Trends in parcel delivery driver injury: Evidence from NEISS-Work

Introduction: The rise of e-commerce has rapidly increased the proportion of goods delivered directly to customers’ homes. These increases have placed notable demands on delivery personnel, with potential health and safety consequences. In this paper, we examined trends in parcel delivery driver injury through analyses of injuries treated in emergency departments (ED) in the United States from 2015 through 2022. Methodology: We explored trends among Couriers and Messengers as well as Postal Service personnel as designated by Bureau of Census (BOC) industry codes. We estimated counts and rates of injuries per 10,000 full time worker equivalents and examined demographics (e.g., age, sex) and other characteristics (e.g., source of injury, injury diagnosis) associated with these injuries. Results: We found that: (1) ED-treated injury rates between 2015 and 2022, among both the Postal Service and Couriers and Messengers, have demonstrated an upward trajectory, contrasting with overall U.S. industry injury rates, which have trended downward; and (2) while ED-treated injury rates for these industries have taken different paths over time, both industries’ ED-treated injury rates have converged toward a position much higher than average. Moreover, we found that female personnel and young personnel disproportionately experienced ED injuries. Conclusions: In addition to calling attention to worrying injury trends among delivery drivers, we conclude that the current data landscape prevents the development of a nuanced picture of injury trends and hazards. These limits inhibit exploration of many specific hazards, and therefore preventive measures that would be designed based on such specific exploration. Practical Applications: Our results serve both as a foundation toward improved safety practices in an industry that continues to experience rapid changes and as a step toward motivating updated data collection and dissemination practices that could help understanding of the modern workplace injury landscape.