[Inspection and workplace fatalities: between expectations and reality].

Abstract

Objectives: to evaluate the preventability of workplace fatalities that occurred in Piedmont Region (Northern Italy) through inspections by Occupational Safety and Health (OSH) inspectors. It was examined whether an inspection carried out the day before the event could have avoided the injury, and also differences in its impact across various sectors were investigated.

Design: descriptive study.

Setting and participants: workplace injury investigations conducted by OSH inspectors on fatalities that occurred in Piedmont from 2002 to 2022, classified according to the InforMo method.

Main outcome measures: using a group of validated criteria of preventability, fatalities were divided into three categories: probably preventable, probably not preventable, and uncertain.

Results: two-thirds of the 786 workers who died were employed in construction and agriculture, while the remaining third worked in manufacturing and other sectors. The analysis on the preventability of fatalities indicates that, in at least half and up to two thirds of the cases, an inspection carried out the previous day probably could not have prevented the fatality. Interviews with OSH inspectors confirmed the validity of the criteria adopted to classify the preventability of injuries.

Conclusions: the results suggest that, although inspections can play a significant role in preventing workplace fatalities, a considerable portion of them probably could not have been avoided with a hypothetical inspection the day before the event. To corroborate this result, it is necessary to extend the analysis to fatalities occurring in other Regions. Nevertheless, it is necessary to strengthen the contribution of the various actors envisaged by Legislative Decree 81/2008 and Legislative Decree 626/1994 (RSPP, RLS, etc.) to improve significantly the workplace safety.