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The Latest on Workplace Violence Statistics

Updated 4/28/2020—The latest on workplace violence statistics 2020 is that many businesses continue to under-report non-fatal injuries and illnesses. This under-reporting creates a misleading picture of violence in the workplace and - due to not acknowledging the issue - results in businesses failing to adequately protect employees.

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In the 2015 edition of “Injury Facts”, the National Safety Council raised concerns that non-fatal injuries and illnesses were being under-reported. The organization cited several Californian investigations that found discrepancies of up to 48% between the number of injuries reported and the number of worker's compensation claims, and a study in Washington State that found 90% of organizations surveyed were not complying with Occupational Safety and Health Administration (OSHA) reporting regulations.

Three years later, the Office of the Inspector General noted that one of the top management and performance challenges facing the U.S. Department of Labor was how the department could best use its resources to help protect workers' safety and health, but the challenge was exacerbated by the underreporting of injuries by employers. Without this information, the Office said, the department was unable to focus inspection and compliance efforts on the most hazardous workplaces.

OSHA has also raised concerns with regard to the latest workplace violence statistics. On its page dedicated to violence at work, the organization claims “Nearly 2 million American workers report having been victims of workplace violence each year,” but fears “many more cases go unreported”. OSHA's fears may well be justified. The number of reported non-fatal injuries and illnesses has failed to increase in subsequent years, implying that the practice of under-reporting continues to this day.

Why is Violence at Work Under-reported?

When considering statistics on workplace violence, it's important to note the statistics understate the problem because of under-reporting. There are various reasons why violence at work is under-reported. The Washington State study mentioned above concluded businesses fail to report non-fatal injuries and illnesses due to a lack of awareness, a lack of communication, and a lack of incentive. Due to the time it takes to complete Survey of Occupational Injury and Illness (SOII) reports, many businesses use whatever data is available at the time rather than implement an accurate data collection and reporting process.

However, around the same time as the National Safety Council was raising its concerns about under-reporting, Carol Fredrickson - a specialist in workplace conflict resolution - published her “7 Reasons Employees Don't Report Workplace Violence”. The list relates exclusively to employee-on-employee violence, but concludes with a point exceptionally pertinent to the latest workplace violence statistics - many employees and employers do not understand how violence at work is defined.

Below are the latest workplace violence statistics broken down by incident demographics, reasons, financial burdens, and a closer look at active shooter statistics in the workplace.

>>Free Workplace Violence Ebook - Why Improving Emergency Communications Is  Key to Employee Safety

How Violence at Work is Defined

According to the Workplace Violence Research Institute, workplace violence has two definitions. The first, the Institute claims, is one perpetrated by the media in which a disgruntled customer or employee takes a firearm to a place of work and shoots indiscriminately. Although an exaggerated example, this definition may explain why many employees and employers feel violence at work only occurs when an injury is sustained due to a physical attack.

The second definition is one more closely aligned to that provided by OSHA. The Administration's website states: “Workplace violence is any act or threat of physical violence, harassment, intimidation, or other threatening disruptive behavior that occurs at the work site. It ranges from threats and verbal abuse to physical assaults and even homicide.” According to the latest workplace violence statistics released by the National Safety Council, physical assaults in the workplace resulted in 20,790 injuries and 453 fatalities in 2018.

Healthcare SurveyThe Most Dangerous Profession to Work in is Healthcare

In 2016, the New England Journal of Medicine published a comprehensive review of “Workplace Violence against Health Care Workers in the United States”.  The review included data from the Bureau of Labor Statistics showing healthcare workers are nearly four times as likely to require time away from work as a result of violence as they are because of other types of injury (the most common being back injuries, needle stick injuries, exposure to blood and body fluid, and smoke inhalation).

The review also reported that, although employees in the healthcare and social assistance sectors account for 12.2% of the working population (and despite there being the potential for under-reporting in other industries), nearly 75% of workplace assaults occurred in a healthcare setting.

Among other recent workplace violence incidents:

  • 80% of Emergency Medical Services personnel have been attacked by patients.
  • Homicide is the second leading cause of workplace death for home healthcare workers.
  • 78% of Emergency Department physicians and 100% of Emergency Department nurses have experienced violence from patients within the last year.
  • The annual incidence of physical assault in a psychiatric setting is 70%.
  • Among nursing homes with dementia units, 59% of nursing aides reported being assaulted by patients weekly and 16% daily.
  • 46% of nurses reported some form of workplace violence during their five most recent shifts.
  • Between 2000 and 2011, there were 154 shootings with injury either inside or on the grounds of American hospitals.

Among workplace shootings 2018-2019, it is worth noting that only four of the hospital shootings were included in the FBI's “Active Shooter Study” published in 2018. This is because the majority took place on hospital grounds, while those that took place inside an Emergency Department or on a ward were the result of the shooter removing a firearm from a security guard or law enforcement officer. This is another example of how the latest workplace violence statistics can create a misleading picture of violence in the workplace.

Free Infographic Download: Sexual Harassment in the Workplace Statistics

Measures to Prevent Workplace Violence

There are various measures that can be implemented to prevent workplace violence cases. The first is for employers to understand the OSHA definition of violence at work and implement policies that protect employees from the “threat of physical violence, harassment, intimidation, or other threatening disruptive behavior that occurs at the work site”. Should these events occur, the policies must be enforced, sanctions applied, and the incidents included on the SOII reports.

In circumstances where employees are at risk from physical assault, employers should implement mechanisms that can quickly alert security personnel and emergency services to an act of violence. According to our “Trends in Corporate Security Report” approximately 25% of businesses are unprepared for an active shooter incident, meaning the incident is frequently over before police respond and arrive at the scene.

Are Employers Failing to Prioritize Workplace Safety?

In our 2019-2020 Workplace Safety and Preparedness Report, 30% of respondents said they were unaware or unsure of their employers' Emergency Preparedness Plans for the most common types of workplace emergencies. Higher percentages reported that although Emergency Preparedness Plans existed for severe weather events, medical emergencies, and system outages/cyberattacks, the plans were rarely or never tested.

This doesn't necessarily imply employers are failing to prioritize workplace safety. It's more likely their efforts are being focused in the wrong areas due to regulations requiring events such as the periodic testing of fire alarms and fire drill procedures. However, it was particularly noted in the report that more than a third of female respondents were unaware of workplace violence emergency plans, despite workplace violence being the second leading cause of death for women in the workplace.

Workplace Violence Statistics Demographics

Each year, the National Safety Council release an “Injury Facts” report revealing the number of injuries and days lost due to workplace assaults. By analyzing the source data from the Bureau of Labor Statistics (BLS), it is possible to identify specific trends in workplace violence statistics - with the caveat that some trends may be attributable to the increased reporting of non-fatal injuries.

Non-Fatal Injuries

Intentional-Non-fatal-Injury-By-person2Non-fatal Injury By Person-Assault-Type

Fatal Injuries

Intentional-Fatal-Injury-By-person2Fatal Injury By Person-Assault-Type

What these bare workplace fatality statistics don't reveal is the unequal distribution by gender. In 2017, homicides accounted for 22% of fatal injury events for women, but only 8% of fatal injury events for men. Of the 441 workplace homicides in 2017, co-workers were responsible for 77 deaths, customers for 51 deaths, and relatives for 28 deaths. The remainder were attributable to outside actors.

Fatal Injury events by gender
A deeper analysis of BLS data reveals:

  • In 2017, employees were absent from work for 39,750 days as a result of 28,870 reported workplace violence events (4.5% of the total number of days lost due to workplace injuries and illnesses).
  • Of these 28,870 reported workplace violence events, 8,640 occurred in nursing and residential care facilities, 6,590 occurred in hospitals, and 2,370 in social assistance settings.
  • Since 1992, the overall workplace injury and illness rate (days away from work per 10,000 employees) has fallen by 70%. During the same period, workplace violence injury rates increased by 5%.

While the increase in workplace violence rates is mostly attributable to the healthcare industry, the rate of days away from work per 10,000 employees has also increased in education (2008 to 2017):

  • By 116% in private schools
  • By 117% in local authority schools
  • By 233% in state managed schools

Most Dangerous States to Work In

Because California, Texas, Florida, and New York have larger working populations than other states, there are naturally more accidents in these states. However, this does not mean they are the most dangerous states to work in. Our analysis of BLS data sorted states by their relative sizes and the number of accidents in each to determine which the ten most dangerous states to work in actually are.

10 Most dangerous states to work in

Other Workplace Violence Takeaways from Around the Web

Types of Workplace Violence_Graphic

The healthcare industry makes up 9% of the U.S. workforce, yet healthcare professionals experience more workplace violence injuries than all other industries combined

Out of all 7 possible causes of death at the workplace, homicides make up 9%

The third leading cause of death for workers in the healthcare and professional services industries (education, law and media) is due to workplace violence

 More on education: 44% of teachers reported being physically attacked while at school within one year

Employees with potential to commit workplace violence tend to exhibit 8 behaviors such as acting out of character or exhibiting addictive habits

 The two most common traits when it comes to those who commit white-collar workplace violence are narcissism and psychopathy

Related Blog: What is Red Collar Crime?

 Workplace Violence Financial Data

$3 or more is saved for each dollar invested in workplace safety

$121 billion annual losses are attributed to workplace assaults

Domestic violence issues that are brought to the workplace cost nearly $727 million in lost productivity

Workplace catastrophes such as violent incidents have caused publicly-traded companies to lose close to 8% in shareholder value

Lawsuits associated with workplace violence cost companies an average of $500,000 for out-of-court settlements

Workplace Shootings, Active Shooters

Out of all mass shootings since 1966, 25% occurred at workplaces

 In 2018, there have been at least 18 mass shootings involving four or more victims, except for the suspectMassShootingsIn2018_v04_DP_hpEmbed_8x5_992

70% of all active shooter incidents are within a commerce/business or educational setting

96% of active shooters are lone males

40% of active shooter assailants commit suicide

Approximately 25% of companies are unprepared for active shooter incidents

In 2014 and 2015, police exchanged gun-fire with the assailant in 14 active shooter incidents

In nearly half of active shooter incidents, police are unable to respond under 10 minutes

-  Active shooters are nearly twice as likely to die if the shooting occurs in a factory or warehouse, compared to commercial settings

 The FBI has found 10 key behaviors in active shooter assailants, including a mental health history and the decision to choose to attack familiar places

 Copycat active shooter events often happen in clusters, with the risk of an active shooter in the workplace at its highest in the two weeks following a similar incident

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Andrea Lebron
Andrea Lebron

Andrea is Rave's Director of Digital Marketing, a master brainstormer and avid coffee drinker. Andrea joined Rave in August 2017, after 10 years of proposal and corporate marketing at an environmental engineering firm. You'll find her working with her amazing team in writing and producing blogs like this one, improving your journey to and through our website, and serving you up the best email content. When she's not in front of a keyboard, she's chasing after her three daughters or indulging in her husband's latest recipe. Andrea has a Bachelor's degree in Marketing/Management from Northeastern University and an MBA from Curry College.

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