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Michigan's Focus on
Fatal Falls: Factors,
Fixes, and Follow-up
       Debra Chester, MS
             MSU
     Department of Medicine
MIFACE Investigation
            06MI117
63 years old
Installing siding on
dormer
Used two 2-inch screws
instead of 16d nails in
roof brackets
North bracket failed or
fell from ladder
9-foot fall from roof
edge
Died 2 weeks later
Factors
Inadequate knowledge
– Did not use correct roof brackets
– Did not anchor appropriately
– Did not follow “best safe work practice”
No fall protection
No employee training
– Scaffold (bracket spacing > 8 ft, 2x6 inch planks
  on side)
– Ladder (ladder not used properly)
No Safety Program
Work-Related Fatal Falls in
  Michigan, 2001-2006
Overview
– 2001 to 2006: 875 work-
  related deaths
– 125 (14.3%) of 875 work-
  related deaths attributable
  to falls
– 75 (60%) of 125 work-
  related fatal falls occurred in
  Construction (NAICS 23)
Number of Fatal Falls in
               Michigan, 2001-2006
                 Construction                                                       75
                Manufacturing                    11
                  Agriculture               8
 Transportation/Warehousing                 8
Arts/Enterainment/Recreation            4
                  Retail Trade          4
         Educational Services          3
        Admin/Support/Waste            3
              Wholesale Trade         2
       Accomm/Food Service            2
    Prof/Scient/Tech Services        1
            Finance/Insurance        1
                        Mining       1
        Public Administration        1
     Health Care/Social Assist       1

                                 0          10        20   30   40   50   60   70    80
Age at Time of Fatal Fall,
                          Michigan, 2001-2006
                   25                    23
                                                  20
Number of Deaths




                   20
                                                    16
                   15
                                11                              11
                                                                     10
                   10                                       9
                                                                          8
                                              6
                   5                                                                      4
                                                                                  3
                                                                              2
                            1        1
                        0                                                             0
                   0
                        0-19    20-29    30-39    40-49    50-59     60-69    70-79   80-89

                                         Construction     Non-Construction
Height of Fatal Fall,
                                 Michigan, 2001-2006
                  25
                                   21
                                                                                             19
                  20        17
Number of Falls




                  15   13                   13
                                                                                         9
                  10                    8             7
                                                          4             4        5
                  5                                             3           2

                  0
                       <10'       10'- 19' 20'- 29' 30'- 39' 40'- 49'   50 -     100+'   UNK
                                                                        100'

                                            Construction      Non-Construction
Construction Characterization of
Fatal Falls, Michigan, 2001-2006
            1%   12%

                       7%
                            Construction of
                            Buildings
                            Heavy and Civil
                            Engineering
                            Specialty Trade

                            Unknown


      80%
Fatal Falls by Specialty Trades,
          Michigan, 2001-2006
               Roofers                                                 20
StrucSteel/Precast Conc                                9
               Painters                            7
               Framing                         6
     Other Contractors                 4
               Masonry                 4
        Plumbing/HVAC                  4
                 Siding            2
            Electricians           2
      Poured Concrete          1
       Finish Carpenter        1
                           0               5           10        15   20    25

                                               Number of Falls
Fatal Falls… What Did They
   Fall From? Michigan, 2001-2006
             Roof Edge                                                 19
       Scaffold/Ladder                                            18
                Others                     6
    Vehicle/Mach/Equip                          8
        Structural Steel                        8
                   UNK             3
Unguarded Roof Opening             3
           Ground/Floor        2
      Cell Phone Tower         2
         Wood Framing          2
          Water Tower          2
               Skylight        2
                           0           5           10        15        20
                                           Number of Falls
N u m b er o f D eath s




                                   0
                                   2
                                   4
                                   6
                                   8
                                  10
                                  12
                                  14
                                  16
             Ja
                  nu
                    ar
                            y




                                       4
         Fe
               br
                  ua
                     r      y




                                         5
                  M
                      ar
                           ch




                                       4
                      Ap
                        r il



                                       4
                        M
                            ay
                                               8

                    Ju
                           ne
                                             7



                        Ju
                             ly




Month
                                         5



              Au
                    gu
        Se                  st
                                             7




             pt
                e   m
                        be
                          r
                                               8




             Oc
                    to
                      be
                             r
                                                                 Michigan, 2001-2006




        No
                                                                 Fatal Falls by Month,


                                                            14




             ve
                    m
               be
                  r
                                         5




        De
          ce
             m
               be
                  r
                                       4
Construction Fatal Falls in
      Michigan, 2001-2006
Race:
– Black: 2 individuals
– White: 73 individuals
     Ethnicity - Hispanic: 6 individuals
Gender:
– Male: 75 individuals
38 deaths: able to identify if
member of a construction union
and if firm had written safety
program.
– 5 individuals were union members
– 15 firms had written program
We Know What Works
Three Workers Hang Off High Rise
 for an Hour After Scaffold Drops
      Two workers hang outside
      the 31-story M&I Plaza
      building Downtown as a
      firefighter descends to rescue
      them. They and a third
      worker were stranded when a
      scaffold collapsed as they put
      up a sign on the 28th floor. -
      MIKE FENDER / The Star

IndyStar.com. Posted 8/15/08.
http://www.indystar.com/apps/pbcs.dll/article?AID=/20080815/LOCAL18/808150466
Fixes Are Available
Internet Fall Protection Plans:
– http://erd.dli.mt.gov/safetyhealth/brochures/fallprotect
  planres.pdf
– http://www.osha.gov/pls/oshaweb/owadisp.show_doc
  ument?p_id=10927&p_table=STANDARDS
Guide to Developing a Fall Protection Program
– http://www.doa.state.wi.us/docview.asp?docid=667
Fixes

Continuing education of construction contractors
Oversight by general contractors
Subcontractors safety program/employee
training requirement
Courage to call out fellow workers about unsafe
work practices
Contractor trade groups educate public about
value of safety programs, builder designations,
etc vs. low bid
Follow-up
New Michigan Legislation (PA 155-158
of 2007)
– Require residential builder and
  maintenance/alteration contractor to meet
  continuing competency (CC) requirements.
    60 hours pre-licensure coursework
    Current license holders have varying CC
    requirements
Follow-up
New Technology
– NIOSH newly developed guard rail system
Educational Outreach to employers who hire
non/limited-English speaking workers
– MIOSHA new job postings – desirable qualification
  is bi-lingual ability
– MIOSHA trying to translate more educational
  materials – budget constraints limiting effort
– OSHA Compliance Assistance – Hispanic
  Workers
Fixes

Continuing education of construction contractors
Oversight by general contractors
Subcontractors safety program/employee
training requirement
Courage to call out fellow workers about unsafe
work practices
Contractor trade groups educate public about
value of safety programs, builder designations,
etc vs. low bid
Follow-up
MIOSHA Enforcement of Multi-employer
Worksites Instruction
– July 31, 2007
Clarified guidelines for conducting MIOSHA
compliance inspections at multi-employer
worksites
– Identified:
     Creating contractor – caused hazardous condition
     Exposing contractor – own employees are exposed
     Correcting contractor – responsible for correcting hazard
     Controlling contractor – general supervisory authority
Follow-up
MIOSHA Falls Prevention Outreach Initiative
– 8500 letters and educational materials sent
  identified as having work activities in which
  employees may be exposed to fall hazards
     5000 to construction employers
     3500 to manufacturing employers
– Objectives
     Highlight the seriousness of fall protection
     increase awareness of fall hazards within these
     industries
     highlight the need for appropriate fall protection
     help ensure that employees receive the appropriate
     training required by the MIOSHA Fall Protection Safety
     standards.
MIFACE Investigation
        07MI172
34 years old
Working for friend
who owned roofing
business
Roofing activities
Unwitnessed fall
Not using fall
protection
Died 5 days after
incident
Follow-up
MIFACE Outreach
– MIFACE Investigation Report 07MI172
  citing the MIOSHA multi-employer worksite
  document will be sent to all general
  contractors, home builder associations,
  and over 1200 roofing contractors in MI
– MIFACE will conduct a phone survey to
  follow-up with representative number of
  companies to gather additional information
Fixes

Continuing education of construction contractors
Oversight by general contractors
Subcontractors safety program/employee
training should be required
Courage to call out fellow workers about unsafe
work practices
Contractor trade groups educate public about
value of safety programs, builder designations,
etc vs. low bid
MIFACE Investigation
        01MI094
31 years old
Painting under
bridge
Unsecured in lift
basket
Basket not properly
placed on forks of
rough terrain forklift
Safety Culture
Management looks the
other way when unsafe
actions are used
Fellow employees look
the other way when
unsafe actions are used
Who wants to correct the
unsafe actions of
“experienced”
employees?
But everyone wants a
safe workplace…
Fixes

Continuing education of construction contractors
Oversight by general contractors
Subcontractors safety program/employee
training should be required
Courage to call out fellow workers about unsafe
work practices
Contractor trade groups educate public about
value of safety programs, builder designations,
etc vs. low bid
Follow-up
Collaborated with MAHB to secure grant
funding to develop construction
standard/employee training CD/DVD
Unsuccessful grant, but MAHB entered an
alliance agreement with MIOSHA
– Outcomes:
    CET promotion
    Increased awareness of:
      – How to develop H&S programs
      – MIOSHA Construction S&H standards
      – How regulations apply to residential construction
    Co-sponsorship of MIOSHA workshops
    Amicable working relationship
Questions?

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2009 Face Conference Mi Chester

  • 1. Michigan's Focus on Fatal Falls: Factors, Fixes, and Follow-up Debra Chester, MS MSU Department of Medicine
  • 2. MIFACE Investigation 06MI117 63 years old Installing siding on dormer Used two 2-inch screws instead of 16d nails in roof brackets North bracket failed or fell from ladder 9-foot fall from roof edge Died 2 weeks later
  • 3. Factors Inadequate knowledge – Did not use correct roof brackets – Did not anchor appropriately – Did not follow “best safe work practice” No fall protection No employee training – Scaffold (bracket spacing > 8 ft, 2x6 inch planks on side) – Ladder (ladder not used properly) No Safety Program
  • 4. Work-Related Fatal Falls in Michigan, 2001-2006 Overview – 2001 to 2006: 875 work- related deaths – 125 (14.3%) of 875 work- related deaths attributable to falls – 75 (60%) of 125 work- related fatal falls occurred in Construction (NAICS 23)
  • 5. Number of Fatal Falls in Michigan, 2001-2006 Construction 75 Manufacturing 11 Agriculture 8 Transportation/Warehousing 8 Arts/Enterainment/Recreation 4 Retail Trade 4 Educational Services 3 Admin/Support/Waste 3 Wholesale Trade 2 Accomm/Food Service 2 Prof/Scient/Tech Services 1 Finance/Insurance 1 Mining 1 Public Administration 1 Health Care/Social Assist 1 0 10 20 30 40 50 60 70 80
  • 6. Age at Time of Fatal Fall, Michigan, 2001-2006 25 23 20 Number of Deaths 20 16 15 11 11 10 10 9 8 6 5 4 3 2 1 1 0 0 0 0-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 Construction Non-Construction
  • 7. Height of Fatal Fall, Michigan, 2001-2006 25 21 19 20 17 Number of Falls 15 13 13 9 10 8 7 4 4 5 5 3 2 0 <10' 10'- 19' 20'- 29' 30'- 39' 40'- 49' 50 - 100+' UNK 100' Construction Non-Construction
  • 8. Construction Characterization of Fatal Falls, Michigan, 2001-2006 1% 12% 7% Construction of Buildings Heavy and Civil Engineering Specialty Trade Unknown 80%
  • 9. Fatal Falls by Specialty Trades, Michigan, 2001-2006 Roofers 20 StrucSteel/Precast Conc 9 Painters 7 Framing 6 Other Contractors 4 Masonry 4 Plumbing/HVAC 4 Siding 2 Electricians 2 Poured Concrete 1 Finish Carpenter 1 0 5 10 15 20 25 Number of Falls
  • 10. Fatal Falls… What Did They Fall From? Michigan, 2001-2006 Roof Edge 19 Scaffold/Ladder 18 Others 6 Vehicle/Mach/Equip 8 Structural Steel 8 UNK 3 Unguarded Roof Opening 3 Ground/Floor 2 Cell Phone Tower 2 Wood Framing 2 Water Tower 2 Skylight 2 0 5 10 15 20 Number of Falls
  • 11. N u m b er o f D eath s 0 2 4 6 8 10 12 14 16 Ja nu ar y 4 Fe br ua r y 5 M ar ch 4 Ap r il 4 M ay 8 Ju ne 7 Ju ly Month 5 Au gu Se st 7 pt e m be r 8 Oc to be r Michigan, 2001-2006 No Fatal Falls by Month, 14 ve m be r 5 De ce m be r 4
  • 12. Construction Fatal Falls in Michigan, 2001-2006 Race: – Black: 2 individuals – White: 73 individuals Ethnicity - Hispanic: 6 individuals Gender: – Male: 75 individuals 38 deaths: able to identify if member of a construction union and if firm had written safety program. – 5 individuals were union members – 15 firms had written program
  • 13. We Know What Works
  • 14. Three Workers Hang Off High Rise for an Hour After Scaffold Drops Two workers hang outside the 31-story M&I Plaza building Downtown as a firefighter descends to rescue them. They and a third worker were stranded when a scaffold collapsed as they put up a sign on the 28th floor. - MIKE FENDER / The Star IndyStar.com. Posted 8/15/08. http://www.indystar.com/apps/pbcs.dll/article?AID=/20080815/LOCAL18/808150466
  • 15. Fixes Are Available Internet Fall Protection Plans: – http://erd.dli.mt.gov/safetyhealth/brochures/fallprotect planres.pdf – http://www.osha.gov/pls/oshaweb/owadisp.show_doc ument?p_id=10927&p_table=STANDARDS Guide to Developing a Fall Protection Program – http://www.doa.state.wi.us/docview.asp?docid=667
  • 16. Fixes Continuing education of construction contractors Oversight by general contractors Subcontractors safety program/employee training requirement Courage to call out fellow workers about unsafe work practices Contractor trade groups educate public about value of safety programs, builder designations, etc vs. low bid
  • 17. Follow-up New Michigan Legislation (PA 155-158 of 2007) – Require residential builder and maintenance/alteration contractor to meet continuing competency (CC) requirements. 60 hours pre-licensure coursework Current license holders have varying CC requirements
  • 18. Follow-up New Technology – NIOSH newly developed guard rail system Educational Outreach to employers who hire non/limited-English speaking workers – MIOSHA new job postings – desirable qualification is bi-lingual ability – MIOSHA trying to translate more educational materials – budget constraints limiting effort – OSHA Compliance Assistance – Hispanic Workers
  • 19. Fixes Continuing education of construction contractors Oversight by general contractors Subcontractors safety program/employee training requirement Courage to call out fellow workers about unsafe work practices Contractor trade groups educate public about value of safety programs, builder designations, etc vs. low bid
  • 20. Follow-up MIOSHA Enforcement of Multi-employer Worksites Instruction – July 31, 2007 Clarified guidelines for conducting MIOSHA compliance inspections at multi-employer worksites – Identified: Creating contractor – caused hazardous condition Exposing contractor – own employees are exposed Correcting contractor – responsible for correcting hazard Controlling contractor – general supervisory authority
  • 21. Follow-up MIOSHA Falls Prevention Outreach Initiative – 8500 letters and educational materials sent identified as having work activities in which employees may be exposed to fall hazards 5000 to construction employers 3500 to manufacturing employers – Objectives Highlight the seriousness of fall protection increase awareness of fall hazards within these industries highlight the need for appropriate fall protection help ensure that employees receive the appropriate training required by the MIOSHA Fall Protection Safety standards.
  • 22. MIFACE Investigation 07MI172 34 years old Working for friend who owned roofing business Roofing activities Unwitnessed fall Not using fall protection Died 5 days after incident
  • 23. Follow-up MIFACE Outreach – MIFACE Investigation Report 07MI172 citing the MIOSHA multi-employer worksite document will be sent to all general contractors, home builder associations, and over 1200 roofing contractors in MI – MIFACE will conduct a phone survey to follow-up with representative number of companies to gather additional information
  • 24. Fixes Continuing education of construction contractors Oversight by general contractors Subcontractors safety program/employee training should be required Courage to call out fellow workers about unsafe work practices Contractor trade groups educate public about value of safety programs, builder designations, etc vs. low bid
  • 25. MIFACE Investigation 01MI094 31 years old Painting under bridge Unsecured in lift basket Basket not properly placed on forks of rough terrain forklift
  • 26. Safety Culture Management looks the other way when unsafe actions are used Fellow employees look the other way when unsafe actions are used Who wants to correct the unsafe actions of “experienced” employees? But everyone wants a safe workplace…
  • 27. Fixes Continuing education of construction contractors Oversight by general contractors Subcontractors safety program/employee training should be required Courage to call out fellow workers about unsafe work practices Contractor trade groups educate public about value of safety programs, builder designations, etc vs. low bid
  • 28. Follow-up Collaborated with MAHB to secure grant funding to develop construction standard/employee training CD/DVD Unsuccessful grant, but MAHB entered an alliance agreement with MIOSHA – Outcomes: CET promotion Increased awareness of: – How to develop H&S programs – MIOSHA Construction S&H standards – How regulations apply to residential construction Co-sponsorship of MIOSHA workshops Amicable working relationship