National
Institute for Occupational Safety and
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The National Institute for Occupational Safety and Health (NIOSH), the Bureau of Labor Statistics (BLS), and the States share responsibility for the surveillance of fatal occupational injuries. NIOSH conducts surveillance of these injuries through the National Traumatic Occupational Fatalities Surveillance System (NTOF), which contains information from death certificates managed by the 52 U.S. vital statistics reporting units and has fatality data from 1980 onward. In response to a National Academy of Sciences recommendation, BLS began compiling fatal occupational injury data in 1992 through its Census of Fatal Occupational Injuries (CFOI). Data for CFOI are obtained from various Federal, State, and local administrative sources, including death certificates, workers' compensation reports and claims, reports to regulatory agencies, medical examiner reports, police reports, and news items. Differences in NTOF and CFOI definitions and data
collection and recording procedures may result in different fatality counts. The two programs are complementary, each having unique features that contribute to the surveillance of fatal occupational injuries. Appendix A details the methodological differences between the surveillance systems.Data from NTOF indicate that 93,929 civilians in the United States were killed on the job from 1980 through 1995. The average annual fatality rate for this period was 5.3 per 100,000 workers. From 1980 through 1995, the number of deaths recorded by NTOF decreased by 28% (from 7,405 to 5,314), and the rate of death decreased by 43% (from 7.46 to 4.25 cases per 100,000 workers) (
Figure 2�/A>). CFOI fatality counts exceeded those of NTOF by about 1,000 in the years reported in both surveillance systems (1992�95) (Figure 2�/A>). Based on CFOI data, the rate of fatal occupational injuries declined by 7% between 1992 and 1997.Back to TopFigure 2�/b>. Number
and annual rate of fatal occupational injuries, 1980�95. (Source: NTOF
[1999].)
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Figure 2�/b>. Number of fatal occupational injuries, 1992�97. (Source: CFOI [1999].)
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Fatal Injuries by Age and Race The highest number of deaths recorded in NTOF from 1980 to 1995 occurred among
workers aged 25 to 34 (
Figure 2�/b>. Distribution and
average annual rate of fatal occupational injuries by age group, 1980�95.
(Source: NTOF [1999].)
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Figure 2�/b>. Rate of fatal occupational injuries by race, 1980�95. (Source: NTOF [1999].)
Back to TopFatal Injuries by Leading Cause
The leading causes of fatal occupational injuries recorded in NTOF from 1980 to 1995 were motor vehicle incidents, machine-related injuries, homicides, falls, and electrocutions (
Figure 2�/A>). During that period, rates for deaths from all causes declined, although not always consistently. Male workers died most frequently from motor vehicle incidents, machine-related injuries, homicides, and falls; female workers died most frequently from homicides and motor vehicle incidents, followed by falls and machine-related injuries (Figure 2�/A>). CFOI data, which are classified differently from NTOF data, indicate that transportation incidents accounted for 42% of all fatal occupational injuries in 1997 (Figure 1�/A>). Highway-related motor vehicle crashes and homicides accounted for about one-third of the fatalities recorded in CFOI.Figure 2�/b>. Rates of fatal
occupational injuries by leading causes, 1980�95. (Source: NTOF
[1999].)
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Figure 2�/b>. Distribution of fatal occupational injuries for male and female workers by selected causes of death, 1980�95. Total deaths were 87,835 for male workers and 6,088 for female workers. (Source: NTOF [1999].)
Back to TopFatal Injuries by Industry and Occupation
NTOF classifies a fatality by the industry and occupation in which the worker was "usually" employed. By industry division, mining and agriculture, forestry, and fishing (followed by construction and transportation and public utilities), had the highest fatal occupational injury rates recorded in NTOF from 1980 to 1995. The most deaths occurred in construction, transportation and public utilities, and manufacturing (
Figure 2�/A>). By occupational group, the highest rates of fatal injury occurred among transportation and agriculture, forestry, and fishing workers. Precision production, craft, and repair occupations (11% of the workforce) along with transportation workers (4% of the workforce) accounted for nearly 40% of the fatal occupational injuries from 1980 to 1995 (Figure 2�/A>).Figure 2�/b>. Average annual rate and distribution (%) of fatal
occupational injuries by industry division, 1980�95. Total deaths were 93,929;
5.7% were not classified by industry. (Source: NTOF [1999].)
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Figure 2�/b>. Average annual rate and distribution (%) of fatal occupational injuries by occupational group, 1980-1995. Total deaths were 93,929; 4.8% were not classified by occupation. (Source: NTOF [1999].)
Back to TopCFOI classifies a fatality by the industry and occupation in which the worker was employed at the time of death. By industry division, construction accounted for the largest number of deaths recorded in CFOI in 1997, and mining had the highest fatality rate per 100,000 workers. Agriculture, forestry, and fishing ranked second in rate and third in number of fatal occupational injuries (
Figure 2�/A>). By occupation, the largest number of fatalities occurred among truck drivers, farm occupations, sales occupations, and construction laborers (Figure 2�). The leading causes of death for these groups were highway crashes and jackknifing for truck drivers, tractor-related injuries for farmers, homicides for sales occupations, and falls for construction laborers. The occupations with fatal occupational injury rates at least 10 times the national average of 4.8 per 100,000 workers include timber cutters, fishers, water transportation occupations, aircraft pilots, and extractive occupations (Figure 2�).Figure 2�/b>. Number and rate of fatal occupational injuries by
industry division, 1997. The total number of fatal occupational injuries was
6,238; the national rate was 4.8 per 100,000 workers. (Source: CFOI
[1999].)
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Figure 2�. Number of fatal
occupational injuries by selected high-risk occupations and leading event, 1997.
The total number of fatal occupational injuries in 1997 for all occupations was
6,238. (Source: CFOI [1999].)
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Figure 2�. Number and rate of fatal occupational injuries per 100,000 workers in high-risk occupations, 1997. The national rate was 4.8 per 100,000 workers. (Source: CFOI [1999].)
Back to TopAnnual rates of fatal occupational injury by industry division for selected causes of death are shown in
Figure 2� using NTOF data. Workers in mining and agriculture, forestry, and fishing had the highest rates of machine-related deaths, and workers in transportation and public utilities, mining, and agriculture, forestry, and fishing had the highest rates of work-related motor vehicle deaths. Workers in retail trade and public administration had the highest rates of workplaceFigure 2�. Average annual rate of fatal occupational injuries by industry division and selected causes of death, 1980�95. (Source: NTOF [1999].)
Fatal Injuries by State
NTOF data for 1980�95 (based on the State listed on the death certificate) indicate that Alaska, Wyoming, and Montana had the highest fatal occupational injury rates (Table 2�/A>). California, Texas, Florida, and Illinois had the greatest number of fatal occupational injuries. CFOI data (based on the State in which the fatal incident occurred) indicate that California, Texas, Florida, and New York had the greatest number of fatal occupational injuries in 1997.
Table 2�/STRONG>. Distribution and average annual rate of fatal occupational injuries by State listed on death certificate, 1980�95
Back to TopFatal Injuries by Establishment Size
CFOI collects information about the number of workers in establishments where fatally injured workers were employed. In 1997, this information was available for 79% of all records for private sector wage and salary workers. Based on the available data, the highest rate of fatal occupational injury (8.6 per 100,000 workers) occurred in establishments with 1 to 10 workers, whereas the lowest rate (2 per 100,000 workers) occurred in establishments with 100 or more workers (
Figure 2�). Self-employed workers accounted for 20% of the fatal occupational injuries in 1997. The fatality rate of 11.7 cases per 100,000 workers for the self-employed was nearly two and a half times the rate of 4.8 per 100,000 for all wage and salary workers (public and private sector combined).Figure 2�. Number and rate of fatal occupational injuries in private sector wage and salary workers by employment size of establishment, 1997. The total number of fatal occupational injuries was 4,305. Employment size was not reported for 919 fatalities; these data could significantly change the above rates. (Source: CFOI [1999]. Employment data are from the Employment and Wages Annual Averages, 1997 [BLS 1998].)
Back to TopSpecial Topics in
Fatal Occupational Injury
Fatal Injuries among Truck Drivers
Truck drivers suffered nearly 14% of the fatal occupational injuries during 1997 according to CFOI data. The number of fatalities among truck drivers has increased fairly steadily, from 699 in 1992 to 862 in 1997. Over the same period, the fatality rate increased from 26 to 28 per 100,000 workers. In 1997, more than 50% of the fatalities occurred in trucks with trailers or semitrailers (
Figure 2�), and more than 80% occurred in transportation-related incidents (Figure 2�). Fatalities from jackknifing and from collisions increased by 16% and 9%, respectively, between 1996 and 1997. More than half of the fatal occupational injuries among truck drivers occurred on interstate highways, freeways, expressways, or other State or U.S. highways (Figure 2�).Figure 2�.
Number and distribution of fatal occupational injuries to
truck drivers by source of fatal injury, 1997. (Source: CFOI
[1999].)
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Figure 2�. Number of fatal
occupational injuries to truck drivers by event or exposure, 1997. (Source: CFOI
[1999].)
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Figure 2�. Number and distribution of fatal occupational injuries to truck drivers by location of fatal injury, 1997. (Source: CFOI [1999].)
Back to TopHomicides
Homicides, the second leading cause of fatal occupational injuries, declined by 7% from 1996 to 1997. Taxi drivers had the highest rate of homicide (
Figure 2�); the highest number of homicides occurred in retail trade in grocery stores and eating and drinking establishments (Figure 2�). Eighty percent of workplace homicides resulted from shootings [CFOI 1999]. Robbery was the primary motive for occupational homicide when a motive could be ascertained from the source documents (Figure 2�).Figure 2�.
Number and incidence rate of homicides for
high-risk occupations, 1997. (Source: CFOI [1999].)
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Figure 2�. Distribution of homicides in high-risk industries, 1997.
(Source: CFOI [1999].)
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Figure 2�. Number and distribution of work-related homicides, by circumstance or alleged perpetrator, 1997. (Source: CFOI [1999].)
Back to TopFatal Falls
Falls were the fifth leading type of fatal occupational event in 1997, accounting for more than 700 deaths, or 12% of all fatal occupational injuries (
Figure 1�/A>). Fatalities from falls recorded in the CFOI increased by more than 19% from 1992 to 1997. Falls to a lower level, including falls from roofs, were the major contributors (Figure 2�). Approximately half of the falls occurred in the construction industry (Figures 2� and 2�).Figure 2�.
Number and distribution of fatal occupational
falls by type of fall, 1997. (Source: CFOI [1999].)
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Figure 2�. Number
of fatal occupational falls by occupational group, 1997. (Source: CFOI [1999].)
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Figure 2�. Number of fatal occupational falls by industry division, 1997. (Source: CFOI [1999].)
Fire Fighter Fatalities
NIOSH began investigating all fire fighter fatalities in October 1998. The goal of this initiative is to examine the magnitude and characteristics of occupational deaths and severe injuries among fire fighters and to develop recommendations for injury prevention. The investigations are being conducted through the fatality assessment and control evaluation (FACE) model developed by NIOSH. For each case investigated, information is collected on factors associated with the fire fighter who died, the physical agents contributing to the death, and the environment. These factors are identified during three phases: pre-event, event, and post-event. The contributing factors are investigated in detail for each incident and are summarized in the investigation report along with recommendations for preventing future incidents. Additional information about the NIOSH fire fighter program and individual investigation case reports are available on the NIOSH Web site at www.cdc.gov/niosh/firehome.html.
The National Fire Protection Association (NFPA) and the U.S. Fire Administration estimate that an average of 112 fire fighters died on the job each year between 1979 and 1998 (Figure 2�). In 1998, 44% of the fire fighter deaths occurred at the fireground. Another 35% occurred while responding to or returning from alarms or performing other nonfire emergency duties (Figure 2�). Heart attacks (43%), internal trauma (23%), and asphyxiation (10%) were the most frequent causes of death in 1998 (Figure 2�).
Back to TopFigure 2�.
Number of fire fighter deaths, 1979�98.
Total number of deaths was 2,244. (Source: NFPA [Washburn et al. 1999].)
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Figure 2�.
Number and distribution of fire fighter deaths
by type of duty, 1998. Total number of deaths was 91. (Source: NFPA [Washburn et
al. 1999].)
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Figure 2�. Number and distribution of fire fighter deaths by nature of injury, 1998. Total number of deaths was 91. (Source: NFPA [Washburn et al. 1999].)
Updated on 06/25/02