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Injury severity associated with nonfatal construction falls

M Gillen1, J A Faucett, J J Beaumont

  • 1Department of Community Health Systems, School of Nursing, University of California, San Francisco 94143-0608, USA. Nursing%Marion_Gillen@ccmail.ucsf.edu

American Journal of Industrial Medicine
|November 14, 1997
PubMed
Summary

Construction worker falls cause significant injuries and lost workdays. Interventions targeting fall height, surface impact, and safety climate are crucial for prevention and reducing permanent disability.

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Area of Science:

  • Occupational Health
  • Injury Epidemiology
  • Construction Safety

Background:

  • Nonfatal falls are a significant cause of injury in the construction industry.
  • Understanding injury severity and factors influencing outcomes is crucial for worker protection.

Purpose of the Study:

  • To evaluate injury severity in construction workers who experienced nonfatal falls.
  • To identify factors associated with increased injury severity and functional limitations.

Main Methods:

  • Analysis of 255 nonfatal fall cases from California Doctor's First Reports (DFRs).
  • Utilized Injury Severity Score and Health Assessment Questionnaire (HAQ) for severity assessment.
  • Employed multiple regression to model factors influencing functional limitations.

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Main Results:

  • Mean fall height was 9.2 feet; median lost work days were 10.
  • 7% of workers experienced permanent disability.
  • Fall height, impact surface (concrete), nonunion status, and poor safety climate correlated with higher functional limitations (HAQ scores).

Conclusions:

  • Falls in construction lead to notable injury severity and permanent disability.
  • Key areas for intervention include fall height reduction, surface considerations, and improving safety climate.
  • Findings highlight targets for effective prevention strategies in construction safety.