Analysis method for revealing human and organisational factors of occupational accidents with movement disturbance (OAMDs).

Slips, trips and other movement disturbances account for 20 to 30% of recorded occupational accidents (OAs). The causal representations of these accidents hamper their prevention. An analysis method dedicated to occupational accidents with movement disturbance (OAMDs) has been developed to change these representations. In France, the causal tree method (CTM) is very commonly used for analysing OAs. An initial version of an OAMD analysis method, which overcomes the problems encountered when analysing these accidents using the CTM, has been developed. This OAMD analysis method was reviewed by six targeted prevention officers and as a result some proposals have been discarded and this initial version has been transformed into three additional CTM modules. The purpose of these modules is to identify human and organisational factors and provide a formal representation of damage caused, beyond bodily injuries. Practitioner summary: A method for analysing occupational accidents triggered by a slip, a trip or any other movement disturbance has been developed in consideration of the practices and constraints in companies. In particular, this method allows us to highlight the human and organisational factors involved in the accident situation. Abbreviations: OA: occupational accident; OAMD: occupational accident with movement disturbance; CTM: causal tree method.

State of science: occupational slips, trips and falls on the same level.

Occupational slips, trips and falls on the same level (STFL) result in substantial injuries worldwide. This paper summarises the state of science regarding STFL, outlining relevant aspects of epidemiology, biomechanics, psychophysics, tribology, organisational influences and injury prevention. This review reaffirms that STFL remain a major cause of workplace injury and STFL prevention is a complex problem, requiring multi-disciplinary, multi-faceted approaches. Despite progress in recent decades in understanding the mechanisms involved in STFL, especially slipping, research leading to evidence-based prevention practices remains insufficient, given the problem scale. It is concluded that there is a pressing need to develop better fall prevention strategies using systems approaches conceptualising and addressing the factors involved in STFL, with considerations of the full range of factors and their interactions. There is also an urgent need for field trials of various fall prevention strategies to assess the effectiveness of different intervention components and their interactions. Practitioner Summary: Work-related slipping, tripping and falls on the same level are a major source of occupational injury. The causes are broadly understood, although more attention is needed from a systems perspective. Research has shown preventative action to be effective, but further studies are required to understand which aspects are most beneficial.

Similarities between work related musculoskeletal disorders and slips, trips and falls.

Most occupational risks manifest themselves through movements performed at work, for example musculoskeletal disorders, slips, trips and falls. Research focusing on such risks often differentiates diseases from accidents. All these risks prove to be diffuse, widespread, emergent and devoid of an external harmful hazard, when analysed through their common vector, i.e. through the movements manifesting them. These characteristics have a strong impact on risk perception and on approaches necessary to ensure sustainable prevention. A participative search for local solutions to preventing these risks, integrating shared risk representation and several analysis levels, would seem helpful. A balance between defended and resilience-based conceptions of health and safety should be established. Research should also be extended to enhance in-depth understanding of controls impacting worker movements when performing a task, while safeguarding health and safety.

Organisational factors of occupational accidents with movement disturbance (OAMD) and prevention.

Workplace design and upkeep, or human factors, are frequently advanced for explaining so-called Occupational Slip, Trip and Fall Accidents (OSTFAs). Despite scientific progress, these accidents, and more broadly Occupational Accidents with Movement Disturbance (OAMDs), are also commonly considered to be "simple". This paper aims to stimulate changes in such perceptions by focusing on organisational factors that often combine with other accident factors to cause movement disturbance and injury in work situations. These factors frequently lead to arbitration between production and safety, which involves implementation of controls by workers. These controls can lead to greater worker exposure to OAMD risk. We propose a model that focuses on such controls to account specifically for the need to confront production and safety logics within a company and to enhance the potential for appropriate prevention action. These are then integrated into the set of controls highlighted by work organisation model developed by the NIOSH.

Organisational Factors of Occupational Accidents with Movement Disturbance (OAMD) and Prevention.

Workplace design and upkeep, or human factors, are frequently advanced for explaining so-called Occupational Slip, Trip and Fall Accidents (OSTFAs). Despite scientific progress, these accidents, and more broadly Occupational Accidents with Movement Disturbance (OAMDs), are also commonly considered to be "simple". This paper aims to stimulate changes in such perceptions by focusing on organisational factors that often combine with other accident factors to cause movement disturbance and injury in work situations. These factors frequently lead to arbitration between production and safety, which involves implementation of controls by workers. These controls can lead to greater worker exposure to OAMD risk. We propose a model that focuses on such controls to account specifically for the need to confront production and safety logics within a company and to enhance the potential for appropriate prevention action. These are then integrated into the set of controls highlighted by work organisation model developed by the NIOSH.

Modelling gait processes as a combination of sensory-motor and cognitive controls in an attempt to describe accidents on the level in occupational situations.

In occupational situations, accidents referred to as accidents on the level (AoLs) occur most of the time when locomotion control fails. This control is determined by the interactions between the operator and the environment, the task and the used tools. Hence, AoLs prevention requires developing ways to optimise these interactions. More fundamentally, AoLs prevention requires understanding locomotion control in situations where this control is at sake, that is in situations involving one or more AoLs factors. The purpose of this article is to propose a comprehensive model for the control of locomotion in occupational environments. This model featuring the operator, the task and the working space should be an appropriate tool to understand AoLs in the scope of their prevention. Firstly, we describe what occupational AoLs are. In a second part, we present a review of the theoretical and experimental knowledge related to the locomotion system through the various means developed by the Central Nervous System to cope with perturbations of the environment and/or particular constraints from the task. Finally, we propose a simplified systemic model presenting the various levels of control (sensory-motor to cognitive levels) describing locomotion in occupational situations, and we suggest experiments likely to produce the appropriate data to construct the final comprehensive model.

Prevention of falls on the level in occupational situations: a major issue, a risk to be managed.

The terminology used to designate falls on the level is broadly based and the accidents concerned are only very rarely defined explicitly. A definition of falls on the level in occupational situations is therefore proposed. We attempt to define the issue represented by the prevention of such accidents on the basis of statistical data, prior to explaining the twin objectives focused on in the field of their prevention. We then propose a summary of unbalance risk factors in occupational situations. These factors are associated with different components of the occupational situation they concern: individuals, their tasks, the equipment used, or the working environment. The diversity of accident contexts and different in-company prevention possibilities are thereby highlighted. Finally, we discuss a number of consequences in prevention terms.