1. Massachusetts FACE
Project Update
2009 FACE Annual Meeting
Portland, OR
May 13, 2009
Michael Fiore

2. MA FACE Ongoing Activities
Surveillance
Investigations
Report writing
FACE Facts development
Interventions
Evaluations

3. Update Topics
New products – focus on new eight-year report
Public sector activities in Massachusetts
Floor finishing task force
Young worker forklift sticker
Contingent workers and ambiguous employment
relationships

4. New Products
Eight-year work-related fatality report (2000-2007)
Brazilian worker-fatality report (1999-2007)
FACE Facts – tractor trailers - movable floors,
confined space
FACE Facts – operator crushed between forklift
cage and mast

5. Eight-year Work-related Fatality
Report (2000-2007) Summary
Industry and occupation coding break in series.
535 workers were fatally injured at work.
2.1 deaths per 100,000 workers - annual average
rate.

6. Chart 1. Number and Rate of Fatal Occupational Injuries by
Year , Massachusetts, 2000-2007 (N=535)
Number Rate (deaths per 100,000 workers)
100 8
90
7
78
75
Deaths per 100,000 workers
80 74
70 72 6
70 66
Number of deaths
5
60 54
50 46 4
40
3
2.4 2.3 2.3
30 2.2
1.7 2.2 2.1
2
20
1.4
1
10
0 0
2000 2001 2002 2003 2004 2005 2006 2007
Year

7. Chart 3. Number and Rate of Fatal Occupational Injuries by
Age Group , Massachusetts, 2000-2007 (N=534)
Number Rate
160 3.5
151 3.4
140 3.0
Deaths per 100,000 workers
129
120
Number of Deaths
2.3 2.6 2.5
100
88 2.2 2.0
83
80 1.6
1.6 1.5
60
1.2 1.0
40 37
32
20 0.5
14
0 0.0
16 - 19 20 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 and
older
Age Group

8. Chart 4. Rate of Fatal Occupational Injuries
by Race and Hispanic Ethnicity ,
Massachusetts, 2000-2007 (N= 522)
3.5
3.1
3.0
Deaths per 100,000 workers
2.5
2.0
2.0
1.7
1.5
1.5
1.0
0.5
0.0
Hispanic (N=54) White non-Hispanic Black non-Hispanic Asian non-Hispanic
(N=429) (N=22) (N=15)

9. Table 1. Number and Rate of Fatal Occupational Injuries by
Event/Exposure, Massachusetts, 2000–2007
Event/Exposure Number of Percent Rate (Fatalities per
Fatalities 100,000 workers)
Transportation Incidents 166 31.0 0.6
Highway motor vehicle incident 49 9.2 0.2
Worker struck by vehicle 44 8.2 0.2
Water vehicle incident 35 6.5 0.1
Non-highway motor vehicle incident 20 3.7 0.1
Aircraft incident 17 3.2 0.1
Falls 117 21.9 0.5
Fall to a lower level 102 19.1 0.4
Fall on same level 14 2.6 0.1
Contact with object or equipment 91 17.0 0.4
Struck by or against object 55 10.3 0.2
Caught/Compressed by object, 36 6.7 0.1
equipment, collapsing material
Assault and Violent Act 90 16.8 0.4
Homicide 49 9.2 0.2
Suicide/Self-inflicted Injury 39 7.3 0.2
Exposure to Harmful Substances or 43 8.0 0.2
Environments 20 3.7 0.1
Contact with electric current 16 3.0 0.1
Other exposure to harmful substance
or environment
Fire or Explosion 27 5.1 0.1

10. Chart 6. Number and Rate of Fatal Occupational Injuries by
Occupation, Massachusetts, 2003-2007, N=364
Number Rate (deaths per 100,000 workers)
Farming, fishing, and forestry 33 78.2
Construction and extraction 101 11.3
Transportation and material moving 79 10.9
Installation, maintenance, and repair 42 9.2
Protective service 16 5.3
Building and grounds cleaning/maintenance 24 4.3
Production 14 1.8
Other services 11 0.7
Sales and related 11 0.6
State Rate: 2.3
Office and administrative support 9 0.4
deaths per
Management, business, and financial 10 0.4 100,000
Professional and related 14 0.3 workers
120 100 80 60 40 20 0 20 40 60 80 100

11. Chart 7: Rate of Fatal Occupational Injuries by
Establishment Size (number of employees),
Massachusetts, 2000-2007
3.5 3.3
3.0
Deaths per 100,000 workers
2.5
2.0
1.6 1.6
1.5 1.4
1.0 0.9
0.5
0.0
All establishment 1-19 employees 20-49 employees 50-99 employees 100+ employees
sizes (N=482) (N=265 fatalities) (N=64 fatalities) (N=42 fatalities) (N=111 fatalities)

12. Eight-year Work-related Fatality
Report (2000-2007) Summary (cont.)
Self-employed workers had a rate that was three
times higher than the rate for wage and salary
workers.
Automotive/auto body repairers (8)
Janitors/cleaners (8)
40 public sector employees were fatally injured at
work.

13. Public Sector Activities in
Massachusetts
Public sector - state specific target
No public sector OSHA in Massachusetts
Investigations are challenging
Executive Order – signed 4-27-09
HRD electronic injury log for all state injuries

14. Floor Finishing Task Force Continues
Meetings
Bills re-filed: prohibiting the
use and sale of flammable floor
finishing products, certification
Community training, education
and outreach
Fire Alert being evaluated by
DOHI

15. Young Worker Forklift Sticker Reissued
MA FACE developed and
was adopted by Federal
DOL.
Disseminated to select big
box stores in the area.
MA Attorney General,
Federal DOL, and Wage and
Hour participated in the
dissemination.

16. Contingent Workers and Ambiguous
Employment Relationships
Definition – depends on who you ask.
MA FACE / CFOI uses OSHA determination of
employment status:
* Employed * Self-employed * Unknown
Loosing a lot of information.
The data does not allow us to tell the story that
many workers are in ambiguous employment
relationships.

17. Contingent Workers and Ambiguous
Employment Relationships
Victim – finished carpenter with over 15 years of
experience.
Victim – worked solely for one builder on one large
construction project for 7 years.
The builder – health and safety program, safety trainings
and emails to employees and contractors.
The builder – provided a location for equipment and tool
storage.

18. Contingent Workers and Ambiguous
Employment Relationships
Victim’s employment
status was documented
as self-employed.
Struggling on how to
capture when the work
relationship is
ambiguous.

19. MA FACE Project
Massachusetts FACE project Web site
www.mass.gov/dph/face
Fatal Occupational Injuries in Massachusetts, 2000 - 2007
www.mass.gov/Eeohhs2/docs/dph/occupational_health/fatalities_2000_07.pdf

20. Chart 5. Number and Rate of Fatal Occupational Injuries by
Industry Division , Massachusetts, 2003-2007, N=364
Number Rate (deaths per 100,000 workers)
Agriculture, Forestry, Fishing, and Hunting 34 60.9
Construction 103 9.7
Transportation, Warehousing and Utilities 43 9.3
Other Services 16 2.3
Leisure & Hospitality 23 1.8
Wholesale & Retail Trade 40 1.8 State Rate:
2.3 deaths
Professional & Business Srvcs 36 1.8
per 100,000
Manufacturing 23 1.4 workers
Government 22 1.2
Educational, Health & Social Srvcs 15 0.5
Financial Activities 6 0.5
120 100 80 60 40 20 0 20 40 60 80