Occupational health and safety among farmers: a comprehensive study in Central Anatolia, Turkey.

BACKGROUND: The agricultural sector is vital for food production, economic stability, and environmental sustainability. However, it also poses significant occupational health and safety challenges due to factors such as heavy machinery usage, exposure to chemicals, and challenging environmental conditions. METHOD: This cross-sectional study involved 366 farmers affiliated with the Yozgat Chamber of Agriculture in Turkey. Data on demographic characteristics, occupational factors, and work accidents were collected with interview technique between May and August 2023. While descriptive data were expressed as categories with numbers and percentages, chi-square analysis was used to compare the obtained answers with the status of having or not having a work accident. Binary logistic regression analysis was used to estimate the effect of independent variables on the probability of having a work accident. RESULTS: The study revealed that 33.0% of farmers experienced work accidents in the last year. Most accidents occurred during work shifts (28.8%) and in the fall season (34.8%). Factors contributing to accidents included lack of personal protective equipment (51.5%) and transportation-related issues (36.4%). Logistic regression analysis indicated that working more than 8 h daily, working 5 days or more per week, and using bus/minibus transportation significantly increased the likelihood of experiencing work accidents. CONCLUSION: Findings underscore the importance of implementing effective occupational health and safety measures, including proper training, provision of personal protective equipment, and improving transportation safety. Addressing these issues can enhance the well-being of agricultural workers and contribute to a safer working environment in the sector.

Descriptive summary of fatal work-related injuries, Western States, 2011-2017.

Work-related deaths are a persistent occupational health issue that can be prevented. However, prevention opportunities can be hampered by a lack of adequate public health resources. The Western States Occupational Network (WestON) is a network of federal, state, and local occupational health professionals that includes a 19-state region of the United States. To encourage public health collaboration, WestON partners examined work-related fatalities within the region. Fatality counts (numerators) were obtained from the U.S. Bureau of Labor Statistics (BLS) Census of Fatal Occupational Injuries restricted-access research files for all workers ages ≥15 years and fatally injured in WestON states from 2011 through 2017. Estimates of full-time equivalent hours worked (FTE) (denominators) were retrieved from the BLS Current Population Survey. Annual average fatality rates were calculated as number of fatalities per 100,000 FTE over the study period. Rates were stratified by state, select demographics, industry sector, and event/exposure types. Pearson chi-squared tests and rate ratios with 95% confidence probability limits were used to assess rate differences. All analyses were conducted using SAS v.9.4. From 2011 through 2017, the annual average overall occupational fatality rate for the WestON region was 3.5 fatalities per 100,000 FTE, comparable to the overall U.S. fatality rate. Male workers had a fatality rate almost 10 times higher than female workers in the region. Fatality rates increased with successive age groups. Alaska and New Mexico had significantly higher fatality rates for all racial/ethnic groups compared to respective regional rates. Wyoming, North Dakota, and Montana had the three highest occupational fatality rates among foreign-born workers. Agriculture/forestry/fishing, mining/oil/gas extraction, and transportation/warehousing/utilities were industry sector groups with the three highest fatality rates regionally. Transportation-related incidents were the most frequent event type associated with occupational fatalities for all 19 states. Work-related fatalities are a crosscutting occupational public health priority. This analysis can be an impetus for collaborative multistate initiatives among a dynamic and varied occupational public health network to better meet the needs of a rapidly changing workforce.

[Role of the occupational medicine in the prevention of diseases and accidents]. / Rôle de la Médecine du travail dans la prévention des maladies et des accidents.

Occupational medicine is an essential branch of preventive medicine that aims to protect the health of workers in the workplace. Any work situation exposes the worker to occupational hazards. The three levels of prevention applied in occupational medicine make it possible, together, to control risks. Primary prevention aims to prevent the occurrence of damage related to occupational risks, secondary prevention aims to early detect work-related health problems and in tertiary prevention, the objective is to limit the consequences of occupational risks or diseases already developed. It is not always possible to completely eliminate an occupational hazard. Regular medical examinations, at a frequency appropriate to the risks identified, meet this objective and therefore make it possible to detect work-related health problems or problems that could influence work. A proactive approach focused on prevention helps to reduce occupational risks, prevent work-related diseases, and to promote a healthy and safe work environment for all.

La médecine du travail est une branche essentielle de la médecine préventive qui vise à protéger la santé des travailleurs sur leur lieu de travail. Toute situation de travail expose le travailleur à des dangers professionnels. Les trois niveaux de prévention appliqués en médecine du travail permettent, ensemble, de maîtriser les risques. La prévention primaire vise à empêcher l'apparition des dommages liés aux risques professionnels, la prévention secondaire vise à détecter précocement les problèmes de santé liés au travail et en prévention tertiaire, l'objectif est de limiter les conséquences des risques professionnels ou des maladies déjà développées. Il n'est pas toujours possible de supprimer complètement un risque professionnel. Les examens médicaux réguliers, à une périodicité adaptée aux risques identifiés, répondent à cet objectif et permettent donc de détecter les éventuels problèmes de santé liés au travail ou qui pourraient influencer le travail. Une approche proactive axée sur la prévention contribue à réduire les risques professionnels, à prévenir les maladies liées au travail, et à promouvoir un environnement de travail sain et sécurisé pour tous.

Occupational Safety and Health of Riders Working for Digital Food Delivery Platforms in the City of Milan, Italy.

BACKGROUND: The rapid growth of the digital economy has transformed various labor markets, including the food sector. The transient nature and the peculiar work environments of food delivery workers raise concerns about occupational safety and health (OSH). This study aims to better understand these issues by conducting a comprehensive exploratory survey on OSH among food delivery riders in Milan, Italy. METHODS:  The study employed structured interviews based on a validated questionnaire developed through a literature review, expert interviews, and input from riders and health and safety professionals. The survey was performed from July to November 2022 by interviewing riders at their main gathering points. RESULTS: We interviewed 240 riders, 97% males, 81% less than 35 years old, and 83% with extra-European origin. Delivery was performed mainly by traditional bicycles (40%) and e-bikes (46%), with 44% working seven days per week and 23% working more than 8 hours daily. Road accidents were reported by 39% of riders, influenced by type of vehicle, fatigue, and number of daily deliveries. Physical and verbal assaults (12% and 28%, respectively) were reported, as well as health-related issues, particularly musculoskeletal disorders. CONCLUSIONS: The findings underscore food delivery riders' complex challenges, emphasizing the need for targeted interventions. The study calls for collaborative efforts between policymakers, employers, OSH professionals, and stakeholders to enhance OSH standards and promote decent working conditions, aligning with the 2030 Agenda for Sustainable Development.

Incidents of Occupational Ocular Injuries in Industrial Settings: Highlighting the Critical Significance of Protective Eye Gear.

SUMMARY: We present four cases of ocular surface and adnexal appendage injuries resulting from exposure to hazardous materials in various industrial occupations. These injuries occurred due to the absence of protective eye equipment while working. Emphasizing the irrefutable importance of protective eye gear is the aim of this article as it is crucial to mitigate such unfortunate incidents.

[The problematic issues of regulation and organization of labor safety of sailors as factor impacting life quality and health].

In modern conditions of maritime navigation, protection of lives of crew members plays key role for their health and quality of life. The practice testifies that shipowners underestimate real statistics of occupational injuries, since procedure for its management and investigation of accidents on ships are not sufficiently regulated in international and national legislation. Besides, approaches of shipowners to implementation of existing standards also have different levels of responsibility that leaves measures preventing such incidents unreasonably underestimated. This situation results in increasing of occupational injuries on ships and allows shipowners or insurance companies to avoid proper payments to injured sailor or his family members in case of one's death. The complexity of implementation of "belated" medical expertise to determine cause of death or injury of crew member also makes it difficult to obtain positive result of recognition of disability or death of sailor as result of occupational traumatism. All the described above testifies importance and actuality of stated research topic. The article examines in detail normative acts regulating protection of labor and life and medical care of sailors. Also are considered causes, factors and types of occupational traumatism on ships. The accident statistics and procedure of their investigation are analyzed in relation to maritime practice. The issues of medical expertise are studied and main problematic issues are identified. The recommendations for their solution are formulated.

Virtual reality for public health: a study on a VR intervention to enhance occupational injury prevention.

BACKGROUND: Agriculture is one of the most hazardous occupations in the USA. Especially, tractor rollover incidents are the leading cause of farming-related injuries or deaths. This study examines the effect of a VR intervention (Virtual Reality Intervention for Safety Education; VRISE) on behavioral intentions for occupational safety and identifies a psychological mechanism that shows how the immersive technology works. METHODS: VRISE was developed by a multidisciplinary team of agricultural educators, computer scientists and communication specialists. It was designed to provide a virtual environment where users practice tractor operation and try to avoid several rollover hazards. The participants (291 high school students) were recruited at the 2019 National Future Farmers Association Convention & Expo and randomly assigned to one of three conditions: two different types of control groups (Control1: No treatment group and Control2: 2D Screen group) and the treatment group. RESULTS: Findings show that, through the immersive VR experience, the VR intervention enhanced perceived threat of tractor-related accidents which in turn, led to improved behavioral intentions for tractor safety. CONCLUSIONS: Findings shed light on the effectiveness of a VR intervention to improve public health outcomes, especially in occupational safety education, where unsafe practices often result in injury and fatality.

Impact assessment of e-trainings in occupational safety and health: a literature review.

BACKGROUND: Implementing workplace preventive interventions reduces occupational accidents and injuries, as well as the negative consequences of those accidents and injuries. Online occupational safety and health training is one of the most effective preventive interventions. This study aims to present current knowledge on e-training interventions, make recommendations on the flexibility, accessibility, and cost-effectiveness of online training, and identify research gaps and obstacles. METHOD: All studies that addressed occupational safety and health e-training interventions designed to address worker injuries, accidents, and diseases were chosen from PubMed and Scopus until 2021. Two independent reviewers conducted the screening process for titles, abstracts, and full texts, and disagreements on the inclusion or exclusion of an article were resolved by consensus and, if necessary, by a third reviewer. The included articles were analyzed and synthesized using the constant comparative analysis method. RESULT: The search identified 7,497 articles and 7,325 unique records. Following the title, abstract, and full-text screening, 25 studies met the review criteria. Of the 25 studies, 23 were conducted in developed and two in developing countries. The interventions were carried out on either the mobile platform, the website platform, or both. The study designs and the number of outcomes of the interventions varied significantly (multi-outcomes vs. single-outcome). Obesity, hypertension, neck/shoulder pain, office ergonomics issues, sedentary behaviors, heart disease, physical inactivity, dairy farm injuries, nutrition, respiratory problems, and diabetes were all addressed in the articles. CONCLUSION: According to the findings of this literature study, e-trainings can significantly improve occupational safety and health. E-training is adaptable, affordable, and can increase workers' knowledge and abilities, resulting in fewer workplace injuries and accidents. Furthermore, e-training platforms can assist businesses in tracking employee development and ensuring that training needs are completed. Overall, this analysis reveals that e-training has enormous promise in the field of occupational safety and health for both businesses and employees.

ROPS commentary-Addressing our fatal blind spot: Applying evidence-based solutions to reduce the most frequent cause of death on U.S. farms.

Tractor overturns are the most prominent contributing factor to death on U.S. farms and have been for decades. While public health researchers hypothesized years ago that overturn fatalities would largely disappear as older tractors were replaced by newer ones, this has not happened. In the meantime, farmers continue to die in these easily preventable and tragic events. Not only are tractor rollover protective structures (ROPS) 99% effective in preventing death in the event of an overturn, a national program exists to connect farmers with ROPS. While this program has been popular with farmers, and the cost-effectiveness of providing farmers with technical support and cost-sharing rebates has been demonstrated, many states lack access to ROPS rebates, even those states with the highest number of overturn fatalities. Given the evidence, it is difficult to reconcile the lack of policy or public investment in a solution that decisively addresses the most pernicious contributor to death in the agricultural industry. In this commentary, we highlight the science behind this proven solution to tractor overturns and the essential role that the media and implementation science can play in encouraging policy-makers to save lives.

The news about rollover protective structures: Findings from an analysis of news from Iowa, Nebraska, Kansas, and Missouri.

INTRODUCTION: Rollover protective structures (ROPS) can prevent fatal tractor overturns, a leading cause of death among farmers. This content analysis aims to understand how this life-saving strategy appears in news about farm safety. METHODS: As part of a larger study of farm safety news coverage from four agricultural states, we conducted a content analysis of articles that mentioned ROPS. RESULTS: Few (10%) articles about farm safety explicitly mentioned ROPS. When ROPS were mentioned, they were described in terms of their potential to save lives or prevent injury. CONCLUSION: Despite proven success, ROPS-and programs to make ROPS more widely available to farmers-are all but absent from news coverage in key agricultural states. This represents a missed opportunity not only to motivate farmers to install ROPS, but also to demonstrate to policymakers the importance of establishing and maintaining funding to prevent the most frequent cause of death on farms. Farmers face barriers to installing life-saving equipment. Without an increase in ROPS utilization and improved access to prevention programs, farmers, especially low-income farmers, will remain at disproportionate risk for death and injury.

Reports to OSHA of severe occupational injuries due to animals, 2015-2021.

BACKGROUND: Workers can be injured by animals such as mammals and insects. Previous studies found that most animal-related occupational fatalities were caused by horses and cattle. We analyzed characteristics of recent nonfatal severe animal-related injuries in US workers. METHODS: The severe injury reports (SIR) database, collected by the Occupational Safety and Health Administration, contains employer self-reports of inpatient hospitalizations and amputations. We used 2015-2021 SIR data to assess properties of animal-related injuries, including the type of animal involved, the nature of the injury, and the industry of the employer. Industry-specific incidence rates were calculated. RESULTS: We identified 788 severe animal-related injuries during the 7-year study period. Mammals caused over half of these injuries (476; 60.4%), followed by insects, arachnids, and mites (183; 23.2%) and reptiles (127; 16.1%). Two-thirds (529; 67.1%) of animal-related injuries were traumatic, while 211 (28.0%) injuries were due to poisoning or allergic reaction. The highest observed incidence was in livestock merchant wholesalers (59.6 severe injuries per 100,000 workers per year); injuries in this industry were often due to cattle. Mail delivery and landscape architecture, two industries in which animal contact is atypical, were also among the 10 industries with the highest incidence. CONCLUSIONS: Workers in many industries experienced severe injuries due to animals. Among workers whose job involves animal contact, cattle workers appear to be at highest risk. Outdoor workers in some industries require protection from bites of dogs, snakes, and insects.

Study on the Interaction Behaviors Identification of Construction Workers Based on ST-GCN and YOLO.

The construction industry is accident-prone, and unsafe behaviors of construction workers have been identified as a leading cause of accidents. One important countermeasure to prevent accidents is monitoring and managing those unsafe behaviors. The most popular way of detecting and identifying workers' unsafe behaviors is the computer vision-based intelligent monitoring system. However, most of the existing research or products focused only on the workers' behaviors (i.e., motions) recognition, limited studies considered the interaction between man-machine, man-material or man-environments. Those interactions are very important for judging whether the workers' behaviors are safe or not, from the standpoint of safety management. This study aims to develop a new method of identifying construction workers' unsafe behaviors, i.e., unsafe interaction between man-machine/material, based on ST-GCN (Spatial Temporal Graph Convolutional Networks) and YOLO (You Only Look Once), which could provide more direct and valuable information for safety management. In this study, two trained YOLO-based models were, respectively, used to detect safety signs in the workplace, and objects that interacted with workers. Then, an ST-GCN model was trained to detect and identify workers' behaviors. Lastly, a decision algorithm was developed considering interactions between man-machine/material, based on YOLO and ST-GCN results. Results show good performance of the developed method, compared to only using ST-GCN, the accuracy was significantly improved from 51.79% to 85.71%, 61.61% to 99.11%, and 58.04% to 100.00%, respectively, in the identification of the following three kinds of behaviors, throwing (throwing hammer, throwing bottle), operating (turning on switch, putting bottle), and crossing (crossing railing and crossing obstacle). The findings of the study have some practical implications for safety management, especially workers' behavior monitoring and management.

Systemic relations among the variables involved in occupational accidents of the nursing team in a psychiatric hospital.

BACKGROUND: The occupational activities carried out in hospital environments pose occupational risks to professionals. In psychiatric hospitals, due to the characteristics of the patients treated, professionals are also subjected to other risks, such as physical aggression. OBJECTIVE: This research aimed to identify the systemic context, highlighting the cause-and-effect relationships that culminate in occupational accidents that occurred with the nursing staff in a psychiatric hospital in Brazil. METHODS: The current study is an applied research and was divided into three stages. First, the collection of data related to the case study was made and accidents were analyzed and occupational hazards were identified. In the second stage, from the collected information, occupational safety indicators were defined. Lastly, in the third stage, the qualitative aspect of System Dynamics was applied to perform the systemic analysis and to identify how the different variables were related. RESULTS: The results showed that physical aggression was the main cause of accidents. Regarding safety indicators, while both the level of use of Personal Protective Equipment (PPE) by professionals and the high level of PPE protection were positive aspects, the level of training of professionals to use PPE was a negative aspect. The Causal Link Diagram (CLD) showed that the perception of risk influenced the level of use of PPE and those organizational measures influenced the accident rate. CONCLUSION: In conclusion, the systemic analysis of the system dynamics can optimize the diagnostic process of occupational accidents in psychiatric hospitals, and especially help to identify the cause and effect among the variables involved.

[Causes of Countermeasures Against Serious Accidents Caused by Health Hazards of Chemical Substances, Based on Cases of Occupational Accidents in Japan].

The purpose of this study was to summarize the typical and specific causes and risk reduction measures of serious accidents in Japan caused by chemical substances in terms of the 10 types of human health hazards in the UN GHS (Globally Harmonized System of Classification and Labelling of Chemicals) classification. The list of "Cases of Major Accidents Caused by Chemical Substances" published on the "Safety in the Workplace Website" of the Ministry of Health, Labor and Welfare (MHLW) was linked to the "Results of GHS Classification by the Government" of the National Institute of Technology and Evaluation (NITE). Analysis was conducted by health hazards in order to obtain reference examples of measures taken against health hazards in response to the revision of the law on autonomous chemical substance management in 2022. Using the text mining tool KH Coder ver. Three using cluster analysis, we grouped causes and measures among serious disasters by health hazard, illustrated co-occurrence networks, and extracted typical examples of each in a co-occurrence network. Representative causes of and measures against occupational accidents caused by health hazardous properties were summarized from the extracted typical cases. Although few occupational accidents were caused by the health hazards of chemicals, when all health hazards were classified into acute toxicity, acute health hazard, and chronic health hazard, contact was a clear cause for many of the acute toxicity and acute health hazards, such as corrosiveness and sensitization. However, many occupational accidents were caused by the physical hazardous aspects of the chemical substances or by the safety aspects of the workplace. Causes of occupational accidents due to health hazards included unsafe behavior and unsafe conditions, or lack of understanding of the physicochemical properties of a substance and specific reactions such as mixing or hydrolysis of the substance. Typical risk reduction measures for health hazards included equipment to prevent human contact with health hazardous substances, systems to control unsafe behavior, promoting understanding of chemical reactions, and providing information about chemicals to all persons involved in testing, research, and subcontract work. The data of occupational accident cases of "death or more than 4 days lost from work" were used. Most of the cases were related to acute health hazards, but relatively few to chronic health hazards, and few occupational accidents were caused by health hazards. Most of the occupational accidents were caused by health hazards due to the physical hazards of chemical substances and inadequate workplace safety. In light of the above, it is necessary in autonomous chemical substance management to first take risk reduction measures for workplace safety and chemical physical hazards, then to prevent contact with acute toxicity and acute health hazards such as corrosiveness and sensitization, and, lastly, to take risk reduction measures for chronic health hazards, using allowable concentrations and controlled concentrations as indices.

Using Structural Equation Modelling to Predict Safety and Health Status among Stone Industries.

BACKGROUND: The creation of a working organization with a high safety level ensures employees' health in their workplaces, therefore current study evaluated effect the organizational structure on the safety and health in the stone industry. METHODS: The study was done among the 100 stone industries in Isfahan, Iran. We asked selected participants to complete the organizational structure questionnaire and ELMERI checklists. tested the hypothesis with Smart PLS 3.0. RESULTS: The model fit index showed the standardized root mean square (SRMR=0.08), the normalized fit index (NFI=0.9), The coefficient of determination (R2 = 0.362), Effect size (ƒ2 was less than 0.2), and the Predictive relevance of the model (Q2=0.216) which is considered a good fit for mode. Also, the relation between formalization and health and safety was significant (ß = -0.47). CONCLUSION: findings suggest that Organization factors are the basic reasons associated with occupational accidents and the main indicator of safety and health performance.

Systematic review of occupational hazards at postharvest grain operations.

INTRODUCTION: Agriculture stands out in relation to the high number of occupational incidents and diseases. In this sense, grains postharvest operations, such as receiving, precleaning, drying, storage and shipping the grains, are highlighted in the number of injuries and fatalities. AIM: To identify and extract qualitative and quantitative data related to the main occupational hazards present in grains postharvest operations at preprocessing and storage facilities. METHODS: A systematic review was carried out in the databases of Science Direct, Scopus and Web of Science for papers published between 1980 and 2019. The abstract should have described a study related to any occupational hazard (physical, chemical, biological, ergonomic and mechanical) and at least one of the occupational hazards should be related to any postharvest operations. RESULTS AND DISCUSSIONS: In total, 42% of 38 analysed papers were published between 2015 and 2019. Three journals were responsible for 45% of publications related to occupational hazards present in grains postharvest operations. The most part of analysed publications related to confined spaces, grain entrapment, machine entanglement and falls hazards are related to Purdue University's Agricultural Safety and Health Program which applied research in occupational safety at grains postharvest. CONCLUSIONS: The creation of standardised internationals can collaborate to reduce occupational risks in grain storage units. It is suggested the development of monitoring technologies to obtain real-time information on noise, dust, gases and heat in postharvest operations and equipment. The use of intelligent algorithms can create prevention mechanisms for possible occupational risks and avoid injuries to employees.

The Cost Burden of Safety Risk Incidents on Construction: A Probabilistic Quantification Method.

The construction sector is vulnerable to safety risk incidents due to its dynamic nature. Although numerous research efforts and technological advancements have focused on addressing workplace injuries, most of the studies perform empirical and deterministic postimpact evaluations on construction project performance. The effective modeling of the safety risk impacts on project performance provides decisionmakers with a valuable tool toward incidents prevention and proper safety risk management. Therefore, this study collected Australian incident records from the construction industry from 2016 onwards and conducted discrete event simulation to quantitatively measure the impact of safety risk incidents on project cost performance. Moreover, this study investigated the correlation between safety risk incidents and the age of injured workers. The findings show a strong correlation between the middle-aged workforce and the severity of incidents on project cost overruns. The ex-ante, nondeterministic analysis of safety risk impacts on project performance provides insightful results that will advance safety management theory in the direction of achieving zero harm workplace environments.

Mobile Device-Based Struck-By Hazard Recognition in Construction Using a High-Frequency Sound.

The construction industry experiences the highest rate of casualties from safety-related accidents at construction sites despite continuous social interest in safety management. Accordingly, various studies have been conducted on safety management, wherein recent studies have focused on its integration with Machine Learning (ML). In this study, we proposed a technology for recognizing struck-by hazards between construction equipment and workers, where a Convolutional Neural Network (CNN) and sound recognition were combined to analyze the changes in the Doppler effect caused by the movements of a subject. An experiment was conducted to evaluate the recognition performance in indoor and outdoor environments with respect to movement state, direction, speed, and near-miss situations. The proposed technology was able to classify the movement direction and speed with 84.4-97.4% accuracy and near-misses with 78.9% accuracy. This technology can be implemented using data obtained through the microphone of a smartphone, thus it is highly applicable and is also effective at ensuring that a worker becomes aware of a struck-by hazard near construction equipment. The findings of this study are expected to be applicable for the prevention of struck-by accidents occurring in various forms at construction sites in the vicinity of construction equipment.

Gender differences in teachers' occupational accidents.

The authors stated that the main objective of the current research is to analyze the relationship between the gender of injured teachers and independent variables, such as age, place of the accident, absence days, and severity of the injury, to improve women's occupational health and safety. Teachers' accidents recorded in Spain (N = 136,702) from 2003 through 2018 were analyzed by calculating their incidence rates, using statistical tools for independent samples. Gender differences were found in some of the variables studied. Women were more likely to suffer an occupational accident. Compensation per lost working day was found to be statistically lower for women, but no differences based on gender were found in the absence days due to occupational accidents suffered by teachers. The salary gap should be addressed to avoid gender economic discrimination among injured teachers. Preventive strategies should be developed to mitigate the negative difference caused by gender variables.

Motor vehicle - pedestrian occupational accident: A case report study.

A rare case of serious non-fatal pedestrian-motor vehicle accident in the constructions sector is described, leading to severe orthopedic trauma and disability. A 49-year-old male worker was admitted to the orthopedic department due to reported occupational injury. The accident occurred at the workplace during the construction of a cycling road, where the victim as pedestrian was referred to be crashed by a motor vehicle at his left lower extremity. He consequently fell on the ground and the vehicle drifted his whole limb with its caterpillar. The patient bore occupational trauma with extensive avulsion and degloving injury of the left lower extremity, extensive hematoma formation of the extreme foot, subtalar and tarsometatarsal dislocation, open fracture of the ankle joint, intraarticular calcaneal fracture, potential vascular injury (segmentation) of the posterior tibial artery, while peroneal and dorsalis pedis arteries were identified intact in Doppler examination of the lower limb. Construction industry is one of the most hazardous industries, concerning the occupational fatality rates. Occupational injury is the leading cause of morbidity in the employed population and adversely affects productivity. Forensic evaluation focuses on the mechanism and biomechanics of the injury and enlightens the potential contribution of external factors. The forensic approach adds to the understanding of a single occupational incident and, thus, the establishment of more effective preventive strategies and the improvement of safety regulations at workplace.