GAO Finds Incentives to Underreport Workplace Injuries and Illnesses Pervasive
WASHINGTON, D.C. – The Government Accountability Office (GAO) issued a report today that found that incentives for employers and workers to underreport illness not only adversely impacts the accuracy of data that the federal Occupational Safety and Health Administration (OSHA) uses to target unsafe workplaces, but also has put pressure on health professionals to change diagnoses or provide insufficient treatments.
The report was requested by U.S. Sens. Tom Harkin (D-IA) and Patty Murray (D-WA), and U.S. Reps. George Miller (D-CA) and Lynn Woolsey (D-CA).
A third of occupational health professionals surveyed by the GAO said that they were pressured by employers to provide insufficient treatments to workers in order to hide or downplay work-related injuries or illness. More than two-thirds of health professionals observed worker fear for reporting an injury or illness, and 53 percent of practitioners said they were pressured by an employer to downplay an injury or illness so it is doesn’t have to be reported on an official log.
"The widespread underreporting so clearly documented in this report is undermining the health and safety of American workers,” said Sen. Harkin, chairman of the Senate Health, Education, Labor and Pensions Committee. “If we don't know the full extent of the workplace hazards workers face, we cannot fully address these risks. We need to take steps to require employers to provide a full account of on-the-job injuries and to protect workers so they can report workplace incidents without fear of retaliation."
“We cannot allow the lack of accurate information to permit hazardous working conditions to go unaddressed, putting workers’ health and lives at risk,” said Rep. Miller, chairman of the House Education and Labor Committee. “The GAO report underscores the need for OSHA to have all the tools they need to eliminate incentives that result in underreporting injuries.”
Injury and illness records assist OSHA to better allocate its resources, accurately target its inspections and evaluate the success of efforts to improve the health and safety of American workers. Employers may underreport injury and illness rates because lower rates likely lead to fewer inspections, improves their competitiveness when bidding for new contracts, and lowers the employer’s workers’ compensation costs. Workers may also be discouraged from reporting injuries or illnesses because of prizes given by employers to groups of workers that report fewer injuries or illnesses.
"This report confirms that when it comes to the documenting of workplace injuries, we can't just take employers at their word. The system, to this point has been all too easy to game,” said Sen. Murray, chair of the Senate Subcommittee on Employment and Workplace Safety. “Government has the responsibility to be a stronger partner in ensuring that every worker who punches in for their next shift returns home safe and healthy at the end of the day. But to do that, we must have accurate information and that means more input from those on the factory floor and in the workplace. We need to ensure the inclusion and protection of victims and family members throughout the reporting process.”
“GAO’s survey results make clear that there is pressure on workers and health care providers to underreport and under-treat job-related injuries and illnesses,” said Rep. Woolsey. “GAO’s report underscores the need for Congress to enact provisions in the Protecting Americas Workers Act, which would prevent employers from implementing safety incentive programs that discourage accurate recordkeeping and reporting of occupational injuries and illnesses.”
The GAO recommended that OSHA inspectors to interview workers during records audits, update the list of hazardous industries that are scrutinized, and provide employers with better education and training on recordkeeping requirements.
The Protecting Americas Workers Act, introduced by Harkin, Miller, Murray and Woolsey, would give OSHA additional tools to combat underreporting of injuries and illnesses by employers.
For more information on the bill, click here.
To read the GAO report issued today, click here.
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