Article Text

Download PDFPDF
Evaluation of a nationally funded state-based programme to reduce fatal occupational injuries
  1. Cammie Chaumont Menendez1,
  2. Dawn Castillo1,
  3. Kenneth Rosenman2,
  4. Robert Harrison3,
  5. Scott Hendricks1
  1. 1Division of Safety Research, National Institute for Occupational Safety and Health, Morgantown, West Virginia, USA
  2. 2Occupational and Environmental Medicine, Department of Medicine, Michigan State University, East Lansing, Michigan, USA
  3. 3California Department of Public Health, Richmond, California, USA
  1. Correspondence to Dr Cammie Chaumont Menendez, National Institute for Occupational Safety and Health, Division of Safety Research, Morgantown, WV 26505, USA; cmenendez{at}


Background The Fatality Assessment and Control Evaluation (FACE) programme was established by the National Institute for Occupational Safety and Health to help prevent occupational traumatic fatalities by funding states to conduct targeted fatality investigations within cause-specific focus areas and associated prevention efforts.

Purpose To investigate the impact of the state-based FACE programme on two previous focus areas.

Methods A longitudinal time-series analysis spanning 22 years compared state fatality rates for occupational falls and electrocutions before and after FACE programme funding with states not receiving FACE programme funding. Lag periods were utilised to allow time for the programme to have an effect, and rates were adjusted for a variety of covariates. Separate analyses were conducted for each injury outcome.

Results A reduction in fall fatality rates that was of borderline significance (1-year lag adjRR=0.92 (0.84 to 1.00)) and a non-significant reduction in electrocution fatality rates (3-year lag adjRR=0.92 (0.82 to 1.03)) were observed in states with FACE programme funding, Best-fit models presented two separate lag periods.

Conclusions While it is challenging to quantitatively evaluate effectiveness of programmes such as FACE, the data suggest the FACE programme may be effective in preventing occupational injury deaths within its outcome focus areas throughout the state. It is important to look for ways to measure intermediate effects more precisely, as well as ways to maintain effects over time.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.