SAFE WORK i i111l1e 21ST C-EN.TURY -"'1lIll1.i.r.. ..llIIlIaIl - - .... " ,". http://www.nap.edu/openbookJ0309070260/html/R1.html.copyright,2000TheNationalAcademyofSciences,allrightsreserved SAFE WORK 21 ST CENTURY in the fducation andTraining Needsfor the Next Decade's Occupational Safetyand Health Personnel Committeeto AssessTrainingNeedsfor OccupationalSafetyand HealthPersonnelin the United States Board onHealthSciencesPolicy INSTITUTE OF MEDICINE NATIONAL ACADEMY PRESS Washington, DC http://www.nap.edu/openbookJ0309070260/html/R2.html.copyright,2000TheNationalAcademyofSciences,allrightsreserved NATIONAL ACADEMY PRESS· 2101 ConstitutionAvenue, NW • Washington, DC20418 NOTICE: TheprojectthatisthesubjectofthisreportwasapprovedbytheGoverningBoard of the National Research Council, whose members are drawn from the councils of the National AcademyofSciences,the National AcademyofEngineering,and the Instituteof Medicine.The membersofthe committeeresponsiblefor this reportwerechosenfor their specialcompetencesandwithregardfor appropriatebalance. Supportfor thisprojectwasprovidedbytheNationalInstituteforOccupationalSafety and Health, the OccupationalSafetyand Health Administration, the U'S. Department of Veterans Affairs, the National Institute of Environmental Health Sciences, the American AssociationofOccupationalHealthNurses,andthe AmericanAcademyofIndustrialHy gicnc.This supportdocsnotconstituteendorsementofthe viewsexpressedin the report. LibraryofCongressCataloging-in-PublicationData Safe workin the 21stcentury:educationand trainingneedsforthe nextdecade's occupationalsafetyandhealthpersonnel / CommitteetoAssessTrainingNeedsfor OccupationalSafetyandHealthPersonnelin the UnitedStates,HealthSciencesPolicy Division,InstituteofMedicine. p,em Includesbibliographicalreferences, ISBN0-309-07026-0 1. Industrialhygiene.2.Industrialsafety.1.InstituteofMedicine(U.S.).Committee to Access TrainingNeedsfor OccupationalSafetyandHealthPersonnelinthe United States. RC967.s215 2000 616,9'803---dc21 00-055005 Additionalcopiesofthisreportarcavailableforsalefromthe NationalAcademyPress, 2l(J1ConstitutionAvenue,NW, Box285,Washington,DC20055.Call (800)624-6242or(202) 334-3313 (in the Washington metropolitan area), or visit the NAP's on-line bookstore at www.nap.edu. The full text ofthe reportisavailableon-lineatwww.nap.edu. For more information about the Institute of Medicine, visit the 10M home page at www.iom.edu. Copyright2000bythe NationalAcademyofSciences, Allrightsreserved, Printedinthe UnitedStatesofAmerica. Coverphotograph: Window Washer on the EmpireState Building. Photographer: Earl Dotter, The serpenthasbeenasymboloflonglife,healing,and knowledgeamongalmostall cultures and religions since the beginning of recorded history. The serpent adopted as a logotypebytheInstituteofMedicineisareliefcarvingfromancientGreece,nowheldbythe StaatlicheMuseenin Berlin. http://www.nap.edu/openbookJ0309070260/html/R3.html.copyright,2000TheNationalAcademyofSciences,allrightsreserved "Knowing isnotenough)' wemustapply. Willing isnotenough;we mustdo. .1' -Goethe INSTITUTE OF MEDICINE Shaping the Future for Health http://www.nap.edu/openbookJ0309070260/html/R4.html.copyright,2000TheNationalAcademyofSciences,allrightsreserved L National Academy ofSciences National Academy ofEngineering Institute ofMedicine National Research Council TheNationalAcademyof Sciencesisaprivate,nonprofit,self-perpetuatingsoci etyofdistinguishedscholarsengagedin scientificandengineeringresearch,dedi cated to the furtheranceofscienceand technologyand to theiruse for the general welfare. Upon the authorityof thechartergranted to it by the Congressin 1863, theAcademyhasa mandatethatrequiresit to advise thefederal governmenton scientificandtechnicalmatters. Dr. BruceM. Albertsispresidentof theNational AcademyofSciences. TheNationalAcademyofEngineeringwasestablishedin1964,underthecharter of the National Academy of Sciences, as a parallel organization of outstanding engineers. Itisautonomousin its administrationandin theselectionofits mem bers,sharingwiththeNationalAcademyofSciencestheresponsibilityfor advis ingthefederalgovernment. TheNationalAcademyofEngineeringalsosponsors engineering programs aimed at meeting national needs, encourages education andresearch,andrecognizesthesuperiorachievementsofengineers. Dr. William A.Wulfis presidentof theNational AcademyofEngineering. The Institute of Medicine was established in 1970by the National Academy of Sciencesto securetheservicesofeminentmembersof appropriateprofessionsin the examination of policy matters pertaining to the health of the public. The Instituteactsundertheresponsibility givento theNationalAcademyofSciences byits congressionalchartertobeanadviserto thefederalgovernmentand, upon its owninitiative,to identifyissuesof medicalcare,research, andeducation. Dr. KennethI. Shineis presidentof theInstituteofMedicine. The NationalResearch Councilwasorganized by theNationalAcademyof Sci ences in 1916 to associate the broad community of science and technology with the Academy's purposes of furthering knowledge and advising the federal gov ernment. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National AcademyofSciencesand the National AcademyofEngineeringin pro vidingservicesto thegovernment, thepublic,and thescientificand engineering communities. The Council is administered jointly by both Academies and the InstituteofMedicine. Dr. BruceM.AlbertsandDr. WilliamA.Wulfarechairman andvicechairman,respectively,of theNational ResearchCouncil. http://www.nap.edu/openbookJ0309070260/html/R5.html.copyright,2000TheNationalAcademyofSciences,allrightsreserved COMMITTEETO ASSESS TRAINING NEEDS FOR OCCUPATIONAL SAFETYAND HEALTH PERSONNEL IN THE UNITED STATES JAMES A. MERCHANT (Chair), Dean, College of PublicHealth, Universityof Iowa,IowaCity LINDA HAWES CLEVER,Chairperson, Departmentof Occupational Health, CaliforniaPacificMedicalCenter, SanFrancisco RUTH HANFT,IndependentHealthPolicyConsultant, Charlottesville, Virginia RONALD KUTSCHER, Retired Associate Commissioner, Office of Economic Growthand EmploymentProjections, Bureau of Labor nc. Statistics,Washington, JAMES A. OPPOLD, OccupationalSafetyand HealthConsultant, Raleigh, NorthCarolina M.E. BONNIE ROGERS, Director, OccupationalHealthNursing Program, School of Public Health, University of NorthCarolina at ChapelHill SCOTT SCHNEIDER,Director, OccupationalHealthand Safety Program, Laborers'Healthand SafetyFund of NorthAmerica, Washington, p.c. MARTIN SEPULVEDA,Vice President, GlobalOccupationalHealth Services,IBM Corporation, Somers, New York ROBERT C. SPEAR, Professor of EnvironmentalHealthSciences, School of PublicHealth, Universityof California at Berkeley LOIS E.TETRICK,Professor of Psychology, Departmentof Psychology, Universityof Houston NEAL A. VANSELOW,ChancellorEmeritus,Professor of Medicine Emeritus, School of Medicine, TulaneUniversity M. DONALD WHORTON, OccupationalMedicinePractitioner, President, M. DonaldWhorton, Inc., Alameda, California BoardonHealthSciences PolicyLiaison MARK R.CULLEN, Professor of Medicine and Public Health, Occupationaland EnvironmentalMedicineProgram,Yale UniversitySchool of Medicine, New Haven, Connecticut Study Staff FREDERICKJ.MANNING, ProjectDirector ALDEN B.CHANG II,ProjectAssistant v http://www.nap.edu/openbookJ0309070260/html/R6.html.copyright,2000TheNationalAcademyofSciences,allrightsreserved Institute ofMedicineStaff ANDREW POPE, Director, Board onHealthSciencesPolicy HALLIE WILFERT,AdministrativeAssistant CARLOS GABRIEL, FinancialAssociate VI http://www.nap.edu/openbookJ0309070260/html/R7.html.copyright,2000TheNationalAcademyofSciences,allrightsreserved INDEPENDENT REPORT REVIEWERS Thisreporthasbeenreviewedindraftformbyindividualschosenfor theirdiverseperspectivesandtechnicalexpertise,inaccordancewithpro cedures approved by the National Research Council's Report Review Committee. Thepurposeofthisindependentreviewis to providecandid and critical comments that will assist the institution in making its pub lished report as sound as possible and to ensure that the report meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The content of the review comments and draft manu scriptremain confidential to protectthe integrityof the deliberative pro cess. Wewishto thankthefollowingindividualsfor theirparticipationin the review of this report: JOHN M. DEMENT,AssociateProfessor,Divisionof Occupational and EnvironmentalMedicine,Department of Communityand Family Medicine, DukeUniversityMedical School BERNARD D. GOLDSTEIN, Director, Environmentaland OccupationalHealthSciencesInstitute,Universityof Medicineand Dentistry of NewJersey-RobertWoodJohnson Medical School JOSEPH LADOU, Professor of OccupationalMedicineand Toxicology, Divisionof Occupational and EnvironmentalMedicine, University of California at SanFrancisco JANE A. LIPSCOMB, AssociateProfessor,School of Nursing, Universityof Maryland, Baltimore EDWARD B.PERRIN,Professor Emeritus, Departmentof Health Services, Centerfor Costand Outcomes Research, University of Washington GORDON REEVE, Corporate Epidemiologist,HealthCare Management,FordMotor Company,Dearborn,Michigan JONATHAN D. ROSEN, Director,Healthand SafetyDepartment, New YorkPublic EmployeesFederation, Albany DAVID ROSNER, Professor of Historyand Public Health, and Codirector, PrograminHistory of PublicHealthand Medicine, MailmanSchoolof Public Health, ColumbiaUniversity GAVRIEL SALVENDY,Professor of IndustrialEngineering,Purdue University DAVID TOLLERUD,Director, Centerfor Environmentaland OccupationalHealth, CP. HahnemannUniversitySchool of Public Health,Philadelphia While theindividualslistedaboveprovidedmanyconstructivecom ments and suggestions, responsibility for the final content of the report rests solelywith the authoringcommittee and the Institute of Medicine. VII http://www.nap.edu/openbookJ0309070260/html/R8.html.copyright,2000TheNationalAcademyofSciences,allrightsreserved http://www.nap.edu/openbookJ0309070260/html/R9.html.copyright,2000TheNationalAcademyofSciences,allrightsreserved Acronyms and Abbreviations AAIHN AmericanAssociationof Industrial Nurses AAOHN AmericanAssociationof OccupationalHealth Nurses AAOM AmericanAcademyof OccupationalMedicine ABET AccreditationBoardfor Engineeringand Technology ABOHN AccreditationBoardfor OccupationalHealth Nurses ABIH AmericanBoard of IndustrialHygiene ABPM AmericanBoard of Preventive Medicine ACGIH AmericanConference of GovernmentalIndustrial Hygienists ACGME AccreditationCouncilfor GraduateMedicalEducation ACOEM AmericanCollege of Occupationaland Environmental Medicine ADA Americans with DisabilitiesAct AEP AssociateErgonomics Professional AHC academic healthcenter AIHA AmericanIndustrialHygiene Association AMT advanced manufacturing techniques AOMA AmericanOccupationalMedicine Association ASP Associate SafetyProfessional ASSE AmericanSocietyof SafetyEngineers BCPE Board of CertificationinProfessionalErgonomics BCSP Board of Certified SafetyProfessionals IX