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


OBJECTIVE
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, 4,020 (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.
Hofmann
Jonathan
J
Department of Epidemiology, Box 357236, University of Washington, Seattle, 98195-7236, USA. hofmann@u.washington.edu
Snyder
Karen
K
Keifer
Matthew
M
D000058:Accidental Falls / Q000706:statistics & numerical data; D000062:Accidents, Occupational / Q000706:statistics & numerical data*; D000328:Adult; D000383:Agriculture / Q000706:statistics & numerical data*; D005260:Female; D005638:Fruit; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D014861:Washington / Q000453:epidemiology; D014942:Workers' Compensation / Q000706:statistics & numerical data*