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 NIOSH Publication No. 2004-146

Worker Health Chartbook 2004

 Worker Health Chartbook > Chapter 4 > Construction Trades
Chapter 4 - High-Risk Industries and Occupations

Construction Trades

This section provides data for tracking trends in fatal and nonfatal occupational injuries and illnesses among workers in the construction trade. An estimated 9.6 million persons were employed in the construction industry in 2001. Most of these workers were aged 25–54 (75.4%), male (90.3%), and white (90.8%) [BLS 2001].

Over the years, construction has ranked among industries with the highest rates of both fatal and nonfatal occupational injuries. BLS reported that the number and rate of fatal occupational injuries in the construction sector in 2001 were the highest recorded since the inception of CFOI (1,225 fatal occupational injuries with an incidence rate of 13.3 per 100,000 employed workers) [BLS 2002b]. For the same year, BLS reported that the construction industry experienced 481,400 nonfatal injuries and illnesses at a rate of 7.9 per 100 full-time workers in the industry [BLS 2002a].

Since the early 1990s, NIOSH has supported extensive extramural surveillance and research on the construction sector of private industry. The Center to Protect Workers’ Rights (CPWR) is a principal partner of NIOSH in conducting these activities. Early efforts focused on surveillance data and surveillance research, including the preparation of the first of three chart books focusing on construction safety and health issues [Pollack and Chowdhury 2001].

The underlying data for Figures 4–20 through 4–52 come from a number of the BLS statistical programs, including the Current Population Survey (CPS), CFOI, and SOII. The CPS provides data for estimating the construction trade occupation denominators used for many of the rate estimates. The CPWR uses CFOI to characterize occupational fatalities and SOII to characterize nonfatal injuries and illnesses. Twelve construction trade occupations are the principal focus of this section:

  • Brickmasons
  • Carpenters
  • Drywall installers
  • Electricians
  • Ironworkers
  • Construction laborers
  • Operating engineers
  • Painters
  • Plumbers
  • Roofers
  • Truck drivers
  • Welders and cutters

Among the trades monitored by CPWR, the estimated distribution of employed construction workers by trade ranged from 0.6% to 13.3% during 1992–2001. Carpenters made up the largest proportion of construction workers (13.3%), followed by construction laborers (8.8%) and electricians (5.9%) (Figure 4–20). The construction workforce has been growing older: In 2001, the average age for construction workers was 38.7 (1.5 years older than it was in 1992). In addition, the median age increased from 35 to 39 during this 10-year period. The aging of the construction workforce is reflected in the distribution of fatal occupational injuries in this group by age (Figure 4–21). From 1992 to 2001, the largest proportion of fatal occupational injuries shifted from construction workers aged 25–34 to those aged 35–44. For construction workers aged 25 or 34, the proportion with fatal injuries declined (from 27.8% to 21.7%), whereas it increased for workers aged 65 or older (from 3.9% to 5.9%).

Fatal occupational injury rates in the construction trades for 2001 ranged from 6.0 per 100,000 full-time workers for drywall installers to 75.6 for ironworkers—more than a 12-fold difference (Figure 4–23). Falls to lower level accounted for the highest number of fatal injuries among construction workers (410 or 4.3 per 100,000 full-time workers), and highway accidents accounted for the next highest number (161 or 1.7 per 100,000 full-time workers) (Figure 4–25). This section includes figures that chart fatal injury rates for each of the 12 construction trades that form our focus. For each trade, the figure contrasts fatal occupational injury rates for all construction workers during each year from 1992 through 2001 (Figures 4–29, 4–31, 4–33, 4–35, 4–37, 4–39, 4–41, 4–43, 4–45, 4–47, 4–49, and 4–51).

Rates of nonfatal injuries and illnesses involving days away from work in the construction trades in 2001 ranged from 131.2 per 10,000 full-time workers for painters to 751.8 for ironworkers—nearly a 6-fold difference (Figure 4–27). Injuries and illnesses associated with ergonomic events or exposures made up 26.5% (49,237 of 185,662) of all nonfatal occupational injuries and illnesses involving days away from work in the construction industry in 2001 [BLS 2003c]. The rate of bending, climbing, crawling, reaching, twisting injuries in construction was 15 per 10,000 full-time workers—nearly double the rate of 8 for all private industry that year (Figure 4–28). This section includes figures that chart nonfatal injury and illness rates for each of the 12 construction trades that form our focus. For each trade, the figure contrasts nonfatal injury and illness rates for all construction workers during each year from 1992 through 2001 (Figures 4–30, 4–32, 4–34, 4–36, 4–38, 4–40, 4–42, 4–44, 4–46, 4–48, 4–50, and 4–52).

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