on same level fell by 11 percent. Slips, trips; struck by object; and contact with object, equipment fell by less than the average. The incidence rates for assaults, violent act, by person; being caught in object, equipment, material; and exposures to harmful substances increased from 2005 to 2006. Source: Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, cases involving days away from work. Chart 2 Occupations with 20,000 or more injuries and illnesses, 2003-2006 100,000 90,000 80,000 2003 70,000 60,000 2004 2005 2006 50,000 40,000 30,000 20,000 10,000 C ar Li pe gh nt to er rd s el iv t r e ry uc s k er M dr v ai iv ice nt er en s a w nc or e ke an rs d , g re en pa St er ir oc al k c or ler de ks r f an ill d er s R eg is te re d nu rs es st oc L k, ab an or d er m s at an er d ia fr H l m ei ea ov ght vy er , an s d tr a t r ct N uc or ur k -tr si dr ai ng iv le ai er r de s an s, d or at de te r nd lie C an s, on ts st ru ct io n la bo R re et rs ai ls al es pe rs Ja on ni s to rs an d cl ea ne rs 0 These 11 occupations have had 20,000 or more cases for the past 4 years. Light or delivery service truck drivers declined by 18 percent, the largest percentage decline, followed by carpenters which declined by 11 percent, and janitors and cleaners which declined by 10 percent. Laborers and freight, stock, and material movers had the largest number of injuries and illnesses. Source: Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, cases involving days away from work. Chart 3 Number and incidence rate of injuries and illnesses by occupation group, 2006 Service Transportation and material moving 245,150 163 239,710 Production 301 171,030 Construction, extraction 189 149,910 Installation, maintenance, and repair 271 94,890 Office and administrative support 83,320 Professional and related 54 81,190 Sales and related Number of injuries/illnesses (Total = 1,183,500) Management, business, and financial Days away from work rate (Private industry rate = 128) 58 76,210 Farming, fishing, and forestry 300,000 213 70 25,810 28 14,330 250,000 200,000 150,000 100,000 Number of injuries and illnesses 50,000 152 0 250 500 Incidence rate (per 10,000 workers) Transportation and material moving occupations have the highest incidence rate of occupation groups, at 301. They also have the second-highest number of injuries and illnesses. Source: Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, cases involving days away from work. Chart 4 Number and incidence rate for occupations with 20,000 or more injuries and illnesses, 2006 Laborers and freight, stock, and material movers 466 85,120 Heavy and tractor-trailer truck drivers 411 66,040 Nursing aides, orderlies, and attendants 526 49,480 Construction laborers Retail salespersons 335 28,000 Light or delivery service truck drivers 297 26,760 Number of injuries/illnesses (Total = 1,183,500) 21,600 Days away from work rate (Private industry rate = 128) 20,870 Registered nurses 100,000 248 28,260 Carpenters Stock clerks and order fillers 106 33,210 Janitors and cleaners Maintenance and repair workers, general 488 40,510 220 168 132 20,500 80,000 60,000 40,000 Number of injuries and illnesses 20,000 0 400 Incidence rate (per 10,000 workers) 800 These eleven occupations have 20,000 or more cases of injuries and illnesses. Retail salespersons have a high number of injuries and illnesses, but only have an incidence rate of 106 per 10,000 full-time workers, a lower rate than average. This is due to the large number of persons working as retail salespersons. Source: Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, cases involving days away from work. Chart 5 Number and incidence rate of injuries and illnesses for occupations with the highest incidence rate, 2006 Nursing aides, orderlies, and attendants 526 Construction laborers Laborers and freight, stock, and material movers Emergency medical technicians and paramedics 49,480 488 40,510 466 85,120 454 5,070 Heavy and tractor-trailer truck drivers 411 Roofers 410 Welders, cutters, solderers, and brazers 66,040 4,300 363 Carpenters 335 Food servers, nonrestaurant 333 Mobile heavy equipment mechanics, except engines 317 Industrial machinery mechanics 316 600 400 12,890 28,000 3,910 Number of injuries/illnesses (Total = 1,183,500) 3,270 Days away from work rate (Private industry rate = 128) 7,360 200 Incidence rate (per 10,000 workers) 0 20,000 40,000 60,000 80,000 Number of injuries and illnesses These eleven occupations have 1/10 of one percent of employment and an incidence rate of 300 or more. Laborers and freight, stock, and material movers have the highest number of injuries and illnesses, but are third in terms of incidence rates behind nursing aides, orderlies, and attendants; and construction laborers. Source: Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, cases involving days away from work. Chart 6 Injuries and illnesses and employment by industry domain, 2006 Goods producing 21% Goods producing 32% Service providing 68% Service providing 79% Injuries and illnesses with days away from work Employment (BLS Quarterly Census of Employment and Wages) (Total injuries/illnesses =1,183,500) Goods-producing industries made up 21 percent of private industry employment but accounted for 32 percent of injuries and illnesses with days away from work. Service-providing industries made up 79 percent of employment and 68 percent of injuries and illnesses in 2006. Source: Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, cases involving days away from work. Chart 7 Injuries and illnesses and hours worked by gender of worker, 2006 Women 41% Women 34% Men 66% Men 59% Injuries and illnesses with days away from work Hours worked (Current Population Survey, Private Wage and Salary Workers) (Total injuries/illnesses =1,183,500; Chart excludes unreported data.) Days away from work rate Men: 143 Women: 106 Almost two-thirds of injured or ill workers were men in 2006, well above their 59 percent share of the nation’s hours worked. Source: Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, cases involving days away from work. Chart 8 Number of injuries and illnesses and percentage of cases involving Hispanic or Latino workers by industry, 2006 9,670 27% Construction 33,930 Professional and business services 16,510 15,230 24% 21% Financial activities 31,220 20% Manufacturing 3,350 15% Other services 28,790 14% Trade, transportation and utilities 14,400 20,000 12% Education and health services 900 30,000 26% Leisure and hospitality 4,770 40,000 55% Natural resources and mining 10,000 Cases involving Hispanic or Latino workers Information 0 11% 0% 20% 40% 60% Percent of cases in industry involving Hispanic or Latino workers In 2006, there were 158,760 injuries and illnesses among Hispanic or Latino workers. Hispanic or Latino workers made up nearly 20 percent of injuries and illnesses where race or ethnicity was reported. Race is not reported in nearly one-third of all cases. Source: Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, cases involving days away from work. Chart 9 Median days away from work and incidence rate due to injuries and illnesses by age of worker, 2006 65 and over 15 106 12 55 to 64 122 10 45 to 54 Age of worker 124 7 35 to 44 132 6 25 to 34 Days away from work rate (Total, all ages = 128) 20 to 24 4 Median days away from work (Private industry median days = 7) 16 to 19 20 16 12 Median days away from work 126 143 4 8 134 4 0 100 Incidence rate (per 10,000 workers) 200 Median days away from work is a key measure of severity of injuries and illnesses. Injuries and illnesses become more severe as age increases, from 4 days away from work for workers aged 16 to 24 to 15 days for those workers 65 years old and older. The rate of injuries and illnesses are highest for younger workers, and decline with age. Workers 65 and older had the lowest incidence rate at 106, while workers aged 20 to 24 had the highest incidence rate of 143. Source: Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, cases involving days away from work. Chart 10 Injury and illness topology Nature of disabling condition Part of body affected A nursing aide sprains her back from overexertion in patient lifting Source directly producing disability Event or exposure Each injury or illness is described from four viewpoints. Source: Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, cases involving days away from work. Chart 11 Distribution of injuries and illnesses by nature, 2006 Carpal tunnel syndrome, 1.1% Heat burns, 1.5% Amputations, 0.7% Chemical burns, 0.6% Tendonitis, 0.4% Back pain, 3.0% Multiple traumatic injuries, 3.9% Soreness, pain, except back, 5.9% Sprains, strains, 39.9% Fractures, 8.0% Bruises, contusions, 8.6% Cuts, lacerations, punctures, 9.7% All other, 16.8% Sprains and strains accounted for 472,740 cases, or approximately 4 out of 10 of all nonfatal occupational injuries and illnesses with days away from work in 2006. The incidence rate of sprains and strains decreased by 6 percent from 2005 to 2006. The rate of soreness, pain, except back increased by 4 percent. Source: Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, cases involving days away from work. Chart 12 Median days away from work and incidence rate due to injuries and illnesses by nature, 2006 Fractures Carpal tunnel syndrome 28 10 27 Amputations 1 22 1 Tendonitis 14 Multiple injuries 1 5 10 Sprains, strains, tears 8 51 5 Heat burns 2 Bruises, contusions 4 Cuts, lacerations, and punctures 4 Chemical burns 40 12 3 30 20 10 Median days away from work Days away from work rate (Total, all natures = 128) 11 Median days away from work (Private industry median days = 7) 1 0 10 20 30 40 50 60 Incidence rate (per 10,000 workers) Fractures had the most median days away from work in 2006 with 28 days, followed by carpal tunnel syndrome with 27 days and amputation with 22 days. Source: Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, cases involving days away from work. Chart 13 Distribution of injuries and illnesses by part of body, 2006 Neck, 1.5% Body systems, 1.5% Head, 7.0% Upper extremities, 23.3% Multiple body parts, 9.8% Back, 21.2% Lower extremities, 22.2% Trunk, 34.0% Upper extremities, lower extremities, and back each accounted for over one-fifth of all injuries and illnesses. Source: Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, cases involving days away from work. Chart 14 Median days away from work and incidence rate due to injuries and illnesses by part of body, 2006 Shoulder 8 16 Knee 14 Wrist 14 Lower extremities Multiple body parts 10 5 28 10 13 9 Trunk 8 Foot, except toe 8 43 5 Upper extremities 7 Back 7 Neck 7 Toe 27 2 2 6 Hands, fingers Days away from work rate (Total, all parts = 128) 17 5 Body systems Median days away from work (Private industry median days = 7) 2 3 Head 20 30 9 2 10 Median days away from work 0 10 20 30 40 50 Incidence rate (per 10,000 workers) Injuries and illnesses to the shoulder (16 days), knee (14 days), and wrist (14 days) required the most time to recuperate in 2006. These were at least twice the median time required for all parts. Source: Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, cases involving days away from work. Chart 15 Distribution of injuries and illnesses by source, 2006 Floor, ground surfaces, 18.1% All other, 20.7% Health care patient, 4.4% Worker motion or position, 13.8% Handtools, 4.8% Machinery, 6.5% Containers, 12.4% Vehicles, 8.6% Parts and materials, 10.5% Four sources accounted for over half of all nonfatal occupational injuries and illness that resulted in days away from work in 2006: floor, ground surfaces with 18 percent; worker motion or position with 14 percent; containers with 12 percent; and parts and materials with 11 percent. Source: Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, cases involving days away from work. Chart 16 Median days away from work and incidence rate due to injuries and illnesses by source, 2006 Floors, walkways, ground surfaces 11 Worker motion or position 23 10 18 9 Vehicles Containers 11 8 16 Parts and materials 7 Machinery 7 14 8 Health care patient 6 Furniture and fixtures 6 Tools, instruments, and equipment 9 3 Chemicals and chemical products 10 Median days away from work (Private industry median days = 7) 5 5 15 Days away from work rate (Total, all sources = 128) 6 5 Median days away from work 2 0 5 10 15 20 25 Incidence rate (per 10,000 workers) Of the sources of the injury or illness, floors, walkways, ground surfaces (11 days), worker motion or position (10 days), and vehicles (9 days) had the highest median days away from work. Source: Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, cases involving days away from work. Chart 17 Distribution of injuries and illnesses by event or exposure, 2006 Exposure to harmful substances, 4.8% Transportation accidents, 4.7% Falls, 19.8% Assaults and violent acts, 1.9% All other, 1.2% Fires and explosions, 0.2% Contact with objects and equipment, 28.3% Bodily reaction and exertion, 39.0% Bodily reaction and exertion, contact with objects and equipment, and falls accounted for nearly 9 out of 10 nonfatal injuries and illnesses that resulted in days away from work in 2006. Source: Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, cases involving days away from work. Chart 18 Median days away from work and incidence rate due to injuries and illnesses by event or exposure, 2006 Repetitive motion 19 4 14 Fall to lower level 8 Fires and explosions 10 Transportation accidents 10 0 6 Overexertion 9 Fall to same level 9 31 16 Overexertion in lifting 8 Caught in equipment or objects 8 16 6 7 Slips, trips, loss of balance-without fall 4 Struck against object 5 Assaults and violent acts by persons 5 9 Median days away from work (Private industry median days = 7) 2 4 Struck by object 18 3 Exposure to harmful substances 30 Days away from work rate (Total, all events or exposures = 128) 20 10 Median days away from work 6 0 10 20 30 40 Incidence rate (per 10,000 workers) Of the events shown, repetitive motion injuries and illnesses had the highest median days away from work, but had a relatively low incidence rate. At 19 days, its median was more than double the median for all injuries and illnesses. Source: Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, cases involving days away from work. Chart 19 Number of musculoskeletal disorders, 2002-2006 600,000 500,000 400,000 300,000 34.0% of total cases 200,000 33.1% of total cases 32.0% of total cases 30.4% of total cases 30.2% of total cases 100,000 0 2002 2003 2004 2005 2006 In 2006, musculoskeletal disorders (MSDs) accounted for 357,160 cases, or 30 percent of the total injuries and illnesses with days away from work. MSD cases decreased by almost 5 percent from 2005 to 2006. Source: Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, cases involving days away from work. Chart 20 Distribution of musculoskeletal disorders by nature of injury or illness, 2006 Back pain, hurt back, 6.1% Soreness, pain, except back, 6.1% Hernia, 4.7% Carpal tunnel syndrome, 3.6% Musculoskeletal system and connective tissue diseases and disorders, except tendonitis, 1.4% Tendonitis, 1.1% Sprains, strains, tears, 76.9% Sprains, strains, and tears accounted for over three-fourths of the musculoskeletal disorders that resulted in days away from work in 2006. Source: Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, cases involving days away from work. Chart 21 Number and incidence rate of injuries and illnesses due to musculoskeletal disorders by selected occupations, 2006 Nursing aides, orderlies, and attendants Emergency medical technicians and paramedics 27,590 293 3,040 272 Laborers and freight, stock, and material movers 28,860 158 Plumbers, pipefitters, and steamfitters 110 Heavy and tractor-trailer truck drivers 108 Industrial machinery mechanics 102 Construction laborers 100 Light or delivery service truck drivers 99 4,190 17,400 2,370 8,270 8,890 Maids and housekeeping cleaners 91 Driver/sales workers 91 3,500 Welders, cutters, solderers, and brazers 91 3,240 300 200 100 Incidence rate (per 10,000 workers) MSD cases (Total = 357,160) MSD Incidence rate (Private industry MSD rate = 39) 6,630 79 Carpenters 400 5,830 0 5,000 10,000 15,000 20,000 25,000 30,000 35,000 Number of musculoskeletal disorder cases The above occupations had 0.5 percent or more of total cases, and have more than twice the average MSD incidence rate. Nursing aides, orderlies, and attendants have 8 times the average rate of MSDs. Source: Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, cases involving days away from work. Chart 22
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