Kentucky Occupational Safety and Health Surveillance

描述（由申请人提供）：肯塔基州的职业死亡率为每10万名工人6.9人死亡，比全国每10万名工人的死亡率高出72.5%。本项目重点关注基于人群的工伤死亡监测，采用FACE方法，包括监测的公共卫生模型、哨点事件调查的系统模型，以及在东南部肯塔基州进行的有针对性的干预。肯塔基州FACE项目继续建立监测、调查、流行病学研究和创新预防战略的坚实基础，以便将研究成果转化为实践（R2P），供雇主和立法机构使用。目标是确定致命工伤的高风险部门、职业和工人人口，促进联邦、州和地方各级监测数据的有用性，以预防致命工伤和危害，并制定和实施有针对性的战略，利用基于部门的方法传播工伤数据，以减少肯塔基州的致命工伤。该方法包括对肯塔基州职业死亡进行全面和及时的多来源监测，以确定风险因素。将对交通和农业部门中涉及机动车辆碰撞（MVCs）和伐木行业死亡的选定死亡案例进行现场调查，以便为公司、地方和州各级、按部门和跨部门的雇主/雇员安全培训提供案例研究。将完成运输部门MVC死亡报告的叙事编码，以确定公司安全管理实践、碰撞特征和致命职业MVC的个人风险因素。将利用多种数据来源对与家庭暴力有关的职业杀人进行流行病学分析，以确定制定工作场所杀人干预措施的具体点。我们将通过分析和传播职业死亡监测数据、调查报告、情况简报、通讯、网络信息、演示文稿和同行评议出版物，为有针对性的工人和雇主群体提供改善工人安全的可靠证据基础，以在州和国家层面产生影响。将对主要活动进行过程、影响和结果评价。

DESCRIPTION (provided by applicant): Kentucky's occupational fatality rate is 6.9 deaths/100,000 workers, 72.5 percent above the national rate of 4/100,000 workers. This project focuses on the population-based surveillance of work-related injury fatalities using the FACE methodology that includes a public health model of surveillance, a systematic model of sentinel event case investigation, and targeted interventions in a southeastern state, Kentucky. The Kentucky FACE program continues to build a solid foundation of surveillance, investigations, epidemiological studies, and innovative prevention strategies for translation of research into practice (R2P) for use by employers and legislative bodies. The objectives are to identify high risk sectors, occupations, and worker populations for fatal work injuries, to advance the usefulness of surveillance data at the federal, state, and local level for the prevention of fatal occupational injuries and hazards, and to develop and implement targeted strategies for dissemination of occupational injury data utilizing a sector-based approach, to reduce Kentucky fatal occupational injuries. The methodology consists of conducting comprehensive and timely multi-source surveillance of Kentucky occupational fatalites to identify risk factors. On-site investigations of selected fatality cases involving motor vehicle collisions (MVCs) in the transportation and agriculture sectors and logging industry fatalities will be performed to provide case studies for employer/employee safety training at the company, local, and state levels, by sector and across sectors. Narrative coding of transportation sector MVC fatality reports will be completed to identify company safety management practices, collision characteristics, and personal risk factors for a fatal occupational MVC. Epidemiological analyses of domestic violence-related occupational homicides using multiple sources of data will be conducted to target specific points for the development of workplace homicide interventions. We will provide targeted worker and employer groups with a sound evidence basis for improved worker safety by analyzing and disseminating occupational fatality surveillance data, investigation reports, fact sheets, newsletters, web-based information, presentations, and peer-reviewed publications for impact at both the state and national levels. A process, impact, and outcome evaluation of the major activities will be performed.