NORA Sector Priority Research Areas- Mapping Only_UPDATED_CC.xlsx

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    UMORG Research Themes ServicesHealthcare and

    Social AssistanceConstruction Manufacturing

    Agriculture,Forestry, and

    Fishin

    Transportation,Warehousing, and

    UtilitiesMining Public Safety Oil and Gas

    Extraction

    SG17 SG4.1 SG14 SG4.1 SG1 SG1.9 SG3.6 SG5 SG1.4SG1.3 SG2.3.2 SG5.1 SG1.16 SG3.1.1d SG16 SG2.1.1SG2.1 SG2.4.1 SG10.1 SG1.7.1 SG3.6.1 SG1.4 SG2.3.4SG3.1 SG4.1.1 SG2.1.1 SG3.2.2 SG2.1 SG3.1.1SG4.2 SG5.2.3 SG7.1.1 SG4.2.8 SG2.2 SG4.1.1SG4.3 SG5.9.5 SG7.1 SG5.1.1SG5.1 SG8.1.1 SG11.3SG8.2 SG15.2SG10.2 SG17.2

    SG14.1 SG1.2.2SG14.2 SG9.1.1SG15.1 SG9.2.1SG16.1 SG10.2.1SG18.1SG4 SG7 SG10 SG8 SG2SG5 SG12 SG10 SG3SG6 SG6SG8 SG7SG9 SG9SG10 SG10SG11 SG12SG12 SG13SG13 SG17SG14SG15

    SG16 SG2 SG7 SG3 SG5.1 SG2 SG4SG7.1SG9.1

    SG1 SG1 SG1 SG4 SG1 SG2 SG1SG2 SG2 SG2 SG6 SG3 SG2SG9 SG3 SG7 SG8 SG6 SG3SG13 SG8 SG7SG17 SG8SG5.2.1 SG9

    SG12SG1.5 SG1 SG14.3 SG9 SG3 SG3 SG6 SG18 SG1.3.1SG4.5 SG14.2.1 SG8.1 SG5 SG7 SG17.1SG10.3 SG9.1.2 SG7 SG1.5 SG7.2.3SG15.2 SG3.5SG2.2.1

    SG5.2.1SG14.3.1SG14.3.2SG14.3.3

    SG3.1 SG3 SG5 SG7.5 SG4 SG3.3 SG1 SG5SG9.3 SG6 SG6 SG7.2.2 SG3.5 SG3.4.2a SG17.4SG18.2 SG8 SG3.3 SG7.2.3 SG2.2.4 SG3.4.2bSG1.5.1 SG9.2 SG9.3.4 SG7.2.4SG2.3.2 SG10.1 SG12.2.3 SG9.2.2SG6.1.1 SG9.1.3SG6.1.3SG6.1.4SG13.1.2SG16.4.4

    SG6.1 SG1.2.4 SG7.3.3 SG3.1.5 SG5.5 SG3 SG3.4 SG11SG8.3 SG3.6 SG15.1SG4.4.5 SG3.7 SG18.2SG8.3.4SG12.1.1SG12.1.3SG12.1.5SG12.1.6

    SG2.3 SG3.3.1 SG5 SG5.2 SG3.1 SG1.1.4SG4.3 SG3.1.6cSG6.1 SG3.1.7b

    SG5.2.3f Hearing Loss SG10.1.2 SG4 SG4 SG4.2.7 SG3.2

    SG3 SG12.2.5 SG2.3SG7SG3.2 SG5.9.4 SG5.3.3 SG5 SG3.1.2SG7.1 SG5.4.3 SG3.4.3 SG6.2.2

    SG9.2.2 SG6.8.1 SG13.1.1SG7.3.3

    SG5 SG5.4 SG10SG14SG10.1

    SG11.1 SG4.2.4 SG4.2.2 SG2.1.2.2 SG4.5.6 SG2.8.5 SG3.1.1eSG16.4.5 SG4.5.1 SG4.2.3 SG6.10.5

    SG5.1.4 SG5.2.1SG5.4.2 SG5.2.2

    SG3.4 SG8SG1.5SG17.3SG11.1.6

    SG6 SG3.1.5 SG1.1SG1.1.4SG5.2.2

    SG7.4.1 SG3.8.1 SG10.1SG7.4.2 SG3.8.4

    bDetailed strategic goals can be found in expanded NORA Sector Strategic Goal Priority Research Area Mapping excel file at www.umiamiorg.com

    Highlighed in RED: 2013 Updated Strategic Goals

    Innovative PreventionStrategies (e.g. media)

    Reduction ofCardiovascular Disease

    Reduction of Cancer

    ScreeningaAbbreviated strategic goals

    Infectious Risk Reduction

    Appendix 3: NORA Sector Strategic Goal Priority Research Area Mapping

    Surveillance

    Non-Fatal Injuries

    Musculoskeletal InjuryReduction

    Fatalities

    Health and Well Being

    Exposure Reduction

    Stress Reduction/ Qualityof Life

    Reduction of RespiratoryDisease

    Health Disparities

    Behavioral Risk FactorChange

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    Research/

    SurveillanceThemes

    Services Healthcare Construction Manufacturing Agriculture Transportation Mining Public Safety Oil and Gas

    SG17: Support the creation of additionalsurveillance systems and utilize e xistingsurveillance data to increase knowledgeabout trends, emerging issues andpriorities for occupational illnesses,injuries and fatalities among servicessector workers.

    4.1: NIOSH, collaborating with partners,will promote the development and use ofsurveillance systems that monitorpercutaneous injuries among healthcarepersonnel employed in all healthcaresettings.

    SG14: Improve surveillance at the Fe deral,State, and private level to support theidentification of hazards and associatedillnesses and injuries; the evaluation ofintervention and organizational programeffectiveness; and the identification ofemerging health and safety priorities inconstruction.

    4.1: Implement surveillance activities toidentify and reduce sources of noiseexposures, conduct longitudinal analysesof hearing outcomes, implement hearingprotection usage guidance, and utilizeproven effective engineering noisecontrol solutions.

    SG1: Improve surveillance within theAgriculture, Forestry, and Fishing Sectorto describe: the nature, extent, andeconomic burden of occupationalillnesses, injuries, and fatalities;occupational hazards; and workerpopulations at risk for adverse healthoutcomes.

    1.9: Implement a surveillance system tobetter ascertain the nature and extent ofwork-related injuries to truck drivers.

    3.6: Improve Health Surveillance in MiningData on the health of miners have beencollected through the various programssuch as voluntary x-rays or audiogramsdone for hearing conservation.Unfortunately, these data bases are heldat individual clinics and health facilitiesand, therefore, are not unifie d nor inconsistent format. Even if they wereuniform, privacy issues have intervenedto prevent their use by researchers.

    SG16: Create an integrated occupationalhealth and safety surveillance datasystem for Emergency Medical Service(EMS) personnel and evaluate risks fortheir exposures, illnesses, injuries andfatalitie s by 2013

    1.4 : The oil and gas extraction industrywill use surveillance to identify workpractices, technologies, and engineeringcontrols to reduce occupational fatalities.

    1.3: By 2015, produce pe riodic summaryreports of trends, emerging issues andintervention needs for the automotiverepair industry.

    2.3.2: Develop better surveillance systemsfor tracking injuries and illnessesexperienced by homecare workers

    5.1: Use surveillance, epidemiologic, andetiologic data to identify and track hazardsfor airways diseases in the workplace

    1.16: Implement a surveillance system tobetter ascertain the nature and extent ofwork-related injuries among transitworkers

    3.1.1d: Improve secondary prevention byincreasing participation rates in x-raysurveillance.

    SG5: Evaluate information sourcescollected by partners or stakeholders thatmay be enhanced or expanded to conducteffective occupational health and safetysurveillance among law enforcementworkers.

    2.1.1 : Analyze occupational motor vehiclesurveillance data, industry and medicalrecords to identify incident patternsattributable to such factors as age,national origin, substance abuse, extremeenvironmental conditions, or fatigue

    2.1: Establish programs for collection andanalysis of injury and illness e vent

    information, with standard elements forseverity, among building services workersso that trends, emerging issues andintervention needs can be identified by2015.

    2.4.1: Develop better surveillance systemsfor tracking MSDs among non-patient carestaff.

    10.1: Disseminate and implement thesurveillance f indings to eliminate andprevent catastrophic incidents

    1.7.1: Implement a surveillance system

    within the water transportation industryto capture data on work-related injuriesother than those associated with ve sselincidents.

    3.6.1 Determine whether the move by the

    health-care industry to digital datarecords can be used to create privacy-protected data bases that can improvehealth surveillance in the mining industry.

    1.4: Fire Fighter Medical Surveillance -

    Create and promote best practiceguidelines for medical surveillancesystems and wellness programs for firefighters.

    2.3.4 : Identify and analyze availablesurveillance data in order to evaluate thecompliance with e xisting fitness for dutystandards and their impact on work-related motor vehicle fatalities in the oiland gas extraction industry.

    3.1: Ensure that employment, injury,illness and ex posure assessmentinformation is collected in sufficientdetail for characterization of disparities inhealth status, if they exist, amongbuilding cleaning and maintenance

    workers.

    4.1.1: Develop and implementsurveillance systems to monitorhealthcare personnel employed insettings other than hospitals who are atrisk for percutaneous injuries.

    2.1.1: Improve surveillance and conductepidemiologic studies in the area ofoccupational injuries and fatalities due tofalls from ele vations including theassessment of differences in fallsassociated with maintenance and repair

    modes as opposed to new construction

    3.2.2: Use medical surveillance, laboratorystudies, economic data, and biomedicalmeasures to collect objective measures ofcommercial driver health status that willvalidate and complement data collectedvia self- report.

    2.1: Injury Surveillance - Improve injurysurveillance data collection and identifythe mechanisms and occupational settingsof injuries sustained during structural firefighting operations.

    3.1.1 : Analyze surveillance data to identifythe groups of workers with elevatedfatality rates resulting from contactinjuries. Workforce groups may includeage groups, workers from differentcultures, workers impaired by alcohol ordrugs, inexperienced workers, fatiguedworkers, obese workers, conditions

    related to environmental hazards, orhazards related to diffe rent types ofequipment

    4.2: By 2010, develop recommendationsfor a voluntary web-based health andhazard surveillance system for educationemployees through collaboration of laborunions, education administrators, andstate and federal government agencies.

    5.2.3: Conduct surveillance for vaccinationprevalence at baseline and over time.

    7.1.1: Develop surveillance measures tobetter understand occupationalexposures and risk and protective factorsfor injuries, illne sses, and hazardousexposures among vulnerable andunderstudied populations

    4.2.8: Develop and implement state andnational prospective and retrospectiveevaluation strategies (surveillance) tomonitor exposures to priority chemicals,associated disease, and continuouslyimprove interventions in the TWU sector

    2.2: Injury Solutions - Develop safetyinterventions as directed by injurysurveillance and investigative data (e.g.,slip, trip, and fall hazards and lifting).

    4.1.1 : Analyze non-fatal occupationalsurveillance data, industry data, andmedical records to identify the sub-groups of workers that may be atincreased risk of injury.

    4.3: By 2015, evaluate incidence andprevalence of occupational respiratorydisease, autoimmune diseases andreproductive health among public andprivate education staff.

    5.9.5: Develop surveillance of PPE usageto identify priorities, trends and emergingissues associated with the use of PPE inthe workplace and use the information toestablish a baseline on PPE usage,develop benchmarks and performancemeasures, sharpen the focus of researchefforts and aid in the development of amore effective and active disseminationprogram.

    7.1: Existing Criminal Assault Surveillance -Create and utilize data systems todetermine the frequency and nature ofofficer injuries and fatalities from criminalassaults.

    5.1.1 : Analyze occupational exposure andillness surveillance data, as well as datafrom industry and medical records, todetermine differing patterns ofoccurrence attributable to such things asgenerational differences, work culture,specific job duties and exposures,national origin, fitness for work, etc.

    5.1: Establish programs for collection andanalysis of illness and i njury eventinformation, including standard elementsfor severity, in order to identify trends,emerging issues and intervention needsamong hotel and motel employees.

    8.1.1: Develop a program of healthsurveillance and hazard assessment totrack the burden of asthma and allergicdisease and the exposures to respiratoryhazards that cause them in VM/ACpersonnel.

    11.3: Health and Wellness SurveillanceEvaluation - Develop guidelines forworksite medical surveillance andwellness programs for correctionalpersonnel.

    8.2: By 2015, evaluate incidence,prevalence and severity ofmusculoskeletal disorders and thephysical hazards that are associated withthe disorders among publicadministration employees.

    15.2: Health and Wellness Surveillance -Develop guidelines for worksite medicalsurveillance and wellness programs for

    EMS personnel.

    10.2: By 2015, evaluate differences ininjury frequencies, rates, and severity foryouth, immigrant and disabled employeesin restaurants and other food serviceestablishments when compared with thetotal workforce.

    17.2: Surveillance Systems - Improveexisting or develop new surveillancesystems to better capture wildland fire-related occupational exposures, injuriesand illnesses.

    14.1: Identify sources of information thatcan be used to estimate the number orproportion of workers in industry sectorswho are employed in a temporary orother contingent status at host employerlocations.

    1.2.2: Heat Stress Surveillance - Evaluateexisting surveillance programs regardingthe collection of heat stress informationduring fire fighting operations.

    14.2: Determine if diffe rences are presentin health status between temporary orcontingent workers and the remainingworkers in selected i ndustries based onavailable surveillance data.

    9.1.1: Existing Health and SafetySurveillance Evaluation - Identify andsystematically evaluate Institute ofJustice, Office of Justice Programs datasets, disability insurance claims and otherdatabases to estimate the frequencies,rates and trends of traumatic injuries andfatalities that result from inmate assaults.

    15.1: Track industry-wide fatality andinjury event information, includingstandard elements for injury severity.

    9.2.1: Existing H&S Surveillance Evaluation- Evaluate Office of Justice Programs data,and disability, compensation and otherdatabases to determine overallfrequencies and severity of injuriesincluding puncture wounds, lacerations,slips/trips/falls, and MSDs.

    16.1: Develop and utilize state and federalinjury, illness and disability surveillancesystems on an ongoing basis and promoteadditional data analysis to increaseknowledge about trends, emerging issuesand priorities for occupational

    musculoskeletal disorders among servicessector workers.

    10.2.1: Existing Surveillance Evaluationsfor Sharps Injuries - Review Office ofJustice data, and disability, compensationand other databases to determine overallfrequencies and severity of sharps

    injuries and subsequent illnesses.

    18.1: Establish programs for systematiccollection and analysis of data onoccupational ill nesses and injuries in nailand hair salon workers and publish resultsin the open literature throughcollaboration of State and Federalprograms.

    SG4: By 2015, reduce the f requency andseverity of injuries and il lnesses by 30%among workers in public and privateeducation including teachers, custodians,food service workers, nurses, security,support staff, garage mechanics, busdrivers and office workers.

    SG7: Reduce the occurrence of the mostcommon injury hazards among VM/ACpersonnel

    SG10: Improve understanding of howconstruction industry organization factorsrelate to injury and illness outcomes; andincrease the sharing and use of industry-wide practices, policies, and partnershipsthat improve safety and healthperformance

    SG8: Reduce the incidence of injuries,illnesses, and fatalities within smallbusinesses (fewe r than 100 employees)and specific sub-sectors within themanufacturing sector.

    SG2: Structural Fire Fighting Injury andFatality Reduction - Reduce injuries andfatalities associated with structural firefighting operations.

    SG5: By 2015, reduce the incidence andseverity of occupational injuries by 20% asmeasured in lost work days among hoteland motel workers.

    SG12: Reduce injury and illness amonggroups of construction workers throughimproved understanding of why groups ofworkers experience disproportionaterisks in construction work and expandingthe availability and use of effectiveinterventions.

    SG10: Reduce the number of catastrophicincidents (e.g., e xplosions, chemicalaccidents, or building structural failures)in the manufacturing sector.

    SG3: Vehicle Related Death and Injury -Reduce the incidence of vehicle-relatedtraumatic injuries and fatalities in firefighters.

    SG 6: Reduce by 20% the incidence andseverity of occupational illness andmorbidity that result in lost work daysamong hotel and motel workers by 2015.

    SG6: Vehicle Related Death and Injury -Reduce traumatic injuries and fatalitiesresulting from vehicle collisions involvinglaw enforcement personnel. (Datacollected for research under goals 6 and 7shall be used only to identify andevaluate practices that help ensure publicsafety, and not for discipline against anyindividual officer or off icers.)

    SG8: Reduce by 30% the frequency andseverity of injuries and il lnesses amonggovernment workers by 2015.

    SG7: Reduce injuries and fatalities in lawenforcement personnel from criminalassaults by 10% by 2012.

    SG9: By 2015, reduce traumatic injuriesand fatalities by 30% in the recreation andentertainment industries.

    SG9: Reduce occupational injuries andfatalities in corrections personnel by 20%by 2015.

    SG10: By 2015, reduce the f requency ofinjuries by 30% among food serviceworkers.

    SG10: Illnesses and Injuries fromInfectious Diseases - Reduce illnesses and

    injuries in corrections personnel frominfectious disease exposures.

    SG11: By 2015, reduce the f requency ofworkplace viole nce events by 20% inrestaurants and food delivery services.

    SG12: Reduce traumatic injury andfatalities among EMS personnelassociated with vehicle crashes by 15% by2015

    SG12: Reduce the incidence of seriousoccupational illnesses and injuries by 70%within the telecommunications industryby 2012.

    SG13: Reduce traumatic injuries amongEMS personne l that occur duringmovement of patients and equipment by30% by 2012.

    SG13: By 2014, reduce occupationaltraumatic injuries and fatalities by 70% inthe telecommunications industries

    SG17: Exposures, Injuries and Illnesses -Reduce incidence of e xposures, injuries,and illnesses among wildland fire f ightersin all aspects of wildland fire (e.g.,wildland fire, prescribed fire andWildland-Urban Interface).

    Appendix 3. NORA Sectors' priority research areas

    Non-FatalInjuries

    Surveillance

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    SG14: Reduce the incidence by 30% andseverity of injuries and illnesses amongworkers who are employees of te mporarylabor agencies or otherwise employed ascontractors or contingent workers at host

    employer locations by 2015.

    SG15: Reduce the incidence and severityof injuries in the waste collection,disposal and recycling industries by 30%.

    SG16: By 2015, reduce by 30% theincidence of musculoskeletal disordersthat result in one or more l ost work daysin services industry subsectors with

    elevated rates or counts or whereeffective intervention methods should beadopted.

    SG2: By 2016, reduce by 25% the incidenceand severity of musculoskeletal disorders(MSDs) among workers in the healthcare

    and social assistance (HCSA) sector

    SG7: Reduce the incidence and severity ofwork-related musculoskeletal disorders

    among construction workers in the U.S.

    SG3: Reduce the number and severity ofmusculoskeletal di sorders (MSDs) among

    manufacturing sector workers

    5.1: Reduce the incidence and prevalenceof musculoskeletal di sorders (MSD)associated with work practices and

    production agriculture.

    SG2: Reduce the incidence and severity ofwork-related musculoskeletal disorders(WMSDs) among workers in the TWU

    sector.

    SG4: Reduce the incidence and severity ofacute and chronic musculoskele taldisorders (MSDs) and injuries in the fire

    service by 2015.

    7.1 : Develop and implementinterventions to minimize the frequencyand causes of work-relatedmusculoskeletal diseases (MSDs) andother acute and chronic illnesses l eadingto premature disability.

    9.1: Measure and reduce work-relatedmusculoskeletal disease due to acute andchronic exposures and ergonomic factors.

    SG1: By 2015, reduce serious occupationalillnesses and fatal occupational traumaticinjuries by 30% in the automotive repairindustry with an emphasis on events thatare due to vehicle and equipment relatedincidents.

    SG1: Reduce Construction Workerfatalities and serious injuries caused byfalls to a lower level

    SG1: Reduce the number of injuries andfatalities due to contact with objects andequipment among workers in themanufacturing sector

    SG4: Reduce the number, rate, andseverity of traumatic injuries and deathsinvolving hazards of productionagriculture and support activities.

    SG1: Reduce lost-workday occupationaltraumatic injury and fatality rates in theTWU sector.

    SG2: Reduce injuries and fatalitiesassociated with structural firef ightingoperations by 30% by 2015.

    SG1: By 2020, reduce the occupationalfatality rate in the oil and gas extractionindustry by 50 percent

    SG2: By 2015, reduce the incidence andseverity of occupational illnesses andinjuries by 20% as measured in number ofoccupational fatalities or lost work daysamong building services workers such as

    janitors, window washers, generalbuilding maintenance, and landscapeservices workers

    SG2: Reduce fatal and nonfatal injuriesfrom contact with electricity amongconstruction workers.

    SG2: Reduce the number of injuries andfatalities resulting from falls amongworkers in the manufacturing sector.

    SG6: Reduce the number, rate andseverity of traumatic injuries and deathsinvolving hazards of forestry.

    SG3: Reduce the incidence of vehicle-related traumatic injuries and fatalities by50% in firef ighters by 2015.

    SG2: By 2020, reduce the occupationalmotor vehicle fatality rate in the oil andgas extraction industry by 50 percent.

    SG9: By 2015, reduce traumatic injuriesand fatalities by 30% in the recreation andentertainment industries.

    SG3: Reduce fatal and serious injuriesassociated with struck-by incidents

    associated with objects, vehicles, andcollapsing materials and structures.

    SG7: Reduce the incidence of injuries,illnesses, and fatalities amongunderstudied and vulnerable populationsin the manufacturing sector such ascontract workers, younger and olderworkers, immigrants, and pregnant andnursing workers

    SG8: Reduce the number, rate andseverity of traumatic injuries (including

    deaths) involving hazards of commercialfishing

    SG6: Reduce traumatic injuries andfatalities resulting from vehicle collisions

    involving law enforcement personnel by15% by 2015.

    SG3: By 2020, reduce the fatality rate dueto contact injuries in the oil and gasextraction industry by 50 percent

    SG13: By 2014, reduce occupationaltraumatic injuries and fatalitie s by 70% inthe telecommunications industries

    SG8: Reduce the incidence of injuries,illnesses, and fatalities within smallbusinesses (fewer than 100 employees)and specific sub-sectors within themanufacturing sector.

    SG7: Reduce injuries and fatalities in lawenforcement personnel from criminalassaults by 10% by 2012.

    SG17: Support the creation of additionalsurveillance systems and utilize existingsurveillance data to increase knowledge

    about trends, emerging issues andpriorities for occupational illnesses,injuries and fatalities among servicessector workers.

    SG8: Reduce the incidence ofcardiovascular disease disabil ities and

    fatalities in law enforcement personnelby 15% by 2015

    5.2.1: By 2015, evaluate the e ffectivenessof intervention strategies andcomponents of comprehensive health andsafety programs to reduce the risk ofviolence-related injuries and fatalities inthe hotel industry.

    SG9: Reduce occupational injuries andfatalities in corrections personnel by 20%by 2015.

    SG12: Reduce traumatic injury andfatalities among EMS personnelassociated with vehicle crashes by 15% by2015

    1.5: Develop and test effective trainingmaterials, controls and comprehensivesafety and health programs that reducethe risk of illness among automotiverepair workers through work with productmanufacturers, trade associations, laborunions, and other organizations in theautomotive repair industry.

    SG1: Promote safe and healthyworkplaces and optimize safety culture inhealthcare organizations.

    14.3: Partner with best practiceemployers, l abor organizations, andproject owners to explore, develop andimplement model safety and healthsurveillance measures to supportimproved safety and health performanceat the enterprise and project level

    SG9: Enhance the state of knowledgerelated to emerging risks to occupationalsafety and health in manufacturing.

    SG3: Move proven health and safetystrategies into agricultural, forestry andfishing workplaces through thedevelopment of partnerships andcollaborative efforts

    SG3: Improve health and reducepremature mortality among TWU workersthrough workplace programs and practicesthat (1) enable workers to engage inhealthy behaviors, (2) reduce work-related physiological and psychologicalstressors, and (3) improve healthcareutilization.

    SG6: Improve mine design, systemsoperations, and managementperformance to enhance mine health andsafety.

    SG18: Health and Safety - Improvewildland fire fighter health and safety inall aspects of wildland fire (e.g., wildlandfire, prescribed f ire and Wildland-UrbanInterface).

    1.3.1: Review existing health, safety, andenvironment contracts and addendums toidentify and describe recommended workpractices

    4.5: Identify essential components ofeffective occupational health and safetyprograms in public and private educationthrough partnerships with l ocal, state andfederal government agencies, laborunions, academic researchers, andprofessional associations.

    14.2.1: Develop a set of leadingindicators tailored to construction toprovide additional sector metrics forevaluating and guiding constructionindustry safety and health performance.Research should include evaluation of the

    measures to determine if they correlatewith outcome measures. Indicatorsshould be described in a White Paperreport

    8.1: Identify and prioritize occupationalsafety and health issues within smallbusinesses and specific sub-sectors within

    the manufacturing sector

    SG5: Improve the health and well-beingof agricultural workers by reducingoccupational causes or contributingfactors to acute and chronic illness anddisease.

    SG7: Apply e rgonomics, also known ashuman factor engineering, to mining toincrease health and safety. Thesubcommittee recognized that futuremining systems will include substantiallymore elements of automation androbotics than heretofore. While it isbelieved that automation will be installedas a cure that alleviates the risk of harm toworkers, it i s recognized that harm toworkers can come as an unintended sideeffect. The deliberations of thissubcommittee are aimed at identifyingpotential hazards in the mining system ofthe future and recommending research toreduce these hazards. In general, thesubcommittee also found that physicalergonomics and prevention ofcumulative, trauma-type injuries willcontinue to be an area of research neededfor the mining industry.

    17.1: Health and Safety Research -Increase awareness of occupational safetyand health research involving all aspects

    of wildland fire.

    10.3: Promote the development ofcomprehensive occupational safety andhealth programs for restaurants and otherfood service establishments throughcollaboration of employers, employees,labor unions, workers compensationinsurance companies, governmentagencies, and safety and healthprofessionals

    9.1.2: Explore new sources of data andinnovative methods for analyzing existingdata to identify emerging occupationalsafety and health risks i n manufacturingby specific sub-sector and occupation.

    SG7: Improve the health and well-beingof forestry workers by reducingoccupational causes or contributingfactors to acute and chronic illness anddisease.

    1.5: Reduce the Risk of Disasters throughHealth and Safety Behavioral Research.Human behavior and organizationalfactors have contributed to accidents anddisasters. That is why additionalobjectives, 5: Improve Health and Safetythrough Behavioral Research, 6: ImproveMine Design, Systems Operations, andManagement Pe rformance to EnhanceMine Health and Safety, and 7: ApplyErgonomics, Also Known as Human FactorEngineering, to Mining to Increase Healthand Safety are included in this ResearchAgenda. Attention is directed to theseobjectives with the comment that theyare relevant to all accidents includingthose that lead to a disaster.

    7.2.3 : At least every 4 years and beginningin 2011 publish a report withrecommendations for effective healthand safety programs that reduce the risksfor law enforcement officer injury orfatality due to physical assaults.

    15.2: Create an industry-wide council,including management and workerrepresentatives, to collaborate ondeveloping comprehensive health andsafety guidel ines or standards for thesolid waste industry.

    3.5 Improve Behavior that Impacts HealthBehavioral traits demonstrated on and off

    the job and not necessarily under thedirect supervision of management mayhave substantial impacts on worker safetyand health. In this section, we discuss thehealth impacts of harmful behavioraltraits; in Objective 5 we discuss simil arconcerns for safety. Research is needed totranslate national healthiness campaignsfor miners.

    2.2.1: By 2011, evaluate the e ffectivenessof intervention strategies andcomponents of comprehensive health andsafety programs to reduce injury risks for

    slips, trips and falls, falls from heights,and contact with equipment and objectsamong building cleaning and maintenanceand landscape services employees

    5.2.1: By 2011, evaluate the e ffectivenessof intervention strategies andcomponents of comprehensive health andsafety programs to reduce the risk ofviolence-related injuries and fatalities inthe hotel industry

    14.3.1 : By 2013, assess safety and he althpractices in the temporary labor industrysuch as pre-employment functionalcapacity evaluation, agency employer andhost employer training programs, recordkeeping practices, and provision ofpersonal protective and safetyequipment, and develop modelcontractual language that addresses theseissues

    Musculoskelet

    al InjuryReduction

    Fatalities

    Health andWell Being

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    14.3.2: By 2015, conduct investigations ofcomprehensive safety and healthprograms in industries with substantialpopulations of temporary or contingentworkers and identify best practices for theshared occupational health and safetyresponsibilities of the temporary agencyand the host employer.

    14.3.3: By 2015, identify the morecommon language, literacy and culturalbarriers to the success of health andsafety training materials for temporary orcontingent workers and identify bestpractices to ensure effective trainingmethods.

    3.1: Ensure that employment, injury,illness and exposure assessmentinformation is collected in sufficientdetail for characterization of disparities inhealth status, if they exist, amongbuilding cleaning and maintenanceworkers.

    SG3: Reduce or eliminate exposures andadverse health effects caused byhazardous drugs and other chemicals

    3.3: Evaluate strategies to reduce workerexposure to being run over by heavyconstruction vehicles and equipment

    7.5: Reduce pre-conception, gestational,and nursing exposures to reproductivetoxicants.

    3.5: Through partnerships, establishworkplace programs, policies, andpractices that will reduce TWU workersmoking and exposure to tobacco smoke.

    3.3: Reduce Toxic Exposures of a Non-Respiratory Nature (Trans-Dermal andIngested)Past experience has shown that a varietyof skin-related diseases stem from directand indirect contact (through saturatedclothing) of chemical contaminants,naturally occurring minerals, and minewater.

    SG1: Reduce the incidence of chronic andacute diseases by 30% in firefighters thatmay be related to occupational exposuressuch as heat, combustion products andother stressors by 2015.

    SG5: By 2020, identi fy hazards,characterize risk, and prevent chemicalexposures, which could lead tooccupational illness in workers in the oiland gas extraction industry.

    9.3: Develop and promote guidelines toreduce exposures to hazardous agentsassociated with internal combustionengines and other sources in therecreation and entertainment industrythrough collaboration of management,labor, trade associations, professionalorganizations and government agencies.

    SG6: Minimize or prevent occupationalexposure of veterinary medicine andanimal care (VM/AC) personnel tozoonotic diseases.

    SG5: Reduce silica exposures and futuresilica-related health risks amongconstruction workers by increasing theavailability and use of silica dust controlsand practices for tasks associated withimportant exposures.

    7.2.2: Identify and understand thephysiologic and developmental impact ofexposure and mechanisms ofsusceptibility among young workers.

    2.2.4: Develop accurate and precise toolsfor exposure measurement of risk factorscontributing to neck, upper extremity,back (including lower back), and lowerextremity WMSDs in the TWU sector.

    3.4.2a: Determine the extent of minerexposures and related accidents/illne sses in arctic and other cold-area(polar and sub-polar) mines.A study to determine the extent of minerexposures and related accidents/illnessesin arctic and other cold-area (polar andsub-polar) mines would be useful. Thestudy could also delineate best practicesin dealing with cold weather.

    17.4: Hazardous Exposure Reduction -Develop or modify existing guidelines andstandards to reduce hazardous exposuresin the wildland fire service.

    18.2: By 2016, minimize workplaceexposures of harmful chemicals for nailand hair salon workers through thecollaborative eff orts of productmanufacturers, suppliers, employers,employees and their representatives, andgovernment agencies.

    SG8: Minimize or prevent occupationalexposures to respiratory hazards andresulting adverse health effects amongveterinary medicine and animal care(VM/AC) personnel.

    SG6: Reduce welding fume exposures andfuture related health risks amongconstruction workers by increasing theavailability and use of welding fumecontrols and practices for welding tasks

    7.2.3: Identify and understand the impactof exposure and mechanisms ofsusceptibility among older workers.

    SG4: Identify, evaluate, and reducechemical, biological, and physicaloccupational hazards and exposures thatresults in a reduction of occupationalinjuries, illnesses, and fatalities in theTWU sector

    . .exposures and related accidents/illnesses caused by heat in large

    southwest open-pit mines and in deepmines.Heat exposure issues exist in large openpit mines in the southwestern U.S. Astudy is needed to determine whether itposes an exposure problem, and, if so,what controls are used to protect workersfrom heat exposure. Although, there arevery few deep mines in the U.S., heatstress is still a topic deserving of research.The mines in the Silver Valley (Idaho),approximately 5,000- to 6,000-ft dee p,appear to have adequate ventilation atpresent. As they go deeper, issues of heatand its amelioration will need to be

    1.5.1: By 2010, conduct thoroughinvestigations of potentially hazardousexposures to chemical and physical agentsin automotive repair establishments,including body shops.

    9.2: Promote best practices, including theimplementation of administrativecontrols, engineering controls and use ofPPE, to reduce exposures to ionizingradiation in the VM/AC setting.

    9.3.4: Develop program elements thatimprove prevention and management ofoccupational exposures (e.g. noise, silica,welding fumes) to reduce health effectsand occupational illnesses

    7.2.4: Understand mechanisms ofinteraction between hazardous workplaceexposures and medication use amongolder workers

    2.3.2: By 2011, conduct exposureassessments for jobs, tasks or cleaningoperations during the use of potentiallyhazardous agents such as chlorine,

    ammonia, and glycol ethers insidebuilding spaces.

    10.1: Improve approaches to reducingnoise exposure in VM/AC settings.

    12.2.3: Increase research on understudiedwork environments where high-riskgroups are concentrated, with a focus onunderstanding worker exposures.

    Examples include day laborers andresidential construction

    9.2.2: Develop and evaluate interventionsfor reducing occupational exposures tonanoparticles.

    6.1.1: By 2011, conduct exposureassessment and recommend substitutionsand/or controls, as needed, for agentssuch as cleaning compounds, pesticides,environmental tobacco smoke, heat andthe allie d tasks, operations, and workconditions or organizations that may beassociated with worker skin disorders,respiratory disease or stress-relateddisorders

    9.1.3: Develop continuing educationmaterials and/or programs targeted toVM/AC personnel to reduce risk ofexposure to reproductive hazards.

    6.1.3: By 2015, ensure thatrecommendations, training materials andguidance products to reduce hazardousexposures among hotel and motelworkers are language and literacyappropriate.

    6.1.4: By 2015, disseminate e ffectivehealth communication materials to hotel

    industry workers at risk formusculoskeletal disorders to reduceexposures or to otherwise improve workpractices, and document changes inknowledge and behaviors amongemployers, supervisors and employees.

    13.1.2: By 2012, develop best practiceguidelines for prevention of falls andcontact with and/or exposure to electricalpower, and safe vehicle and equipmentoperations and disseminate thedocuments through employers, laborunions, trade associations, governmentagencies, and equipment manufacturersand distributors.

    16.4.4: On an ongoing basis, disseminatehealth communication campaigns forservice sector industries and occupationswith elevated risks for musculoskeletaldisorders to reduce exposures or tootherwise improve work practices anddocument changes in knowledge andbehaviors among employers, supervisorsand employees.

    6.1: Create and disseminate informationto reduce risk for skin disorders,respiratory disease, stress-relateddisorders, adverse reproductive healthoutcomes, and musculoskeletal disordersassociated with working conditions inhotels and motels through collaborationof management, labor, workers,manufacturers, government agencies, andresearch and community basedorganizations

    1.2.4: Determine the impact of workloadand demanding work schedules on workeroutcomes, such as quality of work, quali tyof worklife, injuries, near misses, andpsychosocial work-stress.

    7.3.3: Develop for constructionstakeholders exemplary practical, rapid,inexpensive, and valid e xposureassessment method(s) which can be usedto evaluate ex posures to WMSD risk

    factors, including physical andpsychosocial stressors. Evaluate themethod(s) with a representative sampleof commercial, industrial, and residentialcontractors

    3.1.5: Conduct etiologic research and fieldstudies to determine the contribution ofbiomechanical (e.g., repetitive motion,stress, strain, torsion, compression,vibration and posture), work organization,psychosocial, and personal risk factors tothe development of tissue injury,biomarkers of injury, altered physiologicalresponses, adaptation, and disease

    5.5: Develop and promote adoption ofeffective interventions to enhancepsychological well-being of workers andto minimize the adverse effects ofstressful agricultural working conditions(e.g., economic forces, weather, andisolation).

    SG3: Improve health and reducepremature mortality among TWU workersthrough workplace programs and practicesthat (1) enable workers to engage in

    healthy behaviors, (2) reduce work-related physiological and psychologicalstressors, and (3) improve healthcareutilization.

    3.4: Reduce Stress-Based Diseases.SG11: Reduce occupational stressors in

    corrections personnel by 20% by 2015

    8.3 : Create guidance documents forhazard identification and control, indoorair quality, occupational stress, andworkplace violence in government workenvironments through collaboration oflabor unions, government agencies, and

    other stakeholders.

    3.6: Partners will use evidence-basedknowledge of the existence and impact ofpsychological stressors in TWU to supportdevelopment and improvement ofresearch and prevention activities. SeeTable 1 for examples of psychological

    stressors specific to TWU sub-sectors

    15.1: Develop effective guidelines toreduce worker fatigue and occupationalstress through collaboration with labor,management and professionalassociations by 2012.

    4.4.5: By 2014, characterize theorganization of work including stressorssuch as communication methods,violence, and lack of job control anddefine the essential elements of ahealthy school work environment

    3.7: Through collaboration of partners,controls, communication tools, andadministrative programs will beincorporated into workplace policies andprocedures to reduce or eliminatepsychological stressors in the TWU

    18.2: Occupational Stress Interventions -Develop guidelines, standards andscience-based interventions to reduceoccupational stressors related to the workculture and the physical workenvironment.

    8.3.4: By 2015, characterize therelationship between occupational stress,work organization factors, shift work,psychological demands, decision latitude,social support, job insecurity and physicaldemands among government employeesand measures of absenteeism andpresenteeism (i.e. working while ill orinjured).

    12.1.1: By 2011, characterize therelationship between occupational stress,

    worker productivity, work organization,shift work, psychological demands,decision latitude, social support, jobinsecurity and physical demands in thetelecommunications industry andmeasures of absenteeism andpresenteeism (i.e. working while ill orinjured)

    Stress

    ExposureReduction

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    10.1: Identify and implement methodsthat increase the e ffectiveness ofinfectious disease screening and controlprograms for inmates through work withlocal, state and federal governmentagencies, labor organizations and

    rofessional associations

    11.1: Create and promote acceptable andeffective viole nce prevention strategiesfor restaurants and for food deliveryservices.

    4.2.4: Promote prevention through designstrategies to encourage the developmentof medical devices that eliminate sharps.

    4.2.2: Develop, evaluate, and disseminateawareness materials derived fromexisting studies on construction noiseissues. Produce in various languages andin various media including new mediasuch as You-Tube.

    2.1.2.2: Use communication science andbest practices to develop model materialson hazard awareness and safe practicesconcerning falls from ladders, includingbusiness case/worker case issues inmultiple languages and media.

    4.5.6 - Work with ASHCA, major farm

    organizations, agribusiness and the farmmedia to infl uence farmers and thepublic perspectives on the value ofworking to better manage hazards andrisks among workers and bystanders inagricultural occupational settings (refer toStrategic Goal 3).

    2.8.5: Develop media resources (e.g.,print, electronic, video) on successful,effective interventions to employees,employers, and safety professionals

    3.1.1e: Improve secondary prevention byenhancing radiographic techniques.Research is needed into improvedradiographic techniques. Digital chestimages have been demonstrated to be an

    acceptable method of surveillance,produce results comparable to analogfilms, and are significantly easier to storeand transmit. Their use should beencouraged (Franzblau e t al., 2009; Laneyet al, 2010; Laney et al, 2011; Mao et al,2011; Sen et al, 2010). Also, the potenti alutility of modern image processingtechniques such as rib shadow removaland coloration of opacities should beinvesti ated.

    16.4.5: On an ongoing basis, support the

    exchange and use of effe ctive preventionstrategies with special emphasis onreaching employers, supervisors andworkers in small businesses.

    4.5.1: Identify, recommend andimplement sharps injury preventionstrategies based on sharps surveillancedata and other information or research.

    4.2.3: Develop and promote the use oftrade-specific noise and hearing losstraining materials about noise, hearingloss, and noise control solutions and

    model practices in multiple languages andmedia. Such materials could range from 10hour training elective modules to coursematerials and training objectives forapprentice training, vocational technologytraining, and site safety personnel andcompetent person training

    6.10.5: Develop effective social-supportsystems and methods to increase familialcontact through electronic media for fly-in/fly-out mining operations

    5.1.4: Based on strong scientificfoundations, including improvedunderstanding of the amount of dosereduction needed for protection againstinfectious agents in HCSA settings,develop, study effectiveness of and

    implement improved mitigation andprevention strategies that utilize a broadrange of approaches.

    5.2.1: Use communication science andbest practices to test and update silicaawareness materials. Develop materialsin multiple languages and media(including new media such as You-Tube)to communicate exposure risks associated

    with the ten most common high exposuretasks.

    5.4.2: Apply concepts of Preventionthrough Design to develop best practicesfor buildings and interior design tooptimize compliance with appropriatehand hygiene.

    5.2.2: Partner with professional andconstruction organizations to inve ntorythose common construction tasks whereexposures are already understood andwhere effe ctive, inexpensive controlshave already been identified. Developworker and contractor-tested 11how tomaterials in multiple languages andmedia to facilitate implementation, andpromote or standardize the use of those

    controls.

    3.4: Through partnerships, establishworkplace programs, policies, andpractices that enable workers to engage inhealthy behaviors to reducecardiovascular disease (CVD) i n the TWUsector.

    SG8: Reduce the incidence ofcardiovascular disease disabilities andfatalities in l aw enforcement personnelby 15% by 2015

    1.5 : Characterize occupational and non-occupational risk f actors for cardiovasculardisease in firefighters by 2012 andidentify effective i nterventions byworking with labor and professionalorganizations and medical care providers

    . : s actors an ntervent ons -Characterize occupational risk factors forwildland fire-related injuries andillnesses and identify effectiveinterventions. High priority injuries andillnesses include cardiovascular disease,heat-related illness and transportation

    11.1.6 : By 2015, identify possible adversehealth effects such as cardiovasculardiseases that may be due to the totalmental and physical stressors amongcorrectional personnel

    SG6: Reduce the incidence andprevalence of cancer due to exposures inthe manufacturing sector

    3.1.5 Eliminate lung cancer from uraniummining

    1.1: Create health communicationdocuments that are based on observedassociations between occupationalexposures and acute and chronic diseases,including cancer, among firefighters incollaboration with fire servicestakeholders.

    1.1.4: By 2013, identify and develop assaysfor biomarkers of exposures and earlydetection of cancers and cardiovasculardiseases among firefighters

    5.2.2: By 2011, conduct a workshop todevelop a prioritized framework for anoccupational surveillance system forcardiovascular and pulmonary disease,cancers, musculoskeletal disorders, andmental disorders including substanceabuse among law enforcement workers.

    7.4.1: Conduct preliminary healthscreening of workers entering theworkforce for mechanized logging,manual logging, tree planting, wildlandfirefighting, etc. Target: 2011.

    3.8.1: Establish utilization rates for healthcare services and preventive screeningservices among commercial drivers.

    10.1: Infectious Disease Screening andControl for Inmates - Identify andimplement methods that increase theeffectiveness of infectious diseasescreening and control programs forinmates.

    7.4.2: Conduct expanded health screeningof workers entering workforce by age,

    occupation, pre-existing conditions, etc.Target: 2012.

    3.8.4: Promote preventive health carescreening among commercial drivers asoutlined by the U.S. Preventive Services

    Task Force (e.g., screening for cholesterol,diabetes, prostate cancer, colon cancer,immunizations, and sleep disorders).

    Screening

    Reduction ofCancer

    InnovativePrevention

    Strategies (eg,media)

    Reduction ofCV Disease

    Reduction