A Smarter National Surveillance System for Occupational Safety and Health in the 21st Century
2018

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The workplace is where 156 million working adults in the United States spend many waking hours, and it has a profound influence on health and well-being. Although some occupations and work-related activities are more hazardous than others and face higher rates of injuries, illness, disease, and fatalities, workers in all occupations face some form of work-related safety and health concerns. Understanding those risks to prevent injury, illness, or even fatal incidents is an important function of society.

Occupational safety and health (OSH) surveillance provides the data and analyses needed to understand the relationships between work and injuries and illnesses in order to improve worker safety and health and prevent work-related injuries and illnesses. Information about the circumstances in which workers are injured or made ill on the job and how these patterns change over time is essential to develop effective prevention programs and target future research. The nation needs a robust OSH surveillance system to provide this critical information for informing policy development, guiding educational and regulatory activities, developing safer technologies, and enabling research and prevention strategies that serves and protects all workers.

A Smarter National Surveillance System for Occupational Safety and Health in the 21st Century provides a comprehensive assessment of the state of OSH surveillance. This report is intended to be useful to federal and state agencies that have an interest in occupational safety and health, but may also be of interest broadly to employers, labor unions and other worker advocacy organizations, the workers' compensation insurance industry, as well as state epidemiologists, academic researchers, and the broader public health community. The recommendations address the strengths and weaknesses of the envisioned system relative to the status quo and both short- and long-term actions and strategies needed to bring about a progressive evolution of the current system.

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318 pages · 6 x 9 · paperback
ISBN Paperback: 0-309-46299-1
ISBN Ebook: 0-309-46300-9
DOI: https://doi.org/10.17226/24835

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National Academies of Sciences, Engineering, and Medicine. 2018. A Smarter National Surveillance System for Occupational Safety and Health in the 21st Century. Washington, DC: The National Academies Press.

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Front Matter i-xxiv
Summary 1-14
1 Introduction 15-30
2 Building a "Smarter" National Surveillance System 31-42
3 Overview of Agencies and Stakeholders 43-72
4 Current Status of Federal and State Programs and Cross-cutting Issues 73-142
5 International Approaches to Occupational Health Surveillance 143-160
6 Promising Developments and Technologies 161-214
7 Key Actions to Move Forward with an Ideal National Occupational Safety and Health Surveillance System 215-248
8 Next Steps for Improving Worker Safety and Health Through a Smarter Occupational Surveillance System 249-260
Appendix A: Recommendations 261-272
Appendix B: Committee Biosketches 273-278
Appendix C: Open Session Meeting Agendas 279-284
Appendix D: Updates on Recommendations from the 1987 National Research Council Report "Counting Injuries and Illnesses in the Workplace: Proposals for a Better System" 285-290
Appendix E: OSHA Form 300 and Related Pages 291-294

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A Smarter National Surveillance System for Occupational Safety and Health in the 21st Century (2018)

Chapter: 7 Key Actions to Move Forward with an Ideal National Occupational Safety and Health Surveillance System

Additional materials

Publication information

Suggested citation

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A Smarter National Surveillance System for Occupational Safety and Health in the 21st Century (2018)

Chapter: 7 Key Actions to Move Forward with an Ideal National Occupational Safety and Health Surveillance System