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A . 3 . O - 3/66 Work-related Hand injuries and Upper Extremity Amputations U.S. Department of Labor Bureau of Labor Statistics December 1982 Bulletin 2160 r m i- S r-r-j t b D W®rik=relaSed (Hand Injuries and Upper Extremity imputations U.S. Department of Labor Raymond J. Donovan, Secretary Bureau of Labor Statistics Janet L. Norwood, Commissioner December 1982 Bulletin 2160 For sale by the Superintendent of Documents, U.S. Government Printing Office Washington, D.C. 20402 - Price $4.50 Pr®fa©@ The surveys were directed by Helen McDonald under the supervision of Herbert Schaffer. The user should exercise caution in extrapolating sur vey data to population estimates because of limitations of the surveys. The data were not intended to be sta tistically representative of the population studied. States participating in data collection may not represent the country as a whole; reporting requirements for workers’ compensation reports, which are the source for select ing injuries for study, vary among States; and the data collection periods are not intended to represent the en tire year. In addition, because of the exclusion of white-collar and service workers in the hand injuries survey, industries dominated by these occupations are underrepresented. Nevertheless, the data for each sur vey represent injured workers in the surveyed occupa tions in the participating States during the periods stud ied and are, therefore, valid for identifying injury pat terns on a relative basis. For analytical purposes, incidence rates of the inju ries studied were not generated nor can they be inferred from the data because information on hours of work is not available. See appendix A for scope and methodol ogy of the surveys. Material in this publication is in the public domain and may, with appropriate credit, be reproduced with out permission. This bulletin contains summaries of the results of two Bureau of Labor Statistics work injury surveys. The first survey covered selected hand injuries to blue-col lar workers, January-April 1981; the second survey was limited to arm, hand, or finger amputations, December 1980-May 1981. The findings of these surveys will as sist the Occupational Safety and Health Administration (OSHA) in developing safety standards, compliance strategy, and training programs for reducing work-re lated injuries. The surveys were conducted by the Bureau’s Office of Occupational Safety and Health Statistics, William Mead, Assistant Commissioner, in cooperation with 23 States: Arizona, Arkansas, California, Colorado, Dela ware, Hawaii, Idaho, Indiana, Iowa, Kentucky, Maine, Massachusetts, Michigan, Missouri, Montana, Nebraska, New Jersey (amputation survey only), Ohio, Tennes see, Utah, Virginia, Washington, and Wisconsin. The BLS regional offices coordinated State operations. The Offices of Compliance, Standards Development, Statis tical Studies and Analysis, and Training of OSHA and the Office of Safety Research of the National Institute for Occupational Safety and Health contributed to the planning and development of the surveys. Maryrose Cline-Buso prepared the summary on hand injuries, and Lyn Pearson summarized the amputation survey and developed the computer programs for both surveys. iii Contents Page P arti. Accidents involving hand injuries ................................................................... Sum m ary............................................................................................................. 1 1 Tables: Accidents involving hand injuries, selected States, January-April 1981: 1. Industry.................................................................................................. 2. Selected nature of in ju ry ......................................................................... 3. Source of in ju ry ...................................................................................... 4. Age of worker.......................................................................................... 5. Sex of w orker...................................... 6. Selected occupations.............................................................................. 7. Activity and type of accident ............................................................... 8. Conditions or events contributing to in ju ry .......................................... 9. Part of hand injured .............................................................................. 10. Use of gloves............................................................................................ 11. Practices and policies............................................................................. 12. Activity and use of safeguardsby workers using fixed machinery......... 13. Estimated days away from work ........................................................... 4 4 5 6 6 7 9 10 11 12 14 16 17 Part II. Accidents resulting in arm, hand, or finger amputations............................. 18 Sum m ary............................................................................................................. 18 Tables: Accidents resulting in arm, hand, or finger amputations, selected States, December 1980-May 1981: 14. Industry................................................................................................... 15. Source of in ju ry ...................................................................................... 16. Age of worker.......................................................................................... 17. Sex of w orker.......................................................................................... 18. Occupations ............................................................................................ 19. Activity and type of accident ................................................................. 20. Conditions or events contributing to in ju ry .......................................... 21. Part of upper extremity am putated........................................................ 22. Part of finger amputated......................................................................... 23. Use of hand or arm protection............................................................... 24. Work experience and safety practices .................................................... 25. Activity and use of safeguards by workers using fixed machinery........ 21 22 23 23 24 26 27 28 29 29 30 31 Appendixes: A. Survey explanatory notes.............................................................................. B. Participating State agencies........................................................................... C. Survey questionnaires.................................................................................... D. Illustration of phalanges of the right hand.................................................... 32 33 34 38 IV Part I. AeeidteBits Involving Inland! Injuries Summary The Bureau of Labor Statistics survey of workers in blue-collar occupations who suffered hand injuries fo cused on accidents involving cuts, fractures, scratches, or burns resulting in 1 or more days away from work.1 Types of accidents were limited to: Struck by or against, caught in or between, rubbed or abraded, contact with temperature extremes, and contact with caustic sub stances. Based on the most recent data available from the OSHA Annual Survey and the Supplementary Data System, 7.6 percent of the disabling injuries, or an es timated 200,0002cases in 1980, met the survey definition. The BLS survey of hand injuries showed that the largest percentage of the injuries occurred to workers who were operating, maintaining, or repairing fixed (stationary) machinery or equipment. The injuries, which were divided almost evenly between left and right hands, were generally cuts or lacerations. The majority of workers were not wearing gloves at the time of the accident. On the average, workers lost an estimated 17 days away from work as a result of their injuries. Of the occupations studied, operatives, excluding transport, accounted for 45 percent of the workers in jured; craft and kindred workers, 35 percent; and la borers, 14 percent. Among operatives, meatcutters and assemblers were predominant, while mechanics and re pairers, machinists, and carpenters ranked highest 1For a description o f the survey scope and methods, see appendix A. 2See appendix A for estimating procedure. among craft and kindred workers. Manufacturers em ployed 60 percent of the injured workers, primarily in fabricated metal products, food and kindred products, and machinery, except electrical. Construction and re tail trade accounted for 13 and 8 percent, respectively. Men constituted 86 percent of the workers surveyed. More than 2 out of every 5 workers were injured while operating, maintaining, or repairing fixed machin ery or equipment. Table saws and presses, other than printing presses, were the two most common specific classifications of fixed machinery. As shown in the fol lowing table, injuries to those working with fixed ma chinery or equipment occurred most frequently when their hands either were caught in or between machin ery or objects, hit against moving machine parts, or were struck by moving machine parts. Workers who were lifting, carrying, or handling ob jects accounted for almost one-fourth of the hand inju ries studied. Nearly one-fifth of the injuries occurred to workers using nonpowered handtools, primarily knives. In both situations, the injuries were most fre quently the result of flying, falling, or swinging objects striking their hands. In fact, these objects produced the largest number of injuries overall. The two most preva lent types of flying, falling, or swinging objects were metal items and nonpowered handtools. Of the workers using fixed machinery or power saws, more than two-thirds were operating the equipment when they injured their hands. Almost one-fifth were injured while engaged in cleaning, repairing, or servic ing activities. The majority of workers using fixed ma chinery reported that there were no safeguards, such Text table 1. Type of accident by activity at time of accident (Number of workers) Activity Total Working with fixed (nonportable) machinery Using powered handtools Using nonpowered handtools Lifting, carrying, or holding objects Other T o ta l...................................................................... 944 416 70 180 214 64 Hit against moving machine part(s) ........................ Struck by moving machine pa rt(s)........................... Caught in or between machinery o r o b je c t............ Struck by falling, flying, or swinging object .......... Struck against nonmoving o b je c t............................ Other ........................................................... 134 153 165 339 121 32 115 114 116” 42 20 9 11 33 3 20 3 - 2 1 3 126 41 7 Type of accident - Indicates that no data were reported. 1 - 3 24 127 55 5 6 2 19 24 2 11 as point-of-operation or barrier guards, in use at the time of their accidents. Of the workers who indicated that safeguards were in use, the three most common explanations for why the safeguards did not prevent their injuries were: Safeguards did not completely en close all of the dangerous parts of the machines; hands passed through or under safeguards; or hands were in areas not protected by safeguards. Nearly 2 out of 5 also noted that there was a shutoff device within reach, and slightly more indicated that no other safety features were available. Cuts were the most common injury studied, account ing for nearly 7 out of every 10 injuries. Slightly more than 1 out of 4 of the injuries were fractures. Heat and chemical burns, scratches, and multiple injuries together represented the remaining injuries. The index finger was injured most frequently, fol lowed by the middle finger, thumb, palm area or back of hand, ring finger, and little finger. Looking at left and right hands separately, the largest difference in volved thumb injuries, with the right hand showing proportionately fewer injuries to the thumb than the left. Almost one-half of the external injuries, which ex clude fractures, occurred to the back of the hand only, which was twice the proportion of injuries to the palm only. The remaining cases involved both sides of the hand. The injuries were divided almost evenly between left and right hands, 51 and 48 percent, respectively. Only 1 percent of the cases studied involved both hands. Ninety percent of the injured workers were right handed. This percentage corresponds with the national estimate of adults who are right handed.3 The survey was limited to workers whose injuries resulted in 1 or more days away from work. More than one-quarter of the workers estimated that they lost 1 to 5 days, and three-tenths lost 6 to 15 days. The aver age case resulted in 17 days away from work, which was 1 day more than the national average for all lost workday cases.4 Workers were asked to indicate conditions or events which they felt led to their injuries. A wide variety of factors were listed; some were applicable to many work situations while others were more specific. Survey re spondents most frequently attributed their injuries to the pace at which they were working, 29 percent, or the fact that they were unaware that their hands were in a hazardous area, 26 percent. Twenty percent felt they misjudged either the time or distance needed to avoid injury. The next three most common explana tions, reported by 17 to 19 percent of the workers, were sudden or unintended movement of work materials, tools or equipment, or the hand itself. Other frequently indicated factors were attention not fully on task, not looking at hands, tools or equipment in bad condition, and tools or machinery not equipped with safeguards. Altogether, about 1 in 12 injuries oc curred when work materials, cleaning tools, clothing, or jewelry caught on or were pulled into equipment, dragging the workers’ hands in with them. Seven out of ten workers were not wearing hand protection at the time of injury. When asked to explain why, they generally indicated that gloves were not practical or were not required. Almost 1 out of 4 re spondents felt that gloves were unsafe for the work be ing done, while nearly 1 out of 5 did not think hand protection was needed. One out of eight said gloves were not allowed to be worn on the job. When asked if gloves or other hand protection were available at the time of injury, more than one-half of the unprotected workers said that gloves were provided, usually light cotton or fabric, leather, or general purpose rub ber-coated gloves. Almost three-tenths of the injured workers were wearing gloves or other hand protection at the time of their injury, predominantly light cotton or fabric gloves. One-fourth wore leather gloves, and slightly more than one-tenth wore general purpose rubber-coated gloves. More than three-fifths of the protected workers indi cated that they were wearing gloves to protect against cuts, splinters, blisters, scratches, friction, or rope burns. When asked why the gloves did not prevent their injuries, nearly 2 out of 5 workers said their gloves were torn, punctured, or cut through by the object that injured them, and more than 1 out of 10 indicated that their gloves caught in a machine and pulled in their hands. Almost 3 out of 5 workers reported that the im pact produced fractures, scratches, or abrasions with out apparent damage to their gloves. Of the workers wearing hand protection, 44 percent felt that it had no effect on their accidents. Thirty-four percent said it reduced the seriousness of their injuries, and 13 percent indicated that their gloves caused the accident. A majority of the protected workers felt that another type of hand protection would not have pre vented their injuries. A comparison of selected characteristics between workers wearing and not wearing hand protection is shown in the following table. Almost two-thirds of the workers wearing gloves, compared with less than three-fifths of the workers not wearing gloves, were employed in manufacturing. Craft and kindred workers accounted for a smaller percentage of workers using hand protection. The proportion of workers wearing gloves while working with fixed machinery was only 5 percentage points less than that of unprotected workers, 41 and 46 percent, respectively. One of the 3U.S. Department o f Health and Human Services, National Center for Health Statistics, National Health Examination Survey, Cycle 1 (1960-62). 4 Bureau o f Labor Statistics, Occupational Injuries and Illnesses in the United States by Industry, 1980, Bulletin 2130 (1982). 2 largest differences was reflected in the types of injuries received. Proportionately, workers wearing gloves suf fered fewer cuts and more fractures than workers not wearing gloves. Text table 2. Workers not wearing or wearing gloves by selected characteristics Workers not wearing gloves Workers wearing gloves Industry M anufacturing...................................... Retail trade .......................................... O th e r..................................................... 58 11 31 65 2 33 Occupation Craft and kindred workers ................. Operatives, excluding transport ........ Laborers, excluding farm ................... O th e r..................................................... 39 44 12 5 24 48 18 10 Nature of injury Cuts, lacerations, or pu nctures......... Fractures............................................... O th e r...................................................... 76 20 4 53 40 7 46 21 41 14 20 13 28 17 Characteristics Activity at time of accident Working with fixed (nonportable) m achinery.......................................... Using nonpowered handtool ............. Lifting, carrying, or handling o b je c ts ............................................... O th e r..................................................... 3 Two-thirds of the workers did not receive any infor mation on gloves. Of those who did, the largest pro portion received instructions from their supervisors or employers, usually on when and where to use gloves. Sixty-seven percent of the workers reported that their employers had no policy on wearing gloves or other hand protection for the work being done at the time of injury. Employers who had a policy were split between those who required gloves, 55 percent, and those who did not allow gloves to be worn, 45 percent. Fifty-six percent of the respondents indicated that gloves or other hand protection were available from their employers at partial or no cost to the employees. A majority of the employers who supplied gloves also had a program or policy for replacing lost, worn, or damaged gloves. When asked what actions their employers took after the accident to prevent hand injuries from happening to others, three-tenths of the workers surveyed reported that their employers investigated the accident. A simi lar proportion of the workers said their employers warned other employees about the hazard. More than one-fifth of the respondents indicated no action was taken by their employers to prevent the accident from happening to others, while more than one-fourth did not know if any action was taken. Table 1. Industry: Hand injuries resulting in days away from work, selected States, January-April 1981 Workers wearing gloves All workers Industry Number Percent Number Percent Total ................................................................................................... 944 100 264 100 Agriculture, forestry, and fis h in g ............................................................ Mining 1 ..................................................................................................... 19 3 2 (2) 5 3 2 1 Construction ............................................................................................. General building contractors........................................................... Heavy construction contractors...................................................... Special trade contractors ................................................................ 122 41 8 73 13 4 1 8 27 8 6 13 10 3 2 5 Manufacturing .......................................................................................... Food and kindred products............................................................. Textile mill p ro d u c ts ......................................................................... Apparel and other textile products................................................. Lumber and wood p ro d u c ts ............................................................ Furniture and fix tu re s ....................................................................... Paper and allied products ............................................................... Printing and publishing..................................................................... Chemicals and allied products........................................................ Petroleum and coal products.......................................................... Rubber and miscellaneous plastics p ro d u c ts............................... Leather and leather products ......................................................... Stone, clay, and glass products..................................................... Primary metal industries .................................................................. Fabricated metal products............................................................... Machinery, except electrical............................................................ Electric and electronic equipm ent.................................................. Transportation equipm ent................................................................ Instruments and related products .................................................. Miscellaneous manufacturing industries........................................ 566 76 6 13 65 27 23 23 9 2 35 4 11 20 118 78 24 22 3 7 60 8 1 1 7 3 2 2 1 (2) 4 (2) 1 2 13 8 3 2 (2) 1 172 28 1 26 4 2 1 5 2 9 3 14 45 18 8 4 1 1 65 11 (2) 10 2 1 (2) 2 1 3 1 5 17 7 3 2 (2) (2) Transportation and public utilities ......................................................... Wholesale tra d e ....................................................................................... Retail tra d e ............................................................................................... Finance, insurance, and real estate ..................................................... S erv ic e s .................................................................................................... Other industries, not elsewhere classified ........................................... 40 53 79 5 49 8 4 6 8 1 5 1 16 21 5 2 9 4 6 8 2 1 3 2 1 Limited to oil and gas extraction. 2 Less than 0.5 percent. NOTE: Due to rounding, percentages may not add to 100. See appendix A for types of injuries included in the survey. Dashes indicate that no data were reported. SOURCE: State workers’ compensation reports, Table 2. Selected nature of injury: Hand injuries resulting in days away from work, selected States, January-April 1981 Workers wearing gloves All workers Nature of injury Number Percent Number Percent Total ................................................................................................... 944 100 264 100 Burn or scald (h e a t)................................................................................ Burn (chem ical)........................................................................................ Cut, laceration, puncture—open w o u n d ............................................... Fracture ..................................................................................................... Scratches, abrasions (superficial w ounds)........................................... Multiple injuries ........................................................................................ 20 6 653 245 5 15 2 1 69 26 1 2 6 4 139 106 3 6 2 2 53 40 1 2 NOTE: Due to rounding, percentages may not add to 100. See appendix A for types of injuries included in the survey, SOURCE: State workers’ compensation reports. 4 Table 3. Source of injury: Hand injuries resulting in days away from work, selected States, January-April 1981 Workers wearing gloves All workers Source of injury Number Percent Total ................................................................................................... 944 Animal products....................................................................................... Boilers, pressure vessels........................................................................ Boxes, barrels, containers...................................................................... Buildings and stru cture s......................................................................... Ceramic ite m s .......................................................................................... Chemicals, chemical com pounds.......................................................... C lothing..................................................................................................... Coal and petroleum products ................................................................ C onveyors................................................................................................. Electric apparatus.................................................................................... Flame, fire, sm o ke................................................................................... Food products.......................................................................................... Furniture, fixtures, etc.............................................................................. Glass items, not elsewhere classified .................................................. 2 2 32 12 2 6 1 3 12 10 3 2 10 10 Handtools, not powered ......................................................................... Handtools, not powered, unspecified ............................................ Axe ..................................................................................................... Blow torch ......................................................................................... Chisel ................................................................................................. F ile ...................................................................................................... Hammer ............................................................................................. Knife ................................................................................................... P liers................................................................................................... R o p e ................................................................................................... S a w ..................................................................................................... Scissors ............................................................................................. Screw driver........................................................................................ Shovel ................................................................................................ W rench............................................................................................... Handtools, not powered, not elsewhere classified ...................... 147 1 2 1 2 1 20 91 1 2 1 4 3 1 4 13 Handtools, powered ................................................................................ Handtools, powered, unspecified ................................................... G rin d e r............................................................................................... Drill ..................................................................................................... H am m er............................................................................................. K n ife ................................................................................................... S a w ..................................................................................................... Welding tools .................................................................................... Handtools, powered, not elsewhere classified............................. 48 1 3 16 2 1 20 1 4 5 o (’) 2 (’) (’) 2 0 (') Heating equipment (nonelectric), not elsewhere classified ............... Hoisting apparatus................................................................................... Liquids, not elsewhere classified........................................................... 2 14 2 (') Machines .................................................................................................. Machines, unspecified...................................................................... Agitators, m ix e rs ............................................................................... Agricultural machines, not elsewhere classified........................... Buffers, polishers, etc........................................................................ Casting, forging, welding ................................................................. Crushing, pulverizing ........................................................................ Drilling, boring ................................................................................... Highway construction....................................................................... M inin g................................................................................................. Packaging, w rap ping........................................................................ Picking, carding, etc.......................................................................... Planers, shapers, m olders............................................................... Presses (not printing)....................................................................... Printing ............................................................................................... Rolls ” ................................................................................................. S a w s ................................................................................................... Shears, slitters, s lic e rs ..................................................................... Stitchinq, s ew inq............................................................................... 352 7 2 3 30 4 2 26 3 1 10 1 23 38 15 10 85 28 9 See footnotes at end of table. 5 100 0 0 3 1 (') 1 0 0 1 1 (') 0 1 1 16 (’) (') (’) 0 o 2 10 (’) 0 0 0 (1) (') (1) 1 1 0 37 1 (') (’) 3 0 0 3 (') (') 1 Number Percent 264 100 2 17 4 1 4 1 6 2 (’) 2 1 3 3 1 1 1 2 O 1 1 0 (1) (’) 1 38 14 2 1 9 19 1 2 3 7 (’) 1 1 1 3 0 (') 1 4 10 2 1 1 0 3 7 1 6 1 0 2 0 90 34 1 9 3 1 4 2 1 2 (’) 3 1 o 2 1 0 1 o 2 4 2 1 9 3 1 3 16 1 4 19 7 1 6 (') 2 7 3 Table 3. Source of injury: Hand injuries resulting in days away from work, selected States, January-April 1981—Continued Workers wearing gloves All workers Source of injury Number Machines—Continued Weaving, knitting, s pinn ing.............................................................. Machines, not elsewhere classified ............................................... 4 51 Mechanical power transmission apparatus.......................................... Percent Number Percent 0 5 17 6 7 1 3 1 Metal ite m s ............................................................................................... Metal items, unspecified.................................................................. Automobile p a rts ............................................................................... Beams, bars ...................................................................................... M o ld s.................................................................................................. Molten metal ..................................................................................... Nails, spikes, etc................................................................................ Pipe .................................................................................................... Screws, nuts, b o lts ........................................................................... Metal items, not elsewhere classified............................................ 183 13 13 15 8 1 12 15 3 103 19 1 1 2 1 0 1 2 O 11 48 5 1 5 4 2 6 2 23 18 2 0 2 2 1 2 1 9 Mineral items, nonmetallic, not elsewhere classified ......................... Plastic items, not elsewhere classified................................................. Pumps and prime movers ...................................................................... Radiating substances and equipm ent................................................... Vehicles ..................................................................................................... Wood ite m s ............................................................................................... Miscellaneous, not elsewhere classified .............................................. N onclassifiable.......................................................................................... 3 1 6 1 38 24 6 3 0 (1) 2 2 12 8 2 1 1 1 5 3 1 1 0 4 3 1 (1) 0 in the survey. Dashes indicate that no data were reported. SOURCE: State workers’ compensation reports. 1 Less than 0.5 percent. NOTE: Due to rounding, percentages may not add to 100. See appendix A for types of injuries included Table 4. Age of worker: Hand injuries resulting in days away from work, selected States, January-April 1981 Workers wearing gloves All workers Age Number Percent Number Percent Total ................................................................................................... 944 100 264 100 16— 19 y e a rs ............................................................................................ 20—24 y e a rs ............................................................................................ 25—34 y e a rs ............................................................................................ 35—44 y e a rs ............................................................................................ 45—54 y e a rs ........................................................................................... 55—64 y e a rs ............................................................................................ 65 years or m o re ..................................................................................... Not available ............................................................................................ 62 243 276 137 95 90 14 27 7 26 29 15 10 10 1 3 15 56 78 48 25 28 3 11 6 21 30 18 9 11 1 4 NOTE: Due to rounding, percentages may not add to 100. See appendix A for types of injuries included in the survey, SOURCE: State workers’ compensation reports. Table 5. Sex of worker: Hand injuries resulting in days away from work, selected States, January-April 1981 Workers wearing gloves All workers Sex Number Percent Number Percent Total ................................................................................................... 944 100 264 100 Men ............................................................................................................ W om e n....................................................................................................... 811 133 86 14 231 33 88 13 NOTE: Due to rounding, percentages may not add to 100. See appendix A for types of injuries included in the survey, SOURCE: State workers’ compensation reports. 6 Table 6. Selected occupations: Hand injuries resulting in days away from work, selected States, January-April 1981 Workers wearing gloves All workers Occupation Number Percent 264 100 35 64 2 1 1 6 1 1 2 1 24 1 0 (’) 2 0 (’) 1 0 0 (’) 0 4 2 4 3 1 5 1 2 1 - 82 2 1 3 17 5 24 1 3 21 5 9 0 0 (’) 2 1 3 0 0 2 1 11 1 2 2 5 1 1 8 11 1 1 1 13 1 16 4 9 2 1 1 4 1 1 7 4 2 3 11 0 944 C raft and kindred w o rk e rs .................................................................. Automobile accessories insta lle rs.................................................. B a k e rs ................................................................................................ Boilermakers ..................................................................................... Bulldozer op e ra to rs.......................................................................... Cabinetm akers.................................................................................. C arpenters......................................................................................... Carpenter apprentices ..................................................................... Carpet insta lle rs................................................................................ Cement and concrete finishers....................................................... Crane, derrick, and hoist operators ............................................... Decorators and window dressers................................................... Electricians ........................................................................................ Electric power line and cable installers and repairers ................ Excavating, grading, and road machine operators, excluding bulldozers...................................................................... Floor layers, excluding tile setters ................................................. Blue-collar worker supervisors, not elsewhere classified............ G laziers.............................................................................................. Inspectors, sealers, and graders, log and lum ber........................ Inspectors, not elsewhere classified.............................................. Job-and-die setters, m e ta l............................................................... M achinists.......................................................................................... 331 1 7 2 2 2 37 6 4 3 1 1 12 1 4 1 11 5 3 1 2 40 0 (') Mechanics and re paire rs................................................................. Air-conditioning, heating, and refrigeration................................. Aircraft m echanics......................................................................... Automotive body repairers............................................................ Automobile m echanics.................................................................. Farm implement m e chanics......................................................... Heavy equipment m e chanics....................................................... Household appliance and accessory installers and mechanics Mechanic apprentices, excluding a u to ........................................ Miscellaneous mechanics and repairers..................................... Mechanics and repairers, not spe cifie d...................................... Millers; grain, flour, fe e d .................................................................. M illw rights.......................................................................................... Molders, metal .................................................................................. Molder apprentices........................................................................... Painters, construction and maintenance ....................................... Pattern and model makers, excluding p a p e r................................ Plumbers and pipefitters.................................................................. Plumber and pipefitter apprentices................................................ Printing press operators .................................................................. Roofers and s la te rs .......................................................................... Sheetmetal workers and tinsm iths................................................. Sheetmetal apprentices................................................................... Sign painters and lette rers.............................................................. Stationary engineers ........................................................................ Structural metal w orkers.................................................................. Telephone line installers and repairers ......................................... Tile s e tte rs ......................................................................................... Tool-and-die makers ........................................................................ Tool-and-die maker apprentices..................................................... Specified craft apprentices, not elsewhere classified ................. Apprentices, not spe cifie d............................................................... Craft and kindred workers, not elsewhere classified................... 7 Percent 100 Total ................................................................................................... See footnotes at end of table. Number 0 1 0 (1) 0 4 1 0 0 (’) 0 1 0 1 1 1 1 0 o 0 1 0 2 0 1 (1) (’) 0 (’) 0 0 2 5 1 5 2 1 4 - 1 (’) 0 0 1 1 1 1 0 2 4 0 1 1 2 (’) 1 2 0 2 1 (’) 2 (’) 0 0 Table 6. Selected occupations: Hand injuries resulting in days away from work, selected States, January-Apri! 1981—Continued Workers wearing gloves All workers Occupation Number Operatives, excluding tra n s p o rt........................................................ Asbestos and insulation w orkers.................................................... A ssem blers........................................................................................ Surveyor h e lp ers............................................................................... Checkers, examiners, inspectors; manufacturing ....................... Clothing ironers and pressers......................................................... Cutting operatives, not elsewhere classified ................................ Dressmakers, excluding fa cto ry...................................................... Drywall installers and la th e rs.......................................................... Filers, polishers, sanders, buffers .................................................. Furnace tenders, smelters, and pourers; m e ta l.......................... Garage workers and gas station attendants ................................ Produce graders and packers, excluding factory and fa r m ........ Laundry and drycleaning operatives, not elsewhere classified ... Meatcutters and butchers, excluding manufacturing ................... Meatcutters and butchers, manufacturing..................................... Mine operatives, not elsewhere classified .................................... Mixing operatives.............................................................................. Oilers and greasers, excluding auto .............................................. Packers and wrappers, excluding re ta il......................................... Painters, manufactured articles ...................................................... Photographic process workers ....................................................... Drill press operatives ....................................................................... Grinding machine operatives .......................................................... Lathe and milling machine operatives........................................... Precision machine operatives, not elsewhere classified............. Punch and stamping press operatives .......................................... Riveters and fasteners..................................................................... Sawyers ............................................................................................. Sewers and stitchers ....................................................................... Shoemaking machine operatives ................................................... Furnace tenders and stokers, excluding metal ............................ Carding, lapping, combing operative.............................................. Knitters, loopers, toppers ................................................................ Spinners, twisters, w inde rs.............................................................. W eave rs............................................................................................. Textile operatives, not elsewhere clas s ifie d ................................. Welders and flame c u tte rs .............................................................. Winding operatives, not elsewhere classified............................... Machine operatives, miscellaneous specified............................... Machine operatives, not specified.................................................. Miscellaneous operatives ................................................................ Operatives, not spe cifie d................................................................. 428 1 33 1 3 1 13 2 2 5 3 1 1 4 31 35 4 2 4 13 1 1 9 19 14 12 13 1 23 8 3 1 1 2 1 1 2 13 1 70 25 33 15 Transport equipment op eratives........ ............................................... Delivery and route workers ............................................................. Forklift and tow motor operatives .................................................. Truckdrivers....................................................................................... 28 3 4 21 Laborers, excluding farm ..................................................................... Construction laborers, excluding carpenter helpers .................... Freight, material handlers................................................................ Garbage c o lle c to rs ........................................................................... Gardeners and groundskeepers, excluding farm ......................... Longshore workers and stevedores............................................... Timber cutting and logging w orke rs............................................... Stock h a ndlers.................................................................................. Vehicle and equipment c le a n e rs.................................................... Warehouse laborers, not elsewhere classified............................. 131 11 8 3 3 1 8 11 2 17 See footnotes at end of table. Percent Number Percent 45 0 3 0 0 0 1 (’) 0 1 (1) (1) 0 0 3 4 0 (’) (') 1 0 0 1 2 1 1 1 o 2 1 0 0 0 0 0 (') (’) 1 0 7 3 3 2 127 1 5 1 1 3 3 1 2 3 17 3 1 2 3 4 10 1 3 8 11 6 18 4 12 4 48 O 2 0 (1) 1 1 0 1 1 6 1 0 1 1 2 4 0 1 3 4 2 7 2 5 2 3 2 16 2 14 6 1 5 14 1 1 0 0 0 1 1 0 2 47 4 2 2 7 1 1 6 18 2 1 1 3 0 0 2 0 0 - Tab!© 6. Selected occupations: Hand injuries resulting in days away from work, selected States, January-Apri! 1981—Continued Workers wearing gloves All workers Occupation Number Percent Number Percent Laborers, excluding farm—Continued Miscellaneous laborers .................................................................... Laborers, not s p e c ifie d .................................................................... 57 10 6 1 19 5 7 2 Farm laborers and farm laborer su pervisors................................. Nonclassifiable.... ................................................................................... 11 15 1 2 4 6 2 2 1 Less than 0.5 percent. NOTE: Due to rounding, percentages may not add to 100. See appendix A for types of injuries included in the survey. Dashes indicate that no data were reported, SOURCE: State workers’ compensation reports. Tab!© 7. Activity and type of accident: Hand injuries resulting in days away from work, selected States, January-Aprii 1981 Workers wearing gloves All workers Activity and type Workers Percent Workers Percent What were you doing at the time of your injury? Total ................................................................................................... 944 100 264 100 Working with or on fixed (nonportable) machinery or equipm ent..... Operating or repairing industrial or farm v eh icle s............................... Using powered handtool (tor example: Portable drill, portable s a w )......................................................................................... Using nonpowered handtool (for example: Knife, ham m er)............. Lifting, carrying, or handling o b je c ts ..................................................... Working with che m icals.......................................................................... O th e r......................................................................................................... 416 35 44 4 108 17 41 6 70 180 214 6 23 7 19 23 1 2 20 36 75 4 4 8 14 28 2 2 Total ................................................................................................... 944 100 264 100 Hand hit against moving machine part(s) ............................................ Hand was struck by moving machine part(s) ...................................... Hand was caught in or between machinery or o b je cts ...................... Flying, falling, or swinging object struck h a n d ..................................... Struck hand against nonmoving o b je c t................................................ Chemical, caustic, or acid burned h a n d ............................................... Occurred in other way ............................................................................ 134 153 165 339 121 6 26 14 16 17 36 13 1 3 29 40 53 105 26 4 7 11 15 20 40 10 2 3 How was your hand injured? NOTE: Due to rounding, percentages may not add to 100. See appendix A for types of injuries included in the survey. Because incomplete questionnaires were used, the total number of responses may vary by question. SOURCE: Survey questionnaire. 9 Table 8. Conditions or events contributing to injury: Hand injuries resulting in days away from work, selected States, January-April 1981 Workers wearing gloves All workers Condition or event Workers Percent Workers Percent Indicate any conditions or events which you feel led to your injury. Total 1................................................................................................. 939 263 0 0 In a h u rry .................................................................................................. Did not realize hand was in hazardous a re a ....................................... Misjudged time or distance needed to avoid in ju ry ............................ Work material shifted position or b ro k e ............................................... Tool or machinery shifted position or slipped ..................................... Hand slipped ............................................................................................ Attention not fully on ta s k ...................................................................... Not looking at hand ................................................................................ Tool or equipment was in bad condition (for example: Dull blade) . Tool or machinery not equipped with safeguard (such as a barrier guard) ..................................................................................... 268 247 184 183 162 159 99 94 88 29 26 20 19 17 17 11 10 9 74 70 55 53 45 26 14 22 24 28 27 21 20 17 10 5 8 9 84 9 29 11 Co-worker did something that caused your injury............................... Recent change in work routine or procedures.................................... Little or no instructions given on how to do task ............................... Tool or machinery accidentally activa ted............................................. Tool or machinery broke or m alfunctioned.......................................... Using wrong type of tool or equipment for job ................................... Unfamiliar with tool or equipment u s e d ................................................ View of hand blocked by part of machine or other o b je c t................ Upset or under s tre s s ............................................................................. Hand/finger(s) pulled into machine by work material ........................ 70 59 54 53 53 49 49 47 44 24 7 6 6 6 6 5 5 5 5 3 26 19 20 12 16 10 14 11 6 7 10 7 8 5 6 4 5 4 2 3 Tool or machinery had been altered or modified at the job site (for example: Barrier guard removed) ................................ Gloves, clothing, jewelry, or watch got caught in the equipm ent..... Tired or b o re d .......................................................................................... Tool or machinery continued to run after being shut off (coasting).. Visibility poor due to inadequate lighting, dust, or g la re .................... Task not being done according to instructions................................... Machine power not turned o f f ............................................................... Accidentally hit foot pedal on m a chine................................................ Safeguard on tool or machine failed .................................................... Reacted to loud noise or other distraction.......................................... Cleaning tool, cloth, or rag got caught in the equipm ent.................. Other factors contributed to injury ........................................................ 40 36 28 25 23 20 20 19 15 14 13 29 4 4 3 3 2 2 2 2 2 1 1 3 8 33 7 6 7 7 5 3 2 1 2 12 3 13 3 2 3 3 2 1 1 (2) 1 5 No contributing factors indicated .......................................................... 43 5 13 5 1 Because more than one response is possible, the sum of the responses and percentages may not equal the total. Percentages are calculated by dividing each response by the total number of persons who answered the question. 2 Less than 0.5 percent. 10 NOTE: See appendix A for types of injuries included in the survey. Because incomplete question naires were used, the total number of responses may vary by question. SOURCE: Survey questionnaire. Table 9. Part of hand injured: Hand injuries resulting in days away from work, selected States, January-Apri! 1981 Workers wearing gloves All workers Part injured Workers Percent Workers Percent Indicate which hand was injured. Total ................................................................................................... 943 100 263 100 Left hand o n ly .......................................................................................... Right hand only ....................................................................................... Both h a n d s ............................................................................................... 481 450 12 51 48 1 131 128 4 50 49 2 Total 1................................................................................................. 699 100 158 100 Back of hand/finger o n ly ........................................................................ Palm side of hand/finger o n ly ............................................................... Both sides of h a n d /fin g e r...................................................................... 338 168 193 48 24 28 66 38 54 42 24 34 On which side of the hand did your injury occur? Indicate where your hand was injured. T o ta l2 ................................................................................................. 943 Left hand: T h u m b ................................................................................................... Index finger .......................................................................................... Middle finger ........................................................................................ Ring fin g e r............................................................................................ Little finger ........................................................................................... Palm area (includes back of h a n d )................................................... 122 140 109 92 59 93 13 15 12 10 6 10 26 30 38 30 19 28 10 11 14 11 7 11 Right hand: T h um b................................................................................................... Index finger .......................................................................................... Middle finger ........................................................................................ Ring fin g e r............................................................................................ Little finger ........................................................................................... Palm area (includes back of h a n d )................................................... 82 146 124 91 72 93 9 15 13 10 8 10 21 34 32 36 19 24 8 13 12 14 7 9 Total ................................................................................................... 911 100 252 100 Left h a n d e d .............................................................................................. Right ha nded............................................................................................ 95 816 10 90 33 219 13 87 0 263 0 Are you left or right handed? 1 Excludes fractures. 2 Because more than one response is possible, the sum of the responses and percentages may not equal the total. Percentages are calculated by dividing each response by the total answered the question. NOTE: Due to rounding, percentages may not add to 100. See appendix A for types of injuries included in the survey. Because incomplete questionnaires were used, the total number of responses may vary by question. SOURCE: Survey questionnaire. number of persons who 11 Table 10. Use of gloves: Hand injuries resulting in days away from work, selected States, January-April 1981 Workers Use of gloves Percent Were you wearing gloves or other hand protection at the time of your injury? N o .............................................................................................................. Yes—on both hands ............................................................................... 944 100 680 241 23 72 26 2 260 100 65 121 21 1 33 6 6 2 3 2 25 47 8 0 13 2 2 1 1 1 252 (2) 97 4 3 144 2 32 6 5 38 2 1 . 57 1 13 2 2 2 1 If you were wearing gloves: Indicate the type of gloves or other hand protection you were wearing when injured. Leather g lo v e s ..................................................................................... Light cotton or fabric g lo v e s.............................................................. Heavy-duty canvas gloves ................................................................. Gloves for use with chemicals .......................................................... General purpose rubber-coated g lo v e s............................................ Thin rubber (surgical) gloves ............................................................. Steel mesh g love s............................................................................... Asbestos gloves .................................................................................. Indicate why the gloves or other hand protection did not prevent your injury. Gloves were torn, punctured, or cut through by o b je c t................. Object or chemical went under or around gloves .......................... Chemical, hot object, or fire burned through g lo v e ........................ Chemical soaked through glove without damaging i t ..................... Hand was fractured, scratched, or abraded inside g lo v e .............. Heat or cold penetrated gloves......................................................... Gloves caught in machine and pulled hand i n ................................ Injured area not covered by hand pro te ctio n .................................. Gloves were in bad condition before accident ............................... O th e r..................................................................................................... Don’t k n o w ........................................................................................... _ _ What were the gloves you were wearing intended to protect against? Total 2 ............................................................................................. 258 (2) Cold tem peratures............................................................................... Burns from heat, hot objects, or fire ................................................ Chemical burns or derm atitis............................................................. Cuts, splinters, blisters, scratches, friction, or rope bu rns............. O th e r..................................................................................................... Don’t k n o w ........................................................................................... 72 48 7 163 22 5 28 19 3 63 9 2 Total ............................................................................................... 252 100 Reduced the seriousness of the injury............................................. Caused the accident (for example: Glove pulled into machine) .. Contributed to the injury (for example: Glove cut, burned, or scratched s k in )............................................................................. No effect on the in ju ry ........................................................................ Don’t k n o w ........................................................................................... 85 34 34 13 7 112 14 3 44 6 What effect do you feel the gloves or other hand protection had on the accident? See footnotes at end of table. 12 Table 10. Use of gloves: Hand injuries resulting in days away from work, selected States, January-April 1981—Continued Workers Use of gloves Percent Do you feel another type of glove or other hand protection could have prevented your injury? Total N o ............. Yes ........... Don’t know 253 100 205 31 17 81 12 7 26 100 16 8 2 62 31 8 If you fee! another type of glove or other hand protection could have prevented your injury, was it available at the job site when injured? Total ........................................................................... N o ............. Yes ........... Don’t know If you were not wearing gloves or other hand protection: Indicate why you were not wearing gloves or other hand protection at the time of your injury. Total 1 2....................................................................................... Not allowed to wear th e m ........................................... Not practical or hard to work with them on ............. Did not think they were ne eded................................. Not required to w e a r.................................................... Took them off immediately before the a ccid e n t...... Unsafe to wear gloves for the work you were doing O th e r.............................................................................. 648 (2) 80 371 119 253 18 147 9 12 57 18 39 3 ' 23 1 558 (2) 91 142 51 29 74 17 22 28 4 52 220 16 25 9 5 13 3 4 5 1 9 39 What type of gloves or other hand protection, if any, were available at the worksite when your injury occurred? T o ta l2 Leather g lo v e s ........................................ Light cotton or fabric g lo v e s ................. Heavy-duty canvas gloves .................... Gloves for use with chemicals ............. General purpose rubber-coated gloves Thin rubber (surgical) gloves ................ Steel mesh gloves.................................. Asbestos gloves ..................................... O th e r........................................................ Don’t k n o w .............................................. None ava ila ble........................................ 1 Less than 0.5 percent. 2 Because more than one response is pos sible, the sum of the responses and percent ages may not equal the total. Percentages are calculated by dividing each response by the total number of persons who answered the question. NOTE: Due to rounding, percentages may not add to 100. See appendix A for types of injuries included in the survey. Because incom plete questionnaires were used, the total num ber of responses may vary by question. Dashes indicate that no data were reported. SOURCE: Survey questionnaire. 13 Table 11. Practices and policies: Hand injuries resulting in days away from work, selected States, January-April 1981 Workers wearing gloves All workers Practice and policy Workers Percent Workers Percent What was your employer’s policy on wearing gloves or hand protection for the type of work you were doing at the time of injury? Total ................................................................................................... 894 100 247 100 Required for work being d o n e ............................................................... Not allowed to wear any type of gloves or hand protection for work being done ............................................................................. No p o lic y ................................................................................................... Don’t know ............................................................................................... 108 12 92 37 88 602 96 10 67 11 3 116 36 1 47 15 What information were you given regarding gloves or other hand protection? Total 1 ................................................................................................. 815 0 227 When and where to use th e m ............................................................... When and where not to use th e m ........................................................ Specific type to wear for specific job ................................................... Limitations and advantages of gloves or other hand protection ...... O th e r.......................................................................................................... Not given any information ...................................................................... 130 95 82 103 1 538 16 12 10 13 (2) 66 52 18 29 33 1 129 Total 1 ....... .5...................: ................. ............................................ 250 0 Supervisor or em ployer..................................................................... C o-w orker............................................................................................. Company safety o ffic ia l..................................................................... Union representative ......................................................................... O th e r..................................................................................................... 180 75 43 13 11 72 30 17 5 4 63 29 20 7 2 67 31 21 7 2 T o ta l.............................................................................................. 239 100 88 100 No ........................................................................................................ Y e s ....................................................................................................... Don’t k n o w .......................................................................................... 29 179 31 12 75 13 12 65 11 14 74 13 Total ................................................................................................... 796 100 236 100 Yes—available at no cost from em ployer............................................ Yes—employer pays part of c o s t.......................................................... No— must be purchased at own expense............................................ O th e r......................................................................................................... Don’t know ............................................................................................... 414 29 246 12 95 52 4 31 2 12 138 15 77 2 4 58 6 33 1 2 O 23 8 13 15 (2) 57 If you were given information regarding gloves or other hand protection: a. How did you receive this information? 94 0 b. Would this information be enough to help you select the proper type of hand protection? Are gloves or other hand protection available from your employer? See footnotes at end of table. 14 Table 11. Practices and policies: Hand injuries resulting in days away from work, selected States, January-April 1981—Continued Workers wearing gloves All workers Practice and policy Workers Percent Workers Percent If y o u r em ployer supplies gloves, does the com pany have a po licy o r program fo r replacing loss, w orn, o r damaged gloves? Total ................................................................................................... 427 100 145 100 N o .............................................................................................................. Y e s ............................................................................................................ Don’t know ............................................................................................... 48 313 66 11 73 15 17 108 20 12 74 14 W hat actions, if any, did you r em ployer take a fte r your accident to prevent such an injury fro m happening to others? Total 1................................................................................................. 840 O Investigated a c c id e n t.............................................................................. Conducted safety training or reviewed safety procedures ................ Installed safeguards (such as point of operation or barrier guards) . Repaired or replaced equipm ent........................................................... Warned other employees about ha za rd ............................................... Required use of appropriate type of hand protection ........................ Warned employees not to use hand protection.................................. Other action ............................................................................................. Employer took no a c tio n ........................................................................ Don’t k n o w ............................................................................................... 254 70 40 71 235 13 7 4 177 230 30 8 5 8 28 2 1 (2) 21 27 1 Because more than one response is possible, the sum of the responses and percentages may not equal the total. Percentages are calculated by dividing each response by the total number of persons who answered the question. 2 Less than 0.5 percent. 234 62 13 14 19 63 1 5 - 48 74 0 26 6 6 8 27 (2) 2 - 21 32 NOTE: Due to rounding, percentages may not add to 100. See appendix A for types of injuries included in the survey. Because incomplete questionnaires were used, the total number of responses may vary by question. Dashes indicate that no data were reported. SOURCE: Survey questionnaire. 15 Table 12. Activity and use of safeguards by workers using fixed machinery or power saws: Hand injuries resulting in days away from work, selected States, January-April 1981 Workers wearing gloves All workers Activity and use of safeguard Workers Percent Workers Percent What type of work were you doing at the time of your injury? 409 100 109 100 277 30 68 33 1 68 7 17 8 (’) 81 9 15 4 74 8 14 4 „ Total ................................................................................................... 347 100 87 100 N o .............................................................................................................. 226 100 21 65 29 6 63 20 4 72 23 5 Total .................................................................................................. Operating machine or s a w ..................................................................... Unjamming machine, saw, or m aterial.................................................. Cleaning, repairing, servicing, etc., machine or saw .......................... Setting up machine or saw .................................................................... O th e r......................................................................................................... _ Was a safeguard in use at the time of your accident? Don’t know ............................................................................................... If a safeguard was in use, why didn’t it prevent your injury? Total 2 1 ................................................................................................. 88 Hand passed through or under safeguard........................................... Hand was in area of machine not protected by safeguard............... Safeguard did not completely enclose dangerous parts of m achine.................................................................................................. Safeguard was not in proper position at time of accident ................ Safeguard malfunctioned or broke (for example: Device did not stop machine in time) .......................................................................... Safeguard was improperly adjusted...................................................... Object was thrown from m a ch in e ......................................................... O th e r......................................................................................................... Don’t k n o w ............................................................................................... 23 20 26 23 2 2 12 12 28 11 32 13 6 3 35 18 9 8 4 3 2 10 9 5 3 2 2 2 1 3 12 12 6 18 (2) 17 (2) Were there any other safety features available at the time of your injury? Total 2 ................................................................................................. 311 (2) Push sticks, blocks, gripping pliers, or other holding devices........... Hazard warning device (for example: An alarm) ............................... Shut-off device within reach .................................................................. O th e r......................................................................................................... Don’t know ............................................................................................... No other safety features available........................................................ 39 1 118 5 32 132 13 0 38 2 10 42 1 Less than 0.5 percent. 2 Because more than one response is possible, the sum of the responses and percentages may not equal the total. Percentages are calculated by dividing each response by the total number of persons who answered the question. 80 6 (2) 7 - - 27 1 9 39 34 1 11 49 NOTE: Due to rounding, percentages may not add to 100. See appendix A for types of injuries included in the survey. Because incomplete questionnaires were used, the total number of responses may vary by question. Dashes indicate that no data were reported. SOURCE: Survey questionnaire. 16 Table 13. Estimated days away from work: Hand injuries resulting in days away from work, selected States, January-April 1981 Workers wearing gloves All workers Days away from work Workers Percent Workers Percent How many workdays did you (or do you expect to) lose due to your injury? (NOTE: Do not count the day of injury, days on light-duty work, normal days off, or holidays.) Total 1................................................................................................. 939 100 263 100 1 to 5 days ............................................................................................... 6 to 10 d a y s ............................................................................................. 11 to 15 d a y s ........................................................................................... 16 to 20 d a y s ........................................................................................... 21 to 25 d a y s ........................................................................................... 26 to 30 d a y s ............................................................................... ............ 31 to 40 d a y s ........................................................................................... 41 to 60 d a y s ........................................................................................... More than 60 d a y s .................................................................................. 254 170 105 82 61 63 60 55 19 27 18 11 9 6 7 6 6 2 56 33 37 16 24 26 22 23 6 21 13 14 6 9 10 8 9 2 Number of days away from work not estim ated................................. 70 7 20 8 Average days away from work per lost workday c a s e ............. 1 Excludes five workers who retired, were laid off, or put on permanent disability. NOTE: Due to rounding, percentages may not add to 100. See appendix A for types of injuries included 17 21 in the survey. Because incomplete questionnaires were used, the total number of responses may vary by question, SOURCE: Survey questionnaire. 17 Part IS. Aeeidents Resulting In Arm, Hand, or Finger Amputations Summary facturing. Within this industry group, fabricated metal products accounted for 11 percent of the injuries; lum ber and wood products, 8 percent; food and kindred products, and machinery (except electrical), 7 percent each. More than 7 out of 10 workers were employed as either craft workers or operatives (excluding trans port) at the time of injury. Among craft workers, two groups sustained the greatest number of injuries: Me chanics and repairers, 10 percent, and carpenters, 5 per cent. Injuries among operatives were distributed about evenly over more than 30 job classifications. Machines were the leading source of injury. In fact, two-thirds of the workers surveyed said they were working with or on fixed machinery when the injury occurred. Although numerous types of machines were implicated in these accidents, saws and presses (other than printing presses) accounted for the highest pro portion of injuries, 16 and 10 percent, respectively. Those who were injured while working with fixed machinery or power saws were asked to describe their activities at the time the accident occurred. About three-fifths of these workers were actually operating the equipment while slightly more than one-fifth were cleaning, repairing, or servicing it. Workers also were asked to indicate whether their amputations were the result of cutting, crushing, or pulling forces, or some combination of these. While cutting and crushing actions were cited equally by all workers, those working with fixed machinery experi enced more amputations from cutting than crushing, as shown in text table 3. This reflects, at least in part, the relatively high percentage of injured workers using ma chines such as saws, shears, slitters, and slicers. As shown in text table 4, those working with fixed machinery were equally likely to be injured by striking against moving machine parts, such as saw blades; be ing struck by moving machine parts; or getting caught in or between machinery or work material. Fifteen percent of the workers were injured while lifting, carrying, or handling objects. Text tables 3 and 4 show that these workers were more than twice as likely to suffer crushing rather than cutting injuries and Work-related amputations involving the upper ex tremities (arms, hands, or fingers) result in loss of man ual dexterity often affecting workers’ job skills and future employment opportunities. In addition, the dis figurement and impairment of function can have social and psychological consequences which extend beyond the work environment. Based on the most recent data available from the OSHA Annual Survey and the Sup plementary Data System, an estimated 16,000 workers5 experienced finger, hand, or arm amputations in 1980. Their injuries accounted for 96 percent of all amputa tions. Indemnity compensation6 for the loss of a finger averaged $3,144 per case while the loss of a hand av eraged $13,500 and the loss of an arm, nearly $28,000. The BLS survey of work-related arm, hand, or fin ger amputations7indicated that nearly one-fourth of the injured workers were under 25 years of age, and about one-half were under 35. The injuries were distributed equally between left and right hands, and none involved bilateral amputations. Most amputations were limited to fingers; four workers lost an entire hand; and three lost all or part of an arm. More than 3 out of 4 amputations studied were re stricted to a single finger, most often the index or mid dle finger. When more than one finger was involved, it was usually some combination of the index, middle, and ring fingers that was injured. Approximately three-fourths of the amputations occurred within the distal phalange,8 which is farthest from the palm and generally considered the tip of the finger. Slightly more than one-tenth of the workers lost one or more com plete fingers, that is, the amputations occurred within the proximal phalange. Although workers in virtually all industries were sur veyed, more than 3 out of 5 were employed in manu 5See appendix A for estimating procedure. 6Derived from 1979 indemnity compensation data provided by 12 States participating in the BLS Supplementary Data System. 7See appendix A for the survey definition and scope o f survey. 8See illustration in appendix D. 18 Text table 3. Force of amputation by activity at tom© of accident (Number of workers) Activity Total Working with fixed (nonportable) machinery Working with industrial or farm vehicles Using handtool (powered or nonpowered) Lifting, carrying, or handling objects Other Total ' ...................................................................... 861 572 54 54 126 55 Cutting action ................................................................ Pulling fo rc e ................................................................... Crushing fo rc e ............................................................... Other .............................................................................. 444 96 442 2 321 64 268 19 7 37 1 37 3 17 1 43 8 92 24 14 28 Force of amputation 1 Columns do not add to total because ot multiple responses. - Indicates no data were reported. Text table 4. Type of accident by activity at time of accident (Number of workers) Activity Total Working with fixed (nonportable) machinery Working with industrial or farm vehicles Using handtool (powered or nonpowered) Lifting, carrying, or handling objects Other T o ta l........................................................................... 861 573 54 54 126 55 Hit against moving machine part(s) ............................. Struck by moving machine pa rt(s)................................ Caught in or between machinery or o b je c ts ............... Struck by falling, flying, or swinging o b je c t................. Other ............................................................................... 204 215 295 130 18 180 186 194 11 2 2 8 32 11 1 16 15 10 11 2 Type of accident - _ - 39 85 2 6 6 20 12 11 Indicates no data were reported. lost the entire arm. All of these amputations were on the right side of the body. Six of the seven injuries were the result of contact with moving machinery. Three of the seven workers were either setting up or unjamming equipment when their co-workers mistakenly activated the equipment. The first was staging a piece of lumber to be cut when a co-worker activated the saw. The in jured worker was in such a position that a hold-down bar trapped his hand, allowing the saw to amputate it. The second was unjamming a piece of cutting equip ment and asked his co-worker to run the machine back ward to help clear it. The co-worker activated the wrong switch and the machine ran forward, pulling the injured worker’s hand into cutting range. The injured worker attributed the accident to poor machine design because the forward and reverse controls were not clearly marked. The third worker was unjamming a piece of farm equipment when a co-worker unexpect edly turned on the machine. Among those remaining, one lost a hand when feeding material into farm equip ment, and another lost part of an arm when he slipped and fell into a molding press. The worker injured feed ing materials into farm equipment blamed the accident on the fact that his mitten caught in running machin ery, and the worker who fell into the press had slipped in oil on the floor. Another worker, who also lost part that about two-thirds were hurt by falling, flying, or swinging objects. Sometimes the object being handled was responsible for the amputation, as when one worker’s fingers were crushed by a 55-gallon drum he was securing in a truck. The drum shifted suddenly, pinning his fingers to the wall of the truck. In other instances, the object being handled was incidental to the accident, such as when a door suddenly swung shut and amputated the finger of a worker who was carry ing a rack of test tubes. Six percent of those injured were working with handtools. Text table 3 shows that nearly 7 out of 10 of these workers experienced cutting amputations. Text table 4 indicates their injuries most often occurred when they struck against or were struck by moving equip ment or machinery, usually the tools with which they were working. Two injuries occurred in ways that were unique and, therefore, could not be classified as cutting, crushing, or pulling types of amputations. In one case, a worker’s finger was amputated by a stream of liquid under 2,250 pounds of pressure per square inch. The other worker’s finger was twisted off by a powered handtool. The most serious amputations were sustained by seven workers, four of whom lost a hand at the wrist, two who lost the lower portion of an arm, and one who 19 such as saws, planers, or power mitres. Guards on this type of machinery are constructed to allow materials to be fed into the equipment. It follows that if material can be fed under the guard, so can a finger, hand, or arm. One solution to the problem of safe materials feed ing, often recommended by safety manuals, is to use a holding apparatus such as gripping pliers or push sticks. These devices are intended to allow the worker to feed materials into machinery without getting dangerously near moving parts. Of the 50 workers who said these devices were available, fewer than one-third were us ing them when the amputation occurred. One-third of all injured workers were wearing hand or arm protection, mostly gloves, at the time the am putation occurred. One-half of the workers believed the protection had no effect on the accident, often com menting that gloves were worn to protect against other hazards such as splinters, rope burns, or cold tempera tures or used to improve grip. One-fourth felt gloves were actually responsible for the accident. In those cases, the worker invariably stated that the glove got caught in machinery and pulled in the hand, thus caus ing the amputation. Fewer than one-tenth of the workers felt gloves or arm protection helped reduce the seri ousness of the injury. Their general feeling was that, while gloves could not have prevented the amputations, other fingers were protected from scratches, bruises, or cuts. Injured workers were generally experienced in per forming the jobs they were doing when injured. Three-fifths had 1 or more years of experience and nearly one-half performed the task daily or almost ev ery day. One-tenth of the workers were injured when performing the task for the first time. Nearly three-fifths of the injured workers had not received training in safely performing the tasks associ ated with their injuries and slightly less than one-fifth received training more than 2 years prior to the acci dent. Those workers less familiar with the task they were performing when injured were also less likely to have received safety training in performing that task. As text table 5 indicates, about 1 out of 4 less-experi enced workers received training while 1 out of 2 workers with more than a year’s experience received safety training. Sixty percent of the injured workers knew of some action that their employers took after the accident to prevent a similar accident from happening to others. In order of prevalence, employers: Investigated the acci dent, 32 percent; warned other employees about the hazard, 32 percent; repaired or replaced equipment, 15 percent; and conducted safety training, 11 percent. Finally, it should be noted that workers’ comments often reflected a common theme—the surprising speed at which the amputation occurred. Many workers ex pressed shock that such a serious accident could occur of an arm, was caught in moving machinery while meas uring it for replacement parts. He stated that he had complained to his supervisor that the equipment was still running but was ordered to perform this task since the equipment was “running slow enough to get the measurements.” Finally, the only worker who lost an entire arm was a tree feller whose arm was crushed by a log rolling downhill. Workers cited numerous events or conditions which they believed caused their accidents or contributed to their injuries. Some of these factors were general in na ture, encompassing a broad spectrum of work practices, conditions, and human actions that could apply to many work situations. Other factors related specifically to machinery or tools. Of the general factors, 29 percent of the workers felt that the accident occurred because they did not know their hands were in hazardous areas. This implied that some workers were unfamiliar with the equipment they were using when injured. For example, one worker put his hand into a clogged snowblower exhaust, unaware that he would contact moving blades. Other workers were quite familiar with the equipment but unaware that it was potentially hazardous. An example is the worker whose fingers were amputated when a centri fuge lid suddenly dropped shut on them. Twenty-five percent of the workers believed that being in a hurry to perform the job caused their accidents. They often commented that they were hurrying because of pres sure from supervisors or because they were working under production quotas. One worker summarized con ditions in his shop by stating, “You’re always in such a hurry that safety is the last thing on your mind.” Other general factors which workers frequently cited as contributing to their accidents were: Work materials breaking or shifting position, 17 percent; misjudging the time or distance needed to avoid injury, 16 percent; in attention, 11 percent; and insufficient instruction in safely performing the task that led to injury, 11 percent. Thirteen percent indicated their accidents were precipi tated by a co-worker’s actions. Lack of safeguards was the most common contribut ing factor related to machinery or tools and was cited by 17 percent of the workers. Thirteen percent attrib uted their amputations to accidental activation of equip ment. Twelve percent identified defective tools or ma chines as causal factors. Most of the workers whose accidents occurred while working with fixed machinery stated that safeguards -were not in use at the time of injury. When safeguards were in use, they failed to prevent injury for several reasons. Close to 1 out of 5 workers using safeguarded equipment stated that the guard did not completely cover dangerous parts, and more than 2 out of 5 workers said their hands passed through or under the guards. The latter situation usually involved cutting implements 20 Text table 5. Safety training by Job experience Experience Less than a year Total Safety training 1 year or more Workers Percent Workers Percent Workers Percent T o ta l........................................................................................... 785 100 320 100 465 100 Received training ............................................................................ Did not receive tra in in g .................................................................. 324 461 41 59 88 232 27 73 236 229 51 49 in an instant. There was no time to take preventative action, such as pulling their hands away or switching off machinery. In fact, some workers seemed to believe that reaching into moving machinery for “just a sec ond” was not particularly dangerous because they were exposed to the hazard for such a short period of time. In other words, even when potential hazards were rec ognized by the worker, there was a tendency to mini mize them. This idea is best illustrated by the follow ing comment: “I just put (an object) in the machine, it made one slice and I saw it (the object) wasn’t quite in so I just was going to push it down, just a little, it only took a second . . . I must have put my finger out and it got cut off.” Table 14. Industry: Arm, hand, or finger amputations, selected States, December 1980-May 1981 Industry Workers Percent Total ................................................................................................... 862 100 Agriculture, forestry, and fis h in g .... ........................................................ Mining 1 ..................................................................................................... Construction ............................................................................................. 29 12 89 3 1 10 Manufacturing .......................................................................................... Food and kindred p ro d u cts............................................................. Tobacco manufactures .................................................................... Textile mill products........................................................................ Apparel and other textile products................................................. Lumber and wood products ............................................................ Furniture and fix tu re s ....................................................................... Paper and allied products ............................................................... Printing and publishing..................................................................... Chemicals and allied products........................................................ Petroleum and coal products.......................................................... Rubber and miscellaneous plastics p ro d u cts............................... Leather and leather products ......................................................... Stone, clay, and glass p ro d u c ts .................................................... Primary metal industries .................................................................. Fabricated metal products............................................................... Machinery, except electrical........................................................ Electric and electronic equipm ent................................................. Transportation equipm ent............................................................ Instruments and related products .................................................. Miscellaneous manufacturing industries....................................... 538 60 3 7 4 68 31 34 18 10 2 24 2 16 32 94 62 24 29 4 14 Transportation and public utilities ......................................................... Wholesale tra d e .................................................................................... Retail tra d e ........................................................................................ Finance, insurance, and real estate ..................................................... Services ..................................................................................................... Other industries, not elsewhere c la s s ifie d ........................................... 21 43 50 7 63 10 1 Limited to oil and gas extraction. 2 Less than 0.5 percent. NOTE: Due to rounding, percentages may not add to 100. See appendix A for types of 62 7 O 1 0 8 4 4 2 1 (2) 3 ( 2) 2 4 11 7 3 3 (2) 2 2 5 6 1 7 1 injuries included in the survey. SOURCE: State workers’ compensation reports. 21 Table 15. Source of injury: Arm, hand, or finger amputations, selected States, December 1980-May 1981 Workers Source of injury Percent Total ................................................................................................... 862 100 Boilers, pressure vessels........................................................................ 1 19 19 1 1 4 25 8 2 14 30 2 13 1 (1) 2 2 (1) (’) o 3 1 Printing ............................................................................................... Rolls ~................................................................................................. S a w s ................................................................................................... Screening, separating ...................................................................... Shears, slitters, slic e rs..................................................................... Stitching, s e w ing............................................................................... Weaving, knitting, spinning.............................................................. Machines, not elsewhere classified ............................................... 557 13 14 15 21 14 10 23 8 18 2 17 88 17 4 142 1 44 4 3 99 65 2 2 2 2 2 1 3 1 2 0 2 10 2 0 16 0 5 0 0 11 Mechanical power transmission apparatus.......................................... 19 2 Metal ite m s ............................................................................................... Automobile p a rts ............................................................................... Beams, bars ...................................................................................... 71 6 9 2 9 1 44 8 1 1 (’) 1 0 5 9 2 O Ceramic ite m s .......................................................................................... C lothin g..................................................................................................... Packaging, wrapping ........................................................................ Picking, carding, etc........................................................................... Planers, shapers, m olders............................................................... Pipe .................................................................................................... Screws, nuts, b o lts ........................................................................... Metal items, not elsewhere classified............................................ Pumps and prime movers ...................................................................... Vehicles .................................................................................................... Highway vehicles, pow ered............................................................. Plant or industrial vehicles .............................................................. Rail v e h ic le s ...................................................................................... Vehicles, not elsewhere c la ssified................................................. 46 22 22 1 1 Wood ite m s .............................................................................................. Recreation and athletic equipm ent....................................................... Rubber p ro d u cts...................................................................................... Miscellaneous, not elsewhere clas s ifie d .............................................. N onclassifiable......................................................................................... 8 1 1 7 1 1 5 3 3 0 (') 1 0 (') 1 0 injuries included in the survey. SOURCE: State workers’ compensation reports. ' Less than 0.5 percent. NOTE: Due to rounding, percentages may not add to 100. See appendix A for types of (’) 2 3 0 2 0 22 Table 1®. Age of worker: Arm, hand, or finger amputations, selected States, December 1980-May 1981 Workers Age 16— 19 ...................................................................................................... 20—24 ...................................................................................................... 25—34 ....................................... 35—44 ......................................................................................... 45—54 ................................................................................................. 55—64 ...................................................................................................... NOTE: Due to rounding, percentages may not add to 100. See appendix A tor types of injuries included in the survey. Percent 862 100 50 145 224 149 115 119 21 39 6 17 26 17 13 14 2 5 SOURCE: State workers’ compensation reports, Table 17. Sex of worker: Arm, hand, or finger amputations, selected States, December 1980-fWay 1981 Sex Workers Total ................................................................................................... Men .................................................................................................... W om e n............................................................................................... NOTE: See appendix A for types of injuries included in the survey. Percent 862 100 754 108 87 13 SOURCE: State workers’ compensation reports. 23 Table 18. Occupations: Arm, hand, or finger amputations, selected States, December 1980-May 1981 Workers Occupation Percent Total ................................................................................................... 862 100 P rofessional, technical, and kindred w o rk e rs ................................ M anagers and adm inistrators, excluding farm .............................. 14 24 1 6 2 3 (') 1 269 2 1 1 6 40 1 1 1 3 1 7 31 (') 0 (’) 1 5 Clerical and kindred w o rk e rs ............................................................. C raft and kindred w o rk e rs .................................................................. Boilermakers ..................................................................................... Brickmasons and stonem asons...................................................... C abinetm akers.................................................................................. Carpenter apprentices ..................................................................... Cement and concrete finishers....................................................... Compositors and type sette rs.......................................................... Crane, derrick, and hoist operators ............................................... Decorators and window dressers................................................... Excavating, grading, and road machine operators, excluding bulldozers...................................................................... Blue-collar worker supervisors, not elsewhere classified............ Forge and hammer operators......................................................... Furniture and wood finishers .......................................................... 0 0 0 (’) 0 1 4 27 1 2 1 2 4 18 0 Mechanics and re paire rs................................................................. Air-conditioning, heating, and refrigeration................................. Aircraft m e chanics......................................................................... Automotive body repairers............................................................ Automobile m echanics.................................................................. Farm implement m echanics......................................................... Heavy equipment m e chanics....................................................... Loom fix e rs ..................................................................................... Mechanic apprentices, excluding a u to ........................................ Miscellaneous mechanics and repairers..................................... Mechanics and repairers, not spe cifie d...................................... 82 1 1 1 10 3 32 1 3 17 13 10 0 0 0 1 Millers; grain, flour, fe e d .................................................................. 0 Molders, metal .................................................................................. Painters, construction and m aintenance....................................... Pattern and model makers, excluding p a p e r................................ Plumbers and pipefitters.................................................................. Printing press operators .................................................................. Sheetmetal workers and tinsm iths................................................. Stationary engineers ........................................................................ Structural metal w orkers.................................................................. Telephone installers and repairers................................................. Telephone line installers and repairers ......................................... Tile s e tte rs ......................................................................................... Tool-and-die makers ........................................................................ U pholsterers...................................................................................... Specified craft apprentices, not elsewhere classified ................. Apprentices, not spe cifie d............................................................... Craft and kindred workers, not elsewhere classified................... 2 13 5 2 1 3 9 7 1 3 1 1 1 10 1 1 1 2 O peratives, excluding tra n s p o rt........................................................ A ssem blers........................................................................................ Bottling and canning operatives..................................................... Checkers, examiners, inspectors; manufacturing ....................... 350 18 3 2 Inspectors, not elsewhere classified.............................................. Job-and-die setters, m e ta l............................................................... See footnotes at end of table. 24 3 0 0 0 0 o 2 0 4 (') 0 2 2 2 1 0 0 (’) 1 1 0 0 0 0 q 0 0 (’) 0 41 2 (1) 0 Table 18. Occupations: Arm, hand, or finger amputations, seiected States, December 1§80-May 1981 “ -Continued Workers Occupation O peratives excluding tra n s p o rt— C ontinued Clothing ironers and pressers.......................................................... Cutting operatives, not elsewhere classified ................................ Drillers, e a rth ..................................................................................... Filers, polishers, sanders, buffers .................................................. Furnace tenders, smelters, and pourers; m e ta l.......................... Laundry and drycleaning operatives, not elsewhere c la ssified......................................................................................... Meatcutters and butchers, excluding m anufacturing................... Meatcutters and butchers, m anufacturing..................................... Meat wrappers, retail trade ............................................................. Mine operatives, not elsewhere classified .................................... Mixing operatives.............................................................................. Oilers and greasers, excluding auto .............................................. Packers and wrappers, excluding re ta il......................................... Painters, manufactured articles ...................................................... Drill press operatives ....................................................................... Grinding machine operatives .......................................................... Lathe and milling machine op eratives........................................... Precision machine operatives, not elsewhere classified............. Punch and stamping press operatives .......................................... Riveters and fasteners..................................................................... Percent 1 16 6 2 1 O 2 1 0 0 0 Sewers and stitchers ........................................................................ Shoemaking machine operatives ................................................... Furnace tenders and stokers, excluding metal ............................ Carding, lapping, and combing operatives.................................... Knitters, loopers, and toppers ........................................................ Spinners, twisters, and w in d e rs...................................................... Welders and flame c u tte rs .............................................................. Winding operatives, not elsewhere classified............................... Machine operatives, miscellaneous specified............................... Machine operatives, not specified.................................................. Miscellaneous operatives ................................................................ Operatives, not specified................................................................. 2 10 6 1 2 5 3 9 1 5 5 6 5 33 1 21 2 1 1 1 1 1 16 2 83 24 44 10 Transp ort equipm ent o p e ra tiv e s ..... ............................................. Delivery and route workers ............................................................. Forklift and tow motor operatives .................................................. Truckdrivers....................................................................................... 20 2 4 14 2 (') 0 2 Laborers, excluding f a r m ....................................... ............................. Animal caretakers, excluding fa r m ................................................. Carpenter h e lp ers............................................................................. Construction laborers, excluding carpenter helpers .................... Freight, material handlers................................................................ Garbage colle c to rs ........................................................................... Gardeners and groundskeepers, excluding farm ......................... Timber cutting and logging w orke rs............................................... Stock ha ndlers.................................................................................. Vehicle and equipment cle a n e rs .................................................... Warehouse laborers, not elsewhere classified............................. Miscellaneous la b o re rs.................................................................... Laborers, not specified .................................................................... 128 1 1 11 12 4 9 2 5 4 4 52 23 15 0 (1) 1 1 0 1 0 1 0 0 6 3 Farmers and farm m a n a g e rs ...................... ........................................ Farm laborers and farm laborer s u p e rv is o rs ................................. Service w orkers, excluding private household ............................. N o n c la s s ifia b le .... ................................................................................... 1 11 29 9 1 Less than 0.5 percent. NOTE: Due to rounding, percentages may not add to 100. See appendix A for types of 1 1 0 0 1 (1) 1 (1) 1 1 1 1 4 0 2 0 0 0 0 0 (’) 2 0 10 3 5 1 0 1 3 1 injuries included in the survey. SOURCE: State workers’ compensation reports. 25 Tab!© 1®. Activity and type of accident: Arm, hand, or finger amputations, selected States, December 19®0~IMay 1981 Activity and type Workers Percent W hat w ere you doing at the tim e o f y o u r injury? Total Working with or on fixed (nonportable) machinery or equipment Operating or repairing industrial or farm v eh icle s......................... Using powered handtooi (for example: Portable drill, portable s a w ).................................................................................................. Using nonpowered hand tool (for example: Knife, ham m er)....... Lifting, carrying, or handling o b je c ts ............................................... O th e r................................................................................................... 862 100 573 54 66 6 41 13 126 55 5 2 15 862 100 204 215 24 25 295 130 18 34 15 2 861 (1) 444 96 442 2 52 11 51 O 6 How did y o u r am putation occur? Total ............................................ Fingers, hand, or arm hit against moving machine p a rt(s)......... Fingers, hand, or arm were struck by moving machine part(s) .. Fingers, hand, or arm were caught in or between machinery or o b je c ts ............................................................................................. Flying, falling, or swinging object struck fingers, hand, or arm ... Occurred in other w a y ..................................................................... By w hat means did the ob je ct cause y o u r am putation? Total 1 ................................................................................... Cutting action . Pulling force ... Crushing force O th e r.............. 1 Because more than one response is pos sible, the sum of the responses and percent ages may not equal the total. Percentages are calculated by dividing each response by the total number of persons who answered the question. 2 Less than 0.5 percent. NOTE: Due to rounding, percentages may not add to 100. See appendix A for types of injuries included in the survey. SOURCE: Survey questionnaire. 26 Table 20. Conditions or events contributing to injury: Arm, hand, or finger amputations, selected States, December 1980-R/iay 1981 Workers Condition or event Percent Indicate any con ditions or events w hich you feel led to you r injury. 861 O 246 212 29 25 147 146 138 110 110 106 17 17 16 13 13 12 Gloves, clothing, jewelry, or watch got caught in the equipm ent..... Recent change in work routine or procedures.................................... Tool or machinery had been altered or modified at the job site (for example: Barrier guard removed) .............................................. 94 93 85 74 72 72 70 11 11 10 9 8 8 8 70 8 Unfamiliar with tool or equipment u s e d ................................................ View of hand blocked by part of machine or other o b je c t................ Tool or machinery broke or m alfunctioned.......................................... Lost balance, slipped, or fe ll.................................................................. Hand/finger(s) pulled into machine by work material ........................ Upset or under s tre s s ............................................................................. Tool or machinery continued to run after being shut off (coasting).. Other factors contributed to injury ........................................................ 67 60 53 50 44 44 43 35 8 7 6 6 5 5 5 4 Using wrong type of tool or equipment for j o b ................................... Machine power not turned o f f ............................................................... Reacted to loud noise or other distraction .......................................... Accidentally hit foot p e d a l...................................................................... Tired or b o re d .......................................................................................... Task not being done according to instructions................................... Cleaning tool, cloth, or rag got caught in the equipm ent.................. Safeguard fa ile d ....................................................................................... Visibility poor due to inadequate lighting, dust, or g la re .................... 32 30 28 28 22 21 21 20 18 4 3 3 3 3 2 2 2 2 No contributing factors indicated .......................................................... 27 3 Did not realize hand was in hazardous a re a ....................................... Tool or machinery not equipped with safeguard (such as a barrier gu ard)......................................................................................... Work material shifted position or b ro k e ............................................... Misjudged time or distance needed to avoid in ju ry ............................ Co-worker did something that caused your injury............................... Tool or machinery accidentally activated............................................. Tool or equipment was in bad condition (for example: Dull blade) . Little or no instructions given on how to do task ............................... Attention not fully on ta s k ...................................................................... Tool, machinery, or work material shifted position or slipped........... Not looking at hand ................................................................................ ' Because more than one response is pos sible, the sum of the responses and percent ages may not equal the total. Percentages are calculated by dividing each response by the total number of persons who answered the question. NOTE: Due to rounding, percentages may not add to 100. See appendix A for types of injuries included in the survey. SOURCE: Survey questionnaire. 27 Talbl© 21. Fart of upper extremity amputated: Arm, hand, ©r finger amputations, selected States, December 1980-May 1981 Left side Total Right side Part amputated Workers Percent Workers Percent Percent Workers T o ta l........................................................................ 862 100 426 100 436 100 Finger(s).......................................................................... 855 99 426 100 429 98 One finger o n ly .......................................................... T h um b..................................................................... In d e x ....................................................................... M id d le ..................................................................... R in g ......................................................................... Little ........................................................................ 685 112 210 176 109 78 79 13 24 20 13 9 339 48 96 84 71 40 80 11 23 20 17 9 346 64 114 92 38 38 79 15 26 21 9 9 Two fing ers................................................................. Middle and rin g ...................................................... Index and m idd le................................................... Ring and little 1 ...................................................... Other two-finger com binations............................ 106 39 36 16 15 12 5 4 2 2 48 18 17 6 7 11 4 4 1 2 58 21 19 10 8 13 5 4 2 2 Three fin g e rs .............................................................. Index, middle, and rin g ......................................... Middle, ring, and little 1 ......................................... Other three-finger com binations.......................... 39 21 14 4 5 2 2 (2) 24 11 9 4 6 3 2 1 15 10 5 - 3 2 1 - Four fin g e rs ................................................................ Thumb, index, middle, and rin g ........................... Thumb, middle, ring, and little ............................. Index, middle, ring, and little 3 ............................. 22 3 1 18 3 (2) 13 2 3 (2) 9 1 1 7 2 (2) (2) 2 Five fing ers................................................................. 3 (2) 2 1 (2) W ris t................................................................................ 4 (2) - - 4 Lower arm (between wrist and elbow) ....................... 2 (2) - - 2 (2) Upper arm (between elbow and shoulder) ................ 1 (2) - - 1 (2) 1 Includes 1 case in which a portion of the metacarpal or palm area was also lost. 2 Less than 0.5 percent. 3 Includes 2 cases in which a portion of the metacarpal or palm area was also lost. 0 2 - - 11 3 (2) 1 NOTE: Due to rounding, percentages may not add to 100. See appendix A for types of injuries included in the survey. Dashes indicate that no data were reported. SOURCE: Survey questionnaire. 28 Table 22. Part of finger amputated:1 Arm, hand, or finger amputations, selected States, December 1980-May 1981 Part of finger(s) amputated Workers Percent Total ................................................................................................... 855 100 Cases involving one finger Proximal phalange............................................................................ Middle phalange ............................................................................... Distal phalange ................................................................................. 68 90 527 8 11 62 Cases involving multiple fingers Proximal phalanges only 2 ............................................................... Middle phalanges o n ly ..................................................................... Distal phalanges o n ly ....................................................................... 18 20 74 2 2 9 Proximal and middle phalanges...................................................... Proximal and distal phalanges........................................................ Middle and distal phalanges........................................................... 12 12 29 1 1 3 Proximal, middle, and distal phalanges......................................... 5 1 1 See appendix D for a detailed illustration of the parts of the hand. 2 Includes 4 cases in which a portion of the metacarpal or palm area was also lost. NOTE: Due to rounding, percentages may not add to 100. See appendix A for types of injuries included in the survey. SOURCE: Survey questionnaire. Table 23. Use of hand or arm protection: Arm, hand, or finger amputations, selected States, December 1980-May 1981 Use of protection Workers Percent Were you wearing any type of hand or arm protection at the time of your injury? Total ................................................................................................... 855 100 N o .............................................................................................................. Yes ............................................................................................................ 582 273 68 32 Total ................................................................................................... 251 100 Reduced the seriousness of the injury................................................. Caused the accident (for example: Glove pulled into m a c h in e ry ).. No effect on the injury............................................................................ Don’t k n o w ............................................................................................... 19 62 129 41 8 25 51 16 If you were wearing hand or arm protection, what effect do you feel it had on the accident? NOTE: Due to rounding, percentages may not add to 100. See appendix A for types of injuries included in the survey, SOURCE: Survey questionnaire. 29 Table 24. Work experience and safety practices: Arm, hand, or finger amputations, selected States, December 1980-May 1981 Experience and safety practice Workers Percent How long had you been performing the type of work you were doing when injured? Total ................................................................................................... 840 100 First time you did this type of work ...................................................... Less than 1 m o n th .................................................................................. 1 to 6 months .......................................................................................... 6 months to 1 y e a r.................................................................................. 81 65 116 72 203 303 10 8 14 9 24 36 Total ................................................................................................... 821 100 First time you did this type of work ...................................................... Seldom— less than once a m o nth......................................................... About once a month ............................................................................... One or more times a w e e k .................................................................... Daily or almost every d a y ....................................................................... 81 116 60 165 399 10 14 7 20 49 Total ................................................................................................... 785 100 N o ............................................................................................................... Yes— less than 6 months a g o ............................................................... Yes—6 months to 1 year ago ............................................................... Yes— 1 to 2 years a g o ............................................................................ Yes— more than 2 years a g o ................................................................. 461 112 29 38 145 59 14 4 5 18 Total 1 .................................................................................................. 813 O Investigated a c c id e n t.............................................................................. Conducted safety training or reviewed safety procedures ................ Installed safeguards (such as point of operation or barrier guards) ................................................................................................... Repaired or replaced equipm ent........................................................... Told co-workers NOT to wear hand or arm protection (gloves, etc.) Warned other employees about ha za rd ............................................... Other action ............................................................................................. Employer took no action ........................................................................ Don't know ............................................................................................... 263 93 32 11 94 123 12 261 10 87 232 12 15 1 32 1 11 29 5 years or m o re ....................................................................................... How frequently did you do this type of work? Prior to your accident, did you receive safety training on how to perform this task? What actions, if any, did your employer take after your accident to prevent such an injury from happening to others? 1 Because more than one response is pos sible, the sum of the responses and percent ages may not equal the total. Percentages are calculated by dividing each response by the total number of persons who answered the question. NOTE: Due to rounding, percentages may not add to 100. See appendix A for types of injuries included in the survey. SOURCE: Survey questionnaire. 30 Table 25. Activity and use of safeguards by workers using fixed machinery or power saws: Arm, hand, or finger amputations, selected States, December 1980-Wiay 1981 Workers Activity and use of safeguard Percent What type of work were you doing at the time of your injury? Operating machine or s a w ............................................... ...................... Unjamming machine, saw, or m aterial.................................................. Cleaning, repairing, servicing, etc., machine or saw .......................... Setting up machine or s a w .................................................... ................ 599 100 371 53 131 39 5 62 9 22 7 1 475 100 331 116 28 70 24 6 105 0 Was a safeguard in use at the time of your accident? No .......................................................................................................... If a safeguard was in use, why didn’t it prevent your injury? Hand passed through or under safeguard........................................... Hand was in area of machine not protected by safeguard............... Safeguard did not completely enclose dangerous parts of m achine.................................................................................................. Safeguard was not in proper position at time of accident ................ Safeguard malfunctioned or broke (for example: Device did not stop machine in time) .......................................................................... Safeguard was improperly ad ju sted...................................................... O th e r................................................................. ........................................ 45 9 43 9 20 15 19 14 13 3 4 6 12 3 4 6 Were there any other safety features available at the time of your injury? Total 1 ................................................................................................. 395 0 Push sticks, blocks, gripping pliers, or other holding devices........... Hazard warning device (for example: An alarm) ............................... Shut off device within reach .................................................................. O th e r......................................................................................................... Don’t know ............................................................................................... No other safety features ava ila ble........................................................ 50 2 109 2 49 202 13 1 28 1 12 51 Total ................................................................................................... 48 100 N o .............................................................................................................. Yes ............................................................................................................ 33 15 69 31 Were you using push sticks, etc. at the time of your injury? 1 Because more than one response is pos sible, the sum of the responses and percent ages may not equal the total. Percentages are calculated by dividing each response by the total number of persons who answered the question. NOTE: Due to rounding, percentages may not add to 100. See appendix A for types of injuries included in the survey. SOURCE: Survey questionnaire. 31 Appendix A. Explanatory reports which were within the scope of the survey. Fifty-one percent of these workers responded to the mail questionnaire. The amputation survey was con ducted by 23 States and extended from December 1980 to May 1981, with 1,528 in-scope cases selected for the survey. The response rate was 56 percent. Although data were aggregated for all participating States, it should be noted that the workers’ compensa tion cases selected for study reflect differences in State reporting requirements. For example, some participat ing States require reporting of workers’ compensation cases involving medical treatment regardless of lost time, while others limit reporting to cases involving lost time ranging from 1 to 8 days. No attempt was made to weight the data collected so that they would be representative of all hand or am putation injuries. Although participating States pro vided a broad geographical and industrial mix, they were not selected statistically to represent the country as a whole. Moreover, collection for each survey was terminated when responses exceeded 750 cases. Based on other data sources, estimates were devel oped for hand injuries which met the survey definition, while estimates developed for upper extremity ampu tations relate to all such disabling amputations. These estimates were computed by using the number of dis abling in-scope hand injuries or upper extremity ampu tations reported by 18 States participating in the Sup plementary Data System for 1980 and the total number of lost workday cases as shown in O cc u p a tio n a l In ju ries a n d Illn esses in th e U n ite d S ta te s b y In d u stry, 19 8 0 , BLS Bulletin 2130 (1982): (Number of disabling in-scope hand injuries)/(Total number of disabling cases) x (Total number of lost workday cases) =Total number of disabling in-scope hand injuries (Number of disabling upper extremity amputa tio n s )/(T o ta l num ber o f disabling cases) x (Total number of lost workday cases) =Total number of disabling upper extremity amputations. Characteristics of the injury and the person injured were classified and tabulated for all in-scope respond ents based on information furnished by the employer in workers’ compensation reports. The scope of the hand and amputation surveys ex tended to all industries except coal and metallic and nonmetallic mining. Cases were excluded from the sur veys if the injury resulted in a fatality or if more than 120 days had elapsed between the time of injury and the beginning of the survey. The survey of h a n d in ju ries was designed to develop information on specific injuries to the hand (including the fingers) resulting in 1 or more days away from work. The injuries were limited to cuts, lacerations, punctures, scratches, abrasions, fractures, and chemical or heat burns. In addition, the types of accidents were limited to: Struck by or against; caught in, under, or between; rubbed or abraded; contact with temperature extremes; and contact with toxic substances. The survey was con fined to workers who were employed in craft occupa tions or as operatives, including transport equipment operatives; and laborers, including farm laborers. Ma jor exclusions from the survey of hand injuries were: Cases involving only medical treatment or first aid; white-collar occupations; all illness cases such as der matitis; certain kinds of injuries, notably bruises and sprains; and injuries resulting from motor vehicle acci dents or falls. The BLS Supplementary Data System, which utilizes workers’ compensation reports as a data base, indicated that about one-half of the disabling hand injuries fell within the scope of this survey. The survey of work-related arm , hand, o r fin g e r a m p u ta tio n s included all occupations. However, any am putation incurred as the result of a highway motor ve hicle or public transportation accident was excluded. For purposes of this survey, amputations were defined as injuries resulting in loss of bone either at the worksite or as a result of surgical amputation. In addition, cases resulting in surgical reattachment were considered to be in the scope of the survey, assuming all other crite ria were met. To identify injury cases within the scope of the sur veys, participating State agency staffs reviewed em ployers’ reports of injuries required by State workers’ compensation laws and mailed questionnaires to injured workers selected for study. Response to the survey was voluntary. During the hand injury survey period, Janu ary-April 1981, 22 State agencies identified 1,865 injury 32 Appendix B„ Participating State Ageneies Arizona Industrial Commission Arkansas Department of Labor California Department of Industrial Relations Colorado Department of Labor and Employment Delaware Department of Labor Hawaii Department of Labor and Industrial Relations Idaho Industrial Commission Indiana Division of Labor Iowa Bureau of Labor Kentucky Department of Labor Maine Department of Manpower Affairs Massachusetts Department of Labor and Industries Michigan Department of Labor 33 Missouri Department of Labor and Industrial Relations Montana Department of Labor and Industry Nebraska Workmen’s Compensation Court New Jersey Department of Labor and Industry (amputation survey only) Ohio Industrial Commission Tennessee Department of Labor Utah Industrial Commission Virginia Department of Labor and Industry Washington Department of Labor and Industries Wisconsin Department of Industry, Labor and Human Relations Apptmdnx C. Syirwey Questionnaires U.S. Department of Labor Bureau o f Labor Statistics W ork In ju ry R eport A ccidents Involving Hand injuries T h e i n fo r m a tio n c o lle c te d o n th is fo r m b y th e B u re a u o f L a b o r S ta tis tic s an d th e S ta te A g e n c ie s c o o p e r a tin g in its sta tis tic a l p ro g ra m w i ll b e h e ld in c o n fid e n c e a n d w i ll b e used f o r s ta tis tic a l p u rp o s e s o n ly . This re p o rt is autho rize d b y la w 2 9 U.S.C. 2. Y our vo lu n ta ry cooperation is needed to make the results o f this survey comprehensive, accurate, and tim ely. F o rm A p p ro v e d O .M .B . N o . 4 4 R -1 6 1 4 D a te o f A c c id e n t Case N u m b e r . S ta te I. WORK ACTIVITY AT TIME OF INJURY NOTE: T H E T E R M " H A N D " R E F E R S T O IN J U R IE S T O T H E H A N D , I f y o u w e re u s in g a t o o l o r m a c h in e r y , c h e c k w h e th e r a n y o f th e fo llo w in g c o n tr ib u te d t o y o u r in ju r y . F IN G E R O R F I N G E R N A I L . (Check a ll th a t a p p ly and e xplain below , i f possible.) A. W h a t w e re y o u d o in g a t th e tim e o f y o u r in ju r y ? (Check one.) 1. □ W o r k in g w i t h o r o n f ix e d ( n o n p o r ta b le ) m a c h in e r y o r e q u ip m e n t (Describe—f o r e x a m p le : m e ta l la th e , p u n c h press, c o n v e y o r ) CD 2. 3. □ 4. 5. 6. □ □ O 7. □ 1. CU T o o l o r m a c h in e ry a c c id e n ta lly a c tiv a te d 2 . CD A c c id e n ta lly h i t f o o t pe da l 3. C U T o o l o r m a c h in e r y c o n tin u e d t o ru n a f te r b e in g s h u t o f f (c o a s tin g ) 4 . CD T o o l o r m a c h in e r y b r o k e o r m a lfu n c tio n e d 5 . D T o o l, m a c h in e r y o r w o r k m a te ria l s h ifte d p o s itio n o r s lip p e d 6. C U T o o l o r m a c h in e r y h a d b e e n a lte r e d o r m o d if ie d a t th e j o b s ite ( f o r e x a m p le : b a r rie r g u a rd re m o v e d ) 7 . CD T o o l o r m a c h in e r y n o t e q u ip p e d w i t h s a fe g u a rd (su ch as a b a r rie r gu a rd ) 8 . CD S a fe g u a rd fa ile d 9 . CU N o n e o f th e a b o ve O p e r a tin g o r re p a ir in g in d u s tr ia l o r fa rm v e h ic le s U s in g p o w e re d h a n d t o o l ( f o r e x a m p le : p o r ta b le d r i l l, p o r ta b le saw ) U s in g n o n - p o w e r e d h a n d t o o l ( f o r e x a m p le : k n ife , h a m m e r) L if t in g , c a r r y in g o r h a n d lin g o b je c ts W o r k in g w i t h c h e m ic a ls O th e r (Describe) _______________________________________________ (E xp la in ): _ _ _ __________________________________________________ _ B. C. H ow 1. □ 2. D 3. □ 4. D 5. □ 6 . CD 7. CD w as y o u r h a n d in ju re d ? (Check one.) H a n d h i t a g a in s t m o v in g m a c h in e p a rt(s ) H a n d w as s tr u c k b y m o v in g m a c h in e pa rt(s ) H a n d w a s c a u g h t in o r b e tw e e n m a c h in e r y o r o b je c ts F ly in g , fa llin g o r s w in g in g o b je c t s tr u c k ha n d S t r u c k h a n d a g a in s t n o n - m o v in g o b je c t C h e m ic a l, c a u s tic o r a c id b u r n e d h a n d O c c u rr e d in o t h e r w a y (D e s c rib e ) ---------------------------------------------------- H . D e s c rib e a n y o t h e r fa c to r s w h ic h c o n tr ib u te d t o y o u r in ju r y . I. D e s c rib e th e o b je c t, m a c h in e p a r t o r c h e m ic a l t h a t in ju re d y o u ( fo r e x a m p le : b a n d s aw b la d e , k n ife b la d e , c o n v e y o r b e lt, n i t r i c a c id ). D . D o a n y o f th e fo llo w in g e x p la in w h y y o u r h a n d c a m e in c o n ta c t w it h th is o b je c t o r c h e m ic a l? (Check a ll th a t apply.) 1. CD M is ju d g e d tim e o r d is ta n c e n e ed ed t o a v o id In ju r y 2 . CD H a n d s lip p e d 3 . CD N o t lo o k in g at hand 4 . CD L o s t b a la n c e , s lip p e d o r fe ll 5 . CD R e a c te d t o lo u d n o is e o r o t h e r d is tr a c tio n 6 . □ G lo v e s , c lo th in g . J e w e lry o r w a tc h g o t c a u g h t in th e e q u ip m e n t 7 . □ C le a n in g t o o l , c lo th o r rag g o t c a u g h t in th e e q u ip m e n t 8 . CD D id n o t r e a liz e h a n d w as in h a z a rd o u s area 9 . CD N o n e o f th e ab o v e J. E. W ere th e r e a n y w o r k c o n d itio n s w h ic h y o u fe el led t o y o u r in ju r y ? F. 1. □ L e ft handed 2. □ R ig h t h a n d e d (Check one.) U s in g w r o n g ty p e o f t o o l o r e q u ip m e n t f o r jo b T o o l o r e q u ip m e n t w as in b a d c o n d itio n ( f o r e x a m p le : d u ll b la de ) V i s i b i l i t y p o o r d u e t o in a d e q u a te lig h tin g , d u s t o r gla re V ie w o f h a n d b lo c k e d b y p a r t o f m a c h in e o r o t h e r o b je c t R e c e n t cha n g e in w o r k r o u tin e o r p ro c e d u re s U n fa m ilia r w i t h t o o l o r e q u ip m e n t used C o - w o r k e r d id s o m e th in g t h a t caused y o u r in ju r y (E xplain) CD 8. A r e y o u l e f t o r r ig h t h a n d e d ? R ig h t h a n d K . W h a t w as y o u r e m p lo y e r 's p o lic y o n w e a rin g g lo ves o r o t h e r h a n d p r o te c tio n f o r th e ty p e o f w o r k y o u w e re d o in g a t th e tim e o f th e in ju r y ? (Check a ll th a t a p p ly.) 1. CD 2 . CD 3. □ 4. D 5. D 6. D 7 . CJ M a rk w h e re y o u r h a n d (s ) w a s in ju re d . 1. L e ft hand 2. 1 . CD R e q u ire d for w o r k b e in g d o n e N o t a llo w e d t o w e a r a n y t y p e o f g lo ves o r h a n d p r o te c t io n f o r w o r k b e in g d o n e 3*. CD N o policy 4. □ D o n 't k n o w 2. □ L . W ere y o u w e a rin g glo ve s o r o t h e r h a n d p r o te c t io n a t th e tim e o f y o u r in ju r y ? _ 1. □ N o 2 . CD Y e s —o n b o th h a n d s 3 . CD Y e s —o n o n e h a n d o n ly N o n e o f th e ab o v e In d ic a te w h e th e r a n y o f th e fo llo w in g fa c to rs c o n tr ib u te d t o y o u r in ju r y . (Check a ll th a t apply.) 1. □ A t t e n t i o n n o t f u l l y o n ta s k 2 . □ T a s k n o t b e in g d o n e a c c o rd in g t o in s tr u c tio n s 3 . CD L i t t le o r n o in s tr u c tio n s g iv e n o n h o w t o d o ta s k 4 . CD T ire d o r b o re d 5 . CD In a h u r r y 6 . CD U p s e t o r u n d e r stress 7 . CD N o n e o f th e ab o v e IF YOU WERE WEARING GLOVES OR OTHER HAND PRO TECTION, COMPLETE SECTION II. IF YOU WERE /VOTW EARING GLOVES OR OTHER HAND PROTECTION, SKIP SECTION II. AN D COMPLETE SECTION III. ON THE REVERSE SIDE. II. IF YOU WERE WEARING GLOVES OR OTHER HAND PROTECTION, ANSWER THE FOLLOWING QUESTIONS A . In d ic a te th e t y p e o f g lo ves o r o t h e r h a n d p r o te c t io n y o u w e re w e a rin g w h e n in ju re d . (Check one.) 1. CD L e a th e r glo v e s 2. CD L ig h t c o t t o n o r fa b r ic gloves 3 . CD H e a v y d u t y can vas glo ves 4 . □ G lo v e s f o r use w i t h c h e m ic a ls 5. CD G e n e ra l p u rp o s e ru b b e r c o a te d gloves 6 . □ T h in r u b b e r (s u rg ic a l) g lo ves 7 . CD S te e l m esh glo ves 8 . CD A s b e s to s g lo ves 9. D 10 . CD □ 1 1 . CD (Check a ll th a t apply.) 1 . CD 2. 3. 4. □ □ CD C o ld temperatures B u rn s f r o m h e a t, h o t o b je c ts o r f ir e C h e m ic a l b u rn s o r d e r m a titis C u ts , s p lin te r s , b lis te rs , scra tch e s, f r i c t i o n o r ro p e b u rn s 5. 6. CD CD O th e r (D escribe) _________________________ _____________________ _ D o n 't k n o w D . W h a t e f fe c t d o y o u fe e l th e glo ves o r o t h e r h a n d p r o te c t io n h a d o n th e a c c id e n t? (Check one and explain below , i f possible.) 1. CD R e d u c e d th e seriou sne ss o f t h e in ju r y 2 . LJ C aused th e a c c id e n t ( f o r e x a m p le : g lo v e p u lle d in t o m a c h in e ) 3 . U C o n tr ib u t e d t o th e in ju r y ( f o r e x a m p le : g lo v e c u t, b u r n e d o r s c ra tc h e d s k in ) 4 . CD N o e f fe c t o n th e in ju r y 5. CD D o n 't k n o w O th e r (D escribe) ---------------------------------------------------------------------------------D o n 't k n o w B. In d ic a te w h y th e g lo ves o r o th e r h a n d p r o te c t io n d id n o t p r e v e n t y o u r i n ju r y . (Check a ll th a t a p p ly.) 1. CD G lo v e s w e re to r n , p u n c tu r e d o r c u t th ro u g h b y o b je c t 2 . CD O b je c t o r c h e m ic a l w e n t u n d e r o r a ro u n d glo ves 3 . CD C h e m ic a l, h o t o b je c t o r f i r e b u rn e d th ro u g h glo ves 4 . CD C h e m ic a l s o a k e d th r o u g h g lo v e w it h o u t d a m a g in g i t 5. □ H a n d w as c ru s h e d , s c ra tc h e d o r a b ra d e d in s id e th e g lo v e 6 . LJ H e a t o r c o ld p e n e tra te d glo v e s 7 . CD G lo v e s c a u g h t in m a c h in e a n d p u lle d h a n d in 8 . CD In ju r e d area n o t c o v e re d b y h a n d p r o te c tio n 9 . CD G lo v e s w e re in ba d c o n d itio n b e fo re a c c id e n t 10. C. W h a t w e re th e g lo ves y o u w e re w e a rin g in te n d e d t o p r o te c t ag ain st? (E xp la in ) : ____________________________ _______________________________ _ E. D o y o u fe e l a n o th e r ty p e o f g lo v e o r o t h e r h a n d p r o te c t io n c o u ld have p re v e n te d y o u r in ju r y ? 1. □ N o 2. □ O th e r (D escribe) ______________________________________ __________ D o n 't k n o w 3. CD Y e s—i f yes, w e re th e y a v a ila b le a t th e Job s ite w h e n in ju re d ? a. CD N o b . CD Yes c. CD D o n 't k n o w D o n 't k n o w (E xplain) : ________________________________________________________________ CONTINUE W ITH SECTION IV. ON THE REVERSE SIDE. h i q 1m in c p o m h o r 1QRO) “ 34 i n . IF Y O U W E R E M O T W E A R IN G G L O V E S O R O T H E R H A N D P R O T E C T IO N , A N S W E R T H E F O L L O W IN G Q U E S T IO N S W h a t t y p e o f g lo v e s o r o t h e r h a n d p r o t e c t io n , i f a n y , w e r e a v a ila b le a t th e w o r k s it e w h e n y o u r i n j u r y o c c u r re d ? (C heck a ll th a t a p p ly .) 1. □ 2. □ 3. □ G lo v e s f o r use w i t h c h e m ic a ls 4. □ 5. □ 6. □ 7. □ 8. □ In d ic a t e w h y y o u w e r e n o t w e a rin g g lo v e s o r o t h e r h a n d p r o t e c t io n a t th e t i m e o f y o u r i n j u r y . (C heck a ll th a t a p p ly .) 1 . ED N o t a llo w e d t o w e a r th e m 2. CD N o t p r a c tic a l or h a r d to w o r k w i t h th e m o n 3 . CD D id n o t t h in k t h e y w e r e n e e d e d 4 . CD N o t r e q u ir e d t o w e a r 5 . □ T o o k t h e m o f f im m e d ia t e ly b e fo r e t h e a c c id e n t 6 . CD U n s a fe t o w e a r g lo v e s f o r th e w o r k y o u w e r e d o in g 7. O th e r (D e s c rib e ) ---------------------- ------------------------------------------------------------------- □ 9. I0 . 11. □ □ □ D o n 't k n o w C O N T IN U E W IT H SECTION IV . IV . IN F O R M A T I O N A N D T R A I N I N G ______________________________________ C . A r e g lo v e s o r o t h e r h a n d p r o t e c t io n a v a ila b le f r o m y o u r e m p lo y e r ? A . W h a t i n f o r m a t i o n w e r e y o u g iv e n re g a r d in g g lo v e s o r o t h e r h a n d p r o t e c t io n ? (C heck a ll th a t a p p ly .) 1 . CD W h e n a n d w h e r e t o use th e m 2 . CD W h e n a n d w h e r e n o t t o use th e m 3 . D S p e c if ic t y p e t o w e a r f o r s p e c ific j o b 4 . CD L i m i t a t io n s a n d a d v a n ta g e s o f g lo v e s o r o t h e r h a n d p o r t e c t io n 5. 6. B. □ CD (C heck on e .) 1. 2. 3. 4. 5. O th e r (D e scrib e ). ----------------------------------------------------------------------------------------N o t g iv e n a n y i n f o r m a t i o n □ CD (C heck a ll th a t a p p ly .) W o u ld t h is i n f o r m a t i o n b e e n o u g h t o h e lp y o u s e le c t th e p r o p e r t y p e o f h a n d p r o t e c t io n ? a. CD N o b . CD Y e s c . CD D o n 't k n o w 1. 2. 3. 4. 5. 6. 7. D 8. 9. ED O O O O O CD □ 10. CD V. O th e r (D e s c rib e )_______________________________________________ D o n 't k n o w E . W h a t a c t io n s , i f a n y , d i d y o u r e m p lo y e r ta k e a f t e r y o u r a c c id e n t t o p r e v e n t s u c h an i n j u r y f r o m h a p p e n in g t o o th e rs ? CD A. Y e s —a v a ila b le a t n o c o s t f r o m e m p lo y e r Y e s —e m p lo y e r p a y s p a r t o f c o s t N o —m u s t b e p u r c h a s e d a t o w n e x p e n s e D . I f y o u r e m p lo y e r s u p p lie s g lo v e s , d o e s t h e c o m p a n y h a v e a p o l i c y o r p r o g r a m f o r r e p la c in g lo s t, w o r n o r d a m a g e d g lo v e s ? 1. CD N o 2 . 0 Yes 3 . 0 D o n 't k n o w I f y o u w e r e g iv e n i n f o r m a t i o n re g a r d in g g lo v e s o r o t h e r h a n d p r o t e c t io n : 1. H o w d i d y o u re c e iv e t h is i n f o r m a t io n ? (C heck a ll th a t a p p ly .) a. CD S u p e r v is o r o r e m p lo y e r b . CH C o - w o r k e r c. C o m p a n y s a f e ty o f f i c f a l d . CD U n io n r e p re s e n ta tiv e e. □ O t h e r (D e s c rib e )— -------------------------------------------------------------------------------2. CD □ CD In v e s tig a te d a c c id e n t C o n d u c te d s a f e ty t r a i n in g o r r e v ie w e d s a f e ty p r o c e d u r e s In s ta lle d s a fe g u a rd s (s u c h as p o i n t o f o p e r a tio n o r b a r r ie r g u a rd s ) R e p a ir e d o r re p la c e d e q u ip m e n t W a rn e d o t h e r e m p lo y e e s a b o u t h a z a rd R e q u ir e d use o f a p p r o p r ia t e t y p e o f h a n d p r o t e c t io n W a r n e d e m p lo y e e s n o t t o use h a n d p r o t e c t io n O th e r a c t io n (D e s c rib e )______________________ 1_________________ E m p lo y e r t o o k n o a c t io n D o n 't k n o w ANSWER THE FOLLOWING QUESTIONS O NLY IF YOUR INJURY IN V O L VE D FIX E D (NONPORTABLE) M A CHINERY OR A POWER SAW W h a t t y p e o f w o r k w e r e y o u d o in g a t t h e t i m e o f y o u r i n ju r y ? (C h e ck o n e .) 1. 2. 3. 4. 5. 6. CD CD □ □ □ CD O p e r a t in g m a c h in e o r s a w U n ja m m in g m a c h in e , s a w o r m a te ria l C le a n in g , r e p a ir in g , s e r v ic in g , e t c ., m a c h in e o r s aw S e ttin g u p m a c h in e o r saw O t h e r (D escribe) D o n 't k n o w NOTE: ____________________________________ . Q u e s tio n s B , C , a n d D a s k a b o u t s a fe g u a rd s , w h ic h a re g u a rd s o r d e v ic e s in te n d e d t o p r e v e n t h a n d s f r o m e n te r in g th e d a n g e r are a w i t h m a c h in e in o p e r a tio n . D. W h y d 1. CD 2 . CD 3 . CD 4. □ 5 . CD 6 . CD □ 7 . CD 8. □ i d n ' t t h e s a fe g u a rd p r e v e n t y o u r in j u r y ? (C heck a ll th a t a p p ly .) N o s a fe g u a rd in use a t t h e t i m e o f i n j u r y H a n d pa ssed th r o u g h o r u n d e r s a fe g u a rd H a n d w a s in a re a o f m a c h in e n o t p r o te c t e d b y s a fe g u a rd S a fe g u a r d d i d n o t c o m p le t e ly e n c lo s e d a n g e r o u s p a r ts o f m a c h in e S a fe g u a r d w a s n o t in p r o p e r p o s it io n a t t i m e o f a c c id e n t S a fe g u a r d m a l f u n c t io n e d o r b r o k e ( f o r e x a m p le : d e v ic e d i d n o t s to p m a c h in e in tim e ) S a fe g u a r d was i m p r o p e r ly a d ju s te d O b je c t w a s t h r o w n f r o m m a c h in e CD O t h e r ( E x p la in ) _____________________________________________________ □ D o n 't k n o w 9. 10. E xam ples o f safeguards are: E . W e re th e r e a n y o t h e r s a f e ty fe a tu r e s a v a ila b le a t th e t i m e o f y o u r in j u r y ? ( Check a ll th a t a p p ly .) 1. CD 2. CD p o i n t o f o p e r a tio n o r b a r r ie r g u a rd s r e tr a c t a b le b la d e g u a rd s l i g h t c u r ta in s t w o h a n d c o n t r o ls s w e e p a rm s p u llb a c k h a rn e s s e s B. 3. CD 4. 5. 6. CD □ CD P u sh s tic k s , b lo c k s , g r ip p in g p lie r s o r o t h e r h o ld in g d e v ic e s H a z a rd w a r n in g d e v ic e (for e x a m p le : a n a la rm ) S h u t o f f device w ith in reach O th e r (E x p la in ) ___________ __________________________________________ D o n 't k n o w N o o t h e r s a f e ty fe a tu r e s a v a ila b le W a s a s a fe g u a rd in use a t th e t i m e -o f y o u r a c c id e n t? (C heck one .) 1 . CD N o —e x p la in w h y n o t ( f o r e x a m p le : m a c h in e n e v e r h a d a s a fe g u a r d , s a fe g u a rd w a s n o t b e in g u s e d b e c a u s e i t s lo w e d p r o d u c t i o n , g u a r d h a d b e e n re m o v e d b e c a u s e i t w a s b r o k e n ) 2. 3. C. V I. □ □ Yes D o n 't k n o w D e s c r ib e th e t y p e o f s a fe g u a rd a n d h o w i t w o r k s . How many workdays did you (or do you expect to) lose due to your injury? (NOTE: Do not count the day of injury, days on light duty work, normal days o ff or holidays.) ------------------W o r k d a y s V II. Describe in your own words how your injury occurred and how you feel it could have been prevented. 35 Bureau of Labor Statistics Work Injury Report Accidents Involving Arm, Hand or Finger Amputations The in fo rm a tio n collected on this form by the Bureau o f Labor Statistics and the State Agencies cooperating in its statistical program w ill be held in confidence and w ill be used fo r statistical purposes o nly. U.S. Department of Labor This re p o rt is auth orize d b y law 2 9 U.S.C. 2. Your vo lu n ta ry cooperation is needed to make the results o f this survey comprehensive, accurate, and tim ely. Date of A ccident Case Num ber State Form Approved O.M.B. No. 44R -1614 I. A. H. If you were using a to o l or m achinery, check w hether any of the fo llo w in g c o n trib u te d to y o u r in ju ry. (Check a ll th a t a pp ly and expalin below , i f possible.) What were you doing at the tim e o f y o u r inju ry? (Check one.) 1. CD W orking w ith or on fixed (n o npo rtable) m achinery or equipm ent (Describe—fo r exam ple: m etal lathe, punch press, conveyor) 1. CD T o o l o r m a c h in e ry a c c id e n ta lly a c tiv a te d 2. CD A c cid entally hit fo o t pedal 3. □ To o l or m achinery continued to run after being shut o ff (coasting) 4. CD To o l or m achinery broke or m alfun ctioned 5. CD T o o l, m a c h in e ry o r w o rk m a te ria l s h ifte d p o s itio n o r slip p e d 6. □ To o l or m achinery had been altered or m odified at the job site ( fo r e x a m p le : b a rrie r gua rd rem o ved) 7. CD To o l or m achinery not equipped w ith safeguard (such as a barrier guard) 8. CD Safeguard failed 9. CD N one o f the above 2. □ O perating or repairing industrial or farm vehicles 3. CD Using powered hand to o l (fo r exam ple: portable d rill, portable saw) 4. CD Using non-pow ered hand to o l (fo r exam ple: kn ife, ham m er) 5. CD L iftin g , carrying or handling objects O th e r (D escribe)------------------------------------------------------------------------- 6. □ B, H ow did y o u r am pu tatio n occur? (Check one.) 1. CD Fingers, hand or arm h it against moving machine part(s) 2. □ Fingers, hand or arm w ere struck by moving m achine part(s) 3. CD Fingers, hand or arm w ere caught in or between m achinery or objects 4. CD F lyin g, falling or swinging object struck fingers, hand or arm 5. (E x p la in ):_______________________________________________________ I. Describe any other factors w hich c o n trib u te d to yo ur in ju ry . J. Draw a line at the p o in t o f am pu tatio n and indicate below the part(s) am putated (fo r exam ple: firs t d ig it o f righ t index finger). CD O ccurred in o ther w ay ( Describe ) -------------------------------------------------- C. Describe the object or machine part th a t injured you (fo r example: band saw blade, kn ife blade, conveyor b elt). D. By w ha t means did the object cause y o u r am putation? (Check a ll th a t app ly.) 1. 2. D L e ft hand C u ttin g a c tio n 3. CD P u llin g fo r c e CD C ru s h in g fo r c e 4. □ R ight Hand Arm s O th e r (E xplain) --------------------------------------------------------------------------- E. Do any o f the fo llo w in g explain w hy y o u r fingers, hand o r arm came in co nta ct w ith this object? (Check a ll th a t app ly.) 1. 2. 3. 4. 5. 6. 7. 8. 9. CD M is ju d g e d tim e o r d is ta n c e n e ed e d to a vo id in ju r y □ H a n d s lip p e d N o t lo o k in g a t ha n d L o s t balance, s lip p e d o r fe ll R e a c te d t o lo u d noise o r o th e r d is tr a c tio n G lo v e s , c lo th in g , je w e lr y o r w a tc h g o t c a u g h t in th e e q u ip m e n t □ C le a n in g t o o l, c lo th o r rag g o t c a u g h t in th e e q u ip m e n t CD D id n o t re a liz e h a n d w as in h a z a rd o u s area CD N o n e o f th e a b o ve CD CD CD CD F. Were there any w ork co nd itio ns w hich you feel led to y o u r injury? (Check a ll th a t app ly.) 1. 2. CD U sing w r o n g ty p e o f to o l o r e q u ip m e n t fo r jo b CD T o o l o r e q u ip m e n t w as in ba d c o n d itio n (f o r e x a m p le : d u ll b la d e ) 3. □ 4. 5. 6. 7. 8. G. Parts a m p u ta te d :. V is ib ilit y p o o r d u e to in a d e q u a te lig h tin g , d u s t o r glare CD V ie w o f ha n d b lo c k e d b y p a r t o f m a c h in e o r o th e r o b je c t CD R e c e n t chan g e in w o r k r o u tin e o r p ro c e d u re s CD U n f a m ilia r w ith to o l o r e q u ip m e n t used □ C o -w o r k e r d id s o m e th in g t h a t caused y o u r in ju r y (E xplain) □ K. If the a m putation involved only the tip(s) o f the finger(s) was there a loss o f bone? 1. □ 2. □ L. Were you wearing any type o f hand or arm p rote ction at the tim e o f y o u r injury? N one o f the above 1. □ No 2. CD Yes (Describe type, fo r exam ple: steel mesh gloves, p ro te c tiv e sleeve, c o tto n gloves, pa lm pads) Indicate w hether any o f the fo llo w in g factors co ntrib u te d to yo u r in ju ry . (Check a ll th a t app ly.) 1. 2. 3. 4. 5. 6. 7. No Yes CD A tte n tio n not fu lly on task □ Task n o t being done according to instructions CD L ittle or no instructions given on how to do task CD Tired or bored CD In a hurry □ Upset or under stress □ N one o f the above M. If you were wearing hand or arm p ro te c tio n w hat e ffe ct do you feel it had on the accident? (Check one a nd explain below, i f possible.) 1. CD Reduced the seriousness of the injury 2. CD Caused the accident (fo r exam ple: glove pulled into m achinery) 3. CD No effe ct on th e inju ry 4. CD D o n 't k now (E x p la in ):________________________________________________________ CONTINUE WITH SECTION II. ON REVERSE SIDE. BLS 102 (December 1980) 36 II. A . H ow long had you been p e rfo rm in g the typ e o f w o rk you were doing when injured? (C h e c k o n e . ) 1. CD 2. □ 3. □ First tim e you did this Less than 1 m o n th 1 to 6 m onths D. W hat actions, i f any, d id y o u r e m p lo y e r take a fte r y o u r accident to prevent such an in ju ry fro m happening to others? (Check a ll th a t a p p ly .) ty p e o f w o rk 5. 6. 4. CH6 m onths to 1 year 1. □ Investigated acciden t Cl 1 to 5 years 2. EH C o nducted safety tra in in g o r reviewed safety procedures 3. EH Installed safeguards (such as p o in t o f o p e ra tio n or b arrier guards) □ 5 years or m ore 4. EH Repaired or replaced e q u ip m e n t 5. EH T o ld co-w orkers n o t to w ear hand or arm p ro te c tio n (gloves, etc.) B. H ow fre q u e n tly d id yo u d o th is typ e o f w ork? (C h e c k o n e . ) 1. CH First tim e you d id this ty p e o f w o rk 6. EH W arned o th e r em ployees ab o u t hazard 2. EH V e ry seldom —less than once a m onth 3. □ A b o u t once a m o n th 7. D O th e r action (D escrib e)-----------------------------------------------------------------4. EH O ne or m ore tim es a w eek 8. □ E m p lo y e r to o k no action 5. C l D a ily o r alm ost every day 9. EH D o n 't kn o w C. P rior to y o u r accident, d id you receive safety tra in in g on h ow to p e rfo rm this task? (C h e c k o n e . ) 1. EH N o 2. EH Yes—less than 6 m onths ago 3. EH Y es—6 m onths to 1 year ago IF YOUR INJURY DID NOT INVOLVE FIXED (NONPORT ABLE) MACHINERY OR ANY TYPE OF A POWER SAW, SKIP SECTION III. AND COMPLETE SECTION IV. 4. EH y e s —1 to 2 years ago 5. □ Yes—m ore than 2 years ago III.ANSW ER THE FOLLOWING QUESTIONS ONLY IF YOUR INJURY IN VO LVED FIXE D (NONPORTABLE) M ACHINERY OR A POWER SAW. E. W h y d id n 't the safeguard prevent y o u r in ju ry ? (Check a ll th a t a p p ly .) A . W hat typ e o f w o rk were yo u doin g at the tim e o f y o u r in ju ry? (Check one.) 1. 2. 3. 4. EH EH CD □ 1. 2. 3. 4. 5. 6. O perating m achine o r saw U n jam m in g m achine, saw or m aterial C leaning, repairing, servicing, etc., m achine o r saw S e ttin g up m achine or saw 5. □ O th e r (D escrib e )____________________________________________ 6. EH D o n 't kn o w B. Indicate the typ e o f m achine you were w o rk in g w ith o r on a t the tim e o f y o u r in ju ry . Include the brand name and m odel num ber i f kn ow n . 7. CD N o s a feguard in use a t th e t im e o f in ju r y EH Hand passed th rough or under safeguard CD Hand was in area o f m achine n o t p ro tected by safeguard EH Safeguard did n o t c o m p le te ly enclose dangerous parts o f m achine CH Safeguard was n o t in proper position at tim e o f accident □ Safeguard m a lfu n c tio n e d or b ro k e (fo r exam p le: device did n o t stop m achine in tim e ) CH Safeguard was im p ro p e rly adjusted 8. 9. □ □ O th e r (E x p la in ) ----------------------------------------------------------------------------D o n 't kn o w F. Were there any o th e r safety features available a t the tim e o f y o u r inju ry? (Check a ll th a t a p p ly .) NOTE: Questions C, D, and E ask about safeguards, which are guards or devices intended to prevent hands from entering the danger area w ith machine in operation. Exam ples o f safeguards are: 1. 2. 3. □ Push sticks, blocks, gripping pliers or o th e r holding devices □ Hazard w arning device (fo r exam p le: an alarm ) EH S h u t o f f device w ith in reach 4. 5. 6. □ O th e r (E x p la in ) ----------------------------------------------------------------------------------□ D o n 't kn o w EH N o o th e r safety features available G. Were y o u using push sticks, etc. at the tim e o f y o u r in ju ry ? p o in t o f o p e ra tio n or barrier guards retra cta b le blade guards ligh t curtains tw o hand controls sweep arms pullback harnesses 1. □ N o —exp lain w h y n o t (fo r exam p le: w o u ld slow p ro d u c tio n , n o t feeding m aterial, did n o t th in k th e y w ere needed, n o t available) 2. □ Yes C. Was a safeguard in use at the tim e o f y o u r accident? (Check one.) 1. EH N o —exp lain w h y n o t (fo r exam p le: m achine never had a safe guard, safeguard was n o t being used because it slowed p ro d u c tio n , guard had been rem oved because it was broken) 2. □ Yes 3. EH D o n 't kn o w D. Describe the typ e o f safeguard and h ow it w orks. IV. Describe in your own words how your injury occurred and how you feel it could have been prevented. 37 Appendix D„ Illustration ®f Phalanges ®fi the [Right Hand Middle finger 38 Periodicals ^©FBtlhity Lsb@r Review the oldest and most authoritative Government research journal in economics and social sciences. Regular features include current labor statistics and developments in industrial relations. $26 a year, 12 issues. Oc©ypati@fnal Gu§!o@k Qyart@s1]f helps students and guidance counselors learn about new occupations, training opportunities, salary trends, and career couseling programs. Written in nontechnical language and illustrated in color. $9 a year, four issues. a n d E a r n in g s gives current employment and earnings statistics for the Nation as a whole, for individual States, and for more than 200 areas. Included are household and establishment data, seasonally and not seasonally adjusted. $39 a year, 12 issues and annual supplement. 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