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Homicide Alert--DHHS (NIOSH) Publication No.
93-109
Request for Assistance in...
Preventing Homicide in the Workplace
NIOSH ALERT: May 1995
DHHS (NIOSH) Publication No. 93-109
93-109sum.pdf
(Worker/Employer Summary Sheet Only) (213
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View
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WARNING!Workers in certain industries and
occupations are at increased risk of homicide.
The National Institute for Occupational Safety and Health
(NIOSH) requests assistance in preventing homicide in the workplace.
From 1980 to 1989, homicide was the third leading cause of death from
injury in the workplace, according to data from the National Traumatic
Occupational Fatalities (NTOF) Surveillance System [NIOSH 1993].
Occupational homicides accounted for approximately 7,600 deaths during
this period--or 12% of all deaths from injury in the workplace. Only
motor vehicles and machines accounted for more occupational deaths from
injury.
The purposes of this Alert are to:
identify high-risk occupations and workplaces,
inform employers and workers about their risk,
encourage employers and workers to evaluate risk factors in their
workplaces and implement protective measures, and
encourage researchers to gather more detailed information about
occupational homicide and to develop and evaluate protective measures.
NIOSH requests that the information in this Alert be brought to the
attention of workers and employers by the following: editors of
appropriate trade journals, safety and health officials, labor
organizations, members of the academic and public health communities,
law enforcement agencies, advocacy groups, and insurance companies.
NUMBER AND CHARACTERISTICS OF VICTIMS
Number of Victims
During the period 1980-89, nearly 7,600 U.S. workers were victims of
homicide in the workplace. Homicide was the leading cause of
occupational death from injury for women, and the third leading cause
for all workers. The actual number of occupational homicides is higher
than reported in this Alert because methods for collecting and reporting
death certificate data tend to underestimate the total number of deaths
[NIOSH 1993]. NTOF data indicate that for the period 1980-89, the
average annual rate of occupational homicide was 0.7/100,000 workers
[Castillo and Jenkins 1993]. (See Jenkins et al. [1992] for an overview
of work-related homicides based on NTOF data for the years 1980-88.)
Although data are not available to quantify nonfatal assaults in the
United States, such intentional injuries to workers occur much more
frequently than occupational homicides. Efforts to prevent occupational
homicide may also reduce the number of nonfatal assaults.
of Victims
Of the 7,600 homicide victims during the period 1980-89, 80% were
male. The homicide rate for male workers was three times that for
female workers (1.0/100,000 compared with 0.3/100,000). Nonetheless,
homicide was the leading cause of death from occupational injury among
women, causing 41% of all such deaths among women compared with 10%
among men. (See Bell [1991] for an analysis of NTOF data on
occupational homicides among women.)
Age of Victims
Nearly half of the occupational homicides occurred among workers
aged 25 to 44, but workers aged 65 and older had the highest rate of
occupational homicide (2.0/100,000).
Race of Victims
During the period 1980-89, 75% of occupational homicide victims were
white, 19% were black, and 6% were other races. However, the rate of
occupational homicide among black workers (1.4/100,000) and other races
(1.6/100,000) was more than twice the rate for white workers
(0.6/100,000).
Weapons Used
Guns were used in 75% of all occupational homicides from 1980 to
1989. Knives and other types of cutting and piercing instruments
accounted for only 14% of these deaths during this period.
HIGH-RISK WORKPLACES AND OCCUPATIONS
Among workplaces, retail trades had the highest number of
occupational homicides (2,787) during the period 1980-89, and services
had the second highest number (1,275). These two workplaces accounted
for 54% of all occupational homicides during this period. Three
workplaces had homicide rates that were at least double the average
annual rate (0.7/100,000) for the United States: retail trades, public
administration, and transportation/communication/public utilities.
Workplaces with the highest rates of occupational homicide were
taxicab establishments, liquor stores, gas stations,
detective/protective services, justice/public order establishments
(including courts, police protection establishments, legal counsel and
prosecution establishments, correctional institutions, and fire
protection establishments), grocery stores, jewelry stores,
hotels/motels, and eating/drinking places (see Table 1). Taxicab
establishments had the highest rate of occupational homicide--nearly 40
times the national average and more than three times the rate of liquor
stores, which had the next highest rate.
Table 1. Workplaces with the highest rates of occupational homicide, 1980-89
Workplaces and SIC* codes Number of Homicides Rate
Taxicab establishments (412) 287 26.9
Liquor stores (592) 115 8.0
Gas stations (554) 304 5.6
Detective/protective services (7381, 7382) 152 5.0
Justice/public order establishments (92) 640 3.4
Grocery stores (541) 806 3.2
Jewelry stores (5944) 56 3.2
Hotels/motels (701) 153 1.5
Eating/drinking places (58) 734 1.5
*Standard Industrial Classification. Workplaces were classified according to
the Standard Industrial Classification Manual, 1987 [OMB 1987].
Number per 100,000 workers per year.
The occupation with the highest rate of occupational homicide was
taxicab driver/chauffeur, with a rate 21 times the national average.
Other high-risk occupations were law enforcement officers (police
officers/sheriffs), hotel clerks, gas station workers, security guards,
stock handlers/baggers, store owners/managers, and bartenders (see Table
2).
Table 2. Occupations with the highest rates of occupational homicide, 1980-89
Occupations and BOC* codes Number of Homicides Rate
Taxicab drivers/chauffers (809) 289 15.1
Law enforcment officers
(police officers/sheriffs) (418, 423) 520 9.3
Hotel clerks (317) 40 5.1
Gas station workers (885) 164 4.5
Security guards (426) 253 3.6
Stock handlers/baggers (877) 260 3.1
Store owners/managers (243) 1065 2.8
Bartenders (434) 84 2.1
*Bureau of Census. Occupations were classified according to the 1980 Census
of the Population: Alphabetic Index of Industries and Occupations [U.S.
Department of Commerce 1982].
Number per 100,000 workers per year.
CIRCUMSTANCES OF HOMICIDE IN THE WORKPLACE
Information on death certificates does not allow identification of
the circumstances of homicide in the workplace. However, the types of
high-risk workplaces and occupations identified suggest that robbery is
a predominant motive. In addition, some homicides are caused by
disgruntled workers and clients or by domestic violence that spills into
the workplace.
CURRENT OSHA REGULATIONS
The Occupational Safety and Health Administration (OSHA) has no
specific regulations for preventing occupational homicide. However, the
OSHA General Duty Clause [29 USC 1900 5(a)(1)] requires employers to
provide a safe and healthful working environment for all workers covered
by the Occupational Safety and Health Act of 1970.
POSSIBLE RISK FACTORS AND PREVENTIVE MEASURES
Risk Factors
Researchers have suggested a number of factors that may increase the
risk of homicide in the workplace [Kraus 1987; Davis 1987; Davis et al.
1987; Castillo and Jenkins 1993]. The following are examples of these
factors:
Exchange of money with the public
Working alone or in small numbers
Working late night or early morning hours
Working in high-crime areas
Guarding valuable property or possessions
Working in community settings (e.g., taxicab drivers and police)
Preventive Measures
Immediate preventive measures are needed to reduce the large number
of occupational homicides each year. Although the preventive measures
presented in this Alert have not been widely tested, they may provide
some protection to workers until research studies can be conducted to
evaluate their effectiveness.
A number of environmental and behavioral measures have been proposed
for reducing occupational homicides in high-risk establishments and
occupations [Chapman 1986; Crow and Erickson 1989; NYCPD 1990; State of
Florida 1991]. These measures include the following:
Make high-risk areas visible to more people.
Install good external lighting.
Use drop safes to minimize cash on hand.
Carry small amounts of cash.
Post signs stating that limited cash is on hand.
Install silent alarms.
Install surveillance cameras.
Increase the number of staff on duty.
Provide training in conflict resolution and nonviolent response.
Avoid resistance during a robbery.
Provide bullet-proof barriers or en closures.
Have police check on workers routinely.
Close establishments during high-risk hours (late at night and
early in the morning).
CONCLUSIONS
Occupational homicide is a serious public health problem, but many
employers and workers may be unaware of the risk. No current OSHA
regulations apply specifically to occupational homicide, but a great
need exists for worker protection from intentional injury in the
workplace.
High-risk workplaces include taxicab establishments, liquor stores,
gas stations, detective/protective services, justice/public order
establishments, grocery stores, jewelry stores, hotels/motels, and
eating/drinking places. High-risk occupations are taxicab
drivers/chauffeurs, law enforcement officers (police officers/sheriffs),
hotel clerks, gas station workers, security guards, stock
handlers/baggers, store owners/managers, and bartenders. Employers in
these high-risk establishments and occupations need to be aware of the
risk for homicide and take steps to ensure a safe workplace.
RECOMMENDATIONS
NIOSH recommends that the following steps be taken to prevent
occupational homicides:
1. Employers and workers should immediately develop and
implement prevention strategies on the basis of available information.
They should
evaluate the factors or situations in the workplace that might
place workers at risk, and
carefully consider intervention efforts that might minimize or
remove the risk.
Employers and workers may be able to apply some of the preventive
measures described in this Alert; they may also identify other
preventive measures specific to their workplaces.
2. Researchers should thoroughly evaluate existing or proposed
prevention strategies. Few in-depth studies have been conducted to
evaluate preventive measures, but such evaluation is critical to
homicide prevention efforts [NIOSH 1992].
3. Researchers should further investigate occupational
homicide. Research should be conducted on the specific factors
associated with occupational homicides. Such research is essential for
the development of prevention strategies.
4. Researchers should address the role of guns in occupational
homicides. Because of the frequent use of guns in occupational
homicides, research should be conducted to:
investigate the circumstances surrounding the use of guns in
homicides,
evaluate the effectiveness of methods for protecting workers from
assaults involving guns, and
evaluate the impact that existing and proposed gun-control
regulations might have on protecting workers from occupational homicide.
ACKNOWLEDGMENTS
The principal contributor to this Alert was Dawn N. Castillo,
Division of Safety Research, NIOSH. Comments, questions, or requests
for additional information should be directed to Dr. Thomas R. Bender,
Director, Division of Safety Research, National Institute for
Occupational Safety and Health, 944 Chestnut Ridge Road, Morgantown, WV
26505-2888; telephone, (304) 284-5700.
We greatly appreciate your assistance in protecting the lives of
U.S. workers.
Richard A. Lemen, Ph.D. Acting Director, National Institute for
Occupational Safety and Health Centers for
Disease Control and Prevention
REFERENCES
Bell CA [1991]. Female homicides in United States workplaces,
1980-1985. Am J Public Health 81(6):729-732.
Castillo DN, Jenkins EL [1993]. Industries and occupations at high
risk for work-related homicides. J Occup Med (in press).
Chapman SG [1986]. Cops, killers and staying alive: the murder of
police officers in America. Springfield, IL: Charles C. Thomas.
Crow WJ, Erickson R [1989]. The store safety issue: facts for the
future. Alexandria, VA: National Association of Convenience Stores.
Davis H [1987]. Workplace homicides of Texas males. Am J Public
Health 77(10):1290-1293.
Davis H, Honchar PA, Suarez L [1987]. Fatal occupational injuries
of women, Texas 1975-84. Am J Public Health 77(12):1524-1527.
Jenkins EL, Layne LA, Kisner SM [1992]. Homicide in the workplace:
the U.S. experience, 1980-1988. Am Assoc Occup Health Nurses J
40(5):215-218.
Kraus JF [1987]. Homicide while at work: persons, industries, and
occupations at high risk. Am J Public Health 77(10):1285-1289.
NYCPD [1990]. Safety tips for the taxi driver and the for-hire
vehicle driver. New York, NY: New York City Police Department.
NIOSH [1992]. Homicide in U.S. workplaces: a strategy for
prevention and research. Morgantown, WV: U.S. Department of Health and
Human Services, Public Health Service, Centers for Disease Control,
National Institute for Occupational Safety and Health, DHHS (NIOSH)
Publication No. 92-103.
NIOSH [1993]. Fatal Injuries to workers in the United States,
1980-1989: a decade of surveillance; national profile. Cincinnati,
OH: U.S. Department of Health and Human Services, Public Health
Service, Centers for Disease Control and Prevention, National Institute
for Occupational Safety and Health, DHHS (NIOSH) Publication No. 93-108.
OMB [1987]. Standard industrial classification manual, 1987.
Washington, DC: Executive Office of the President, Office of Management
and Budget, NTIS No. PB 87-100012.
State of Florida [1991]. Study of safety and security requirements
for "at-risk businesses." Tallahassee, FL: Office of the Attorney
General.
U.S. Department of Commerce [1982]. 1980 Census of population:
alphabetical index of industries and occupations. Final ed.
Washington, DC: U.S. Department of Commerce, Bureau of the Census,
PHC80-R3.
Homicide Alert--DHHS (NIOSH) Publication No. 93-109
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