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1.
Agriculture remains one of the most hazardous industries in the U.S., with tractor overturns producing the greatest number of agricultural machinery-related fatalities. Rollover protective structures (ROPS) and seatbelts effectively reduce tractor overturn deaths. However, a large proportion of tractors in use in American agriculture are older tractors without ROPS and seatbelts. This article describes the tractor-related responses from participants in a population-based study conducted in Keokuk County, Iowa. This study was designed to measure rural and agricultural adverse health and injury outcomes and their respective risk factors. Questionnaires were partially developed from well-documented national surveys. Questions about agricultural machinery use, presence of safety equipment on the machinery, work practices, and attitudes about farm safety were included. Study participants on farms who owned tractors had an average of 3.1 tractors with an average age of 27 years. Only 39% of the 665 tractors had ROPS. Tractor age was associated with the presence of ROPS; 84% of tractors manufactured after 1984 were ROPS-equipped, whereas only 3% of tractors manufactured before 1960 were ROPS-equipped. ROPS-equipped tractors were significantly more common on larger farms and households with higher income. Only 4% of the farmers reported that their tractors had seatbelts and they wore them when operating their tractors. The results of this study support the findings of other studies, which indicate that many older tractors without ROPS and seatbelts remain in use in American agriculture. Until a dramatic reduction in the number of tractors in the U.S. operated without ROPS and seatbelts is achieved, the annual incidence of 120 to 130 deaths associated with tractor overturns will persist.  相似文献   

2.
The purpose of this part of the study is to assess the costs and benefits of either installing rollover protective structures (ROPS) on tractors lacking ROPS and for which ROPS are available or replacing the tractors with newer ROPS-equipped ones, relative to doing nothing. The methods used are cost-effectiveness and cost-benefit analyses. The cost-effectiveness analysis shows that compared to the "do nothing" strategy, the "install ROPS" strategy would cost $489,373 per injury averted and the "replace tractor" strategy would cost $14.3 million per injury averted over a 23-year period. The cost-benefit analysis shows that compared to the "do nothing" strategy, the "install ROPS" strategy would save society $1.5 billion while the "replace tractor" strategy would cost society $18.7 billion. While both the "install ROPS" and the "replace tractor" strategies are effective at saving lives and preventing injuries, this study has concluded that the preferred strategy in terms of cost-effectiveness is to "install ROPS" on tractors lacking them and for which ROPS are available.  相似文献   

3.
This is the second of three articles that evaluate the consequences of using rollover protective structures (ROPS) on agricultural tractors. It presents the results of a decision analysis that compares three strategies for preventing injuries when agricultural tractors without ROPS overturn. The three strategies examined are "do nothing", "install ROPS", and "replace tractor". The strategies are implemented over a five-year period and health outcomes expressed as fatal and nonfatal injuries are calculated over a 23-year period. The "do nothing" strategy would result in 1,450 fatalities and 1,806 nonfatal injuries, while the "install ROPS" strategy would prevent 1,176 fatalities and 957 nonfatal injuries, and the "replace tractor" strategy would prevent 1,188 fatalities and 967 nonfatal injuries. The latter two strategies reflect more than an 80% reduction in fatalities and about 53% reduction in nonfatal injuries. The study does not consider overturn injuries that result from tractors lacking ROPS and for which ROPS are unavailable.  相似文献   

4.
Cost-effective rollover protective structures (CROPS) are less costly model-specific rollover protective structure (ROPS) retrofits that are being developed and evaluated with the hope of increasing adoption and eventually preventing or mitigating injuries due to tractor overturns. A dynamic cohort of the estimated retrofittable non-ROPS tractors (accounting for attrition due to aging) was tracked over a 20-year period to determine the expected costs, as well as the expected number of fatal and non-fatal injuries resulting from tractor overturns. Two alternatives were tracked: No-ROPS and Install-CROPS. For a starting cohort size of 1,065,164 (an estimate for the year 2004), the Install-CROPS option prevented an estimated total of 878 (192 fatal and 686 non-fatal) injuries over the 20-year period. Expected costs were $513 million (cost of installing CROPS on all the non-ROPS tractors plus cost of the associated injuries) and $284 million (cost of injuries resulting from the No-ROPS option) over the same time period. Thus, the net cost per injury prevented was $260,820. When the cost of intervention ($1000 for purchasing, shipping, and installation of existing ROPS retrofit) was used in the analysis, the cost-effectiveness ratio was $927,000 per injury prevented over the 20-year period. Thus, installing CROPS instead of existing ROPS retrofits improved the cost-effectiveness ratio substantially, with a 72% reduction in the net cost per injury prevented.  相似文献   

5.
A community educational campaign implemented in two Kentucky counties was effective in influencing farmers to retrofit their tractors with rollover protective structures (ROPS) to protect tractor operators from injury in the event of an overturn. This article reports on the cost-effectiveness of this program in the two counties when compared to no program in a control county. A decision analysis indicated that it would be effective at averting 0.27 fatal and 1.53 nonfatal injuries over a 20-year period, and when this analysis was extended statewide, 7.0 fatal and 40 nonfatal injuries would be averted in Kentucky. Over the 20-year period, the cost-per-injury averted was calculated to be $172,657 at a 4% annual discount rate. This cost compared favorably with a national cost of $489,373 per injury averted despite the additional program cost in Kentucky. The principle reason for the increased cost-effectiveness of the Kentucky program was the three-fold higher propensity for tractors to overturn in Kentucky. The cost-per-injury averted in one of the two counties was $112,535. This lower cost was attributed principally to incentive awards financed locally for farmers to retrofit their tractors with ROPS.  相似文献   

6.
Agriculture is one of the most hazardous industries in Finland. The aim of this study was to describe and analyze fatal farm injuries in Finland in 1988 to 2000. The information regarding farm-related fatalities was collected by the Kuopio Regional Institute of Occupational Health. The material of this study consisted of all fatal injuries that occurred on a farm or away from a farm in the course of agricultural work. A total of 217 farm-related fatalities occurred in Finland between 1988 and 2000. Of these, 120 were tractor-related, and 97 were other fatal farm injuries. Most of the injuries involved middle-aged or older male farmers. The most typical fatalities with tractors were tractor overturns during driving on a road or working in a field. Other fatal farm incidents occurred mainly in construction work, animal husbandry, or forest work. Elderly farmers and children proved to be risk groups for fatal injuries.  相似文献   

7.
Studies and statistical data on safety issues related to farm tractors and machinery are very limited in developing countries, including Turkey. This study was carried out to investigate tractor-related incidents in the Hatay province, located in the mid-south of Turkey. A questionnaire was conducted with 107 tractor operators using face-to-face interviews. Data were evaluated according to the incident type, machinery involved, and mechanism of injury or fatality. A total of 101 incidents were reported by 77 of the 107 respondents. Most of the incidents were due to tractor rollovers (65.4%), 14.8% of the incidents were due to entanglement of body parts in moving machinery, and 12.9% involved crashing into other vehicles or obstacles. The leading cause of the incidents was personal mistakes (60.4%). Fatalities resulted from 25.7% of the incidents, while 45.5% of the incidents caused non-fatal injuries. Only 5.6% of the tractors had a ROPS-enclosed cab. The percentage of ROPS-equipped tractors was 19.6%, while 41.3% of the tractors had a shade cover and 33.6% had no protective structure. Only one of the respondents used a seatbelt, although 44.9% of them stated that seatbelts should be used. It was also found that only 13.5% of the operators had training in work safety, while 95.1% stated that incidents might be reduced if people were trained. Development of appropriate policies and training programs are needed for safer operation of agricultural machinery to reduce injuries and fatalities due to farm accidents.  相似文献   

8.
Agricultural tractors are the most common source of farm work fatalities in the U.S., with overturns the most common type of incident. For the year 2001, there were 15 tractor-related fatalities in Pennsylvania, 9 of which were due to tractor rollover. A new device using low-cost sensors and microcomputers was developed around a simplified mathematical model of an agricultural tractor to inform the operator of potential tractor instability. This device communicates the current rollover potential, along with a recent history of rollover potential, to the operator of the tractor via a simple bar-graph display. The device uses a single-chip accelerometer to sense the current rollover potential and a small microprocessor to analyze the accelerometer data, compensate for variations due to temperature, and then send this information to a visual display. The use of these low-cost "off the shelf" components enabled the fabrication of a very inexpensive sensor system. Because agricultural tractors have a long service life, it was important to make the device low cost and flexible. This could enable it to be sold as an aftermarket add-on for a variety of tractor models. The device is also capable of interfacing with newer on-board tractor systems via a CAN bus to make it more attractive to tractor manufacturers who may want to incorporate this device into new models. Work is continuing on the development of an improved display to inform the tractor operator of possible instability, including display ergonomic studies, investigation of threshold levels for alerting an operator of potential instability, and investigation into audible warning signals.  相似文献   

9.
In 2002, the Kentucky Farm Tractor Overturn Survey was administered, in which 6,063 randomly selected farm operators responded to questions that addressed the presence and use of seatbelts in the event of a tractor overturn. Data were analyzed to determine the proportion of seatbelt presence and use on tractors that overturned differentiated by whether they were equipped or not equipped with a rollover protective structure (ROPS). In 537 overturns reported for which the ROPS status was known, 92 involved ROPS-equipped tractors, of which 60 had a functioning seatbelt, and 19 operators of these tractors used the seatbelt that was present during the overturn. However, of the 445 overturns of non-ROPS tractors, eight had a functioning seatbelt, and three of these operators wore the seatbelt. Two of the three operators that wore seatbelts on non-ROPS tractors suffered a permanent disability. In contrast, of the 19 operators who wore a seatbelt on ROPS-equipped tractors, 18 experienced no or minor injuries, and one required outpatient care. Seatbelts are known to save lives but are a secondary safety device to ROPS, for ROPS alone saves lives and is a necessary pre-condition for seatbelt presence and use.  相似文献   

10.
Tractor overturns are the leading cause of all tractor- and machinery-related fatalities in the agricultural industry. A rollover protective structure (ROPS) on a tractor is the most effective mechanism for protecting a tractor operator's life during a tractor overturn incident. Unfortunately, about half of all tractors presently in operation in the U.S. do not have a ROPS. Retrofitting such tractors with ROPS could result in an as much as a 99% reduction in fatalities associated with tractor overturns. The overall aim of this study was to determine the level of financial incentive required to motivate the maximum number of farmers to install ROPS on non-ROPS equipped tractors and thus affect the greatest level of change within the farming community. This was done by offering a range of subsidy levels by percentage and not by specific dollar amounts to a random sampling of New York farms. A secondary goal was to find any hidden problems associated with retrofitting. Study results showed that cost was not the only factor affecting farmers' reluctance to retrofit. A perceived and actual "hassle factor" was found to be endemic to the retrofitting process and a significant obstacle to farmers' willingness to retrofit, no matter the level of financial subsidy.  相似文献   

11.
Rollover protective structures (ROPS) are an effective engineering control known to prevent tractor overturn deaths, the leading cause of occupational fatalities for farmers and farm workers in the U.S. However, the use of ROPS is known to vary greatly from farm to farm. A national sample of 11,458 farm operators from the 2004 Occupational Injury Surveillance of Production Agriculture (OISPA) survey was used to assess the association between the prevalence of ROPS and ten farm operator and farm demographic variables using logistic regression. The variable were: operator's age, operator's sex, operator's education, farm sales, full- or part-time farming, acreage, type of operation, number of hired workers, number of injuries, and region. All ten variables were found to have significant associations with the prevalence of non-ROPS tractors on farms in the univariate logistic regressions. For the multivariate model, all variables except for the sex of the farm operator remained significant. Farms with less than three adult injuries, no hired workers, less than 300 acres in size, a Midwest location, and a primary farm type of tobacco, fruit and nuts, dairy, or poultry and eggs all had adjusted odds ratios of 2 or greater. Increasing the prevalence of ROPS-equipped tractors is essential for reducing the leading cause of death on farms, tractor overturns. Economic factors play a major role in the prevalence and distribution of non-ROPS tractors on farms. The identified associations can be used to effectively target areas of the U.S. for ROPS promotion activities.  相似文献   

12.
Tractor overturns contribute significantly to fatalities in New York State agriculture. On-site inspections a decade ago indicated that approximately 60% of tractors were without effective rollover protection. Our objectives were: to describe the current prevalence and distribution of rollover protective structures (ROPS) on New York farm tractors, to identify characteristics associated with the absence of ROPS, to explore segmenting the New York farm community on readiness for ROPS retrofitting, and to identify demographic characteristics that might assist in this segmenting. A random selection of 644 livestock, dairy, fruit, cash crop, vegetable, and organic farms were contacted for a telephone survey. Of 562 farms (87%) participating, 102 (18.1%) had all tractors equipped with ROPS and 138 (24.6%) had none. A disproportionate number of livestock, cash crop, and organic operations had no ROPS. Rates of ROPS-equipped tractors correlated directly with farm size and annual hours of tractor operation. Older farmers had a lower proportion of ROPS tractors. The presence of a child operator did not affect the proportion of ROPS tractors. After weighting the sample, the total number of non-ROPS tractors in New York is estimated at more than 80,000. In addition to providing key farm demographics, the survey enabled placement of farmers on a "stage of change" continuum related to readiness for retrofitting. Three-quarters of New York farmers are in the "precontemplation" stage of change relative to ROPS retrofitting, and this varies little by size of operation, age of farmer, or the presence of child tractor operators. Stage of change may relate to hours of tractor operation (p = 0.05) and does relate to commodity (p = 0.003) due primarily to the higher proportion of crop farmers in the earliest stage of change. The goal of retrofitting all New York farm tractors with ROPS appears nearly as daunting as it did a decade ago.  相似文献   

13.
The agricultural tractor was the principal source of fatal injury on American farms for the latter part of the 20th century, and they maintain that distinction today. Much has been learned about the toll of these fatalities and how to prevent them over the last ten years, yet public policy has generally been unsuccessful in reducing this toll. A policy conference entitled Tractor Risk Abatement and Control convened in 1997 to develop recommendations to reduce this death toll. Several stakeholders at the conference agreed on 25 action items, which if implemented would reduce the number of tractor-related deaths by more than 2,000 by the year 2015. These recommendations relate to tractor overturns, runovers, and traffic collisions as well as youth operators. This article addresses the completeness of a strategy for preventing tractor-related injuries for each of these four areas based upon an evaluation model derived from the Theory of Planned Behavior and an antecedent model. The ultimate result of this model is to influence an individual's intention to act to prevent injury. The set of recommendations was found to provide a coherent strategy. In addition, implementing the strategy at an organizational level is discussed.  相似文献   

14.
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15.
A survey of farms in Washington State was conducted to determine tractor characteristics and the presence of rollover protective structures (ROPS) in a state with more inclusive rules on tractor retrofitting than federal regulations. A total of 544 valid surveys were completed from a proportional random sample across different types of farms. Responders indicated that 58% of tractors overall were equipped with ROPS, and 42% of the tractors without ROPS were exempt from the state rules. Seatbelts on tractors equipped with ROPS were reportedly used "sometimes" or more 30% of the time, and 17% of these tractors had no seatbelt installed. Tractors used for row crop farming were significantly more likely to be equipped with ROPS than those used for tree, vine, or hops farming. Older tractors were used for fewer hours, were less likely to be ROPS-equipped, and were less likely to be operated while wearing a seatbelt. The results were consistent with a positive effect of the Washington State ROPS requirements, demonstrated by the increased percentage of ROPS-equipped pre-1976 tractors, as compared to other states, and by the difference between ROPS-equipped tractors in exempt and non-exempt types of farming. The results point to the need for prevention activities to increase seatbelt use on ROPS-equipped tractors, and for further development of practical protection for tractors operating under overhead obstacles.  相似文献   

16.
According to a 2004 National Institute for Occupational Safety and Health (NIOSH) report, approximately 250 to 350 fatalities occur each year due to incidents involving production agriculture workers and tractors. Tractor overturns account for about 150 to 200 of these deaths. The goals of this project were to study operators' understanding of tractor roll angles and test a device to effectively deliver stability information to the tractor operator. This project required the design and construction of a full-scale tractor cab roll simulator that was used to identify lateral roll angles at which volunteer participants felt uncomfortable, as well as lateral roll angles at which they would no longer operate a tractor. In addition, the participants performed a series of tasks to test the functionality of a visual slope indicator that was designed to help them estimate slope angles. The project tested 231 tractor operators' perceptions of safe operation on side slopes and 128 participants' interactions with the visual slope indicator. Testing showed that the visual slope indicator was able to influence the angle estimations of the novice tractor operator population and helped the entire population of participants more accurately rank the simulator scenarios.  相似文献   

17.
This is the first of three articles that evaluate the health and economic consequences of the use of rollover protective structures (ROPS) on agricultural tractors. The effectiveness of ROPS delivered through alternative intervention strategies is the subject of the three-part study. This part of the study reviews and assesses the evolution of interventions that are known to prevent injuries incurred as a result of tractor overturns. The method used is historical analysis framed against a prevention effectiveness model used by the U.S. Centers for Disease Control and Prevention. Two intervention strategies were found to be potentially effective in preventing injuries from tractor overturns. These strategies are either to install a ROPS on tractors that lack a ROPS or to replace the tractor with one that has a ROPS already mounted. Other prevention factors include the effectiveness and use of seatbelts and the integrity of the ROPS system during an overturn.  相似文献   

18.
The National Coalition for Agricultural Safety and Health (NCASH) in 1988 addressed issues in agriculture and noted "a sense of urgency... arose from the recognition of the unabating epidemic of traumatic death and injury in American farming . . ." This article provides an update to the NCASH conference on traumatic injuries in agriculture, a history on how the facts and figures were arrived at for the NCASH conference, and a current report on the status of traumatic injuries in agriculture in the U.S. Fatal and nonfatal injuries are addressed along with national and regional surveillance systems. The Census of Fatal Occupational Injuries (CFOI) was used for reporting national agricultural production fatal injuries from 1992-1998 (25.8 deaths per 100,000 workers), the Traumatic Injury Surveillance of Farmers (TISF) 1993-1995 was used to report nonfatal injuries occurring nationally (7.5/100 workers), and Regional Rural Injury Studies I and II (RRIS-I and RRIS-II) were used to illustrate a regional approach along with in-depth, specific analyses. Fatality rates, which showed some decline in the 1980s, were fairly constant during the 1990s. Changes in nonfatal injury rates for this sector could not be assessed due to a lack of benchmark data. The main concerns identified in the 1989 NCASH report continue today: tractors are the leading cause of farm-related death due mostly to overturns; older farmers continue to be at the highest risk for farm fatalities; and traumatic injuries continue to be a major concern for youth living or working on U.S. farms. Fatal and nonfatal traumatic injuries associated with agricultural production are a major public health problem that needs to be addressed through comprehensive approaches that include further delineation of the problem, particularly in children and older adults, and identification of specific risk factors through analytic efforts. Continued development of relevant surveillance systems and implementation of appropriate interventions are the primary challenges for the current decade.  相似文献   

19.
Tractor overturns contribute significantly to the number of work-related deaths that occur every year on U.S. farms. Although the agriculture, forestry, and fishing industries have the highest fatality rates of any industries, researchers predict that the elimination of tractor overturn fatalities could result in a noticeable reduction in the farm fatality rate. Rollover protection structures (ROPS) are 99% effective in preventing overturn fatalities. However, roughly 50% of U.S. tractors do not have a ROPS. In order to identify prominent barriers and motivators to installing ROPS, a phone survey was conducted with a random sample of farmers (n = 327) in Vermont and Pennsylvania, two states interested in developing ROPS installation programs. Results indicated that cost and perceived need were the most frequently highly rated barriers to ROPS installation in both states, while working near hills or ditches and concerns regarding liability were the most frequently highly rated motivators for installing ROPS. Additionally, older farmers identified limited use of a tractor as a highly rated barrier.  相似文献   

20.
Cost-effective rollover protective structures (CROPS) are tractor model-specific rollover protective structures (ROPS) that are as effective as existing ROPS retrofits (passed standardized structural static testing such as SAE J2194), but less costly (less than one-half the cost of existing ROPS retrofits). This study estimated the expected effects and costs at a per-tractor level for two options: No-CROPS and Install-CROPS. Expected injuries per tractor were 0.00169 with no CROPS and 0.00016 with CROPS installed, resulting in 0.00153 injuries prevented per tractor over a 20-year period. Expected costs were $457 and $248 with and without CROPS, respectively, over the same time period, giving the cost per injury prevented as $136,601. Comprehensive sensitivity analyses indicated that the probability of an overturn is one of the most important variables. When the cost of intervention ($1,000 for purchasing, shipping, and installation of ROPS retrofit) is used in the analysis, the cost-effectiveness ratio is $497,000 per injury prevented over the 20-year period. Thus, installing CROPS instead of existing ROPS retrofits improved the cost-effectiveness ratio substantially, with a 73% reduction in the net cost per injury prevented.  相似文献   

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