The impact of safety behavior, perceived risk, and workplace resources on COVID outcomes for U.S. Aircraft Rescue and Firefighting personnel.

BACKGROUND: Aircraft rescue and firefighting (ARFF) personnel are first responders located at airports in the United States who provide emergency response, mitigation, evacuation, and rescue of passengers and crew of aircraft at airports. The nature of their work puts ARFF personnel in close contact with travelers on a regular basis and at elevated risk for COVID-19 exposure. OBJECTIVE: In this study, we focused on safety behavior, perceived risk, and workplace resources to understand COVID-19 outcomes in the early pandemic among the overlooked worker population of ARFF personnel. The goal of this study was to examine how a self-reported positive COVID test were associated with safety behavior, perceived risk, and workplace resources. METHODS: Cross-sectional survey data were collected among ARFF personnel a year into the COVID-19 pandemic. RESULTS: Regression results showed that each additional unit increase in perceived susceptibility to COVID-19 was associated with a 133% increase in the odds of testing positive for COVID-19 (OR = 2.33, p <  0.05), and with each additional unit increase in perceived severity level, the odds of getting COVID-19 decreased by 47% (OR = 0.53, p <  0.05). CONCLUSIONS: Infection control among first responders may be improved by providing relevant information physical and emotional resources, and support that help shape perceptions of risk and adoption of prevention behaviors.

Interconnected pathways: The role of integrated programs, safety climate, and safety professional engagement in safety and other organizational outcomes.

BACKGROUND: This study evaluated interconnected pathways of the use of safety management systems (SMS), environmental management systems (EMS), Lean, participatory programs, and integrated systems and their effect on safety management and other organizational outcomes from the perspective of safety professionals working within complex work systems. METHOD: Data were collected from 136 safety professionals. A structural path analysis assessed direct and indirect effects within the model and a confirmatory factor analysis evaluated high impact risk management practices and safety incidents as a model to assess safety management outcomes. RESULTS: SMS implementation had significant direct effects on safety climate and high impact risk management practices. EMS implementation had significant direct effects on environmental management outcomes. Integration of SMS and EMS with Lean had significant direct effects on safety climate and safety professional engagement. Participatory programs had significant direct effects on high impact risk management practices and safety incidents. Safety professional engagement and safety climate had significant mediating effects on safety and organizational outcomes as did the use of high impact risk management practices. CONCLUSION: Results of this study present a case for the use of high impact risk management practices and safety incidents as a measurement of safety management outcomes and the use of participatory programs, SMS, and integrated systems, driven by highly engaged individuals to influence safety and organizational outcomes.

Trending Occupational Fatalities and Injuries: An Assessment of Projected Climate Change Related Impacts in the United States since 1992.

BACKGROUND: Some impacts of climate change that are expected to affect the American workforce are rising temperatures, greater prevalence of wildland fires, increase in Lyme disease, and exposure to insecticides. The purpose of this study was to assess how fatal and non-fatal occupational injuries due to environmental heat, forest/brush fires, Lyme disease, and exposure to insecticides have changed over time in the United States and if there were any significant relationships between national occupational injury/illness data and national temperature trends. METHODS: Linear regression models assessed fatal and non-fatal injuries/illnesses since 1992 by both the frequency of incidents and the proportion of total incidents and the effects of national average temperatures. RESULTS: There were significant increases in occupational fatalities and illnesses due to exposure to environmental heat and national average annual temperatures were predictive of heat exposure fatalities and illnesses. CONCLUSION: Heat exposure is an occupational hazard that must be managed carefully in the coming years. Organizations will need to take more aggressive heat exposure control measures as temperatures continue to rise and remain hotter for longer periods during the year. While not currently showing increasing trends on a national scale, the prevalence of occupational incidents due to forest/brush fires, Lyme disease, and insecticides should be monitored as the United States experiences more of the projected impacts of climate change.

Motivating Personal Climate Action through a Safety and Health Risk Management Framework.

BACKGROUND: There is overwhelming evidence the impacts of climate change present a probable threat to personal health and safety. However, traditional risk management approaches have not been applied to ameliorate the crises. The purpose of this study was to assess the impact on personal motivation for action of a communication intervention that framed climate change as a safety issue that can be mitigated through a safety and health risk management framework. Participants' perception of climate change in terms of its anthropogenicity, context and importance, perception as a personal threat, belief in the efficacy of human action, motivating drivers for action, knowledge of climate change impacts, perceived personal barriers to climate action, and short- and long-term preferences for mitigating actions were evaluated. In addition, this study assessed the role of personal worldview on motivation for climate action. METHODS: Through an online survey instrument embedded with a communication/education intervention, data were collected from N = 273 participants. Pre and post-intervention responses were assessed using Wilcoxon signed-rank tests and descriptive statistics. A path analysis assessed the influence of anthropogenicity, personal impact, and human efficacy beliefs on participant motivation for action. Multi-regression analyses and descriptive statics were used to evaluate the role of worldview on participant motivation for climate action. RESULTS: Personal motivation for action significantly increased post-intervention. Anthropogenicity, personal impact, and human efficacy beliefs were predictive of personal motivation. Those who prioritized climate change as a safety issue and those driven by a desire to protect current and future generations had higher levels of personal motivation, post-intervention. Knowledge of climate change increased, psychosocial factors as barriers to climate action decreased, and preferences for personal mitigating actions shifted towards more impactful choices post-intervention. Holding Egalitarian worldviews significantly predicted climate action motivation. CONCLUSION: Presenting climate change and climate action strategies via a traditional health and safety risk management context was effective in increasing personal motivation for climate action. This study contributes to the literature on climate change communication and climate action motivation.

Stress, burnout and diminished safety behaviors: An argument for Total Worker Health® approaches in the fire service.

INTRODUCTION: Firefighting is stressful work, which can result in burnout. Burnout is a safety concern as it can negatively impact safety outcomes. These impacts are not fully understood within the fire service. Further, the fire service needs support that safety strategies are needed to protect and promote the health and wellbeing of firefighters. METHODS: Structural equation modeling was completed to examine a hypothesized model that linked stress and burnout to diminished safety behavior outcomes among a sample of career firefighters. RESULTS: Findings support a full mediation model. Firefighter stress perceptions were positively associated with burnout and burnout was negatively associated with safety compliance behavior, personal protective equipment behavior, safe work practices, and safety citizenship behavior. CONCLUSIONS: These results illustrate the negative impact of health impairment on firefighter safety behaviors. Practical Applications: These outcomes suggest that interventions aimed at protecting and promotion firefighter health are needed. Total Worker Health® (TWH) approaches may provide the framework for these interventions.