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Report to the Ranking Minority Member, Committee on Health, Education, 
Labor, and Pensions,

U.S. Senate:

United States Government Accountability Office:

GAO:

January 2005:

Workplace Safety and Health:

Safety in the Meat and Poultry Industry, while Improving, Could Be 
Further Strengthened:

GAO-05-96:

GAO Highlights:

Highlights of GAO-05-96, a report to the Ranking Minority Member, 
Committee on Health, Education, Labor and Pensions, U.S. Senate: 

Why GAO Did This Study:

Because meatpacking is one of the most dangerous industries in the 
United States, we were asked to provide the Congress with information 
on the characteristics of workers in the meat and poultry industry and 
the conditions in which they work, the types of injuries and illnesses 
these workers incur, how injury and illness rates have changed over the 
past decade, and factors that may have affected these rates. We were 
also asked to determine what is known about the effectiveness of the 
Occupational Safety and Health Administration’s (OSHA) efforts to 
improve safety and health in the meat and poultry industries.

What GAO Found:

The largest proportions of workers in the meat and poultry industry, 
according to the Bureau of Labor Statistics (BLS), are young, male, 
and/or Hispanic. Although the majority of workers are citizens, an 
estimated 26 percent of them are foreign-born noncitizens. They work in 
hazardous conditions involving loud noise, sharp tools, and dangerous 
machinery. Many workers must stand for long periods of time wielding 
knives and hooks to slaughter or process meat on a production line that 
moves very quickly. Workers responsible for cleaning the plant must use 
strong chemicals and hot pressurized water.

While, according to BLS, injuries and illnesses have declined over the 
past decade, the meat and poultry industry still has one of the highest 
rates of injury and illness of any industry. The most common injuries 
are cuts, strains, cumulative trauma, and injuries sustained from 
falls, but more serious injuries, such as fractures and amputation, 
also occur. According to BLS, the injury and illness rate for the 
industry has declined from an estimated 29.5 injuries and illnesses per 
100 full-time workers in 1992 to 14.7 in 2001. Injury and illness rates 
can be affected by many factors, such as the amount and quality of 
training, employee turnover rates, increased mechanization, and the 
speed of the production line.

Some evidence suggests that OSHA’s efforts have had a positive impact 
on the injury and illness rates of workers in meat and poultry plants. 
However, while the criteria OSHA uses to select plants for inspection-
which focus on plants with relatively high injury and illness rates-are 
reasonable, OSHA could improve its selection process by also 
considering trends in plants’ injury and illness rates over time. In 
addition, it is difficult to assess the effectiveness of OSHA’s efforts 
because the agency does not assign a unique identifier to each plant, 
making it hard to compare the data it collects on specific plants’ 
injury and illness rates with the information the agency collects on 
the results of its plant inspections and other programs. 

Production Line at a Meatpacking Plant: 

[See PDF for image]

[End of figure]

What GAO Recommends:

To strengthen its efforts to improve worker safety and health in meat 
and poultry plants, GAO recommends that OSHA, among other things, 
consider adjusting its criteria for selecting plants for inspection and 
audits to include those that have had large reductions in their injury 
and illness rates over time, and changing the way it collects data on 
plants in order to make it easier to measure the impact of its 
programs.

OSHA provided GAO with written comments on a draft of this report, 
emphasizing its commitment to addressing the health and safety hazards 
facing meat and poultry workers. It generally agreed with the report’s 
findings and recommendations.

www.gao.gov/cgi-bin/getrpt?GAO-05-96.

To view the full product, including the scope and methodology, click on 
the link above.,For more information, contact Bob Robertson at (202) 
512-9889 or robertsonr@gao.gov.

[End of section]

Contents:

Letter:

Results in Brief:

Background:

Meat and Poultry Workers Tend to Be Young, Male, and/or Hispanic, and 
Face Hazardous Working Conditions:

Meat and Poultry Workers Are Injured in a Variety of Ways, and Their 
Injury and Illness Rates, though Declining, Remain among the Highest of 
Any Industry:

While OSHA's Programs May Have Improved the Safety and Health of Meat 
and Poultry Workers, Programmatic Weaknesses Make Determining 
Effectiveness Difficult:

Conclusions:

Recommendations for Executive Action:

Agency Comments:

Appendix I: Scope and Methodology:

Appendix II: Interviews with Cleaning and Sanitation Companies:

Appendix III: OSHA's Study on Its Impact Using Establishment-Specific 
Targeting of Interventions:

Appendix IV: Comments from the Occupational Safety and Health 
Administration:

Appendix V: Comments from the U.S. Department of Agriculture:

Appendix VI: Comments from the U.S. Department of Health and Human 
Services:

Appendix VII: Comments from the Bureau of Labor Statistics:

Appendix VIII: GAO Contacts and Staff Acknowledgments:

GAO Contacts:

Staff Acknowledgments:

Tables:

Table 1: Types of Potentially Hazardous Working Conditions in Meat and 
Poultry Plants:

Table 2: OSHA Inspections in the Meat and Poultry Industry, 1995 to 
2004:

Table 3: Survey Sample Sizes, Disposition, and Response Rates:

Figures:

Figure 1: Location of U.S. Meat and Poultry Plants, September 2004:

Figure 2: Production Line at a Poultry Plant:

Figure 3: Workers in the Meat and Poultry Industry, by Race, 2003:

Figure 4: Location of U.S. Meat and Poultry Plants with More than 500 
Employees, September 2004:

Figure 5: Nature of Injuries Sustained by Meat and Poultry Workers and 
Parts of the Body Affected:

Figure 6: Safety and Other Equipment Worn by Meat and Poultry 
Production Workers:

Figure 7: Trends in Injury and Illness Rates in the Meat and Poultry 
Industry, Compared with Trends in All U.S. Manufacturing, 1992 to 2001:

Abbreviations:

BLS: Bureau of Labor Statistics:

CPS: Current Population Survey:

HHS: U.S. Department of Health and Human Services:

NIOSH: National Institute of Occupational Safety and Health:

OSHA: Occupational Safety and Health Administration:

SST: site-specific targeting:

USDA: U.S. Department of Agriculture:

United States Government Accountability Office:

Washington, DC 20548:

January 12, 2005:

The Honorable Edward M. Kennedy: 
Ranking Minority Member:
Committee on Health, Education, Labor, and Pensions: 
United States Senate:

Dear Senator Kennedy:

According to data collected by the U.S. Department of Labor's Bureau of 
Labor Statistics (BLS), in 2003, an estimated 527,000 workers were 
employed in the animal slaughtering and processing industry.[Footnote 
1] According to the U.S. Department of Agriculture (USDA), in 2004 
there were about 5,700 meatpacking and processing plants in the United 
States. The modern meatpacking and processing plant is a complex and 
highly organized structure, developed for the streamlined slaughter and 
progressive disassembly of animals. The industry includes plants in 
which animals are slaughtered and cut into pieces, with some facilities 
also cooking and packaging the meat for consumption, as well as plants 
in which meat products, such as sausage and ham, are produced by adding 
ingredients to the meat. The meat processed includes red meat such as 
beef, veal, pork, and lamb, and poultry such as chicken and turkey.

Because meatpacking is one of the most dangerous industries in the 
United States, you asked us to (1) describe the characteristics of 
workers in meat and poultry slaughter and processing plants and the 
conditions in which they work; (2) identify the types of injuries and 
illnesses workers in meat and poultry slaughter and processing plants 
incur, how the injury and illness rates have changed over the past 
decade, and the factors that may affect these rates; and (3) determine 
what is known about the effectiveness of the Occupational Safety and 
Health Administration's (OSHA) efforts to improve safety and health at 
meat and poultry slaughter and processing plants.

To respond to your request, we reviewed literature on the industry and 
interviewed officials from OSHA and other federal agencies, such as 
USDA and the Centers for Disease Control and Prevention's National 
Institute for Occupational Safety and Health (NIOSH) within the 
Department of Health and Human Services (HHS), as well as individuals 
from contract cleaning and sanitation companies, unions, advocacy 
groups, and key trade associations. We obtained and analyzed:

* data on worker demographics from BLS's Current Population Survey 
(CPS),

* data on workplace injuries and illnesses from BLS's Survey of 
Occupational Injuries and Illnesses,

* data on fatalities from BLS's Census of Fatal Occupational Injuries,

* data from OSHA's inspections database (the Integrated Management 
Information System),

* worksite-specific injury and illness data that OSHA uses to target 
specific worksites for inspection (the OSHA Data Initiative),

* data on the number and location of meat and poultry plants from 
USDA's Performance Based Inspection System, and:

* lists of plants that participate in OSHA's cooperative 
programs.[Footnote 2]

In addition, we visited six meat and poultry plants and two OSHA area 
offices and interviewed inspectors at four additional area offices, 
selected because the offices had performed the most inspections of meat 
and poultry plants. Finally, we conducted a survey of meat and poultry 
plants to obtain data on their workers, factors that affect their 
injury and illness rates, plants' efforts to improve safety and health, 
and plants' interactions with OSHA.[Footnote 3] See appendix I for 
detailed information on the scope and methodology for our work. We 
performed our work in accordance with generally accepted government 
auditing standards between January 2004 and September 2004.

Results in Brief:

According to CPS data, in 2003, the largest proportions of workers in 
the meat and poultry industry tended to be young (43 percent under age 
35), male (65 percent), and/or Hispanic (42 percent), with meat and 
poultry workers in general laboring in hazardous conditions involving 
loud noise, sharp tools, and dangerous machinery. Although the data 
show that the majority of workers were citizens, a large proportion, an 
estimated 26 percent, were foreign-born noncitizens. Generally, meat 
and poultry workers are employed in larger plants located in the South 
and Midwest and earn a median salary of about $21,320 per year, much 
less than the typical pay for workers in all manufacturing industries 
of about $33,500 per year. The type of work performed and the plant 
environment expose workers to many hazards. The work is physically 
demanding, repetitive, and often requires working in extreme 
temperatures--such as in refrigeration units that range from below zero 
to 40 degrees Fahrenheit--and plants often have high turnover rates. 
Workers often stand for long periods of time on production lines that 
move very quickly, wielding knives or other cutting instruments used to 
trim or remove portions of the carcasses. Conditions at the plant can 
also be loud, wet, dark, and slippery. Workers responsible for cleaning 
the plant must use strong chemicals and hot pressurized water to clean 
inside and around dangerous machinery, and may experience impaired 
visibility because of steam.

Meat and poultry workers sustain a range of injuries, including cuts, 
burns, and repetitive stress injuries, and while, according to BLS, 
injuries and illnesses in the meat and poultry industry declined from 
29.5 injuries and illnesses per 100 full-time workers in 1992 to 14.7 
in 2001, the rate was among the highest of any industry. Similarly, 
though not comparable with these data because of recent changes in 
OSHA's record-keeping requirements, statistics for 2002 indicate that 
injury and illness rates in the meat and poultry industry remain high 
in relation to those of other industries. While the most common 
injuries are cuts, strains, cumulative trauma caused by repetitive 
cutting motions, and injuries sustained from falls, more serious 
injuries, such as fractures and amputation, also occur. For example, 
according to OSHA data, a worker died when he attempted to replace his 
knife in the scabbard hanging from his belt, missed the opening, and 
pushed the knife into his leg, severing his femoral artery. In 
addition, some workers become ill because of exposure to chemicals, 
blood, and fecal matter, which can be exacerbated by poor ventilation 
and extreme temperatures. Because of the many hazards inherent in meat 
and poultry plants and the type of work performed, the dramatic decline 
in the industry's injury and illness rates has raised a question about 
the validity of the data on which these rates are based. Several 
factors can affect the rates of injury and illness, such as an emphasis 
on safety by employers or employees, the amount and quality of 
training, employee turnover rates, and the speed of the production 
line. However, the degree to which these factors affect injury and 
illness rates is difficult to assess. Some experts believe, for 
example, that faster line speeds increase workers' risk of injury. OSHA 
officials told us that while they believed that slowing the speed of 
the production line could help reduce the number of injuries to 
workers, they do not have the data on the effect of line speed on 
worker safety needed to question, in general terms, the process of 
setting line speed or to assess the appropriate speed at which the 
lines should operate.

Though certain weaknesses complicate assessments of OSHA's efforts to 
improve safety and health at meat and poultry plants, some evidence 
suggests that the agency's efforts have had a positive impact on the 
injury and illness rates of workers in this industry. For example, in 
2003, OSHA conducted inspections of almost 200 meat and poultry plants 
that, according to the agency and some plant officials we interviewed, 
resulted in many safety and health improvements. Similarly, some 
evidence suggests that OSHA's cooperative programs have had a positive 
impact on the safety and health of workers. For example, a program 
initiated by OSHA's Omaha Area Office, in which it partnered with 
several meatpacking plants in the state to share best safety practices, 
has, according to OSHA, improved worker safety and health in plants in 
Nebraska. The agency has not, however, implemented similar programs in 
other areas with large concentrations of meatpacking plants or extended 
the program to poultry plants. In addition, the criteria OSHA uses to 
select plants for inspection, while reasonable, may not trigger 
inspection of some at-risk plants. Currently, OSHA's selection criteria 
target worksites in industries with high rates of injury and illness. 
OSHA also selects a small number of worksites with low injury and 
illness rates for inspection in order to ensure that they are not 
underreporting injuries and illnesses, and randomly selects worksites 
from high-hazard industries for audits that verify their injury and 
illness rates. However, because OSHA's selection criteria do not 
require the agency to examine trends in plants' injury and illness 
rates over time--and the agency does not attempt to examine these 
trends--OSHA may not detect dramatic decreases in these rates that 
could raise questions as to the accuracy of the figures. Furthermore, 
the injury and illness data on which OSHA bases its selection of plants 
for inspection are incomplete, because they do not include injuries and 
illnesses incurred by cleaning and sanitation workers not employed 
directly by the plants. These workers are not classified by BLS as 
working in the meat and poultry industry, although they labor in the 
same plants and under working conditions that can be even more 
hazardous than those of production workers. Finally, because OSHA does 
not assign a unique identifier to each plant for which data are 
collected, it is difficult to assess the success of its efforts by 
comparing information about specific plants across its databases.

This report contains recommendations for strengthening OSHA's efforts 
to improve the safety and health of workers at meat and poultry 
slaughter and processing plants by, among other things, adjusting its 
criteria for selecting plants for inspection and audits to include 
those that have had large reductions in their injury and illness rates 
over time, and changing the way it collects data on plants in order to 
make it easier to measure the impact of its programs. The report also 
makes a recommendation jointly to OSHA and USDA and another to HHS. In 
their written comments on our report, OSHA, USDA, and HHS generally 
agreed with the report's findings, conclusions, and recommendations. 
BLS also provided us with written comments, suggesting several 
technical corrections that were incorporated throughout the report, as 
appropriate.

Background:

According to USDA, there were about 5,700 total meat and poultry plants 
in the United States as of September 2004.[Footnote 4] Most of these--
about 4,400--had fewer than 40 employees, and about half of them are 
even smaller, with fewer than 10 employees. Figure 1 shows the location 
of all meat and poultry plants, regardless of size, in the United 
States as of September 1, 2004.

Figure 1: Location of U.S. Meat and Poultry Plants, September 2004:

[See PDF for image]

[End of figure]

Over the past 25 years, the meat and poultry industry has consolidated, 
as today's leading firms built very large plants and some independent 
firms disappeared or were bought by larger firms. While many small 
plants remain, a few large companies have gained control of the lion's 
share of the market. Today, the top four meatpacking companies 
slaughter, process, and package about 80 percent of the beef cattle in 
the United States, and the top four pork producers control nearly 70 
percent of the market. The poultry industry is nearly as concentrated, 
with the top five companies maintaining a market share in excess of 50 
percent. Consolidation of the various meat industries occurred, in 
large part, because of innovations in technology and the relocation of 
plants near the source of livestock.

Industry consolidation has been accompanied by significant changes in 
the relations between organized labor and the management of meat and 
poultry plants. According to a report by USDA's Economic Research 
Service, in 1980, 46 percent of workers in the meat products industry 
were union members, a figure that had remained stable since the 
1970s.[Footnote 5] However, by the end of the 1980s, union membership 
had fallen to 21 percent. Declining rates of unionization coincided 
with increases in the use of immigrant workers, higher worker turnover, 
and reductions in wages. Immigrants make up large and growing shares of 
the workforces at many plants. Labor turnover in meat and poultry 
plants is quite high, and in some worksites can exceed 100 percent in a 
year as workers move to other employers or return to their native 
countries. The frequent movement of immigrant workers among plants and 
communities limits the opportunities of unions to organize meat and 
poultry workers.

Most of today's facilities are designed for an orderly flow from point 
of entry of the living animal into the plant to the finished food 
product. The animal enters the production facility and proceeds 
directly to the kill floor area, where slaughter occurs. The carcass is 
beheaded, eviscerated, and chilled for several hours. It is then taken 
to the cutting floor, where it is cut into smaller cuts of meat. The 
new processing methods--breaking down carcasses into small, vacuum-
packed portions of meat that can be shipped directly to supermarkets--
have transformed the work into an assembly line operation requiring 
workers to perform an increased number of repetitive motions.

While slaughterhouses have come to rely on greater mechanization over 
the last several decades, much of the work is still done by hand, 
particularly when animals vary in size, shape, and weight. The main 
slaughtering steps of evisceration and cutting are generally done by 
hand, using knives. Figure 2 shows a typical assembly line operation at 
a poultry plant.

Figure 2: Production Line at a Poultry Plant:

[See PDF for image]

[End of figure]

OSHA, established after the passage of the Occupational Safety and 
Health Act in 1970, is the federal agency within the Department of 
Labor responsible for protecting the safety and health of workers in 
meat and poultry plants.[Footnote 6] OSHA performs a number of 
functions, including establishing safety and health standards, 
conducting routine inspections, and conducting investigations in 
response to complaints from workers and incidents such as fatalities.

Regional administrators in each of OSHA's 10 regional offices oversee 
the enforcement of federal policies within their own regions. Each 
region is composed of area offices--of which there are 80 in total--
overseen by area directors. The area directors oversee compliance 
officers, who are responsible for conducting inspections and following 
up on complaints, and compliance assistance specialists, who provide 
assistance to organizations and employers that participate in OSHA's 
cooperative programs. Compliance assistance specialists also help 
employers correct hazards identified during inspections.

To determine which plants to inspect, OSHA relies on BLS data on 
injuries, illnesses, and fatalities by industry. BLS surveys a sample 
of employers annually (182,800 worksites were surveyed for 2002) and 
asks them to report information on the number of work-related injuries 
and illnesses that occur at their worksites. This information comes 
from injury and illness records that most private industry employers 
with more than 10 employees are required by OSHA to maintain. From this 
information, BLS calculates industry-level injury and illness rates. 
BLS also identifies fatalities from an annual census of all 50 states, 
the District of Columbia, and New York City, which report on all work-
related fatalities within their jurisdictions. BLS requires the 
reporting entities to corroborate reports of fatalities from multiple 
sources, such as death certificates, medical examiners' reports, media 
reports, and workers' compensation claims. BLS makes injury, illness, 
and fatality data available at the national, as well as at the state, 
level.

OSHA uses two approaches to ensure general employer compliance with 
federal safety and health laws and regulations--enforcement and 
cooperative programs. Enforcement, which represents the preponderance 
of agency activity, is carried out primarily by using compliance 
officers to inspect employer worksites. Worksites and employers that 
fail to meet federal safety and health standards face sanctions, such 
as paying penalties for violations of health and safety standards. 
OSHA's cooperative approach invites employers to collaborate with the 
agency through a number of different programs and uses a variety of 
incentives to encourage employers to reduce hazards and institute 
practices that foster safer and healthier working conditions.

OSHA's Enforcement Efforts:

OSHA selects worksites in selected industries for inspection through 
its site-specific targeting (SST) program and through national and 
local programs that focus on specific hazards. The SST program focuses 
on employers with more than 40 employees, who are required to record 
all injuries and illnesses on a log and make this information available 
to OSHA.[Footnote 7] Of the almost 40,000 inspections OSHA conducted in 
2003, about 2,000 were SST inspections, and about 25,000 were conducted 
through national and local emphasis programs.[Footnote 8] The agency 
also conducts inspections when fatalities or serious injuries occur and 
when workers file complaints about serious safety and health hazards. 
These inspections constitute nearly half of the total inspections OSHA 
conducts annually.

For its SST program, OSHA obtains specific information--such as 
employer names and addresses--for all worksites with 40 or more 
employees, approximately 140,000 worksites each year. OSHA then selects 
a portion of these worksites (approximately 80,000) in the industries 
with the highest injury and illness rates,[Footnote 9] and sends them a 
survey form that requires them to report (1) the average number of 
employees who worked for them during the previous calendar year, (2) 
the total hours the employees worked during the previous year, and (3) 
summary injury and illness data from their OSHA logs. From this 
information, OSHA computes the worksites' injury and illness rates and 
sends those with relatively high rates a letter informing them that 
they may be inspected. Finally, OSHA compiles SST inspection targeting 
lists containing the names of worksites with relatively high injury and 
illness rates for inspection[Footnote 10].

OSHA also has special emphasis programs that focus on a particular 
safety or health hazard or the hazards of a specific industry, selected 
by the agency's headquarters office for attention. While OSHA's 
headquarters provides direction to its area offices in implementing 
these national emphasis programs, the area offices have considerable 
flexibility in selecting actual worksites for attention. In addition, 
regional and area offices use regional and local emphasis programs to 
highlight industries or hazards within their jurisdictions that they 
believe are especially hazardous.

Because musculoskeletal disorders are prevalent in several industries-
-including the meat and poultry industry--but there is no specific 
standard that allows OSHA to cite employers for hazards relating to 
these injuries, the agency designed a four-pronged approach to address 
these injuries that focuses on industries and employers with known high 
injury and illness rates.[Footnote 11] The approach includes (1) 
developing industry or task-specific guidelines for a number of 
industries based on current incidence rates and available information 
about effective and feasible solutions; (2) conducting inspections for 
ergonomic hazards, issuing citations under the general duty clause of 
the Occupational Safety and Health Act,[Footnote 12] and issuing 
ergonomic hazard alert letters where appropriate; (3) providing 
assistance to businesses, particularly small businesses, and helping 
them to proactively address ergonomic issues in the workplace; and (4) 
chartering an advisory committee authorized to, among other things, 
identify gaps in research about the application of ergonomics and 
ergonomic principles in the workplace.

OSHA's Cooperative Programs:

OSHA's cooperative programs provide incentives to employers, such as 
free consultations, deferrals from SST inspections, and recognition for 
exemplary safety and health management systems, for making improvements 
to their safety and health management systems. OSHA has implemented 
these programs incrementally to reach different employers and worksites 
in various ways. OSHA has four primary programs: (1) the On-Site 
Consultation Program, (2) the Voluntary Protection Programs, (3) the 
Strategic Partnership Program, and (4) the Alliance Program.

The On-Site Consultation Program is a broad network of occupational 
safety and health services primarily funded by federal OSHA, but is 
delivered by the states. The service, which originated in 1974, focuses 
on helping small employers comply with OSHA and state occupational 
safety and health standards. The program assigns priority to companies 
in high-hazard industries and is offered free of charge to eligible 
employers.[Footnote 13] States provide consultation visits at 
employers' requests in order to identify safety and health hazards and 
discuss techniques for their abatement. Small employers receiving 
consultation services may qualify for recognition in the Safety and 
Health Achievement Recognition Program--part of the On-Site 
Consultation Program--which exempts them from SST inspections during 
the period that their certification is valid, either 1 or 2 years. 
Participants in this program, who are considered models for good safety 
and health practices in their field, must have, at a minimum, safety 
and health management systems in place to prevent and control 
occupational hazards, as well as illness and injury rates below the 
national average for their industry.

The Voluntary Protection Programs, established in 1982, recognize 
single worksites with exemplary safety and health management systems. 
In calendar year 2003, the average participating worksite had 
approximately 250 employees, and about 50 percent of the participating 
sites had 200 employees or less. To participate in this program, 
employers must have worksites that exceed OSHA standards and must 
commit to a process of continual improvement. After receipt of a site's 
application, OSHA conducts an onsite review of the site to verify the 
effectiveness of its safety and health management system.

The Strategic Partnership Program, established in 1998, was designed to 
address specific safety and health management systems in high-hazard 
workplaces by promoting collaboration between employers, employees, 
other affected organizations, and OSHA.[Footnote 14] Each partnership 
has a written agreement that outlines goals (such as the reduction of 
injuries), strategies, and measures, and identifies how the partners 
will work together to achieve their desired results. Partnerships may 
focus on specific hazards or industry issues, or may aim for broader 
impact through focus on safety and health management systems. OSHA 
verifies partner commitment and success in achieving goals, and while 
the program does not offer employers exemption from inspection, it 
offers other incentives, such as limiting SST inspections to only the 
most serious prevailing hazards and reducing penalties for hazards 
cited during inspections.

OSHA's Alliance Program targets trade, professional, and other types of 
organizations to work collaboratively with OSHA to promote workplace 
safety and health issues. In contrast to OSHA's other three cooperative 
programs, which typically include safety and health management systems 
at specific employer worksites, alliance agreements focus on goals such 
as training, outreach, and increasing awareness of workplace safety and 
health issues. Alliance participants and their members are not exempt 
from OSHA inspections and do not receive any enforcement-related 
incentives for being part of an organization participating in an 
alliance. Instead, OSHA officials informed us that trade and 
professional associations have used the program to address existing and 
emerging workplace safety and health issues, such as ergonomics.

In addition to these formal programs, OSHA conducts other compliance 
assistance activities, such as outreach and training activities, to aid 
employers in complying with OSHA standards and to educate employers on 
what constitutes a safe and healthy work environment.

Meat and Poultry Workers Tend to Be Young, Male, and/or Hispanic, and 
Face Hazardous Working Conditions:

The meat and poultry workforce tends to be young (43 percent under age 
35), male (65 percent), and/or Hispanic (42 percent). These 
characteristics are more pronounced in the meat and poultry industry 
than in the U.S. manufacturing sector overall. Meat and poultry workers 
typically earn substantially less than workers in the U.S. 
manufacturing sector as a whole. Most large plants are located in the 
Midwest and South, and workers in the industry often work in difficult 
and dangerous conditions.

Meat and Poultry Workers Are Predominantly Young, Male, and/or 
Hispanic, and Most Large Plants Are Located in the Midwest and South:

Workers in the meat and poultry industry tended to be younger than 
workers in the manufacturing sector as a whole, and almost all of the 
workers are employed on a full-time basis. According to CPS data, in 
2003, the median age of workers in the meat and poultry industry was 37 
years.[Footnote 15] About 43 percent of all meat and poultry workers 
were under age 35, compared with about 29 percent of all U.S. 
manufacturing workers.[Footnote 16] These workers also tend to be male. 
In 2003, men made up 65 percent of the workforce in the meat and 
poultry industry. In 2003, in this industry and in U.S. manufacturing 
overall, about 95 percent of the employees worked full-time.[Footnote 
17]

The racial composition of the meat and poultry workforce is 
disproportionately Hispanic. As shown in figure 3, according to the 
CPS, in 2003, about 42 percent of meat and poultry workers were 
Hispanic or Latino, 32 percent were white, and 20 percent were 
black.[Footnote 18] These figures compare with those for U.S. 
manufacturing as a whole, in 2003, where about 14 percent of the 
workforce was Hispanic, about 70 percent was white, and about 9 percent 
was black. Further, the percentage of Hispanic or Latino meat and 
poultry workers in 2003 reflects a 17 percent increase from 1994, when 
about 25 percent of meat and poultry workers were Hispanic or Latino. 
In addition, in 1994, a larger percentage of the meat and poultry 
workforce--46 percent--was white, and 25 percent was black.

Figure 3: Workers in the Meat and Poultry Industry, by Race, 2003:

[See PDF for image]

[End of figure]

Foreign-born noncitizens are more highly represented within the meat 
and poultry workforce than in manufacturing as a whole. A significant 
proportion--about 26 percent--of all workers in this industry are 
foreign-born noncitizens, compared with only about 10 percent of all 
manufacturing workers in the United States. An even larger percentage 
of the production and sanitation workers in the meat and poultry 
industry--38 percent--are foreign-born noncitizens.[Footnote 19] In 
1994, 28 percent of production and sanitation workers were foreign-born 
noncitizens.

In certain areas of the United States, a number of communities have 
concentrated groups of immigrant workers--including groups from regions 
such as Central America, Southeast Asia, and Eastern Europe--who are 
employed in the meat and poultry industry.[Footnote 20] In such areas, 
employees from these immigrant groups may make up a relatively large 
percentage of the workforce and population in and around meat and 
poultry plants. For example, in 2000, the population of one county in 
Kansas (which, according to USDA, was one of the largest meat-producing 
counties in the nation) was about 43 percent Hispanic, compared with 
only 7 percent of the population in the state. According to some 
industry officials, the increasingly fragmented nature of the tasks in 
slaughtering and processing has diminished the need for a skilled and 
more highly paid workforce, a fact that supports the industry's 
recruitment and employment of unskilled immigrant labor.

While plants are distributed throughout the United States, larger 
plants--those with more than 500 employees--tend to be concentrated in 
particular regions and produce the majority of the meat. Of these 
larger meat and poultry plants, about 87 percent are located in the 
South and the Midwest, 54 percent and 33 percent, respectively. Another 
9 percent are located in the West and 4 percent in the Northeast. 
Figure 4 shows plants with more than 500 employees.

Figure 4: Location of U.S. Meat and Poultry Plants with More than 500 
Employees, September 2004:

[See PDF for image]

[End of figure]

Meat and poultry workers tend to earn substantially less than 
manufacturing workers in general. In 2003, meat and poultry workers 
earned a median salary of about $21,320 per year, while manufacturing 
workers earned about $33,500 per year. In addition, the rate of 
employee turnover among meat and poultry workers can be high.[Footnote 
21] A plant official with whom we spoke indicated that some workers who 
are hired have no intention of staying for a long period of time and 
approach employment at meat and poultry plants as a temporary 
arrangement. According to some experts, high turnover may benefit 
plants because they save on some costs, such as health benefits and 
vacation pay, while others argue that high turnover is costly for 
plants because they must constantly recruit and train new employees.

Workers Face Several Hazardous Conditions in Meat and Poultry Slaughter 
and Processing Plants:

The work environment in meat and poultry plants can be risky because of 
the current procedures used in the industry. Meat and poultry plants 
present risks greater than those faced by workers in many other 
manufacturing operations. For example, production lines can require 
workers to stand close together while wielding tools necessary for 
cutting pieces of meat. Final product processing involves a number of 
packaging machines and conveyors that can present a wide range of 
safety risks to workers. Workers are also frequently handling or in 
close proximity to sources of infectious diseases, such as those 
carried by animal tissues and organs. Pathogens can infect workers from 
open abrasions or through inhalation. For example, hydrogen sulfide, 
methane, and carbon dioxide can be released from decomposing animal 
manure and waste. In addition, workers are exposed to many chemicals, 
including a range of gases, such as ammonia, and Freon. Table 1 
summarizes the hazardous working conditions in meat and poultry plants.

Table 1: Types of Potentially Hazardous Working Conditions in Meat and 
Poultry Plants:

Type of hazard: Animal; 
Description of hazard: Workers can be injured by animals when they are 
unloaded and brought into the plant. Incorrect stunning and 
slaughtering can result in unpredictable and violent reactions. The 
movement of carcasses weighing up to half a ton or more also poses a 
possible danger. Bodily fluids from carcasses, such as blood and fat, 
can make floors wet and slippery.

Type of hazard: Chemicals and pathogens; 
Description of hazard: Workers, especially cleanup crews, are exposed 
to a number of products that have strong chemicals, including 
disinfectants. In addition, workers are exposed to ammonia used for 
refrigeration. Workers may also be exposed to viruses, blood, fecal 
matter, and bacteria, such as Salmonella.

Type of hazard: Temperature; 
Description of hazard: Some workers are exposed to very hot 
temperatures, used to cook or cure meat. Workers are also exposed to 
very cold temperatures used to preserve meat and facilitate processing. 
Frozen meat and poultry products can require work in even colder 
temperatures. These problems are compounded by wet conditions and high 
humidity. Cleanup crews spray machinery, floors, and equipment with 
very hot water, causing steam that can burn workers and impair vision 
from fogged safety goggles.

Type of hazard: Machine and tool; 
Description of hazard: Many meat and poultry jobs still require the 
manual use of knives, particularly in meatpacking plants where animals 
vary widely in size and shape. Increasing mechanization, while reducing 
the number of workers exposed to injury on processing lines, can 
increase the type and severity of injuries by machines that cut, slice, 
saw, and grind. Large objects, such as forklifts, are also a hazard.

Type of hazard: Work stress; 
Description of hazard: Workers on some production lines perform 
identical motions for long periods of time. Increasing mechanization 
can permit faster line speeds, which in turn can further stress 
workers, who must keep up with mechanical equipment.

Type of hazard: Noise; 
Description of hazard: Some workers are exposed to loud machinery for 
prolonged periods. Earplugs are required and may reduce ability to 
communicate warnings.

Source: GAO analysis.

 [End of table]

Meat and Poultry Workers Are Injured in a Variety of Ways, and Their 
Injury and Illness Rates, though Declining, Remain among the Highest of 
Any Industry:

Meat and poultry workers suffer high rates of many types of injuries 
and illnesses, including those affecting the back, trunk, arms, 
fingers, and wrists. Although injury and illness rates have declined 
over the last decade, according to BLS, those in meat and poultry 
plants continue to be among the highest of any industry.

Workers Sustain Many Different Types of Injuries and Illnesses:

Workers in the meat and poultry industry, including contract cleanup 
and sanitation workers, can suffer a host of serious injuries and 
illnesses, most often musculoskeletal disorders. (See fig. 5 for an 
illustration of the types of injuries workers suffer.) Many of the 
injuries--such as those to the arms, hands, and wrists--are due to the 
repetitive motions associated with the meat production process, such as 
performing the same cutting motions over time, and can become 
crippling. For example, carpal tunnel syndrome, caused by repetitive 
motion or cumulative trauma, can severely damage a nerve running 
through the wrist.[Footnote 22]

Workers can also be cut by their own knives during the butchering and 
cutting processes. For example, according to an OSHA publication, one 
worker in a meatpacking plant was blinded when the knife he was using 
to pick up a ham prior to boning slipped out of the ham, striking him 
in the eye.[Footnote 23] The report also described an incident in which 
another worker's face was permanently disfigured when his knife slipped 
out of a piece of meat and struck his nose, upper lip, and chin. In 
another incident, according to OSHA, a worker who attempted to replace 
his knife in the scabbard hanging from his belt missed the opening and 
pushed the knife into his leg, severed his femoral artery, and died. In 
addition, workers can be cut by the knives wielded by coworkers. 
According to OSHA's report, these "neighbor cuts" are usually the 
direct result of overcrowded working conditions.

Other injuries that workers can experience include respiratory 
irritation and, in some instances, asphyxiation from exposure to 
pathogenic respiratory substances. For example, workers have died from 
being overcome by hydrogen sulfide gas and from drowning when they 
entered manure waste pits or unknowingly worked near manure waste 
"lagoons" without taking the proper precautions, such as conducting an 
air test and wearing a safety harness and respirator; such precautions 
are particularly critical when workers are in confined spaces. 
According to OSHA, one worker died from chemical exposure after being 
sprayed with 400 pounds of toxic liquid ammonia while attempting to fix 
a pipe.

Workers may also suffer injuries and illnesses from contact with 
animals. If the animals are still dying when they are hung on the line, 
they may struggle and thrash about wildly, resulting in injuries that 
range from broken arms to permanent disfigurement and--in the most 
severe cases--death. Contact with different bacteria can cause fever, 
headaches, vomiting, diarrhea, and kidney damage. In addition, 
illnesses that can be contracted from diseased animals continue to 
raise concerns. According to USDA officials, the transmission of 
disease from animals to humans in the meat and poultry industry is 
uncommon because of concerted efforts in the United States and abroad. 
However, recent outbreaks of bovine spongiform encephalopathy among 
cattle (commonly known as "mad cow disease") are related to incidences 
of a disease that affects humans, according to the Centers for Disease 
Control and Prevention. While beef consumption is recognized as a mode 
of infection, it is unknown whether this disease can be transmitted in 
other ways, such as exposure to waste or blood.

Workers can also suffer back injuries or other types of injuries from 
overexertion, including sprains, strains, tears, hernias, and fatigue. 
They can suffer injuries, and even death, from falling or being struck 
by an object. For example, workers have been killed by falling ice and 
forklift parts, and falls due in part to a lack of functioning safety 
devices. In one incident, an employee was killed when a rack of sausage 
fell from a manual overhead conveyor system and struck him.

Workers can be burned by heat sealant machines when they wrap meat. 
Workers may also sever fingers or hands or even lose limbs on machines 
that are either improperly locked or inadequately guarded. For example, 
in 2002, a sanitation worker at an Alabama plant lost both legs when 
another worker activated the meat grinder in which he was standing. In 
another incident, an employee dropped his knife into a meat grinder, 
reached in to retrieve it, and suffered the amputation of his arm. In 
yet another incident, an employee's fingers were amputated when they 
were caught in the mixing and blending machine he was operating.

Workers can be injured by falling on slippery floors and exposure to 
extreme heat or cold. Such cold temperatures can stress joints and 
exacerbate existing conditions such as arthritis and cardiovascular 
illnesses. As shown in figure 5, workers may sustain many types of 
injuries, and several different parts of the body may be affected.

Figure 5: Nature of Injuries Sustained by Meat and Poultry Workers and 
Parts of the Body Affected:

[See PDF for image]

[End of figure]

As shown in figure 6, workers in the meat and poultry industry 
typically wear several types of safety and other equipment in an effort 
to protect themselves from injury and illness.

Figure 6: Safety and Other Equipment Worn by Meat and Poultry 
Production Workers:

[See PDF for image]

[End of figure]

Injury and Illness Rates Have Declined but Remain among the Highest of 
Any Industry:

Injury and illness rates in the meat and poultry industry fell steadily 
from 1992 to 2001, according to BLS data (see fig. 7).[Footnote 24] The 
meat and poultry industry's annual rate of incidence of illness and 
injury in 2001, at an estimated 14.7 cases per 100 workers, was about 
half its 1992 rate of 29.5 cases.[Footnote 25] The incidence rate 
across all U.S. manufacturing dropped to about two-thirds of its former 
rate over the same period, from 12.5 cases to 8.1 cases per 100 full-
time workers.

Figure 7: Trends in Injury and Illness Rates in the Meat and Poultry 
Industry, Compared with Trends in All U.S. Manufacturing, 1992 to 2001:

[See PDF for image]

[End of figure]

Despite this decrease, injury and illness rates among meat and poultry 
plants remain among the highest of any industry. According to BLS data 
on injuries and illnesses, in 2002, meatpacking plants recorded an 
average annual injury and illness rate of 14.9 cases per 100 full-time 
workers; sausages and other prepared meats plants recorded a rate of 
10.9 cases; and poultry plants recorded a rate of 9.7 cases. The 
average annual injury and illness rate for all U.S. manufacturing was 
7.2 cases.

Within the meat and poultry industry, the incidence rate for specific 
injuries and illnesses, as reported by employers, dropped in recent 
years. According to BLS data on injuries and illnesses, for example, 
carpal tunnel injuries dropped from 24 cases per 10,000 workers in 1992 
to 6.8 cases in 2001; strains and sprains dropped from 189.4 cases to 
51.9 cases; tendonitis dropped from 23.6 cases to 3.5 cases; cuts and 
punctures dropped from 76.2 cases to 17.9 cases; chemical burns dropped 
from 9.6 cases to 4.4 cases; and amputations dropped from 5.3 cases to 
3.2 cases.

Compared with workers in all U.S. manufacturing industries, meat and 
poultry workers sustain a higher rate of certain injuries, such as 
chemical burns, amputations, heat burns, tendonitis, and carpal tunnel 
syndrome. In 2002, meatpacking workers suffered more of these types of 
injuries, but relatively fewer sprains and strains and fractures. The 
rate of injuries and illnesses involving repetitive motion in the meat 
and poultry industry at 22.2 cases per 10,000 full-time workers was one 
and a half times greater than the rate of 14.7 for all U.S. 
manufacturing in 2002.

A number of injuries sustained by meat and poultry workers are fatal; 
according to BLS fatality data, from 1992 to 2002, 229 workers died 
from their injuries. Of the 229 worker deaths, almost one-quarter 
occurred off plant property, rather than during production, in 
transportation accidents. The deaths that occurred in plants over this 
period included 60 that were caused by contact with objects and 
equipment (37 of these by being caught in or compressed by equipment or 
objects, including running machinery); 25 by falling; 35 from exposure 
to harmful substances; 4 from fires and explosions; and 22 from 
assaults and violent acts, including homicides.[Footnote 26]

BLS's data on injuries and illnesses, however, may not accurately 
reflect plants' incidences of injury and illness. OSHA, researchers, 
and union officials have all stated that the underreporting of injuries 
and illnesses is a problem in the meat and poultry industry. In the 
late 1980s, after observing what appeared to be underreporting of 
worker injuries, OSHA's offices in region 7 focused their attention on 
the meatpacking industry.[Footnote 27] Beginning with an exhaustive 
review and reconstruction of a large Nebraska meatpacker's records, 
OSHA documented dozens of cases of underreporting and assessed the 
company more than $2.5 million in penalties. Because of OSHA's findings 
during this inspection and others like it, Congress held hearings on 
the underreporting of occupational injuries from March to September 
1987.[Footnote 28] In 1987, after a National Academy of Sciences review 
of the methods BLS used to collect employers' injury and illness data 
highlighted several deficiencies, and in response to the congressional 
hearings, BLS began a multi-year effort to redesign and test an 
improved safety and health statistical system for collecting these 
data, which was fully implemented in 1992.[Footnote 29] However, the 
accuracy of employers' occupational injury and illness data remains a 
concern. OSHA conducted a series of record-keeping inspections of meat 
and poultry plants in region 7 throughout the late 1980s and 1990s. As 
a result of these inspections, several plants were assessed penalties 
for record-keeping violations, including five plants that were assessed 
penalties ranging from $290,000 to $998,360. OSHA continues to find 
some measure of underreporting of employers' injury and illness 
information through the agency's record-keeping audits each year.

In addition, we reported in 1998 that the U.S. Immigration and 
Naturalization Service (now the Citizenship and Immigration Services) 
had often found illegal aliens employed in meatpacking plants; one 
agency official estimated that up to 25 percent of workers in 
meatpacking plants in Nebraska and Iowa were illegal aliens. As 
recently as March 2004, as the result of an internal audit, one large 
meatpacking company found 350 undocumented workers employed in one of 
its plants in the Midwest. Because large numbers of meat and poultry 
workers are immigrants--and perhaps employed illegally--they may fear 
retaliation or loss of employment if they are injured and cannot 
perform their work, and they may be hesitant to report an injury. 
Furthermore, according to data from OSHA and academic researchers 
published in a BLS periodical, some plants offer employees or groups of 
employees incentives, such as money or other prizes, for maintaining 
low injury and illness rates.[Footnote 30] According to the report, 
while these incentives may improve safety, they also may discourage 
workers from reporting injuries that could result in their not winning 
the incentive prize or preventing an entire group of workers from 
obtaining the prize. In addition, some plants judge the performance of 
line supervisors based on the number of days their workers go without 
an injury or illness. These supervisors, also influenced by performance 
incentives, may underreport injuries or encourage workers not to report 
injuries or illnesses.[Footnote 31] Several of the plant officials we 
interviewed told us that they provide incentives and rewards to 
employees or groups of employees who work for extended periods of time 
without injury.

Many Factors Affect Injury and Illness Rates:

Injury and illness rates may be affected by many factors, such as 
employer or employee emphasis on safety, the amount and quality of 
training, employee turnover rates, and the speed of the production 
line.

Officials from a company, union, or trade association may take steps 
that affect worker safety and health. For example, a company may form a 
plant safety committee that reviews incidents of injury and illness to 
identify safety issues and take steps to address weaknesses. In 
addition, company officials may influence worker safety and health by 
showing their commitment to safety through actions such as establishing 
medical safety management programs at the plants, providing personal 
protective equipment to workers, and disciplining workers who do not 
follow safety procedures.[Footnote 32] Unions can also play a role in 
worker safety and health by negotiating with company officials to take 
a more proactive approach to addressing work conditions. Trade 
associations may offer training courses and conferences on safety 
issues, guidance on meeting OSHA requirements, and other assistance to 
companies in improving safety and health.

Both OSHA and industry officials noted that training is a critical 
factor in worker safety and health. Companies provide employee training 
in a number of forms, including classroom instruction, on-the-job 
training, and written and video training materials (generally in 
English and Spanish). Meat and poultry plants typically offer several 
days of training at the beginning of a worker's employment covering 
both job-specific and general safety training. Plants periodically 
offer additional training classes or updates--many of which are 
mandatory--such as annual refreshers on workplace safety and health. 
Many plants also offer or require annual specialized training on safety 
issues, such as knife sharpening, which can reduce strain on line 
workers, and accident prevention such as "lock-out/tag-out" procedures 
that ensure that machinery is manually locked or disconnected from a 
power source when not in use and tagged to note that it has been locked 
or should not be used. In addition, one plant assigns mentors, or 
buddies, to new workers to help them work more safely in an 
introductory period.

Turnover rates can also affect the safety and health of workers. 
Turnover tends to be high in the meat and poultry industry and, 
according to a report by USDA's Economic Research Service, turnover 
rates of 100 percent a year or more are not uncommon.[Footnote 33] High 
turnover can affect safety and health at meat and poultry plants, 
according to one plant safety official, because new employees are more 
likely to sustain an injury or illness than more experienced workers. 
In the first few months of employment, an employee may take shortcuts-
-because of the lack of familiarity with proper procedures--that 
increase his or her vulnerability to injury or illness. Plant officials 
often attribute high turnover to difficult working conditions, extreme 
temperatures, and the fact that many of the industry's jobs are 
physically demanding and stressful.

The speed at which production employees are expected to work, often 
determined by the speed of the production line, or line speed, may also 
be an important factor influencing their safety and health. The faster 
the pace at which the production line moves, the less able workers may 
be to perform tasks needed for safety. For example, according to 
industry research, at certain line speeds workers may be unable to take 
the seconds required to perform certain critical tasks, such as the 
frequent sharpening of knives, to ensure that their jobs can be 
conducted safely. Some respondents to our survey also noted that line 
speed is an important factor affecting worker safety and health. While 
some trade association representatives and plant officials told us that 
the risks associated with line speed can be mitigated by adding more 
workers to the line or rotating workers to other jobs, advocacy group 
and union representatives have discounted that argument, stating that 
some plants may not have either the additional employee resources to 
add to the line or the additional space in the line configuration 
needed to add more workers.

Line speed is regulated by USDA to permit adequate inspection by food 
safety inspectors. According to USDA, when the maximum speeds were 
originally set and when they are adjusted by the agency, the safety and 
health of plant production workers is not a consideration. OSHA has 
made recommendations to companies to slow their line speed, as well as 
to make other safety improvements when citing companies for repetitive 
motion injury issues, according to an OSHA official. Research is 
lacking, however, on the full effects of line speed on worker safety 
and health. Industry and OSHA officials told us that the differences 
across slaughter and cutting lines prevent systematic comparison, 
analysis, and regulation of line speed. According to these officials, 
because machinery is arrayed differently on each line, research that 
might isolate ergonomic limits and improvements, or examine the 
incidence of other line-related injuries, is difficult to accomplish. 
However, a memorandum issued in 2000 by Nebraska's Lieutenant Governor 
recommended that OSHA "undertake a legitimate study of the speed of the 
line in meatpacking plants" and that "the industry should work 
cooperatively on that study."[Footnote 34] NIOSH officials and 
nongovernmental ergonomic experts told us that line speed should be 
further researched in order to understand its impact on worker safety 
and health.

While USDA has established regulations on line speed, the purpose of 
the agency's authority is not to protect workers, but to protect 
consumers. USDA sets maximum line speeds based on how quickly its 
inspectors can properly inspect the carcasses to ensure the safety of 
the meat. According to trade association officials we interviewed, 
plants set their line speeds at a rate at or below the maximum while 
considering such factors as (1) the speed at which employees can work 
and still produce a quality product and (2) the number of animals that 
need to be processed. While a high-ranking OSHA official we spoke to 
stated that he believed that the agency has the regulatory authority to 
set its own line speed maximums, he also said that it would be a 
difficult area to regulate.

While OSHA's Programs May Have Improved the Safety and Health of Meat 
and Poultry Workers, Programmatic Weaknesses Make Determining 
Effectiveness Difficult:

OSHA has several efforts that target the meat and poultry industry, and 
there is some evidence that these efforts have had a positive effect on 
worker safety and health. However, the criteria OSHA uses to select 
worksites for inspection may allow some plants with high injury and 
illness rates to avoid inspection. OSHA's selection criteria do not 
require the agency to examine trends in worksites' injury and illness 
rates in order to select plants for inspection that have recently 
reported significant changes in their rates. In addition, some of the 
data on which OSHA bases its selection may be underreported and are 
incomplete. Furthermore, OSHA's data collection efforts make 
determining program results difficult.

Some of OSHA's Enforcement Efforts Target Compliance in the Meat and 
Poultry Industry:

Some of the inspections of employer compliance with federal safety and 
health standards that OSHA conducts are of meat and poultry worksites. 
As shown in table 2, OSHA conducted about 1,900 inspections of plants 
in the meat and poultry industry from 1995 to September 15, 
2004.[Footnote 35] These inspections represented less than 1 percent of 
OSHA's total inspections.

Table 2: OSHA Inspections in the Meat and Poultry Industry, 1995 to 
2004:

Year: As of Sept. 15, 2004; 
Number of inspections in the meat and poultry industry: 154; 
Number of inspections in all U.S. manufacturing: 6,489; 
Total number of inspections: 29,229.

Year: 2003; 
Number of inspections in the meat and poultry industry: 193; 
Number of inspections in all U.S. manufacturing: 8,777; 
Total number of inspections: 39,718.

Year: 2002; 
Number of inspections in the meat and poultry industry: 169; 
Number of inspections in all U.S. manufacturing: 8,913; 
Total number of inspections: 39,076.

Year: 2001; 
Number of inspections in the meat and poultry industry: 160; 
Number of inspections in all U.S. manufacturing: 8,145; 
Total number of inspections: 36,500.

Year: 2000; 
Number of inspections in the meat and poultry industry: 179; 
Number of inspections in all U.S. manufacturing: 8,425; 
Total number of inspections: 35,110.

Year: 1999; 
Number of inspections in the meat and poultry industry: 252; 
Number of inspections in all U.S. manufacturing: 8,985; 
Total number of inspections: 36,018.

Year: 1998; 
Number of inspections in the meat and poultry industry: 289; 
Number of inspections in all U.S. manufacturing: 8,957; 
Total number of inspections: 34,080.

Year: 1997; 
Number of inspections in the meat and poultry industry: 212; 
Number of inspections in all U.S. manufacturing: 9,886; 
Total number of inspections: 35,916.

Year: 1996; 
Number of inspections in the meat and poultry industry: 158; 
Number of inspections in all U.S. manufacturing: 7,281; 
Total number of inspections: 25,850.

Year: 1995; 
Number of inspections in the meat and poultry industry: 168; 
Number of inspections in all U.S. manufacturing: 7,727; 
Total number of inspections: 26,399.

Year: Total; 
Number of inspections in the meat and poultry industry: 1,934; 
Number of inspections in all U.S. manufacturing: 83,585; 
Total number of inspections: 337,896.

Source: OSHA's inspections database.

[End of table]

OSHA also has efforts that focus on solutions to injuries prevalent in 
the meat and poultry industry, such as repetitive stress disorders. For 
example, OSHA's current ergonomics inspection plan uses its worksite-
specific injury and illness database to identify workplaces in 
industries with higher than average injury rates. OSHA focuses its 
ergonomics inspection resources on industries with relatively high 
rates of injuries that appear to be related to ergonomic hazards. In 
addition, OSHA's regional or area offices may implement local emphasis 
programs in industries with high musculoskeletal disorder or repeated 
trauma rates and known ergonomic hazards.[Footnote 36] The agency also 
responds to employee complaints about ergonomic hazards.

OSHA Has Involved the Meat and Poultry Industry in Its Cooperative 
Programs:

In 2002, OSHA formed an alliance with the American Meat Institute to 
promote safe and healthful working conditions for meat industry 
workers.[Footnote 37] The alliance is meant to help reduce ergonomic 
hazards in the workplace. It sets specific goals and priorities; key 
among them is for both OSHA and the institute to develop and 
disseminate information and guidance, particularly through their Web 
sites. The goal is to provide the institute's members and others in the 
meat industry with information to help protect workers' health and 
safety, with a focus on reducing and preventing exposure to ergonomic 
hazards. The alliance also calls for both organizations to provide 
training on ergonomics techniques, program structure, and applications 
in the meat industry. Another goal is for OSHA and the American Meat 
Institute to promote and encourage the institute's members to 
participate in OSHA's cooperative programs such as the Voluntary 
Protection Programs and mentor other members in helping them qualify 
for participation.

The American Meat Institute also assists OSHA in maintaining and 
updating information on safety and health in the meat industry on its 
Web site. The institute, along with other stakeholders, provided 
information to OSHA for the safety and health topics page on the 
agency's Web site entitled "OSHA Assistance for the Meat Packing 
Industry," and the agency's Web-based training tool ("eTools") for 
ammonia refrigeration.[Footnote 38] OSHA provides information on eTools 
on many topics pertinent to the meat and poultry industry, including 
ammonia refrigeration, machine guarding, lock-out/tag-out procedures, 
poultry processing, confined space, and ergonomic hazards.

Through its Strategic Partnerships Program, OSHA has established 
national and regional partnerships within the meat and poultry 
industry. OSHA has partnered with companies such as:

* Tyson Foods. Initiated in 2001, this partnership covers two poultry 
processing facilities. The 5-year agreement has a goal of improving and 
strengthening the company's safety and health management systems, 
reducing injuries and illnesses, and serving as a model for improved 
worker protection throughout the company.

* ConAgra Refrigerated Foods. This multiregional partnership, which 
ended in January 2002, was meant to improve safety and health programs 
and improve the relationship among OSHA, ConAgra, and the United Food 
and Commercial Workers union and to prepare plants working toward 
participation in OSHA's Voluntary Protection Programs.

* Odom's Tennessee Pride Sausage Inc. Through its regional partnership 
with OSHA's region 6, Odom's has committed to reducing its illness and 
injury rates and working toward participation in OSHA's Voluntary 
Protection Programs.

OSHA's Omaha area office has implemented the following two 
partnerships:

* Nebraska's meat processing industry. In February 2000, members of 
Nebraska's meat processing industry and OSHA initiated a voluntary 
partnership program intended to address the high fatality, injury, and 
illness rates that have plagued the industry. The group meets bimonthly 
to learn about current safety and health practices, share safety-
related best practices that have proven successful in their facilities, 
and discuss safety issues of concern to participants. Company 
representatives provide injury and illness data to OSHA for tracking 
purposes on a semiannual basis.

* Nebraska cleaning and sanitation companies. Citing the hazardous 
working conditions encountered by employees of companies that provide 
contract cleaning and sanitation services to meat and poultry plants, 
in 2003, OSHA's Omaha Area Office decided to establish a partnership 
with these companies in order to help reduce injuries and illnesses. 
Representatives of five companies have committed to a regional 
partnership with OSHA's region 7 in an effort to work cooperatively and 
collaboratively to reduce workplace fatalities, injuries, and illnesses 
common to cleaning contractors such as strains, lacerations, 
contusions, burns, fractures, amputations, dermatitis, and crushing 
injuries. The goals of the partnership are to reduce days away from 
work by 4 percent and to improve existing safety and health management 
programs.

OSHA has not, however, implemented programs similar to the Omaha Area 
Office's partnerships in other areas of the country with large 
concentrations of meatpacking plants or extended this type of program 
to poultry plants. A high-ranking OSHA official told us that each area 
office develops its own initiatives, which may be directed at other 
industries or hazards than those in the meat and poultry industry. In 
addition, according to the official, there were individuals in the 
Omaha office who had a keen interest in the partnering approach used in 
the meatpacking industry and had the entrepreneurial spirit to start 
these programs. The office has presented its approach to at least one 
other office in an effort to share its experience.

Several of OSHA's Special Efforts Target the Meat and Poultry Industry:

OSHA has other special compliance efforts that target the meat and 
poultry industry. For example, several pages of OSHA's Web site are 
dedicated to the meat and poultry industry; they list the standards the 
agency uses to combat hazards prevalent in this industry.[Footnote 39] 
OSHA also has several directives specific to the industry, such as 
guidance on the acceptable methods for guarding meat-cutting saws. In 
addition, OSHA issues interpretations and compliance letters on issues 
specific to the meat and poultry industry.

Ergonomic Guidelines for the Meat and Poultry Industry:

OSHA has also produced the following two sets of ergonomic guidelines 
for the meat and poultry industry:

* Ergonomic Program Management Guidelines for Meat Packing Plants. This 
document, jointly developed by OSHA and the American Meat Institute, 
was developed in 1990 and contains advisory information on management 
commitment and employee involvement, including preventive program 
elements and detailed guidance.

* Guidelines for Poultry Processing. This document, published by OSHA 
in September 2004, offers practical recommendations for employers to 
reduce the number and severity of musculoskeletal disorders throughout 
the industry. In developing the guidelines, OSHA reviewed existing 
ergonomics practices and programs, state OSHA programs, as well as 
available scientific information. OSHA also consulted with 
stakeholders, such as the National Turkey Federation, to gather 
information on the ergonomic problems present in the poultry-processing 
environment and the practices that have been used successfully in the 
industry.

Memorandum of Understanding with USDA:

Because USDA inspectors are a constant federal presence in plants, OSHA 
has established agreements with USDA, the latest of which is meant to 
improve compliance in meat and poultry plants. In 1994, USDA and OSHA 
jointly revised an existing memorandum of understanding between the 
agencies that established a process and framework for (1) training USDA 
meat and poultry inspection personnel to improve their ability to 
recognize serious workplace hazards within the meat and poultry 
industry, (2) reinforcing procedures for meat and poultry inspection 
personnel to report unsafe and unhealthy working conditions to which 
they are exposed to the appropriate authorities, (3) instituting new 
procedures for USDA's meat and poultry inspection personnel to refer 
serious workplace hazards affecting plant employees to OSHA, and (4) 
coordinating possible inconsistencies between OSHA's job safety and 
health standards and USDA's sanitation and health standards.

According to the agreement, OSHA's training of USDA inspectors would 
not be expected to supplant OSHA expertise in identifying serious 
workplace hazards. In addition, USDA inspectors would not be trained to 
recognize and refer serious workplace hazards affecting plant employees 
that tend to arise only after protracted, cumulative exposure, such as 
those related to repetitive motion and noise.

According to USDA officials, the memorandum was revised after a 
devastating poultry plant fire in 1991 that killed 25 workers. 
According to reports about the fire, the plant's fire doors had been 
padlocked from the outside by the factory owner, who had locked the 
doors as a "loss control technique" to prevent workers from stealing 
product. A USDA poultry inspector was often present at the plant and 
testified at a congressional hearing on the fire that he knew the doors 
were regularly locked in violation of safety codes and had reported 
this to plant officials.[Footnote 40] He did not, however, contact 
OSHA.

Although the purpose of the revised memorandum of understanding was to 
educate USDA inspectors on recognizing and referring workplace hazards, 
the agencies' efforts to implement the agreement, such as providing 
training to USDA inspectors and evaluating the effectiveness and impact 
of the training, have lapsed. According to OSHA officials, although the 
agency put together training materials for USDA inspectors, only one 
training session was held, and only a small number of individuals were 
trained. USDA officials we spoke to confirmed this, and stated that not 
a lot of effort was made to train inspectors.[Footnote 41] USDA 
officials told us that OSHA had proposed a week's worth of training and 
that it would be very difficult to pull inspectors from their line 
duties and send them to training for that length of time. In their 
comments on a draft of this report, USDA officials noted that in-plant 
inspectors routinely receive training on topics such as wellness, 
awareness of infectious diseases, and worker health and safety.

Evidence Suggests OSHA's Programs Have a Positive Impact on Worker 
Safety and Health:

Some positive outcomes have resulted from OSHA's efforts directed at 
the meat and poultry industry. For example, in 2003, OSHA inspected 193 
meat and poultry plants to determine their compliance with federal 
safety and health standards. These inspections produced safety 
improvements in several of the plants inspected, according to OSHA, 
trade association officials, and some plant officials we interviewed. 
In addition, according to OSHA and trade association officials, the 
widespread use of the agency's ergonomic guidelines for meatpacking 
plants has contributed to a decline in worker illness and injury rates 
in the last decade.

OSHA's partnerships have also, according to the agency, had positive 
outcomes. For example, according to information on its Web site, as a 
result of OSHA's partnership with ConAgra Refrigerated Foods, many of 
the company's facilities have formed new safety and ergonomics 
committees with both management and union participation. According to 
OSHA, five of the company's nine participating facilities experienced 
significant decreases in workers' compensation costs ranging from 42 
percent to 93 percent (with an average reduction of 62 percent), 
suggesting a reduction in the injury and illness rates for these five 
participating facilities.

Another of OSHA's partnerships, with meatpacking plants in Nebraska, 
has shown some positive outcomes. According to officials from OSHA's 
Omaha Area Office and some plant officials who participate in the 
partnership, the group has made progress toward the goal of making the 
industry safer. In addition, according to the participants, the 
relationship between OSHA and Nebraska's meatpackers, which had been 
strained, if not antagonistic, has improved significantly, and the 
group has made tremendous progress in building cooperative, trusting 
relationships. These relationships have developed not only between OSHA 
and the plants, but also among the plant officials themselves. 
According to officials at OSHA's Omaha Area Office, over the 4-year 
existence of the partnership, the members have realized a 23 percent 
reduction in injuries and illnesses resulting in days away from work or 
restricted work activities. There has also been a 39 percent reduction 
in total recordable injury and illness cases, a total that includes 
cases resulting in days away from work, cases resulting in restricted 
work, and cases requiring medical treatment. OSHA officials told us 
that they consider these to be noteworthy improvements over a 
relatively short period of time in an extremely hazardous industry. 
Furthermore, the partnership has allowed OSHA to reach out directly to 
meatpacking plants too small to meet the agency's criteria for 
inspection (those with fewer than 40 employees) and provide them with 
information about improving safety and health at their plants.

OSHA's memorandum of understanding with USDA has also resulted in some 
positive outcomes. According to a high-ranking OSHA official, since the 
revised memorandum was signed in 1994, USDA inspectors have made 31 
referrals to OSHA, 26 of which resulted in an OSHA inspection. USDA 
does not track this information and could not verify the number of 
referrals made by its inspectors to OSHA. However, we were told by USDA 
officials that the department's inspectors rarely make referrals 
because workplace hazards are not the focus of their inspections. In 
addition, we were told that USDA inspectors are more likely to discuss 
observed hazards with plant management before referring them to OSHA, 
since they have established relationships with the plants and because 
the hazards could affect them as well as plant employees. Finally, OSHA 
officials said that because a referral may cause OSHA to inspect the 
plant, some USDA inspectors may be reluctant to make such referrals 
because it could mean that OSHA would include them in the inspection 
and cite them for violations, such as not wearing their personal 
protective equipment.

Several meat and poultry plants have taken advantage of OSHA's various 
cooperative programs. Since 1996, 391 meat and poultry worksites have 
received consultation services through OSHA's On-Site Consultation 
Program.[Footnote 42] In addition, OSHA has also recognized some meat 
and poultry plants as having exemplary safety and health management 
systems, although the relatively low numbers of participants from this 
industry indicates the difficulty in meeting program requirements. As 
of September 30, 2004, only 8 of the 1,180 Voluntary Protection 
Programs worksites were in the meat and poultry industry. Similarly, as 
of September 1, 2004, only 8 of the 844 worksites participating in 
OSHA's Safety and Health Achievement Recognition Program were in the 
meat industry, and no poultry plants participated in the program.

Selection Criteria May Not Trigger Inspection of At-Risk Plants, and 
Data Collection Makes Assessing Effectiveness Difficult:

While the criteria OSHA uses to select worksites for inspection focuses 
its limited resources mainly on plants with relatively high injury and 
illness rates, the agency does not consider trends in worksites' injury 
and illness rates over time. As a result, OSHA may not detect dramatic 
decreases in these rates that could raise questions as to the accuracy 
of the figures. This is of particular concern given the allegations of 
underreporting in the industry and weaknesses in the data used to 
select plants for inspection. OSHA does, however, select some worksites 
with low injury and illness rates in an attempt to ascertain whether 
worksites with low rates are underreporting injuries and illnesses. It 
also randomly selects some worksites from high-hazard industries for 
record-keeping audits designed to verify the injury and illness rates 
reported to OSHA. For both of these efforts, however, OSHA selects few 
meat and poultry plants. Furthermore, the data it collects on specific 
worksites--kept in multiple databases--are not easily tracked, because 
OSHA does not assign a unique identifier to each worksite. Therefore, 
it is difficult to assess the effectiveness of OSHA's efforts to 
improve safety and health.

Selection Criteria:

The criteria OSHA uses to select meat and poultry plants for inspection 
target worksites that report high injury and illness rates. However, 
OSHA's selection criteria do not allow it to detect anomalies in 
worksites' reported injury and illness rates, because the agency does 
not analyze data on plants' injury and illness rates over time. 
Although OSHA surveys meat and poultry plants annually to obtain 
worksite-specific data on their injury and illness rates and uses these 
data to select plants for inspection, it does not review the data 
collected from previous years in order to examine changes in their 
injury and illness rates. In addition, these data are incomplete, 
because OSHA's survey sample varies from year to year, and because OSHA 
only asks employers for 1 year of injury and illness data. In 2002, we 
reported the problem with OSHA collecting only 1 year's worth of data, 
concluding that this limited the agency's ability to effectively 
identify hazardous worksites for inspection.[Footnote 43] Area office 
officials we interviewed for that report said that, in some cases, the 
1-year rate was an outlier that did not reflect general worksite 
operations.

The data on which OSHA bases it selections are also incomplete because, 
when it surveys worksites in the meat and poultry industry, OSHA does 
not ask employers to report injuries and illnesses incurred by contract 
cleaning and sanitation workers who work at the plant. Because these 
workers are not employees of the plant, their injuries and illnesses 
are recorded by the companies for whom they work rather than on the 
plants' injury and illness logs.[Footnote 44] As a result, OSHA does 
not consider all injuries and illnesses in selecting meat and poultry 
plants for inspection. This is a significant oversight because, 
according to OSHA officials, experts, and researchers, these workers 
incur high rates of injury and illness and often sustain more serious 
injuries than production workers. According to information in OSHA's 
inspections database, between 1998 and 2003, at least 34 contract 
cleaning and sanitation workers employed in meat and poultry plants 
sustained serious injuries or were killed. However, because these 
injuries were recorded as occurring in another industry, none of the 
injuries were reflected in the meat and poultry industry's injury and 
illness rates.[Footnote 45]

A large number of workers perform this work under contract for meat and 
poultry plants; we interviewed three cleaning and sanitation companies 
that employ more than 5,000 workers at 140 plants across the 
country.[Footnote 46] One contract cleaning company representative 
reported that the biggest risk factor affecting the safety of these 
workers was workers' decisions to take shortcuts, such as not properly 
performing lock-out/tag-out procedures for machinery before cleaning 
it. Another representative said he felt that the biggest risk factor 
was the difficulty in communicating how hazardous the complex and 
intricate machinery is because of language or cultural differences. 
OSHA inspects the cleaning and sanitation shift during its inspections 
of meat and poultry plants, whether the workers are employees of a 
contract company or the plant. However, plants whose contract workers 
have high injury and illness rates may not be selected for inspection 
because these injuries are not included in the data OSHA uses to select 
meat and poultry plants for inspection.

Because there are allegations of underreporting in the meat and poultry 
industry, OSHA attempts to counter such incidences by verifying the 
injury and illness rates of worksites it inspects as part of its SST 
program. In addition to reviewing employers' logs during SST 
inspections, OSHA also randomly selects for inspection 200 worksites 
each year that report low injury and illness rates in high-hazard 
industries to ensure that these worksites are not underreporting 
injuries and illnesses.[Footnote 47] In 2003, 5 of the 200 worksites 
selected were meatpacking plants; in 2004, 10 were meatpacking plants. 
The sausage and other prepared meats industry and the poultry industry 
did not have injury and illness rates that met the criteria for this 
effort. Therefore, OSHA did not select any worksites in these 
industries for inspection that reported low rates.

In a separate effort designed in part to combat underreporting of 
injuries and illnesses, OSHA annually conducts a number of 
comprehensive record-keeping audits intended to verify the accuracy of 
the data on injuries and illnesses that employers submit to 
OSHA.[Footnote 48] However, the selection criteria it uses allow the 
agency to audit the records of only a few meat and poultry plants. 
While OSHA's limited resources allow it to select few worksites in any 
industry for a record-keeping audit, OSHA is not doing enough to verify 
the accuracy of the data that meat and poultry plants report, 
considering the dramatic decreases in this industry's reported injury 
and illness rates. Of the 250 worksites OSHA selected for the audits of 
2001 and 2002 data, only 3 each year were in the meat and poultry 
industry.

While the criteria it uses to select worksites for inspection are 
rarely altered, according to OSHA officials, in 2004, they adjusted the 
criteria used to select the 200 worksites with low injury and illness 
rates for inspection in order to focus on worksites with a large number 
of employees. Previously, OSHA selected worksites in high-hazard 
industries with a minimum of 40 employees for these inspections; 
currently, it selects worksites with a minimum of 200 employees. This 
change will likely have the effect of OSHA selecting even fewer meat 
and poultry plants that report low injury and illness rates for 
inspection, because the majority of plants have fewer than 200 
employees. In addition, we were told by a high-ranking OSHA official 
that the agency is considering adjusting the criteria further to double 
the number of worksites with low illness and injury rates for 
inspection. However, according to OSHA officials, adjusting the 
criteria further--for example, to enhance the agency's focus on a 
particular industry such as meat or poultry--would require additional 
resources and a consideration of the effect on other industries.

Data Collection:

OSHA's data do not allow the agency to determine the impact of its 
enforcement and cooperative programs on the meat and poultry industry. 
To determine the impact of its efforts, OSHA could match the injury and 
illness data it collects from employers to data on inspections and 
employer participation in its cooperative programs. However, such 
matching, which would allow the agency to better relate reductions in 
injury and illness rates to its interventions, cannot be easily 
performed. The data it collects on specific worksites--recorded in 
multiple databases--are not easily tracked because OSHA does not assign 
a unique identifier to each worksite. Without such an identifier that 
can be tracked across databases, the agency is unable to easily 
consolidate all the information associated with each worksite. Without 
the ability to compare this information across databases, it is 
difficult to assess the success of its efforts.

We attempted to assess the impact of OSHA's programs on the meat and 
poultry industry by comparing worksite-specific data across its various 
databases to determine an association between changes in a plant's 
injury and illness rates and the agency's efforts. However, we 
encountered problems because of the lack of a unique identifier for 
each worksite. To match data on specific worksites without such an 
identifier, we relied on other identifiers--such as the name of the 
company, address, or zip code--to find the data associated with a 
company over time. However, because of differences in how these 
identifiers appeared in each of OSHA's databases, we could not reliably 
track data for specific companies. For example, from one year to the 
next, a company's name may appear differently in the various databases, 
or a match on address may not produce a match for the company name. 
OSHA officials we spoke to acknowledged the difficulties involved in 
this type of effort. In fact, they recently encountered similar 
problems in their attempts to evaluate the impact of the SST program in 
2004 (see app. III for more information).[Footnote 49] OSHA's inability 
to assess the effectiveness of its efforts has been a recurring 
finding.

In November 2002, we recommended that OSHA take steps to assess the 
impact of its SST program on workplace injuries and illnesses. 
Similarly, in March 2004, we reported that OSHA's lack of comprehensive 
data on its cooperative programs--such as their relative impact on 
worksites' safety and health--makes it difficult to fully assess the 
effectiveness of these programs.[Footnote 50] OSHA agreed with our 
recommendation but pointed out that the agency's variety of strategies 
reach out to different types of industries, employers, and workers, 
making it difficult and costly to compare their relative effects.

Conclusions:

The dangerous and repetitive nature of the work in the meat and poultry 
industry results in a variety of injuries and illnesses to workers. 
Although the efforts by government, employers, and advocacy groups have 
helped improve worker safety and health in this industry, and according 
to BLS the number and rate of injuries and illnesses have decreased 
substantially over the last decade, additional improvements could be 
made. For example, the criteria that OSHA uses to select plants for 
inspection, while reasonable, do not incorporate consideration of 
dramatic or sudden decreases in injury or illness rates in selecting 
plants for inspection. In addition, because OSHA lacks complete data on 
the injuries and illnesses of meat and poultry workers, particularly 
those employed by cleaning and sanitation companies, plants in need of 
inspection may not be identified and selected. Further, because OSHA 
does not track changes in individual plants' injury and illness rates, 
or have a method for comparing these rates with data collected on 
inspections or plants' participation in its cooperative programs, it 
lacks a means of understanding the impact its programs have on workers 
in this industry.

OSHA also lacks some of the information needed to participate more 
fully in improving worker safety and health. For example, until the 
effects of line speed are studied from a worker safety and health 
perspective to better understand its effect on injury and illness 
rates, it will be difficult for OSHA to provide meaningful input with 
regard to the process of regulating the speed of the production line. 
In addition, OSHA has been slow in expanding its successful efforts. 
Because its most successful program aimed at improving safety and 
health has not been replicated in other areas of the country, OSHA is 
not allowing workers in its other jurisdictions to realize the 
benefits, such as the potential for a reduced number of injuries and 
illnesses, of this program. Finally, the memorandum of understanding 
between USDA and OSHA is not being utilized to the full extent 
possible. The efforts called for by the memorandum of understanding to 
reinforce and supplement the training of USDA inspectors so they are 
able to recognize and refer serious workplace hazards in meat and 
poultry plants have lapsed.

Recommendations for Executive Action:

In order to strengthen the agency's efforts to improve safety and 
health of workers at meat and poultry plants, the Secretary of Labor 
should direct the Assistant Secretary for Occupational Safety and 
Health to consider:

* adjusting OSHA's criteria for selecting worksites for SST inspections 
and for record-keeping audits to consider worksites that have had large 
reductions in their injury and illness rates over time;

* requiring worksites that are surveyed by OSHA to obtain worksite-
specific data on injuries and illnesses to include (1) multiple years 
of data, so that trends in their rates may be analyzed and (2) data on 
injuries and illnesses to workers employed by cleaning and sanitation 
companies that provide workers to the plant under contract so that 
these data can be included in the rates OSHA uses to select plants for 
inspection;

* requiring that a common identifier for each plant be used in all of 
its enforcement and cooperative program databases so that these 
different data sets can be more easily compared in an effort to measure 
the agency's impact on worker safety and health; and:

* expanding successful partnerships, such as the Omaha Area Office's 
partnership with meatpacking plants in Nebraska to other area offices 
with high concentrations of meat and poultry plants.

The Secretary of Labor should direct the Assistant Secretary for 
Occupational Safety and Health and the Secretary of Agriculture should 
direct the Acting Administrator of the Food Safety and Inspection 
Service to:

* revisit and update their memorandum of understanding to ensure that 
USDA inspectors receive training in recognizing and referring workplace 
hazards and that the agreement remains current.

In addition, the Secretary of Health and Human Services should:

* direct the Director of the Centers for Disease Control and Prevention 
to have NIOSH conduct a study of the effect of the speed of the 
production line on workers in the meat and poultry industry, a study 
that would also include other job-specific features that interact with 
line speed to increase the risk of injuries and illnesses to these 
workers.

Agency Comments:

OSHA, USDA, HHS, and BLS provided us with written comments on a draft 
of this report, which are reproduced in appendixes IV, V, VI, and VII, 
respectively. The agencies generally agreed with all of the 
recommendations that applied to them.

OSHA noted that it has solicited public comments on its SST program and 
will consider our suggestion to expand its selection criteria for SST 
inspections. The agency also commented that it will cooperate with USDA 
to encourage the revitalization of USDA inspector training and will 
work with NIOSH and others to investigate the relationship between line 
speed and the risk of injury. Finally, OSHA pointed out that some of 
the remaining recommendations, such as expanding its data collection 
efforts, could have significant impact on the agency's resources and 
that it would consider these recommendations in conjunction with 
decisions on how best to allocate the resources it has available.

USDA noted that, because its in-plant employees are a federal presence 
in meat and poultry plants, they can help detect and report serious 
workplace hazards to OSHA. The agency also noted its responsibility to 
enforce the Humane Methods of Slaughter Act, emphasizing that, if in-
plant inspectors witness egregious violations of the act--such as 
hoisted animals struggling or thrashing--they have the authority to 
take immediate enforcement action against such firms including stopping 
the production line. USDA commented that compliance with the act 
indirectly improves workplace safety.

HHS agreed that there is a need to study the relationship between line 
speed and musculoskeletal disorders and other injuries in the meat 
industry, and stated that it would direct NIOSH to conduct such a 
study. The agency noted, however, the difficulty its staff have had in 
the past in gaining access to meatpacking plants to conduct research. 
HHS also commented on the resource commitment that would likely be 
involved for such a large and detailed, but necessary, study.

BLS noted that, although it conducted a major redesign of its annual 
survey of occupational injuries and illnesses in 1992, (in part because 
of concerns about the completeness of employer reporting,) there is 
still some concern about underreporting of injuries and illnesses among 
users of the data. The agency also noted several technical corrections 
to the report, as did OSHA, USDA, and HHS, which we incorporated as 
appropriate.

As arranged with your office, unless you publicly announce its contents 
earlier, we plan no further distribution of this report until 30 days 
after the date of this report. At that time, we will send copies of 
this report to the Secretary of Labor, the Assistant Secretary of Labor 
for Occupational Safety and Health, the Secretary of Agriculture, the 
Acting Administrator of the Food Safety and Inspection Service, the 
Secretary of Health and Human Services, and the Director of the Centers 
for Disease Control and Prevention. We will also make copies available 
to others upon request. In addition, the report will be available at no 
charge on GAO's Web site at http://www.gao.gov.

Please contact me or Revae Moran on (202) 512-7215 if you or your staff 
have any questions about this report. Other contacts and staff 
acknowledgments are listed in appendix VIII.

Signed by: 

Robert E. Robertson: 
Director, Education, Workforce, and Income Security Issues:

[End of section]

Appendix I: Scope and Methodology:

For this report, we attempted to (1) describe the characteristics of 
workers in meat and poultry slaughter and processing plants and the 
conditions in which they work; (2) identify the types of injuries and 
illnesses workers in meat and poultry slaughter and processing plants 
incur, how the injury and illness rates have changed over the past 
decade, and the factors that may have affected these rates; and (3) 
determine what is known about the effectiveness of the Occupational 
Safety and Health Administration's (OSHA) efforts to improve safety and 
health at meat and poultry slaughter and processing plants. To address 
these objectives we:

* obtained and analyzed relevant data from the Bureau of Labor 
Statistics (BLS) on worker demographics and workplace injuries, 
illnesses, and fatalities; OSHA's inspection database; the data OSHA 
uses to target specific worksites for inspection; and information on 
plants that participate in OSHA's cooperative programs;

* conducted a survey of meat and poultry plants to obtain data on their 
workers, factors that affect their injury and illness rates, plants' 
efforts to improve safety and health, and plants' interactions with 
OSHA;

* interviewed officials from OSHA and other federal agencies, such as 
the U.S. Department of Agriculture (USDA) and the Centers for Disease 
Control and Prevention's National Institute for Occupational Safety and 
Health (NIOSH) within the Department of Health and Human Services 
(HHS), as well as individuals from contract cleaning and sanitation 
companies, unions, advocacy groups and key trade associations; and:

* visited six meat and poultry plants.

Reliability of USDA's, BLS's, and OSHA's Data:

To determine the number, location, and regional distribution of plants, 
we examined USDA's Food Safety and Inspection Service's Performance 
Based Inspection System database. This management system integrates 
weekly schedules of inspection tasks; documents inspection findings 
including deviations, deficiencies, and corrective actions; and 
provides a database for the automatic data-processing support system.

To describe the characteristics of workers employed in the meat and 
poultry slaughter and processing industries, we obtained demographic 
estimates for meat and poultry workers and for the manufacturing 
industry as a whole from BLS's Current Population Survey (CPS) March 
supplement for 2004 and 1995. The CPS is a monthly survey of households 
conducted by the U.S. Census Bureau for BLS. The CPS, a sample of 
60,000 households, provides a comprehensive body of information on the 
employment and unemployment experience of the nation's population, 
classified by age, sex, race, and a variety of other characteristics.

Because the CPS estimates are based on probability samples, they are 
subject to sampling error. Slightly different estimates could result 
from different samples. We express our confidence in the precision of 
our particular sample's results as a 95 percent confidence interval. 
This is the interval that would contain the actual population value for 
95 percent of the samples we could have drawn. As a result, we are 95 
percent confident that each of the confidence intervals in this report 
will include the true values in the study population.

For the CPS estimates in this report, we estimated sampling error and 
produced confidence intervals using the methods provided in the 
technical documentation for the 2004 and 1995 March supplements. All 
CPS percentage estimates contained in this report have 95 percent 
confidence intervals within plus or minus 8 percentage points of the 
estimate itself. All other CPS estimates contained in this report have 
95 percent confidence intervals within plus or minus 14 percent of the 
estimate itself, unless otherwise noted.

We also reviewed data on injuries and illnesses, collected and 
published by BLS through its Survey of Occupational Injuries and 
Illnesses, for calendar years 1992 to 2002, as they related to workers 
in the meat and poultry industry. BLS's Survey of Occupational Injuries 
and Illnesses provides estimates of the number and frequency (incidence 
rates) of workplace injuries and illnesses based on logs kept by 
private industry employers during the year. Survey estimates are based 
on a scientifically selected sample of worksites, some of which 
represent only themselves but most of which also represent other 
employers of like industry and workforce size that were not chosen in a 
given survey year. Besides providing injury and illness counts, survey 
respondents also are asked to provide additional information for a 
subset of the most serious nonfatal cases logged, namely, those that 
involved at least 1 day away from work, beyond the day of injury or 
onset of illness. Employers answer several questions about these cases, 
including the demographics of the worker disabled, the nature of the 
disabling condition, and the event and source producing that condition. 
BLS calculates relative standard errors for all estimates it tabulates 
(see BLS's Web site for more information). These relative standard 
errors were used to develop 95 percent confidence intervals for each 
estimate. In this report, all estimates of incidence rates have 95 
percent confidence intervals of within plus or minus 14 percent of the 
estimated incidence rate. For example, the estimated rate for 
tendonitis in 1992 was 23.6 cases per 10,000 full-time meat and poultry 
workers. Since 14 percent of 23.6 is 3.3, the confidence interval for 
this interval is within 20.3 to 26.9 cases per 10,000 full-time 
workers.[Footnote 51]

We also reviewed data on fatalities, collected and published by BLS 
through its Census of Fatal Occupational Injuries for calendar years 
1992 to 2003 as they related to workers in the meat and poultry 
industry. BLS's Census of Fatal Occupational Injuries is a federal-
state cooperative program that has been implemented in all 50 states 
and the District of Columbia since 1992. To compile fatality counts 
that are as complete as possible, the census uses multiple sources to 
identify, verify, and profile fatal worker injuries. Information about 
each workplace fatality--occupation and other worker characteristics, 
equipment involved, and circumstances of the event--is obtained by 
cross-referencing the source records, such as death certificates, 
workers' compensation reports, and federal and state agency 
administrative reports. To ensure that fatalities are work-related, 
cases are substantiated with two or more independent source documents 
or a source document and a follow-up questionnaire. Data compiled by 
the program are issued annually for the preceding calendar year. We 
report the 2003 data in a footnote because the data are not comparable 
with data from previous years. According to BLS, the new industry and 
occupational classifications the agency is required to use may, in some 
instances, have different definitions than the classification system 
used previously.

To analyze the extent to which OSHA interacts with meat and poultry 
plants through its enforcement programs, we analyzed inspections data 
for fiscal years 1996 to 2004 from OSHA's Integrated Management 
Information System and worksite-specific injury and illness data 
collected by OSHA. We assessed the completeness of these data by 
reviewing OSHA's documentation on how the data were collected and 
performed electronic tests to look for outliers, missing values, and 
duplicate records. On the basis of these reviews and tests, we found 
the data sufficiently reliable for our purposes. In addition, for 
OSHA's inspections data, we obtained and reviewed documentation of 
internal controls.

We analyzed the data that OSHA uses to target specific worksites for 
inspection through its SST program. These data are collected by OSHA 
through its annual Data Initiative, which is a nationwide collection of 
worksite-specific injury and illness data from approximately 80,000 
worksites. OSHA collects data from worksites by using the OSHA Work-
Related Injury and Illness Data Collection Form.

To report on the extent that meat and poultry plants participate in 
OSHA's various cooperative programs, we analyzed OSHA's consultation 
database, its lists of Voluntary Protection Programs and Safety and 
Health Achievement Recognition Program sites, and its lists of current 
alliances and strategic partnerships.

We interviewed USDA, OSHA, and BLS officials to establish the 
reliability of the data. We found the data to be sufficiently reliable 
for our purposes.

Analysis of BLS's CPS and Injury and Illness Data:

We explored, for this report, different ways in which the CPS and BLS's 
injury and illness data could be used to track changes in injury and 
illness rates for various groups of workers and discovered several 
limitations. For example, we analyzed CPS data on worker demographics 
by industry and data on injuries and illnesses sustained by workers. 
Using the two data sets, we attempted to determine whether workers in 
certain demographic groups--such as males and females, whites and 
minorities, and younger and older employees--were sustaining more 
injuries or illnesses now than would be expected, taking into account 
the number of individuals in these demographic groups. We also 
attempted to estimate differences in injury rates, or in the likelihood 
of being injured, between certain worker demographics, such as gender, 
race, and age. However, a large percentage of cases in the meat and 
poultry industry that were reported to BLS--24 percent in 2002--lacked 
data on the race of the injured worker since race is not a required 
reporting item.[Footnote 52] Because of this lack of data, it was not 
possible to determine whether workers of a certain race were 
disproportionately injured.

First, BLS's data on injuries and illnesses cannot be used by 
themselves to estimate injury rates or the likelihood of being injured, 
since those data include only information on workers who were injured, 
but not on workers who were not injured. While BLS's injury and illness 
data could be used to estimate the numbers of workers in the meat 
products industry at risk of being injured, overall and in each of the 
subgroups of interest to us, its injury and illness data do not provide 
demographic information (e.g., data on race, sex, or age) on all 
workers who were injured, but only those workers whose injuries were 
serious enough to have resulted in the workers requiring time off from 
work. While we might have merged information from BLS's injury and 
illness data and information from the CPS in order to estimate rates of 
injuries requiring time off, and differences in those rates across 
subgroups, that task was complicated by the fact that there was 
considerable information missing on race, which was one of the factors 
of greatest interest to us. Because BLS does not require the various 
states and industries surveyed to disclose the race of employees 
injured, some choose not to, and ultimately race is unknown for roughly 
one in every four persons injured.

In addition, we could have estimated differences in the rates of injury 
and illness requiring time off across sex and age categories. However, 
the lack of detailed information in the CPS on the types of jobs held 
by workers employed in the meat products industry would not have made 
it possible for us to determine whether differences in injury and 
illness rates across age and sex categories was a result of differences 
in these demographic characteristics or the result of women and older 
employees having different types of jobs than men and younger workers.

Survey of Meat and Poultry Plants:

To obtain information about safety and health and the characteristics 
of their workforce, we administered a survey to a sample of meat and 
poultry plants. Our survey population consisted of plants represented 
in OSHA's worksite-specific injury and illness database for years 1999 
to 2002. This database contains annual information on occupational 
injuries and illnesses at the worksite (plant) level. The data on 
worksites, operating in what are considered high-hazard industries, 
have been collected since 1995. Since the data for approximately one-
third of all existing plants above a certain size are updated in the 
database in any particular year, we included in our sample, all plants 
included in the database during the most recently available 4-year 
period (1999 to 2002). The specific industries on which we focused were 
meat and poultry plants in Standard Industrial Classification code 201-
-the meat products industry--including those in meatpacking plants, 
code 2011; the sausages and other prepared meat products industry, code 
2013; and the poultry slaughtering and processing industry, code 2015.

Sample Design:

Our survey sample included all plants from the database with more than 
1,250 employees. The remaining plants were stratified by industry, 
using the three Standard Industrial Classification codes for each of 
the three industries that encompass the meat products industry. We drew 
a random sample from each of these three industries.

From our total sample of 420 plants, 24 were eliminated for various 
reasons, including the fact that the plant had gone out of business, 
the plant was not a meat or poultry plant, or the plant was duplicated 
elsewhere in our sample.

Survey Administration and Response Rates:

To develop our questionnaire, we consulted with officials at the 
American Meat Institute and the United Food and Commercial Workers 
union, and experts at GAO. We pretested a draft of the questionnaire 
with six companies in the meat products industry. We mailed the 
questionnaire, addressed to the plant safety director (or other 
appropriate management personnel), requesting information on the 
demographic characteristics of the plant's workforce, the working 
conditions of the plant, the safety training and related efforts 
undertaken within the plant, and the plant's interaction with (and 
respondent's opinions on) OSHA. The survey was conducted between July 
2004 and September 2004.

The overall response rate of 23 percent compromises our ability to 
generalize the findings across the population of plants and to present 
statistically valid results. While the sample was designed to draw 
inferences from the study population, we did not produce estimates of 
the population of meat producers based on our sample results. We 
arrived at this decision both because the response rate was low and 
because it is likely that certain key characteristics of respondents 
differ from those of nonrespondents. For example, since two major 
companies refused to participate, our responses did not include the 
responses of any plants from these companies; the experiences of our 
respondents may differ from those of plants from these companies. Table 
3 summarizes the sample sizes by industry, their disposition, and our 
response rates.

Table 3: Survey Sample Sizes, Disposition, and Response Rates:

Industry sector: Meatpacking plants with 1,250 employees or fewer; 
Population[A]: 393; 
Sample: 101; 
Out of scopes[B]: 4; 
Responses received: 26; 
Refused to participate: 26; 
Response rate: 27%.

Industry sector: Sausage and other prepared meat products plants with 
1,250 employees or fewer; 
Population[A]: 407; 
Sample: 121; 
Out of scopes[B]: 5; 
Responses received: 42; 
Refused to participate: 12; 
Response rate: 36%.

Industry sector: Poultry slaughtering and processing plants with 1,250 
employees or fewer; 
Population[A]: 397; 
Sample: 100; 
Out of scopes[B]: 11; 
Responses received: 19; 
Refused to participate: 20; 
Response rate: 21%.

Industry sector: All large meat and poultry plants with more than 1,250 
employees; 
Population[A]: 98; 
Sample: 98; 
Out of scopes[B]: 4; 
Responses received: 8; 
Refused to participate: 25; 
Response rate: 9%.

Industry sector: Total; 
Population[A]: 1,295; 
Sample: 420; 
Out of scopes[B]: 24; 
Responses received: 95; 
Refused to participate: 83; 
Response rate: 23%.

Source: GAO analysis.

[A] The population values represent the number of plants in OSHA's 
worksite-specific injury and illness database between 1999 and 2002.

[B] "Out of scopes" include plants that did not slaughter or process 
meat or poultry or that were no longer in operation at the time of 
survey administration.

[End of table]

Because of our low response rate, we did not use the data obtained from 
the survey to draw conclusions about the meat and poultry industry. 
Instead, we used the responses to illustrate some of the information 
provided from other sources in our report, such as opinions about OSHA 
as a factor in the safety and health of workers. We also used the data 
to provide examples about the range of responses we found. For example, 
we reported that one plant had an employee turnover rate that could 
reach 200 percent from data obtained from our survey.

Interviews with OSHA Area Offices:

To describe the variety and extent of OSHA efforts within the meat and 
poultry industry, we interviewed officials from four OSHA regional 
offices. We selected these regional offices based on information from 
OSHA's inspections database, which contains data on inspections and 
fines levied by OSHA. We examined the inspections data to determine the 
regional offices that had conducted the highest number of inspections 
from January 2003 to July 2004 for plants in Standard Industrial 
Classification codes 2011, 2013, and 2015. From these interviews, we 
obtained information about their activities in the meat and poultry 
industry within their respective regions, including any regional and 
local emphasis programs, their perspectives on factors affecting the 
safety and health of workers in this industry, and coordination efforts 
between their offices and USDA.

Visits to Meat and Poultry Plants:

During the course of this review, we visited six meat and poultry 
plants. Of the six plants, we visited four (two beef, one pork, and one 
poultry slaughter and processing plant) to obtain a better 
understanding of the work performed by workers in meat and poultry 
plants and the conditions in which they work. During these visits, we 
toured the plants and spoke to plant officials about worker 
demographics, plant operations, injury and illness history, and their 
experiences with and opinions of OSHA. Three of these four plants were 
selected because they were located in an area of the country where meat 
production is high; the other was close to our headquarters office. We 
visited two additional plants for the purpose of pretesting our survey 
instrument; we did not tour these two plants.

[End of section]

Appendix II: Interviews with Cleaning and Sanitation Companies:

We interviewed three cleaning and sanitation companies that provided 
contracted services to meat and poultry plants. In total, these three 
companies employed over 5,000 non-union workers and operated in 140 
different plants across the country. One company representative told us 
the company had contracts to operate in plants owned by some of the 
largest companies in the meat and poultry industry.

In general, all three cleaning and sanitation companies employed 
workers who tended to be young and Hispanic. The companies supplied 
small plants with crews as small as 1 or 2 employees and large plants 
with crews as large as 150 employees. According to representatives from 
these companies, cleanup shifts at plants can range from only 2.5 hours 
to 12 hours, but typically shifts lasted less than 8 hours. While the 
majority of time is spent cleaning the slaughter and process areas, at 
many plants the crews are responsible for also cleaning bathrooms and 
office space. At the end of the cleanup shift each day, the slaughter 
and process areas must pass a USDA inspection in order for the plant to 
restart its operations. All three companies' representatives reported 
that if the plant is not cleaned within the time allotted for USDA 
inspection, they must pay some type of monetary penalty to the plant.

The companies reported providing their workers with all safety and 
health training. In addition, the companies employed safety auditors 
who travel to various plants to examine safety issues. These 
examinations may include interviewing contract workers to see if they 
are aware of certain safety regulations or procedures, such as "lock-
out/tag-out" procedures, the issue cited as most important by the 
companies.

With regard to the incidence of repetitive motion injuries, one company 
representative stated that these types of injuries among their workers 
are limited because sanitation workers perform tasks that are different 
from those performed by plant workers in that they are constantly 
moving around and not performing repetitive tasks. He said, however, 
that conditions such as working at night, sweating from the steam, 
freezing from the cold, and being wet all the time contribute to the 
high turnover for his employees.

[End of section]

Appendix III: OSHA's Study on Its Impact Using Establishment-Specific 
Targeting of Interventions:

In November 2002, we recommended that OSHA take steps to assess the 
impact of its SST program on workplace injuries and illnesses.[Footnote 
53] OSHA has since conducted its first major evaluation of the 
effectiveness of the SST program and, in 2004, issued a report 
detailing the results of its evaluation.[Footnote 54] The report states 
that worksites experienced statistically significant cumulative 3-year 
reductions in the number of injuries and illnesses as a result of 
OSHA's efforts.[Footnote 55] However, while these results indicate 
positive outcomes, the study did not attempt to isolate the impact of 
OSHA's efforts from other factors--such as employers' own safety 
programs--that may have as much or more of an influence on injuries and 
illnesses. In fact, several employers who responded to our survey 
stated that the reduction in their injury and illness rates could be 
attributed to other factors that they claimed worked in addition to, or 
in place of, OSHA's efforts, and that these other factors were as 
important in achieving safety and health improvements.

In performing this evaluation of its SST program, OSHA encountered 
difficulties in identifying worksites across databases and dealing with 
the incompleteness of certain data fields.[Footnote 56] While not 
invalidating the conclusions in its report, the difficulties OSHA 
encountered suggest that the data collection for its worksite-specific 
injury and illness database could be improved. In particular, OSHA did 
not consistently assign a unique identifier to each plant, which made 
it difficult to compare information across databases. This issue, 
combined with a lack of information in the 2004 report concerning how 
the model was developed and tested, points to a need to use caution in 
interpreting the report's results.

[End of section]

Appendix IV: Comments from the Occupational Safety and Health 
Administration:

U.S. Department of Labor:

DEC 15 2004:

Assistant Secretary for Occupational Safety and Health: 
Washington, D.C. 20210:

Mr. Robert E. Robertson:
Director, Education, Workforce and Income Security Issues:
U.S. Government Accountability Office: 
441 G Street NW, Room 5930: 
Washington, DC 20548:

Dear Mr. Robertson:

Thank you for this opportunity to respond to the Government 
Accountability Office's (GAO) report on safety and health in the meat 
and poultry industries. GAO's acknowledgement of the Occupational 
Safety and Health Administrations (OSHA) efforts to address workplace 
safety and health issues in this important sector is appreciated.

OSHA recognizes the benefits of the data collection and analysis 
conducted by GAO for this report and the findings resulting from GAO's 
analysis. The study notes a decrease in injuries and illnesses for the 
meat and poultry industry between 1992 and 2001, which OSHA has also 
noted in many other high-hazard industries. GAO's study notes the 
possibility of the under-reporting of injuries and illnesses as a 
possible factor in the decline of injury and illness rates in the meat 
and poultry industries. OSHA recognizes the central importance of 
accurately reported injury and illness data for meeting its mission, 
and will continue to monitor and carefully analyze data from the full 
spectrum of high-hazard industries to appropriately allocate its 
resources.

As GAO has further noted, there has been a shift in worker demographics 
in this industry. This shift has resulted in impacts on the traditional 
workforce with regard to, among other things, organized representation, 
the increasingly large role of contract cleaning workers, training 
challenges for this transient workforce, and the competitive business 
pressures that have permanently affected the future of the industry.

OSHA has expanded its mix of traditional and new initiatives to address 
these challenges. Some of OSHA's responses include cooperative programs 
like the one in Omaha, Nebraska, recognized in the report. While OSHA 
has experienced success with national and local meatpacking 
partnerships, these remain voluntary initiatives. Partnership 
agreements, evaluation results, and successes are shared through our 
public web site, and through internal communications among the 
national, regional and area offices. Some offices build on these 
successes by duplicating the initiative within their jurisdiction; 
other offices elect to focus on other priorities, such as those 
identified in OSHA's Strategic Management Plan.

OSHA's responses to the dynamic nature of today's workplaces are not 
limited to cooperative and other voluntary programs, but also consist 
of new enforcement initiatives such as site-specific targeting (SST) 
and local-and national-emphasis programs.

The Agency has solicited public comments on its SST program; we are 
currently reviewing comments from industry associations, employers and 
safety and health professionals. As we complete this review, we will 
consider your suggestion to expand the criteria for SST inspections in 
this industry. OSHA would also like to note that the analysis of the 
SST program at the top of page 10 includes the construction-industry 
sector in the inspection total. Since construction is not part of SST, 
the proportion of inspections comprised of SST inspections is greater 
than reported.

GAO's other recommendations --to expand data-collection efforts for 
multiple years for trend analysis, inclusion of recordkeeping 
submittals to capture contract workers illness and injuries, linking 
the IMIS and other data processing systems to come up with unique 
identifiers --all have a significant impact on OSHA's resources. We 
will consider GAO's recommendations as we consider the appropriate 
allocation of resources to get the most out of what is available to the 
Agency.

OSHA will cooperate with the Department of Agriculture to encourage the 
revitalization of the USDA-inspector training. With respect to the 
recommendation for further study on line speed, there have been a large 
number of studies examining the relationship between repetitive motion, 
which is indirectly related to line speed, and the risk of injury. 
However, additional study may be useful, particularly because 
repetition acts in combination with other factors (e.g., awkward 
postures, force and cold temperatures) that impact an employee's risk 
of injury. Therefore, OSHA will continue to work with its partners in 
NIOSH, academia and with other stakeholders to investigate these 
complex multifactorial interactions.

OSHA looks forward to working with you to continue to address the 
health and safety hazards for meat and poultry workers. If you have any 
questions, please feel free to call Keith Goddard, Director, 
Directorate of Evaluation and Analysis at (202) 693-1935.

Sincerely,

Signed by: 

John L. Henshaw: 

[End of section]

Appendix V: Comments from the U.S. Department of Agriculture:

United States Department of Agriculture: 
Food Safety and Inspection Service:
Washington, D.C. 20250: 

Robert E. Robertson: 
Director:
Education, Workforce, and Income Security Issues: 
United States Government Accountability Office: 
441 G Street, NW:
Washington, DC 20548:

Dear Mr. Robertson:

In your letter dated November 18, 2004, you requested the U.S. 
Department of Agriculture (USDA) written comments on the Draft report 
GAO-05-96 "WORKPLACE SAFETY AND HEALTH: Safety in the Meat and Poultry 
Industries, While Improving, Could Be Further Strengthened." Thank you 
for the opportunity to provide comments on the draft report.

In general, we agree with the findings and conclusions of the report. 
Since in-plant employees of the Food Safety and Inspection Service 
(FSIS) are a federal presence in meat and poultry plants, they can help 
detect and report serious workplace hazards to the Occupational Safety 
and Health Administration (OSHA).

General Comments:

1. The full week of workplace safety training for FSIS in-plant 
employees as proposed by OSHA was not implemented, but it is important 
to note that in-plant FSIS employees do receive training on wellness, 
awareness of zoonotic diseases, and worker health and safety. FSIS 
employees may not have the expertise of OSHA employees, but, as the 
report noted, FSIS employees are not expected to supplant the safety 
expertise of OSHA in identifying serious workplace hazards.

2. The report indicates that some USDA inspectors may be reluctant to 
make referrals to OSHA because it could mean that OSHA would include 
them in the inspection and cite them for violations. Although there may 
be some inspectors in the field that believe this, OSHA does not reveal 
the name of an employee that files a complaint to the employer. Neither 
does OSHA reveal the identity of FSIS employees that file complaints or 
make referrals to OSHA. It also does not issue notices or citations to 
individual Federal employees as a result of an inspection.

3. As the report noted, most workplace hazards affect FSIS and plant 
employees. The referrals to OSHA from FSIS mentioned in the report 
(page 39) are limited only to those referrals that affect plant 
employees. In accordance with 29 CFR 1960-Elements for Federal Employee 
Occupational Safety and Health Programs, Federal employees are 
encouraged to report hazards to their employer. However, FSIS employees 
have the right to a report a hazard to FSIS, the Department of 
Agriculture or OSHA. FSIS employees may also report problems directly 
to plant management, and are encouraged to do so to rectify dangerous 
situations immediately. FSIS employees have several methods for 
reporting workplace hazards, and the referrals to OSHA mentioned in the 
report likely only represent a fraction of those reported by FSIS 
employees.

4. Slaughter establishments are expected to be fully compliant with the 
Humane Methods of Slaughter Act (HMSA). The situation you describe on 
page 21 of the draft report of hoisted animals struggling and thrashing 
wildly would be an egregious violation of the HMSA. In-plant inspectors 
that witness egregious violations of the Act have the authority to take 
immediate enforcement action against such firms including stopping the 
production line until the slaughter process is brought under control. 
Compliance with the HMSA, although related to the humane treatment of 
food animals, indirectly improves workplace safety.

Please find enclosed additional specific USDA comments on the draft 
report.

Sincerely,

Signed for: 

Ronald F. Hicks: 
Assistant Administrator: 
Office of Program Evaluation, Enforcement and Review:

Enclosure: 

[End of section]

Appendix VI: Comments from the U.S. Department of Health and Human 
Services:


DEPARTMENT OF HEALTH & HUMAN SERVICES: 
Office of Inspector General:
Washington, D.C. 20201:

DEC 13 2004:

Mr. Robert E. Robertson:
Director, Education, Workforce, and Income Security Issues:
U.S. Government Accountability Office: 
Washington, DC 20548:

Dear Mr. Robertson:

Enclosed are the Department's comments on the U.S. Government 
Accountability Office's (GAO's) draft report entitled, "Workplace 
Safety and Health-Safety in the Meat and Poultry Industries, While 
Improving, Could Be Further Strengthened" (GAO-05-96). The comments 
represent the tentative position of the Department and are subject to 
reevaluation when the final version of this report is received.

The Department provided several technical comments directly to your 
staff.

The Department appreciates the opportunity to comment on this draft 
report before its publication. 

Sincerely,

Signed by: 

Daniel R. Levinson: 
Acting Inspector General:

Enclosure:

The Office of Inspector General (OIG) is transmitting the Department's 
response to this draft report in our capacity as the Department's 
designated focal point and coordinator for U.S. Government 
Accountability Office reports. OIG has not conducted an independent 
assessment of these comments and therefore expresses no opinion on 
them.

COMMENTS OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES ON THE U.S. 
GOVERNMENT ACCOUNTABILITY OFFICE'S DRAFT REPORT, "WORKPLACE SAFETY AND 
HEALTH-SAFETY IN THE MEAT AND POULTRY INDUSTRIES, WHILE IMPROVING, 
COULD BE FURTHER STRENGTHENED" (GAO-05-96):

The Department of Health and Human Services (HHS) appreciates the 
opportunity to review the U.S. Government Accountability Office's 
(GAO's) draft report on a serious occupational safety and health 
hazard. Although the rates of work-related musculoskeletal disorders 
and other injuries in the meatpacking industry have dropped in the last 
decade, they continue to be high. Past attempts to reduce the hazard 
through engineering and administrative controls have been met with 
limited success. Typically, these attempts have not specifically 
addressed the potential role of line speed as an independent risk 
factor.

HHS agrees with GAO regarding the need to study the relationship 
between line speed and musculoskeletal disorders and other injuries in 
the meatpacking industry. As recommended, the Secretary will direct the 
Centers for Disease Control and Prevention's (CDC) Director to have the 
National Institute for Occupational Safety and Health (NIOSH) conduct 
this study.

However, there are a few factors that need to be considered in 
conducting such a study. In the past, CDC/NIOSH has had difficulty 
gaining access to meatpacking plants for the purpose of conducting 
research. In order to conduct this study as directed by GAO, this 
barrier will need to be overcome. Also, to adequately address the "job-
specific features" that affect the risk of injuries and illnesses to 
workers as GAO recommends, the study would need to take into account 
other known physical hazards present in these plants (e.g., forceful 
exertion and awkward postures), as well as individual factors (e.g., 
age, obesity) and work organizational factors that can impact the 
occurrence of musculoskeletal disorders.

Finally, it would be necessary to consider the costs needed for such an 
important study. Based on experience, undertaking this large, detailed, 
and necessary study would require a commitment of resources. HHS 
appreciates the recommendation of GAO and is committed to high quality 
useful research that can be translated into improving worker health and 
safety. 

[End of section]

Appendix VII: Comments from the Bureau of Labor Statistics:

U.S. Department of Labor: 
Bureau of Labor Statistics: 
2 Massachusetts Ave. N.E.: 
Washington, D.C. 20212:

DEC 15 2004:

Robert E. Robertson: 
Director:
Education, Workforce, and Income Security Issues: 
U.S. Government Accountability Office:
441 G. Street, N.W.: 
Washington, D.C. 20548:

Dear Mr. Robertson:

The Bureau of Labor Statistics (BLS) would like to thank the Government 
Accountability Office (GAO) for the opportunity to comment on the draft 
report entitled "Workplace Safety and Health: Safety in the Meat and 
Poultry Industries, While Improving, Could be Further Strengthened" 
(GAO-05-96). The BLS is pleased that the GAO found its data helpful in 
writing this report, and the BLS would like to add the following 
comments.

The BLS is very concerned that readers may incorrectly conclude that 
the BLS provided confidential data to the GAO for the purpose of this 
report because the data it has received from OSHA is not clearly 
attributed to OSHA. In particular, information on individual injury, 
illness, or fatality cases, or individual firm's safety and health 
record from OSHA is not clearly separated from information that cites 
BLS data on overall industry numbers, rates, or types of injuries or 
illnesses. If the OSHA data are not clearly footnoted, readers might 
assume both the industry statistics and the specific examples are from 
the BLS.

The BLS conducted a major redesign of the annual survey of occupational 
injuries and illnesses in 1992, in part due to concerns about the 
completeness of employer reporting. While there is still some concern 
about underreporting of injuries and illnesses among users of the data, 
citing the 1987 congressional testimony seems inappropriate given the 
changes in the program since that time. We urge the GAO to eliminate 
these references from the report.

The GAO aggregated fatality numbers for the meat product industry for 
the years 1992-2003. Beginning in 2003, when the BLS fatal workplace 
injuries census began using the North American Industry Classification 
System (NAICS), the definition of this industry changed. Previous 
years' data were classified according to the Standard Industrial 
Classification (SIC) structure. The BLS regards this as a break in 
series. The data should not be aggregated across this break. We prefer 
that the GAO cite the 2003 data separately if it wishes to include it 
in the report.

The BLS is concerned that the citations of our data be as accurate as 
possible. There are a number of different injury and illness rates 
(total recordable cases, cases with days away from work, cases with 
days away from work, job transfer, or restriction) and a range of 
detailed statistics for different components of the meat products 
industry. It is incumbent on the GAO and other data users to be sure 
the data used are cited appropriately so that readers of this draft do 
not make inferences that are incorrect. The BLS and the GAO staff are 
working to address this problem in the draft report.

Finally, BLS requests that the GAO continue to contact the BLS through 
its GAO liaison or the point-of-contact designated at the Entrance 
Conference. By doing so, confusion regarding the verification of data 
requests or validation of data provided may be minimized.

The BLS looks forward to continuing its work with the GAO regarding 
this report. Should you require further assistance, please contact the 
GAO liaison, Lisa Nolte, at (202) 691-5104.

Sincerely, 

Signed by: 

KATRINA W. REUT: 
Associate Commissioner for Compensation and Working Conditions: 

[End of section]

Appendix VIII: GAO Contacts and Staff Acknowledgments:

GAO Contacts:

Revae E. Moran, (202) 512-3863: 
Monika R. Gomez, (202) 512-9062:

Staff Acknowledgments:

David G. Ehrlich and Friendly M. Vang-Johnson made significant 
contributions to this report throughout the review. In addition, Luann 
M. Moy helped develop our data collection instrument and our overall 
design and methodology; Margaret L. Armen and Richard P. Burkard 
provided legal support; Avrum I. Ashery, Jennifer R. Popovic, and Melba 
Edwards designed our graphics; Paula J. Bonin, Mark F. Ramage, Douglas 
M. Sloane, and Beverly A. Ross provided technical assistance; and 
Corinna A. Nicolaou assisted in report and message development.

FOOTNOTES

[1] This estimate has a 95 percent confidence interval from 470,783 to 
584,003. All demographic estimates for the meat and poultry industry in 
this report are based on the March 2004 or the March 1995 Current 
Population Survey (CPS) and refers to workers in the animal 
slaughtering and processing industry. Unless otherwise noted, CPS 
percentage estimates have 95 percent confidence intervals of plus or 
minus 8 percentage points of the estimate, and all other estimates have 
confidence intervals of within plus or minus 14 percent of the estimate 
itself. See appendix I for more information.

[2] We focused on the three-digit Standard Industrial Classification 
code 201--the meat products industry. When we refer to the "meat and 
poultry industry," we are referring to companies in the meat products 
industry, code 201. When we refer to the meatpacking industry, we are 
referring to companies in the four-digit code 2011; when we refer to 
the sausages and other prepared meat products industry, we are 
referring to companies in code 2013; and when we refer to the poultry 
slaughtering and processing industry, we are referring to companies in 
code 2015.

[3] Our survey sample was designed so that we would be able to draw 
inferences from the study population. However, because we received an 
overall response rate to our survey of only 23 percent, we cannot 
generalize the responses we received to the entire population of meat 
and poultry producers. See appendix I for more detailed information on 
the survey.

[4] USDA's primary responsibility in meat and poultry plants is to 
administer a comprehensive system of inspection laws designed to ensure 
that meat and poultry products moving in interstate and foreign 
commerce for use as human food are safe, wholesome, and accurately 
labeled.

[5] Consolidation in U.S. Meatpacking, by James M. MacDonald, Michael 
E. Ollinger, Kenneth E. Nelson, and Charles R. Handy. Food and Rural 
Economics Division, Economic Research Service, U.S. Department of 
Agriculture. Agricultural Economic Report No. 785, Washington, D.C.: 
February 2000.

[6] Under the terms of the act, states may assume responsibility for 
occupational safety and health enforcement through the mechanism of an 
OSHA-approved state plan. Twenty-one "state-plan states" operate such 
programs with responsibility for most private sector OSHA enforcement 
in their states. State plans operate under authority of state law, 
adopt and enforce their own standards (which must be "at least as 
effective" as federal OSHA's), and set their own goals and priorities 
for enforcement and compliance assistance.

[7] The SST program also focuses on industries outside of 
manufacturing, with lost workday case rates above a certain level (5.0 
or greater for its 2004 SST program), as reported by BLS. The 
nonmanufacturing industries included in the survey for OSHA's 2004 SST 
program were within the major industry categories of Agriculture, 
Transportation, Wholesale and Retail Trade, and Health Services.

[8] Worksites in the construction industry are not selected for 
inspection under OSHA's SST program. However, through its other 
inspection initiatives, 22,724 of OSHA's 39,720 total inspections were 
of construction worksites in 2003. 

[9] All manufacturing industries are considered as having high injury 
and illness rates.

[10] OSHA sends primary and secondary lists to its area offices in 
federal OSHA states. These offices are expected to visit all worksites 
identified on the primary list and inspect worksites on the secondary 
list as resources allow. OSHA sends information on additional worksites 
in state-plan states to the appropriate state agencies, which are 
expected to have an effective high hazard inspection targeting system. 
All but 4 of the 21 state-plan states participate in the data gathering 
program that would make establishment-level SST-type data available to 
them for efforts such as targeting and program evaluation. 

[11] Musculoskeletal disorders include conditions such as tendonitis, 
carpal tunnel syndrome, and lower back injuries. Symptoms of these 
disorders can include swelling in the joints, limited range of motion, 
numbness or tingling sensations, and loss of strength. Events or 
exposures that can lead to the injury or illness are bodily reaction/
bending, climbing, crawling, reaching, twisting, overexertion, and 
repetition.

[12] 29 U.S.C. § 654(a)(1). This clause is used to cite serious hazards 
where no specific OSHA standard exists to address the hazard, as is the 
case with ergonomic stressors. According to OSHA, when it uses this 
clause to cite an employer, the agency must demonstrate that (1) the 
employer failed to keep the workplace free of a hazard to which 
employees were exposed, (2) the hazard was causing or likely to cause 
death or serious physical harm, (3) the hazard was recognized, and (4) 
a feasible means of abatement for the hazard exists. 

[13] The On-Site Consultation Program defines a small business as one 
with fewer than 250 workers at the workplace where the consultation is 
conducted and no more than 500 workers companywide.

[14] While OSHA had partnership agreements prior to 1998, the Strategic 
Partnership Program was not formalized until that year.

[15] The 95 percent confidence interval for this median age is from 35 
to 39 years old.

[16] All percentage estimates describing the workforce in this section 
are CPS estimates, and have a 95 percent confidence interval of within 
plus or minus 8 percentage points of the estimate itself.

[17] The percentage estimates for this industry and U.S. manufacturing 
are 96 and 95 percent, respectively. These percentages are not 
significantly different at the 95 percent confidence level.

[18] In addition, about 2 percent were Asian or other Pacific Islander 
and 3 percent were American Indian or Alaska native. The CPS is a joint 
product of the U.S. Census Bureau and BLS. 

[19] Production and sanitation workers make up about 304,000 of the 
527,000 total workers in the meat and poultry industries. The remaining 
workers in the industry work in administrative, managerial, 
engineering, health care, and transportation-related positions.

[20] GAO, Community Development: Changes in Nebraska's and Iowa's 
Counties with Large Meatpacking Plant Workforces, GAO/RCED-98-62, 
(Washington, D.C.: Feb. 27, 1998).

[21] The turnover rate is typically calculated by dividing the total 
number of employees who left the plant during the most recent year by 
the total number of employees.

[22] Cumulative trauma can be caused by forceful exertions, repetitive 
finger or wrist motions, tool vibrations, awkward wrist positions, or 
specific repeated motions, and it can be exacerbated by extreme cold or 
humidity.

[23] Safety and Health Guide for the Meatpacking Industry, U.S. 
Department of Labor, Occupational Safety and Health Administration, 
1988, OSHA 3108.

[24] Injury and illness rates for 2002 are not comparable with 2001 and 
previous years' rates because of changes to OSHA's record-keeping 
requirements and changes in the way that OSHA requires companies to 
categorize injuries and illnesses. These changes took effect January 1, 
2002.

[25] All estimates of injury incidence rates in this report are based 
on BLS data and have 95 percent confidence intervals of within plus or 
minus 14 percent of the estimated incidence rate. Confidence intervals 
for most estimates in this report are narrower (more precise) than 
this. However, rather than report confidence intervals for every 
incidence rate estimate in this report, a broad conservative confidence 
interval is used to cover all BLS incidence rate estimates. Additional 
information about these estimates is contained in appendix I.

[26] In 2003, 18 additional deaths were reported as sustained by meat 
and poultry workers. BLS and other federal statistical agencies are now 
required to use new industry and occupational classifications designed 
to reflect the most recent industries and occupations in the economy. 
Therefore, the 2003 data are not comparable with prior years' fatality 
data and are reported separately because, in some instances, the 
occupational definitions in the new classification system are different 
from those used previously. 

[27] OSHA's region 7 covers Iowa, Kansas, Missouri, and Nebraska.

[28] Underreporting of Occupational Injuries and Its Impact on Workers' 
Safety, (Parts 1, 2, & 3) Hearings Before a Subcommittee of the 
Committee on Government Operations, House of Representatives, 100th 
Congress, Washington, D.C., March 19, 1987; May 6, 1987; and September 
21, 1987.

[29] E.S. Pollack and D.F. Keimig, eds., Counting Injuries and 
Illnesses in the Workplace: Proposals for a Better System, Washington, 
National Research Council, National Academy Press, 1987. Beginning in 
1992, survey information on nonfatal incidents involving days away from 
work was expanded to profile (1) the occupation and other demographics 
(e.g., age and gender) of workers sustaining such injuries and 
illnesses, (2) the nature of these disabling conditions and how they 
occurred, and (3) the resulting time away from work.

[30] Hugh Conway and Jens Svenson, Occupational Injury and Illness 
Rates, 1992-96: Why They Fell, Monthly Labor Review, BLS, November 
1998.

[31] During inspections, OSHA compliance officers ask plant officials 
if they utilize incentive programs to reward their employees. An OSHA 
compliance officer we spoke to told us that as part of her education 
and outreach during an inspection, she suggests alternative ways of 
rewarding employees that could minimize underreporting but still reward 
safe and healthy work environments, such as providing rewards for 
consistently wearing personal protective equipment or using safe work 
practices.

[32] A medical safety management program is one that addresses plant 
safety and security, emergency management, fire prevention, and the 
proper training of employees on the handling and safeguarding of 
hazardous materials and medical equipment. It also includes guidelines 
for creating and using an incident reporting system, as well as the 
steps necessary to educate employees on issues like infection control, 
personal protective equipment, ergonomics, and workplace violence.

[33] Agricultural Economic Report No. 785, Washington, D.C., February 
2000.

[34] Memorandum from Nebraska's Lieutenant Governor Dave Maurstad to 
Nebraska's Governor Mike Johanns entitled, "Review of Working 
Conditions in Nebraska Meatpacking Plants," January 24, 2000.

[35] An additional 189 inspections were made by state occupational 
safety and health agencies in state-plan states. In state-plan states, 
program safety and health standards, and the enforcement of such 
standards, must be at least as effective as federal OSHA programs. See 
29 U.S.C. § 667(c)(2).

[36] In 2003, OSHA implemented local emphasis programs in meatpacking 
and three other industries: hospitals, warehousing, and automotive 
parts manufacturing.

[37] The American Meat Institute represents the interests of packers 
and processors of beef, pork, lamb, veal, and turkey products and their 
suppliers throughout North America. Together, its members produce 95 
percent of the beef, pork, lamb, and veal products and 70 percent of 
the turkey products in the United States. Headquartered in Washington, 
D.C., the institute provides legislative, regulatory, public relations, 
technical, scientific, and educational services to the industry.

[38] Through its Web site, OSHA offers eTools on several subjects that 
provide stand-alone, interactive, training tools on occupational safety 
and health topics. 

[39] Some of these standards include process safety management of 
highly hazardous chemicals, general requirements for all machines, and 
guarding of portable power tools.

[40] Review of U.S. Department of Agriculture's Food Safety and 
Inspection Service Workplace Safety Regulations, Hearing Before the 
Subcommittee on Department Operations, Research, and Foreign 
Agriculture of the Committee on Agriculture, House of Representatives, 
102nd Congress, Washington, D.C., November 12, 1991.

[41] USDA trains its employees on safety and health issues that affect 
them personally.

[42] The number of visits is actually higher because some worksites 
have received multiple visits or an employer can make one request that 
requires services at several worksites.

[43] GAO, Workplace Safety and Health: OSHA Can Strengthen Enforcement 
through Improved Program Management, GAO-03-45, (Washington, D.C.: 
Nov. 22, 2002).

[44] Injuries and illnesses sustained by cleaning and sanitation 
workers who are not employees of the plant are recorded in the general 
industry category of "Services," which includes maids, janitors, and 
other workers employed in cleaning services. Because this industry is 
not considered high hazard, OSHA does not collect data from worksites 
in the industry to use in selecting worksite for inspection.

[45] These injuries included fractures, severe chemical exposure, fatal 
falls, incidents of crushed or severed limbs or heads, and injuries 
necessitating amputation.

[46] See appendix II for more information on our interviews with the 
contract cleaning and sanitation companies.

[47] OSHA uses BLS's aggregate industry data to determine which 
industries are high-hazard. The worksites OSHA selects report a days 
away from work, restricted, or transferred rate between 0.0 and 4.0 and 
a days away from work injury and illness rate between 0.0 and 2.0, and 
are selected from industries that have a days away from work, 
restricted, or transferred rate of 8.0 or greater or a days away from 
work injury and illness rate of 4.0 or greater. OSHA began this effort 
to inspect 200 low-rate reporting worksites from high-rate industries 
in 2002.

[48] The major difference between the records audits conducted as part 
of this program and records reviews performed during other inspections 
is the attainment of a medical access order by the OSHA compliance 
officer prior to the audit. A medical access order allows OSHA to 
obtain documents such as, medical records, state workers' compensation 
forms, insurer's accident reports, company safety incident reports, and 
first aid logs.

[49] Evaluation of OSHA's Impact on Workplace Injuries and Illnesses in 
Manufacturing Using Establishment-Specific Targeting of Interventions, 
Prepared for OSHA by ERG, Lexington, Mass.: July 23, 2004.

[50] GAO, Workplace Safety and Health: OSHA's Voluntary Compliance 
Strategies Show Promising Results, but Should Be Fully Evaluated before 
They Are Expanded, GAO-04-378, (Washington, D.C.: Mar. 19, 2004).

[51] All the rates of occupational injury and illness in this report 
are based on BLS data. BLS calculates a relative standard error for 
each estimate it tabulates, and the 95 percent confidence intervals for 
the detailed rates cited in this report are all within plus or minus 
14 percent of the estimated rates. Rather than report confidence 
intervals for every incidence rate estimate in this report, a broad 
conservative confidence interval is used to cover all BLS incidence 
rate estimates. For this particular estimate, the confidence interval 
is plus or minus 2.5 percent of the estimated tendonitis incidence rate 
estimate used in this report. 

[52] Because OSHA does not require employers to record race data on its 
case reporting form, BLS cannot require employers to report it as part 
of the detailed data it collects for these serious cases. Instead it is 
a voluntary item and BLS does not receive the race data for roughly one 
in four of the injured or ill workers. 

[53] See GAO-03-45.

[54] Evaluation of OSHA's Impact on Workplace Injuries and Illnesses in 
Manufacturing Using Establishment-Specific Targeting of Interventions, 
Prepared for OSHA by ERG, Lexington, Mass.: July 23, 2004.

[55] We did not evaluate documentation related to the development of 
the models presented, so we did not determine whether the work was done 
correctly. As described, however, we believe that OSHA's approach was 
reasonable and in line with current methodological approaches.

[56] OSHA used complex data cleaning and matching algorithms to prepare 
and combine information within its establishment-specific injury and 
illness database and between it and other databases. The establishment-
specific injury and illness database, in particular, presented many 
challenges since it is derived from annual surveys of business 
establishments. For instance, some of the surveys received were 
rejected from the analysis because of missing information, some were 
duplicate entries, and about half were rejected because they could not 
be matched to an establishment in the prior year. OSHA used similar 
matching procedures to combine the injury and illness data with the 
intervention records housed within OSHA's inspections database. We 
believe that OSHA's description of analysis difficulties with 
enterprise-level data is fair and, as described, OSHA's efforts to work 
through such difficulties seemed thorough. The analysis file OSHA 
constructed, though, most likely contains some unknown measure of 
mismatch.

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