Traumatic workplace injuries: A cross-sectional analysis of OSHA severe injury reports, including the impacts of seasonality and COVID-19 from 2015 to 2022

Abstract

Introduction: Millions of workers are injured on the job each year. Updated injury reporting regulations from the Occupational Safety and Health Administration (OSHA) in 2014 have resulted in publicly available data on reported severe injuries. Methods: OSHA severe injury reports (SIRs) were analyzed from 2015 to 2022. Severe injury rates were calculated using total employment estimates by industry and state to characterize the distribution of SIRs. Secondary analyses examined how SIRs differed seasonally, as well as before and after the start of the COVID-19 pandemic. Results: There were 83,338 severe workplace injuries reported across the 29 states that are under federal OSHA coverage. Manufacturing (375.98 per 100,000 workers) and Utilities (277.21 per 100,000 workers) had the highest rates of severe injuries. Despite summertime peaks in SIRs, there were not significant differences between seasons when examining SIRs by industry (p = 0.9763) or various injury factors. 1,846 of the SIRs were heat-related, and Utilities had the highest rate of heat-related severe injuries (13.34 per 100,000 workers). There was a statistically significant difference in the average injury rate when comparing pre- and post-COVID-19 periods (p < 0.001), which was statistically similar across all industries (p = 0.8143). Conclusions: Although several prior studies have examined the OSHA SIR data, this is the first known analysis of SIRs in relation to state- and industry-specific employment data. Despite the lack of a significant seasonality in SIRs, many industries seem to be impacted by heat-related injuries across all states. The number and rate of SIRs declined during COVID-19 similarly across all industries, with some industries maintaining low injury reporting rates through 2022. Practical Application: Findings of which industries and states may be experiencing a disproportionate burden of SIRs, including heat-related injuries, can inform injury prevention efforts. Additional work is needed to disentangle the drivers behind decreases in reported severe injuries during the COVID-19 pandemic.