Machine Guarding: Translation into practice

描述（由申请人提供）：本申请是由Park Nicollet研究所、明尼苏达大学、联邦保险公司和金属制造行业共同开展的翻译研究项目。联邦保险公司的实物和配套支持将用于撬动NIOSH资金。我们将修订、传播和评估明尼苏达州机器防护计划的大规模实施，这是niosh赞助的R01干预措施。这种干预显示了机器保护实践和相关安全程序（如锁定/标记）的显著改善。根据美国小企业协会的数据，估计有310万工人从事金属加工行业。这些工人面临手部受伤包括截肢的巨大风险。在考虑漏报后，截肢的发生率估计为每10万名工人11.8至19.5人。然而，在金属制造业，这一比例可能高达41/10万。我们正在进行的工作数据表明，机器防护和相关安全程序不足存在严重问题。这表明这些伤害是可以预防的。本研究的具体目的是：(1)修订和扩展明尼苏达州机器保护计划，以便通过社区合作伙伴进行传播。(2)实施一项随机对照研究，以评估与社区伙伴一起进行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来衡量随机、受控的机器防护干预的结果；(b)评估机器防护和相关安全程序的改进。(4)评估将导致其他来源（例如，其他保险公司和商业协会）持续采用该干预措施的因素。主要研究结果将包括以下四个指标的变化：(1)伤害成本和发生率；（二）机器安全评分；（三）经营安全审核得分；(4)利用社会认知理论调查数据变化。我们将在基线（t1）和12个月后（t2）评估干预业务。我们将采用简单的随机试验，分为两组：早期干预和延迟干预。社会认知理论将作为我们干预开发和设计的行为模型。公共健康重要性：这项研究有可能为小型制造企业提供可持续干预方案的模式。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. PUBLIC HEALTH RELEVANCE: Workers in the metal fabrication trades are known to be at high risk of serious injury. The proposed research program reaches a poorly served segment of the worker community, those in small business enterprises. To our knowledge, this is the first national intervention in small manufacturing facilities. Thus, this study has the potential to provide a new model to bring sustainable intervention programs to small manufacturing businesses.