Workers’ compensation loss prevention representative contact and risk of lost-time injury in construction policyholders

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4 Scopus citations


Introduction Insurance loss prevention (LP) representatives have access and contact with businesses and employees to provide targeted safety and health resources. Construction firms, especially those smaller in size, are a high-risk population. This research evaluated the association between LP rep contact and risk for lost-time injuries in construction policyholders. Methods Workers’ compensation data were utilized to track LP rep contact with policyholders and incidence of lost-time injury over time. Survival analysis with repeated events modeling calculated hazard ratios (HR) and 95% confidence intervals (CI). Results Compared no LP contact, one contact was associated with a 27% reduction of risk (HR = 0.73, CI = 0.65–0.82), two with a 41% (HR = 0.59, CI = 0.51–0.68), and three or more contacts with a 28% reduction of risk (HR = 0.72, CI = 0.65–0.81). Conclusions LP reps appear to be a valuable partner in efforts to reduce injury burden. Their presence or contact with policyholders is consistent with reduction in overall incidence of lost-time injuries. Practical applications Reduction in lost-time injuries, resulting in reduced workers’ compensation costs for policyholders and insurance companies, builds a business-case for safety and injury prevention. LP reps are often a low or no-cost benefit for insurance policyholders and may be an important injury prevention resource for small firms and/or those with lack of safety resources and staff.

Original languageEnglish (US)
Pages (from-to)101-105
Number of pages5
JournalJournal of Safety Research
StatePublished - Sep 2017

Bibliographical note

Funding Information:
This work was supported by the National Institute of Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention, through the Midwest Center for Occupational Health and Safety Education and Research Center, University of Minnesota (T42OH008434), and by the CPWR-The Center for Construction research and Training through NIOSH cooperative agreement OH009762. The content of this work is solely the responsibilities of the authors and does not necessarily represent the official views of NIOSH, CPWR, The Builders Group (TBG), or the University of Minnesota.

Publisher Copyright:
© 2017 The Authors


  • Business-case
  • Injury
  • Safety
  • Survival analysis
  • Workers’ compensation


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