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NORA Construction Sector Strategic Goals

Goal 10.0: Improve understanding of how construction industry organization factors relate to injury and illness outcomes; and increase the sharing and use of industry-wide practices, policies, and partnerships that improve safety and health performance.

Intermediate Goal 10.3: Study and improve the effect of various workers compensation arrangements and mechanisms on construction injury and illness at the system level.

Research Goals
Research Goal Number Goal Description Status
10.3.1 Identify and evaluate Workers’ Compensation insurers’ practices for reducing fatalities and serious (i.e., compensable) injuries and illnesses at the single employer level. For example, how much of an incentive does the workers compensation system present for injury reduction? Are “Experience Modification Ratings” effective for small and large employers? Are workers compensation services and incentives effective for addressing musculoskeletal disorders or health outcomes? Do workers’ compensation systems provide incentives that result in shifting injury costs to the health care system or workers (through underreporting) thus decreasing the preventive impact on jobsite safety and health?
10.3.2 Identify and evaluate Workers’ Compensation insurers’ project-wide safety and health practices, such as Owner Controlled Insurance Programs (OCIPs) and Contractor Controlled Insurance Programs (CCIPs) in improving coordination and performance at the multiple-employer level.
10.3.3 Identify and evaluate small contractors’ beliefs and attitudes concerning WC incentives for preventing fatalities, injuries and illnesses. Collaborate with 2-3 WC insurers to pilot injury and prevention incentive programs for small contractors. For example, how effective are economic incentives such as end of year rate rebates for good experience records or discounts for safety program features in improving safety? Do companies who share profits with employees have “built in” incentives for safe practice?

r2p Goals
r2p Goal Number Goal Description Status
10.3.4 Develop model Workers’ Compensation insurers’ ‘best practices’. Combine with information from the three previous intermediate goals into a white paper and disseminate to insurance companies, state authorities, and other construction stakeholders.
Page last updated:April 24, 2013
Page last reviewed:May 23, 2011
Content Source: National Institute for Occupational Safety and Health (NIOSH) Office of the Director


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construction worker, crane, architect