Musculoskeletal concerns do not justify failure to use safer sequential trigger to prevent acute nail gun injuries

Details

• Personal Author:
  Lipscomb HJ ; Nolan J ; Patterson D
• Description:
  Background: Acute nail gun injuries can be controlled significantly by using tools with sequential triggers and training. Concern has been raised that sequential triggers, which require that the nose piece of the gun be depressed prior to pulling the trigger, could increase risk of musculoskeletal problems. Methods: We conducted active injury surveillance among union carpenter apprentices to monitor acute injuries and musculoskeletal disorders between 2010 and 2013. Results: Acute injury risk was 70% higher with contact trip rather than sequential triggers. Musculoskeletal risk was comparable (contact trip 0.09/10,000 hr (95% CI, 0.02-0.26); sequential 0.08/ 10,000 hr (95% CI 0.02-0.23)). Conclusions: Concern about excess risk of musculoskeletal problems from nail guns with sequential triggers is unwarranted. Both actuation systems carry comparable musculoskeletal risk which is far less than the risk of acute injury; there is clearly no justification for failure to prevent acute injuries through use of the safer sequential trigger. [Description provided by NIOSH]
• Subjects:
  Construction Industry Musculoskeletal Diseases Musculoskeletal System Occupational Health Risk Assessment Risk Factors Safety
• Keywords:
  Active Surveillance Author Keywords: Occupational Injury Construction Construction-equipment Construction-industry Construction-workers Hand-tools Hazards Injuries Injury-prevention Injury Prevention Musculoskeletal-system Musculoskeletal-system-disorders Musculoskeletal Disorder Nail Guns Residential Carpentry Risk-factors Sequential Trigger Surveillance-programs

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• ISSN:
  0271-3586
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Maryland ; North Carolina ; OSHA Region 3 ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  422-427
• Volume:
  58
• Issue:
  4
• NIOSHTIC Number:
  nn:20045967
• Citation:
  Am J Ind Med 2015 Apr; 58(4):422-427
• Contact Point Address:
  Hester J. Lipscomb, PhD, Professor, Division of Occupational and Environmental Medicine, PO Box 3834, Duke University Medical Center, Durham, NC 27710
• Email:
  hester.lipscomb@duke.edu
• Federal Fiscal Year:
  2015
• NORA Priority Area:
  Construction
• Performing Organization:
  CPWR - The Center for Construction Research and Training, Silver Spring, Maryland
• Peer Reviewed:
  True
• Start Date:
  20090901
• Source Full Name:
  American Journal of Industrial Medicine
• End Date:
  20240831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:50fbc3a525eb80527c00fd6d1400c9c4b6792db21b7b5973e758a6c52db7c7eadabc0dfa9bf5aa593a64bb959da86f5d1645640a11acb3d2f747f46fdc177e3a
• Download URL:
  https://stacks.cdc.gov/view/cdc/201173/cdc_201173_DS1.pdf
• File Type:
  [PDF - 85.48 KB ]