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The CDPH coordinates and funds many services, which are provided in most areas of the State. Programs are listed below by local areas, program representatives, and regions. Please visit the Program Page to locate additional services in your area if they are not present below.
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The regulatory organization for occupational injury control and prevention is the Occupational Safety and Health Administration (OSHA). Formed in 1970 as an agency of the United States Department of Labor under the Occupational Safety and Health Act, OSHA exists to prevent occupational injuries and deaths by creating and enforcing standards in the workplace. OSHA standards address employee training programs, safety equipment, employer record keeping and proper maintenance of the work environment. Failure to comply with the OSHA standards can result in workplace inspections and legal action including citations and fines. In very severe cases of employer misconduct, OSHA can “red flag” an operation and send the employer to legal court.[8].
To regulate the millions of workplaces in the United States, OSHA requires that all employers maintain a record of occupational injuries, illnesses and fatalities. Occupational fatalities must be reported to OSHA within eight hours of the incident. Failure to do so can result in legal action against the employer. Employers are responsible for staying current on OSHA standards and enforcing them in their own workplace. State OSHA organizations exist in twenty-eight states and are required to have the same or more rigorous standards than the federal OSHA standards. In these states, employers must abide by their state’s regulations. It is not the responsibility of the employee to stay current on the OSHA standards.
In addition to OSHA, the National Institute for Occupational Safety and Health (NIOSH) was formed under the Occupational Safety and Health Act as a federal research agency to formulate industry recommendations for health and safety. NIOSH is part of the Centers for Disease Control and Prevention (CDC) in the United States Department of Health and Human Services (DHHS). NIOSH analyzes workplace injury and illness data from all fifty states as well as provides support for state-based projects in occupational health and safety.
Under NIOSH, the Fatality Assessment and Control Evaluation (FACE) Program tracks and investigates occupational fatalities in order to provide recommendations for prevention. A voluntary program for individual states created in 1989, FACE is active in California, Iowa, Kentucky, Massachusetts, Michigan, New Jersey, New York, Oregon, and Washington. The primary responsibilities of the state FACE programs are to track occupational fatalities in their state, investigate select fatalities, and provide recommendations for prevention. As part of the prevention efforts, FACE programs also produce extensive prevention education materials that are disseminated to employees, employers, unions, and state organizations.
Nationally, the Census of Fatal Occupational Injuries (CFOI), within the U.S. Department of Labor, compiles national fatality statistics. CFOI is the key, comprehensive system in the surveillance of occupational fatalities in the United States.
Many other non-governmental organizations also work to prevent occupational fatalities. Trade associations and unions play an active role in protecting workers and disseminating prevention information. The National Safety Council also works to prevent occupational fatalities as well as provide resources to employers and employees.
Occupational fatalities are preventable. Prevention of occupational fatalities depends on the understanding that worker safety is not only the responsibility of the worker, but is the primary responsibility of the employer. Employers must train all employees in the appropriate safety procedures and maintain a safe working environment so that fatalities are less likely to occur[7]. An occupational fatality is not just the fault of the deceased worker; instead, it is the combination of unsafe work environments, insufficient safety training, and negligible employee supervision that contribute fatal incidents. As a result, it is imperative that an employer address all the potential [risk] factors at the workplace and educate all employees in safe work practices and risk awareness.
In order to perform adequate risk assessment of injuries that occur in the workplace, health and safety professionals use resources such as the Haddon Matrix. This model assesses the risks leading up to, during, and after a death in order to prevent future incidents of a similar nature. Employers and employees can learn how to identify risk factors in their work environment in order to avoid incidents that may result in death.
Many factors contribute to a fatal incident at work. Lack of appropriate employee training and failure to provide and enforce the use of safety equipment are frequent contributors to occupational fatalities. In some cases, employees do receive safety training, but language barriers prevent the employee from fully understanding the safety procedures. Incidents can also be the result of insufficient supervision of inexperienced employees or employees who have taken on a responsibility for which they are not properly trained. Poor worksite organization, staffing and scheduling issues, unworkable policies and practices and workplace culture can all play a role in occupational fatalities. In any case, the incident leading to an occupational fatality is generally not the fault of a single person, but the tragic result of a combination of many human and environmental factors.
Although all workers are at risk for occupational fatalities, elderly workers age 65 and older are roughly three times more likely to die at work[5]. Hispanic workers die on the job at a higher rate than non-Hispanic workers. Men account for 92% of occupational deaths; however, women are more likely to be victims of homicide (27% of homicide victims are female) than die of any other cause at work[6].
Common causes of occupational fatalities include falls, machine-related incidents, motor vehicle accidents, electrocution, falling objects, homicides and suicides. Occupational fatalities can be prevented.
41% of occupational fatalities occurred during a transportation incident, 17% occurred after a worker came into contact with an object or equipment, and 15% occurred as a result of a fall [2]. The remaining 12% of deaths were the result of chemical or environmental exposures (9%) and fires or explosions (3%)[3]. Lastly, 15% of all occupational fatalities are the consequences of assault and other violent acts in the workplace.
An occupational fatality is a death that occurs while a person is at work or performing work related tasks. Occupational fatalities are also commonly called “occupational deaths” or “work-related deaths/fatalities” and can occur in any industry or occupation.
In general, occupational fatalities have steadily decreased in number since 1994. Still, in 2007, 5,488 people died in work-related incidents in the United States[1]. That amounts to an average of 15 deaths every day.
