Injuries and Illness

State Requirements: Do They Really Reduce Injuries and Illness?

As proof of the success of injury and illness prevention programs, OSHA cites the experiences of eight states that either require a program or provide incentives through workers’ comp programs.

Alaska. Five years after the state implemented an injury and illness program requirement, the net decrease in injuries and illnesses (i.e., the statewide reduction in injuries and illnesses over and above the national decrease during the same time period) was 17.4 percent.

California. Five years after the state implemented an injury and illness program requirement, California had a net decrease in injuries and illnesses of 19 percent.

Colorado. This state has a program that allows firms to adopt basic injury and illness prevention program components in return for a workers’ compensation premium reduction. The cumulative annual reduction in accidents was 23 percent and the cumulative reduction in accident costs was between 58 and 62 percent.

Hawaii. After implementing an injury and illness program requirement, the state experienced a net reduction in injuries and illnesses of 20.7 percent.


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Massachusetts. The state’s workers’ compensation program gives companies premium credit for enrolling in a loss management program. In the first year of this program, participating firms had a 20.8 percent improvement in their loss ratios.

North Dakota. Under the state’s workers’ compensation program, employers get a 5 percent discount on annual workers’ comp premiums. These risk management programs contain many of the elements of an injury and illness prevention program. They resulted in a cumulative decline for serious injuries of 38 percent over a 4-year period.

Texas. The state identified the most hazardous workplaces, and those employers were required to develop and implement injury and illness prevention programs. The reduction in injuries, over a 4-year period averaged 63 percent each year.

Washington. Five years after the state implemented an injury and illness program requirement, the net decrease in injuries and illnesses was 9.4 percent


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