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Occupational Medicine Advance Access published online on April 20, 2006
Occupational Medicine, doi:10.1093/occmed/kql018
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© The Author 2006. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Article

A descriptive study of workers' compensation claims in Washington State orchards

Jonathan Hofmann 1 *, Karen Snyder 2, and Matthew Keifer 2

1 Department of Epidemiology, Box 357236, University of Washington, Seattle, WA 98195-7236, USA
2 Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, WA 98195-7234, USA

* To whom correspondence should be addressed.
Jonathan Hofmann, E-mail: hofmann{at}u.washington.edu


  Abstract

Background Previous studies have reported high rates of occupational injury and illness among workers in the tree fruit industry. However, many common and preventable risk factors and conditions in orchards have not been investigated.

Aims To identify and rank risk conditions leading to workers' compensation claims among orchard workers with respect to frequency, severity and cost.

Methods State Fund workers' compensation claims between 1996 and 2001 for orchard workers in the main tree fruit growing region of Washington were reviewed and categorized according to cause of injury. Descriptive analyses were performed to characterize claims by cause of injury.

Results Of the 13 068 claims in the dataset, 4020 (31%) were determined to be ladder-related injuries. Ladder-related claims accounted for nearly half (48%) of all ‘compensable’ claims (e.g. claims involving time loss, disability or ‘loss of earning power’ in addition to medical expenses). Claims related to ladders were not only the most frequent but also the most expensive collectively in terms of medical aid, time loss and other costs. On a per-claim basis, ladder-related injuries were among the most severe and costly reported injuries. Other common causes of injury among claims were branches and vegetation, structure and material and ground-related injuries.

Conclusions There is a strong and compelling need to develop interventions to reduce the number of ladder-related injuries in orchards.

Keywords: Accidents; occupational; agriculture; industrial insurance; ladder injuries; orchards; tree fruit industry; Washington/epidermiology; workers compensation.
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