Scissor Lifts & Fall Protection: A Safety Officers Opinion

There is continuing discussion about the need to utilize appropriate fall protection (harness lanyard connected to anchorage point) while working within scissor lifts. Let’s not mask the need by referencing minimalist OSHA regulations and interpretations which essentially differ the strict need to be “tied off”. Even with full rail systems people are falling. On a recent fatality investigation, yes a fall from a fully railed lift, I commented; “look at all the modern, excellent equipment we use on projects in construction and yet we still have these accidents!” Let’s stop the parochial review of what OSHA may enforce and manufacturer’s may suggest and get serious about preventing accidents. I have no patience for so called “safety professionals” who use rote necessitation of OSHA regulation and interpretive letters when their job is solely accident prevention. We recently saw one contractor who built a diamond plate stair system to be placed on a scissor lift platform to gain elevation. They said their “PE” designed it so it must be OK!

Scissor Lift Tie Off Point

Author: John P. Coniglio - PhD, CSP, CHMM, RPIH, CSC

Managing Director of OSEA (www.osea.com)

Narcotic Painkillers - In the Workplace

Reviewing cases involving industrial accidents presents many interesting facts about the

workplaces we toil within, both construction & industrial. This information is gathered to a large degree from transcripts of testimonies from the injured and of interest is after the incident’ outcomes as it pertains to the treatment (medical) and the waiting disruption of the lives of injured workers.

I have always been amazed at the amount of narcotic pain medicine prescribed (loratab a favorite) to individuals with a past history of drug abuse. In several cases the worker sought out further treatment for addiction after on-going receipt of narcotic pain ‘killers’. It made me wonder why these physicians are prescribing these narcotics and what are the alternatives? The National Safety in its July 2014 edition of 'Safety & Health’ magazine reported on a study of prescription painkillers; “worker use of prescription painkillers; wide-spread, varies by state report”, authored by the Workers Compensation Research Institute released May 14, 2014. Upon review of 264,000 workers compensation cases and this 1.5 million Rx associated with them demonstrated some startling facts.

• On average 85% of injured workers in most states (25 states included in study), received narcotic painkillers.

• Typically the workers received 1800 milligrams of morphine equivalent narcotics per claim.

• Workers in N.Y and Louisiana received 3600 milligrams on average. This is equivalent to taking a 5 milligram Vicodan tablet ever 4 hours for 4 months.

You further have to ask yourself how much of these narcotics go beyond the injured worker to others for illicit use? We all know the problems occurring with Rx drugs getting into the hands of recreational drug abusers!These drugs are leaving Rx by physicians working under U.S. authorization and certainly their aim is pain reduction after an accident. But it seems clear that the physicians and the U.S. Systems of States must begin to reconsider this approach and seek improved treatment and alternative pain reduction treatment. Perhaps faster diagnosis and treatments authorized by the W.C. Systems would shorten the pain cycle experienced and get the resolution of the problem faster. Certainly, prevention of the accident in the first place would resolve the problem. Treatment modalities using narcotics as a last resort, not first reaction, would seem in order. Long term chronic cases should be sent to pain clinics for alternative treatment options. Any worker taking narcotic pain relievers would be suspect for return to work while taking the medication. Close review of a patients history of past drug abuse would certainly give pause to prescribing narcotics.

This is a serious situation requiring study and response...

Author: John P. Coniglio - PhD, CSP, CHMM, RPIH, CSC

Managing Director of OSEA (www.osea.com)