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SMALL BUSINESS ASSISTANCE

Burden, Need and Impact

	Two restaurant employees on the jobNIOSH strives to maximize its impact in occupational safety and health. The Small Business Assistance Program identifies priorities to guide investments, and base those priorities on the evidence of burden, need and impact. Below are the priority areas for the Small Business Assistance Program.

Burden

There are approximately six million workplaces in the U.S. that have employees. Eighty-nine percent of them have fewer than 20 employees, and 79% have fewer than 10 employees.1 Smaller firms dominate every major NORA sector (see table below). Of the 120 million plus workers employed in 2008 in the U.S., more than 54% worked in establishments with less than 100 employees.2

Size of firms by NORA Sectors

Sector

Total Firms

Firms < 20 employees (%)

Firms < 10 employees (%)

Forestry, Fishing & Agriculture

23,000

94

85

Mining

21,000

82

70

Construction

800,000

92

82

Manufacturing

287,000

74

59

Wholesale & Retail Trade

1,048,000

89

78

Healthcare & Social Assistance

615,000

87

74

Services

3,133,000

89

79

Transportation, Warehousing & Utilities  

180,000

87

78


Although not clearly illustrated in national injury and illness statistics, several studies show the smaller a business is, the more likely workers are to experience injuries, illnesses and fatalities.3,4,5,6. Smaller businesses are recognized as having fewer human and capital resources available to devote to the prevention of workplace illnesses, injuries, and fatalities. Injury and illness incidence may appear to managers to be a minor problem because incidents are infrequent. Managers in smaller businesses often work in isolation without sufficient access to peer opinion and industry best practices. These factors not only reduce prevention activities, but may also reduce the reporting of illnesses and injuries to government agencies, insurance companies, and other organizations.

Need

Smaller businesses engage in fewer occupational safety and health activities than larger businesses7 for the various reasons noted above. Thus, there is clearly a need for delivering OSH assistance to smaller businesses. Researchers and practitioners have observed that the use of intermediary organizations may be a useful way to overcome the difficulties associated with delivering occupational safety and health assistance to smaller businesses8.Intermediary organizations include trade associations, worker groups, insurance companies, chambers of commerce, small business development centers, professional organizations, small-business-focused media, and public health and other government agencies. The Small Business Assistance Program is currently engaged in building relationships in each of these intermediary categories. In addition, the diffusion of innovation/exchange theoretical framework9 can be used in collaboration with many other sectors, as seen in the Total Worker Health for Small Business project.

Impact

By using intermediaries to reach small businesses, there is increased dissemination of occupational safety and health assistance. For example, a recent search of U.S. business member organizations included more than 31,000 listings10. Through increased dissemination by trusted intermediaries, there may be an increased likelihood of small businesses considering adoption of occupational safety and health interventions. Collaborations with intermediaries will also lead to better translation of products, so that highly scientific materials can be narrowed down to information that can easily be grasped and quickly applied in small business settings.

1U.S. Census Bureau [2011]. Statistics for all U.S. firms with paid employees by geographic area, industry, gender, and employment size of firm: 2007, http://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?pid=SBO_2007_00CSA09&prodType=table.

2U.S. Department of Commerce. [2008]. County Business Patterns. U.S. Department of Commerce, Washington, DC.

3Buckley JP, Sestito JP, Hunting KL [2008]. Fatalities in the landscape and horticultural services industry, 1992–2001. Am J Ind Med 51:701–713.

4Mendeloff J, Nelson C, Ko K, Haviland A [2006]. Small business and workplace fatality risk: an exploratory analysis. Technical Report TR-371-ICJ. Santa Monica, CA: RAND.

5Morse T, Dillon C, Weber J, Warren N, Bruneau H, Fu R [2004]. Prevalence and reporting of occupational illness by company size: population trends and regulatory implications. Am J Ind Med 45:361–370.

6Page K [2009]. Blood on the coal: the effect of organizational size and differentiation on coal mine accidents. J Safety Res 40:85–95.

7Sinclair R, Cunningham TR, & Schulte P. [2013]. A model for occupational safety and health intervention in small businesses. American Journal of Industrial Medicine.

8Hasle P and HJ Limborg, A review of the literature on preventive occupational health and safety activities in small enterprises. Industrial Health, 2006. 44: p. 6-12.

9Sinclair, R., & Cunningham, T. R. [2014]. Predictors of safety activities in small firms. Safety Science, 64, 32-38.

10Dunn and Bradstreet (2015). Hoover’s business data.

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