Machine Guarding: Translation into practice

描述(申请人提供)：本申请是由帕克尼科莱研究所、明尼苏达大学、联邦保险公司和金属制造行业共同发起的翻译研究计划。联邦保险的实物和匹配支持将用于利用NIOSH资金。我们将修订、传播和评估明尼苏达州机器守卫计划的广泛实施，这是一项由NIOSH发起的R01干预措施。这一干预措施表明，机器防护做法和相关安全计划(如锁定/标记)得到了显著改善。根据美国小企业协会的数据，估计有310万名工人在金属加工行业工作。这些工人有很大的手部受伤风险，包括截肢。考虑到报告不足，截肢的发生率估计在每10万名工人11.8至19.5人之间。然而，金属制造业的这一比例可能高达每10万名工人中有41人。我们正在进行的工作的数据表明，机器防护和相关安全计划不足存在严重问题。这表明这些伤害的潜在性质是可以预防的。这项研究的具体目的是：(1)修订和扩展明尼苏达州机器守卫计划，通过社区合作伙伴进行传播。(2)实施随机对照研究，以评估与社区合作伙伴进行的机器防护干预的有效性。(3)通过(A)评估机器相关伤害的发生率和成本的变化；以及(B)评估机器防护和相关安全计划的改进，来衡量对机器防护的随机、受控干预的结果。(4)评估将导致其他来源(例如，其他保险公司和商业协会)持续采用这种干预措施的因素。主要研究结果将包括四个指标的变化：(1)成本和伤害率；(2)机器安全得分；(3)商业安全审计得分；以及(4)利用社会认知理论的调查数据变化。我们将在基线(T1)和12个月后(T2)对干预业务进行评估。我们将采用一项简单的随机试验，分为两组：早期干预和延迟干预。社会认知理论将作为我们的干预开发和设计的行为模型。公共卫生重要性：这项研究有可能提供一个模式，为小型制造企业带来可持续的干预计划。众所周知，金属加工行业的工人受伤的风险很高。

DESCRIPTION (provided by applicant): This application is a translation research initiative to be conducted by the Park Nicollet Institute, the University of Minnesota, Federated Insurance and the metal-fabrication industry. In-kind and matching support from Federated Insurance will be used to leverage NIOSH funding. We will revise, disseminate, and evaluate wide-scale implementation of the Minnesota Machine Guarding Program, a NIOSH-sponsored R01 intervention. This intervention showed a significant improvement of machine-guarding practices and related safety programs such as lockout/tagout. According to the United States Small Business Association there are an estimated 3.1 million workers in the metal fabrication trades. These workers are at substantial risk of hand injuries including amputations. After accounting for under reporting, the incidence of amputations is estimated at between 11.8 and 19.5 per 100,000 workers. However, the rate in metal fabrication may be as high as 41/100,000 workers. Data from our ongoing work indicate a serious problem with inadequate machine guarding and related safety programs. This indicates the potentially preventable nature of these injuries. The specific aims of this research are to: (1) Revise and expand the Minnesota Machine Guarding Program for dissemination via a community partner. (2) Implement a randomized, controlled study to evaluate effectiveness of a machine guarding intervention with a community partner.(3) Measure the outcome of a randomized, controlled intervention on machine guarding by (a) evaluating a change in the incidence and cost of machine-related injuries; and (b) evaluating improvements in machine guarding and related safety programs. (4) Evaluate factors that will lead to a sustained adoption of this intervention by other sources (e.g., other insurance companies and business associations). Primary study outcomes will include changes in four measures: (1) the cost and rate of injuries; (2) a machine safety score; (3) a business safety audit score; and (4) survey data changes utilizing Social Cognitive Theory. We will evaluate intervention businesses at baseline (t1) and after 12 months (t2). We will utilize a simple randomized trial with two groups: early intervention and delayed intervention. Social Cognitive Theory will serve as our behavioral model for intervention development and design. Public health importance: This study has the potential to provide a model to bring sustainable intervention programs to small manufacturing businesses. Workers in the metal fabrication trades are known to be at high risk of injury.