Global Patterns of Agricultural Machine and Equipment Injuries- A Systematic Literature Review.

OBJECTIVES: Agriculture is the one of the hazardous industries in the world. Though there is significant investment in agricultural safety, machine injuries continue to be the leading cause of agriculture injuries worldwide. The objective of this study was to provide a comprehensive literature review on global patterns in agricultural machine injuries and establish a framework for future research aimed at addressing safety concerns in the agriculture sector. METHODS: The existing scholarship on farm machine injuries can be categorized into three main areas: a) farming machine/equipment injuries, b) factors associated with these injuries, and c) injury patterns. RESULTS: Overall, the findings highlight that farm tractors are the primary source of injuries for both fatal and non-fatal incidents regardless of region. Other common sources of injuries were harvesting machinery and hand/power tools in Asia, ATVs in North America and woodworking machinery in Europe. Inadequate training in operating farm equipment was reported as the most likely factor contributing to machine-related injuries. Lastly, the patterns of injuries vary based on the interaction between humans and machinery. For instance, rollovers often result in severe head and fracture injuries, while thresher incidents can lead to amputation of hands, arms, and other body parts. CONCLUSION: Addressing these injuries by implementing safety protocols will not only enhance the well-being of farm workers but potentially attract more workers to the sector, which is currently experiencing labor shortages due to machine-related injuries.

Estimating Passive Stress Acting on a Grain Entrapment Victim's Chest.

Grain entrapments remain a major concern in the grain industry, with 1,100 incidents documented since the 1970s. One particular concern is the ability of a victim to breathe while entrapped in grain. Anecdotal reports suggest that victims struggle to breathe when entrapped in grain to a depth that covers their chests, yet some evidence indicates that victims should be able to breathe normally as long as their airways are not blocked regardless of depth. The hypothesis for this discrepancy is that previously published experiments measured an active stress state in the grain, while a person breathing also experiences a passive stress state during inhalation. The passive stress is significantly larger than the active stress. The objective of this study was to measure the passive stress when pushing against grain, such as during inhalation, and compare it to active stress state measurements. An MTS Criterion testing machine, which is a force deformation testing device, was used to push a block horizontally against a column of grain and record the force and displacement during the movement. The measured passive stress was calculated from the force and displacement values and ranged from 9.4 to 11.0 kPa at a depth of 20 to 30 cm. These values are three to four times larger than previously published measurements of stresses at similar depths. This result indicates that the discrepancy between experimental results and anecdotal reports is most likely due to the type of stress state experienced in grain entrapment. Findings imply that the pressures on the victim's chest during entrapment are sufficient to cause breathing difficulties or crush/positional asphyxiation in some cases. A full-scale study is recommended.

Utilization and Effectiveness of Harnesses and Lifelines in Grain Entrapment Incidents: Preliminary Analysis.

No previous studies have been found that document the level of use or validate the effectiveness of safety harnesses and lifelines in the prevention of or extrication from grain entrapments or engulfments. This article addresses that void via analysis of the data contained in the Purdue Agricultural Confined Space Incident Database. A total of 1,147 cases involving entrapments or engulfments in grain masses were mined for terms that might indicate the use of a safety harness, lifeline, fall restraint system, rope, or outside observer. Case information ranged from brief news accounts to comprehensive investigation results. The review turned up 38 incidents (< 5%) in which these safety devices were identified as having been used by either workers or rescuers during access to a storage structure. In 26 of the 38 cases (68%) where safety devices were identified, the entrapment or engulfment resulted in a fatality. The two most common reasons cited for failure of these devices were (1) that the lifeline or rope was too long (17 incidents) and (2) that the worker had removed the harness with the attached lifeline while in the structure (6 incidents). It was also determined that these devices, if used improperly, can lead to secondary injuries of the victim. The preliminary evidence suggests that use of these devices alone does not ensure the user's safety and may even provide a false sense of security if used without proper training. It was further found that an approved body harness and safety line provided little or no protection from either entrapment or falls if used in the presence of vertically crusted grain surfaces, without proper anchors, or not in conjunction with outside observers. The presented results are important for safety professionals to consider as they endeavor to reduce the risk of grain entrapment and engulfment incidents through training, education, selection of personal protective equipment, etc., and should contribute to the development of new structural standards for grain bins. It is the intent of this article to elucidate the importance of training and proper use of these safety devices.

Summary of U.S. Injuries and Fatalities Involving Entrapment and Suffocation in Grain Transport Vehicles.

Since 1978, the Purdue University Agricultural Safety and Health Program has managed a surveillance effort and database to collect information on documented injuries and fatalities in all forms of U.S. agricultural confined spaces. The database currently contains 1,968 cases documented in the U.S. between 1964 and 2016. Of these cases, 174 (8.8%) involved entrapment or suffocation in grain transport vehicles (GTVs), including gravity-flow wagons, semi-truck trailers, and other agricultural transport vehicles that have limited access and are not considered normal work spaces or are classified as confined spaces. These GTV cases represent the overwhelming majority of documented cases involving all forms of agricultural transport vehicles, including forage and manure transport vehicles. Of the incidents documented, 64.3% resulted in fatalities and 71.8% involved children and youth age 20 years and under, when the age was determined. For the GTV cases, the typical victim was male (88.5%), and the average age of the victim was 19.9 (median 12), with over 63.5% of the cases involving children under the age of 15. In numerous incidents, more than one victim became entrapped, including one incident involving five victims. The number of documented cases decreased sharply from a peak of approximately 7 cases per year in the early 1990s to an average of 3.1 cases per year over the past two decades, with no cases documented in 1998 and 2013. However, there is a linear increase in the frequency of incidents since the first case was documented in 1964. This trend is partially due to peaks in 2011 and 2014, when 10 and 9 cases, respectively, were documented, along with more vigilant surveillance methods due to online search capabilities. The general decline, more recently, in the annual number of cases is attributed to increased awareness of the hazards to youth during transport in GTVs, increased use of warnings on GTVs, and the increased size of GTVs, which makes human access more difficult and less practical. Efforts over the past decade to bring attention to the risk of entrapment in GTVs should be recognized as a success of the educational and technological strategies initiated due to earlier high-profile incidents. However, with 6, 10, 9, and 4 cases documented in 2010, 2011, 2014, and 2016, respectively, continued efforts to address the problem are justified. Recommendations for future actions include development of a safety standard for GTVs that includes placement of safety messages on all new GTVs, use of windows above outlets, retrofitting older GTVs with appropriate warnings, and continuing to address the hazard with safety resources targeting all workers exposed to grain handling and transport.