ination issue for EPA libraries
                 and Xtate Solid Vaetc Management Agencies
          INJURY REPORTING AND INFORMATION SYSTEM (IRIS) FIELD TEST

                                 VOLUMES I and II
           This final report (SW-110c,l}_ describee work performed
for the Federal solid waste management programs under contract No.  68-03-0231
              and is reproduced as received from the contractor
 Volume I  describes a field test of an injury reporting and analysis system
                  for the solid waste management industry.

                 Volume II  contains the tabulation of data.
              Copies of both volumes will  be available from the
                   National Technical Information Service
                         U.S. Department of Commerce
                        Springfield, Virginia  22161
                    U.S. Environmental  Protection Agency

                                     1975

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This report as submitted by the grantee or contractor has not been
technically reviewed by the U.S. Environmental Protection Agency (EPA).
Publication does not signify that the contents necessarily reflect the
views and policies of EPA, nor does mention of commercial products
constitute endorsement or recommendation for use by the U.S. Government.

An environmental protection publication (SW-110c.l) 1n the solid waste
management series.

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                      ACKNOWLEDGEMENTS








     The authors would like to acknowledge the considerable



help and encouragement provided during the entire course of



this study by  EPA staff, particularly Mr.  Robert Colonna,



Mr. Dan Greathouse and Ms. Cindy McLaren.



     The authors would also like  to  thank the staff of the



solid waste agencies  participating  in  the Field  Test for



their patience, persistence and interest in our common goal



of reducing injuries to the workers in this vital industry.
                             111

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                      TABLE OF CONTENTS


                                                         Page

ACKNOWLEDGEMENTS 	  ill

EXECUTIVE SUMMARY  	 viii


I.    INTRODUCTION 	   1

      1.1  Background	   2

      1.2  The Pilot Study	   3

      1.3  Objectives and Elements of Prospective
           Study	11

      1.4  Need for Field Test	14


II.   PROCEDURES USED FOR FIELD TEST	15

      2.1  Development of Preliminary Data Recording
           Methods	15

      2.2  Obtaining OMB Clearance	20

      2.3  Selection of Participants 	  21

      2.4  Visits to Participants and Start-Up of
           Field Test	26

      2.5  Procedures for Identifying and Handling
           Problems and Needed Changes in Data
           Collection Methods  	  28

      2.6  Formulation of Requirements for Computer
           Printouts	32


III.  RESULTS OF FIELD TEST	35

      3.1  Injury Data	37
           3.1.1  Changes in Methodology	37
           3.1.2  Changes in Format, Phraseology and
                  Items Included	50
           3.1.3  Discussion	53

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                                                        Page

     3.2  Time Lost and Cost Data	54
          3.2.1  Methodology	54
          3.2.2  Discussion	61

     3.3  Employee Data	63
          3.3.1  Methodological  Changes  	   63
          3.3.2  Items Added as  Result of  Field
                 Test	69
          3.3.3  Items Omitted as  a  Result of  Field
                 Test	70
          3.3.4  Discussion	  70

     3.4  Non-Employee Basing  Data	71
          3.4.1  Equipment and Vehicle Basing  Data  .  .   71
          3.4.2  Protective  Clothing Basing Data  ...   75
          3.4.3  Crew  Type Basing  Data	75
          3.4.4  Accident Site Basing Data	77
          3.4.5  Activity Basing Data	85

     3.5  Updating	90
          3.5.1  Employee Information Updating  ....   90
          3.5.2  Equipment/Vehicle Information
                 Updating	92
          3.5.3  Time  Lost and Direct Cost Status  ...   92
          3.5.4  Annual  Updates	95

      3.6  Information  on Management Practices  	   95

      3.7  Analysis and Reporting	 .  .  .  .  106

      3.8  Telephonic System  	  116
IV.   CONCLUSIONS: FEASIBILITY OF INJURY INFORMATION
      SYSTEM	119
BIBLIOGRAPHY                                             123
                              VI

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                      LIST OF EXHIBITS
EXHIBIT 1
EXHIBIT 2
Relationship Between Injury Risk and
Amount of Experience at Time of Injury

Operation Being Performed section of the
Injury Report Form - Rev. 4 - 4/73  . . ,

Details of Participants in Field Test .
Page


  8


 18

 25
EXHIBIT 3

EXHIBIT 4    Sample Injury Report Form - IRIS(IRF)  -
             Rev. 1 (5/75)	40

EXHIBIT 5    Time Lost and Direct Costs Data Form  ...  55

EXHIBIT 6    Employee Information Form 	  65

EXHIBIT 7    Job Class Basing Data Form	66

EXHIBIT 8    Equipment/Vehicle Information Form  ....  73

EXHIBIT 9    Protective Clothing Identification and
             Basing Data Form	76

EXHIBIT 10   Crew Type Basing Data Form	78

EXHIBIT 11   Accident Site Basing Data by Crew Form  .  .  81

EXHIBIT 12   Daily Activity Basing Data Form
             (Residential Refuse Collector
             non-driver)	87

EXHIBIT 13   Sample Employee Data Update List  	  91

EXHIBIT 14   Sample Equipment/Vehicle Data Update
             List	93

EXHIBIT 15   Sample Time Lost and Direct Costs
             Status	94

EXHIBIT 16   Background Information Form 	  96

EXHIBIT 17   Example of Single-Factor Analysis:
             Accidents by Location 	  107

EXHIBIT 18   Example of Profile Analysis: Four-Factor
             Accident Profile  	  113
                             vii

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                      EXECUTIVE SUMMARY
     This Final Report on Contract 68-03-0231 describes a Field
Test of an injury reporting and analysis system .for the solid
waste management industry.  The need  for this system arises  from
the extremely high injury rate in this  industry  (which, so far
as can be determined from present data, has  the highest or nearly
the highest injury rate of any industry in the U.S.) and the
associated high costs and other problems.  No data is at present
available which could be used to set  priorities for injury
reduction programs or monitor their success.  In  recognition
of the need for such data, a Pilot Study was funded in 1970
under Contract CPE-70-114.  This Pilot  Study, conducted from
June 1970 to June 1972, investigated  whether the  existing records
held by solid waste agencies on injuries that had occurred in
recent years, and on personnel employed in those  years, could
be used to.give useful data on injuries.  Through examination
of approximately 3,500 injury records and 3,000 personnel files
in six cities across the U.S., it was determined  that the existing
data could not be used to provide valid data on injuries, because
it was too fragmented and did not use common definitions.  Data
from one  solid waste agency could not be compared on any meaningful
basis with data from another agency.  However, the Pilot Study did
identify  a list of  factors related to injuries that could be used
as the basis for an injury reporting  and analysis system, and
showed that information on these factors was available if a  means
could be  developed  for collecting it.

     A concept was  developed for a study in  which data would be
collected on injuries as  they happen  and on  employees during their
employment.

     The  Field Test described in this report had  as its purpose
to further define this concept and to translate the concept  into
a workable injury reporting and analysis system.  The goals  of
the  system were defined as supplying  data  (a) to  line managements
of solid  waste agencies that would enable them to improve their
safety awareness by providing valid comparisons with the performance
of other  agencies,  and to identify, set priorities for, and  evaluate
injury reduction programs;  (b) to national groups responsible for
setting standards for equipment and work practices in the solid
waste management industry; and  (c) to EPA, to enable the agency
to set priorities for and monitor programs, of injury control as
related to productivity and work practices.   These goals require
the  development of  a system in which  solid waste  management  agencies,
referred  to as participants, feed information into a central office
which will analyze  the information and  send  reports back to  the
participants.  The  need for a common  system, using a central office,
                              Vlll

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arises from the need to accumulate a sufficient volume of data
for statistically valid conclusions to be drawn, and from the
need to obtain data that is strictly comparable from one solid
waste agency to another, using consistent definitions and methods

     The system developed has several novel features:

     •    the injuries are analyzed in terms of factors
          specifically applicable to the solid waste
          management industry

     •    the factors selected allow the identification of
          the relative hazards of various aspects of the
          work environment.  For example, the concept of
          activity was used.  By activity is meant the
          specific operation or task being performed by
          the injured employee at the time he was injured.
          By breaking up the work day into activities, the
          injury rate can be compared for each activity,
          so that the relative hazards of each activity
          can be examined and priorities can be set for
          countermeasures.  In addition, by the breakdown
          into activities it is possible to realistically
          compare the injury experience of different
          participants by comparing the injury rates
          associated with performing exactly the same
          task.

     •    in order to compare various aspects of the work
          environment, exposure data (also referred to as
          basing data) are collected.  These data include
          the man-hours at risk for various activities.
          For example, it is not enough to know what
          fraction of injuries happen to workers while
          carrying refuse containers.  It is also necessary
          to know how many man-hours are spent carrying
          refuse containers.  The injury risk (injury rate
          per man-hour) can then be computed and used, for
          example, to compare the injury experience of
          different solid waste agencies for workers
          performing this same task.

     In order to collect this data, the system provides for
acquiring data in three time frames.  The first is at the time
that a participant joins the system, when data is collected on
all existing employees, all equipment,  and certain key work
practices (e.g., crew size, c.ollection methods).  The second
is at a periodic updating of this data (monthly for employee
                              IX

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information).   The third is on each injury, as it occurs.  Only
the details of the injury need be collected, since data on the
injured employee's age, experience, job class, etc. is already
on file.

     The Field Test of this system involved 15 participants.
Initially, much of the data needed for start-up was collected
through visits to participants by contractor staff.  Visits
were also paid to train participant staff  in methods required
for data collection and reporting.  As the Field Test continued,
forms and procedures were developed by which participants could
collect start-up data without on-site visits by contractor
personnel,  and could report data on injuries without on-site
training by contractor staff.

     The forms and procedures developed  in the Field Test were
designed to meet the requirements of an  Injury Reporting and
Information System for Solid Waste Management  (IRIS) and are
described  in  a companion volume to this  Final Report, entitled
User's  Manual.

     Acceptance, by the 15 participants  in the Field Test, of
forms and  procedures similar to those in the User's Manual was
found to be excellent.

     A  variation  in which  injury  information was telephoned
to the  central office, rather than sent  on an Injury Report
Form, was  developed and tested with one  participant.  This
variation  proved  to be highly successful,  and should be
seriously  considered  for use in  IRIS.

     During the Field  Test it was  found  that  there is ample
evidence  of high  demand  for  the  type of  information  that
could be  provided by  IRIS,  since  many types of organizations
requested  information  from the  contractor.

     Successful operation  of  the  system  to provide analyzed
data was  demonstrated.   Because  the  Field Test was primarily
directed  towards  examining feasibility,  it was not possible
to generate a large  amount of  analyzed data that  is  immediately
applicable.  However,  some significant  findings were made  and
are described and discussed  in  a companion volume  to this  Final
Report, entitled  Tabulation of  Data.

     The  conclusion  reached as  a result  of the  Field Test  is
 that an injury reporting  and analysis  system,  of  the type
described in  a companion volume as an  Injury  Reporting  and
 Information System for Solid Waste Management,  is  feasible
 and that  there is a  need for the information  that  would be
 generated.

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                      I .   INTRODUCTION








     This is the Final Report on Contract 68-03-0231, "Field



Test of an Injury Reporting and Analysis System for the Solid



Waste Management Industry."  Work on the contract started on



March 12, 1973 and was performed by ENVIRO-MED, Inc.  In



mid-1974, ENVIRO-MED, Inc. ceased operations and the personnel



involved became associated with SAFETY SCIENCES Division of



WSA Inc.  The contract was novated to SAFETY SCIENCES in late



1974.  Project Officers for the U. S. Environmental Protection



Agency were Mr. Dan Greathouse and Ms. Cindy McLaren.



     This report includes, in Section I, a brief discussion



of previous work leading to the Field Test.  Section II describes



the procedures used in the Field Test, and Section III describes



the results of the Field Test in terms of the problems encountered



and the modifications made in the injury analysis and reporting



system.  Section IV reviews the results of the Field Test and



concludes that a larger scale Injury Reporting and Information



System for Solid Waste Management is^ feasible and that there is



a need for the data that  would be generated.




     Two other volumes accompany this Final Report.  One, a



Tabulation of Data, presents and describes some of the data



on injury rates obtained as a by-product of the Field Test.



The other, a User's Manual for the Injury Reporting and



Information System for Solid Waste Management, outlines the



forms and procedures developed in the Field Test.

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                       1.1  Background








     There is abundant evidence that both the frequency and



severity of injuries are very high in the solid waste management



industry.  The Bureau of Labor Statistics publishes annual



tabulations of Injury Rates by Industry.  For 1970, the last



year in which municipal workers were included in this tabulation,



the category "local government, refuse collection and disposal"



had a higher injury frequency rate than any other industry shown.



The most recent National Safety Council data, for 1973, show



municipal refuse collection workers to have an injury frequency



approximately ten times that of the national average for all



industry.  The economic cost of injuries  is also large, with



typical  workmen's compensation insurance  rates being 9-13% of



payroll  for  refuse collectors.  In California, for example, the



premium  rate is $10.28/$100.00 of wages for refuse collection



according to the Manual for Rules, Classification  & Rates for



Workmen's Compensation  Insurance.  This places refuse collection



in  the high-medium range of occupations.  Roofing, for example,



has one  of the highest  rates at $16.80/$100.00, while office



workers  have the lowest rate of $.21/$100.00.



     A number of publications discuss various aspects of the



injury problem in this  industry;  a listing  is given in the



Bibliography following  Section IV of  this report.  However,



no  statistical data is  available  that can be used  as the basis



for a program to introduce and evaluate injury-reducing



countermeasures.

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                    1.2  The  Pilot Study

     Recognizing the need  for information on the injury problem

that could be used as a basis for  action, a contract  (CPE-70-114)

was funded to perform "A Pilot Study in the Field of Occupational

Health in the Solid Waste  Management Industry"(referred to

hereafter as the Pilot Study).

     The Pilot Study was performed during the period June 1970

through June 1972.  A final report* was  submitted in 1973.   The

objective of the Pilot Study  was to examine the feasibility of two

approaches to an eventual  larger scale study: (a) a retrospective

approach in which existing records held by solid waste agencies

on injuries that had occurred,  and personnel that had been employed,

in previous years would be used to give useful data on injuries;

and (b) a pro sp_ective approach, in which a data collection system

would be devised, and information  on injuries would be collected

as they happen and information on  personnel would be collected

during their employment.   In  order to cover a range of agency

characteristics, the Pilot Study was conducted in six cities: two

with populations over 500,000;  two with populations in the range

200,000 to 400,000; and two in the range 20,000 to 100,000.  The

cities selected were Washington, B.C.; San Diego/ California;

Des Moines, Iowa; Birmingham,  Alabama; Brookline, Massachusetts;

and Inglewood, California.  In addition to the six main municipal

solid waste agencies studied,  two  private agencies were studied

in detail and six others in less detail.
*A Pilot Study in  the Field of Occupational Health in the Solid Waste Management
Industry. Final Report on Contract CPE-70-114, ENVIRO-MED, Inc., now succeeded by
SAFETY SCIENCES Division of WSA Inc., San Diego, California.

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     The first step of the Pilot Study was to determine what



factors are relevant to a study of the injuries occurrinc] to



solid waste workers, and to assemble these factors into a



framework that could interrelate them.  This step was conducted



by examining data on all injuries that had occurred during a



four year period, in the years 1966-1970, to all sanitation



workers employed by the City of San Diego.  A total of 750



injuries were reviewed that had occurred  to a total of 650



individual employees.  Records on all employees were studied,



whether or not they had been injured.



     Possible factors for inclusion in an injury information



system were selected.  The selection of  factors was based upon



the extent to which collecting information about the factor was



expected to throw light on the causation  of injury or on preventive



measures, the availability of data on that factor, and the precision



with which information on the factor could be recorded.  After a



process of trial and error, approximately 50 factors concerning



each injury, and approximately 40 factors  for each employee were



selected.  Each factor,  for example outdoor hazard, was divided



into a  number of categories, e.g., slippery surface, uneven surface,



objects on ground,  etc.



     Several  of the factors selected had not previously been  used



in injury  recording and  analysis systems. One  such factor is



operation  (being performed by the  injured employee at the time



of injury).   This  refers  to the specific task that he was engaged

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on, for example, lifting container, dumping container, descending



from cab of truck, etc.  Recording information on this factor



enables the evaluation of the risk of injury associated with each




of a series of specific tasks.



     Having selected factors and the categories within each factor,



the records on injuries and employees were reviewed again and



information on each factor was coded for computer entry. Adjustments



were made to the categories, where necessary, to enable satisfactory



grouping and coding of the data.  The data were then analyzed by



computer for each factor in turn.  For example, the factor operation



was analyzed to give the number of injuries, number of days lost



and total cost associated with each task.  This analysis proved



illuminating.  For example, the operation dumping container (into



the hopper of a refuse truck) proved to be responsible for 24.6%



of the lost time days in San Diego, twice as much as lifting



containers.  Carrying full containers only accounted for 0.5% of



the time lost.  The four operations of mounting the step (the



small platform on the side or rear of the truck), dismounting



from step, traveling on step at curb speed, and traveling on step



at highway speed, accounted for 20% of the days lost.  These all



indicate directions for injury reduction activities through a



careful examination of these operations.  Similarly, guiding



maneuvering truck was responsible for 6% of the days lost,



suggesting more attention to this task.

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     Another method of analysis that proved illuminating is to



relate injury rate to employee characteristics, using exposure



data.  An example is given by the factor height.  If only injury



records are analyzed, it is only possible to compute that, say,



half the injuries occurred to workers with height over 6 feet.



This finding is not useful in itself, since it  is necessary to



know what fraction of the workers at risk are more than 6 feet



tall.  The  finding would not be surprising for  a basketball team,



where most  of the "employees at risk" are over  6 feet, but would



be very surprising for a group of jockeys.



     A very interesting example was provided by the  factor



experience.  Analyzing only the injury  records  for San Diego



showed that 55% of the total days lost  were associated with



employees with more than 2 years experience at  the time of injury,



32%  with employees with experience less than 6  months, and 13%



with employees with experience 6 months to 2 years at the time  of



injury.  In itself, this information is not useful,  and it is



necessary to  include  data on employees, specifically the extent



to which employees are at risk in each  of  these experience groups.



In order to- calculate the  "exposure" for each of these experience



groups,  the data  on each employee, whether injured or not, was



examined.   The number of months that he had been in  each experience



group  during  the  four year  study period was computed.  For example,



if he  had been hired  at  the  start of the study  period, his first



6 months would contribute  6  man months  to  the  "less  than 6 months"

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experience group, his next 18 months would contribute 18 man

months to the "6 month to 2 years" experience group, etc. When

the calculation was completed the results shown in EXHIBIT 1 were

computed.  The group with under 6 months experience can be seen

to have an average number of injuries per man month and an

average number of days lost per man month that are three times

higher than the group with over 2 years experience.  Results of

this type are useful, since they indicate upon which groups of

employees attention should be focused.

     While the computer analysis was in progress, teams visited

the other five cities and reviewed in detail their injury and

personnel records for information on the same factors.  The

objective was to find out whether this information was available,

how difficult it was to retrieve, and whether the information,

once retrieved, could be used to compare the injury experience

at one solid waste agency with that at another.  In order to be

comparable, data must be recorded using a consistent set of

definitions, so that a particular item has the same meaning in

the records in each of the solid waste agencies.

     The conclusions reached on the basis of this five city study

were that:

     •    There is no standard injury recording format consistent
          with the needs of accident prevention.

          The rationale and design of the present injury reporting
          system are aimed to meet legal and fiscal requirements,
          especially those for the administration of Workmen's
          Compensation benefits, rather than to elicit information
          on the causes of injuries.

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00
      Amount of Experience
        at Time of Injury
Man-Months
  at  Risk
Average Number
  of  Injuries
 per  Man-Month
Average Days
  Lost per
  Man-Month
Average Direct
   Cost per
   Man-Month
     LESS THAN SIX MONTHS
   1634
     .114
    1.57
    $39.40
     SIX MONTHS TO TWO YEARS
     MORE THAN TWO YEARS
   1790
   9788
     .083


     .035
      ,59


      46
     20.50
     18.30
                                             EXHIBIT 1

                           Relationship Between Injury Risk and Amount of
                                   Experience at Time of Injury

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          Little attention is given in these records to the
          cause of the injury.-  because "fault" is not an
          issue in determining eligibility for Workmen's
          Compensation.   For similar reasons,  there is no
          incentive for  monitoring the reliability of records
          except to insure that the employee and the benefits
          are properly identified.

          Because the entire structure of the injury recording
          system is designed for purposes inconsistent for use
          in determining the causes of injuries, the current
          records cannot be easily or reliably adapted for this
          use.

     •    Primary data on such essential injury factors as lost
          time, injury costs, and the exact nature of the injury
          are often never recorded or are recorded and stored in
          a multitude of offices and in such a piece-meal fashion
          as to make the data virtually unretrievable, even to
          those immediately involved.

     •    There  is  presently no  way  to  compare  the  injury
          experience from agency to agency.  The wide variety
          in what constitutes an injury, in the time loss allowed,
          in the injury  wage continuation policies, in the random
          choices made of which injuries and what data to record,
          and in other factors make comparisons of questionable
          value.

     •    The inadequate recording of injury data, the isolation
          of management  from the records that are available, the
          lack of standardization required to make valid multi-city
          comparisons, and the lack of analyses of available records
          (especially those on cost data), has meant that all but a
          few in solid waste management are unaware of the magnitude
          of their injury problem.  It is common for management to
          hold the unsubstantiated view that their injury rate is
          not high, is comparable with other cities, and is
          essentially unavoidable."

     It should be noted  that these conclusions were reached in

1972 and based upon a review of records from 1971 and previous

years, at which time OSHA regulations on recording injuries were

not in effect.  However, the conclusions are still, in general,

valid, because most establishments use a surrogate, a Workmen's

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Compensation form, in the place of the OSHA 101  (Supplementary
Record of Occupational Injuries and Illnesses),  and the OSHA 101
itself is generally not completed in a way that  can be compared
from one establishment to another.  One very  useful feature of
the OSHA regulations, however, is the OSHA 100 Log of Occupational
Injuries and Illnesses that does now provide  a simple way of
determining the amount of time lost for each  injury, for those
establishments that are subject to OSHA regulations.
     The computer  analyses of the San Diego data were completed,
and some factors were rejected as proving not to be related to
injury rate in any useful fashion, or having  a relationship that
was not worth the  associated difficulty in data  collection.  For
example, the personnel records in San Diego were carefully examined
for evidence of personal problems, such as drinking on the job, that
might be related  to injury experience.  It was found that employees
with reprimands  in their personnel records for absenteeism or
tardiness,  or with a  history of wage garnishment, had a higher
injury  rate than  average, while employees with a recorded history
of drinking or drug problems had  a  lower  than average injury rate.
However,  the  finding  is  not  sufficiently  useful  in  injury prevention
to justify the problems  and  difficulty  associated with collecting
and recording  this type  of data.
     As  a  final  step  in  the  Pilot Study,  the  results of the five
city evaluation  of records were reviewed  in the  light of the
selection  made of the factors  that were  likely to be useful. It
                              10

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was concluded that, while a retrospective study using existing

records would not be feasible, a prospective system, in which

solid waste agencies record and report data on injuries as they

happen, would be feasible.

      1.3  Objectives and Elements of Prospective Study

     The Pilot Study indicated that a prospective study of injuries

in the solid waste management industry would be feasible and could

be based upon the concepts, data collection forms and analysis

methods developed during the Pilot Study.

     The objectives and criteria for the prospective study were

defined as follows:

     (1)   The injury reporting and analysis system would use
          a new recording system to record injuries as they
          occur.  This system would be designed specifically
          for the solid waste industry, and would be prevention
          oriented.  The recording system would be separate
          from all compensation oriented records.

     (2)   The output of analyzed information from the system
          would be  designed  to  serve  three  main  users:
          (a) line management of solid waste agencies and
          firms; (b) national groups concerned with the
          development of safety and equipment standards for
          the solid waste industry; and (c)  the Office of
          Solid Waste Management Programs, EPA.

     (3)   The data provided to line management of solid waste
          agencies would:  (a) enable them to improve their
          safety awareness, by providing data on the dimensions
          of their injury problem and on the costs associated
          with their injuries, and by providing information that
          can be used to compare their injury experience with
          the injury experience of other agencies; (b)  enable
          them to select and set priorities for, implement, and
          evaluate injury reduction programs.   To do this, the
          information must be highly specific and illuminate
          particular items of equipment or particular work
          practices.  Examples of decisions that have been made
                             11

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         as a result of  injury data  include  changes  in
         container regulations,  changes  in work  practice
         involving maneuvering vehicles,  rebuilding  the
         steps on trucks, etc; and  (c)  justify actions
         to higher management.   Many actions taken to
         reduce  injury rate  involve  additional costs to
         the agency  or  changes  in  service  to  the
         householder, and must be  justified. Cost data
         is an important means of  justifying action,
         for example  if  the  cost of  ankle injuries can
         be compared  to  the  cost of  issuing  safety boots.

     (4)  The data provided to national  groups should be
         statistically valid, and  thus  needs both the
         collection of data  on an  adequate number of
         injuries, and the collection of exposure data.
         For example,  the ANSI  Z245  Committee on Safety
         Standards for Refuse Collection and Disposal
         Equipment has been  considering the  relationship
         between sill height on  packers and  back injury
         rate.   An experimental  examination  of this
         relationship will  require not  only  the  number
         of  injuries  associated  with equipment with
         different sill  heights, but also the number of
         packers of  each sill height that are in use,
         and the number  of workers dumping into  each.

     (5)  The data provided  to OSWMP would enable the office
          to  set priorities  for  action,  to monitor and
          evaluate progress  in injury control, and to relate
          recommendations on injury control to productivity
          and work practices.

     To meet these objectives, it is necessary to have  a common

or nationwide system,  in which solid waste management organizations,

referred to as participants,  will feed information into a central

office which will analyze the information and send reports back to

the participants.  The need for a common system,  rather than a

system in which each participant is provided only with the tools

with which to record and analyze its own injury problem,  arises

from:  (a) the need to obtain  a large volume of data  from which
                             12

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statistically valid conclusions can be drawn, even for comparatively



rare events such as accidents involving the mechanisms of packer



trucks, or from handling plastic refuse bags.  The analyzed data



can then be supplied to the industry at large so as to facilitate



the evaluation, by management, of the effects on injuries that



might be expected from various changes in equipment or practices,



e.g., the replacement of metal refuse containers by plastic bags;



and  (b) the need to obtain data by which one participant can



compare its injury experience with others and with the average.



There appears to be a very large range of injury frequency and



severity in solid waste agencies performing roughly similar



functions, with the highest being as much as 4 times greater than



the lowest.  This range immediately suggests that the solid waste



agencies with the worst injury records could improve their



performance,  and that the overall performance of the industry as



a whole could be substantially improved.  In order to compare



data, it is obviously necessary to use consistent definitions.



It is also necessary to be able to separate the  effects  of



different work practices and conditions, e.g., one-man operation



of collection vehicles, weather, plastic refuse bags, etc.,  when



in each participant these occur in different combinations.



     The elements of the prospective system include data  on



employees, data on injuries and data needed to compute exposure



(referred to as basing data because the word exposure is  often



misunderstood).  These can be collected from participants in



three time frames:
                             13

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     (1)   At the inception of the prospective study,  when
          basing data can be collected together with
          information on the characteristics of the current
          employees.

     (2)   On a routine monthly basis, when updated information
          is supplied by the participants, e.g., on new hires.

     (3)   For each injury, as it occurs.

                  1.4  Need for Field Test

     The Pilot Study concluded with a concept for a prospective

study, but without any testing of that concept.  It was concluded

that a field test would be desirable before attempting to set up

a larger scale prospective study using an untested method.  The

function of the field test is to develop the prospective study

from a concept to a working system, through developing the forms

and procedures required, testing their feasibility in actual  field

use by participant organizations, and making modifications as

necessary.  The need for a field test was recognized by OSWMP in

the award of a contract  (68-03-0231) to perform the program

described in this report.
                               14

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             II.  PROCEDURES USED FOR FIELD TEST








     This section of the report describes the procedures used



in the Field Test to translate the concepts developed in the



Pilot Study into a workable Injury Reporting and Information System,



through an iterative process which involved making continuous



modifications in the data collection and analysis methods on the



basis of experience gained in their use. The specific modifications



developed are discussed, for each type of data, in Section III.



     The development of preliminary data recording methods is



discussed in Section 2.1, obtaining OMB clearance for the data



collection forms in Section 2.2, the selection of participants



(solid waste agencies)  in Section 2.3, the  visits  made  to



participants and the start-up of the Field Test in Section 2.4,



procedures for identifying and handling problems and making



needed changes in the data collection methods in Section 2.5,



and the formulation of requirements for computer printouts of



analyzed data in Section 2.6.








   2.1  Development of Preliminary Data Recording Methods



     As a first step in the Field Test, preliminary data collection



and recording methods were developed.  These represented a "first



cut" at the methods needed for a prospective study,  and it was



recognized that the purpose of the Field Test was specifically to
                             15

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alter these methods where required.  The framework adopted for

the preliminary data collection methods was as follows:

     (1)  An employee data card (EDC) to collect information
          on the following factors:

          employee name
          index  (used to indicate which revision of the data
                 card was being used, so that the computer
                 program could use the appropriate codes,
                 etc.)
          employer number
          employee social security number
          date card completed
          sex of employee
          race of employee  (optional) white
                                      black
                                      Spanish surname
                                      Indian
                                      Oriental
                                      other 	
          height of employee
          weight of employee
          findings on medical exams  (space  for up to  five
                findings, with a year found  and a code  for
               each finding, e.g., high blood pressure)
          whether  this  employee had  had his wages garnished
               while  in this employment
          number of citations for  safety violations received
          number of other citations  received
          number of suspensions received
          number of merit awards received
          date  hired
          current  job classification
          date  promoted to  this job  classification
          whether  employee  had worked in refuse collection
                industry prior to being hired by this  employer
          department
          division
           immediate supervisor
          education  (last year of  school completed)
          date  of  birth
          whether  this  employee had  attended a safety session
          whether  this  employee had  attended a training session
          whether  this  employee belonged to a union
          whether  this  employee had  a second job
           gross salary  per  day  to  nearest  $
          overtime rate (e.g.,  time  and a  half =  1.5)
                              16

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     time  period  for  regular  shift
     hours per  week of regular  overtime
     whether  this  employee was  working on  a  task  system
     whether  this  employee had  worked driving a truck
          prior to being  hired

     This  employee data card  was  designed  to allow
     keypunching  onto two 72  column cards.

(2)   An  injury  report form (IRF).   This  provided  for
     the entry  of:

     injured  employee's name
     an  injury  number (used as  a  reference number)
     index (as  for employee data  card)
     employer number
     employee social  security number (used to match
          injury  to employee  data)
     date  of  injury
     time  of  injury
     day of week
     hours on job that day prior  to injury
     site  of  accident (e.g.,  collection  route, incinerator)
     crew  size  at time of injury
     whether  the  employee was working in his regular job
          classification  at time  of injury
     if  not,  what classification
     answers  to certain specific  questions (e.g., was the
          employee scavenging waste, under the influence
          of  alcohol  or drugs,  engaged  in  horseplay, etc.)
     data  on  other persons injured in the  same accident
          (by entering injury numbers)
     data  on  vehicles and equipment involved (by  entering
          equipment numbers)
     data  on  operation being  performed  at  time of injury
     data  on  part of  body injured
     data  on  injury type  (e.g., burn)
     accident description (e.g.,  struck  against)
     motor vehicle accident information
     data  on  protective clothing
     data  on  outdoor  hazards
     data  on  hazardous characteristics of  waste

     Some  of  these factors required a simple numerical
     answer,  e.g., hours  on  job that day prior to injury.
     Others had a number  of categories  and subcategories.
     An  example,  for  the  factor operation  being performed
     at  time  of injury, is given  in EXHIBIT  2.  The IRF
     provided for keypunching onto seven 72  column cards.
                        17

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             OPERATION BEING PERFORMED AT TIME OF  INJURY
      Please mark an  "X" in the appropriate  boxes to describe the operation
      being performed at the time  of injury.  Review all boxes carefully since
      more than one may apply.
      Handling Materials
      CARRYING
-o ["""I DUMPING
£ |~1 THROWING
~' j~] CATCHING
£  ^ SHOVING/PUSHING
  '  ' LIFTING
       ZP
            Furniture, Appliances
            Shrubbery
            Bin (	gals)
            Oil Drum
            Plastic Bags
            Other	
                          (please list)
             Containers
             Standard Container(a) ( _
             Nonstandard Container(s)
             More Than One Container
             Intermediate Container
             Other      _ '
t>>
u>
t»
to
                          (please list)

                   Was the Container?
                   full
                   empty
                   overweight (over _^_____ Ibs)
                   oversized (over	gals)
                   slippery, wet
                   tightly packed
                   protruding waste
                   ragged edges
                   broken, missing handles
                   other	
                                              PUSHING WASTE INTO HOPPER BED

                                              OPERATING MACHINERY AND EQUIPMENT
                                                    Truck Packing Mechanism
                                                    Truck Tailgate
                                                    Crane
                                                    Hoist
                                                    Compactor
                                                    Vacuum Hose
                                                    Caterpillar
                                                    Forklift
                                                    Bulldozer
                                                    Street Sweeper
                                                    Scraper
                                                    Hand Tools
                                                    Other	
                                                          Ye«
                                                           No
                                                                 (please list)

                                                    I  I Was the machinery or equipment
                                                        broken or malfunctioning?
                                          D
                                                           DISMOUNTING
                                                           MOUNTING
                                                                 Stationary Vehicle or Equipment
                                                                 Moving Vehicle or Equipment
                                                                      from running board
                                                                      from step
                                                                      from cab
                                                                      from back of truck
                                                                      other	
                              (please list)

               e* ui I   I Was a co-worker helping
                       the injured employee at the
              No
      D
                       time of the injury?
       STANDING OR WALKING. NOT CARRYING
£ r~j
        PUSHING WASTE INTO CONTAINER
                                                                                 (please list)

                                                                 Yes <£ I  I Was the vehicle or
                                                                       ~—' equipment broken or
                                                                 No  <£ f  ] malfunctioning?
                                                                        EXHIBIT  2
                                                             Operation Being  Performed
                                                                Section of  the Injury
                                                              Report Form  Rev.  4-4/73
                                                18

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                       OPERATION  BEING  PERFORMED AT TIME OF INJURY  (con't)
                   DRIVING
                     |  [  At Curb Speed
                          At Full Speed
                               I  packer truck
                                 pickup
                                 automobile
                                 three-wheeled vehicle
                                 other
                                                 sD
                         (please list)

       Ye* "* I	I Was the vehicle broken
           ,_ f—\ or malfunctioning?
                                                 SCHEDULED MAINTENANCE
                                                 UNSCHEDULED MAINTENANCE
                                                        Chassis
                                                        Engine
                                                        Tire(s)
                                                        Packing Mechanism
                                                        Pulley Mechanism
                                                        Other
                                                                                                 (please list)
                                                                           CLEANING AND CLEARING
                                                                           DISINFECTING
RIDING
d
At Curb Speed
At Full Speed
   ~~J  on running board
       on step
       In cab
       in hopper
       in truck bed
       other
                                                                                 Walkways
                                                                                 Driveways
                                                                                 Hopper Bed
                                                                                 Truck Bed
                                                                                 Incinerator Platform
                                                                                 Combustion Chamber
                                                                                 Other	
                                                                                                 (please list)
       v,
       No
                   CLIMBING
                                            (please lilt)
                                    Was this part of the
                                f~~l vehicle broken?
                                | _ |
                                                                      D
                                                        MISCELLANEOUS INCINERATOR OPERATIONS
cl |_) Tree
w
N


Fence
Ladder
12 Other
                                                        Firing Furnace
                                                        Knocking Ashes
                                                        Stoking Furnace
                                                        Shoveling Ashes
                                                        Placing Grates in Furnace
                                                        Laying Bricks
                                                        Other	
                                                                                                 (please list)
                                         (please list)
                   EMPTYING TRUCK
                     R
       At Landfill
       At Incinerator
       At Transfer Station
       Other
                                                 f (""I MISCELLANEOUS YARD WORK
                                                 £ [""I CLERICAL/OFFICE WORK
                                                 *D
                                                                           OTHER
                                                                       (please list)
                                         (please list)
                                                               19

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     (3)  A weekly data sheet for cost and days lost data.
         This provided for recording,on a weekly basis,
         the following data on each  injury:

         medical expenses  ($)
         days lost without compensation
         days lost charged to workmen's compensation
         workmen's compensation payments
         days lost charged to injury leave
         payments charged  to injury  leave
         number of days  lost  (due  to injury)  charged  to
              sick leave
         payments charged  to sick  leave
         number of days  lost  (due  to injury)  charged  to
              vacation leave
         payments charged  to vacation leave
         number of days  lost  (due  to injury)  charged  to
              disability insurance
         payments charged  to disability insurance
         whether this case was now closed
         whether the injury, as of that date, was considered to  be
              first aid  only
              medical only
              lost time, temporary disability
              lost time, permanent disability
              fatal
         permanent disability benefit,  if  any
         death benefit,  if any

     (4)  Equipment identification  basing data.   Each  piece
         of equipment  (e.g.,  packer truck) was  assigned  an
         identifying number  (usually the participant's vehicle
         or equipment number),  and the  make,  model,  type,  year,
         date purchased, maintenance schedule was  recorded.
         Codes were used to  identify equipment  type.

     (5)  Weekly  update  sheet.   This was used to report
         terminations,  new hires,  changes  of job classification
          for employees,  and  changes in  equipment being used.
                2.2  Obtaining OMB Clearance

     Under the Federal Reports Act, OMB clearance was required

for the forms used to collect data in this study.  The extent of

cooperation with other agencies was documented through meetings
                             20

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with the Occupational Safety and Health Administration, the



National Institute of Occupational Safety and Health and the



Bureau of Labor Statistics.  Contacts were also made with the



National League of Cities, the U.S.  Conference of Mayors, the



Council for State Government, the Institute for Solid Waste



of the American Public Works Association, the National Solid



Waste Management Association, and the National Safety Council.



As a result of these meetings, a number of specific data items



were suggested for inclusion in the  study together with some



changes in the data collection forms.  The forms were modified



and submitted for OMB clearance together with a clearance request



and a supporting statement.  Clearance was received with the



issue of OMB No. 158-S73007 (expiring 8/31/75).








               2.3  Selection of Participants



     The Field Test specifications called  for  test by  15



participants, located in a range of  geographical areas of the



U.S., including both large and small organizations, and including



both private collectors and municipalities.  Selection of potential



participants to contact was made with the advice and active



assistance of the OSWMP Project Officer.



     An initial list of potential contacts was made up that



included the participants in the Pilot Study and certain large



solid waste agencies that were active in the OSWMP COLMIS



management information system.  Information on the Field Test
                             21

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was sent to trade journals and for distribution at seminars on



safety conducted by the National Solid Waste Management Association



and by the American Public Works Association.



     The effort to contact potential participants started at the



1973 International Refuse Equipment Show and Congress, held in



Miami Beach and attended by representatives of solid waste agencies



from all parts of the U.S.  Initially, contacts were made with



substantially more than 15 potential participants, because it



was expected that only a small fraction of those approached



would be willing to participate  in the Field Test.  Appointments



were made with a first group  of  potential participants for



presentations, at which contractor and OSWMP staff could describe



the Field Test.  It was found that all of the potential participants



contacted expressed a high degree of interest in participating  in



the Field Test.  Accordingly,  the approach to making contact with



potential participants was changed,  in that  it was assumed that



each presentation made would  have a  high probability of yielding



a potential  participant, so that few "extra" presentations were



made.



     At the  presentations, the objectives of the Field Test were



discussed and  the data  collection methods were reviewed in detail.



It was  made  clear that  contractor personnel would  take over the



considerable burden of  collecting the  initial data on current



employees and  recording  the basing data and  that,  to do this,



access  to personnel  files  and some clerical  support would be
                              22

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needed.  The staff of the participant would be responsible for



completing the injury records and the updates on injury costs,



personnel changes and equipment changes.



     In general, the participant staff members attending each



presentation were not able to give an immediate firm commitment



to participate on behalf of their organization.  The decision



usually had to be formally cleared by higher management, e.g.,



the city attorney, the city council or the head office of a



group of private collectors.   A formal written request to



participate, describing the study, was thus prepared and sent



to each participant where the presentation had resulted in an



expression of interest.



     At many of the presentations, requests were made for



specific changes in the data  collection forms and methods, to



meet local needs and interests.  Some of these changes were



incorporated in the system as a whole, i.e., in the forms to



be used by all participants.   Other changes were incorporated



only into the forms for that  particular participant.  These



participant-specific changes  were of two types.  One was the



omission of unnecessary items.  For example, questions regarding



snow were removed from forms  used by Southern California



participants, and questions regarding incinerators were removed



from the forms to be used by  those agencies not operating



incinerators.  The second was the use of local terms, such



as tub for intermediate container, and specific locations and
                             23

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route numbers, so that injuries could be analyzed by route.



This analysis by route is, of course, not of value to the system



as a whole but is of value to the participant and a decision was



thus made to include such participant-specific items in the data



collection methods.



     As a result of the presentations, approximately 25 solid



waste agencies indicated interest.  This was more than could be



accommodated within the scope of the Field Test.  Some, in



regions of the country where there were an excess of potential



participants, were notified that they could not be accepted for



participation.  Some dropped out because they were unable to



obtain clearance from the city or other authorities or because



this clearance was very long delayed  (one large city finally



obtained clearance but too late to participate).  Eighteen were



initially chosen for participation to ensure that there would



be  at least  the 15 required participants throughout the Field



Test.  One of these 18 dropped out of the Field Test after



about 10 months because of a change  in management.  Because



of  a lack of funds, the two remaining extra participants of



least value  to  the Field  Test were cut at the time the contract



was novated.  One of these two had failed to start completing



Injury Report Forms, although  they still intended to.  The



other had been  delaying starting because of management problems



and staff shortages.  Details  on the  final roster  of 15



participants are given in EXHIBIT 3.
                              24

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to
in
Participant
• Number
01
02
03
04
06
08
09
10
11
13
14
15
16
18
19
Munlcipal-M
Private-P
M
M
M
P
M
M
M
M
M
P
M
M
P
M
P
Geographical
Area of U.S.
South
Northeast
Midwest
West
South
North
North
Vest
Southwest
North
Northwest
South
South
Northeast
North
Approximate
Average No.
of Employees
700
150
150
250
500
100
600
100
300
50
100
400
100
50
50
BY-Backyard
CS=Curbside
CS
CS
BY
BY
CS
BY
CS/BY
CS
CS
CS

CS
CS
CS
CS
Task/
8 hour
task
8 hour
task
task
task
task
8 hour
task
task
task
8 hour
task
8 hour
task
task
TYPE OF SERVICE PROVIDED
Collection
residential
residential
residential
residential/
commercial
residential/
commercial
residential
residential
residential
residential
residential/
commercial

residential/
commercial
commercial
residential
residential/
commercial
Disposal
landfill
incinerator/
landfill
landfill
transfer station
landfill/
incinerator/
transfer station
transfer station
transfer station
landfill
landfill
landfill
transfer station/
landfill
landfill/
incinerator
landfill
landfill
landfill
Aver.
Crew
Size
4 -man
3-man
3-man
3-man
3-man
3-man
3-man
3-man
3-man
2 -man
1-man
3-man
2 -man
3-man
2 -man
Date
of
Start-Up
10-73
08-73
08-73
01-74
10-73
09-73
08-73
09-73
09-73
01-74
07-73
10-73
09-73
09-73
01-74
                                                       EXHIBIT 3


                                           Details  of Participants in Field Test

-------
     The acceptance of the Field Test among solid waste agencies

was higher than expected.  Of 40 potential participants contacted,

all expressed interest.  For the reasons given  above, not all of

these were selected for a presentation.  Of the 26 presentations

given, 25 resulted in an expression of  further  interest.  From

these, 18 initial participants were chosen of which only one

did not  follow through.  The degree of  acceptance of  the Field

Test was thus surprisingly high.



          2.4  Visits to Participants and Start-Up

                        of Field Test

     A series of visits to each participant was made  during the

initial  phases of  the Field Test.  As discussed above,  the  first

visit was a  presentation on the study,  soliciting participation.

Later visits were  made:

     •    to make  modifications in the  data collection  forms
          and methods, where  necessary

     •    to collect basing data

     •    to provide training to participant  staff  in the
          completion of the injury report and other  reporting
          forms

     •    to provide retraining, where  necessary

     •    to discuss the  results shown  on the computer
          printouts

Two or more  of  these purposes were often combined  into  a  single

visit, but  in  general  either  three to  five  visits were  made to

each participant.   This  large number of visits  arose in part
                              26

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because an interval was necessary between certain steps, e.g.,



after the presentation, to allow the solid waste agency sufficient



time to obtain management approvals for participation,  and in part



because it was desired to study participant problems in depth.



To the greatest extent possible, the data reported was  validated



by comparison, during visits, with other records held by the



participant,  e.g., workmen's compensation reports and the OSHA



Log.



     Specific problems encountered with the collection  of basing



data and with training are discussed in Section III of  this



report.



     Each participant started sending in injury reports and



update sheets as soon as the collection of basing data  and



training was  complete.  Participants did not all start  at the



same time.  This was because not all were contacted at  the same



time, because some needed more training than others,  and because



some had special, circumstances.   For example,  one participant



was in the middle of moving its  offices across town and requested



a delay in the starting date.  Because this was a private company



and of considerable interest to  the study, it was felt  that this



delay should be accommodated.  The resulting starting dates are



given in EXHIBIT 3.
                             27

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        2.5  Procedures for Identifying and Handling

               Problems and Needed Changes in

                   Data Collection Methods

     The heart of a Field Test of a data collection system is

a systematic method of detecting problems arising from user

errors and difficulties, and of identifying needs for changes,

such as the inclusion of additional or different factors on the

data collection forms.  This section gives a brief description

of the methods used for this purpose.  The specific problems

uncovered and changes made are described in Section III.

     Problems with Injury Report Forms  (IRF's) were detected and

evaluated using the following procedures:

      (1)  The IRF was provided with a space in which the
          person completing the form was invited to describe
          the accident in detail in his own words.  This
          provided a means of checking  the multiple choice
          answers for correct comprehension of the question,
          completeness, etc.  Space to  answer the question
          "was there anything about this injury which you
          could not record on this form" was also provided.

      (2)  A log was maintained of the receipt of completed
          IRF's.  This log allowed the  sequence of injury
          numbers to be checked  (to be  sure that no IRF's
          had been lost).  The date that each IRF was received
          was noted.  An excessive interval during which no
          IRF was received was checked  by a phone call to the
          participant and was often a sign of problems.  The
           log also allowed recording whether cost and lost
          time data had been received on that injury, and
          whether the cost and lost time data was closed
           (complete) or  still open.

      (2)  A check list  for reviewing each completed IRF.
           This included  checks for:

           •    Missing  information  (this was  entered on a
               list of  missing data to  be requested from
               the participant).
                              28

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Questions for which the "other" box was checked.
Many questions have an "other" box, followed by
a line on which the participant can enter his
own descriptive word or phrase as a response to
the question.  "Other" answers are examined to
see if the choice of "other" resulted from
misunderstanding the question.  If so, the
nature of the misunderstanding was entered in
a problem log (described below) for that question.
If the "other" entry was a valid additional choice
to the list of possible answers provided for the
question, it was entered in the "Other" Evaluation
Form (described below).

Whether all numbers and answers were entered
correctly, e.g., number in the correct box,
leading zeros entered (09 for September rather
than 9) .

Whether answers were internally consistent, e.g.,
day of week between 1 and 7.

Whether the form provided sufficient space for
the answers given.

Whether question was understood, particularly
for terms such as interaction, overexertion,
dermatitis and for  inappropriate use of "unknown."
This check was performed by comparing the multiple
choice answers given with the written description
of the accident also given by the participant.

Name and social security number matching a name
and social security number on an Employee Data
Card.

Equipment number matching a number on an Equipment
Data Card and that  the accident was compatible
with this type of equipment.

Correct injury numbers where more than one person
was injured in one  accident (through checking the
other IRF's to see  if they are consistent).

Only one operation  having been indicated, that
all subjects under  each operation were answered,
and that the answers were consistent with the
written description.
              29

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    •    Traffic  accident  section  having been  completed
         if necessary, with  data consistent with written
         description.

    •    Material included in  the  written description of
         the  accident  that could not  be entered in  an
         appropriate place on  the  form.  Any such material
         was  placed on the Problems Log or "Other"
         Evaluation Form,  together with any entry made
         in response to  the  question  "was there anything
         about this injury that you could not  record on
         this form."

(3)  A  Problems Log, which  was  used to list the problems
    encountered with each  of the questions. Problems
    which  are common to  all  participants were  entered
    in one section of  the  Log, while  problems  unique to
    each participant were  entered  in  a separate Log. Each
    problem was entered on the Log each time it occurred
    on a completed IRF,  even if the same problem had been
    entered before. In this way,  it  was possible to
    monitor the frequency  of occurrence of each type
    of problem with completing the IRF, and to devise
    correction action  through a change in the  form  or
    through training of  participant staff.

(4)  An "Other" Evaluation  Form. Many of the questions
    on the IRF provide "Other (please list)" as a possible
    choice for an answer.  This is a  necessary part of a
    multiple  choice reporting form because it  makes it
    possible  to use a  form which  does not have all
    conceivable answers listed as  choices.  For example,
    only the  commonly  used pieces  of  equipment  (or, if
     it is  known,  the most  hazardous pieces) need be listed.
     If the injured employee  were  found at the  time of the
     injury to be  operating a piece of equipment not listed
    on the form,  the  person  completing the form was
     instructed to check the  box next  to "Other" from
     among  the list of  pieces of equipment provided as
     multiple choices,  and to give  the name of  the unlisted
     piece  of  equipment.  It  is necessary to monitor the
     answers given when "Other" is  chosen for an answer
     because it is possible that certain choices, not
     initially listed,  might  be involved in injuries so
     frequently as to  suggest that they should  be separately
     listed as one of  the multiple choices on the form. The
     "Other" Evaluation Form provided a means of recording
     the number of times an item was given as an "Other"
                        30

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          answer for a given question on a given form. Frequently
          occurring items were included in revisions of the form.

     (5)  Computer editing of data entries.  As the Field Test
          progressed and problems encountered in the early stages
          were resolved, it was found possible to reduce the
          extent to which the IRF's were examined in detail by
          contractor staff, and to rely to an increasing extent
          on computer editing of data.  Sets of new or change
          data cards were examined using an edit program which
          checks that all required data is present, that values
          in data fields are within preset limits, that an
          injury report has a corresponding social security
          number on an employee data report, and similar items
          that can be checked by a computer.

     Cost andLost Time Data was checked to determine whether

cases marked closed were in fact closed, by looking for a date

of return to work.  The days lost (calendar and work days)  were

checked against a calendar and the known work schedule.  The

medical expenses were examined to see if they were reasonable

for the type of injury, and injuries marked as first aid only

were reclassified if either medical costs or days lost were

indicated.  The average payment for each day lost was computed

and checked for each payment type (workmen's compensation,  injury

leave).

     Time charges used under the ANSI standards for permanent

disability and death (e.g., 6,000 days for a death) were computed

where necessary by contractor staff and entered on sheets for

keypunching.

     For cases recognized as "open" a new cost and lost time data

sheet was sent to the participant so as to provide for the next

update.  Cases indicated as closed but with dubious features were
                             31

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checked by telephone.  Identified problems were discussed with



each participant, either by telephone in the case of missing



data, or by a formal on-site retraining session that proved to



be the most effective method for two participants.







            2.6  Formulation of Requirements for



                     Computer Printouts



     The output of the Injury Reporting and Analysis System is



primarily in  the form of computer printouts of analyzed data. An



initial selection of the methods of reporting injury rates to be



used was made on the basis of a review of other types of injury



statistics reporting, including those used by the National Safety



Council and the  Bureau of Labor Statistics.  A fundamental



decision  to include both ANSI  (American National Standards



Institute  Z16.1) and OSHA standards for computing and reporting



injury  rates  was made.  This decision was consistent with a formal



recommendation made by the American Public Works Association  that,



in  the  transition  period between ANSI and OSHA recordkeeping



standards, both  systems should be  used, to enable comparisons to



be  made with  previous years  in which only the ANSI  standards  were



used.   The Bureau  of Labor  Statistics  (BLS) used the ANSI standard



until  1971,  and  then changed to  the OSHA  standard.  The National



Safety Council  (NSC) has  continued to  use the ANSI  standard.  Since



 the change to the  OSHA  standard,  BLS  has  not reported on municipal



employees, because they are not  covered by  Federal  OSHA regulations
                              32

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States are beginning to report on injuries to municipal employees



using OSHA standards, but at present the NSC publications provide



the only current data on municipal employees.



     The printouts are to be used by line management of solid



waste agencies and by other groups as discussed in Section 1.3.



To ensure that the types of  analyzed data included and the



forms to be used would be comprehended by and useful to each



of these types of users, the printouts were  reviewed by each



participant, by staff of the Public Employee Section and Research



Section of the National Safety Council,  and by  selected



non-participants known to be interested in injury data in the



solid waste field.  As a result of comments received, modifications



were made in the content and presentation of the printouts, as



discussed in Section 3.7.



     It should be noted that no printouts were supplied to



participants until after approximately 9  months of data had been



collected.  This ,was because the forms and data collection methods



were being continually revised in the first phases of the Field



Test and because an insufficient number of injuries were available



until that time.  As soon as the data forms and methods used had



become relatively stable,  the whole data  base collected was



receded using the revised codes and methods,  and printouts could



be prepared.  A detailed manual on the interpretation of these



printouts was sent to each participant,  and to staff of the



NSWMA and NSC.  Comments made resulted in several alterations.
                             33

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Recent printouts sent to participants have been accompanied by

a detailed letter explaining what the results indicate and

comparing the injury experience of that participant with others

in the Field Test.  For example/ one recent report to participants

was divided into sections:

     •    Comparison of OSHA Incidence rates for total
          recordable cases

     •    Comparison of overall injury rates

     •    Identification of the areas within that organization
          which have the highest rates

     •    Areas in which that organization is higher or lower
          than average

     •    Detailed evaluation for that organization of the
          injury rate associated with each activity performed
          by employees on the collection route

     •    Detailed evaluation for that organization of the
          location of the accident

     •    Detailed evaluation for that organization of injuries
          by age of  the injured employee

     •    Detailed evaluation for that organization by accident
          type

     •    Detailed evaluation for that organization by injury
          description

     •    Comparison between groups  of participants by
          operational differences

 Each of  these  sections contained: 1)  an explanatory cover sheet,

 2)  the participant's printouts,  3) tables comparing the participant

 with other  types  of  participants  for various key types of rates,

 4)  graphs and  histograms  illustrating the comparisons.
                              34

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                 III.  RESULTS OF FIELD TEST








     This Section describes and discusses the results of the



Field Test, in terms of the problems encountered and the changes



made in the data collection and analysis methods in response to



these problems.  Section IV of this report discusses the overall



findings of the Field Test in terms of the feasibility of a



national solid waste injury surveillance system.  The problems



and responses are discussed for each element of injury information



and analysis in turn: injury data in Section 3.1, time lost and



cost data in Section 3.2, employee data in Section 3.3, non-employee



basing data in Section 3.4, information on management practices in



Section 3.5, updating methods in Section 3.6, and data analysis



and reporting  (printouts) in Section 3.7.  Section 3.8 describes



and discusses a novel approach taken to injury recording, a



telephone system replacing injury reporting forms.



     The data collection methods used emphasized multiple choice



questions, since it had been found in the Pilot Study that open-



ended questions did not elicit information that was complete or



used common definitions.  However, it was not desired to use a



data collection system in which only coded data would be reported



by the participant, i.e., the participant would be provided with



a code book and would enter a code for each factor related to an



injury.  Completely self-coded data is impossible to check for



validity and has been found in other studies to be associated
                             35

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with a high error rate even when using skilled coders.  Each



data collection form that was to be completed by participant



staff therefore was designed to include verbal descriptions of



each factor wil^i boxes to check for selection of multiple choices.



     The question of how much the data collection  instruments



should be  "custom designed" for each participant ran  through the



entire Field Test.  The plan of the Field Test was to first work



with each  participant to devise a data collection  system suitable



for use by that participant and including the factors of importance



to that participant.  By working with a range of participants, a



set of needs for data collection and analysis systems was developed.



The next step of the Field Test was to determine how  and to what



extent this set of  systems could be combined into  one standard



system.  The Field  Test showed that one standard system could be



developed  and used:  in this system all the  data collection  forms



except the Injury Report Form are common  to all participants. The



Injury Report Form  has a standard format  that allows  for adaptation



to  the needs of each participant without  affecting the compatibility



of  data  collected  from different participants.  The entire  system



is  flexible  and allows for  future changes,  e.g., the  inclusion of



new factors.



      Initially, much of  the  data needed  for start-up  was collected



through  visits  to  participants by contractor  staff.   This permitted



an investigation  to be  made of  what was  feasible,  and  was a



 necessary  part  of  the  Field  Test.   The Field  Test  was performed
                              36

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to determine feasible methods for use in a larger scale system,

and, for this system to be economical, it will be necessary for

participants to collect start-up data without major contractor

help.  A set of forms was developed during the Field Test for

this purpose.



                      3.1  Injury Data

     Injury data was collected on an Injury Report Form (IRF).

This form was completed for each injury by participant staff.

For smaller participants, one person was assigned this task.

For larger participants,  a group of persons was assigned, e.g.,

each foreman completed the IRF's for injuries occurring to workers

that he supervised.



     3.1.1  Changes in Methodology.  The following changes were

made in the methods used:

     (a)  In the first stages of the Field Test, as each
          participant was added,substantial modifications were
          made to the IRF-  These modifications reflected
          experience gained with previous participants, a
          desire  to  test  a  new  idea,  or  items  that  the
          participant  staff  felt  were  important  for  that
          participant.  The desire to use an IRF that includes
          a large number of factors and multiple choices, and
          hence can give very specific results, conflicts with
          the desire to keep the IRF down to a manageable
          length.

          Preparing "custom designed" IRF's for each participant
          helps resolve this conflict by enabling inapplicable
          choices to be omitted.  For example, questions regarding
          incinerators need not be included on IRF's used by
          participants that did not operate incinerators.
                             37

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Conversely, the areas that are of interest to the
participant can be covered in adequate detail.
Further, the specific terms used by each participant
can be used on the IRF used by that participant.
Some items of data are not of value to the system
as a whole but may be of value to an individual
participant, e.g., on which specific route an injury
occurred, so that the participant can compare the
injury experience on different routes.  Finally,
having a custom designed IRF stimulated interest
in the Field Test.

It should be emphasized that great efforts were taken
to maintain comparability of the IRF's even though
they were "custom designed."  For items, such as
factors related to incinerators, that were included
on some forms, it was intended that comparisons be
made only between the applicable participants. Where
one topic was treated in detail for some participants
and not others, careful attention was given to
selecting general categories which could be used
during comparisons among all participants.  For
example, the categories 1-5 yd., 15-20 yd., and
35-40 yd. were used  for bulk containers for those
part\cipants using bulk containers for most of their
operations, and where a breakdown into sizes appeared
to be useful.  For participants using bulk containers
only infrequently, only bulk container  (with no
breakdown) was included on the IRF. Comparisons could
thus be made within  size classes for the first type
of participant, while permitting comparisons to be
made among all participants of injuries associated
with the use of bulk containers.  In addition,
different  terms having the same meaning could be
grouped under one name  (i.e., computer code) and
comparisons could thereby be made, without interference
from differences  in  terminology.

The initial use of  the custom designed IRF's caused
some difficulty in writing programs for computer
analysis,  since the  first step in analyzing the data
on an  IRF  had to  be  to  translate, by computer, each
completed  IRF into  a standard format in which each
item was represented by a fixed card image, column
number,  and code.   Translation instructions had to
be developed  for  the IRF used by each participant.
After  experience  had been gained with the  first 12
participants, it  was found possible to develop a
master  set of injury data requirements that could
                    38

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be used to generate a custom form for a new participant
by simply omitting the items not required.  All of the
items in the master set had a specific identification
for use in computer analysis, so that no translation
was necessary.  For example, the master set contains
a list of approximately 25 types of collection crews,
each with a standard code.  The participant chooses
the crew types that are applicable to his organization,
and only these crew types are included, together with
their standard code numbers, on the IRF for that
participant.  An example is shown in item 8 in the
general information section of a sample IRF shown as
EXHIBIT 4.TEcan  be seen that only codes 11, 16,
17, and 51 are included.  The sample IRF shown in
EXHIBIT 4  represents  an IRF developed using the master
set concept and custom designed for a hypothetical small
or medium sized municipal solid waste agency engaged in
residential collection and landfill disposal, and is
included for illustrative purposes.

The feasibility of the master set concept was validated
by its use in developing custom designed IRF's for the
last two participants to join the Field Test.  No
difficulty was encountered.

The later stages of the Field Test demonstrated that
it was unnecessary to retain the concept of having each
participant use the local terminology for each item.
During the revision of IRF's associated with the wide
adoption of the master set concept it was found that
participants had no difficulty with the use of standard
terms.  For example, the term bulky item crew was
readily accepted by management and recognized by the
foreman completing the IRF's, even though the local
term was on-call crew, will-call crew, etc.

A modification was made in the method used to record
data on items that were only relevant to one participant,
e.g., a particular route or landfill.  Initially, all
such items were listed by name on the form. As a result
of the Field Test, space was provided on the form for
the participant to enter a code that identifies the
particular route, etc.  An example is given in item 7
of the general information section of EXHIBIT 4.

The status of the master set at the close of the Field
Test is believed to be such as to accommodate most
potential participants.  It should be noted, however,
that the concept is flexible.  If, for example, a new
                   39

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                 SANITATION DEPARTMENT
                         OF
                      YOUR CITY
     INJURY   REPORT  FORM
                        FOR THE

             INJURY REPORTING AND INFORMATION SYSTEM
                      Developed For
             U.S. Environmental Protection Agency
            Office of Solid Waste Management Programs
Name of Injured Employee             Name of Person Completing This Form
Date of Injury                    Title

                              Date
Injured Employee's Immediate
Supervisor 	        I  I  I I  I  I -1  I  I  I  I I  I
                                    Injury       Employer
                                    Number        Number
SS-IRIS(IRF)-Rev. I (5/75)     EXHIBIT 4

                          40

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                                     INSTRUCTIONS


1.  This Injury Report'Form is designed to describe an injury by dividing the
    description into parts.  Each section covers a particular part of the in-
    jury.   When completing a section, only give information relevant to the
    injury being covered in that section.  There are ten sections to this In-
    jury Report Form:

    •   General Information

    •   Accident Description (e.g., fall, insect bite, etc.)

    •   Part of Body Injured

    •   Injury Description (e.g., cut, fracture, etc.)

    •   Protective Clothing Being Worn

    •   Characteristics of the Waste (i.e.,  that's being handled)

    •   Activity Description (i.e., what the injured employee was doing when he
                              was injured)

    •   Outdoor Conditions (at the time of the injury)

    •   Recommended Action

    •   Written Description

2.  Be as  specific in your answers as possible.

3.  Most questions refer only to the injured employee and only to the time at
    which  he was injured.

4.  For all questions
    EITHER:  Circle the numbers next to the  best provided answer.
    OR:      Give the numerical answer requested in the boxes provided.
    OR:      Check the best provided answer(s).

5.  For the questions which ask for numerical answers, complete all boxes. If
    there  are more boxes than required for your  answer,  place zero(s)  in front
    of your answer.
                         Example: September  = |0[9 |,  not [ 9|  |

6.  Disregard the boxed lumbers at the top and bottom of the  form and the
    letter numbers to the right side of your answers  (e.g., "cc 1-6").  These
    numbers are used for processing only.

7.  The directions to the individual questions or  sections  of  the Injury
    Report Form indicate whether one, or more than one,  answer is permissible.
    DO NOT check more than one box unless you are specifically instructed that
    this is permissible.

8.  Please read the directions on each page  carefully.


                                         41

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1 1


Iniurv No. GENERAL INFORMATION

1. Data of Injury I I J M_ J t U
•o. day yr.
2. Injured Employee's 1 1 1 IL-1--I
Social Security • • 1 1 1 1 1
Nuaber ' « ' •' — LJ
3. Tl«* bf th* Injury (Jill 1 ••
hr. *>in. 2 p.
4. Day of Weak (Sun. "1, 1_J
Moo. -2, etc.)
5. Nuaber of hour* on 1 [ LI 1 (list In «i
•job prior to* the In- hour increments)
Jury (o» day °f
accident)
6. What district do** I I I (your no.)
th* Injured ••ploy**
work out of?
7. Type of accident Bit*: 1 To/Froa Roue*
(circl. on.) 2 Evidential
Rout* 1 1 1 1 1 No.
5 landfill
| | 1 f | No.

Oan*
7 Garage 1 | I 1 1 No.

naa*
8 Office &T«rd| | | | |So.

nan*
9 Other
(please Hat)
8. What crew was th* ea- H Rear-End Loader
ploy** working on? Kanual Collec-
(if applicable, circle tlon Cr*v
oa*> 16 Bruah Collection
Only Cr*w
17 Bulky It«« Craw
51 Stre*t Cleaning
Craw
9. Craw alze at tin* of | 	 |
injury (If applicable)
10. Did the accident occur 1 an alley
ins (if applicable) ^ a dead end-alley
3 a dead-end atreec
4 a one-way street
• 9 Unknown/Not applicable

10. Type of collection J. Hou»e
alt. (if applicable): 2 Ap.rtiwnt.
H Public Institution*
$ Hoapltal/Doctor'a
Of flea
9 Other
(pleaae lilt)
11. Va* the Injured ea>- 1 Tea
ployae working at 0 «n
hie regular Job ne *
the time of the
injury?
If not. Elve tempo- 1(1111
rary Job title
*
(plaaaa list)
12. Ua* th* injured em- 1 Te*
ployee being trained n ,.
at the tin* of the L
injury? 3 Unknown/Not Applicable
13. Old the Injury involve \ Yea
the coeblaad actions of 7 No
•ore than one worker?
1 (*.g.. two eaployees 3 Unknovn/Not Applicable
lifting a container to-
gether; a driver accel-
erate* aa helper tries
to aouat seep, etc,)
14. Has the packing nech- J. Tes
aolSB operating at the n ..
tlae of the injury? *
(if applicable) 3 Unkoowo/Not Applicable
IS. List Identification code* 1 I 1 1 J 1 1
for all equipt
vehicle* that
enployee or w
at the tin* o
16. Indicate if ai
were involved
any that appl'


cent and 1111111
ire in use
! the accident.
ly of these 1 I Horseplay
(Check ,j (ta-Mt hurry§
" speed
| 	 | Alcohol, drug*
| 	 | Scavenging in
waste
| 	 | Reaction to
avoid sudden
.danger
|_J Fatigue
| | Distraction
1 1 1 1 IIIKI1I

42

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                                                                            ACCIDENT DESCRIPTION;
                                       Check In  Column A  the accident type  corresponding  to the
                                       to  the accident  inflicting  injury.   For injuries involving
                                       accident type  in both Columns A and  B.
Example: Employee fell  from step and hit
head  on pavement. Check "Fall to a  Dif-
ferent Level"  in Column A and "Struck
Against Object" in Column B.
      Fine   Intiutloa
    'clc"eat   Inju
                     Traffic Accldeat

                     Struck 87 VtMcle or Vehicle
                       fart

                     Struck Afaloit Vehicle,

                     Foreign Object la Eye

                     •arc by Objecte being lUadltd

                     Struck by Object (Except VthleU)

                     •trvck Azaialt Object (bnept
                       Vehicle)

                     Fail to the s*a* level

                     StuciMe, Trip. Slip, lost ot
                       »>la»e (t.«., Without Falllai)

                     r«l. to a Different Uwl

                     Caught ID Sooethtag

                     CaugTtt R»tv*«n T-f& Object*

                     Explotlon or fir*

                     Ov«r**Brtion (*•(•• Accident
                       Occurred Kill* Lift lag)

                     kedtly Kotloa (e.».. Jerking
                       Aw*y)

                     Oerctctila <«•*-. Skin R»ih)

                     lEMct (Ice. Scto|

                     Anlnal tite. Scratch (Dos.
                       Cat. etc.)

                     Rodent Bice. Scratch

                     Stepped en Shjrp Object
                       (Sail*, etc.)

                     InKile, Suallov or Co-» IB
                       Contact with Toxic Subitince
                       (Please Hit (u^itance It kaoun)
                     §urn froa ChtolcaX
                      (rira>« Hit cholcal if known)
                     •urn o-. Scald Troa Ceat

                     Ke«t-lt of *j;re»«lve Act (e.e... h»ln«
                      
-------
WHAT TYPE OF ACCIDENT OCCURRED?

first event,  and  In  Column  B that accident type corresponding
only one accident type  (e.g., insect bite) check the same
         FOREIGN OBJECT IN EYE

         HURT BY OBJECTS BEING HANDLED

         STRUCK BY OBJECT (Except
           Vehicle)

         STRUCK AGAINST OBJECT (Except
           Vehicle)

    What was the object?  (Check one)

    	 Container
    	 Dust, .ashes
    	 Fellow worker (unintentionally)
    	 Garage door
    	 Fences, gates, etc.
    	 Walls, beans, etc.
    	 Log,  lumber,  etc.
    	 Shrubbery
    	 Glass
    	 Hypodermic needles
    	 Fluorescent  bulbs
    	 Other sharp  object
    	 Furniture, appliances
    	 Hand  tools
    	 Noxious  liquids
    	 Pavement,  ground
         Other
                       (please list)

     Was the object ejected from the
     hopper? (if applicable)

     	  Yes
          No
       FALL TO A DIFFERENT LEVEL
  Was the fall: (Check all that apply)
  	  On a slippery surface
  	  On an uneven surface (e.g., hole in ground)
  	  Over objects on ground
  	  Over objects protruding from ground
  	  Icy surface
       Other
                    (please list)
  Location of Fall
  From
                        To
          FALL ON THE SAME LEVEL

          STUMBLE, TRIP, SLIP, LOSS OF
          BALANCE (without falling)
     Was the fall: (Check all that apply)

     	  On a slippery surface
     	  On an uneven surface (e.g., hole
          in ground)
     	  Over objects on ground
     	  Over objects protruding from grouni
     	  Icy surface
     	  Other __^	
                       (please list)

     Location of fall (Check one)

     	  Landfill
     	  Street/alley
     	  Residential yard/driveway
     	  Employer's office, yard, garage
     	  Other 	
                       (please list)
      Cab
      Step  (of vehicle)
      Ladder
      Curb  '
      Stairs
      Dock
      Other
                            Ground
                            Floor
                            Down embankment
                            Onto overturned
                            container
                            Other
            (please list)
                                  (please list)
   If  the fall was from a vehicle, was  the
   vehicle;(Check one)
   	  Moving forward at curb speed
   	  Moving forward at regular speed
   	  Moving forward at highway speed
   	  Backing
   	  Not  moving
[~]
        CAUGHT IN

        CAUGHT BETWEEN
        Packing .mechanism
        Edge of hopper and  container
        Two containers
        Tt'uck door
        Wall or fence & vehicle
        Other _
                     (please list)
7   Q  EXPLOSION  OR  FIRE
    Where vas the fire?  (Check one)
    	  In  container
    	  In  packer  truck
    	  At  landfill
         Other
                      (please  list)

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[.Mill
Injury No.
PART OF BODY INJURED

Circle one and only one number
which best describes the part
of the body injured. Circle
the part mast seriously in-
jured. Use "Multiple Parts"
only if several parts are
Injured about equally.
}Q HEAD
11 *«i-
12 Skull
13 »ral«
20 »•«
21 J«
22 ««••>«
23 MUCh. lip, teeth
24 Coraht.d
25 «...
26 ••"
27 «y«
(pl.*.« 11. C)
40 UPPER EXTREMITIES

41 Should.r
42 *™ (upper/lower)
43 "bow
44 Url.t
45 Band
46 ring.™
47 thumb
48 Oth.r
(plea*, ll.t/
50 TKUHK
51 »«k
52 Ab*».n
53 Ch.tt (Rib.)
54 Hip.
55 Buttocks
56 Cenltaita. Groin
5? Other
(pleas* ll.t)
60 tout* EXtRPUTl ES
61 !•»« (ypper/low.r)
62 *»••
63 Ankl*
64 'ooe
65 to*.
66 Oth.r
(pi.... li.c)
70 INTERNAL duns., stomach. «cc.)
80 MULTIPLE PARTS IIJURED



INJURY DESCRIPTION

Circle one and only one
number which best de-
scribes the injury sus-
tained. Circle the most
serious injury sustained.
Use "Multiple Types" only
if several injuries are
equally severe.
01 Aspucatioa
 Fro.tblt*. Oth.r Low
^U T.«p.ntura EfC.cu
21 luring Iop
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                                   ACTIVITY  DESCRIPTION
          What  was the  injured employee  doing at the  time  he  was  injured?
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-------

CM 1 1 1
Injury No. OUTDOOR

CONDITIONS
Check as many as necessary to describe the
outdoor conditions at

*
	 Hoe Weather

	 Cold Weather
	 Rain

	 Snow

	 Preexlng Rain
	 High Winds

___ Darkness
± Uneven Surfaces/
Hole in Ground
__ Loose Gravel,
Slag, etc. on
Surface
	 Wet Grass
	 Mud
___ Icy Surfaces
	 Slippery Surfaces-
Other







the time of the injury.


	 loose Objects
on Ground
	 Objects Protruding
f roa Ground

Anlcals (Dogs,
Cats)

~—
	 ._ Rodents

	 Clare
	 Excessive Noise
	 Weeds/Shrubbery/
Tree Ltnbs
Potkon Ivy/Poison
Oak
	 Dust, Ashes in Air
	 Exhaust Fu=es,
Vapors

___ Posts, Fences,
Walls. Gates
	 Wires. Cables.
Washlines







RECOMMENDED ACTION
Check the action(s) which
, in your opinion, would
help avoid this accident in the future. Circle as
many as apply.


	 Hark equipment with
operating Instructions
__ Changs work methods
or procedures
___ Improve method for
reporting unsafe
situations
__ Improve housekeeping
	 Enforcing use of per-
sonal protective
clothing or equipment
Is • problem
	 Enforcing use of me-
chanical guards and
safety devices is a
problem
	 Individual pcrfonaed
task without approval
of supervisor
___ Individual performe-t
task unrelated to po-
sition qualifications
Provide warning device
(mechanical, sound or
lighted)
	 Provide protective
clothing or equipment
	 Display warning decalt
sign or poster
	 Provide roadway warning
or protective device (s)


	 Improve vehicle
maintenance
___ Improve equipment
maintenance
___ Replace equipment
that Is Inadequate
for job
__ Repair or replace
defective equipment
	 Add safety feature
or device to equipment
	 Repair employer's
walking surface
	 Hire additional
employees
	 Improve employee
selection process
___ Take disciplinary
action against
individual
	 Reassign employee to
another job
	 Employee should be
counseled
___ Recommend Individual
receive additional
job-related training
i Improve training pro-
gram (or ncu employees
___ Recocsnend individual
attend driver training
course
IN YOUR OWN WORDS. DESCRIBE THE ACCIDENT IN DETAIL..  KE SURE TO INCLUDE:
(1)   Any information about the accident which you could not include elsewhere in this form;
(2)   The events immediately preceding the injury and those following;
(3)   How the accident occurred and what injuries were sustained;
(4)   What the injured  employee was doing at the time he was injured; and,
(5)   Any special factors which you think contributed to the injury.
                                              47
u_i   i  i   i  i  inn

-------
     piece  of equipment comes on the market,  the piece
     of  equipment can be easily included in the system
     by  simply assigning it a code and including the
     piece  of equipment on the forms of those participants
     buying the new pieces of equipment.

(b)   The order of the sections of the IRF was changed.
     Initially, the sections considered most important to
     the study (e.g., Operation being Performed), were
     placed first in the form. However, it was found that
     the participants apparently had different ideas of
     what was most important and, not looking ahead in
     the form, would place answers to later questions in
     earlier sections of the form.  For example, when
     asked  what the employee was doing at the time of
     the injury, respondents would occasionally check
     "other" and write in "broke ankle." The explanation
     for this response is that the respondent apparently
     felt that this was the key relevant piece of
     information.  By placing the questions the respondent
     believes to be most important first on the form, it
     is felt that this tendency to place answers to other
     sections' questions will be reduced (i.e., the
     respondent will have already stated that a broken
     ankle was involved  by the  time he  reaches the
     Operations Being Performed section).  Accordingly,
     the order of the form now generally asks the simplest
     and most obviously relevant questions first, i.e.,
     part of body, injury description, etc.

(c)  Many sections of the IRF had category/subcategory
     relationships.  One of the most frequent errors
     found on examining completed IRF's, and that had to
     be corrected by contractor staff before keypunching,
     was a failure to recognize these relationships, even
     though  the categories were capitalized and each set
     of the  subcategories was indented.  The simplest of
     these category/subcategory relationships is included
     in the  Part of Body section  (head is a category;
     scalp,  skull, brain and  face are subcategories; jaw,
     cheek,  eyes, etc. are subcategories of face; etc.).
     The category/subcategory relationship was usually
     recognized in this section, but in the more complex
     sections  — namely, Operation Being Performed and
     Accident  Description —  this relationship was very
     frequently not  recognized.  Although several faults
     in the  form were identified as partial explanations,
     it was  not easily apparent why  this lack of recognition
     occurred,  as the subcategories were obviously, it
                        48

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appeared, merely questions requiring more detail about
a category. Nevertheless, many times a respondent would
check a category and leave the subcategories unchecked,
or would check subcategories under categories which did
not apply.  This type of problem with correctly completing
the form had become the most frequent and most severe
problem encountered in the Field Test.  For this reason
many changes were made in the form to improve the
respondent's recognition of a category/subcategory
relationship, including:

     improved, much more detailed, and more step-by-
     step instructions.  The previously used instructions
     for the Accident Description and Operation Being
     Performed sections were modified to state that
     only one category is to be checked, that all
     subcategory questions under the chosen category,
     but only this category, are to be answered.

     the use of red letters to identify categories
     and separate them from the subcategories;

     drawing boxes around each category/subcategory
     set to make clearer which subcategories referred
     to which categories;

     putting a question before each subcategory set,
     where possible, which related the subcategories
     to one, and only one, set of categories.  For
     example, instead of merely indenting "packer
     truck" under "driving, riding, mounting, or
     dismounting" to show that "packer truck" was
     to be checked only if it was being driven,
     ridden, mounted, or dismounted, and in no
     other case, the revised IRF placed "packer
     truck" under a question which specified the
     subcategories1 relationship to a category,
     namely "What was being driven, ridden, etc.?"

These changes very greatly reduced the errors of this
kind made in the sections of the form involving category/
subcategory relationships, and because this type of error
was by far the most frequent/ the changes have greatly
reduced the overall error rate.  In most cases, the
revised IRF's were returned with no apparent errors.
                   49

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     (d)  In the initial stages of  the  Field  Test,  some  IRF's
         were returned with  two answers, rather  than  one answer,
         checked  in  the accident description section of the
         form.  Evaluation of these  forms  showed  that they
         represented a problem long  faced  by safety  statisticians,
         namely,  how to record an  injury of  the type in which
         a man, say,  falls from a  truck and  strikes  his head
         on the pavement.  Is this a "fall to a different level"
         or "struck  against" type  of accident?  From  the standpoint
         of injury analysis, it is not important  what happened to
         the employee after  he fell, because what, in most cases,
         needs  to be identified is what can  be  prevented, i.e.,
         the hazard,  not  the outcome.   For this reason, "fall"
         is a more relevant  description of the  example given
         than "struck against."  However,  it is unreasonable
         to expect the participant to determine which is the
         most important description, r

         This problem was resolved by introducing a  place to
         enter  details of the  "first accident"  and of the
          "accident inflicting  injury."

     (e)   Initially,  the  set  of  instructions  provided with the
          IRF was  kept short.  It was .found during the Field
          Test that,  in order to avoid errors, much more detailed
          and  specific instructions were needed.  A page of
          general  instructions  was  provided,  together with
          step-by-step instructions for each  section  of the
          form.   Surprisingly enough, it was  found that these
          longer instructions were  more carefully  read than
          the  shorter instructions.  A special instruction
          booklet was developed for training.
     3.1.2  Changes in Format, Phraseology and Items Included.

Production format was found to be of considerable importance in

obtaining error-free use of the IRF.  The IRF was made to appear

smaller, while retaining most of the content of previous versions,

in order to reduce the deterring effect of excessive size.  The

IRF was shortened by putting it into a booklet format, which used

the front and back of each page and by using a smaller type face.
                             50

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The use of a smaller type face made, it possible to place each



section of the form on one page or less.  This is particularly



important for the Accident Description and Activity Description



sections.  Previously these were on two or three pages each,



and many respondents had either skipped the second and third



pages  or  had considered them  as  new sections.  The booklet



had the name of the participant printed on the cover, which



helped maintain a feeling of identification.  The color of paper



was changed to a pastel from white, since it had been found in



discussions with the Statistics Section, National Safety Council,



that the response rate for a form printed on light pastel colors



was considerably greater than that for the same form in white or



bright colors.



     The cover of the booklet version of the IRF provides space



for all the essential information needed to identify the injury,



including:



     •    The name of the injured employee;



     •    The date of the injury; and



     •    The injury Number and Employer Number.



     The first page of the new form was devoted to instructions.



The first instruction emphasizes that the Form is designed to



describe an injury by dividing the description into parts and



that the respondent should only provide information relevant



to the aspect of the injury being covered in a particular



section.  The sections of the form are then listed.  This
                             51

-------
instruction was included to help decrease the tendency to provide

the entire description of the injury in the first section of the

form.

     The following changes were made in the General Information

section of the IRF:

     •    The question concerning "interaction" was changed
          from "Did the injury involve interaction between
          the injured employee and a co-worker?," to "Did
          the injury involve the combined actions of more
          than one worker?  (e.g., two employees lifting a
          container together; a driver accelerates as
          helper tries to mount step, etc.)."  This change
          was made because  few respondents have understood
          the meaning of "interaction."

     •    The question "Was the packing mechanism operating
          at the time of the injury?" was added.  This was
          done in order to  lessen the need to provide for
          two answers in the Activity .Description section.
          Operating the packer is one of the few significant
          activities which  is frequently going on while some
          other activity is being performed.

     A number of "opinion"  questions such as "was the injured

employee  involved  in horseplay at the time of the injury" were

merged into one question that did not tend to emphasize whether

the  injured employee was at fault.

     The  Accident  Description section was altered to include

traffic accidents  (which had been placed in a separate section

of the IRF but were found  to be a rather infrequent cause of

employee  injuries).

     The  Part of Body Injured section was modified so that only

one  part  of body  (that most seriously injured) is selected. The
                              52

-------
choice Multiple Parts is to be selected only when several parts



were injured to about the same extent.  Previously, an amputated



leg combined w:th-a cut finger was often marked as multiple parts.



A similar change was made in Injury Description.



     The Characteristics of Waste section was modified extensively



during the Field Test by including items frequently given as



"other" and by dropping items infrequently checked.  The previous



title Hazards of Waste was changed because the term hazard might



appear to imply that management was not controlling recognized



hazards.  A similar change was made from Outdoor Hazards to



Outdoor Conditions.



     The previous section title Operation Being Performed was



changed to Activity Description, because it was frequently



misunderstood.



     A new section, Recommended Action, was added, providing a



selection of comments on possible corrective measures.








     3.1.3  Discussion.  Initially, most IRF's that were completed



and returned by participants contained at least one error and



frequent omissions or misunderstandings of complete sections. As



the Field Test progressed, the error rate fell, partly through



increased experience and training of the participant staff



completing the IRF's.  In most cases,  however, the error rate



fell dramatically only after major changes made in the format



of the IRF.  After the production of the IRF in its booklet form,
                             53

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it was found that the last two participants to be added to the

Field Test were able to use their IRF's without a training visit,

using only the IRF's and written instructions.  The error rate

for these two participants was very low throughout the remainder

of the Field Test.



                3.2  Time Lost and Cost Data

     Time lost data  is essential as a measure of injury severity

and cost data is of  great importance in motivating and setting

priorities for countermeasures.  This data must be collected  for

each injury rather than for all injuries  taken together in order

to be able to compare the effects of different factors related

to injuries.



      3.2.1  Me thodology.  The  following changes were  made in  the

overall method:

      (a)   Initially  the time  lost and cost data  form  was
           individually  tailored to each establishment.
           During  the Field  Test it was determined  that this
           was not necessary.   The same categories  could be
           used by each  participant with the  addition  of one
           "other  benefits"  category  to allow for certain
           permanent  disability benefits specific to  individual
           participants.   The  final version of the  Time Lost
           and Direct Costs  form is shown  in  EXHIBIT  5.

      (b)   The Time Lost and Cost  Data  form was  initially
           attached to  the Injury  Report Form.  However,
           this was found  to result in  significant  delays
           in  returning  the  Injury Report  Forms as  cost and
           lost  time  data  is seldom immediately available.
           The  risk of  losing  injury  data  or  of greatly
           reducing its  accuracy proved to be considerably
                              54

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                      INJURY REPORT FORM
               TIME LOST AND DIRECT  COSTS DATA
                           FOR  THE
           INJURY REPORTING AND INFORMATION  SYSTEM
                         Developed For
             U.  S.  Environmental Protection Agency
           Office of Solid Waste Management Programs
Name of Establishment or City
Name of  Injured  Employee
Date of Injury
                           F X H T R T T1
SS-IRIS(TLC)-Rev. 1 (5/75)
                              55

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1.   INJURY NUMBER

2.   DATE OF  INJURY
3,   AT THIS  TIME,  DO YOU KNOW ALL  OF  THE  TIME  LOST
     AND /ILL THE DIRECT COSTS THAT WILL BE ASSOCIATED
     WITH THIS INJURY.
 6,
                                                           I  I  I  I  I   I  I
                                                            mo.  day  yr.

                                                               1 YES
                                                               2 NO

                                                               3 UNKNOWN

FROM  WHAT YOU  KNOW ABOUT THIS  INJURY AT THIS TIME, (clrcle one only)
IS  IT A•
FIRST AID  INJURY - an injury requiring no medical treatment
or only one-time treatment  and subsequent observation  of          J.
minor scratches, cuts, burns,  splinters, and so forth,  which
do not ordinarily require redical care even though provided
by a physician or registered professional personnel.

NON'FATAL CASE WITHOUT LOST  WORKDAYS - an injury that REQUIRED
medical treatment administered by a physician  or by a rcgis-        2
tered professional personnel under standing orders of a  phy-
sician, but did not result  in  lost workdays, permanent  dis-
ability or a fatality.
LOST WORKDAYS CASE - an injury that results in one  or  more
workdays lost not including the day of the Injury or day of        3
return, but did not result  in  a permanent  disability  or  a
fatality.
PERMANENT PARTIALDISABILITY - an injury or combination of
injuries,  sustained in one  accident, which results  in  one        f}
or more of the  following: (1)  Amputation of all  or part of:
a finger,  thumb, hand, toe, foot, ankle, arm, or leg;  (2) Per-
manent impairment of  function  resulting in loss of  sight in
one or both eyes, loss of hearing in one or both ears,  or an
unrepaired hernia.
PERMANENT TOTAL DISABILITY  - an injury or combination of in-
juries, sustained in  one accident, which results  in one or       5
more  of the following: (1)  permanently and  totally  incapaci-
tating the injured employee from following any gainful occu-
pation; or (2)  the loss  of  or loss of use  of, both  hancs,
both  arms, both legs, both  feet, both eyes, or the loss of
any two of these  (e.g., an  eye and a foot).
FATALITY - an occupational  injury or combination of injuries,
sustained in one  accident,  resulting in death regardless of       6
 the length of time between the injury and the death.
 5,   DID THIS  INJURY,  AT ANY TIME DURING THE
              MPLOYEE  S RECOVERY,  RESULT  IN A
 OR THE  EMPLOYEE  S RE
 CONSCIOUSNESS?  (EVEN
                                             ACCIDENT
                                             LOSS OF
 7,
	  	  IF THE LOSS OF CONSCIOUSNESS
WAS  TEMPORARY  AND DID NOT RESULT IN LOST WORKDAYS)
DID  THIS INJURY,  AT ANY TIME DURING THE  ACCIDENT
OB THEEMPLOYEE'S RECOVERY, RESULT IN  RESTRICTION
OF IJORK OR ROT 1 OH?  (EVEN IF THE RESTRICTION OF
WORK OR MOTION WAS  TEMPORARY AND DID NOT RESULT
IN LOST WORKDAYS)
LIST ALL ASSOCIATED MEDICAL EXPENSES FOR THIS  IN-
JURY WHICH ARE KNOWN  AS OF THE  DATE THIS FORM  IS
COMPLETED, (ROUND TO  THE NEAREST WHOLE DOLLAR.)
                                           56
   1 YES
   2 NO
   3 UNKNOWN

   1 YES
   2 NO
   3 UNKNOWN


I  I  I  I  I  I  I

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                            LOST TIME  INJURIES
8,   DATE OF  RETURN TO WORK  (ENTER DATE OF        I  I  I   I  I  I  I  I   I
     INJURY  IF NO LOST TIME;  LEAVE BLANK           NO.    day    yr.
     IF NOT YET RETURNED),

IF THE INJURY DID ND_J_ RESULT  IN ANY LOST TIME,  SKIP TO NEXT  PAGE,
Enter all  of the lost tine and direct costs associated  with this injury that are
known as of the date this form is completed.

Round days to the nearest whole day,  and dollars to the nearest whole dollar.

Days may be entered twice (e.g., a day may be charged to both Workmen's  Compensation
and Injury Leave) but DO NOT  DUPLICATE COSTS (e.g., if Workmen's  Compensation  costs
are deducted from Injury Leave payments, enter either the total cost or  each portion
separately).

9,   TOTAL NUMBER OF WORK DAYS  LOST (NOT              ,       III!
     CALENDAR DAYS  LOST)                               *

10,   NUMBER OF DAYS LOST  WITHOUT  COMPENSA-                   I  I  I   I
     TION

11.   NUMBER OF DAYS LOST  COVERED  BY WORK-                    I  I  I   I
     MEN S COMPENSATION

12.   WORKMEN'S COMPENSATION COSTS  (TEMPO-                I  I  I  I  I   I
     RARY DISABILITY ONLY)

13.   NUMBER OF DAYS LOST  CHARGED  TO INJURY                   I  I  I   I
     LEAVE

14.   COSTS CHARGED  TO INJURY  LEAVE (EXCLUDE              I  I  I  I  I   I
     WORKMEN'S COMPENSATION COSTS)

15.   NUMBER OF DAYS LOST  CHARGED  TO SlCK                     I  I  I   I
     LEAVE.

16,   COSTS CHARGED  TO SlCK LEAVE  (EXCLUDE                1  I  I  1  I   I
     WORKMEN'S COMPENSATION COSTS)

17.   NUMBER OF DAYS LOST  CHARGED  TO VACA-
     TION LEAVE

18.   COSTS CHARGED  TO VACATION  LEAVE (EX-
     CLUDE WORKMEN'S COMPENSATION  COSTS)

19,   TOTAL COSTS FOR LOST TIME  (TOTAL OF
     QUESTION NUMBERS 12, 14, 16,
                                                I  1  I  I  I   I  I  IMRIHI
                                     57

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INJURY NUMBER
20,
21.
                              LIGHT DUTY
DID THE INJURED EMPLOYEE HAVE LIGHT DUTY
EMPLOYMENT AFTER HIS  INJURY?  (ANSWER YES
IF: (1) HE DID NOT HAVE ANY LOST TIME  BUT
HAD TO WORK AT AN EASIER JOB  FOR A WHILE
DUE TO THE INJURYj OR (2)
                               HE
TIME AND
    TO THE INJURY; OR
             /ORK A
RESUMING HIS REGULAR JOB CLASSIFICATION,)
                           _ LOST
RETURNED TO WORK AT AN "EASIER" JOB BEFORE
     FOR HOW MANY WORK DAYS DID  THE  EMPLOYEE  WORK
     OUTSIDE HIS REGULAR JOB?

                         PERMANENT JOB  CHANGE
DID THE  INJURY  REQUIRE  A  PERMANENT CHANGE OF
JOB CLASSIFICATION  OR PERMANENT TERMINATION?
                      PERMANENT DISABILITY BENEFITS
              1 YES
              2 NO
              3 UNKNOWN
              1 YES

              2 NO

              3 UNKNOWN
 (Give lump sums or the maximum allowable permanent disability payment)
22,  WORKMEN'S  COMPENSATION PERMANENT DISABILITY
     BENEFIT
23,  WORKMEN'S  COMPENSATION DEATH BENEFIT
24,  OTHER  ADDITIONAL BENEFITS
25.  OTHER  MISCELLANEOUS COSTS PAID TO INJURED
     EMPLOYEE
                                              L_L
                                              II
                                                      II
                                           n i  i  I  i  '   iiiRi/i
                                   58

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     greater when data return was  delayed.   Accordingly,
     Injury Report Forms  without Cost and Lost Time
     sections were sent to participants.   They were
     asked to complete the Injury  Report  Forms as soon
     as possible after the injury,  and to mail completed
     forms in batches, at least twice per month.   A
     separate Costs and Lost Time  form containing the
     employee's  name,  Social Security number,  date of
     injury and  Injury Number was  then sent to the
     person responsible for the Costs and Lost Time
     data for the participants (often different from
     the person  completing the other  sections  of  the
     Injury Report Form).   This separate  form  is  sent
     at least a  month  after the injury occurred,  and
     the participant is expected to complete the  form
     at this time and  indicate whether the  case is still
     open. If it is, another Time  Lost and  Cost form is
     sent 2 months later  (3 months  after  the injury).  At
     this time the participant enters the cumulative time
     lost and costs for the injury  (incremental costs were
     originally  asked  for but this  proved too  cumbersome) .
     This process is repeated every 2 months until the
     participant indicates that the case  is closed.   A
     monthly Time Lost and Direct  Costs Status update
     report informs the participant which cases are still
     open.

     A method in which the Time Lost  and  Cost  Data form
     was held by the participant until the  case was closed
     and final costs could be recorded was  tried  during
     the Field Test but it was found  in many cases that
     time lost data becomes "lost"  or difficult to retrieve
     before cost data  are  complete.   A typical situation  is
     that of a municipality,  which  does not keep  an OSHA
     Log of lost time, and therefore  does not  isolate lost
     time due to injuries.   Attempting to retrieve this
     data after  some months requires  a review  of  many
     records (at one participant,  14  different files in
     five locations) to attempt to  untangle time  lost due
     to injury from days  not worked for other  reasons,  e.g.,
     vacation.

(c)   It was found that,  for several of the  participants,
     especially  private companies,  direct expenses related
     to injuries are handled entirely by  their workmen's
     compensation insurance carriers.   Data on costs were
     provided to the participants  at  variable  and sometimes
     long intervals, e.g.,  every six  months.   In  order to
     obtain provisional figures for inclusion  in  printouts,
                        59

-------
    a system was  set  up  which  provided an  estimate of
    the wage continuation rates  per day for each job
    classification.   These rates were then used to
    translate  days  lost  into direct costs, using the
    participants' policies for sick leave  and injury
    leave.  Note, however, that  medical costs and
    permanent  disability costs cannot be estimated
    in  this way.  These  provisional costs  are replaced
    by  the  final  costs when the  participant receives
    data  from  the insurance carriers and is able to
    provide a  "closed" Time Lost and Cost  Data form
    for  the injury.

(d)  The  direct costs  recorded  for each injury do not
    include any cost  of  administration (whether by the
    participant or  by the insurance carrier).  For a
    participant covered  by a workmen's compensation
    insurance  carrier (rather  than self-insured) the
    difference between  the premiums paid in any period
    and the payments  made by the insurance company in
    the same  period can  be very large.  This difference
    arises  in  part  from administration costs and other
    charges by the  insurance company, and in part from
    the need  to retain  a portion-of the premiums for
    the occasional  very  severe accident.  Data was
    collected  on the premium costs so that a running
    comparison could be  made between premiums charged
     to  different participants, and so that an estimate
    of  the  total burden on the industry could be made.

(e)   Initially, some participants had difficulty in using
     the Time  Lost and Cost Data form because the questions
    were not well grouped.  A  regrouping of questions and
     rearrangement on the page  resulted  in a reduction in
     the number of errors made, e.g., duplicate entries of
     costs.

(f)   Two sets  of standards, OSHA and ANSI,  are currently
     used to define  and record  time lost.  These two sets
     are incompatible, and, as  pointed out in Section 2.6,
     it was  initially decided to use both.   Since the
     definitions used are complex and since the information
     required to classify an injury is often not known at
     the time the Injury Report Form is completed, questions
     necessary to reach decisions using OSHA and ANSI
     standards were  included in the Time Lost and Cost Data
     form.  For OSHA standards, questions  included whether
     the injury resulted in loss of consciousness, restriction
     of motion, or temporary or permanent  transfer to another
                        60

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          job (e.g., light duty),  as well as a complex set of
          definitions necessary to distinguish between different
          levels of severity,  particularly between first aid
          cases and non-fatal  cases without lost work days. For
          OSHA, the number of  work days lost is recorded.

          For the ANSI standard,  calendar days lost are recorded.
          ANSI also uses a complex system of "time charges" for
          certain kinds of injuries.  For example, the loss of
          a distal phalange of the little finger is charged as
          50 calendar days lost,  while the loss of the little
          finger up to the middle phalange is charged at 100
          days lost.  The first phalange of the ring finger is
          charged as 60 days lost, of the middle finger 75 days,
          and that of the index finger 100 days.  These charges
          are used in place of the actual days lost in computing
          severity.  It was thus  necessary to provide for recording
          the exact details of time-charged injuries.

          In the initial stages of the Field Test a simplified
          system of reporting  and analyzing injuries was used.
          However, this was abandoned after discussions with
          the data users because  the results were not compatible
          with either OSHA or  ANSI standards.  During the bulk
          of the Field Test, both OSHA and ANSI analyses were
          performed.  However, the resulting complexity of data
          collection, processing,  and especially presentation
          in printouts, led to the conclusion that only one
          system should be used.   Since the OSHA system will
          be used in the future,  the ANSI system is the one
          that should be dropped.
     3.2.2  Discussion.   The most serious  problem with the collection

and analysis of cost data is the "open case."   The most serious

injuries, with the highest cost per injury,  take longest to close,

i.e., to know what the final cost will be.  An injury involving

permanent disability may well not be closed  for several years.  In

a prospective study, in  which only the injuries occurring during

the study period are included in cost data,  the most serious

injuries occurring in the first year of the  study will not be
                             61

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closed until the second, third or even later years.  A short term



prospective study can thus give distorted results for costs unless



some corrective measures are taken.  The distortion of cost can be



quite large.  A review of approximately 10,000 workmen's compensation



insurance records for public employees in the States of Oregon and



California in the years 1973 and 1974 showed that a small fraction



(2%) of cases not closed within one year of injury eventually



contributed about 20% of the total costs.  After several years of



operation this problem would obviously take care of itself. In the



short term, simply omitting the cost of open cases should be avoided.



One solution is to use actual costs for cases up to some time limit,



say one year, and, for the small number of cases still open at the



end of one year, to use an estimate of the final cost.  This can



be obtained from the  "reserve" amount assigned to each open claim



by the insurance carrier.  However, the reserve amount is often an



overestimate and generally needs to be reduced by a factor, depending



on the insurance company.



      It should be noted, however,  that any distortion of costs



occurs only for the more serious injuries.  The less serious, and



more  frequent, injuries are closed earlier.  It is for these less



serious injuries that cost data is most needed, because of the lack



of  appreciation by management that these  injuries have high costs,



e.g., that  injuries associated with mounting and dismounting have



an  average  cost of approximately $400 each.  This type of cost



data  is accumulated rapidly in a prospective study.
                               62

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                     3.3  Employee Data

     As pointed out in Section 1.2, it is necessary to collect

data on all employees to be covered by the injury information

system, and not only on those injured.  This employee data is

collected in two time frames.  One set of data is collected on

those employees who are employed at the start-up date.  Another

set of data is collected periodically on new hires, terminations

and changes in job class.  These updating methods are discussed

in Section 3.6.

     The Field Test resulted in a number of changes to the methods

and forms used to collect start-up employee data.



     3.3.1  Methodologica1 Changes.  The following changes were

made in the overall methodology:

     (a)  At the start of the Field Test it was not clear to
          what extent it would be feasible for participants
          to collect and report the data necessary for start-
          up.  In order to investigate this feasibility, the
          collection of start-up employee was organized, and
          in most cases performed, by contractor personnel.
          Initially, this was performed by a review of the
          participants' records by contractor personnel
          assisted by participant staff.  This process proved
          to be very time consuming and difficult, because
          the records were incomplete, misfiled and lacking
          information that was supposed to be there.  Other
          problems arose because information initially sought
          for the Field Test was not recorded by many
          participants.  Some participants maintained virtually
          no personnel records.  To collect start-up employee
          data from participants with minimal personnel records,
          a form was devised that could be circulated to each
          current employee, to be completed by the employee
          himself (with help from a foreman if necessary).
          Some participants were enthusiastic about the use
                             63

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    of this type of  form because  it  gave  them,  for  the
    first time, a base of data  on their employees.  The
    collection of start-up employee  data  through  the
    use of a  form completed by  each  employee  proved to
    be very successful where  used, and it was concluded
    that this is the preferred  method to  be used  in the
    future.   A similar form is  completed  by new hires as
    a part of the updating methods,  and has proved
    successful.  The most recent  revision of  the  Employee
    Information Form (formerly  known as the Employee Data
    Card) is  shown  in EXHIBIT 6.   This form is designed
    so that it could be completed by each employee, with
    minimum help from a foreman,  and with no  requirement
    for an accompanying instruction  sheet. Further, the
    form is suitable for all  participants and does  not
    need to be custom designed.

(b)  Initially the hours of exposure  were  collected  on an
    individual employee basis by  requesting, for each
    employee, data  on the  shift worked  (assigned  hours
    or task hours),  the days  of week worked,  and  average
    overtime  per week.  This  method  proved to be  cumbersome
    because  it was  necessary  to make frequent updating
    reports due  to  change  of  shift or days of week  worked.
    A number  of  alternative methods  were  explored.  One
     involved  collection of  data on the  initial set  of
    employees,  and  using  this data to project all the
    hours  of  exposure information required.   This method
     suffered  from  the weakness  that  it  is not possible  to
     allow  for changes in  employment  level or  the  distribution
    of employee  characteristics,  e.g.,  hiring a substantial
     number of summer employees  who are  younger than average.
    Another weakness is  that, since  no  data would be  available
     on  individual  employees who were not  among the  initial
     set,  it would  be necessary  to request all the standard
     set  of data  items on  employee characteristics each  time
     an  employee was injured.   This would greatly  increase
     the  complexity of injury  reporting,  and one of  the  prime
     objectives of  the overall system is  to avoid having to
     supply information on the employee  each time  he was
     injured.

     A second method was therefore examined and adopted.  In
     this method,  data on hours of exposure are collected on
     a job classification basis, while information on  the
     characteristics of each employee,  including job
     classification, is collected on an  individual basis.
     Data on hours of exposure are collected on a  Job  Class
     Basing Data form, shown in EXHIBIT 7, that is used  to
                        64

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                        EMPLOYEE INFORMATION  FORM
1,   EMPLOYEE NAME  (Last name,
     first and middle  initials)

2.   SOCIAL SECURITY NUMBER
3,   SEX  (Please circle one)
/I,   DATE  OF BIRTH
     (Example: Sept.  1931
5.   RACE  (Circle one)
6,
7,

8,
HEIGHT/WEIGHT
(Example:  5   02
                       097)
LAST YEAR OF SCHOOL COM-
Pl FTFH  (e-S"  9th Brade = 09»
rLCICU  2 yrs. college = 14)
HAVE YOU  EVER WORKED IN
REFUSE  COLLECTION OR DIS-
POSAL BEFORE COMING TO
WORK FOR  YOUR CURRENT
EMPLOYER? (Circle one)
                                                             11
                                  Last Name
                                                            I, U.  U.
                                                              Initials
                          09 31)   mo.
                             1  MALE
                             2  FEMALE
                            LLJ
                                      yr.
                             1  WHITE
                             2  BLACK
                             3  SPANISH
                             4  INDIAN
                             5  ORIENTAL
                             6  CHOOSE NOT TO ANSWER
                             7  OTHER
U
ft.
inches
I  I  II
 pounds
9,   DATE  HIRED BY CURRENT
     EMPLOYER (Example: 09 01 72)
10,  DEPARTMENT/DIVISION/SECTION

11,  CURRENT JOB TITLE
                                  1 YES
                                  2 NO
                                 LLJ
                                  mo.
                                     day
                                                   yr.
                                  To be completed by
                                  employer
                                 Standard job class code
SS-IRlS(EM)-Rev. 1-5/75
                                                 I  I  I   I  I  I  I  IEIMI
                                 EXHIBIT 6
                                    65

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                          JOB  CLASS BASING DATA
YOUR ORGANIZATION S JOB CLASS  TITLE AND
ITS STANDARD  JOB CLASS CODE
                                      I  I  I  I  I  I
COMPLETE  THE FOLLOWING  INFORMATION FOR
AN AVERAGE  EMPLOYEE IN  THIS  JOB CLASS.
1,

2,

3,
     ARE  THE EMPLOYEES  IN  THIS JOB CLASS
     ON A TASK SYSTEM?
                                   (circle one)

                                     1 YES

                                     2 NO
     NUMBER OF WORKDAYS OF  VACATION ALLOWED
     PER  YEAR (Example: 2 weeks = 10 workdays)

     NUMBER OF HOLIDAYS PER YEAR WHICH ARE
     NOT  MADE UP BY WORKING AN EXTRA DAY
      (example:  9 days = 09)

     ESTIMATED AVERAGE  ACTUAL LEAVE DAYS
     TAKEN PER YEAR TO  THE  NEAREST DAY
      (E.G., SICK LEAVE, PERSONAL LEAVE,
     ETC,)
 REPEAT STANDARD JOB  CLASS CODE

 5.    SHIFT SCHEDULE  (Complete a., b., and c.
      for each of the shifts in this job class)

      SHIFT 1
      B
          ACTUAL  SHIFT FOR EACH DAY
          OF THE  WEEK,  Task system em-
          ployees' actual shifts will
          probably be less than their
          assigned shifts. Use 24-hour
          clock (e.g., 1 p.m. = 1300)
APPROXIMATE  NUMBER OF
HOURS OF  OVERTIME PER
WEEK PER  EMPLOYEE, (In
addition to the actual
shift.given above.)

APPROXIMATE  PERCENT OF
EMPLOYEES IN THIS JOB
CLASS WHO WORK ON THIS
SHIFT (to fche nearest
whole percent)
                                Sun.

                                Mon .

                                Tues.

                                Wed.

                                Thur,

                                Fri.

                                Sat.
                                         from
                                                LLJ
                                                              to
                                                               II
                                                           II
 If the employees in this job class work more  than
 one shift go on to the next page.
                                 EXHIBIT 7
                                     66

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                   JDBCLASS BASING DATA  (CONTINUED)
RE£EAI STANDARD JOB CLASS CODE
     SHIFT 2
     A,  ACTUAL SHIFT
Sun. L
Mon. |__
Tues. |
Wed. |__
Thurs . |
Fri. [_
Sat. |_
fr






om
|












|
I
1
|
|
|
|
t






o
_











i

     B,  OVERTIME PER WEEK
     C.  PERCENT OF EMPLOYEES
                                                             J 5
REPEAT STANDARD JOB CLASS CODE.
     SHIFT 3
     A,  ACTUAL SHIFT
Sun.
Mon.
Tues.
Wed.
Thurs
Fri.
Sat.
  from
I  I  I
                    to
     B,  OVERTIME PER WEEK
     C,  PERCENT OF EMPLOYEES
      LLJ
      Mil %
SS-IRlSlJC)-Rev. 1 (5/75)
                                  67

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    record for an average employee in each job class, how
    many days are worked per month, what percentage of
    employees work on each shift, and what hours per day
    and what overtime hours are worked on each shift.

    To compute an injury rate associated with an employee
    characteristic, the computer is programmed to perform
    a three step process.  For example, if it is desired
    to compute an injury rate for all employees over 6 feet
    tall during a specified 6 month reporting period, the
    computer first examines all Injury Report Forms for
    injuries that occurred in this reporting period. Each
    such injury report is linked to an Employee Information
    Form, using a Social Security or other identifying
    number.  The Employee Information Forms are then examined
    to determine which employees are over 6 feet tall.  The
    number of injuries occurring to the reporting period
    linked to these employees then represents the number of
    injuries required to compute the desired rate. To compute
    the hours of exposure, all Employee Information Forms
    are examined, and each employee over 6 feet tall is
    identified.  For each such employee, the number of
    months during the reporting period spent in each job
    class is determined.  The number of man-months at risk
    in each job class for employees over 6 feet tall during
    the reporting period is then totalled.  The number of
    hours of exposure per months for each job class is then
    obtained from the appropriate Job Class Basing Data
    form, and the total number of hours of exposure for all
    job classes for employees over 6 feet tall is computed.
    The rate is then computed as the ratio of the number of
    injuries per 200,000 hours of exposure, or by using
    some other standard method.

    The advantage of this method is that only one item of
    employee information needs to be updated, the job class.
    Allowance is automatically made for seasonal employees
    and other variations in the work force, and only one
    piece of identifying data on the employee is required
    on the Injury Report Form.  The same system yields
    hours of exposure data required for all other purposes,
    including relating injury rate to crew type and
    protective clothing.

(c)  Initially, the job class of an employee of a participant
    was recorded using the title used by that participant.
    This procedure was found to have several disadvantages,
    and one of the goals adopted for the Field Test was to
    develop a set of standardized job classes.  The
                        68

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          disadvantages of a non-standard usage are that different
          participants use different job class titles for the same
          functions,- participants use the same job class title for
          different functions within the organization,  e.g., the
          title laborer is used both for an incinerator operator
          and for a collection worker;  and, for most participants,
          job titles are used to distinguish different levels of
          pay rather than different levels of risk.  To the extent
          possible, the job titles used by participants during the
          Field Test were translated by contractor personnel into
          standard classes.  After some experimentation,  a standard
          set of job classes was developed that can be presented to
          participants, so that participants can identify a standard
          job class that corresponds to each of their job functions.
          These standard job classes are based upon the Dictionary
          of Occupational Titles (DOT),  but DOT titles in themselves
          were not specific enough to make distinctions appropriate
          for separating risk groups in the solid waste management
          industry.  A five-digit code  is used.  The first two digits
          identify a division and section,  e.g.,  Disposal-Landfill.
          The third and fourth digits identify a job type,  e.g.,
          heavy equipment operator.   The fifth digit is used to
          distinguish between different titles used by an individual
          participant for the same standard (4 digit)  job class
          code, e.g..  Sanitation Crewman I and Sanitation Crewman II,
          two titles differing in pay but not in job function,  both
          being residential refuse collectors (non-driver).   These
          codes enable analysis to be made by division, section,
          job  type  (e.g.,  all heavy equipment operators, regardless
          of section), or by individual  participants'  job  class title.
     3.3.2  Items Added as  Result  of  Field  Test.   The  following

items were added:

     (a)   Each employee name  is  entered  into  the  computer.  Initially
          the name was  only used by contractor  personnel  if a
          mismatch was  found  on  Social Security number.   During the
          Field Test it became apparent  that  the  name  was needed on
          the computer-generated Employee Data  Update  List,  supplied
          monthly to each participant, because  participant staff
          found it too  time consuming to check  for possible updates
          when using a  list which  included  only Social Security
          number.

     (b)   The exact date of hire,  job class change,  etc.  Initially
         •only the month was  recorded but this  caused  problems  with
          computer processing.
                             69

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     3.3.3-  Items Omitted as a Result of Field Test.  One of the
major findings of the Field Test was that only a small fraction
of the factors concerning employees that were included in the
initial list could feasibly be included in an injury information
system. Some factors were not available from many of the participants,
e.g., data on findings of medical examinations. Some factors were
too difficult to keep updated, e.g., sick leave usage for purposes
other than injuries.  Collection of data for some factors was
transferred from the Employee Information Form for an individual
employee, to Job Class Basing Data, e.g., shift. For other factors,
most participants did not keep records for individual employees,
e.g., on whether safety and training courses had been taken; whole
job classes were stated to have been, or not to have been, trained
and it is thus of no value to attempt to compare the accident
experience of individuals with and without training. Some factors
were dropped because it was not possible to obtain consistently
accurate data, e.g., whether the employee held a second  job. Some
were dropped because they did not appear to be useful in the
analysis of injury data, e.g., whether the employee belonged to
a  union, and the name of the employee's supervisor.

     3.3.4  Discussion.  Employee data was the most sensitive
class of information collected in the  Field Test.  Union and
other worker representatives expressed, in several cases, some
uneasiness about the collection of  data on employee age, education
                              70

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and race.  One concern was that results showing differences in



injury rates between groups of employees differing in age, race



or education might be used to the detriment of one group or another.



However, after some discussion it was generally agreed that data



was needed and could be of value to all parties.  For example, if



the injury rate were found to increase rapidly with age  (the opposite



actually appears to be the case)  this could be used as the basis for



negotiating for an early retirement plan.   The inclusion of race



as a factor was optional, and two participants did not use it.








                3.4  Non-Employee Basing Data



     Basing data is collected on equipment and vehicles; protective



clothing; crew type; accident site;  and activity.








     3-4.1  Equipment and Vehicle Basing Data.  Information on the



equipment in use is required in the study  of injuries in order to



relate injury rates to the usage of specific types of equipment



and vehicles.  In the Field Test each item of equipment was



characterized by type,  make,  model,  year,  capacity, location of



use, and maintenance schedule.  Information was also collected on



the average number of hours in use,  the average number of tons



handled, and the average number of miles driven per day.  This



information was collected in  two time frames,  at the start-up



of the system by a participant,  and periodically thereafter,  as



part of the updating methods  described in  Section  3.6.
                             71

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     In the earlier portions of the Field Test,  this data was
collected during a visit by contractor staff.   In order to make
it possible for participant staff to report this data, a standard
form was developed, shown in EXHIBIT 8.  Most participants have
an equipment list that contains most of the data requested in
this standard form, and it was found perfectly satisfactory to
use the same form for all participants, with standardized codes
for all items included as a list on the back of 'the form.  The
list of items of equipment included on the standard form was
derived from combining the equipment lists of all participants.
     During the Field Test, it was found advisable to add the
following items to those originally collected: separate spaces
for listing data on both chassis and packer (if only one space
is allowed, data on the chassis is often entered even though
data on the packer is requested and is of most interest); data
on capacity; and data on sill height (this is of considerable
interest because of its relationship to dumping injuries. However,
the sill height of a packer depends on the type of tire used, and
must be estimated individually for each packer.  Make and model
are not sufficient.).  The following items were deleted: special
characteristics  (did not produce any information that could be
useful); and cleaning schedule. Information on special characteristics
of equipment that are related to safety  (e.g., modifications to
packers) are now requested as part of  the Background Information
referred to in Section 3.5.
                              72

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               EQUIPMENT/VEHICLE INFORMATION  FORM
READ EACH QUESTION CAREFULLY,   THE BACK OF  THIS FORM LISTS ALL
THE  CODE NUMBERS,

1.    TODAY'S DATE                           I  I  1   I  I  I  I   I  I

2,    EQUIPMENT NUMBER                      I  I  I   I  I  I  I
      Use your organization's code number.
      Distinguish letters and numbers
      carefully.   Letter 0 =   Zero =O
                       S = $      5 =5"
                       Z = H      2 =&.

      EQUIPMENT  OR VEHICLE TYPE(e.g.,
      rear-end loader, pickup, etc. See codes
      on back)

      CHASSIS DESCRIPTION
      MAKE  (see codes on back)                 L_J	I
      »«/M-*r-t  (use actual equipment only,          i  i  i
      MODEL not vehiclesT          "          \  I  I
      YEAR

5,    PACKER DESCRIPTION
      MAKE (see codes on back)
      MODEL (e.g.,  00002R)
      YEAR
      CAPACITY (cubic yards)                   I  I  I
      SILL HEIGHT OF HOPPER (approx. inches)  |  |  |

6,    DATE OF PURCHASE
      (Month & Year, example 09-65)              (  (  |  |   [  [

7,    TYPE OF USE                           I  I  1
      (see codes on back)

8,    MAINTENANCE SCHEDULE                  U
      (see codes on back)

9,    AVERAGE NO, OF HOURS IN USE  PER DAY  I  I  I

10,   AVERAGE NO, OF DAYS IN USE PER WEEK  U

11,   AVERAGE TONS PER DAY                  I  I  I

12,   AVERAGE NO, OF MILES DRIVEN  PER DAY  I  I  I  I
SS-IRIS(EQ)-Rev. 1 (5/75)                       |	[  j
                            EXHIBIT 8
                                73

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TYI'K OF EQUIPMENT CODES
                                        EQUIPMENT MAKE CODES
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
99
Rear-end loader
Front-ond loader
Side loader
Load lugger
Roll-off
Container Delivery Truck
Trailer (transfer truck)
Cushman scooter
Overhead crane (incinerator)
Equipment service truck
Street sweeper
Tow truck
Snow plow
Crew truck
Open body dump truck
Open bed truck
Pickup  truck
Automobile
Tractor
Bulldozer
Earthmover
Scraper/grader
Forklift
Dragline
Disker
Tilt frame
Highlift
Crane
Compactor
Landfill spray truck
Water pump  truck
Bob  cat
Other
                  (please list)
 MAINTENANCE SCHEDULE CODES

 01  Once a day
 02  Once a week
 03  Twice a week
 99  Other
01  Chevrolet
02  Ford
03  Dodge
04  CMC
05  International Harvester
06  Mack
07  Allis-Chalmers
08  Leach
09  Heil
10  Easy-Pac
11  Cushman
12  Garwood
13  White
04  Master
15  Wisconsin
16  De tz
17  Mobil
18  Wayne
19  Pelican
20  Elgin
21  Hyster
22  Diamond Reo
99  Other
                 (please list)
TYPES OF USE CODES

11  Residential Collection
12  Commercial Collection
31  Street Cleaning
21  Landfill Operations
22  Incinerator Operations
23  Transfer Station Operations
24  Recycling Operations
41  Office & Yard Use
51  Garage Use
                  (please list)
                                           74

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     3.4.2  Protective Clothing Basing Data.   In order to



objectively relate injury rate to the use of protective clothing,



data on the use of this clothing and other protective devices is



required.  The ultimate objective is to discover if workers in a



particular job class suffer a greater or lower injury rate when



certain protective items are used.  For example, goggles may



decrease the frequency of minor eye accidents but, if they interfere



with peripheral vision, increase the frequency of other, more



severe, accidents.



     The data is collected, using a form shown in EXHIBIT 9, on



a job class basis.  The number of employees,  and the resulting



hours of exposure, in that job class are determined as described



in Section 3.3.







     3.4.3  Crew Type Basing Data.  A useful way of comparing



injury rates between participants is to relate injury rate to



collection crew type.  Most injuries occur on collection routes



but not all types of collection are comparable.   By breaking down



the collection process into different crew types, e.g.,  front-end



loader bulk container crew, realistic comparisons can be made



even between participants whose overall collection operations



are not directly comparable, e.g., private vs municipal collectors.



     Initially* each participant used the local name for each



crew type.  By reviewing all crews at all participants it was



possible, during the Field Test, to prepare a list of standard
                             75

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                      PROTFCTIVE CLOTHING
                               AND BASING  DATA
STANDARD JOB  CLASS TITLE & CODE
YOUR ORGANIZATION'S CORRESPONDING
JOB CLASS  TITLE(S),
                                                    II  I  I  I  I
PLEASE  COMPLETE THE FOLLOWING  INFORMATION
FOR THIS  JOB CLASS ONLY.
          Type of
        Protective
         Clothing
Is use of it
 Mandatory
  / = Yes
Is it Supplied
 by Employer
   / =  Yes
   Approximate %
 of this Job Class
Who Normally Use It
                                                        EXAMPLE: 50% =  050
1,    HARD HAT
2,    BUMP CAP
3,    SAFETY GLASSES
4,    GOGGLES
5,    EAR PLUGS
6.    EAR MUFFS
7,    FACE SHIELD
8,    RESPIRATOR
9,    UNIFORM
10,   FIRE-PROOF CLOTHING
11.   TRAFFIC VEST
12,   GLOVES
13,   SAFETY SHOES
14,   RUBBER BOOTS
SS-IRIS(PC)-Rev. 1 (57/5)
                            EXHIBIT 9
                               76

-------
crew types and accompanying definitions which all participants



could readily recognize.  In order to collect data on hours of



exposure in each crew type, the participant staff determine what



standard crew type names  (and codes)  correspond to their crew



types.  For each of these crew types, they provide data on the



number of crews, the job classes which make up a crew,- and the



number of men on each crew in each job class. This data can then



be used to compute hours of exposure, since hours of exposure by



job class are already available.  The form developed during the



Field Test for providing this data is shown in EXHIBIT 10.








     3.4.4  Accident Site Basing Data.  Another useful way of



comparing injury data, and one very frequently requested by the



management of solid waste agencies, is the use of accident site,



e.g., landfill, collection route,  incinerator, etc.   It should



be noted that there is a difference between accidents occurring



to employees of the landfill division, and accidents occurring



at the landfill, because many of the  latter accidents will occur



to employees of other divisions during their temporary presence



at the landfill.  In order to make these comparisons, it is



necessary to compute hours of exposure at each site.   During



the Field Test, hours of exposure  were initially computed by



contractor personnel from data supplied through interviews with



participant staff,  and a form was  later developed for use directly



by participant staff.   This form,  shown in EXHIBIT 11,  collects
                             77

-------
                             CREW  TYPE BASING DATA
Use your Crew  Code Assignment Sheet  &  Job Clasa Code Assignment  Sheet  to complete
the following  items.

EXAMPLE:  An organization has 30 Rear-End Loader Manual Collection Crews,  each
made up of a 3-man crew: 1 Res. Packer Truck Driver (non-collector), and 2 Res.
Refuse Collectors (non-drivers).  The  columns should be completed as follows:
Rear-End Loader
Manual Collection Crew
LUU    I   I  I  I     I  I  I   I  I  I
                     I  I  I   I  I  I
                     I  I  I   I  I  I
U
U
U
Standard
Crew
Type
Std.
Crew
Code
No.
of
Crews
JOB CLASS(ES) IN CREW
Std. Job
Class Code
No. on the Crew
In this Job Class
Rear-End Loader
Manual Collection Crew
 Rear-End Loader
 Bulk Container
 Front-End Loader
 Manual  Container Crew
mil
11121
 [111]
 Front-End Loader
 Bulk Container Crew
 Side-Loader Crew
 Brush Collection .Only
 Crew
 11161    I  I   1  I







































































|
i
1
|






J U
J U
J U
U U
_J U
U U
LJ U
_l U
U U

i i i irn
U U
U U
U U
U U
U U
U U
LJ U
LJ U
LJ L
                                                     i  i   i  i  rri  ir.m
 SS-IRIS(CT)-Rev. 1 (5/75)
                                   EXHIBIT  10

                                      78

-------
Standard Std. No.
Crew Crew of
Type Code Crews
JOB CLASS (PS) IN CREW
Std. Job
Class Code
Bulky Item | H 7| | | | |
Crew
Dead Animal Crew | H g| | | | |
Roll-Off Crew |2H| MM
Load-Lugger | 21 21 MM
Crew
Container Delivery 121 31 MM
Crew
Transfer Station 1 31 11 MM
Crew
Litter & Weed I 41 11 MM
Control Crew
St. Cleaning I 51 ll MM
Crc;/

























i
i
1






































'





























































1 I
1 I
1 I
1 1

No. on the Crew
In this Job Class
u
u
u
u
u
u
u
i i r.r-51
U
U
U
U
U
U
U
U
U
i i in/H
U
U
U
U
U
'U
U
U
U
i i i i r.isi
79

-------
Standard
Crew
Type
Std.
Crew
Code
No.
of
Crews
JOB CLASS(ES) IN CREW
Std. Job
Class Code
No. on the Crew
In this Job Class
Other  Type
Crew
mil!
Other Type
Crew
19121
Other Type
Crew
19131
Other Type
Crew
19141
Other Type
Crew
19151










1
1
1
1
1
1
I
1


I
1
1
1
1
1
1





































































1
1
1
1
1



















u
u
u
u
u
u
u
u

! 1 ILIbl
u
u
u
u
u
u
u
u

1 1 ILI/I
u
u
u
u
                                                    i   i  i  i  i   i  r
                                       80

-------
                                                        ACCIDENT SITE BASING  DATA BY_CREH
         Refer to your Crew Cod* Assignment Sheet  for the crew types at your organisation which correspond to the Standard Crew Types,  WTCT AU. TIME III
         HI-fiTTES.  If the tines or nusbcr of trips vary greatly on different days of  the week, estimate a DAILY average.  For the nuaber of trip*, estlnat*
         to^the nearest 10th of a trip.  Sow orRailx.itton* have collection rrevi on  which the collectors ronviln on the collection route while the driver
         ta«s the pac*cr. to the disposal site. This is the reason tor dlvldl:i(: each type by "crewmen Rolnp. to,disposal," and "crewncn not going to disposal."

         PtyyiE-8  A rear-end loader nanual collection crew is on a task system and works an sversr.e of 6.J hours a day,  for a * day week.   It sukes an averse*
         of 6 trips prr week to the incinerator and 4 trips per week to the lanCflll.  Only the driver on this 3-sun crew goes to the disposal sites, th* col-
                                                                              Id be filled out a* follows (notice that the
R-E LOAD. MANUAL COLL.
Crewoen going to dlcp. U LJU UJ LJJ U.U LLJ LJ.U 1 1 1 LJ.LJ LLJ 1 1 II Mill
Crewnen NOT going to disB.(_j I I I I I I I I I I Mill
Standard
Crcv
Type
Number
of
Crewmen
Time at
Office
(Horn.iCve.)
Time Co t
from Office
& Route
(per round)
trip)
Tins to &
fron Route
& Disposal
(per round)
trip)
LANCF1LL
Aver.
Ho. Trips
(per day)
Tine ot
Landfill
(per trip)
INCINERATOR
Aver.
No. Trips
(per day)
Tine at
Incln.
(per trip)
TRANSFER STATION
Aver.
No. Trips
(per day)
Time at
Tron.Stn.
(per trip)
TIME
OX
ROUTE
(Aver.
per dsv)
scd.
Crew
Code

  R-E LOAD. MANUAL COLL.
  Crewmen going to dicp.
J5cr*v=cnNOT jolng to disp.
U
U
                                                       LJU    U.U    UJ    U.U    LU    U.U   LU   MM
 ULU
-LUU
  R-E LOAD. BULK CONTAINER
  Crewnen going to disp.      I  1
  CrewaenNOT going to disp.    1  I

  T-l LOAD. MANUAL COLL.
  Crewmen going to disp,      1  I

  CrewsenNOT going to disp,    1  j
                   UJ      UJ    U.U    UJ    U.U    UJ    U.U   LU   MM   U1ZJ
                                                                                                        I.1I2J
                                                                                         rrr r i  i  i  ism
         UJ      LU      UJ   U.U    UJ    U.U    LJU    U.U   UJ   MM   ULlil
         I  I  I      I  I  I                                                    •                  Mil   LUU
F-E tOAD. DLTK CONTAINER
CrewB-.cn going to disp,     I  I

Crcwacn NOT going to disp.    |  I
   SS-IRIS(AS).-Rev. 1  (5/75)
                                    LU
                   LU
                   LU
LLJ    U.U    UJ    U.U    LU    U.U   UJ  MM
 UL1D
 UHll
                                                                  EXHIBIT 11

-------
Standard
Crev
Type
Number
of
Crcvaen
Tine at
Office
(Morn.iEve.)
Tine co &
from Office
I Route
(per round)
trip)
Tina to &
from Route
& Dlspoial
(per round)
trip)
LAN UX ILL
Aver.
Ko. Trips
(per day)
Tine at
Landfill
(per trip)
INCINERATOR
Aver.
Ko. Trips
(per day)
Time at
Incln.
(per trip)
TKANSKKK STATION
Aver.
Ko. Trips
(per day)
Tire at
Tran.Stn.
(per trip)
TIME
ON
BOUTt
(Aver.
per davj
sta.
Crev
Code
  SIDE-LOADER
  Creween going to disp.
  Crevscn NOT going to disp.

  BRUSH COLLECTION
  Crewmen going to disp.
  Crevnen NOT going to disp.

  BULKY ITEM
wCrewmen going to disp.
10Crewmen SOT going to disp.
  DEAD ANIMAL
  Crewrsen going to disp.
  Creween NOT going to disp.

  ROLL-OFF
  Crevsen going to disp.
  Creween NOT going to disp.

  LOAD-LUCCER
  Crcwaen going to disp.
  Crevaen NOT going Co disp.
u
u
u
u
u
u
u
u
u
u
u
u
LU
LLJ
LLJ
'LJJ
LLJ
LJJ
LJJ
LJJ
LU
LJJ
LJJ
LJJ
LJJ
LJJ
LJJ
LU
UJ
LU
LU
LJJ
UJ
LU
LU
UJ
LJJ U.U
LJJ U.U
LJJ U.U
LJJ U.U
LJJ U.U
LJJ U.U
LJJ
LJJ
LJJ
LJJ
LJJ
LJJ
                                        LllSJ
                                        LU5J
                •U.U  LJJ   I  I  I I   ULU&J
                                        UI&J
U.U   LJJ    U.U  LJJ   MM

U.U   LJJ

U.U   LJJ

U.U   LJJ

U.U   LJJ
                           '  i  i  '  ' ' i  »sm
                 U.U  LJJ   1  I  U  UiZJ
                                        11.17.1
                 U.U  LJJ   I  i  l  i  LllSJ
                                        LUSJ
                 U.U  LJJ   UN  LZilJ
                                        12111
U.U   LJJ    U.U  LJJ   Mil  12J2J
                                        12121

-------
Standard
Crew
Type
Nunbcr
of
Crewmen
Tine at
Office
(Morn.&Eve.)
Tine to &
from Office
& Route
(per round)
trip)
Time Co &
from RouCe
& Dliposal
(per round)
trip)
LANDFILL
Aver.
No. Trips
(per day)
Time at
Landfill
(per trip)
1NCINF.HATOR
Aver.
No. Trips
(per doy)
Tine at
Incln.
(per trip)
TRANSFER STATION
Aver.
No. Trips
(per doy)
Tine at
Tran.Stn.
(per trip)
TIME
ON
ROUTE
(Aver.
per dny)
Std.
Crew
Code
  CONTAINER DELIVERY
  Crcwir.cn going to dlsp.     |	|

  CrewaenXOT going to dl«p.   |	)


  TRANSFER STATION
  Crevncn going to dlsp.     |	|

  Crewaen MOT going to dlsp.   I I


  LITTER & WEED CONTROL
  Crewmen going to ditp.     I I

CD Crewnen SOT going to diip.   I I
U)

  STREET CLEANING
  Crevsen going to disp.     I 1

  Crevncn NOT going to dlsp.   I ' I


  OTHER TYPE CREW
  Crevnen going Co dlsp.     I  I

  Crevraen SOT going to disp.   |	|


  OTHER TYPE CREW
  Crewsen going to disp.     |	|

  Crevcicn NOT going to dlsp.   (	j
LU     LU
                         U.U   LLJ    U.U    LJJ   U.U  LU   I I  I  I
                  LLJ   U.U   LLJ    U.U    LU   U.U  LU   MM
                                                               12111
                                                               1213J

                                                               IHU
                                                               L2JXI
                                                                           i  i  i
                  LU   U.U   LJJ    U.U    LJJ   U.U  LJJ   Mil   HQJ
UJ   U.U   LU   U.U    LJJ    U.U  LU  I  I  I  I   15111
                                                               ISUU
                                                                    III I  I  I  I  IST71
                  LU   U.U    LU    U.U    LU   U.U  LJJ   MM   LSIU
                                                                                 1911 I
                  LU   U.U    LU    U.U    LU   U.U  LU   Mil   taflj
                                                                         MM   19121

-------
Standard
Crew
Type
Nunber •
of
Crcvaen
Tire oc
Office
(Horn.&Eve.)
Time to &
from Office
& Route
(per round)
trip)
Time to &
from Route
6 Disposal
(per round)
trip)
LANDFILL
Aver.
No. Tripo
(per day)
Tlr.e at
Landfill
(per trip)
INCINERATOR
Aver.
So. Trlpo
(per day)
Time at
Xneln.
(per trip)
TRANSFER STATION
Aver.
No. Trips
(per day)
Time at
Tran.Stn.
(per trip)
TIME
OX
ROUTE
(Aver.
per d.iy)
Std.
Crev
Code
 OTHER TYTE CREV
 Crcwnen going to ditp.     I  I

 CrevncnSOT going to dlsp.   I  I

 OTHER TYPE CREW
 Crevaen going to dlsp.     I  I
 Crewmen NOT going to dlsp.   !  I
09
 OTHER TYPE CREW
 CrevMB going to ditp.     I  I
 Crevmeo NOT going to dlsp.  |	|
LJJ      LU
LLJ     LJJ
                                                                                                      I''
                                                          19131
                           U.U    LLJ   U.U    LJJ   U.U
U.U    LJJ   U.U    LJJ   U.U   LU   I l I  I   -L2HJ
                                                          19141
                           UU    LJJ   UU    LJU   UU
                                                          19151
                                                          19151
                                                                                                      I  I  I  I i I   TSTTTI

-------
hours of exposure data at each site for each collection crew type.



These hours are added to the hours of exposure for job classes



based at each site, e.g., landfill heavy equipment operators, to



give the total hours of exposure at the site.








     3.4.5  Activity Basing Data.   One of the  most powerful ways



of breaking down the work environment so that  the injury experience



can be compared for different aspects is the use of activity.  By



activity is meant the specific operation or task being performed



by the injured employee at the time he was injured.  By breaking



up the work day into activities,  the injury rate can be compared



for each activity,  so that the relative hazards of each activity



can be examined and priorities can be set for  countermeasures.  In



addition, by the breakdown into activities it  is possible to



realistically compare the injury experience of different participants



by comparing the injury rates associated with  performing exactly the



same task.  Using the concept of activity requires data on the



exposure of employees to each activity.  For example,  refuse



collectors on commercial routes do not perform as much lifting



as those on residential routes.  Some measure  of how many lifts



are performed or how many hours per day are spent in lifting is



needed to compare the injury experience, associated with lifting,



of these two groups.



     There are two ways of assessing exposure  to activities. One



is on an event basis, i.e., the number of lifts or the number of
                             85

-------
times that an employee dismounts from the step of a truck.  The



number of such events can then be used to compute an'injury rate



in terms of number of lifting injuries per lift, etc.  The second



way is to use hours of exposure as a measure.  This is most



suitable for activities for which the risk of injury may be



assumed to be a function of duration of exposure, i.e., carrying,



riding on the step of a truck, etc.



     During the Field Test, exposure to all activities was



calculated on a time basis rather than on an event basis, e.g.,



mounting and dismounting the truck were assigned a certain time



per mount and dismount, and the estimated total number of mounts



and dismounts per day was used to compute the total time per day



spent in dismounting and mounting activities.  This choice of a



time rather than an event basis was made in order to provide a



consistent format for printouts.  It should be noted, however,



that the time assigned to an "event" activity, such as dismounting,



is arbitrary and is the same for all participants.  Comparisons



may thus be made as if the computations were on an event basis.



     Initially all activity basing data, i.e., the hours of



exposure to each activity, was collected by contractor personnel



through interviews with participant staff.  Activity data was only



collected and computed for collection crewmen.  These  represent



the vast majority of the injuries.  The methods were formalized



and resulted in a basing data sheet that could be used by



participants.  EXHIBIT 12 shows the Daily Activity Basing Data
                              86

-------
                   DAILY ACTIVITY BASING DATA

STANDARD JOB  CLASS:  RESIDENTIAL REFUSE COLLECTOR  (non-driver)
STANDARD JOB  CLASS CODE                               I2I1IOI5IOI
YOUR  ORGANIZATION'S CORRESPONDING  JOB
CLASS TITLES
1.   Number of days per week employees in this
     job  class work (use decimals if they work
     part of a day, e.g., 4*5 days = 4.5).

2.   Total ACTUAL time working per day IN
     MINUTES (EXCLUDE lunch, breaks, and over-
     time.  Task system employees' ACTUAL time
     will be less than their assigned shift.)

BEFORE AND AFTER ROUTE
Time spent per day at the office and yard in
the following activities:

     VEHICLE CHECK

     VEHICLE CLEANING

     OTHER PREPARATION & FINISHING-UP TIME

     RIDING IN  VEHICLE (from office to route
     and  route to office)

         Total time BEFORE & AFTER ROUTE (add
         a. + b. + c. + d.)

         Does this total seem correct to you?
         (If not, redo the times.)
   LJ.U  davs

(in minutes)
 A.I   I  I  I
(in minutes)

a-  I  I  I
c.
 E.LLJ
SS-IRIS(ACT)-Rev.  1  (5/75)
                           EXHIBIT 12

                               87

-------
DISPOSAL TIME
Average time  spent for ONE ROUND  trip to
disposal site.

     RIDING  IN VEHICLE (to disposal site from
     route and  to route from disposal site)

     RIDING  IN VEHICLE (at disposal site, in-
     eluding  time waiting in vehicle)

     DIRECTING AND GUIDING VEHICLE

     EMPTYING PACKER

     CLEANING OUT  PACKER

          Disposal time per trip  (add
          a.  + b. +  c. + d. + e.)

          No. of  trips to disposal  site
          (average per day)

          Total DISPOSAL TIME (multiply
          f-  x g.)

          Does this  total seem correct to
          you?  (If  not, redo the times)

COLLECTING  TIME

Compute the COLLECTING TIME  A - (B +  C)

Does this COLLECTING TIME seem correct to
you?   (If not,  recheck your figures)

Average Number of Stops per route.

Average Number of Minutes per Stop  (D — E)
Round  to the nearest whole minute.

Divide up the Average Number of Minutes  per
Stop(p) into the following activities:

     WALKING (to and from containers)

     LIFTING (containers, bags,  shrubbery, etc.)

     CARRYING

     DUMPING (into  hopper)

     WALKINGorRlDING ON STEP (to next  stop)
(in minutes)

a.
  .  I  I  I
 e.
 *  U.U

C.  I  I  I   I
n,
Jmin.
  .  I  I   I  I  Istops

  ,  |_Jniin.
  (in SECONDS)

    I  I   I  I
    LU

-------
How often do you RJ[)f QN STEP to     About 1 out of every  |  |  | stops
the next step?                        (e.g., about 1 out  of every 05 stops)

How often do you OPERATE the          About 1 out of every  II  I stops
PACKING MECHANISM?
Average number of containers picked                        |  |  |
up per stop.
                                                              Aiuir
                                89

-------
form for one job class:  residential refuse collector, non-driver.



It is necessary to use a generally similar sheet for each job



class, that includes the specific activities performed by that




job class.








                        3.5  Updating



     It is necessary to keep the various types of basing data



updated and to keep track of "open" cases where costs and lost



time are not. finally known.  Four sets of items are involved:








     3.5.1  Employee Information Updating.  During the Field Test,



updating of employee data was initially performed by contractor



staff through telephone calls,  letters and similar unstructured



means.  A system was developed in which a computer printout  is



sent to each participant, listing each employee name, Social



Security number (or other identifying number), date of hire,



date of birth, job class, and date promoted into that job class.



An example is shown in EXHIBIT 13.  The primary use of this



printout is for the participant to enter terminations and job



class changes as they occur.  A printout is sent to each participant



once per month and he returns the previous printout, amended to



show changes and terminations,  at that time.  The printout is also



useful to management in that it provides a convenient listing of



current employees.  Many solid waste agencies do not have such a



listing.  The listing is also used by the participant when he
                             90

-------
                                 INJURY  REPORTING AND  INFORMATION  SYSTEM                                   -AGE 1
          DATE  - MARCH  1975
          PARTICIPANT - 1000001
         .TYPE  OF PRINTOUT -  EMPLOYEE  DATA  '
          NAME           SOC  SEC         HIRE       BIRTH      OOo   LATC            STATUS  CHANGE  OR TERMINATION'
     LAST      FI  KI      NUMBER         DATE       DATE      CLASS  PROK       WRITE JOB  CLASS & CODE     TERMINATION  DATE

JOHNSON         B  M   002-36-5931     10-12-59    07-32     41312   10-12-72
                                                 EXHIBIT  13

                                      Sample Employes Data Update List

-------
completes Injury Report Forms, to provide the Social Security



number (or other identifying number), and to ensure that the



injured employee is on the list.



     For new hires, the same Employee Information Form is



completed that is used at the start-up of the study (see



Section 3.3) .








     3.5.2     Equipment/Vehicle Information Updating.  During



the Field Test, a system was developed for updating information



on equipment and vehicles, that is  similar to that developed for



employee information.  EXHIBIT 14 shows an example of an equipment/



vehicle update form.  This is sent  quarterly to all participants,



and is amended to indicate any equipment that has been withdrawn



from use and returned in a similar  manner to the employee printout.



For each item of new equipment added, an Equipment/Vehicle Information



form is completed,  as described in  Section 3.4.1.








     3.5.3   Time Lost and Direct Cost Status.  EXHIBIT 15 shows



an example  of a listing sent  to each participant on a monthly basis



in order to give the status  (open or closed) of injuries, together



with the cost and time lost to date, and other identifying information.



The listing includes all open cases, and all cases closed within  the



last month.  The participant's staff member responsible for keeping



track of injury costs and lost time uses this listing as a means



of reviewing newly  closed cases to  ensure that the costs and time
                              92

-------
                                   INJURY REPORTING AND INFORMATION SYSTEM                                   PAGE  1


PARTICIPANT - 1000001

DATE - FIRST QUARTER 1975
TYPE OF PRINTOUT - EQUIPMENT/VEHICLE DATA UPDATE LIST


EQUIPMENT NO.       MAKE      MODEL          TYPE      CAPACITY       YEAR      DATE PURCHASED         OLT OF  USE DATE

     000001        LEACH      2-R      REAR-END LOADER    25Y          69            10-70
OJ
                                                  EXHIBIT  14

                                 Sample Equipment/Vehicle Data Update List

-------
                                   INJURY REPORTING AND INFORMATION SYSTEM                                    PAGE 1


          PARTICIPANT - 1000001
          DATE - MARCH 1975
          TYPE OF PRINTOUT - TIME LOST AND DIRECT COSTS STATUS

                                                            r
OPEN/     INOJRY    DAY OF         NAME      SOC SEC   TYPE      WKDY      MEDICAL    LOST TIME      P D/DEATH
CLOSE     NUKSER    INJURY    LAST   FI MI    NUMBER   CASE      LOST      EXPENSE      COSTS         BENEFITS


  C       OOG01     6-18-75  JOHNSON  B M  002-36-5931   LT        150        200       3,600          14,000
          FALL TO DIFF LEVEL WHILE DISMOUNTING INJURING BACK RESULTING IN  SPRAIN/STRAIN

  0       00032     1-21-75  STEWART  J C  065-14-3601   NWLW                 105
          STRUCK BY OBJECT WHILE LIFTING INJURING LEG RESULTING IN CUT/LACER/PUNCTURE
                                              EXHIBIT  15

                                   Sample Time Lost  and Direct  Costs  Status

-------
lost figures listed are final,  and to identify open cases so that



they can be followed up.  The listing also acts as an injury log,



so that injuries can readily be reviewed.








     3.5.4  Annual Updates.   During the Field Test, it was found



that changes in management practices, crew size, equipment



utilization and similar factors do not change rapidly in the



typical solid waste agency,  so that an update of these items



needs to be made only annually, or at a time of some major change.








          3.6  Information on Management Practices



     The practices used by management in hiring, training, safety



programs, and in requirements related to safety, e.g., container



regulations and equipment specifications, are factors that might



be expected to be significantly related to injury rate.   While it



is not possible to perform intercomparisons between participants



on the basis, of these factors in a Field Test involving only 15



participants, it appeared desirable to formulate a set of questions



bearing on these points that could be used in a larger scale system.



During the Field Test several sets of questions on management



practices were asked during visits, and a set that appeared to be



feasible for gathering information through a questionnaire rather



than a visit was selected.  This set is included in EXHIBIT 16,



the Background Information form.  This form serves to identify



persons to contact, gives the types of services to be included
                             95

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                      BACKGROUND INFORMATION
IDENTIFICATION
1.   Name of organization
     Address:  Room No.
              Street
              City, State, ZIP
     Phone Number (include Area
                  Code)
2.   Persons for Contact:
     NSWISS Coordinator
     Name
     Title
     Address: Room No.
              Street
              City,  State, ZIP
     Phone Number
     Person to contact  for
     Time Lost & Cost Data
     Name
     Title
     Address: Room No.
              Street
              City,  State, ZIP
     Phone Number
     Person to contact for
     Employee Information
     Name
     Title
     Address: Room No.
              Street
              City,  State,  ZIP
     Phone Number
 SS-IRIS(BIl)-Rev.  1 (5/75)
                                                              i  i   i  i   i  i  n
                               EXHIBIT 16
                                   96

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SECTIONS CCP
IRIS
Indicate which sections of your organization you plan to include in IRIS and
the number of employees in these sections.

                                                          (Circle  APProximat:e
                                                           one)       N°'  °f
                                                                    Employees
Residential Collection                                      Yes      	
     Your Organization Name for this (indicate whether      No
     it is a department, division, section,  unit, etc.)
Commercial Collection
     Name
Dead Animal Collection
     Name
Disposal
     Name
     Indicate the number of disposal operations your
     organization is including in IRIS.
                              No.  of:
                              	 Landfill(s)
                              	 Incinerator(s)
                              	 Transfer Station(s)
                              	 Recycling Operation(s)
                                    Yes
                                    No
                                    Yes
                                    No
                                    Yes
                                    No
Street Cleaning
     Name
Weed & Litter Control
     Name
Equipment Maintenance
     Name
Administration (including clerical personnel)
     Name	^___	
Other
     Name(s)
                                   Yes
                                   No
                                   Yes
                                   No
                                   Yes
                                   No
                                   Yes
                                   No
                                   Yes
                                   No
TOTAL NUMBER OF EMPLOYEES INCLUDED IN IRIS
Are ALL employees of your organization going to be in-
cluded in  IRIS.
 SS-IRIS(BI2)-Rev. 1 (5/75)
                                    97
                                   Yes
                                   No

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OPERATIONS INFORMATION
1.   Is your organization a
2.   Does your organization have
3.   Do your organization's collection crews
     work on a
     How does your task system work (e.g.,
     when route is finished, when all em-
     ployees finish, certain tonnage, etc.)
                                          (Check those that apply)
                                          	 private solid waste company
                                          	municip. solid waste
                                          	 back-yard collection only
                                          	 curb-side collection only
                                          	 both back-yard & curb-side
                                          	 task system basis only
                                          	 8-hour basis only
                                               some task and some 8-hour
 4.
 5.
 6.
Check the collection crew size(s)  at your
organization
Check the types of collection equipment
used at your organization
List other types of equipment,  if used
Indicate frequency of residential
collection
1-man crew
2-man crew
3-man crew
4-man crew
5-man crew
Front-end Loader(s)
Raar-end Loader(s)
Side Loader(s)
Roll-Off(s)
Load-Lugger(s)
Container Delivery Truck(s)
Trailers
once-a-week
twice-a-week
 SS-IRIS(BI3)-Rev. 1 (5/75)
                                    98

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CURRENT  INJURY REPORTING  SYSTEM

Describe briefly what happens when an injury occurs:

1.   How does an injured employee on a route notify the office
     of the accident?
2.   Are all injured employees required  to visit a doctor or        _ Yes
     medical facility?                                                  No


3.   Does your organization have a set of doctors that  the          _ Yes
     injured employee must use?                                         jj
4.   Do you have a first aid station?                              _
                                                                   _ No

5.   Who  (what position(s)) now completes the injury  reports
     at your organization?
6.   How strong is the effort to have all injuries  reported?
     Are  injury reports normally completed on first-aid only        	 Yes
     injuries?                                                      	 No

 7.   What investigations are made of injuries?  By whom?  For
     what types of  injuries?
 SS-IRIS(BI4)-Rev. 1 (5/75)
                                                             I  I   I  I  I   I  PI

                                    99

-------
8.   Who (what position(s)) REGULARLY reviews  completed
     injury reports?
9.   What types of injury statistics are currently being
     compiled by your organization?  By whom?   Who reviews
     them?
SAFETY  PROGRAM

1.   How many personnel does your organization have assigned
     to solid waste safety?

     	 full-time    	as a part of their job
      no.                no.

2.   a.   Do you have a safety committee?                           	Yes
                                                                    	 No

     b.   At what level is it organized? (e.g., departmental,
          by district, etc.)
     c.   Who are its members?  How are they chosen?  Is it
          mandatory to attend?
     d.   Now often does the committee meet?


     e.   What  is the committee's purpose and activities?
      f.   Does  the committee have punitive power? (e.g.,
          can it  recommend suspension of employees?)
                                    100

-------
3.    a.    Who is in charge  of  your  safety program?
     b.    What  does  it  include?
     c.    Does your safety program include	 movies

                                                                   	 pamphlets

                                                                   	 posters
                                                                   	 demonstrations

                                                                   	 tail  gate
                                                                        meetings

4.   Estimate how much money per year  your  organization
     spends on safety programs.  (NOT including  the  cost
     of  injuries.)



5.   a.    Do you have any complaints about  your collection          	 Yes
          equipment from the standpoint  of  safety?  What
          are they?                                                	
     b.    Do you have difficulties  getting the  safety  specifi-      	 Yes
          cations you want included in your equipment  bids?

          What procedure do you follow to  get a safety speci-
          fication added?
                                   101

-------
     c.    What kinds of safety devices  do you currently
          have on your packer trucks?
6.   Do your employees belong to a union?  What role does           	 Yes
     the union play in safety?
7.   a.   What types of container rules does your organiza-
          tion come under?

          For Container type? (e.g., no oil drums)


          For Container size?


          For Container weight?


          For Container condition?


          For Container location?
     b.    If you are a private firm, are these municipal
           regulations or simply rules which your organi-
           zation uses?
      c.   How well are  these rules enforced?


 8.    What are the injury rates at your organization? (if
      you know them)

      OSHA Incidence  Rate 	

      ANSI Frequency  Rate 	

      ANSI Severity Rate 	
 9.    Do you think the number of injuries at your organi-            	 greater
      zation is greater  than or less than the number of
      injuries  at other  organizations in the solid waste             	   ss
      management industry?

      Why?
                                    102

-------
10.  What do you think night  be the major  causes of injuries

     at vour organization?
11.  Do you think that with sufficient  time and money, any-         	 Yes

     thing co.uld be done to reduce accidents at your organi-             N

     zation?                                                       	



     What could be done?
12.  Do you have any plans for  improving  safety at your or-         	 Yes

     ganization in the near future?   Please  describe.
                                                                        No
HIRING &  TRAINING


1.   a.   Do you have any hiring qualifications  that are            	 Yes

          related to safety?
                                                                   	 No


          What are these?
     b.   Do you try to hire  only  experienced personnel?            	 Yes


                                                                        No
                                   103

-------
     c.    Do you give  pre-employment  physicals  before               	 Yes
          hiring?                                                  	 No

          What do they include?
2.    a.    What type of training do  you provide  a new-hire?
          Does it include more than teaching him the routes?         	 Yes

                                                                         No
     b.   What aspects of safety are included in the training?
     c.   Are there any instructions on how to lift?                	 Yes

                                                                         No
          How is this instruction given?                            	
     d.   How much time is spent on training a new employee?
     e.   Is there any follow-up training for experienced           	 Yes
          employees?
                                                                    	 No
          What type of training?  For how long?
3.   Estimate how many dollars per year your organization
     spends on training.
                                    104

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                         MATERIALS  TO ATTACH


 If you have any of the following materials readily available to attach to
this form, it would greatly  improve  IRIS1   understanding of your organization.

1.   A copy of the Injury Report Form which your organization uses.

2.   An organization chart showing the employees to be included in IRIS.

3.   A job class list,  with  accompanying job descriptions (if you have them).
     showing job classes to  be  included in IRIS.

A.   A copy of any recent injury statistics you have compiled.

5.   Any materials on your safety or  training programs.

6.   City container regulations.
                                   105

-------
in the system,  provides data on operating methods, and describes



the current injury reporting and investigation system.



     Other management practices covered include safety programs,



safety-related equipment specifications, container regulations,



and hiring and training.  Dollar expenditures on safety and



training activities are requested.  Management's opinion on the



relative seriousness and the causes of injuries at that organization



is requested.



     This information can also be used to suggest how the output



of analyzed data can best be used by a participant.








                 3.7  Analysis and Reporting



     Data reported by participants during the Field Test was



reviewed by contractor personnel; coded using standard codes,



where necessary; keypunched onto cards, read onto tape, and



edited by an editing program.



     Analyses were performed using programs written in ANS-COBOL.



Printouts were  in  one of two general formats, a single factor



analysis  and a  "profile."  Tables and histograms presenting



selected data are  included and discussed in the Tabulation of



Data volume submitted with this Final Report.



     An example of the  format  for a single factor report, as



developed and used in  the Field Test is shown in EXHIBIT 17.



Here the  factor being  analyzed is location, with categories



collection route,  incinerator, etc.  For each category, the



following 40 values were computed and printed:
                              106

-------
                              ...    INJURY  RETORTING  AMD  ANALYSIS   SYSTEM   ••«
                    •  SOLID  RASTZ. MANAGEMENT    		
           PARTICIPANT - ALL
.	. . RC'OflT|Nt PCRlOO  -  li-|»7» THRU U7-IV71
           COST AND LOST OATS  C01PUTCO FRQH DATA AVAILABLE  AS  OF
           TYPE OF ANALYSIS  -  INJURY RATES FOR
                                                                 OS-OI-7S
                                                                  LOCATION
     FACTOR IClNfi
	ANALYitO •


         III


_.COLLECTI-ON ROUTE	
                         HA'N HOURS         u s H A  INCIDENCE   KATES
                        • OF         ••  TOTAL  •-  LOST     NONFATAL »/0  DEATHS
                         CMOSU1C     MCCO'UAALC  WORKDAY  LOST OOIIKDAVS
                        •*»••«••••*   ..  •••«••-   ••»•••      •••*••
                           121              131      dl           (S>
                                         SEVERITY  RATE   ANSI         ANSI
                                         cflHPUTto  usfNS -FBCO.UEIJCT  SEVERITY
                                        OSHA  DEfiNiTNS    MATE       MATE
                                                                       OJRCCT cos
 ..TRANSFER STATION •
  OffJCC f TAHO
'. LAhOflLt
  OTHER
	VNKNOIN.
  ••••   TOTAL   ••••
                         .2.S22.2Q4	
                            •»,7J7
                            »2,/97  --
,SS<2*..
 17.81
 la.77 -
 10.SI
.38.77.

  0.91
  1.31-
  i.SJ
                                                   2i.47
 A.I*
 *,Q1
IJ.01
»*#*#»
<*)
	 ,6*
********
3 1 • Jl 0
?2>20

- • •••**••• - •
...... 1 tl. f\7 , , 4
	 2|i&S 	
32.57

>••••!»• ••— - - •••••••••
If) (101
tB?S .jj . .,„,.,. J1.S3 	
2it,74 I.JO
S«l,»| 	 i.24 	
&10(IS 2|»*

*
                                                               J2.S4
                                                                           .01
                                                                                     2»S.76
                                                           13307   i|3SO««1
                                                                            1*»03
                                                           EXHIBIT 17

                               Example .of Single-Factor  Analysis; Accidents..by

-------
                                   • ••   INJURY  REPORT I N•••••   »••««  •,....
                                                 NONFATAL CASES
                                       FIRST     • WITHOUT LOST 	
                                        AID         WORKDAYS
                                    • NO.    t   	NO.  - I •
                                    ••••• •«..*•  •».». ......
         	..(»»  .	
                           Mil —
                                   1 111
                                          M«»
                              -ii 6) — mi — d7> — iio>
                                                          1201
                                                                                                LOST          PERMANENT
                                                                                                TIME     	DISABILITY •
                                                                                                C*SES           CASES
                                                                                                 ._. t  	NO.    t
                                                                                                 '•••««•   •»••• »(«•«*
                                                                                              |l	(22)	<21) —
                                                                                                                                  DEATHS	

                                                                                                                              -- NO.  -  »  	
                                                                                                                                •»••• ••••••
                                                                                                                                    	(2*»	
o
00
 COLLECTION ROUTE
.INCINERATOR
 TRANSFER STATION
 OFFICE.4 YARD  .-
 LANDFILL t DUMP
_OTHER	
 UNKNO*N
     971   72.IS
      il   .  .HI —
       4     .1$
    - 40-- 1.1» ,—
      90   4.7Q
*••• ..TOTAL   ••••
          497  72.14
         .— »	,ai-
            S    .52
         _ J«	1.0S-
                                                           2
                                                         -21-
                                                          13
                                                       71.77

                                                         111
                                                       -1.47-
                                                        4.S7
 274   26.37
   3   27.27 -
   I   14.47
—2I — 3S.OO	
 2S   27.70
                      203  IS.12
                                           IM   IS. IB
100.00
                  942  100.00
                                                    92  |1.07
                                                   451 100.00
                                                SS   27.09
 2C>  21.38
--  1- 14.14-
   3  SO.00
 -IS -2S.OO-
  22  21.11

  S4  27.S9
                                                                       l«t   2«,37     10B  22.91
 170  18.30
— 1-34.34
   2  33.33
— 21 —10.00-
  10  11.11
                                                                                                                    19   |.9S
                                                                    90  11O1
                                                                                     2    2.22

                                                                                     2     .99
                              410  14.71.
                                              21
                                                                                                                                    1    I.I!
                                                                   • 0?

-------
• ••   INJURY  REPORTING  AND  ANALYSIS  T.YSTCH   ••«
                                                                                                           OATC  05»oi»7»  . ----- »A«C — i-
             ..  IN3USTMV  -  SOLID  «ASTE

                PARTICIPANT  .  ALL
        	MEPORT|N6 PERIOD  •  I0-i»73  THRU  07-»«75

                COST  AND  LOST  OATS  COMPUTED FRO" DATA  AVAILABLE  AS OF  05-01-75
                TYPE  Of ANALYSIS  »  TIM£  LOST AiiO DIRECT  COSTS FOR       LOCATION
FACTOR »EIN6
	 ANALYZED
U»
COLLECTIO
.TRANSFER
OFFICE *
.LANDFILL.
OTHER
N ROUTE..
OR
STATION .
YARD
t.OUKP _

•ORKOATS
LOST
NO. I
I27|
_-I.HS
M
- 38
266
*Sl
	 I.fl21
WORKDAYS AT
	 ANOTHER JOB
NO. I
(28) (2t> (301
_7.S
3
. . 6
H
rJ4 , 1* 100*00
.19
• 5J _ .. ._* 	 . .
.66
i 71

CALENDAR
OATS LOST
NO. S
C3II *C32>*
»,15» .
26
	 S«t ...
398
. . 73*
l.fcff
71.36
.21
.. . .M9 .
3.63
A. 71
11.57
TI.IE
CHARGES
NO. 1
(33) (31|
10iQ83 62 Ol 	

	 6.000 37.Q8-


(1
- 391
	 3,
13,

DIR
C
S
S)
Ana -
9A4
090
775
793-
ECT
OJT
S
• ••
(J
16
2
1 6
1 I

s . ..,,_,,.._ 	 , . .,
4^f 1 ..•.._.. ... ...1 I l_ •!. . I . .« < • 1
6)

• 16
.33
,9j

••••   TOTAL   •••• 7,2JS 100.09
            16 100.00
                                                            IO|V7I
o
VO

-------
... ••• 1«JU*T «CPO«TtNS AN3
PARTICIPANT - ALL
— — — 	 «£PORTIN6 PERIOD • 10-1*71 THRU 07-1971 	
COST AND LOST OATS CONFUTED rROH DATA AVAILABLE

FACTO* BEING NO. Of AVERAGE MO, Or
— — — — - - -ANA.LTZIO' ftORKQAVS UOST- f ER-— — HORiCDATS -AT
LO$T ftORKOAT CASE ANOTHER JOB
HI 1)7) !}•>
__. CoiLEC.T(ON RouTp 11.11 »,na
INCINERATOR j. so
TR*h$fCR STATION IfiOO
Off ICE 1, TAMO (1. 08
LANfiflLL ^ pUlff 10i7)
OTHER
UNKNOaN i I . «•

•••* TOTAL •*»* li<0? *«00
M
o
ANALYSIS SfSTEH ••• 	 OATC 05-OI-7J _ 	 PA6C - -< 	


AS Or 05-OI-7J

ANSI AVERAGE DIRECT
— — — - - AVE" AGf ' 	 " 	 ' COST] PER
SEVERITY RATE INJURY
(39) (SOI
35 16 ' H02 17
6. SO 67.6J
?7«00 Elf 00
16.S8 229.50
1 5 4 , t g 	 	 _ 	 ,_ 121211 	 - • ~ 	 	
Igjjj 111 tt 	

10*11 1J9.76


-------
man-hours of exposure (computed as described in
Section 3.3)

OSHA incidence rates (total recordable, lost
workday, non-fatal without lost workdays, and
death)

a severity rate computed using OSHA definitions.
This is not an OSHA standard value, but proved to
be useful to those using the data.  It is computed
as the number of workdays lost per 200,000 man-hours.

an ANSI frequency rate

an ANSI severity rate

direct costs per man-month.  This is used for
comparison purposes and represents the total
direct costs associated with that class of injury
per average man-month at risk.

the number of injuries,  broken down in two
ways.  The first breakdown is by total, OSHA
recordable and ANSI disabling.  The percentage
that each represents of the total for all
categories, i.e., all locations in this case,
is also given.  For example, OSHA recordable
injuries on the collection route represented
72.45% of all OSHA recordable injuries at all
locations.  The second breakdown is by first aid,
non-fatal cases without lost workdays, lost time
cases, permanent disability cases, and deaths.
The percentage given here is for one category.
For example, 48.30% of the injuries on the
collection route were lost time cases.

the number of workdays lost and percentage of the
total workdays lost for all categories

the number of workdays at another job (an OSHA
standard, e.g., light duty) and the corresponding
percentage

the number of calendar days lost, and the corresponding
percentage

time charges, as used in the ANSI system, e.g., 6,000
days for a death, and the corresponding percentage
                   111

-------
     •    direct costs and the corresponding percentage

     •    the average number of workdays lost per lost
          workday case

     •    the average number of workdays at another job

     •    the ANSI Average Severity Rate

     •    the average direct costs per injury

     During the Field Test, printouts of this type were sent to

participants and comments were requested.  The most frequent

comment was that there was too much information on each category,

arising from the use of both ANSI and OSHA standards. Accordingly,

the results of the Field Test suggest that only one standard should

be used, as discussed in Section 3.2.1.

     The format for a profile report is shown in EXHIBIT 18.  The

concept of a profile report is still in a developmental stage, and

its objective is to identify those combinations of factors that

are responsible for repeated injuries and to present the information

in a readily comprehended form that shows the relationship of the

factors.  Using a single factor presentation is not as directly

useful in many cases.  For example, knowing the injury rate for

back strains does not give information on how they happen.

     In the profile, the various factors are strung together by

the computer into an english sentence.  The number of injuries,

workdays lost, and cost data associated with that profile are also

listed.  During the Field Test, the profile printouts used the

same headings as the single-factor printouts, with the exception
                             112

-------
                                   *•*    INJURY  REPORTING  AND  ANALYSIS  SYSTEM   •••
                                                                                                      OATc  OS-01-75
                                                                                                       PAGE
              .' INDUSTRY  -  SOLID  BASTE «ANAGEN£NT
             — PARTICIPANT •  ALL             -             ...                	
                REPORTING PERIOD  - 07*1*73 THRU o»-i»7i
                COST  AN0  LOST  DAYS COMMUTED F«0* OATA AVAILABLE AS OF  OS-OI-7S     , .   .
                TYPE  OF ANALYSIS  . SUHNARV OF HO. OF INJURIES FOR       ACCIDENT PROFILE
            -JTROMLC..
                              ..NUMBER-OF INJURIES			
                                     0 S M A
                                  •RECORDABLE
                                     NO.    S
              Ill
                             ANSI   .      FIRST
 .   TOTAL- -  -RECORDABLE   -- DISABLING         AID
 NO,     S      NO.    S      NO.    S      NO.    S
_»t»t t. *•»••»	*»•••.-«*••«•_••••« -••«•••-«*«•• -••••»!
 (Ill    (121   (III    (HI   (IS)    (141    (J7)   (in

•ITHOUT LOST
NO, S NO.
(If) (201 {211
i n^Y
TIKE
CASES —
I

DISABILITY
	 CASES —
NO, S
(23} (2*1


DEATHS
NO. f
I2H (241

      OVCRCXERTION »M|LC  LIFTING iNJyRlNC  ARM RESULTING IN  SPRAIN/STRAIN
                       --- .. . fr --- ,J0 -- J ---- ,J4 --- . -- 2 ---- ,17 --- z~ ICiOO
                                                                                —i—ZO.-OCT
                            (-INJURING—*R 1ST. RESULTING-IN—SPRAIN/STRAIN	
                          S    ,3o      i    ,24      2    .17      2  10.00      I   20,00
  OVEREXERT i*aV"f N|LCLIFTING INJURING  BACK RESULTING IN  SPRAIN/STRAIN
  			--•	•• ..-S.3J  	73 --4,22	40   S.I2- -- IS  17.05	1»—
                                                                                                     2  10,00
       OyCMCXCliTlON *N|LC- LIFTIN6 .INJu«IN6— ABOOHEN RESULTING IN  SPRAiN/STRA;N  ------------
                              •     .18      7    .40      S    .43      1  12. SO      2  2&.00
                                                                                                    42.50
P     OVCMEXEMTION IN|L(  LIFTIN6  INJUK|NC  6EHITALIA,G«0|N RESULTING  SPRAIN/STRAIN
UJ	 • ...  ,1|	7— .40-	*•   .,3* ••-- I  12.SQ 	3—

    	?_*E«C*£«T10N.«NILt_.tirJlN6.IN Ju(llNG..-HULTJPLE_PARTS-RESULTIN6_JN._SPRA IN/STRAIN
                              i     .JO      J    .24      )    .24      2  10.00
       OVCREXERTION «HILC' USING HAND TOoL"iNjuRiNc  BACK RESULTING IN  SPRAIN/STRAIN
    __	1	,Jg.	J	,24	J	.24	2- -MO.00
                                                                                                -1—6Q.OO
                                                                                                    40(00
                                                                                                    -40.00-
__L«KCI.iJ.Tt/SIJHG.>HILt._.STANOlNS/l»ALKIUS_IHJURlNS.--ARM RESULTING IN .._JNSECT_B.IJE/STING_
                          *    >>4      J    >24      I    .0*      3  SO.00      2  33,33
  ANIHAL BlTC/SCRATcH WHILE  CARRYING INJURING  LEG RESULTING IN  ANIMAL BITE
	—		  -•-  S	,3o	•  2	,17— •  • ••           ••  3  40.00	2--«0»00"
	ANIflAL-BlTE/SCRATcH RHILE _STAN01NG/iALK1NC INJURING - LEG-RESULTING  |N  ANlHAL-BlTE	
                          4    .34                                  4  100.00
  STEPPED ON SHARP OBJ RHILE  CARRYING INJURING  FOOT RESULTING IN  CUT/LACER/PUNCTURE
			       •?•— .1|	-6	 ,13	I — ,0»	2- 2B.57	1 -S7,M-
—STCfPCO.ON..SHARP.OBJ •HUE—UlFTlNG-INJURING  FOOT RESULTING JH -CUT/LACER/PUNCTURE	
                          *    ,34      1    .31      2    .17      2  33.33      2  33,33
                                                                                                      I   14,47
                                                                                                     -I—11.2»-
                                                                                                     2   33.33
      STEPPEB ON SHARP OBJ HHILE  STANDING/BALKING INJURING  fOOT RESULTING  IN  CUT/LAC£R/PUNcTU8£
      	— .- . .  ., .,...»	,S<,	S	.13	3	.24	H  HH,<(H	2- -22,22	
                                                                                                 -3—33t33—
                                                       	EXHI.BIT.JL.8._..
                                    Example of Profile Analysis; Four-Factor Accident  Profile

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                               •••   INJURy  REPORTING  AND  ANALYSIS  SYSTEM    •••                     OATc   OS«OI-7f         PACE
            INDUSTRY . SOLIP BASTE

            REPORTING PERIOD • 07-J»7J THRU 0**IV7<
          .  COST AND LOST OATS COMPUTED FROM DATA AVAILABLE AS OF  OS-OI-7S     	
            TYPC Of ANALYSIS • T|M£ LOST AND DIRECT COSTS FOR       ACCIDENT PROFILE
        P«OfUC	.BOR,ICOAYS	  WORKDAYS AT--	CALENDAR   ...      .TINE    	DIRECT
                          LOST           ANOTHER JOB        DAYS LOST          CHA«6£S           COSTS
                     ••  «0.     S   	 -NO.    I  ._.     NO.      I       NO.    «  	(  -_-i
                       •••*• •••«.,     ••••• «•«••»     •»•••   •....«   ••••• ••.».«     »•««..  ••»••»
         HI	1211    1211  ....  <2ti   (jo>._.   (ju     (32)    |33»-   (3i)
 _9XtAEXCftTiaN.IH|LC-.LIFTING. INJURING—ARM..RESULTING- IN • SPRAIN/STRAIN	
                          H     .14                         |V      .15                      ,43
   OVEREXEftTlON  *H|Lt   LIFTIN6 INJURING  »«IST RESULTIN6 IN  SPRAIN/STRAIN
  	               -6—^-.04	»	.07
 _ovciicxcjiUON-»HiLc—LIFTING-INJURING—BACK.RESULTIMC-IN... SPRAIN/STRAIN.	
                    	•!»    »«**           	     1,252     »«5B                   61,112    4.SS

   bvEREXERTION  fMi'Lt   UTTING INJURING  ABDOMEN RESULTING IN  SPRAlh/STRA ]N
                            	,S0	41 	.17
 _ P.YE8tXERllOH..IHIH—.LIFT I Nt-lKJuRtNG-~ CfNJ TALI A, CRO|N-RESULT INS  -SPRAIN/STRAIN	
                          II     >U                          23      .16                     lto?3     .M

  OVEREIEMTION  iM|Lc  LIFTINC  INJURING   MULTIPLE  PARTS RESULTING |N  SPRAIN/STRAIN
                          »*     .»!     ....        .       21      .14          -.-      	 -471	.09

....PVCREURT ION. KHUC... USING  HAND  TOOL -INJURING.. BACK-RESULT I KG. I«... SPRAIN/STRAIN	
                          I*     •'!                          2f      t22                      477     .Of
  INSECT BITE/STING «HILE   STANDING/«ALKIIIG INJURING  ARM RESULTING IN  INSECT BITE/STING
  	1	.0|	1	.01	J-71	.02-
—AJllHAL.BlJE/SC«ATcH JH»LE._CARRrlNG- |NJURING._LEG.J«ESULT1NG IN.. ANIMAL 8ITE-
                                                                                               79     .01
  ANIMAL BlTE/SCRATcH MILE  STAN0 INC/WALK ING  INJURING  LEG RESULTING IN  ANIMAL BlTE
  STEf PEO .OH $MA»f.OBJ >MlLE..CAKRtlNG.lNjUKIKG _ TOOT.. RESULTING IN  CUT/LACER/P.UWcTuRC
                           >     >0*|                           I       .01                       2l2     .03
  STEPPED ON JHA*P OBJ «HJLE  LIFTING  INJURING   FOOT  RESULTING IN  CUT/LACER/PUNCTURE
	,	....	  ... 4	,os	:	B	.04	246	.03	

 ..STCPPEO'ON SHARP OBJ .WHILE ...STANOING/»ALKING. INJURING .  FOOT. RESULTING..JN  «UT/L»CER/PUNCTURE	
                          *    .07                           7      .OS                      102    -.OS

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of the rates, which cannot be computed for profiles because no



exposure data is available.  EXHIBIT 18 shows a four factor profile,



for the factors accident type (e.q., overexertion), activity  (e.g.,



lifting), part of body (e.g., shoulder), and injury description



(e.g., strain/sprain).



     With further development, any combination of factors can be



printed out as a profile, so that injuries associated with particular



kinds of container, e.g., plastic bags, type of waste,  etc., can be



examined.



     It is recommended that fewer headings be used, namely the



number and percent of total for OSHA recordable injuries, and



the number, percent of total, and average for both workdays lost



and direct costs.  This will simplify the examination of the



printouts.








     The following printouts were prepared during the Field Test



in order to test feasibility, in single factor format unless



otherwise indicated:



     •    Part of Body



     •    Nature of Injury



     •    Activity (single factor and profile)



     •    Accident Type (single factor and profile)



     •    Characteristics of Waste (profile)



     •    Equipment Type



     •    Day of Week
                             115

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     •    Hour of Day



     •    Accident Site



     •    Crew Size



     •    Number of Hours on  Job Prior to Injury



     •    Job Classification



     •    Division



     •    Race



     •    Age



     •    Height



     •    Weight



     •    Education



     •    Type of Employment  (e.g., temporary)








                   3 . 8  Telephonic^ System



     One major departure from the remainder of the Field Test



involved the development and  testing of a telephonic injury



information system.  In this  system, data on injuries is telephoned



by the participant (the reporter) to a central office where trained



coding staff  (coders) enter data into the computer.  Data on



employees and other basing data is, for the most part, collected



on forms by mail.



     Collection of injury information from the participants over



the telephone by a trained central office coder offers the following



specific potential advantages compared to the use of an Injury



Report Form:
                             116

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     (1)  While the IRF must include all possible alternatives
          and thus be rather cumbersome, the telephone conversation
          need only proceed along those lines applicable to the
          specific accident.  For example, if the accident did
          not involve a fall, none of the questions regarding the
          location of the fall need be asked on the telephone,
          while they must be included in an IRF.  The reporter
          need not be provided with a list of all the multiple
          choices available as a response to a given question.
          The reporter can be allowed to state his choice in
          his own language, and the recording person can then
          focus in on the appropriate multiple choice selection,
          by asking supplementary questions if necessary.

     (2)  The coder can interpret the response of the reporter
          to a specific question, and ensure that the question
          was understood.

          A substantial amount of training is required to prevent
          inappropriate answers on an IRF, such as the response
          "he hurt his leg" to the question "what was the employee
          doing at the time he was injured."  On the telephone,
          the question can be repeated and rephrased to ensure
          that the answer is responsive.  This avoids the need
          for careful and longwinded phrasing of questions on
          the IRF, arising from the desire to be unambiguous.
          The telephonic system also cuts down on the amount of
          training that it is necessary to provide for participant
          staff responsible for reporting injuries.

     (e)  The coder can input the data directly to a time-sharing
          computer, via a CRT terminal, while the reporter is on
          the line.  This allows the CRT screen to be used to
          list questions and multiple choice selections for use
          by the coder.  Data can be edited as entered and
         .inconsistencies can be displayed, e.g., the name and
          Social Security number given for an injured employee
          can be checked against an employee file.  The computer
          can then display on the CRT a summary of the injury
          data for review by the coder, and can generate a hard
          copy of the injury summary that can be mailed to the
          participant.

     A small scale trial of the telephonic method was made using

participant 11.  A toll-free telephone number was made available,

and the modifications were explained, at a special training
                             117

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session, to the participant staff responsible for reporting



injuries. These reporters were furnished with copies of the IRF



to use as reminders of what questions would be asked, and the



coder took down the data on an IRF since the computer program



for on-line data entry had not yet been developed. No difficulty



was experienced in taking down data during the three months that



the system operated.  Each telephone call lasted 2-3 minutes.



Periodic reports were made to a supervisor at the participant,



who checked tha.t no injuries went unreported.  Upon receipt of



telephone notification of an injury, a Time Lost and Cost Data



form was made up containing a brief identification of the injury



(employee's name, Social Security number, date of injury, etc.).



This sheet was mailed to the participant to collect time lost and



cost data.



     This system was very well accepted by this participant. Each



of the reporters (the foremen) expressed the view that telephone



reporting was simpler, faster, and more fun.  It is therefore



highly recommended that the telephonic method be considered for



a future larger scale study.
                             118

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              IV.  CONCLUSIONS:  FEASIBILITY OF

                  INJURY INFORMATION SYSTEM
     The conclusion reached as a result of the Field Test
     is that an injury reporting and analysis system for
     the solid waste management industry is feasible.
     During the Field Test, each element of an injury information

and analysis system was formulated, tested, and revised where

necessary (often many times)  until a workable method was developed,

These elements provided for the definition and collection of data

on injuries, employee characteristics, work practices, equipment,

and other factors relevant to injury rate.  The elements were

assembled into a working system that was tested and found capable

of yielding analyzed data.  Specifically, using 15 participating

solid waste agencies of widely different characteristics and

geographical locations, it was found that:

     •    the Injury Report Form developed (which is partially
          custom designed for each individual participant)  can
          be completed on time and accurately by participant
          staff at the foreman or clerk level, without on-site
          training by contractor personnel.

     •    the system for collecting time lost and direct cost
          data, which involves interaction between a central
          office (during the Field Test, the contractor) and
          each participant, worked well even though some
          injuries continue to accumulate costs for many
          months.

     •    participants were able to provide the required data
          on employees and equipment.  A form by which start-
          up data on employees can be collected proved workable
          and can be completed by each employee working for a
          participant which does not maintain detailed and
          easily accessible personnel records.
                             119

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     •    participants will provide update data on employees
          and equipment in a timely and comprehensive manner.

     •    participants are able to comprehend and use the
          printouts of analyzed data.

     The operation of the system to provide analyzed data was

primarily directed towards establishing feasibility.  Because  of

the scale of the Field Test, it was not possible to generate a

large amount of analyzed data that is  immediately applicable.

However, some significant findings were made and are described

and discussed in a companion volume to this Final Report, entitled

Tabulation of Data.  Sufficient analyzed data was produced to

demonstrate that the system will provide information that can:

      (a)  motivate management to take  action on safety, by
          enabling realistic comparisons to be made between
          different participants.  Each participant can
          compare injury rates, for specific aspects of his
          operations, with other participants.  Since the
          "best" participants have an  injury rate  (for
          certain areas) that can be five or more times
          lower than the "worst," the  attitude that injuries
          are inherent to this industry becomes difficult
          for management to maintain.

      (b)  point out areas that need priority action, and
          justify, on a cost basis, the implementation of
          accident reduction measures.

      (c)  give information necessary to select from the safety
          viewpoint collection methods and other work practices,
          e.g., the use of intermediate containers.

      (d)  be used to evaluate the effectiveness of accident
          countermeasures.

     In the initial stages of the Field Test, the system relied

heavily upon contractor staff to collect data from participants. In

accordance with the goal to develop a  system in which participants

would feed information into a central  office, as discussed in
                             120

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Section 1.3, the later stages of the Field Test were directed



towards the development of the required forms and procedures.



The forms and procedures for an Injury Reporting and Information
   «


System for Solid Waste Management (IRIS)  are described in a



companion volume to this Final Report, entitled User's Manual.



     Acceptance by the 15 participants in the Field Test of forms



and procedures similar to those in the User's Manual has been



excellent.  The participants have remained in the Field Test



through a very trying period in which continuous changes were



being made in the forms and procedures, and in which there was



a large delay before it was possible to return analyzed data to



the participants.



     A variation in which injury information was telephoned to



the central office, rather than sent on an Injury Report Form,



was developed and tested with one participant.  This variation



proved to be highly successful and of benefit both to the



participant and the central office staff.  This variation should



be followed up if possible and seriously considered for use in



IRIS



     During the Field Test it was found that there is ample



evidence of high demand for the type of information that could



be provided by IRIS.   The following  types of organizations



requested information from the contractor:



     •    the participating solid waste agencies (requested

          specific analyses and also general information to

          be provided to higher management).
                             121

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     •    other non-participating solid waste agencies (requested
          information on a large variety of topics,  including
          crew size,  task system, backyard vs curbside collection,
          use of plastic bags,  etc.).

     •    a regional  state-sponsored solid waste management agency
          (requested  consultation on how to organize a regional
          solid waste injury information system in their area).

     •    a User Requirements Committee set up under a National
          Science Foundation contract directed towards the
          development of equipment standards for refuse collection.

     •    the ANSI Z245 Committee, working on safety standards
          for refuse  collection.

     •    a National  Safety Council group working on safety manuals
          related to  work practices in the solid waste management
          industry -

     •    workmen's  compensation insurance companies interested in
          methods of  analyzing and presenting data in a form that
          would help  their clients control injuries.

     •    a manufacturer developing new equipment.

     •    many individuals and groups concerned with safety in
          general.

     The conclusion  reached as a result of the Field Test is that

an injury reporting  and analysis system, of the type described in

a companion volume as an Injury Reporting and Information System

for Solid Waste Management, is feasible and that there is a need

for the information  that would be generated.
                             122

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                    SELECTED BIBLIOGRAPHY
     The following is a selected list of references reviewed
during this study-  The list is not meant to be comprehensive,
but it may well be a start towards a comprehensive bibliography
of occupational health and safety in the solid waste management
industry which at present does not exist.

     The references here cover only occupational safety and health
in the solid waste management industry, and related topics such as
training.  In particular, articles on public health and safety
(e.g., vector control)  and on hazardous waste are not included
unless they include material on occupational safety or safe
working procedures.

     The references are divided into two sets: 1) those with known
authors which are listed alphabetically by author; and 2)  those
whose authors are anonymous, which are listed alphabetically by
title.

KNOWN AUTHORS

1.   Anderson, J.P.  Occupational injury of sanitation employees
       in municipalities of varying size.  Unpublished thesis,
       1973.  26 p.

2.   Boggus, R.F.  Operation responsible (implementation schedule).
       Harbridge House, Inc.  Los Angeles,  1971.

3.   Boggus, R.F.  Operation responsible/safe refuse collection.
       Public Works,  July 1972, p. 51.

4.   Cimino, J.A.  Health and safety in the solid waste industry.
       Proceedings; New York Academy of Sciences  Section of
       Environmental Sciences,  May 1970.

5.   Cimino, J.A.  Health and safety in the solid waste management
       industry.  American Journal of Public Health, 65(1): 38-46,
       Jan. 1975.

6.   Compton, D.M.J., R.J. Hasterlik and K. King.  A pilot study
       in the field of  occupational health in the solid waste
       management industry-  Sponsored by U.S. Environmental
       Protection Agency, Office of Solid Waste Management Programs
       under Contract No. CPE-70-114.  June 1972.

7.   Costello, C. and R. Lascoe.  Are your city employees  safe on
       the job?  Nation's Cities, 9(5): 16-17, May 1971.
                             123

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8.   Diamond, A.   Worst risk firm sets insurance rates.  Solid
       Waste Management/Refuse Removal Journal, 11(5): 48-52,
       May 1968.

9.   Dunford, W.   APWA Ontario Chapter accident survey.  APWA
       Reporter,  Feb.  1973,  p. 16-17.

10.  Dunford, W.   Collection personnel have highest accident rate,
       Solid Waste Management/Refuse Removal Journal, 16(4): 14+,
       Apr. 1973.

11.  Gellin, G.A. and M.R. Zavon.  Occupational dermatoses of
       solid waste workers.   Archives of Environmental Health,
       20: 510-515, Apr. 1970.

12.  Gershowitz,  H.  New safety legislation provides uniform
       warnings for equipment.  Solid Waste Management/Refuse
       Removal Journal, 14(7): 28, 66, 68, July 1971.

13.  Greco, J.R.   Proposed safety standards for rear-loading
       collection vehicles.   Solid Waste Management/Refuse
       Removal Journal, 16(9): 8+, Sept. 1973.

14.  Greco, J.R.   Proposed safety standards for side-loading
       packer vehicles.  Solid Waste Management/Refuse Removal
       Journal, 16(10): 23+, Oct. 1973.

15.  Greco, J.R.   Proposed safety standards for stationary
       compaction equipment.  Solid Waste Management/Refuse
       Removal Journal, 16(11): 18, 67-69, Nov. 1973.

16.  Hammer, D.I., J.F. Finklea, L.E. Priester, J.E, Keil, S.H.
       Sandifer and K. Bridbord.  Polychlorinated biphenyl
       residues in the plasma and hair of refuse workers.
       Environmental Health Perspectives, 1(1): 83, Apr. 1972.

17.  Kimura, M.   (Fuji Heavy Industries Co.).  Safety device for
       rear gate of garbage truck.  Japanese Patent 46-19, 522;
       filed Apr. 2, 1968; issued July 7, 1971.

18.  King, K.  How to  calculate injury rates.  Waste Age, Mar.
       1975.

19.  King, K.  The use of accident statistics.  National Safety
       Congress Transactions, 8: 89-91, 1974.

20.  Kuhn, A.J. and R. Lascoe.  Cities and safety.  National
       Safety News, 97(11): 32, Nov. 1967.
                            124

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21.  LeSage, F.  Well designed vehicles need well trained crews.
       Sanitation Industry Year Book; 40, 42, 44, 48, 1970.

22.  Lofton, S.  Garbage job has hazards.  Herald, Feb. 21, 1969,
       Augusta, Ga.

23.  Lovested, G.E.  Training materials for crane operators.
       National Safety News, 105(4): 59, Apr. 1972.

24.  MacKay, B.B., Jr.  Santa Glaus may be denied used of air
       space this Christmas.  Solid Waste Management/Refuse
       Removal Journal, 15(12): 8, Dec. 1972.

25.  MacKay, B.B., Jr.  Training pays dividends in reduced
       injuries.  Solid Waste Management/Refuse Removal Journal,
       16(2) : 30, Feb. 1973.

26.  Marceleno, T.  Building safety into refuse collection.
       APWA Reporter, Feb.  1973, p. 18.

27.  Marceleno, T.  Industry joins with government on safety
       program.  Solid Waste Management/Refuse Removal Journal,
       14(12): 34, Dec. 1971.

28.  Markam, J.W.  An occupational health service in a transport
       and cleansing department.  Presented at the 69th Annual
       Meeting, Institute of Public Cleansing, Blackpool,  England,
       June 6-9, 1967.  15  p.

29.  O'Dette,  R.G.  Health  hazards associated with solid waste
       management.  Unpublished manuscript, Nov.  24, 1969-   24 p.

30.  Ohanesian, J.  Accident prevention.  Solid Waste Management/
       Refuse Removal Journal,  12(7): 60,  July 1969.

31.  Sanders,  T.  What's all this noise about noise.  Waste Age,
       1974.

32.  Sanders,  T.  Basic elements of a sound accident prevention
       program.  Waste Age,  May/June 1973,  p.  122+-

33.  Sliepcevich, E.M.  Effect  of work conditions upon the  health
       of the uniformed sanitationmen of New York City.   Springfield
       College, Springfield, Mass., June 1955

34.  Star, S.   Safety for refuse collection systems.   Proceedings;
       5tn Annual Seminar &  Equipment Show,  San Francisco,  Nov.
       1967, p. 33-41.
                             125

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35.   Star,  S.   Safety standards for solid waste management.
       Public  Works,  102(4):  97-98, Apr.  1971.

36.   State  of  California,  Department of Industrial Relations,
       Bureau  of Labor Statistics and Research.  Disabling work
       injuries in refuse  collection.  Iri Work Injuries in
       California, San Francisco, 1967, p. 3-6.

37-   Stone, L.C.  (of USPHS;  Communication to Mr. John Wheeler,
       Solid Waste Programs).   Case histories of death associated
       with solid wastes disposal.  Sept. 7, 1967.

38.   Stone, R.  One-fourth of employee's injuries due to back
       sprains.  Solid Waste Management/Refuse Removal Journal,
       15(7):  30, 56, July 1972.

39.   U.S. Public Health Service, Solid Waste Management Office,
       Department of Health,  Education, and Welfare.  Solid waste
       handling - health and safety.  Cincinnati, 1968.

40.   Van Beek, G.  Apathy?  Neglect?  Poor Management?  Waste Age,
       1973.

41.   Van Beek, G.  A really big show!I  Waste Age, Aug. 1974.

42.   Van Beek, G.  Basic elements of safety organization.  Waste
       Age, 2(5); 26-38, 41,  Sept./Oct. 1974.

43.   Van Beek, G.  Employee safety in the solid wastes industry.
       Public Works, 99(12):  74, Dec. 1968.

44.   Van Beek, G.  Personnel:  accident prevention.  National
       Safety News, 99(4): 41+, Apr. 1969.

45.   Van Beek, G.  Poor OSHA!!  Waste Age, May 1975.

46.   Van Beek, G.  Public Lav,- 91-596.  Waste Age, Oct. 1974.

47.   Van Beek, G.  Safety meetings - what do I talk about?
       Waste Age, Apr. 1975.

48.   Van Beek, G.  Stationary compactors.  Waste Age, Dec. 1974.

49.   Van Beek, G.  Storage and handling of hazardous wastes.
       Waste Age, Nov. 1974.

50.   Van Beek, G.  The Milwaukee story - one year later.  Waste
       Age, July 1974.                                    	
                           126

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51.   Van Beek,  G.   The world's greatest safety show.  Waste Age,
       Sept.  1974.

52.   Vanderweld,  J.  Slipshod operations have no future in this
       industry.   Solid Waste Management/Refuse Removal Journal,
       12(9): 8,  86, 89, 93, 100,  Sept. 1969.

53.   Van Kleek, L.W.  Safety practices at sanitary landfills.
       Public Works, 90(3):   113,  Aug. 1969.

54.   Wagner,  L.E.   Chemical  wastes:  stressing safety makes
       extensive recovery viable.   Solid Waste Management/Refuse
       Removal Journal, 18(6): 12-13, 40, June 1975.

55.   Wener, S.D.   IRIS - A new service.  Nation's Cities, Sept.
       1975.

56.   Wingerter, E.J.  Coordinating productivity, conservation,
       and safety-   Solid Waste Management/Refuse Removal Journal,
       17(18):  38,  48, Aug.  1974.

57.   Wingerter, E.J.  NSWMA group to stress equipment safety.
       Solid Waste Management/Refuse Removal Journal, 15(2):
       34, 72,  Dec. 1972.

58.   Zasso, B.   Employee accidents drain economic, human resources
       Solid Waste Management/Refuse Removal Journal, 16(2) :  32,
       70, Feb. 1973.

59.   Advice on fighting dump fire hard to find.  Public Works,
       101(3): 91-92, Mar. 1970.

60.   A medical guide to driver selection.  Solid Waste Management/
       Refuse Removal Journal, 14(10): 52, 60, Oct. 1971.

61.   Construction industry and public employee.  National Safety
       Congress Transactions, V. 8, Chicago, National Safety
       Council, 1969.142 p.

62.   Driver safety standards cut accident potential.  Solid Waste
       Management/Refuse Removal Journal, 17(12): 40-41, 71,
       Dec. 1974.

63.   Driver testing:  written and road examinations.  Sanitation
       Industry Yearbook, 1975, p. 56, 76, 78, 80, 82.

64.   Early compliance urged on EPA noise standard.  Solid Waste
       Management/Refuse Removal Journal, 18(8): 70, Aug. 1975.
                              127

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65.  Equipment danger markings.   Solid Waste Management/Refuse
       Removal Journal,  13(7):  6-7, July 1970.

66.  Industry safety.  National  Safety Congress Transactions,
       V. 12, Chicago, National  Safety Council, 1969.128 p.

67.  Injury record tops all others in country.  Solid Waste
       Management/Refuse Removal Journal, 12(1): 10-11, 26,
       32-34, 44, Jan.-Feb. 1969,

68.  In Michigan safety standards for packer units updated.
       Solid Waste Management/Refuse Removal Journal, 17(7) :
       52-53, 59, July 1974.

69.  Mission responsible.  National Safety News, 105(4): 49-51,
       Apr. 1972.

70.  More thoughts on safety in the industry - tools, fires,
       putrescibles, trucks, clothing and psychology.  Solid
       Waste Management/Refuse Removal Journal, 15(8): 44,
       66-67, Aug. 1972.

71.  Municipal accident prevention.  The American City, 77:
       106, Jan. 1962.

72.  National association sponsors regional safety seminars.
       Solid Waste Management/Refuse Removal Journal, 16(1) :
       98, Jan.  1973.

73.  New EPA program.  Refuse Report,  (International City
       Management Association)  1(3), May/June  1975.

74.  New safety  decals for disposal equipment.  Solid Waste
       Management/Refuse Removal Journal, 14(11): 66, Nov. 1971,

75.  NSWMA to inaugurate safety group program.  Solid Waste
       Management/Refuse Removal Journal, 15(5): 44, 160,
       May 1972.

76.  Protective  clothing.  Institute for Public Cleansing,
       Blackpool, England, 1965.   6 p.

77.  Public employee  safety guide  for refuse collection.
       National  Safety Council, 1974.

78.  Recommended lamp and reflector locations.  Solid Waste
       Management/Refuse Removal Journal, 14(6): 42, June  1971.

79.  Refuse collection in municipalities.  Data sheet 618,
       Chicago,  National Safety Council, 1969. 12 p.
                            128

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80.  Refuse pickup personnel injuries are nine times national
       industrial average.  Solid Waste Management/Refuse Removal
       Journal, 18(1) :  10-18, 48, Jan. 1975.

81.  Regional seminars  take up occupational safety rules.  Solid
       Waste Management/Refuse Removal Journal, 16(2): 40, Feb.
       1973.

82.  Safety checklist:   a handy guide for evaluating a solid waste
       contractor's program for employee protection.  Sanitation
       Industry Yearbook^ 1974, p. 10+.

83.  Safety seminar scheduled for Boston in March.  Solid Waste
       Management/Refuse Removal Journal, 16(3):  80, Mar. 1973.

84.  Safety standards for solid waste management.   Governmental
       Refuse Collection & Disposal Association,  Committee of
       Safety Standards, California, 1969.

85.  San Francisco Bay  Area adopts guide for handling medical
       refuse.  Solid Waste Management/Refuse Removal Journal,
       17(12): 18-19,  56, Dec. 1974.

86.  Solid waste industry begins long trek down....  National
       Safety News, Jan. 1975, p. 86.

87.  Some vital safety  rules.  Solid Waste Management/Refuse
       Removal Journal, 15(3): 74-75, Mar. 1972.

88.  The human factor from the worker's angle.  Solid Waste
       Management/Refuse Removal Journal, 13(12):  14, 32, Dec.
       1970.

89.  Training makes a difference/sanitary landfill operations.
       U.S. EPA, Office of Solid Waste Management  Programs.

90.  Training seminar will study noise control.  Solid Waste
       Management/Refuse Removal Journal, 17(12):  47, Dec. 1974.

91.  Why make a tough job tougher?  News Review, Nov. 20, 1973,
       Roseburg, Oregon.
                           129

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INJURY REPORTING AND INFORMATION SYSTEM (IRIS)  FIELD TEST



             VOLUME II:   TABULATION OF DATA

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                      TABLE OF CONTENTS


                                                             Page

I.     INTRODUCTION 	      1


II.    OVERALL DIMENSIONS OF THE INJURY PROBLEM  	      6


III.   DEPENDENCE OF INJURY RATE ON SELECTED FACTORS   .  .      8

       3.1  General Description of Injury  	      9

       3.2  Factors Associated with Time,  Day and
            Season	     11

       3.3  Employee Characteristics   	     12

       3.4  Factors Related to the Work Environment  ...     13
IV.    COMPARISONS BETWEEN INJURY EXPERIENCE OF
       DIFFERENT PARTICIPANTS 	     17
V.     DISCUSSION	     21
                              ill

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         LIST OF EXHIBITS
Details of Participants in Field Test .
Page

 23
EXHIBIT 1

EXHIBIT 2    Analysis of Injuries by Accident Type
             (First Accident)   	   24

EXHIBIT 3    Analysis of Injuries by Injury
             Description	   25

EXHIBIT 4    Analysis of Injuries by Part of Body   ....   26

EXHIBIT 5    Analysis of Injuries by Day of Week	   27

EXHIBIT 6    Rates- for OSHA  Recordable Injuries and
             Workdays Lost as a Function of Day of
             the Week	   28

EXHIBIT 7    Rates  for OSHA  Recordable Injuries and
             Workdays Lost as a Function of Hours on
             Job Prior to Injury	   28

EXHIBIT 8    Analysis of Injuries by Hours on Job Prior
             to Injury	   29

EXHIBIT 9    Analysis of Injuries by Employee Age at
             Time  of Injury	   30

EXHIBIT 10   Rates  for OSHA  Recordable Injuries and
             Workdays Lost as a Function of Age	   31

EXHIBIT 11   Rates  for OSHA  Recordable Injuries and
             Workdays Lost as a Function of Education
              (Grade)	   31

EXHIBIT 12   Analysis of Injuries by Employee Educational
             Level  (Last Grade  Completed)   	   32

EXHIBIT 13   Analysis of Injuries by Employee Height  ...   33

EXHIBIT 14   Rates for  OSHA  Recordable Injuries and
             Workdays Lost as a Function of Height  ....   34

EXHIBIT 15   Rates for  OSHA  Recordable Injuries and
             Workdays Lost as a Function of Weight  ....   34
                 IV

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    LIST OF EXHIBITS (Continued)
Analysis of Injuries by Employee Weight
Page

 35
EXHIBIT 16

EXHIBIT 17   Analysis of Injuries by Basis of
             Employment	   36

EXHIBIT 18   Analysis of Injuries by Occupational
             Group	   37

EXHIBIT 19   Analysis of Injuries by Division of
             Employment	   38

EXHIBIT 20   Analysis of Injuries by Location of
             Injury	   39

EXHIBIT 21   Analysis of Injuries by Crew Size	   40

EXHIBIT 22   Analysis of Injuries by Activity Being
             Performed at Time of Injury (With
             Percentages)	   41

EXHIBIT 23   Analysis of Injuries by Activity Being
             Performed at Time of Injury (With Rates)  . .   42
                                                       *•»
EXHIBIT 24   Analysis of Injuries by Type of
             Equipment	   43

EXHIBIT 25   OSHA Incidence Rates for Total Recordable
             Cases	   44

EXHIBIT 26   Comparison of ANSI Frequency Rates by
             Participant	   45

EXHIBIT 27   Comparison of ANSI Severity Rates by
             Participant	   46

EXHIBIT 28   Comparison Between Each of 5 Major
             Participants and Average of all
             Participants for all Injuries	   47

EXHIBIT 29   Comparison Between Each of 5 Major
             Participants (01, 03, 06, 09, 11) and
             Average (AV) of all Participants for
             Location - Collection Route 	   48

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                 LIST OF EXHIBITS (Continued)
EXHIBIT 30
EXHIBIT 31
EXHIBIT 32
EXHIBIT 33
EXHIBIT  34
EXHIBIT  35
EXHIBIT  36
EXHIBIT  37
 EXHIBIT 38
Comparison Between Each of 5 Major
Participants (01, 03, 06, 09, 11) and
Average (AV) of all Participants for
Accident Type - Fall to Same Level

Comparison Between Each of 5 Major
Participants (01, 03, 06, 09, 11) and
Average (AV) of all Participants for
Accident Type - Overexertion  ....
                                                        .  .   49
Comparison Between Each of 5 Major
Participants  (01, 03, 06, 09, 11) and
Average  (AV) of all Participants for
Accident Type - Step on Sharp Object

Comparison Between Each of 5 Major
Participants  (01, 03, 06, 09, 11) and
Average  (AV) of all Participants for
Injury Type - Foreign Object in Eye  .

Comparison Between Each of 5 Major
Participants  (01, 03, 06, 09, 11) and
Average  (AV) of all Participants for
Activity - Carrying  	
Comparison Between Each of  5 Major
Participants  (01, 03,  06, 09,  11) and
Average  (AV)  of all Participants  for
Activity  - Standing/Walking 	
 Comparison  Between  Each  of  5 Major
 Participants  (01, 03,  06, 09,  11) and
 Average  (AV)  of  all Participants  for
 Activity  -  Lifting   	
 Comparison  Between  Each  of  5  Major
 Participants  (01, 03,  06, 09,  11) and
 Average  (AV)  of  all Participants  for
 Activity -  Mounting/Dismounting  .  .  .
                                                             50
                                                        .  .    51
                                                        .  .    52
                                                              53
                                                              54
                                                              55
                                                              56
 Comparison Between  Each of  5  Major
 Participants  (01, 03,  06, 09,  11)  and
 Average (AV)  of  all Participants  for
 Activity - Riding  	
                                                              57
                             VI

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                 I.   INTRODUCTION



     This Tabulation of Data is submitted in conjunction with

the Final Report on  Contract 68-03-0231, "Field Test of an

Injury Reporting and Analysis System for the Solid Waste

Management Industry," and contains information relating to

injury rates in this industry.  This information was produced

as a by-product of the Field Test as described in the Final

Report.  The primary objective of the Field Test was to develop

and test the elements of a system which would yield analyzed

data that could be used:

     (a)   by line management of solid waste agencies, to
          identify,  set priorities for, and evaluate injury
          reduction  programs;

     (b)   to motivate line management of solid waste agencies
          to assign  a high priority to injury reduction
          programs in general;

     (c)   by national groups responsible for setting standards
          for equipment and work practices in the solid waste
          management industry; and

     (d)   by the Office of Solid Waste Management Programs,
          U.S. Environmental Protection Agency, to set
          priorities for and monitor programs of injury
          control as related to productivity and work
          practices.

     The analysis of data performed during the Field Test was

primarily directed towards testing whether data could be collected

and analyzed to give information of the types desired,  and towards

developing the methods and procedures that could be used in a

later larger scale prospective study of injuries in this industry.

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However, it did prove possible to produce a limited amount of



analyzed data that is of some interest, and is thus presented



in this volume.  The data is limited both in scale (approximately



1,500 injuries in all, occurring to approximately 3,000 employees



of 15 solid waste management agencies) and in the range of



analyses presented.  A large number of factors were recorded



concerning each employee, each injury, and various equipment



characteristics and work practices.   It was not possible to



produce analyses of the relationship  of each factor to injury



rate, still less each combination of  factors.  Rather, a selection



was made of which analyses to perform.  The choice of type of



analysis is an important part of the  use of this type of data,



and the study of which analyses are most useful is still proceeding.



     An important objective of the injury reporting and analysis



system is to be able to make valid comparisons and thus to be



able to observe differences in injury experience.  These differences



are of great importance.  If one solid waste agency has an injury



rate that is much lower than another,  in a specific area where



valid comparisons can be made, then it is immediately apparent



that progress is possible.  In order  to observe these differences,



the injury reporting and analysis system developed in the Field



Test has several novel  features.  Two of the most important are



that the work environment is broken down into various aspects



applicable to this specific industry, and that the exposure of



employees to these aspects is quantitatively estimated.

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     Breaking down the work environment into aspects overcomes



some of the serious limitations of the conventional method of



collecting and analyzing injury statistics.  In the conventional



method, injury data is usually collected for an entire establishment



(work place)  and covers some large and loosely defined group of



employees.  The overall injury rate for this group is then



calculated, in terms of injuries per 200,000 man-hours or some



other standard, and a limited number of breakdowns of the injury



experience are given, usually in terms of factors applicable to all



industries, e.g., accident type—fall to same level or fall to



different level.  This type of data collection and presentation



has two weaknesses.  One is that it is difficult to compare the



injury experience of different solid waste agencies, since the



type of work performed and the nature of the work force differ



from one agency to another.  This leads to the very serious



consequence that the power of injury statistics to motivate action



to reduce injuries is greatly reduced.  It was found in a Pilot



Study, performed before the Field Test and referred to in the



Final Report, that most managements of solid waste agencies with



injury rates far higher than average believed that their injury



experience was normal for the industry, or, when pressed, stated



that the high injury rate was due to the special nature of their



work, climate, employees or other circumstances.  The second



weakness of the conventional method of data collection and



presentation is that it does not break down the work environment

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and the injury experience in a way that can be used to identify



areas that need attention or to document the likely benefits of



injury reduction programs.  A suitable choice of the aspects into



which the work environment is broken down can help remedy both



weaknesses.  For example, one aspect used is the concept of



activity.  By activity is meant the specific operation or task



being performed by the injured employee at the time he was injured.



By breaking down the workday into activities, the injury rate can



be compared for each activity, so that the relative hazards of



each activity can be examined and priorities can be set for injury



reduction programs.  In addition, by the breakdown into activities



it is possible to realistically compare the injury experience of



different participants by comparing the injury rates associated



with performing exactly the same task.



     Exposure data is required in order to realistically compare



the various aspects of the work environment.  Exposure data, also



referred to in the Final  Report as basing data, means the man-hours



or equipment-hours at risk  for various activities.  For example,



it is not enough to know  what  fraction of injuries happen to



workers while carrying refuse  containers.  It is also necessary



to know how many man-hours  are spent carrying refuse containers.



The  injury risk  (injury  rate per man-hour) can then be computed



and  used,  for example, to compare the  injury experience of different



solid waste agencies  for  workers performing this same task.



      In  order  to collect  exposure data  it is necessary to collect



data on  all employees, whether injured or not.

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     The methods developed for collecting both injury and exposure



data are discussed in detail in the Final Report.  An example of



the procedure used to compute the injury risk associated with an



employee characteristic, height over 6 feet, is given on page 68



of the Final Report.



     Cost data was also collected and included in the analysis,



since knowledge of the cost associated with injuries is required



to motivate management and to justify injury reduction programs



such as modifications to equipment, work practices or protective



clothing.



     The 15 participants in the Field Test were selected, using



the procedures described in the Final Report, to cover a range



of geographical locations, number of employees, ownership,



collection methods, services provided, etc., shown in EXHIBIT 1.



     Analyses were performed using programs written in ANSI-COBOL.



Printouts of analyzed data were in one of two general formats,



a single factor analysis and a "profile," as discussed in the



Final Report.

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        II.  OVERALL DIMENSIONS OF THE INJURY PROBLEM



     By pooling the injury experience of the participants in

the Field Test it is possible to see some of the dimensions of

the injury problem in the solid waste management industry, at

least for the limited sample (approximately 3,000 employees)

covered by the Field Test.

     •    The OSHA injury incidence rate was 39.  This means
          that about 4 out of 10 employees are being injured
          per year (not including first aid injuries).  It
          is interesting to compare this rate with the OSHA
          incidence rates reported in the Bureau of Labor
          Statistics (BLS) 1972 Survey of Occupational
          Illnesses and Injuries.  In the BLS report, the
          average for all industry is 10.9, and the two
          highest rates for industries are for malleable
          iron foundries  (42.1) and logging camps and
          logging contractors  (32.5).  For the participants
          in the Field Test, at least, it appears that the
          solid waste management industry is maintaining
          its position as one of the industries with the
          highest injury rates.  The BLS survey did not
          cover the solid waste management industry, so
          that no direct comparisons between Field Test
          data and BLS data for this industry were possible.

     •    The incidence of lost workday cases was 26.7.
          This means that nearly 3 out of 10 employees
          will each year suffer an injury involving lost
          workdays.  The highest such figure listed in
          the 1972 BLS report referred to above is 16.2,
          for logging camps and logging contractors.

     •    11.1 workdays were lost, on the average, for
          each lost workday case.

     •    The average employee lost three days from work
          per year due to injury.

     •    66% of the OSHA recordable injuries resulted in
          lost workdays.  This proportion is about twice
          that for the average manufacturing industry  (i.e..

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proportionately more of the injuries in solid waste
management involve lost workdays, and proportionately
fewer involve only medical treatment).

Of the 962 OSHA recordable injuries reported during
the Field Test, 23 resulted in permanent disability,
and one in death.  If this proportion of permanently
disabling injuries is typical of the industry as a
whole, the average employee, during a working life
assumed to be 25 years, would have a 23% chance of
being permanently disabled to some degree  (taking
OSHA incidence rate =0.39 per year x (fraction of
OSHA injuries that are disabling = 0.024) x 25 years).

A similar computation using the data from EXHIBIT 3
shows that the average employee of the Field Test
participants has a 9% chance of suffering an amputation
during a 25 year work life.

The 1,342 total injuries (of which 962 were OSHA
recordable and 380 first aid)  had a reported direct
cost (including only wage continuation, medical
payments, death and disability benefits, etc. and
no indirect costs) of $590,600, for an average
direct cost per injury (including first aid injuries)
of $440.

The average direct cost of injuries was $240 per
year for each person on the payroll (i.e., all
employees, whether injured or not).

The ANSI frequency rate was 133.5.  This may be
compared with National Safety Council (NSC) data,
which uses the ANSI system.  The frequency rates
for 1973  (taken from NSC's publication "Work Injury
Rates 1974") were 104 for refuse collection and 72
for refuse disposal.  The reported injury frequency
experience of the Field Test sample is thus somewhat
worse than for the NSC sample (which covers only a
self-selected fraction of the industry).

The ANSI severity rate was 5,375.  This may be
compared with the NSC data for 1973: 2,529 for
refuse collection and 8,072 for refuse disposal.
ANSI severity rates are greatly influenced by
events such as deaths for which time charges
are made.

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     III.  DEPENDENCE OF INJURY RATE ON SELECTED FACTORS



     A number of simplified tables have been prepared from the

printouts obtained during the Field Test.  These tables show the

dependence of injury rate, severity and cost on various factors,

selected from the range of factors studied during the Field Test.

     For each such factor, the table lists the categories within

that factor, e.g., the category head within the factor part of

body.  For each category, the following items are listed:

     (a)  The number of OSHA recordable injuries for that category,
          and either

          (i)  the percentage of the total number of injuries for
               all categories, or

          (ii)  the injury rate, expressed as number of OSHA
               recordable injuries per 200,000 man-hours at
               risk.

          For factors in which all categories are exposed to
          the same risk, the percentage  (i) is shown in the
          table.  This is the case for factors such as part
          of body because each employee is at risk to injure
          any part of his body.  For other factors, the. rate
          (ii) is shown  in the table.  For these factors,
          the number of  man-hours at risk is not the same
          for each category and it is necessary to use rates
          to make valid  comparisons.  For example, the
          different categories of the factor employee age
          have different man-hours at risk because there
          are more workers in the age group 26-35 than
          there are in the age group 55-65.  To compare
          the number of  injuries in the two groups it is
          necessary to allow for the difference in the
          number of workers at risk: this is done by using
          the rates.

          The categories are listed in order of percentage
          or rate, and indicate the frequency of injuries
          in each category.

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     (b)   The number of workdays lost for that category; the
          percentage or rate (number of workdays lost per
          200,000 man-hours at risk) as for (a); and the
          average number of lost workdays lost per lost
          workday case.

          The categories are listed in order of percentage
          or rate, and the three values give a measure of
          the severity of injuries in each category.

     (c)   The total direct costs for injuries in that
          category; a percentage or rate as in (a)  (here
          the rate is the average direct cost per man-year
          at risk); and the average direct cost per injury.

          The direct costs include only wage continuation
          payments to the employee (by insurance carrier
          or employer), medical payments, and death and
          disability benefits.   No indirect costs or
          insurance premiums are included.

          The categories are listed in order of percentage
          or rate.  The direct costs give a measure of the
          importance, on a cost basis, of injuries in each
          category.

     The tables generally represent data from all 15 participants

for a 12 month period from September 1973 to August 1974.  Some

tables are for fewer participants or a shorter period, e.g.,

omitting one participant that did not provide complete cost data,

or using a 10 month period in which 13 participants were contributing

data simultaneously-  The total number of injuries is thus not

always the same for each table.  In addition,  some tables only

include a fraction of the work force, e.g., the table for collection

crew size only includes employees engaged in refuse collection.
             3.1  General Description of Injury

     EXHIBIT 2 shows the breakdown of injuries by accident type,

This is for the, type of first accident,  if there is a two stage

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accident, such as a fall followed by the employee striking his



head on the ground (which would be classified as a fall rather



than a struck against).



     Overexertion accidents contributed about 20% of the number



of injuries, days lost and direct costs.  Some accident types,



such as struck by vehicle were uncommon  (approximately 3% of



injuries) but contributed 6% of the days lost and 14% of the



direct costs.  Others, such as struck against vehicle and foreign



object in eye were more frequent but contributed less importantly



to days lost and direct cost.  It is apparent that all three



measures of importance  (frequency, days  lost, and direct cost)



are necessary to evaluate the overall significance of any one



category of injuries, since there are significant differences



in the order in which the categories appear  in each part of the



table.



     Many of these categories, e.g., fall to same level or step



on sharp object become  of greatest importance only when comparisons



are made between different participants, as  discussed in Section IV,



     EXHIBIT  3  shows  a breakdown  by  injury  description.



Amputations and  fractures were relatively rare  (1% and 2% of



injuries respectively)  but contributed  11 and 12% of the days  lost



and  10 and  11% of  the  total  direct costs.  The  frequency of



amputations found  in the  Field Test  (9  out of 953 OSHA recordable



injuries) would,  if  applicable to  the  industry  as a whole, lead



to the conclusion  that  the average  solid waste  worker has a 9%



chance of suffering  an  amputation  over  a 25  year working span.
                               10

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     EXHIBIT 4 shows a breakdown by part of body. It is interesting



to note that toe injuries were relatively rare  (1%) but contributed



13% of the days lost and 15% of the total direct cost.  Special



attention to toe injuries would appear to be justified.  Back



injuries contributed about 20% of the days lost and costs.







      3.2  Factors Associated with Time, Day and Season



     EXHIBIT 5 shows a breakdown by day of week.  The rates for



OSHA recordable injuries and workdays lost are also shown in



graphical form in EXHIBIT 6.  The number of injuries per man-hour



worked was highest on Monday, fell in mid week and then rose again



on Friday and Saturday,  The rate for lost workdays shows a



similar pattern, with the number of workdays lost being lower



on Monday, and higher on Friday and Saturday than might be



expected simply from the number of injuries on those days.



     A breakdown by the number of hours worked that day prior



to injury is shown in graphical form in EXHIBIT 7 and, as a



table, in EXHIBIT 8.  "One hour" means up to one hour from the



starting time, "two hours" up to two hours, and so on.  The



injury rate was roughly constant up to 5 hours.  The later fall



and subsequent rise is probably associated with different groups



of employees remaining at risk, with the first hours including



"task" employees (who generally work 5-6 hours per day and have



a high injury rate)  and the later hours including fewer of these



employees.  The graph for the workdays lost rate shows that both
                              11

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the first hour and the sixth hour experienced a number of workdays



lost that was substantially higher than would be expected simply



from the number of injuries during these hours.



     The injury data were also analyzed by hour of day of



occurrence, but did not show clear trends owing to a mixture



of different groups of employees with different working hours.








                3.3  Employee Characteristics



     EXHIBIT 9 shows a breakdown by employee age at time of injury -



The rates for OSHA recordable injuries and workdays lost are also



shown in graph form in EXHIBIT 10.  The rate for number of injuries



fell, but the rate for workdays lost remained approximately steady



with increasing age, owing largely to an increase in the average



number of workdays lost per lost workday case as employee age



increased.



     EXHIBIT  11 shows a graph of the rates for OSHA recordable



injuries as a function of education of the employee, with



corresponding information in tabular form in EXHIBIT 12.  The



injury rate did not show a systematic variation with years of



education.



     EXHIBIT  13 shows a breakdown by employee height, with a



corresponding graph in EXHIBIT 14.  There was an apparent increase



in injury  rate with height but the rate for workdays lost showed



no systematic variation with height for those categories where



there were enough injuries to smooth out statistical fluctuations.
                               12

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     EXHIBIT 15 shows a graph of the rates for OSHA recordable



injuries as a function of employee weight, with corresponding



information in tabular form in EXHIBIT 16.  The variation of



injury rate with employee weight found in the Field Test does



not at present justify imposing weight restrictions at the time



of hire, based purely upon expected injury rates.



     EXHIBIT 17 gives a breakdown by basis of employment. Temporary



workers appeared to have a significantly higher rate for number of



OSHA recordable injuries than regular workers, but a lower rate



for workdays lost, possibly representing the effect of improved



injury leave benefits for regular workers.







        3.4  Factors Related tothe Work Environment



     EXHIBIT 18 gives a breakdown by occupational group.  These



represent the grouping together of occupational categories which,



separately, did not have enough injuries to be significant. EXHIBIT



19 gives a breakdown by division of employment (Collection division,



streets division, etc.).  EXHIBIT 20 gives a breakdown by location



of injury (e.g., whether the injury occurred at the landfill, on



the collection route, etc.).



     These three exhibits represent different ways of breaking



down the injury experience of a solid waste agency so as to make



injury rates more comparable between agencies.  The use of



occupational group (e.g., collection crews)  enables comparisons



to be made between agencies with a different mix of employees
                              13

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and also enables the risk to different occupational groups to



be compared.  Collection crews had, as expected, the highest



risk of injury.  In the more detailed breakdown by occupation,



from which these occupational groups were assembled, a comparison



was made between employees who drive and collect refuse, and



those who only collect refuse.  The former had a lower injury



rate  (48 vs 53), and a lower rate  for lost workdays  (390 vs 376).



     The breakdown by division shows that employees of landfill



divisions had  lower rates for OSHA recordable injuries and days



lost than employees of collection  divisions.  The results for



location in EXHIBIT 20 show, however, that working at the



landfill carries a high risk.  This data in  this exhibit were



compiled from  injuries occurring at the landfill  (to employees



of  any  division, including collection) and from hours of exposure



calculated  from hours spent at the landfill  by all employees



 (e.g.,  collection crews emptying packers).



      EXHIBIT 21 gives a breakdown  by crew size.  In  this table,



the crew size  includes the driver, and the rates, as in the



other  tables,  refer to 200,000 man-hours of  exposure, i.e.,



the OSHA recordable injury rate  for a 2-man  crew is  68 injuries



per 200,000 man-hours  (approximately 10 man-years) of work on



a 2-man crew.   Each man on a  2-man crew thus had a 68% chance



of  being injured per year.  The  rates for 3-man crew similarly



apply to each  man.  The much  higher rates found in the Field



Test for 2-man as  compared to 3-man crews are surprising,
                               14

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particularly since the 2-man crews in the Field Test tended



to be engaged in private rather than municipal, commercial



rather than residential, and curbside rather than backyard



collection. The difference may arise because of the particular



choice of participants in the Field Test, but is certainly a



high priority area for future work.



     EXHIBITS 22 and 23 show a breakdown by activity.  This



refers to the activity being performed by employees on the



collection route at the time they were injured.  The daily



work is broken down into a number of such activities, and



detailed estimates were made for each participant in the



Field Test of how many man-hours were spent in each activity.



For some activities, such as lifting, the number of times



the activity was performed (e.g., number of containers lifted)



was estimated, and an arbitrary time allocation, constant for



all participants, was used to turn the number of lifts into



"man-hours" of lifting.  EXHIBIT 22 gives percentages, and



enables comparisons to be made between the different activities.



Lifting, carrying and dumping in hopper are together responsible



for over half the OSHA recordable injuries and days lost.



Mounting and dismounting (the truck)  are responsible for a



surprising 8% of injuries and days lost.  Pushing waste in



hopper is associated with less than 1% of the injuries, but



with 5% of the days lost and 7% of the cost, suggesting that



special attention be paid to this activity.  EXHIBIT 23 gives
                              15

-------
rates for the same activities.  These rates are useful chiefly



for comparing one solid waste agency with another, as discussed



in Section IV.



     EXHIBIT 24 gives a breakdown by type of equipment.  The



rates given are for 200,000 hours of use of the equipment.  The



average rear end loader is associated with about 150 OSHA



recordable injuries per 200,000 hours of equipment use. If the



average crew size was three, this would correspond to a rate



of about 50 injuries per 200,000 man-hours of work with a rear



end loader.  An average of about $1,080 in direct injury costs



per year was associated with the use of each rear end loader



in the Field Test.  No comparative data for side loaders is



available because none of the participants in the Field Test



used side loaders.
                               16

-------
          IV.  COMPARISONS BETWEEN INJURY EXPERIENCE

                  OF DIFFERENT PARTICIPANTS



     The most striking and significant finding of the Field Test

was that there were large differences between participants in

the rates for OSHA recordable injuries, for workdays lost and

for costs, both overall and for specific aspects of the work

environment.

     EXHIBIT 25 shows a comparison of OSHA incidence rate (number

of OSHA recordable injuries per 200,000 man-hours worked for all

employees) for 14 participants during a 12 month period (the 15th

participant was a small organization that had no injuries).

EXHIBITS 26 and 27 show similar comparisons for ANSI frequency

and severity rates.  The participant numbers shown are those

used in EXHIBIT 1, and the height of each block represents the

rate, which is given in numerical form above each block.

     The variations from participant to participant can be seen

to be very large.  Part of this variation can be accounted for

by statistical fluctuations expected for participants with only

a small number of employees and only a few injuries.  The number

of OSHA recordable injuries for each participant during a 12

month period was:

                                       No. of OSHA
          Participant #            Recordable Injuries

               01                          182
               02                           32
               03                          161
                              17

-------
                                       No.  of OSHA
          Participant  #             Recordable Injuries

               04                            66
               06                           254
               08                            19
               09                           164
               10                            30
               11                           198
               13                            15
               14                             1
               15                            63
               16                            25
               18                             5

     In the discussion below, only the five largest participants

(01,  03, 06, 09,  11)  will be compared.  These each had more than

150 OSHA recordable injuries and together accounted for approximately

80% of all the OSHA recordable injuries in the Field Test.  EXHIBIT

25 shows that, among these five participants, the highest OSHA

incidence rate was four times higher than the lowest.

     EXHIBIT 28 shows the variation in average direct cost per

injury, average direct cost of injuries per employee-year worked,

and average number of lost workdays per lost workday case.

Participant 11 incurred more than seven times the direct cost

per employee-year incurred by Participant 09.  This wide range

in injury experience suggests that the injury problem has been

brought under control to a greater or lesser extent by each

participant, and that attempts at increased control by those

participants with high injury rates are likely to prove fruitful.

     In the following series of comparisons, four parameters

are compared for each of the five largest participants and for

the average of all participants.  The parameters are:
                              18

-------
     •    OSHA recordable injuries per 200,000 man-hours
          of exposure

     •    Average number of workdays lost per lost workday
          case

     •    Average direct cost per 200,000 man-hours of
          exposure

     •    Average direct cost per injury

Because of the effect of a few high-cost injuries, statistical

fluctuations produce more variations in the cost parameters than

in the number of injuries and total days lost.

     EXHIBIT 29 shows the comparison for injuries occurring to

workers on the collection route.  If the work practices and

attention to safety were the same for all participants, the

injury rates would also be expected to be the same for all

participants.  However, the rates for Participants 03 and 11

were much higher than for the rest.

     Comparisons may next be made by accident type.  EXHIBIT 30

shows a comparison for fall to the same level.  In this comparison,

Participant 03 is much worse than average, while Participant 11 is

about average.  For overexertion, EXHIBIT 31, Participant 11 is

much worse than average while 03 is average.  These comparisons

suggest specific areas that should be examined further to explain

the overall high collection route injury experience of Participants

03 and 11.  Areas for consideration by other participants are shown

in EXHIBIT 32, where most of the step on sharp object injuries are

experienced by Participants 01 and 06; and by EXHIBIT 33, where
                              19

-------
foreign object in eye injuries are much worse than average for



Participants 06 and 11.



     A different set of comparisons may be made by activity  (as



discussed in Section 3.4).  EXHIBITS 34 and 35 show a comparison



for the activities carrying and standing/walking.  The much



worse than average injury experience for these activities of



Participant 03, coupled with  the experience for falls to the



same level discussed for EXHIBIT 30, suggest that this participant,



which performs backyard collection with a non-wheeled intermediate



container, should consider a  wheeled intermediate container  as is



used by Participant  09.  EXHIBIT 36 shows a comparision for  the



activity  lifting.  In  this case, Participant 11 is much worse



than average,  and this, in agreement with the much worse than



average rate  for overexertion accidents discussed for EXHIBIT  31,



suggests  that Participant 11  should focus injury reduction efforts



in  this area.



     Some very interesting results of  an injury reduction program



are shown in  EXHIBITS  37 and  38.  Participant 09, aware of the



significance  of  injuries occurring while mounting and dismounting



from or riding on the  "step"  on  refuse trucks, instituted a  program



of  modifying  the steps to provide improved handholds and footing,



and of training  employees in  their use.  The result was to reduce



the rate  for  OSHA recordable  injuries  to far below that of the



other major participants.
                               20

-------
                       V.  DISCUSSION








     Although the Field Test was not directed primarily towards



data collection, the results presented in Sections II, III and



IV have shown some significant findings related to occupational



injuries in the solid waste management industry.  The most



significant finding is that it is possible, by calculating



injury rates associated with various aspects of the work



environment, to demonstrate large variations in injury rate



and severity between different solid waste management agencies.



These differences point out areas in which each solid waste



management agency should consider either changes in work



practices or increased attention to safety (equipment modifications,



employee training, etc.).  Measurement of rates also makes it



possible for an agency to evaluate the success of safety programs,



for example the "step" modifications introduced by Participant 09,



and provides a "target" for management to aim at.   Each of the



participants in the Field Test, even the ones with lowest overall



rates, had one or more factors in which their injury rate was



higher than some other participant.   Even for the participants



with low injury rates, there is potential for further reduction.



     The limitations of the data should be recognized:  only a



relatively small number of participants and injuries were included



in the Field Test.  It is hoped that future data collection,  and
                              21

-------
improved methods of analysis and presentation, will produce data



of increasing value to the solid waste management industry in



controlling its serious injury problems.
                               22

-------







to
OJ







Participant
Number
01
02
03
'04
06
08
09
10
11
13
14
15
16
18
19
Municlpal-M
Private-P
M
K
M
P
M
M
M
M
M
P
, M
M
P
M
P
Geographical
Area of U.S.
South
Northeast
Midwest
West
South
North
North
West
Southwest
North
Northwest
South
South
Northeast
North
Approximate
Average No.
of Employees
700
150
150
250
500
100
600
100
300
50
100
400
100
50
50
BY-Backyard
CS-CUrbside
CS
CS
BY
BY
CS
BY
CS/BY
CS
CS
CS

CS
CS
CS
CS
Task/
8 hour
task
8 hour
task
task
task
task
8 hour
task
task
task
8 hour
task
8 hour
task
task
TYPE OF SERVICE PROVIDED
Collection
residential
residential
residential
residential/
commercial
residential/
commercial
residential
residential
residential
residential
residential/
commercial

residential/
commercial
commercial
residential
residential/
commercial
Disposal
landfill
incinerator/
landfill
landfill
transfer station
landfill/
incinerator/
transfer station
transfer station
transfer station
landfill
landfill
landfill
transfer station/
landfill
landfill/
incinerator
landfill
landfill
landfill
Aver.
Crew
Size
4-man
3-man
3-man
3-man
3-man
3-man
3-man
3-man
3-man
2 -man
1-man
3-man
2-man
3-man
2-man
Date
of
Start-Up
10-73
08-73
08-73
01-74
10-73
09-73
' 08-73
09-73
09-73
01-74
07-73
10-73
09-73
09-73
01-74
             EXHIBIT 1
Details ef Participants in Field Teat

-------
                                                 EXHIBIT 2




                          ANALYSIS OF INJURIES BY ACCIDENT TYPE  (FIRST ACCIDENT)
OSHA RECORDABLE INJURIES
ACCIDENT TYPE
Overexerclon
Struck by object
Fall to same level
Fall co different level
Hurt by object handled
Struck against vehicle
Foreign object In «ye
Struck against object
Stucble
Caught between
Step on sharp object
Struck by vehicle
Anioal bit*
Iniect bite/sting
Caught in .
Danatlr.lt
TOTAL
NO.
186
133
10}
86
86
60
55
39
37
30
23
27
16
14
10
6
918
I
20
14
11
9
9
7
6
4
4
3
3
3
2
2
1
<1
100
WORKDAYS LOST
ACCIDENT TYPE
Overexert Ion
F.-.ll Co sane level
Struck by objcc:
fall to different level
Caught between
C.iuulic In
Scruck against vehicle
Struck by vehicle
Scumble
Hurt by object handled
Struck against object
Foreign object in eye
Insect bite/sting
Step on sharp object
Aiiiaal bit*
Dermatitis
TOTAL
NO.
1.493
l.CDO
942
797
550
420
367
377
302
181
13-i
59
21
18
14
9
6,704
%
22
15
14
12
3
6
6
6
5
3
2
<1
<1
<1

-------
                                                  EXHIBIT  3

                                 ANALYSIS OF INJURIES  BY INJURY DESCRIPTION
OSIIA RECORDABLE INJURIES
INJURY DESCRIPTION
Sprain/* train
Cut/lacerat ion/puncture
Bruise/contusion/crushing
Foreign object In eye
Fracture
Scratches
An leal bite
Insect bite/sting
Amputation
Dersatttit
Inflaaaatlon
Burn f roa chemical
TOTAL
KO.
350
181
169
69
21
18
17
1A
9
9
8
7
865
1
40
21
20
8
2
2
2
2
1
1
1
i
100
WORKDAYS 10ST
INJURY DESCRXPTIOX
Sprain/strain
Bruise/contusion/crushing
Fracture
Amputation
Cuc/laccratlon/puncture
Fore 1 en object in eye
Inflammation
Scratches
Insect bite/sting
Horn fro™ chemical
DC rca tic Is/rash
Aninal bite
TOTAL
NO.
3.268
802
706
541
420
116
40
29
21
19
15
14
6,091
t
54
13
12
11
7
2
^
*

-------
              EXHIBIT 4




ANALYSIS OF INJURIES BY PART OF BODY
OSHA RECORDABLE INJURIES
PART OP BODY
Sack
Eye*
Knee
Lot
Foot
Hand
Flncer*
Ar»
Ankle
Urist
Chest
Shoulder
Abdomen
Elbow
Scalp
Toe*
Heck
CenltalU
Thumb
SVull
Jaw
Mouth, Up. teeth
Forehead
Fingernail*
Hips
Buttocks
Brain
Cheek
Koi*
Cars
Toeoall*
TOTAL
NO.
56
43
32
26
26
25
25
16
IS
13
10
7
7
6
5
&
3
2
1
1
1
1
1
1
1
1
0
0
0
0
0
330
%
17
13
10
8
8
6
8
5
5
4
3
2
2
2
2
1
<1
'X
<1
<1
<1
<1
<1
<1
<1
<1
0
0
0
0
0
100
WORKDAYS LOST
PART OP BODY
Back
Finger*
Toes
Knee
Hand
Myes
Leg
Ankle
Wrist
Foot
Am
Crnltnlto
Shoulder
Thumb
Elbow
Chest
Abdoaen
Keck
Scalp
Jau
Skull
Brain
Cheek
.Mouth, lip, teeth
Forehead
Nose
Ears
Fingernail*
Hips
Buttocks
Toe nail*
TOTAL
NO.
334
211
203
158
134
79
78
76
73
Gl
47
32
29
28
24
20
19
6
2
1
1
0
0
0
0
0
0
0
0
0
0
.620
\
21
13
13
10
8
5
5
5
5
4
3
2
2
2
1
1
1
1
<1
<1
<1
0
0
0
0
0
0
0
0
0
0
100
AV.WDL/LWDC
7.26
14.07
104.00
8.78
13.40
3.76
4.59
5.43
9.13
3.81
3.92
10.67
4.U
28.00
4.00
2.86
3.17
2. CO
l.CO
1.00
0
0
0
0
0
0
0
0
0
0
0
9.5?
DIRECT COSTS
PART OP BODY
Back
Toes
Finger*
Hand
Knee
Am •
Eye*
Wrist
Foot
Ankle
Leg
r.lliow
Chest
Thumb
Genital!*
Shoulder
Abdonen
Keek
Scalp
Skull
Jaw
Buttock*
Hip*
Forehead
Fingernail*
Mouth, lip, teeth
Brain
Cheek
Kose
Ear*
Toenail*
TOTAL
NO.
IS. 490
13.85
9.40
8,50
7,970
.163
,598
,475
,411
.373
3.093
1.353
1,257
1,248
1,203
1,163
722
474
375
49
45
45
36
35
33
5
0
0
0
0
0
1.373
t
20
15
10
9
9
6
5
5
5
4
3
1
1
1
1
1
1
1
0
0
0
0
0
0
0
0
0
0
0
0
0
100
AYftjQRfT
260
2.308
277
213
249
258
88
298
229
153
81
150
126
624
241
106
103
119
62
16
45
23
36
33
33
0
0
0
0
0
0
154

-------
                                                    EXHIBIT 5


                                      ANALYSIS OF  INJURIES BY DAY OF WEEK
OSHA RECORDABLE INJURIES
DAY OF WEEK
Konday
Saturday
Tuesday
Wednesday
Friday
Thursday
Sunday
Unknown
TOTAL
MO.
236
28
202
158
178
148
6
6
962
RATE
48
42
41
33
37
31
19
*"
39
WORKDAYS LOST
DAY OF WEEK
Saturday
Tuesday
Monday
Friday
Wednesday
Thursday
Sunday
Unknown
TOTAL
NO.
344
1,739
1,701
1,513
1.058
827
14
39
7,235
HATE IAV.WDL/LWDC
516
356
3'-6
318
253
174
45
"*
296
20. :3
. 12.33
10.37
14,27
9.53
7.31
7.00
7.80
11.07
DIRECT COSTS
DAY OF WEEK
Saturday
Wednesday
Tuesday
Friday
Monday
Thursday
Sunday
Unknown
TOTAL
NO.
22620
128252
142514
134914
106452
51139
2376
2320
S9059S
RATE
322
290
274
269
205
102
73
0
Z28
AV. COST
IN'-JRY
339
595
• 522
SS6
521
224
394
387
440
N>
-J

-------
0)
*J
rfl
o;
60 y


•50 -


40 -


30 .-


20 -


10 --
        Mon.
             Tues.    Wed.   Thurs.    Fri.
Sat.
                                                             -r 600
                                                             •• 500
                                                             •- 400
             •  300
                                                             .- 200
                                                             •- 100
             RATES  FOR OSHA RECORDABLE INJURIES AND
         WORKDAYS LOST AS A FUNCTION OF DAY OF THE  WEEK

                             EXHIBIT 6
         • = OSHA Recordable
         + = Workdays Lost
   0)
   4J
   m
   a;
              RATES  FOR OSHA RECORDABLE  INJURIES AND
                  WORKDAYS LOST AS A FUNCTION  OF
                   HOURS ON JOB PRIOR TO INJURY

                             EXHIBIT 7

                                 28
                                                          10
          •= OSHA Recordable
          += Workdays Lost

-------
                       EXHIBIT 8




ANALYSIS OF INJURIES  BY  HOURS ON JOB PRIOR TO INJURY
OSHA RECORDABLE INJURIES
HOURS OS JOB PRIOR TO INJURY
Other
9 hour*
10 hour*
3 houri
4 hour*
J hour*
1 hour
2 hour*
6 hour*
7 hour*
5 hour*
UnVuiovn
TOTAL
NO.
29
14
4
160
147
68
153
140
93
72
26
35
961
RATE
369
69
52
15
44
43
43
40
26
25
14
0
39
WORKDAYS LOST
ilO'jnS ON JOO PRIOR TO INJUi^
Otlicr
0 hours
10 hour*
I hour
4 hour*
2 hour*
3 hour*
6 hours
5 hours
7 hours
3 hours
'Jnknovn
TOTAL
NO.
no
123
35
1.501
961
I.C18
1,011
935
507
466
274
251
7.223
RATE
1111
693
458
422
2")2
293
233
262
249
165
149
0
295
AV.KDL/LWDC
7.55
12.30
8.75
13.28
9.70
10.14
8.94
10-38
14.38
10.73
13.70
13.21
11.07
DIRECT COSTS
HOURS OS JOO PRIOR TO INJURV
Other
9 hour*
1 hour
? ho-jr*
4 hours
6 hours
10 hour*
5 hours
3 hour*
7 hour*
8 hour*
UnXnavn
TOTAL
NO.
7778
7100
U1V72
97783
85143
85319
1653
42465
62427
44695
22641
19542
588538
RATE
6222
331
297
264
243
227
207
198
166
150
117
0
228
A^jbSfr
194
374
541
504
460
632
276
360
275
382
492
434
440

-------
                                                  EXHIBIT 9


                           ANALYSIS OF INJURIES BY EMPLOYEE AGE AT TIME OF  INJURY
OSHA RECORDABLE INJURIES
AGE
Under 18 years
26-35
18-25
36-45
46-55
56-65
Over 65
TOTAL
SO.
8
287
153
213
177
89
9
936
RATE
75
48
47
39
30
27
16
38
WORXDAVS LOST
ACE
l/'ntier 18 year*
36-45
56-65
46-55
26-35
18-25
Over 65
TOTAL
KO.
64
1.715
1.023
1.652
1.609
82S
65
6.954
RATE
601
317
315
279
271
255
115
285
AV.WDL/LWDC
10.66
- 12.16
17.33
12.90
7.69
9.06
13.20
10.88
DIRECT COSTS
AGE
36-45
26-35
18-25
Under 18 year*
46-55
56-65
Over 65
TOTAL
NO.
140056
150107
77230
2295
103929
38662
5137
517424
RATE
245
240
224
205
166
113
85
200
A₯*.7SSfT
465
404
' 371
230
398
284
' 51*
399
Ul
o

-------
   70 --
   60


   50


3  40


   30


   20


   10
60 -r


50


40


30


20


10 --
                                                         -- 700


                                                         -- 600


                                                         -- 500


                                                         -- 400


                                                         -- 300


                                                         -- 200


                                                         -- 100
                18-25   26-35   36-45   46-55    56-65

             RATES FOR OSHA RECORDABLE INJURIES AND
               WORKDAYS LOST AS A  FUNCTION OF AGE

                            EXHIBIT 10
                                                     65

                                                    • - OSHA Recordable
                                                    + = Workdays Lost
                                                               600


                                                               500


                                                               400


                                                            -- 300


                                                            -- 200


                                                            -- 100
          8
                     10
11
12
13
14
             RATES FOR OSHA RECORDABLE  INJURIES  AND
        WORKDAYS LOST AS A FUNCTION OF  EDUCATION (GRADE)
                           EXHIBIT  11
                                                       • = OSHA Recordable
                                                       + = Workdays Lost
                                31

-------
                                EXHIBIT 12




ANALYSIS OF INJURIES BY EMPLOYEE EDUCATIONAL LEVEL  (LAST GRADE COMPLETED)
OSH» WSOABLE INJURIES
E->Vl--.VS
Second year »«3!
Fourth gr:-c
Second grc:
Third iTi.-.
U> Fourth year **!»
M Tenth grj-:
First t*--
Eleventh fr
Twelfth c»-:
Ninth grt;i
Sixth £r: •-
No answer
First year tejl
Eighth graie
Seventh fr;
Fifth year c'11
Fifth gre.t
Third year *cjl
Sixth year t«-;i
Seventh yt«r t'l*
Eighth y«ar «rU
TOTAL
NO.
19
8
4
8
5
101
2
91
230
60
13
313
12
48
11
1
7
2
0
0
0
936
RATE
57
52
51
SO
50
47
47
I.I,
44
43
41
33
32
31
28
23
22
21
0
0
0
38
WORKDAYS X.OST
EDUCATION
Second year college
Eighth grade
Eleventh grade
First year college
Third grade
Fourth grade
Ntntli grade
Iwi-irtli r.rndo
N'o answer
Tenth grade
Sixth grade
Fifth grade
Second grade
Third year college
Seventh grade
First grade
Fourth year college
Fifth year college
Sixth year college
Seventh year college
Eighth year college
TOTAL
NO.
191
693
816
147
58
53
448
1,426
2,456
512
64
38
8
8.
30
1
0
0
0
0
0
2.«56
RATE |AV.WDt/tWDC
574
442
392
335
366
346
322
271
258
239
231
120
102
82
76
23
0
0.
0
0
0
258
15
20
12
18
12
13
11
9
12
8
6
5
3
4
\ 4
1
0
0
0
0
0
12
DIRECT COSTS
ECVCATION
First year college
Eleventh grade
Second year college
Twelfth grade
eighth grade
Tenth grade
Fourth grade
Ntntii r.rniic
Third grade
No nnswcr
Fifth grade
Sixth grade
Second grade
Seventh grade
Third year college
First grade
Fifth year eollega
Fourth year college
Sixth year college
Seventh year college
Eighth yc*r college
TOTAL
NO.
28926
82801
12564
140811
34705
45087
3168
2812'.
2559
129048
3842
2469
524
1556
369
146
7
146
0
0
0
517424
RATE
720
373
361
253
208
199
196
195
153
128
115
73
64
38
36
32
17
14
0
0
0
200
AY<.jggfT
1.315
679
452
474
529
368
352
305
320
263
427
176
105
111
74
71
77
21
0
0
0
399

-------
                                                  EXH'BIT 13




                                    ANALYSIS OF INJURIES BY EMPLOYEE HEIGHT
OSHA RECORDABLE INJURIES
HEIGHT

6ft. 9 In. - 6 fc. 11 In.
7 ft and over
« ft. 3 In. - 6 ft. 5 In.
6 ft. - 6 ft. 2 In.
3 ft. 9 in. - 3 ft. 11 in.
5 fc. 6 In. - 5 ft. 8 In.
So «n«w«r
5 ft. - 5 ft. 2 in.
5 ft. 3 in. - 5 ft. 5 In.
6 ft. 6 in. - 6 ft. 8 In.
4 ft. 9 in. - 4 ft. 11 in.
4 ft. 6 la. - 4 ft. 8 in.
4 ft. 3 in. - 4 ft. 5 in.
4 ft. - 4 ft. 2 in.
Under 4 ft. '
TOTAL
NO.

2
2
30
187
304
202
154
9
45
1
0
0
0
0
0
936
RATE

155
55
44
43
33
37
37
32
30
26
0
0
0
0
0
38
WORKDAYS LOST
HEIGHT

7 ft. and over
6 ft. 3 in. - 6 ft. 5 In.
6 fc. 6 In. - 6 ft. 8 in.
5 ft. 9 in. - 5 ft. 11 in.
5 ft. - 5 ft. 2 In.
No answer
4 ft. - 6 ft. 2 in.
5 ft. 3 In. - 5 ft. 5 in.
5 fc. 6 In. - 5 ft. 8 in.
6 ft. 9 In. - 6 ft. 11 in.
4 fc. 9 In. - 4 fc. 11 in.
4 fc. 6 in. - 4 fc. 8 in.
4 fc. 3 In. - 4 ft. 5 in.
4 fc. - 4 ft. 2 in.
Under 4 ft.
TOTAL
NO.

30
461
20
2380
82
K23
1222
371
1164
1
0
0
0
0
0
6954
HATE lAV.WDL/LWDC
1.
820
673
520
302
293
T92
286
244
212
78
0
0
0
0
0
285
15
19
20
11
21
12
10
12
8
1
0
0
0
0
0
11
DIRECT COSTS
HEIGHT

6 ft. 3 in. - 6 ft. 5 in.
5 ft. - 5 ft. 2 in.
6. ft. 9 in. - 6 ft. 11 in.
5 ft. 9 In. - 5 ft. 11 in.
6 ft. - 6 ft. 2 In.
6 fc. 6 lr.. - 6 ft. 8 in.
5 ft. 6 in. - 5 ft. 8 In.
No answer
5 ft. 3 in. - 5 ft. 3 in.
7 ft. and over
5 ft. 9 in. - 4 ft. 11 In.
4 fc. 6 in. - 4 ft. 8 in.
4 fc. 3 in. - 4 ft. 5 in.
4 fc. - 4 ft. 2 in.
Under 4 ft.
TOTAL
NO.

37254
9991
420
195382
86930
78i
88145
58111
18112
298
0
0
0
0
0
517424
RATE

792
339
315
234
195
195
152
131
113
60
0
0
0
0
0
200
AYNjgRfT

1.507
999
210
471
333
390
321
269
255
149
0
0
0
0
0
399
u>

-------
   0)
     50 --
     40 --
     30 --
     20 --
     10 --
                  5'3"
5'6'
5«9«
6'0"   6'3"
               RATES FOR  OSHA RECORDABLE INJURIES AND
                WORKDAYS  LOST AS A FUNCTION OF HEIGHT

                              EXHIBIT 14
                                    -- 1000


                                    -- 800


                                    -- 600


                                    -- 400


                                    -- 200
                               •  =  OSHA Recordable
                               +  =  Workdays Lost
50 --
                                                                 -- 500
     130  140   150   160  170  180  190   200   210  220  230  240 Ibs.
                RATES FOR OSHA RECORDABLE INJURIES AND    •= OSHA Recordable
                WORKDAYS LOST AS A FUNCTION OF WEIGHT     += Workdays  Lost

                              EXHIBIT 15
                                  34

-------
                                               EXHIBIT  16




                               ANALYSIS  OF INJURIES BY EMPLOYEE WEIGHT
OS1IA RECORDABLE INJURIES
                                           WORKDAYS LOST
                                                                                       DIRECT COSTS
WEIGHT
280-289 lb*.
300 and over
170-179
200-209
260-260
160-169
140-149
150-159
19-0-199
180-189
No answer
220-229
210-219
130-139
240-249
230-239
250-259
120-129
110-119
100-109
270-279
290-299
TOTAL
NO.
«
2
141
55
3
126
79
104
68
98
159
19
25
29
6
10
3
4
1
0
0
0
936
RATE} WEIGHT
74
63
48
46
42
41
39
38
37
37
37
35
32
29
20
26
25
11
8
0
0
0
38
260-269 Ibs.
150-159
180-189
190-199
700 and over
170-179
No answer
200-209
160-169
210-219
220-229
250-259
280-289
130-139
230-239
140-145
240-24?
120-12?
100-109
110-119
270-279
290-299
TOTAL
NO.
34
1,063
982
632
11
967
L.257
311
778
181
123
14
10
181
69
200
25
7
0
0
0
0
1.95M
RATE
479
392
378
348
347
329
290
261
254
230
230
197
185
180
177
is:
107
19
0
0
0
0
T!85
AV.WDt/LWDC ll WEIGHT
11
15
13
13
11
9
12
9
9
15
8
8
3
9'
14
6
6
•
0
0
0
0
11
230-239 lb«.
150-159
170-179
200-209
180-189
190-199
260-269
160-169
250-259
'to answer
300 and over
210-219
220-229
140-149
130-139
:8C-269
240-249
120-129
110-119
100-109
270-279
290-299
TOTAL
NO.
15924
104026
85357
33572
60C.B:
38914
1498
61307
2331
60076
437
10199
6011
19536
8110
423
466
473
32
0
0
0
517*24
RATE
387
364
275
267
248
203
202
190
186
132
131
12)
106
91
76
75
19
12
3
0
0
0
200
AV% COiT
1,225
765
423
473
.516
414
499
348
595
271
219
291
194
183
169
71
58
95
32
0
0
0
399

-------
                EXHIBIT 17




ANALYSIS OF INJURIES BY BASIS OF EMPLOYMENT
OSHA RECORDABLE INJURIES j WORKDAYS LOST
BASIS OF EMPLOYMENT

Student
Temporary
Unknown
Seasonal
Regular
"Pep"
TOTAL
NO.

4
44
21
5
862
0
936
RATE

153
63
52
41
37
0
38
OASIS OF EMPLOYMENT

Regular
Unknown
Tenporary
Sp.inon.il
Student
"Pep"
TOTAL
NO.

6,715
85
119
35
0
C
6.954
RATE IAV.WDL/LWSC

290
212
183
286
0
0
285

11
11
4
9
0
°
DIRECT COSTS
BASIS OF EMPLOYMENT

Regular
Unknown
Teaporary
Seasonal
Student
•,ep"
11 | TOTAL
NO.

501087
5694
8881
1563
186
13
S17424
RATE

205
135
130
122
68
2
200
A?ftjS8§T

418
196
164
156
47
13
399

-------
                EXHIBIT 18




ANALYSIS OF INJURIES BY OCCUPATIONAL GROUP
OSHA RECORDABLE INJURIES
OCCUPATIONAL GROUP
Collection Crcwt
Miscellaneous
Laboren/utllltynen
Forenan/aupervisors
Equipment calncenance
Heavy cqulpacnt opera tori
Ancillary
AdnlnisttaClve
Office
SalesVservlce/cuat.
Unknown
TOTAL
NO.
694
1
144
45
9
34
5
1
2
1
0
936
RATE
50
42
27
24
23
20
12
7
5
5
0
38
WORKDAYS LOST
OCCUPATIONAL GROUP
Collection crews
Administrative
l.ihorers/uttlitymen
Heavy cqulpaenc operators
Forc-ian/supcrviaors
Equipment naintenance
Miscellaneous
Ancillary
Office
Sales/aerviee/cust .
Unknown
TOTAL
NO.
J.339
33
1.060
250
219
35
A
16
0
0
0
6,954
RATE
381
229
201
148
115
91
84
40
0
0
0
284
AV-WDt/LWDC
11
33
14
12
7
6
2
5
0
0
0
11
DIRECT COSTS
OCCUPATIONAL GROUP
Administrative
Collection crews
Lnliorcra/utilitymen
Heavy equipment operator*
Forcrun/cupervisora
Equipment maintenance
Miscellaneous
Ancillary
Salea/servlee/cuac.
Office
Unknown
TOTAL
NO.
4769
106725
72556
14724
15503
1989
70
991
87
0
0
(17424
RATE
314
275
130
83
77
49
28
23
*
0
0
200
^KjSSF
4.769
407
465
327
250
124
70
110
29
0
0
399

-------
                                                 EXHIBIT 19

                              ANALYSIS OF  INJURIES  BY DIVISION OF EMPLOYMENT
OSHA RECORDABLE INJURIES
DIVISION
Collection
Utility i ancillary
Multlple/other/unknown
Construction
Maintenance ihop
Landfill
Incinerator
Street!
Office & administration
TOTAL
NO.
71S
32
159
4
11
;
i
4
3
936
^RATE
47
29
25
24
23
15
15
14
5
38
WORKDAYS LOST
DIVISION
Collection
Multtplo/other/unXnovn
Utility & ancillary
Maintenance ahop
Office & administration
Construction
Streets
Landfill
Incinerator
TOTAL
NO.
5,420
1,276
158
37
33
7
9
14
0
6,954
•wrE IAV.HDI./LWDC
358
2C6
142
78
58
42
32
31
0
284
11
15
6
5
33
2
3
7
0
11
DIRECT COSTS
DIVISION
Collection
Mulclple/ochor/unlinovn
Utility & ancillary
Office & adalnlitration
Maintenance (hop
Landfill
Construction
Streets
Incinerator
TOTAL
NO.
113211
8^584
10688
4769
2109
1369
337
291
66
517424
RATE
259
129
91
80
42
28
19
10
9
200
AfcuSS$T
400
483
267
795
100
152
84
36
66
39*
Ul
00

-------
                                                  EXHIBIT  20


                                 ANALYSIS OF INJURIES BY  LOCATION OF INJURY
OSKA RECORDABLE INJURIES
LOCATION
Collection route
Landfill I duop
Incinerator
Transfer station
Office t yard
Unknown
TOTAL '
NO.
697
63
8
5
39
US
962
RATE
55
39
13
11
11
0
39
WORKDAYS LOST
. LOCATION
Collection route
Landfill & dump
Transfer station
Office t hard
Incinerator
Unknown
TOTAL
NO.
5.445
451
38
266
14
1,021
7.235
RATE
533
267
82
72
31
0
296
AV.WDL/LWDC
11
11
19
11
4
11
11
DIRECT COSTS
LOCATION
Landfill I dun?
Collection rout*
Transfer station
Office & yard
Incinerator
Unknown
TOTAL
NO.
111793
391608
3090
13775
964
69365
(90595
RATE
628
294
63
35
20
0
228
AV. COST
IKJ'.'RY
1.242
402
615
230
88
142
440
Ul
10

-------
           EXHIBIT 21




ANALYSIS OF INJURIES BY CREW SIZE
OSHA RECORDABLE INJURIES \ WORKDAYS LOS?
COLLECTIOM CREW SIZE
2 Ban crew
3 man crew
5 aan crew
4 can crew
1 man crew
6 nan crew
7 aan crew
8 can crew
Other ilie crew
Unknown
TOTAL
NO.
179
364
8
47
7
0
0
0
0
92
697
HATE
68
36
21
20
6
0
0
0
0
0
42
COLLCCTION CREW SIZE
2 nan crew
3 tun crew
4 aan crew
5 run crew
1 ijn crcv
6 run crew
7 run crew
3 cum crew
Other aize crew
Unknown
TOTAL
NO.
1,590
2.962
535
39
7
0
0
0
0
488
3,445
RATE
612
295
151
102
0
0
0
0
0
0
328
AV.WDL/LKDC
12
12
11
8
• 2
0
0
0
0
8
11
DIRECT COSTS
COLLECTION CREW SIZE
2 nan crew
3 ran crew
4 cun crew
5 nan crev
1 can crew
6 nan crew
7 nan crew
8 aan crew
Other (izc crew
Unknown
TOTAL
NO.
97107
!09292
31992
2469
458
0
0
0
0
S0290
191608
RATE
351
198
127
61
5
0
0
0
0
0
223
Afej58f T
• *08
412
592
190
38
0
0
0
0
342
402

-------
                    EXHIBIT 22
ANALYSIS OF liNJURIES  BY  ACTIVITY BEING PERFORMED
      AT TIME OF  INJURY  (WITH PERCENTAGES)
OSHA RECORDABLE INJURIES !
ACTIVITY
Lifting
Urrylng
hieplng In hopper
Standing/walking
lounting/dlsaounting
Pushing/pulling
Riding
Ouoplng in other
rh rowing/catching
Iperatlng oachlne/equipaeat
Irlvlng
>uih vaite la container
Push waste In hopper
it Caching/detaching
luldlng/dlreccing
.'sing hand tool*
Globing
:ican/wash/clearlng
TOTAL
NO.
164
117
106
60
53
43
42
26
18
18
8
6
5
4
t,
I
I
i
678
\
24
17
16
9
8
6
6
4
3
3
1
<1
<1
<1
<1
<1

-------
                     EXHIBIT 23
AfJALYSIS  OF INJURIES  BY ACTIVITY  BEING PERFORMED
          AT TIME OF iriJCP.V  (WITH  PJVTES)
OSHA RECORDABLE INJURIES
ACTIVITV
Lifting
Throwing/catching
Dumping in hopper
Kountlng/d Isnount Ing
Suitplng In other
Pushing/ pulling
Clean/ wash/clearing
Carrying
Push waste in hopper
Guiding/directing
Operating nachlnc/equlpoenc
Attaching/detaching
Using hand tools
Riding
Standing/walking
Push waste In container
Climbing
Driving
TOTAL
NO.
164
18
106
53
26
43
1
117
5

IB
A
2
42
60
5
1
8
678
KATIi
Z43
220
203
195
142
87
70
67
66
65
55
31
26
21
20
19
7
4
55
WORKDAYS LOST
ACTIVITY
Push i-aste In hopper
Lifting
Mount inj/dlsnoun ting
Diraping In lioppcr
Operating r.achlnc /equipment
Thrculng/catching
Pushing/pulling
Guiding/directing
Carrying
Dumping in other
Clcan/wash/clearing
Riding
Standing/walking
Push waste in container
Driving
Using hand tools
Attaching/detaching
Clicking
TOTAL
NO.
253
i.ISS
404
6?9
315
39
265
32
742
75
5
405
4?C
33
152
4
4
3
5.115
KATli
3,483
1,735
1.48?
1,33'.
SS7
553
537
520
427
409
348
207
103
104
68
S3
31
22
417
AV.WOL/LWDC
87.66
10.67
3.39
10.75
21. CO
4.33
9.13
10.66
8.41
4.16
5.00
11.91
11.13
16.50
25.33
2.00
l.CO
3.00
11.05
DIRECT COSTS
ACTIVITY
Push waste in hopper
Xount ins/disiounc ing
D'jr-.plij in hopper
Lifting
Throwing/catching
Pushing/pulling
Outrping in other
Operating nachine/equlpacat
Guiding/directing
Carrying
Riding
Clean/ wash/clearing
Driving
Standing/walking
Push waste In container
Using hand tools
Attaching/detaching
Climbing
TOTAL
NO.
26531
28115
53655
66436
5895
21640
3744
13026
1839
42841
40189
251
15645
35382
2028
326
199
127
378270
RATE
3.351
984
975
955
687
415
378
376
287
232
195
167
153
113
60
41
15
9
292
"faaSSS*
4,422
396
359
299
236
313
121
521
307
280
758
251
2.560
372
203
82
SO
127
399

-------
                                                EXHIBIT  24




                              ANALYSIS  OF INJURIES  BY TYPE  OF EQUIPMENT
OSHA RECORDABLE INJURIES
                                           WORKDAYS LC3T
                                                                                       DIRECT COS7S
TYPE OF EQL'IPKEXT
Rear end loader
Open body dun?
Other
Load lugger
St. const, equip.
Landfill equlpaent
Pickup
Front end loader
Roii-off
St. clean equip.
AutOBoblle
TOTAL

NO.
512
126
26
2
23
16
13
12
1
1
0
730

RATE j TYEE OF EQUIPMENT 1 NO.
150
84
S3
62
54
31
28
23
13
2
0
93

Hear end loader
St. const, equip.
Open body duep
Other
:ioll-off
I'lckup
Load lugger
Front end loader
Landfill equlpeent
St. clean equip.
/Vutoaobllc
TOTAL

'..3SO
126
eoo
139
14
64
3
43
33
0
0
5.712

RATE Uv.WSL/LXDcIl TYPE CF EOUIPy-N7
1233
828
533
4i4
185
140
93
31
75
0
0
731

11.55 |, Rear end loader
14.13
11.59
7.72
14.00
10.67
1.50
«.78
6.60
0
0
11.29

Open body du.*ap
St. const, equip.
Other
Landfill equipment
Pickup
Roll-off
Front end loader
Load lugger
St. clean equip.
Autoaoblle
TOTAL
NO.
190078
55735
8439
9423
3825
3702
579
2237
93
64
0
174260
1
RATE
1050
356
293
285
83
73
73
40
27
1
0
57J

AV. COST
1NVJKY
534
334
1 325
277
201
183
193
132
47
64
0
464


-------
    125
                    119
w


I

w
u
2
W
Q
H
U
2
S3


CO


o
    100
75
     50
     25
                                               78
                     62
     29
28
                          56
                                               43
                                                     43
                                                                               39
29
                                                                         24
                                    17
                                                                    16
                                                                              14
         "01   02   01   03Ob   08   09    TO    II    T3    14   Tb


                                      PARTICIPANTS


                     OSHA INCIDENCE RATES FOR TOTAL RECORDABLE CASES


                                       EXHIBIT 25
                                                                         IB    AV

-------
Ul
         400
       w
       E"
         30°
u
z


I  200
       81'
       CO
         100
               74
                    115
                         448
                                                        302
                                    214
                              108
                                                   122
                                              103
                                         79
                                                              29
                                                                        56
                                                                   11
                                                                       81
                                                                                   72
         01   02   03    04    06    08    09    10   11    13    14   15    16   18


                                     PARTICIPANTS


                   COMPARISON OF ANSI  FREQUENCY  RATES  BY PARTICIPANT


                                       EXHIBIT  26
                                                                                        134
                                                                                        AV

-------
   10,000
w
EH
    8,000
    6,000
w
M
CO
2
    4,000
    2,000





3,478






01






1 535





02

5,718










03



5,19C








04
10,87*











06








816



08






1,654





09








760



10




4,657







11
1





L,677





13












14









288


15







1,084




16









401


18


5,357
/ /
'//
v.
I
//,
//
VV
/ / >
' //
AV
                                        PARTICIPANTS
                      COMPARISON OF ANSI SEVERITY  RATES  BY PARTICIPANT
                                         EXHIBIT 27

-------
                                     858
                       624
        486
               457
                                             440
                              198
        01      03     06      09      11

             AVERAGE DIRECT COST PER INJURY
                                            AV
                                     762
                650
        138
                       397
                              103
                                            229
         01     03      06     09     11      AV

 AVERAGE DIRECT COST OF INJURIES PER EMPLOYEE-YEAR WORKED
1 1.7B

9.74

8.95

10.51

10.47

11.07

        01      03      06      09      11     AV

    AVERAGE NO. OF LOST WORKDAYS PER LOST WORKDAY CASE
COMPARISON BETWEEN EACH OF s MAJOR PARTICIPANTS
        AND AVERAGE OF  ALT. PARTICIPANTS
                  FOR ALL INJURIES
                          47

-------
                 206
                                       143
                        78.2
                                              55.3
           489
                                32.8
           01      03     06      09      11      AV
  OSHA RECORDABLE INJURIES PER 200,000 MAN-HOURS OF  EXPOSURE
4

9Q
. y
7.6

10.8 10.6


11.13

            01     03     06      09      11     AV
       AVERAGE NUMBER OF DAYS LOST PER LOST WORKDAY CASE

26,220






60,048^





11,736






29,436


            01     03     06      09     11     AV
     AVERAGE DIRECT COST PER 200,000 MAN-HOURS OF EXPOSURE
540'

465

693

200

738

402

            01     03     06     09     11     AV
                AVERAGE  DIRECT COST PER INJURY

                         EXHIBIT  29

     COMPARISON  BETWEEN EACH OF 5  MAJOR PARTICIPANTS
(01, 03,  06,  09.  11)  AND  AVERAGE  (AV)  OF ALL PARTICIPANTS
             FOR  LOCATION  -  COLLECTION ROUTE

                            48

-------
                      20.7
                                    6.7
                              3.3
                                            4.7
                                                   4.2
               1.7
               01      03     06      09     11     AV

      OSHA RECORDABLE INJURIES PER 200,000 MAN-HOURS OF EXPOSURE



5.7


13




13.3



16.7






8.2



12.2



               01
03
06
09
11
AV
          AVERAGE NUMBER OF  DAYS LOST PER LOST WORKDAY CASE
                     19.620
               276
                                    4'404
                             2.652
                                           2,
                            2,208
               01      03     06      09     11      AV

         AVERAGE DIRECT COST  PER 200,000 MAN-HOURS OF EXPOSURE
174

848

749

405

633

397

               01      03    06      09     11      AV
                   AVERAGE  DIRECT COST PER INJURY

               * *          EXHIBIT  30 ^

      COMPARISON  BETWEEN EACH OF  5 MAJOR PARTICIPANTS
(01, 03,  06, 09,  11)  AND AVERAGE  (AV) OF ALL PARTICIPANTS
          FOR ACCIDENT TYPE - FALL TO SAME  LEVEL
                                49

-------
                                          14.6
                    7.9
                            8.8
                                                  7.6
                                   6.2
              2.0
              01     03      06      09      11     AV
     OSHA RECORDABLE  INJURIES PER 200,000  WAN-HOURS OF EXPOSURE
                            14.9
              11.3
                     12
                                                  9.9
                                    8.5
                                           4.5
              01
03
06
09
11
AV
         AVERAGE NUMBER OF DAYS LOST PER LOST WORKDAY CASE
                                         19.656
                            12,444
                    2.928
              660
                                   2,436
                                                  5.124
               01     03     06      09      11     AV
        AVERAGE DIRECT COST PER  200,000 MAN-HOURS OF  EXPOSURE
                            1.295
                     573
               300
                                          1.
              286
                                                   568
               01     03     06     09      11      AV
                  AVERAGE DIRECT COST PER INJURY

                            EXHIBIT 31

      COMPARISON BETWEEN EACH OF r> MAJOR PARTICIPANTS
(01, 03,  06, 09, 11)  AND AVERAGE (AV)  OF ALT,  PARTICIPANTS
             FOR ACCIDENT TYPE - OVEREXERTION
                                50

-------
               2.8
                             1.8
                                                  1.14
                                           0.8
                                   0.17
               13      6      9      11     AV
      OSHA RECORDABLE INJURIES  PER 200,000 .MAN-HOURS OF EXPOSURE
3.0











1.5





1.0

3.0





2.0



               13       6      9      11     AV
          AVERAGE NUMBER OF DAYS LOST PER LOST WORKDAY CASE
               ian
                             84
                                           96
                                                  60
               13      8      9      11     AV
         AVERAGE DIRECT COST  PER 200,000 MAN-HOURS OF EXPOSURE
                                           135
               64
                             48
                                    24
                                                  42
               1      3      6      9      11     AV
                  AVERAGE DIRECT COST PER INJURY

                           EXHIBIT 32
      COMPARISON BETWEEN EACH OF 5 MAJOR PARTICIPANTS
(01, 03,  06, 09, 11)  AND AVERAGE  (AV)  OF ALL PARTICIPANTS
        FOR ACCIDENT TYPE  -  STEP ON  SHARP  OBJECT
                                 51

-------


2.2








7.5






1.4

8.3






2.8


              01      03      06     09      11     AV
     OSHA RECORDABLE INJURIES PER 200,000 MAN-HOURS OF EXPOSURE
                            4.6
2.1

•

1.0

1.8

3.05

              01      03      06     09      11     AV
        AVERAGE NUMBER OF DAYS LOST PER LOST WORKDAY CASE
                           1.140
              156
                                          564
                                   84
                                                 300
              01     03     06     09     11     AV
        AVERAGE  DIRECT COST PER 200,000 MAN-HOURS OF EXPOSURE
              66
fifi
                                                 70
                                   22
              01     03     06     09     11     AV
                  AVERAGE DIRECT COST PER INJURY

                           EXHIBIT 33

      COMPARISON BETWEEN EACH OF 5 MAJOR PARTICIPANTS
(01, 03,  06, 09,  11)  AND AVERAGE (AV)  OF ALL PARTICIPANTS
           FOR INJURY TYPE -  FOREIGN  OBJECT IN  EYE
                               52

-------
                      297
                                            143
              62.1
                             54
                                                  66.8
                                     35
               01      03     06     09       11      AV
      OSHA RECORDABLE  INJURIES PER 200,000 MAN-HOURS OF EXPOSURE

                                     15
                      9.1
               3.6
                             3.8
                                           9.6
                                                  8.4
               01      03     06     09      11      AV
         AVERAGE NUMBER OF DAYS LOST PER  LOST WORKDAY CASE
6.132
223.068

53,112
in QQfi 23,196
11.220 j 10f**D |
               01     03     06      09     11      AV

         AVERAGE DIRECT COST PER 200,000 MAN-HOURS OF EXPOSURE
                      634
               104
                                    332
                             177
                                           314
                                                  280
               01     03     06      09     11
                   AVERAGE DIRECT COST PER INJURY
AV
                           EXHIBIT  34
      COMPARISON  BETWEEN EACH OF  r> MAJOR PARTICIPANTS
(01, 03,  06, 09,  11)  AND AVERAGE  (AV)  OF ALL PARTICIPANTS
                   FOR ACTIVITY - CARRYING
                                53

-------
                     176
             40.4
                                          35.3
                                                 20.2
              01
03
06
09
11
AV
      OSHA RECORDABLE INJURIES PER 200,000 MAN-HOURS OF EXPOSURE
                                    15
                      12
               3.3
                                          11.8
                                                  11.1
              01      03     06     09       11    AV
          AVERAGE NUMBER OF DAYS  LOST PER LOST WORKDAY CASE

                   173,256
              4,584
      2,964,6,720
                                         24,948
               01     03      06     09      11      AV
         AVERAGE DIRECT COST PER 200,000 MAN-HOURS OF EXPOSURE
111

613

57

326

670

372

               01      03     06      09      11
                   AVERAGE DIRECT COST PER INJURY
                             AV
                            EXHIBIT  35
      COMPARISON  BETWEEN  EACH OF  5 MAJOR PARTICIPANTS
(01, 03,  06, 09,  11) AND  AVERAGE  (AV) OF 'ALL PARTICIPANTS
              FOR  ACTIVITY - STANDING/WALKING
                                54

-------
                                            365
257




202


250





140





248



               01     03      06      09     11      AV
      OSHA RECORDABLE INJURIES PER 200,000  MAN-HOURS OF EXPOSURE
5

11.8

8.9

9.2

4.8

10.67

               01     03     06      09      11     AV
          AVERAGE NUMBER OF DAYS LOST PER LOST  WORKDAY CASE
                    625.200
22,068

> <
95.544

44, 520

82,608

95,472

               01     03     06      09      11     AV
         AVERAGE DIRECT  COST PER 200,000  MAN-HOURS OF EXPOSURE
                       441
                86
                              348
                                     195
                                            210
                                                    299
                01     03     06      09     11     AV
                   AVERAGE DIRECT COST PER INJURY

                            EXHIBIT  36
      COMPARISON  BETWEEN  EACH OF  5.MAJOR  PARTICIPANTS
(01, 03,  06, 09,  11)  AND  AVERAGE  (AV)  OF  ALL PARTICIPANTS
                   FOR ACTIVITY - LIFTING
                                  55

-------

194


450



A TO





43.7

460




195


              01     03      06      09     11      AV
     OSHA RECORDABLE INJURIES PER 200,000 MAN-HOURS OF EXPOSURE
                                   16.5
                            9.8
              6.2
                     3.6
                                                 8.6
                                          5.1
              01     03      06      09     11      AV

         AVERAGE NUMBER  OF DAYS LOST PER LOST WORKDAY CASE

                          361,368



39.768



, 376










28,500

131,664





98,364



              01     03     06      09     11      AV
        AVERAGE DIRECT COST  PER 200,000 MAN-HOURS OF EXPOSURE



217





1 c -7
J. o /

804








229



707






396



              01     03      06      09     11
                  AVERAGE DIRECT COST PER INJURY
AV
                            EXHIBIT  37
      COMPARISON  BETWEEN  EACH OF  5 MAJOR PARTICIPANTS
(01, 03,  06, 09,  11)  AND  AVERAGE  (AV)  OF ALL PARTICIPANTS
            FOR ACTIVITY - MOUNTING/DISMOUNTING
                                56

-------
31.9

56

45.2

1.71
57

21.5

                  01      03     06     09     11      AV
         OSHA RECORDABLE  INJURIES PER 200,000 MAN-HOURS  OF EXPOSURE
                                             18.6
                 15.6
                                7.9
                                                     11.9
                  01     03     06     09     11     AV
             AVERAGE NUMBER OF DAYS LOST PER LOST WORKDAY CASE
                                            105.360
                              74.340
                21.052
                        11,268
                                                    19.476
                  01     03     06     09     11     AV
           AVERAGE DIRECT COST PER 200,000 MAN-HOURS OF EXPOSURE
960

211.6

1.551


1,602

758

                  01     03     06     09     11
                      AVERAGE DIRECT COST PER INJURY
AV
                               EXHIBIT  38
          COMPARISON BETWEEN EACH OF  5 MAJOR  PARTICIPANTS
    (01,  03, 06,  09, 11) AND AVERAGE  (AV) OF-ALL PARTICIPANTS
                       FOR ACTIVITY  -  RIDING
U01276
                                   57

-------