title: Development of the St. Louis audit of fall risks at residential construction sites.
abstract: We describe the development and pilot testing of the St. Louis Assessment of Fall Risks, a worksite audit to assess fall prevention safety practices on residential construction sites. Surveillance data and feedback from carpenters and safety instructors regarding work tasks associated with falls from heights were used to develop the audit instrument. The audit focuses on the framing process, including general safety climate/housekeeping, floor joist/sub-floor installation, walking surfaces/edges, wall openings, truss setting, roof sheathing, ladders, scaffolds, and personal fall arrest equipment. The audit was tested at sixteen residential construction sites, documenting excellent inter-rater reliability (kappa = 0.93). Results suggest that the audit has good face and content validity and is a reliable instrument for measuring fall safety risks at residential construction sites. It is practical, easy, and safe to administer, making it a potentially useful instrument for field research as well as regular safety monitoring by foremen and crew.
authors.affiliation: Program in Occupational Therapy, Washington University School of Medicine, Campus Box 8505, St. Louis, MO 63108, USA. kaskutasv@wustl.edu
authors.forename: Vicki K
authors.initials: VK
authors.lastname: Kaskutas
authors.forename: Ann M
authors.initials: AM
authors.lastname: Dale
authors.forename: Hester J
authors.initials: HJ
authors.lastname: Lipscomb
authors.forename: Bradley A
authors.initials: BA
authors.lastname: Evanoff
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000062:Accidents, Occupational / Q000517:prevention & control*; D005160:Facility Design and Construction; D006798:Housing; D006801:Humans; D008923:Missouri; D016272:Occupational Health; D010865:Pilot Projects; D011482:Protective Devices / Q000706:statistics & numerical data; D015203:Reproducibility of Results; D012306:Risk; D018570:Risk Assessment / Q000379:methods*; D017132:Workplace