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Developing a tool for identifying high-risk employers for inspection.
Occupational Medicine (Oxford, England)
|October 11, 2017
Summary
The Alberta Occupational Health and Safety (OHS) index, using Workers' Compensation Board (WCB) data, is not effective for identifying high-risk employers. Modified indices also showed poor performance in this regard.
Area of Science:
- Occupational Health and Safety
- Risk Assessment
- Workplace Safety Regulations
Background:
- Workers' Compensation Board (WCB) data is often used to create an Occupational Health and Safety (OHS) index to identify high-risk businesses for inspections.
- The validity of this OHS index for accurately identifying high-risk employers has not been previously established.
Purpose of the Study:
- To evaluate the effectiveness of the existing Alberta OHS index, primarily based on WCB claims data.
- To determine if an OHS index constructed using alternative data sources could offer improved performance in identifying high-risk employers.
Main Methods:
- Utilized data from the Alberta Compliance Management Information System (2011-2015) and WCB claims database (2007-2014).
- Defined 'stop work' or 'stop use' orders issued during inspections as a proxy for high-risk outcomes.
- Assessed the predictive performance of the current and a modified OHS index using receiver operating characteristic (ROC) and regression analyses.
Main Results:
- Neither the current nor the modified OHS index demonstrated significant effectiveness in identifying high-risk employers, for both large and small businesses.
- Area Under the ROC Curve (AROC) values were consistently low, indicating poor discriminatory power (e.g., AROCs ranging from 0.54 to 0.59).
- Subgroup analyses confirmed these findings, showing similar ineffectiveness regardless of employer size or specific inspection initiatives.
Conclusions:
- The current OHS index and a modified version are not reliable tools for identifying high-risk employers.
- The study suggests that distinct approaches may be necessary for assessing risk in large versus small employers due to heterogeneous performance patterns.
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