title: Health and safety protection for chemical industry employees in a rotating shift system: program design and acute injury and illness experience at work.
abstract: OBJECTIVE
  To describe a comprehensive health protection program for rotating shift employees and evaluate the program effectiveness in injury and illness prevention.
  
  
  METHODS
  For 14,128 shift and 17,218 day wage employees, occupational medical records were linked to job assignment records and studied over an 11-year period.
  
  
  RESULTS
  Between 1995 and 2005, initiatives directed to shift employees contributed to their 59% and 100% greater participation in medical examinations and health seminar days, respectively, compared to day wage employees. Injury rates declined over time and with increasing employee age and were not elevated among rotating shift compared to day wage employees. Clinic visit rates for acute illnesses were generally higher for day than shift work employees.
  
  
  CONCLUSIONS
  Coupling of active medical monitoring with additional health and safety initiatives appears to mitigate the expected adverse physiological and psychosocial stresses of shift work.
authors.affiliation: Occupational Medical and Health Protection Department, BASF Societas Europaea, Ludwigshafen, Germany.
authors.forename: M Gerald
authors.initials: MG
authors.lastname: Ott
authors.forename: Christoph
authors.initials: C
authors.lastname: Oberlinner
authors.forename: Stefan
authors.initials: S
authors.lastname: Lang
authors.forename: Gerhard
authors.initials: G
authors.lastname: Hoffmann
authors.forename: Michael
authors.initials: M
authors.lastname: Nasterlack
authors.forename: Rolf-Peter
authors.initials: RP
authors.lastname: Pluto
authors.forename: Bernd
authors.initials: B
authors.lastname: Trauth
authors.forename: Peter
authors.initials: P
authors.lastname: Messerer
authors.forename: Andreas
authors.initials: A
authors.lastname: Zober
mesh_terms: D000062:Accidents, Occupational / Q000517:prevention & control*; D000293:Adolescent; D000328:Adult; D002617:Chemical Industry; D002940:Circadian Rhythm; D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000517:prevention & control*; D016012:Poisson Distribution; D016730:Program Development; D016016:Proportional Hazards Models; D012307:Risk Factors; D017751:Safety Management; D014940:Work Schedule Tolerance