Introduction. Every year, about 350 thousand people die in the workplace for reasons related to production all over the world. The significance of this problem dictates the need to analyze fatal occupational injuries in order to further develop a set of measures aimed at preventing it. The study aims to analyze fatal occupational injuries at enterprises of the Republic of Bashkortostan on the basis of personalized data as an information basis for the development and justification of priority areas for the prevention of accidents in the workplace. Materials and methods. For analyzing the indicators of general occupational injuries and fatal injuries, we used the results of the all-Russian monitoring of labor conditions and safety of the Ministry of Labor and Social Protection, Russian Federation, analytical materials of labor conditions and safety of the Ministry of Family, Labor and Social Protection of the Population of the Republic of Bashkortostan for the period 2017-2020. To assess the completeness of the accounting of occupational injuries in Russia and the Republic of Bashkortostan, the researchers used the ILO methodology "On assessing the reliability of statistics of accidents at work in countries with imperfect accounting". Based on the materials of 177 Acts on the investigation of fatal accidents (Form 4) provided by the State Labor Inspectorate in the Republic of Bashkortostan for the period 2017-2020, we have studied the circumstances and causes of the death of workers at work, their professional status and age-length characteristics. Results. The analysis of the dynamics of occupational injuries for 2017-2020 in the Russian Federation and the Republic of Bashkortostan showed a decrease in both total occupational injuries and fatal injuries, with a decrease in the frequency of worker deaths occurring at a faster pace. This provided an increase in the ratio of the total number of injuries to the number of fatal injuries, indicating an increase in the level of safety at enterprises and the quality of accounting for minor injuries. However, in 2020 the level of fatal industrial injuries in the Republic exceeded the same indicator in Russia by 25%. An in-depth analysis of fatal injuries based on accident investigation materials in the Republic of Bashkortostan for 2017-2020 showed that most often workers died in construction (0.77 per 1000 workers) and mining enterprises (0.75%) as a result of such types of accidents as traffic accidents, falling from a height, exposure to moving objects, flying rotating objects, parts, machines, etc. Specialists also observed a high level of fatal injuries in agriculture (0.58%), transport and storage enterprises (0.41%), water supply, sewerage (0.38%), etc. The main causes of fatal injuries were unsatisfactory organization of work (34.7%) and violation of traffic rules (29.2%). At the victim’s workplaces the researchers have identified a significant number of violations of labor protection requirements: the absence of special assessment of working conditions (SAWC), briefings and training on labor protection, violations of the work and rest regime, labor and industrial discipline, non-issuance of personal protective equipment (PPE) and the absence of mandatory preliminary and periodic medical examinations. Male workers were most often died (97.6%); in the profession of "driver"; at the age of 30-39 years. There is a very high proportion of victims with work experience of up to one year (44.6%). Almost 75% of the victims had less than 5 years of work experience. This indicates unsatisfactory training in occupational safety of newly hired workers, regardless of their age and previous experience at other enterprises. Conclusion. The in-depth analysis of fatal injuries at enterprises of the Republic of Bashkortostan showed the need to develop a set of targeted occupational safety measures aimed at reducing the level of occupational injuries, taking into account the most traumatic types of economic activity, the most frequent types of accidents and causes of accidents. In addition, special attention should be paid to the training of safe methods and techniques for performing the work of low-skilled workers, as well as the organization of checking the knowledge of traffic rules among drivers of vehicles.
Introduction. The scientists all over the world studied the problem of death in the workplace for two decades. Sudden cardiac death occupies a leading place in the structure of workplace death from a common disease (83-90% of cases). The urgency of this problem dictates the need for research to study the main factors and causes of death in the workplace from a common disease, followed by the development of a comprehensive program to prevent them. The study aims to learn the circumstances and causes of sudden death in the workplace due to a common disease and substantiate the program for its prevention. Materials and methods. The researchers conducted an analysis of investigation materials of fatal accidents in the workplace for 2018-2020 at enterprises and organizations of the Republic of Bashkortostan, recognized during the investigation as unrelated to production and occurred as a result of a common disease. We studied in detail the specific circumstances and causes of death. Scientists analyzed the number of deaths in the workplace from common diseases both in absolute and relative units (per 1000 employees), in the context of economic activities, taking into account the organizational and legal forms of enterprises and organizations. Results. 165 employees died from common diseases in the workplace during the analyzed period. We observed the greatest proportion of workplace deaths from a common disease at enterprises and organizations of the following types of economic activity: manufacturing - 22.9%, transportation and storage - 17.4%, provision of electric energy, gas and steam, water supply, sanitation - 10.3%. The main causes of sudden death in the workplace from common diseases, according to the forensic examination, were diseases of the circulatory system (97.1%), which were more often registered in men (97.4%) aged 56-60 years. Conclusion: The lack of complete and reliable information about the causes and risk factors of death in the workplace from common diseases in various sectors of the economy, as well as the need to develop a prevention program to minimize the likelihood of its development, served as the basis for this study.
Introduction. In Russia and abroad, there has been a clear trend towards an increase in cases of sudden death in the workplace from circulatory system diseases over the past decade. Materials and methods. During the study, the databases of the State Labor Inspectorate in the Republic of Bashkortostan for 2014-2018 were studied, including accident investigation reports, information on a special assessment of working conditions, medical examinations, forensic medical examinations, and other materials. Results. The leading cause of sudden death in the workplace in more than 90% of cases were circulatory system diseases (CSD). The maximum number of cases of sudden death from CSD was recorded in the age group of 56-60 years. Working condit ions represented the overwhelming majority of the deceased - 82.8%. In 13.7% of cases, they were drivers of transport. The vast majority of deaths occurred in the morning (from 6 to 12) and daytime (from 12 to 18). The working conditions of workers from deceased CSD in most cases (59.8%) corresponded to the permissible class (class 2); under harmful conditions (subclass 3.1-3.3), 24.9% worked. Most often, some form of acute coronary heart disease (CHD) was mentioned as the immediate cause of death (64.0%). Among acute forms of coronary heart disease in medical documents, in more than 50% of cases, code I 24.8 “Other forms of acute coronary heart disease” was established. “Acute myocardial infarction” was verified in 11.1% of patients and was the leading cause of death in men. In the group “Cerebrovascular Diseases,” “Intracerebral hemorrhage” was most often diagnosed. Conclusion. The obtained results substantiate the need to develop measures to prevent sudden death in the workplace, aimed primarily at preventing the development, progression, and early diagnosis of diseases of the circulatory system.
Introduction. Over the past decade, in Russia and abroad, there has been a clear trend towards an increase in cases of sudden death in the workplace from the disease of the circulatory system. Material and methods. During the study, there were studied the databases of the State Labor Inspectorate in the Republic of Bashkortostan in 2014-2018, including accident investigation reports, information on a special assessment of working conditions, medical examinations, forensic medical examinations and other materials. Results. Diseases of the circulatory system (DSC) were the main cause of sudden death in the workplace in more than 90% of cases. The maximum number of cases of sudden due to DSC was recorded in the age group of 56-60 years. The overwhelming majority of the deceased cases were represented by working occupations - 82.8%, drivers of transport were in 13.7% of cases. The vast majority of deaths occurred in the morning (from 6 to 12) and daytime (from 12 to 18) hours. The working conditions of deceased DCS workers in most cases (59.8%) corresponded to the permissible class (class 2); under harmful conditions (subclass 3.1 - 3.3) 24.9% cases worked. Most often, some form of acute coronary heart disease (CHD) was mentioned as the immediate cause of death (64.0%). Among acute forms of coronary heart disease in medical documents in more than 50% of cases the code I 24.8 “Other forms of acute coronary heart disease” was established. “Acute myocardial infarction” was verified in 11.1% of cases and was the main cause of death in men. In the group “Cerebrovascular Diseases”, “Intracerebral hemorrhage” was most often diagnosed. Conclusion. The obtained results substantiate the need to develop measures to prevent sudden death in the workplace, aimed primarily at preventing the development, progression and early diagnosis of DSC.
Introduction. Over the past decade, in Russia and abroad, there has been a clear trend towards an increase in cases of sudden death in the workplace from the disease of the circulatory system. Material and methods. During the study, there were studied the databases of the State Labor Inspectorate in the Republic of Bashkortostan in 2014-2018, including accident investigation reports, information on a special assessment of working conditions, medical examinations, forensic medical examinations and other materials. Results. Diseases of the circulatory system (DSC) were the main cause of sudden death in the workplace in more than 90% of cases. The maximum number of cases of sudden due to DSC was recorded in the age group of 56-60 years. The overwhelming majority of the deceased cases were represented by working occupations - 82.8%, drivers of transport were in 13.7% of cases. The vast majority of deaths occurred in the morning (from 6 to 12) and daytime (from 12 to 18) hours. The working conditions of deceased DCS workers in most cases (59.8%) corresponded to the permissible class (class 2); under harmful conditions (subclass 3.1 - 3.3) 24.9% cases worked. Most often, some form of acute coronary heart disease (CHD) was mentioned as the immediate cause of death (64.0%). Among acute forms of coronary heart disease in medical documents in more than 50% of cases the code I 24.8 “Other forms of acute coronary heart disease” was established. “Acute myocardial infarction” was verified in 11.1% of cases and was the main cause of death in men. In the group “Cerebrovascular Diseases”, “Intracerebral hemorrhage” was most often diagnosed. Conclusion. The obtained results substantiate the need to develop measures to prevent sudden death in the workplace, aimed primarily at preventing the development, progression and early diagnosis of DSC.
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