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2018 SURVEY OF OCCUPATIONAL INJURIES & ILLNESSES
CHARTS PACKAGE
November 7, 2019
•Incidence rates and numbers of nonfatal work-related injuries and illnesses are presented by industry and case types, including total recordable cases (TRC); days away from work, job transfer, or restriction (DART) cases; days away from work (DAFW) cases; and other recordable cases (ORC).
•Industry-level estimates for nonfatal injuries and illnesses combined and for injuries only are presented per 100 full-time workers for incidence rates and rounded to thousands for numbers of cases. Industry-level estimates of illness cases are presented per 10,000 full-time workers.
Industry-level estimates
•Estimates of case circumstance and worker characteristics are presented for the subsetof cases that resulted in days away from work (DAFW).
•Case circumstances include: event or exposure, source, nature of injury or illness, part of body, day of week and time of incident
•Worker characteristics include: occupation, gender, age, and race•DAFW incidence rates are calculated per 10,000 full-time equivalent workers and case counts are rounded to the nearest ten.
Case circumstances and worker characteristics
•More information on the Survey of Occupational Injuries and Illnesses (SOII) can be found inthe BLS Handbook of Methods at www.bls.gov/opub/hom/soii/home.htm.
•Data users are cautioned to take into account the different levels of precision when analyzing estimates presented in these charts.
NOTE:
Source: U.S. Bureau of Labor Statistics, U.S. Department of Labor, November 2019
Incid
ence
rate
per
100
full-
time
wor
kers
0.0
1.0
2.0
3.0
4.0
5.0
Year
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
Nonfatal occupational injury and illness incidence ratesby case type, private industry, 2003-18
Source: U.S. Bureau of Labor Statistics, U.S. Department of Labor, November 2019
TRC = total recordable casesDART = days away from work, job transfer, or restriction casesDAFW = days away from work casesDJTR = days of job transfer or restriction only casesORC = other recordable cases
5.04.8
4.64.4
4.23.9
3.6 3.5 3.4 3.4 3.3 3.23.0 2.9 2.8 2.8
2.6 2.5 2.4 2.32.1 2.0
1.8 1.8 1.8 1.8 1.7 1.7 1.6 1.6 1.5 1.61.5 1.4 1.4 1.3 1.2 1.1 1.1 1.1 1.0 1.0 1.0 1.0 0.9 0.9 0.9 0.91.1 1.1 1.0 1.0 0.9 0.9 0.8 0.8 0.7 0.7 0.7 0.7 0.7 0.7 0.7 0.7
2.4 2.3 2.2 2.1 2.11.9 1.8 1.7 1.7 1.6 1.6 1.5 1.4
1.3 1.3 1.3
View data
The total recordable cases (TRC) incidence rate among private industry employers remained unchanged at 2.8 cases per 100 full-time workers in 2018. Even though the incidence rate for days away from work, job transfer, or restriction (DART) cases increased to 1.6 cases in 2018—up from 1.5 cases in 2017—the rates for days away from work (DAFW) cases and for days of job transfer or restriction only (DJTR) cases were unchanged. The rate for other recordable cases (ORC) cases also remained unchanged from 2017.
3
Distribution of nonfatal occupational injuries and illnesses by private industry sector, 2018
Source: U.S. Bureau of Labor Statistics, U.S. Department of Labor, November 2019
Mining, quarrying, and oil and gas extraction
Utilities
Management of companies and enterprises
Finance and insurance
Information
Educational services
Real estate and rental and leasing
Agriculture, forestry, fishing and hunting
Arts, entertainment, and recreation
Professional and technical services
Other services (except public administration)
Administrative and waste services
Wholesale trade
Construction
Transportation and warehousing
Accommodation and food services
Retail trade
Manufacturing
Health care and social assistance
0 125 250 375 500 625
32.7544.8
8.8
395.3 35.0
401.1
7.6271.0
8.3213.1
3.6195.6
3.7157.1
5.8112.8
1.970.8
4.466.1
3.554.4
2.651.8
0.945.2
35.1 | 1.8
31.7 | 1.6
26.1 | 2.5
16.8 | 0.8
9.6 | 1.0
9.4 | 0.4
Number of cases(in thousands)
Injuries
Illnesses
View data
Injuries accounted for 95 percent of cases reported among all private industry workplaces combined in 2018, as well as the majority of cases reported among individual industry sectors. Illnesses accounted for only a small fraction of cases reported in each industry sector.
4
Incidence rates and numbers of nonfatal occupational injuries and illnessesby private industry sector, 2018
Source: U.S. Bureau of Labor Statistics, U.S. Department of Labor, November 2019
Finance and insurance
Professional and technical services
Management of companies and enterprises
Information
Mining, quarrying, and oil and gas extraction
Utilities
Educational services
Other services (except public administration)
Real estate and rental and leasing
Administrative and waste services
Wholesale trade
Construction
Accommodation and food services
Manufacturing
Retail trade
Health care and social assistance
Arts, entertainment, and recreation
Transportation and warehousing
Agriculture, forestry, fishing and hunting
6.0 4.0 2.0 0 200 400 600
5.3
4.5
4.1
3.9
3.5
3.4
3.1
3.0
2.9
2.3
2.3
2.2
1.9
1.9
1.4
1.3
0.8
0.8
0.5
9.8
10.6
17.5
28.5
33.3
36.9
46.1
54.4
57.9
70.5
72.8
118.6
160.8
199.1
221.4
278.5
409.9
430.3
577.4
Incidence rate(per 100 full-time workers)
Number of cases(in thousands)
View data
The estimated rate of occupational injuries and illnesses across industry sectors ranged from 5.3 cases per 100 full-time workers in agriculture, forestry, fishing and hunting to 0.5 cases in finance and insurance. Health care and social assistance had the highest number of injuries and illnesses, accounting for approximately 1 in 5 injury and illness cases reported by private industry employers in 2018.
5
Incidence rates and numbers of nonfatal occupational illnessesby private industry sector, 2018
Source: U.S. Bureau of Labor Statistics, U.S. Department of Labor, November 2019
Management of companies and enterprises
Real estate and rental and leasing
Finance and insurance
Mining, quarrying, and oil and gas extraction
Professional and technical services
Construction
Other services (except public administration)
Information
Wholesale trade
Retail trade
Accommodation and food services
Educational services
Administrative and waste services
Transportation and warehousing
Utilities
Health care and social assistance
Arts, entertainment, and recreation
Agriculture, forestry, fishing and hunting
Manufacturing
45.0 30.0 15.0 0 15 30 45
27.7
25.2
25.0
22.3
18.8
16.6
11.1
9.0
8.5
7.5
6.5
6.3
6.0
5.3
5.3
5.2
4.4
4.4
3.2
0.4
0.8
0.9
1.0
1.6
1.8
1.9
2.5
2.6
3.5
3.6
3.7
4.4
5.8
7.6
8.3
8.8
32.7
35.0
Incidence rate(per 10,000 full-time workers)
Number of cases(in thousands)
The estimated rate of occupational illness across private industry was 12.6 cases per 10,000 full-time equivalent workers, with rates ranging among industry sectors from 3.2 cases in the management of companies and enterprises sector to 27.7 cases in manufacturing. The manufacturing and health care and social assistance industry sectors together reported 53.7 percent of all private industry illness cases in 2018.
View data 6
Nonfatal occupational injury and illness incidence rates by case type and ownership, 2018
Source: U.S. Bureau of Labor Statistics, U.S. Department of Labor, November 2019
Private industry State government Local government
1.41.6
0.9
1.9
2.4
1.6
0.50.80.7
1.7
2.8
1.3
3.6
5.3
2.8
Incid
ence
rate
per
100
full-
time
wor
kers
0.0
1.0
2.0
3.0
4.0
5.0
6.0
TRC DART DAFW DJTR ORC
TRC = total recordable casesDART = days away from work, job transfer, or restriction casesDAFW = days away from work casesDJTR = days of job transfer or restriction only casesORC = other recordable cases
Case type
View data
Continuing a trend since 2008, the total recordable cases (TRC) incidence rate of injuries and illnesses remained highest among local government workplaces (5.3 cases per 100 full-time equivalent workers), compared to state government (3.6 cases) and private industry (2.8 cases) workplaces. The local government TRC rate increased from 5.0 cases in 2017 to 5.3 cases in 2018, while state government and private industry rates remained statistically unchanged.
7
Incidence rates and numbers of nonfatal occupational injuries and illnessesby select industry, state government, 2018
Source: U.S. Bureau of Labor Statistics, U.S. Department of Labor, November 2019
Colleges, universities, and professional schools (NAICS 6113)
Correctional institutions (NAICS 92214)
Hospitals (NAICS 622)
Nursing and residential care facilities (NAICS 623)
12.0 9.0 6.0 3.0 0 8 16 24 32
11.9
8.1
7.3
1.9
13.1
22.8
25.0
29.9
Incidence rate(per 100 full-time workers)
Number of cases(in thousands)
Estimates of nonfatal injuries and illnesses in 2018 are available for select industries within state government and provide forlimited comparisons to the same industries in local government or private industry. For example, rates observed for state government hospitals or for state government nursing and residential care facilities may differ significantly from rates in private industry and in local government as a result of different types of facilities that are more prevalent in one compared to the other.
View data 8
Incidence rates and numbers of nonfatal occupational injuries and illnessesby industry, local government, 2018
Source: U.S. Bureau of Labor Statistics, U.S. Department of Labor, November 2019
Elementary and secondary schools (NAICS 6111)
Hospitals (NAICS 622)
Water sewage and other systems (NAICS 2213)
Public administration (NAICS 92)
Nursing and residential care facilities (NAICS 623)
15.0 10.0 5.0 0 100 200 300
7.3
6.5
5.8
5.4
4.5
3.8
8.5
29.5
228.3
235.7
Incidence rate(per 100 full-time workers)
Number of cases(in thousands)
Eight in ten nonfatal injury and illness cases reported occurred with workers employed in elementary and secondary schools and public administration in 2018.
View data
9
State nonfatal occupational injury and illness incidence rates*compared to the national rate, private industry, 2018
Source: U.S. Bureau of Labor Statistics, U.S. Department of Labor, November 2019* Total recordable case (TRC) incidence rate per 100 full-time workers
State rate not available (9 states)State rate statistically greater than national rate (22 states)State rate not statistically different from national rate (7 states)State rate statistically less than national rate (12 states and DC)
AL(2.7)
AK(3.6)
AZ(3.0) AR
(2.2)
CA(3.3) CO
CT(3.2)
DE(2.4)
DC(1.7)
FL
GA(2.5)
HI(3.3)
ID
IL(2.7)
IN(3.2)
IA(3.3)
KS(3.1) KY
(3.2)
LA(1.8)
ME(4.7)
MD(2.8)
MA(2.6)MI
(3.0)
MN(3.2)
MS
MO(2.8)
MT(3.9)
NE(3.2)NV
(3.5)
NH
NJ(2.6)
NM(2.8)
NY(2.2)
NC(2.4)
ND
OH(2.4)
OK
OR(3.6)
PA(3.2)
RI
SC(2.4)
SD
TN(2.8)
TX(2.0)
UT(2.8)
VT(4.7)
VA(2.5)
WA(4.0)
WV(3.0)
WI(3.6)
WY(3.2)
View data
Private industry and public sector estimates are available for 41 participating states and for the District of Columbia for 2018. The private industry and illness rate was higher in 22 states than the national rate of 2.8 cases per 100 full-time workers, lower in 12 states and in the District of Columbia, and not statistically different in 7 states. Caution should be taken when comparing rates among different states as some differences can be attributed to different industry composition within each state.
10
Nonfatal occupational injury and illness incidence rates for cases with days away from work, by ownership, 2018
The incidence rates of nonfatal occupational injuries and illnesses resulting in days away from work for all ownerships was unchanged in 2018 from 2017. The rate for all ownerships decreased each year from 2011 through 2017.
Incidence rate per 10,000 full-time workers
Number of cases with days away from work
Number of nonfatal occupational injury and illness cases with days away from work, by ownership, 2018
Source: U.S. Bureau of Labor Statistics, U.S. Department of Labor, November 2019
Local government
State government
Private industry
All ownerships
Local government
State government
Private industry
All ownerships
0.0 40.0 80.0 120.0 160.0 200.0
98.4
89.7
142.6
163.9
0 200,000 400,000 600,000 800,000 1,000,000 1,200,000
1,133,670
900,380
56,170
177,120
11View data
94.3 83.4
0.0
100.0
200.0
300.0
Incidence rate per 10,000full-time workers
218.2
120.3
0.0
100.0
200.0
300.0
Incidence rate per 10,000full-time workers
Nonfatal occupational injury and illness incidence rates and distribution of cases with days away from work, by gender and ownership, 2018
The incidence rate of nonfatal occupational injuries and illnesses resulting in days away from work for women in private industry increased to 83.4 cases per 10,000 full-time workers in 2018, up from 81.5 in 2017. The rate for men in private industry was unchanged from 2017.
179.7115.3
0.0
100.0
200.0
300.0
Incidence rate per 10,000full-time workers
Source: U.S. Bureau of Labor Statistics, U.S. Department of Labor, November 2019
Men60%
Women40%
Private industryInjuries and illnesses
Men53%
Women47%
State governmentInjuries and illnesses
Men59%
Women41%
Local government Injuries and illnesses
12View data
Median days away from work is a key measure of severity of injuries and illnesses resulting in days away from work. Workers 55 to 64 years old had one of the highest median days in 2018, but their incidence rate was equivalent to workers aged 16 to 19 years.
Median days away from work Incidence rate per 10,000 full-time workers
Source: U.S. Bureau of Labor Statistics, U.S. Department of Labor, November 2019
Median days away from work due to injuries and illnesses and incidence rate by age of worker, all ownerships, 2018
Median days away from work(All ownerships median days = 9)Days-away-from-work rate(All ownerships rate = 98.4)
20 15 10 5 0
35 to 44 years
45 to 54 years
0.0 50.0 100.0 150.0
65 years and over14
11
8
16 to 19 years5 111.4
20 to 24 years5 100.9
25 to 34 years6 86.5
91.7
104.5
55 to 64 years14 113.4
98.3
13View data
Nonfatal occupational injury and illness incidence rates for cases with days away from work by selected event or exposure, all ownerships, 2014-18
0.0
10.0
20.0
30.0
40.0
Overexertion andbodily reaction
Falls, slips, trips Contact with objects orequipment
Violence and otherinjuries by persons or
animals
Transportationincidents
Event or exposure
2014 2015 2016 2017 2018
Incid
ence
rate
per
10,
000
full-
time
wor
kers
The incidence rate of falls, slips, or trips increased from 2017 to 26.6 cases per 10,000 full-time workers in 2018. In the five-year period 2014 to 2018, the rate of occupational injuries and illnesses resulting from violence and other injuries by persons or animals increased from 6.8 cases per 10,000 full-time workers in 2014 to 7.3 cases in 2018.
Source: U.S. Bureau of Labor Statistics, U.S. Department of Labor, November 201914
View data
Nonfatal occupational injury and illness incidence rates for cases with days away from work by selected nature of injury or illness, all ownerships, 2014-18
0.0
10.0
20.0
30.0
40.0
50.0
Sprains, strains, tears Soreness, pain Cuts, lacerations,punctures
Bruises, contusions Fractures
Nature of injury or illness
2014 2015 2016 2017 2018
Incid
ence
rate
per
10,
000
full-
time
wor
kers
The rate of occupational injuries and illnesses resulting in soreness, pain was unchanged from 18.3 cases per 10,000 full-time workers in 2014 compared to 18.7 cases in 2018.
Source: U.S. Bureau of Labor Statistics, U.S. Department of Labor, November 2019
15
View data
In 2018, injuries and illnesses resulting in multiple injuries with fractures led to 48 median days away from work, fractures led to 32 median days away, and amputations led to 31 median days away. Sprains, strains, and tears occurred at a rate of 34.0 cases per 10,000 full-time workers in 2018, down from 35.0 cases in 2017.
Source: U.S. Bureau of Labor Statistics, U.S. Department of Labor, November 2019
Median days away from work and incidence rate due to injuries and illnesses by nature, all ownerships, 2018
Median days away from work Incidence rate per 10,000 full-time workers
Median days away from work(All ownerships median days = 9)Days-away-from-work rate(All ownerships rate = 98.4) Punctures (except gunshots)
Chemical burns and corrosions
Cuts, lacerations, punctures
Cuts, lacerations
Heat (thermal) burns
Bruises, contusions
Multiple injuries with sprains
Soreness, pain
Multiple traumatic injuries
Sprains, strains, tears
Tendonitis
Carpal tunnel syndrome
Amputations
Fractures
Multiple injuries with fractures
0.0 10.0 20.0 30.0 40.050 40 30 20 10 0
48
32
31
30
14
11
9
8
7
5
5
4
4
3
3
8.2
34.0
0.5
8.8
Less than 0.5
1.5
18.7
7.5
1.5
9.0
0.5
Less than 0.5
1.5
Less than 0.5
2.8
16View data
Eleven occupations had 20,000 or more days-away-from-work cases across all ownerships. Laborers and freight, stock, and material movers accounted for approximately 6 percent of total cases. Police and sheriff’s patrol officers had the highest rate of injury and illness among these occupations.
Nonfatal occupational injury and illness number of cases with days away from work and incidence rates for selected occupations with 20,000 cases or more, all ownerships, 2018
Source: U.S. Bureau of Labor Statistics, U.S. Department of Labor, November 2019
Number of cases Incidence rate per 10,000 full-time workers
Number of cases (Total=1,113,670)Days away from
work rate = 98.4Construction laborers
Light truck or delivery services
Registered nurses
Police and sheriff's patrol officers
Stock clerks and order fillers
Retail salespersons
General maintenance and repair workers
Nursing assistants
Janitors and cleaners, except maids & housekeeping cleaners
Heavy and tractor-trailer truck drivers
Laborers and freight, stock, and material movers, hand
90,000 60,000 30,000 0
68,470
49,700
35,620
33,430
29,370
26,760
25,570
25,410
24,080
22,480
21,710
0.0 175.0 350.0 525.0 700.0
93.6
272.4
371.4
200.9
74.3
151.1
222.4
214.7
262.1
233.0
264.1
17View data
0.0
25.0
50.0
75.0
Fall on same level Roadway incidents Struck by object
Heavy and tractor-trailer truck drivers
0.0
25.0
50.0
75.0
Struck by object Overexertion inlifting or lowering
Fall on same level
Laborers and freight, stock, and material movers, hand*
0.050.0
100.0150.0200.0
Violence and otherinjuries by persons
or animal
Fall on same level Roadway incidents
Police and sheriff’s patrol officers
0.0
25.0
50.0
75.0
Fall on same level Overexertion inlifting or lowering
Violence and otherinjuries by persons
or animal
Nursing assistants
2014 2015 2016 2017 2018
Nonfatal occupational injury and illness incidence rate for cases resulting in days away from work by selected occupation and event or exposure, all ownerships, 2014-18
Incid
ence
rate
per
10,
000
full-
time
wor
kers
*Incidence rates are not available for 2014 for Laborers and freight, stock, and material movers.
Event or exposure
Source: U.S. Bureau of Labor Statistics, U.S. Department of Labor, November 2019
Laborers and freight, stock, and material movers along with heavy and tractor-trailer truck drivers had the highest number of cases with days away from work in 2018. Police and sheriff’s patrol officers had the highest incidence rates for occupations with at least 20,000 cases. Nursing assistants had an incidence rate of 272.4 cases per 10,000 full-time workers. A common event leading to occupational injuries in these occupations included fall on the same level.
18View data
Nonfatal occupational injury and illness incidence rates for cases involving days away from work for selected healthcare and protective service occupations, by ownership, 2018
In state government, the incidence rate for psychiatric aides increased in 2018 and was over nine-times greater than the incidence rate for all state government workers (142.6 cases). In the private industry, rates for nursing assistants (255.7 cases) was more than twice the rate for registered nurses (88.4 cases) and licensed practical and licensed vocational nurses (85.6 cases).
Source: U.S. Bureau of Labor Statistics, U.S. Department of Labor, November 2019
Private industry Local governmentState government
19View data
0.0 200.0 400.0 600.0 800.0 1,000.0 1,200.0 1,400.0 1,600.0
Licensed practical and licensed vocational nurses
Registered nurses
Firefighters
Nursing assistants
Emergency medical technicians and paramedics
Police and sheriff's patrol officers
Psychiatric technicians
Psychiatric aides
Incidence rate per 10,000 full-time workers
Nonfatal occupational injury and illness incidence rates of musculoskeletal disorders with days away from work, by ownership, 2018
Musculoskeletal disorders (MSD) accounted for 30.3 percent of days-away-from-work cases in 2018 in private industry and occurred at a rate of 27.2 cases per 10,000 full-time workers. This rate was down from 28.6 cases in 2017 and from 31.9 in 2014.
Number of nonfatal occupational injury and illness cases of musculoskeletal disorders with days away from work, by ownership, 2018
Number of MSD cases with days away from work
Incidence rate per 10,000 full-time workers
Local government
State government
Private industry
Local government
State government
Private industry
Source: U.S. Bureau of Labor Statistics, U.S. Department of Labor, November 2019
0.0 10.0 20.0 30.0 40.0 50.0 60.0
27.2
33.5
45.4
0 50,000 100,000 150,000 200,000 250,000 300,000 350,000
272,780
13,210
49,080
20View data
Nonfatal occupational injury and illness incidence rates and number of cases of musculoskeletal disorders by selected occupations, all ownerships, 2018
The rate of musculoskeletal disorders (MSD) experienced by firefighters occurred at more than 6 times the MSD rate for all workers in 2018. The number of MSD cases experienced by laborers and freight, stock, and material movers by hand accounted for approximately 8 percent of all MSD cases in 2018.
Source: U.S. Bureau of Labor Statistics, U.S. Department of Labor, November 2019
Rate per 10,000 full-time workers Number of MSD cases
Number of MSD cases (Total=335,070)
Days away from work MSD rate = 29.1 Maids and housekeeping cleaners
Light truck or delivery services drivers
Laborers and freight, stock, and material movers, hand
Telecommunications line installers and repairers
Telecommunications equipment installers and repairers, expect line installers
Bus drivers, transit and intercity
Nursing assistants
Reservation and transportation ticket agents and travel clerks
Emergency medical technicians and paramedics
Firefighters
250.0 200.0 150.0 100.0 50.0 0.0
191.1
174.7
146.4
140.5
123.7
123.2
117.0
100.0
87.4
82.4
0 8,000 16,000 24,000 32,000
7,170
4,510
1,740
17,240
1,790
2,800
1,450
25,930
8,430
6,240
21View data
0 10,000 20,000 30,000 40,000 50,000 60,000 70,000
Mining
Utilities
Management of companies and enterprises
Finance and insurance
Educational services
Real estate and rental and leasing
Arts, entertainment, and recreation
Agriculture, forestry, fishing and hunting
Professional, scientific, and technical services
Administrative and support and waste management and remediation services
Wholesale trade
Transportation and warehousing
Accommodation and food services
Construction
Retail trade
Manufacturing
Health care and social assistance
Number of cases
Number of nonfatal occupational injuries and illnesses with days away from work by medical treatment facility visits, private industry, 2018
Emergency room visits only
In-patient overnight hospitalizations(with or without ER visits)
In private industry, of the 900,380 total days away from work (DAFW) cases reported, 333,830 (37 percent) resulted in workers visiting a medical treatment facility such as an emergency room or in-patient hospital. In health care and social assistance, 57,390 (39 percent) DAFW cases resulted in an emergency room visit only and another 3,360 (2 percent) resulted in in-patient hospitalization.
Source: U.S. Bureau of Labor Statistics, U.S. Department of Labor, November 2019
View data 22
Injured or ill workers in transportation and warehousing visited an emergency room (ER) for treatment at a rate of 53.3 cases per 10,000 full-time workers compared to the rate of 29.4 for workers in all industries in 2018. Workers in this industry took a median of 71 days away from work when treated in an in-patient hospitalization and a median of 17 days if treated in an ER compared to all industries with 41 days and 7 days, respectively.
Source: U.S. Bureau of Labor Statistics, U.S. Department of Labor, November 2019
0.0
20.0
40.0
60.0
Incidence rate per 10,000 full-time workers
0
20,000
40,000
60,000
Numberof
cases
020406080
Transportation andwarehousing
Construction Health care and socialassistance
Accommodation andfood services
Manufacturing Retail trade
Median days away from work
Emergency room visits only In-patient overnight hospitalization (with or without ER visit)
Incidence rate, number of cases, and median days away from work of nonfatal occupational injuries and illnesses with days away from work by medical treatment facility visits, selected
private industry sector, 2018
View data 23