Frequently Asked Questions (FAQs)
Who gets included in the BLS counts of workplace injuries and illnesses?
Occupational injury and illness estimates are derived from the BLS annual Survey of Occupational Injuries
and Illnesses (SOII). The SOII remains the largest occupational injury and illness surveillance system in the
country, providing injury and illness counts and rates for a variety of employer, employee, and case
characteristics based on a sample of over 230,000 establishments. Figures are calculated nationally and for
44 participating states and territories (including the District of Columbia), allowing for detailed analyses
of the magnitude, patterns, and trends in occupational injuries and illnesses.
The survey captures data from Occupational Safety and Health Administration (OSHA) logs of workplace injuries
and illnesses maintained by employers. The estimates cover nearly all private-sector industries, as well as
State and local government (as of 2008 data). Small farms with fewer than 11 employees, Federal government
agencies, self-employed and household workers are outside of the scope of the SOII because they are not covered
by the Occupational Safety and Health Act of 1970. More on the scope and coverage of the SOII can be found at
Is the BLS count of workplace injuries and illnesses complete?
BLS data on nonfatal workplace injuries and illnesses come from the Survey of Occupational Injuries and Illnesses
(SOII), an annual survey of roughly 250,000 private employers, State governments, and local governments. Establishments
selected for the survey are required to maintain a log of worker injuries for a year; the log is developed by the Occupational
Safety and Health Administration (OSHA) and includes specific guidelines on what workplace injuries are to be recorded.
The BLS data come from these OSHA logs and are based on employer understanding of OSHA recordkeeping guidelines.
While the BLS occupational injury and illness data have been the subject of scrutiny from time to time, several studies
released in the mid-2000s are the first specific research documenting missing cases in individual firms, as determined by
comparisons between the SOII and state workers’ compensation data. Follow-up research on this topic by Nicole Nestoriak and
Brooks Pierce, Research Economists at the BLS, demonstrates that there are certain factors that may be associated with differences
in the data captured in various sources, including the establishment type, the time of the case filing, and the injury type.
The evidence suggests that data are easier to match across data sources, methodologically, for single-establishment firms than
for multi-establishment firms. Injuries or illnesses with lengthy onsets or long latency periods, such as hearing loss and
carpal tunnel syndrome, are less likely to be captured on OSHA logs and reported in the SOII than easily identifiable traumatic
work injuries, such as lacerations or fractures. This is, in part, due to the timely nature of SOII data, which are collected
shortly after the calendar year, whereas workers’ compensation claims may be established, updated, or adjudicated years later,
depending on specific State laws. Injuries and illnesses that occur at the end of the year also tend to appear less frequently
in the SOII data than in workers’ compensation for similar timeliness reasons. Nestoriak and Pierce's research article,
Comparing Workers' Compensation claims with establishments' responses to the SOII, appeared
in the May 2009 edition of the Monthly Labor Review.
In addition, the Government Accountability Office (GAO) analyzed audits of the OSHA logs of workplace injuries and illnesses and
what factors may affect the accuracy of employers’ injury and illness records. According to the October 2009 GAO report
Enhancing OSHA's Records Audit Process Could Improve the Accuracy of Worker Injury and Illness Data,
there were many factors affecting the accuracy of these data, including a number of disincentives for both employers and employees
to record an injury or illness. Since the BLS captures information from these OSHA logs for the SOII, issues affecting the accuracy of
the logs would likewise adversely affect SOII data.
For more background on the various dimensions of a possible SOII undercount, see
Examining evidence on whether BLS undercounts workplace
injuries and illnesses by John Ruser, which appeared in the August 2008 edition of Monthly Labor Review.
As of spring 2013, BLS is preparing an update on this issue, to be published in a future issue of the Monthly Labor Review.
What is the BLS doing to understand and address any issues about the completeness of workplace injury and illness data?
At the request of Congress, the BLS has established an ongoing research program to identify any concerns about the completeness of workplace
injury and illness data; to quantify the magnitude of any undercount and determine whether the amount has changed over time or is more pronounced
for certain industries, occupations, or types of injuries; and to implement improvements and provide data users with information on data quality.
BLS conducted a first round of research between 2009 and 2012, coordinating with several State Agency grantees and a contractor. The first
project was an attempt to enumerate the total number of work-related amputations and instances of carpal tunnel syndrome in the States of Washington,
California, and Massachusetts using multiple data sources, such as the SOII, workers’ compensation claims, and hospital discharge records. Second,
research was undertaken for the States of California, Kentucky and Washington to supplement previous research that matched SOII with workers’
compensation data to determine both the proportion of cases captured by these surveillance systems and what types of case characteristics are
related to differences in cases captured. Finally, “follow-back” interviews were conducted with a selection of establishments to help determine
how differences in injury and illness recordkeeping practices may affect reporting discrepancies between the SOII and workers’ compensation systems.
From this first round of research, BLS identified the following:
- The SOII undercounts some injuries and illnesses, and the magnitude of the estimated undercount varies dramatically based on the methodologies
employed by the researchers. This variation is due to the technical difficulties associated with matching between SOII and workers’ compensation
data. The magnitude may differ by state, and it is unknown whether the undercount changes over time or in response to regulatory changes affecting
the SOII and workers’ compensation.
- A national multisource enumeration of workplace injuries and illnesses is not a practical solution to the undercount. Technical challenges in
matching across data sets, resource requirements, and variations between data available to each state limit the feasibility of this approach for
nonfatal injury and illness surveillance. Individual states may wish to pursue a multisource enumeration, based on available data, focused on
specific topics of interest.
- The employer interviews were an invaluable tool for understanding some of the results of the data matching, even if their observations were
qualitative in nature.
- The research did not identify a prominent cause of the undercount, but rather identified a multitude of factors that may contribute. Some of
these factors, such as a reduced likelihood to capture injuries or illnesses incurred late in the reporting cycle, appear within BLS’ ability to
affect change. Others, however, remain beyond the jurisdiction of BLS, such as those related to OSHA recordkeeping.
The BLS and its research partners will share the results of this research through various publications such as the Monthly Labor Review and
peer reviewed journals, as well as contributed sessions at relevant conferences including the Council of State and Territorial Epidemiologists,
the American Public Health Association, and others.
The results and recommendations of this first phase of SOII research were used to guide the selection of further research in 2013 to improve
the completeness and accuracy of estimates from the SOII. Research topics include:
- Interviews with a large sample of employers in several States to obtain statistically significant results on various recordkeeping
practices. Results are expected in 2014.
- Matching of twelve years’ worth of SOII data to workers’ compensation records to analyze any undercount trends over time in one State.
Results are expected in 2014.
- Pilot test the automated coding of SOII narrative text fields to improve classification consistency. The BLS is working internally
and with a State partner to explore the feasibility and efficacy of an automated approach. Results are expected in 2013.
How many Hispanic or Latino workers have been fatally injured on the job?
In 2012, 748 Hispanic or Latino workers were fatally injured while at work according to final data. This figure is about the same as
the 749 fatal injuries reported in the final 2011 data. Fatal injuries incurred by Hispanic or Latino workers accounted
for 16 percent of the 4,628 total fatal work injuries that occurred in the U.S. in 2012. Hispanic or Latino workers had a final fatal work injury rate of 3.7 fatal work injuries per 100,000 full-time equivalent (FTE) workers in 2012
compared with the final all worker fatal work injury rate of 3.4 fatal work injuries per 100,000 full-time equivalent (FTE) workers. More information on fatal occupational injuries incurred by Hispanic or Latino workers can be found here.
In 2012, foreign-born Hispanic or Latino workers accounted for 484 fatal work injuries, or 65 percent, of the fatal work injuries to Hispanic or Latino workers according to final data.
More information on fatal occupational injuries incurred by foreign-born Hispanic or Latino workers can be found here.
Which occupations have high fatal work injury rates?
The latest data on fatal work injury rates can be found here: Census of Fatal Occupational Injuries (CFOI) - Current and Revised Data.
Note that occupations with the highest number of fatal work injuries do not necessarily have high fatal work injury rates.
How can I evaluate our safety record?
The Bureau of Labor Statistics provides incidence rates by industry, by
establishment size, and for many different case types. You can use
incidence rates to evaluate your injury and illness experience by
comparing it to the national averages for similar types of organizations.
The guide How to compute your firm's incidence rate shows you how to effectively use BLS data.
You can access all of the BLS workplace injury and illness data by going
to the Injury, Illness, and Fatalities home page.
How widespread is violence in the workplace? Homicides?
Workplace violence —including assaults and suicides— accounted for 17 percent of all work-related fatal
occupational injuries in 2012 (see Slide 3 of the 2012 CFOI Chart Package) according to final data. In
their article Work-related Homicides: The Facts, Eric Sygnatur and Guy Toscano note that,
"Contrary to popular belief, the majority of these incidents are not crimes of passion committed by disgruntled
coworkers and spouses, but rather result from robberies." See this table for the latest data on workplace homicides.
In 2012, there were 12,410 non-fatal cases of intentional injury by other persons which required days away from
work in private industry; however, this accounted for just 1 percent of all non-fatal injuries
and illnesses in private industry (see Table R31.)
Where can I find another company's injury rate?
This type of information is not available from the Bureau of Labor
Statistics. Because BLS ensures a pledge of confidentiality with all
survey participants, we cannot share any confidential information,
including any identification or injury rate. For information on
establishments that may have been cited for workplace violations or for
other regulatory guidelines, you should contact the Occupational Safety and Health Administration (OSHA) or call (202) 693-1999 (OSHA Office of Public
Affairs). Almost all establishments must maintain an annual log of
workplace injuries and illnesses, as mandated by OSHA. It is a requirement
that employers post a summary of injuries and illnesses at the beginning
of the year for incidents that occurred during the previous year for
employee access. Also, upon request, employers may be required to share
certain information with employees, but this is something that you should
address with your company or with OSHA.
What kind of ergonomics numbers exist?
"Ergonomics" is a general term that has different meanings to different
audiences. Most often, this term is applied to work-related
musculoskeletal disorders (MSDs). The U. S. Department of Labor defines an
MSD as an injury or disorder of the muscles, nerves, tendons, joints,
cartilage, and spinal discs. MSDs do not include disorders caused by
slips, trips, falls, motor vehicle accidents, or similar accidents. The
Bureau of Labor Statistics publishes detailed
characteristics for MSD cases that resulted in at least one lost day
How do I compute injury rates for time periods of less
than a year?
The Bureau of Labor Statistics produces annual rates, only, based on
annual data, so any comparison may be inexact. As indicated in the guide, How to compute your firm's
incidence rate, the basic formula is:
(Number of injuries and illnesses X 200,000) / Employee hours worked =
where the 200,000 hours in the formula represent the equivalent of 100
employees working 40 hours per week, 50 weeks per year.
One could compute a partial year incidence rate by dividing the number
of cases by the hours worked for a certain period, and then multiplying
the result by the part of 200,000 (the 12-month constant) represented by
that certain period. For a single month, you would use 16,667. This
approach, however, assumes that your injury and illness experience grows
at a constant rate for the year. The alternative is to not adjust the
constant (leave it at 200,000), and this assumes that you will not
experience any additional injuries or illnesses. Both assumptions may not
be too realistic.
How can I compare my firm's injury and illness experience to others?
Incidence rates by industry, by establishment size, and for many different case types
are available from BLS. Using incidence rates allows a firm to evaluate its injury and
illness experience and compare its experience to other firms doing the same type of work
and of the same employment size group. A guide that describes how to
compute your firm's incidence rate is available.
I am a safety specialist interested in the types of injuries and illnesses that are occurring in my industry. I would like to know which employees are most likely
to be injured, and what events are causing most of the injuries and illnesses. Do you have data that can help me?
Yes. Both the case and demographic data from the Survey of Occupational Injuries and
Illnesses and the fatal injury data available from the Census of Fatal Occupational Injuries
provide this information. Access to these data is provided from the Data section of our Safety and Health Statistics home page.
What information do the survey data provide about workers who are injured?
The age, sex, occupation, race, and length of service with employer are the attributes
of the worker collected for days away from work cases. For the Nation and for
participating States, distributions of days away from work cases by the various categories
comprising each worker characteristic can be developed. From those distributions,
important worker groups can be identified and separate injury and illness profiles
developed. For example, separate profiles for women, older workers, and nursing
occupations can be developed.
One analytical approach to identifying relatively hazardous jobs will be to compare a
job's share of total employment to its share of total days away from work cases. This
employment-injury comparison also can be useful at the State level, although usually at a
higher level of occupational aggregation. The Bureau's annual bulletin Geographic
Profiles provides figures on women employed in farming, forestry, and fishery
occupations which can be compared to OSH State data for the same workers. Access to these
data is provided from the Data section of our Safety and
Health Statistics home page.
What information do the survey data provide about the injuries that have occurred?
Physical condition (nature), part of the body affected, source, and event/exposure will
be the principal case characteristics gleaned from employers' descriptions about the
circumstances surrounding the incidents. The principal case characteristics and
their categories can be presented in separate tabulations for the Nation and for
Frequency distributions and incidence rates for most case characteristic categories can
be generated. These incidence rates tell us, for example, how frequently disabling falls
occur in the construction industry of various States. With this information, a State with
a relatively high rate of such falls might devote more resources to the study of how
employers and employees are dealing with this particular hazard and offer advice on
working under adverse weather conditions or the use of safety gear. Access to these data
is provided from the Data section of our Safety and Health
Statistics home page.
Who uses these data?
Employers and employees, policymakers, safety standards writers, safety inspectors,
health and safety consultants, and researchers are some of the most frequent users of
Employers and employees need definitive statistics on what kinds of
serious injuries and illnesses occur to others whose work and workforce size are similar
to theirs. BLS Safety and Health data permit employers to learn about the circumstances
surrounding those incidents so that they can disarm potential hazards where they work.
Policymakers need to know how the safety and health of workers in
their State compares to workers in other States doing comparable work. The survey helps
these managers determine the additional need for State safety and health programs.
Safety standards writers need to know the factors surrounding injuries
and illnesses that their standards were meant to prevent. Do those standards need
revision, or just better enforcement? Are new standards needed for uncovered incidents?
The survey supplemented by special studies can help answer important questions of this
Safety inspectors need to know how best to allocate their time among
and within establishments. By targeting where injuries and illnesses most frequently occur
and their characteristics, survey data help in selecting which firms to visit and what
hazards to look for. These visits are also opportunities for inspector and employer to
consult on ways to eliminate work hazards.
Safety and health consultants need to understand job hazards fully to
develop effective training packages and educational materials for employers and their
employees. The survey collects information on work activity that will help consultants
piece together what precipitated an accident or exposure. Special studies of work hazards
can provide additional assistance.
Researchers need to direct their limited resources at widespread
problems, such as the proper manual lifting techniques and the best designs for tools and
safety gear. They find survey data useful in focusing on those work hazards.
How many musculoskeletal disorder (MSD) cases involved health care patient handling?
In 2012, there were 35,230 occupational musculoskeletal disorder (MSD) cases in private industry where the
source of injury or illness was a health care patient. This accounted for
11 percent of the 314,470 total cases of MSDs that resulted in a least one lost day from work in 2012. Almost
all (99 percent) of the cases involving patient handling occurred within the health care and social assistance
industry, composing 49 percent of the 71,010 total MSD cases in that industry.
For MSD cases involving patient handling, almost all (99 percent) were the result of overexertion involving outside sources. Sprain,
strain, or tear was the type of injury incurred in 81 percent of the MSD cases involving patient handling.
Nursing assistants incurred occupational injuries or illnesses in 43 percent of the MSD
cases involving health care patients. Registered nurses accounted for 19 percent and personal care aides for
another 7 percent. Other occupations with MSD cases involving health care patients (with 400 or more cases) included home health aides;
emergency medical technicians and paramedics; licensed practical and licensed vocational nurses; radiologic technologists; healthcare support workers; medical
and clinical laboratory technicians; and orderlies.
Last Modified Date: April 24, 2014