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How to Prevent the Top 10 Disabling Work-Related Injuries

According to the Liberty Mutual Workplace Safety Index, serious, nonfatal workplace injuries amount to nearly $60 billion in direct U.S. workers compensation costs. This translates into more than a billion dollars a week spent by businesses on these injuries.

The top 10 causes of workplace injuries account for almost 50 billion dollars or about 85% of the total cost.

Each year, we rank the top 10 causes of the most serious, nonfatal workplace injuries by their direct costs to help companies better protect employees and the bottom-line,” states Liberty Mutual who provides the annual Workplace Safety Index, that often doesn’t change much from year to year.

Injured Worker Filling Out Injury Claim Form

Workplace injuries impact both employees and employers.  Injured employees face potential physical, emotional and financial harm.  Employers face the direct costs of workplace injuries – medical care related to the accident and some portion of an injured employee’s pay – and the indirect costs, including hiring temporary employees, lost productivity, and quality disruptions.”

The Liberty Mutual Workplace Safety Index helps employers, risk managers and safety practitioners make workplaces safer by identifying critical risk areas so that businesses can better allocate safety resources.


OVEREXERTION INVOLVING OUTSIDE SOURCES Injuries from lifting, pushing, pulling, holding, carrying or throwing objects accounts for 22% of the national burden when it comes to workplace injuries. TAKE ACTION: Train employees on the proper way to perform the physical tasks required on the job. Utilize equipment, instead of manual labor, when available. Ensure employees are provided breaks and rest when needed to prevent overexertion.

FALLS ON SAME LEVEL Slips, trips and falls are one of the most common causes of workplace injuries indoors and outdoors. Employees are at risk for sprains, strains, lacerations or worse especially if they fall into surrounding debris that could cause further injury. TAKE ACTION: Ensure non-slip mats and rugs are in use, make good housekeeping a priority in the workplace, repair or clearly mark uneven walking surfaces and train employees on proper clean-up requirements.

Construction Worker Fell Off Ladder, Hurt Knee

STRUCK BY OBJECT OR EQUIPMENT When work is done at heights, large equipment is in use, or materials are stored vertically there can be a great risk for employees to be struck by falling objects or moving equipment. TAKE ACTION: All overhead materials should be stored in a secure manner. Caution signs should be used and proper PPE, like hard hats, should be in used when needed.

FALLS TO LOWER LEVEL Falls from heights can be from ladders, through floor holes or sky lights, from scaffolding, on stairways, from roofs or from large equipment. TAKE ACTION: Ensure all employees that work at heights have proper fall protection provided and they are trained on the use of the fall protection equipment including PFAS, guardrails, or other engineered devices.

A box fell from top shelf ono a warehouse worker.

OTHER EXERTIONS OR BODILY REACTIONS These injuries are typically non-impact but occur when a body reacts or responds to something unexpected or has an injury due to a vigorous or strenuous effort. These injuries don’t fit into one of the other common categories. TAKE ACTION: Workplace risk assessments can help evaluate common hazards that employees may be exposed to and assist management with prevention and training opportunities.

ROADWAY INCIDENTS INVOLVING MOTORIZED LAND VEHICLE Employees who drive for business purposes may have more opportunity to be injured in auto crashes and are also susceptible to distracted and drowsy driving. TAKE ACTION: Define safe driving policies with an emphasis on distracted, drowsy, and defensive driving. Provide employees with safe-driver training.

Tired truck driver who is yawning.

SLIP OR TRIP WITHOUT FALL Reaction injuries occur when an employee slips or trips but doesn’t fall down. The stress of the reaction to correct the body to upright can cause muscle strain, twisted ankles, or other trauma. TAKE ACTION: Place no-slip rugs near entrances/exits, make sure any uneven areas are labeled clearly (or repaired), keep all work spaces tidy, and potential slippery areas around the building outside should be cleared.

CAUGHT IN/COMPRESSED BY EQUIPMENT OR OBJECTS Caught-in injuries are one of the top 4 serious incidents that occur in construction and machine entanglement caught-in injuries occur most often in factory settings. TAKE ACTION: Provide protective barriers and train employees on how to recognize caught-in hazards.

Large Exposed Gears That Could be Caught-in Hazard

STRUCK AGAINST OBJECT OR EQUIPMENT When employees unintentionally walk into equipment, walls, debris, or furniture in the workplace it is common to have head, knee, neck and foot bruising, sprains and injuries. TAKE ACTION: Ensure good housekeeping is a priority in the workplace, walkways are designated and potential hazards are clearly marked.

NON-ROADWAY INCIDENTS INVOLVING MOTORIZED LAND VEHICLES Defensive driving skills and awareness are still important when operating any vehicle in an off-road environment which might be in a field, a factory, a parking lot, a job site, or a work zone. TAKE ACTION: Reinforce safe driving habits, including back over prevention, for all drivers and equipment operators through annual refresher training, monthly safety meetings, and weekly toolbox talks.

The goal of the Liberty Mutual Workplace Safety Index is to inform the national agenda on workplace safety by highlighting the direct costs of the most serious workplace accidents,” notes Dr. Ian Noy, former Director of the Liberty Mutual Research Institute for Safety.  “[This] study helps companies focus improvement efforts and resources on the most important areas.”

To learn more about how Liberty Mutual collects data to compile this very important list, visit their website at libertymutualgroup.com.

Work safety word cloud.

Need a fresh idea for a safety meeting topic? This top 10 list is a great place to start. Review the entire list if you have more time and encourage discussion about the potential hazards found in your own workplace that might fall into each category. Short on time? Pick any one from the top 10 list that applies to your current work environment and focus on ways management and employees can prevent injuries and keep workers safe.

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