Serious injury and fatality investigations involving pneumatic nail guns, 1985-2012

Am J Ind Med. 2016 Feb;59(2):164-74. doi: 10.1002/ajim.22560. Epub 2016 Jan 4.

Abstract

Background: This article examines serious and fatal pneumatic nail gun (PNG) injury investigations for workplace, tool design, and human factors relevant to causation and resulting OS&H authorities' responses in terms of citations and penalties.

Methods: The U.S. Occupational Safety and Health Administration (OSHA) database of Fatality and Catastrophe Investigation Summaries (F&CIS) were reviewed (1985-2012) to identify n = 258 PNG accidents.

Results: 79.8% of investigations, and 100% of fatalities, occurred in the construction industry. Between 53-71% of injuries appear to have been preventable had a safer sequential trigger tool been used. Citations and monetary penalties were related to injury severity, body part injured, disabling of safety devices, and insufficient personal protective equipment (PPE).

Conclusions: Differences may exist between construction and other industries in investigators interpretations of PNG injury causation and resulting citations/penalties. Violations of PPE standards were penalized most severely, yet the preventive effect of PPE would likely have been less than that of a safer sequential trigger.

Keywords: accident investigation; pneumatic nail gun; struck by; traumatic injury; trigger safety.

MeSH terms

  • Construction Industry / standards
  • Construction Industry / statistics & numerical data*
  • Construction Materials / adverse effects*
  • Equipment Design
  • Equipment Failure / statistics & numerical data*
  • Equipment Safety / standards
  • Equipment Safety / statistics & numerical data
  • Firearms
  • Humans
  • Occupational Health / standards
  • Occupational Health / statistics & numerical data*
  • Occupational Injuries / etiology
  • Occupational Injuries / mortality*
  • Personal Protective Equipment / statistics & numerical data
  • United States / epidemiology
  • United States Occupational Safety and Health Administration / standards
  • United States Occupational Safety and Health Administration / statistics & numerical data