NWLETT - Northwest Construction News

The frequency and consequences of concussions among players in the National Football League is getting a lot of press these days, but construction workers are also at risk for suffering this type of injury on the job. According to the National Institute for Occupational Safety and Health (NIOSH), the construction industry has the highest number of fatal head injuries in U.S. workplaces. Between 2003 and 2010, more than 2,200 construction workers died from traumatic brain injuries (TBIs).

What Is a Concussion?

A concussion is a type of traumatic brain injury caused by a sudden and direct bump, blow or jolt to the head or body that causes the brain to bounce and twist inside the skull. This violent movement can cause bruising, damage blood vessels and nerves and create chemical changes.

Concussions, which can occur even if the head never smacks the ground, can range from leaving a worker feeling slightly dazed or experiencing a very brief loss of consciousness to a prolonged loss of consciousness and longer recovery times. Severe TBIs can be life-threatening.

Repeated concussions, even when mild, can also lead to serious health problems. These include post-concussion syndrome, in which the effects of a concussion, including headaches and dizziness, last for weeks and sometimes even months after the initial injury.

High Risk for Head Injuries

The falls and struck-bys that cause most fatalities in construction are also the source of most concussions among workers. National estimates are not available, but in the state of Washington, these types of injuries accounted for 20 percent of work-related injuries from 1998-2008. They can lead to costly compensation claims and workers who suffer them are more likely to require hospitalizationthan other types of injuries.

“A concussion can occur in the blink of an eye. All it takes is a missed step on a ladder or being hit by a falling object from above,” says LIUNA General Secretary-Treasurer and LHSFNA Labor Co-Chairman Armand E. Sabitoni. “That’s why it’s important for every worker on site to be able to recognize the symptoms of a concussion and for someone to be designated to call 911 or take the injured worker to the emergency room, even if that worker says they’re fine.”

Symptoms of a concussion include:

Loss of consciousness for a few seconds to a few minutes
Feeling dazed or disoriented
Headache
Nausea or vomiting
Dizziness
Blurred vision, ringing in the ears, bad taste in mouth

Diagnosis and Treatment

A doctor will determine the severity of a concussion by:

Asking the injured worker how they got hurt
Giving a physical exam that tests brain function
Ordering a scan of the brain to see the extent of the injury and rule out more serious, life-threatening brain trauma

Recovery may require several days of bed rest, fluids and over-the-counter pain relievers such as acetaminophen. Follow-up care may also be needed to ensure there are no complications such as memory loss, cognitive impairment and personality issues. Follow-up medical evaluation is important for ensuring the injured person has recovered and is ready to return to work.

Reduce the Risk for Head Injuries

In addition to providing hard hats, employers can reduce the risk for concussions by:

Erecting guardrails
Installing safety netting
Providing personal fall arrest systems and training employees in how to use them
Mandating good housekeeping before and during every shift to clear walkways of slip and trip hazards
Encouraging workers to report hazards

The LHSFNA offers a number of materials that can help reduce the risk for falls and struck-bys at construction sites that can lead to concussions. These include the Fall Protection in Construction Health Alert and the A Clean Site is a Safe Site poster. Order these and other health and safety materials through the Fund’s online Publications Catalogue. You can also read more about preventing falls in our January 2016 article, “Protecting Workers During All Aspects of a Fall.”

The LHSFNA’s Occupational Safety & Health Division can provide additional guidance with thorough site visits and reviewing an employer’s safety and health program. The Fund’s online Site Safety and Health Program allows signatory contractors to create individual safety and health programs customized for their specific needs. For more information, call 202-628-5465.

23 Aug

LIUNA’s Fact Sheet: Right to Prosper and So-Called Right to Work

| Right to Work, Wages

Our Right to Prosper and So-Called Right-to-Work

Our country is about more than just low wage jobs. What makes America different is that it’s about more than work; our country is about the opportunity to get ahead and prosper. The corporate-backed elitists pushing so- called “right-to-work” are out to cut your pay, destroy your pension and weaken your union. It’s a well-funded nationwide effort and we must fight to stop them.

Our Right to Prosper is under attack by right-to-work laws that undermine your union, threaten training programs, cut wages, destroy good benefits, and jeopardize pensions.

 “Right-to-work” allows workers to opt-out of their fair share of union dues, stretching your union to the breaking point by forcing it to cover “free riders.”
 “Right-to-work” will deprive you of the family-supporting wages you deserve – workers in “right-to-work” states make about $5,300 a year less than workers in free-bargaining states.
 The health of you and your family will suffer – in “right-to-work” states, 28 percent more people lack health insurance. And your pension will be threatened as companies run away from their obligations.
 “Right-to-work” laws can be deadly. The rate of workplace deaths is 36 percent higher in “right-to-work” states. Workers in those states also lose out on workers’ compensation.“Right-to-work” is bad for your employer, too – it gives the upper hand to “low road” companies that offer poor pay and benefits and no career ladder. They can also devastate your local economy.
 Employers like yours negotiate with a union for a reason – they get access to a skilled, trained workforce. “Right-to-work” laws hurt their ability to compete on the quality, safety and productivity advantages they offer by using union workers.
 The good wages you make – the wages your union-negotiated – allow you to spend more money at local shops, restaurants, and other businesses. By weakening unions and putting those wages at risk, “right-to-work” laws can hurt your community’s economy as well. America is about prosperity for all but “right-to-work” laws hit the pocketbooks of women and minorities hard by threatening their unions.
 Latino union members earn $45 more each week than nonunion Latinos, while unionized African Americans earn 30 percent more each week than those, not in a union.
 “Right-to-work” laws undo the major gains unions have made in closing the gap between men’s and women’s pay. While the overall gender gap is 32 percent, it is only 5 percent among men and women who are in a union. Laborers’ International Union of North America – 905 16th Street NW | Washington, D.C. 20006 | 202-942-2246 | www.liuna.org