Twenty years of workers' compensation costs due to falls from height among union carpenters, Washington State

Background Falls from height (FFH) are a longstanding, serious problem in construction. Methods We report workers' compensation (WC) payments associated with FFH among a cohort (n = 24,830; 1989–2008) of carpenters. Mean/median payments, cost rates, and adjusted rate ratios based on hours worked were calculated using negative‐binomial regression. Results Over the 20‐year period FFH accounted for $66.6 million in WC payments or $700 per year for each fulltime equivalent (2,000 hr of work). FFH were responsible for 5.5% of injuries but 15.1% of costs. Cost declines were observed, but not monotonically. Reductions were more pronounced for indemnity than medical care. Mean costs were 2.3 times greater among carpenters over 50 than those under 30; cost rates were only modestly higher. Conclusions Significant progress has been made in reducing WC payments associated with FFH in this cohort particularly through 1996; primary gains reflect reduction in frequency of falls. FFH that occur remain costly. Am. J. Ind. Med. 57:984–991, 2014. © 2014 Wiley Periodicals, Inc.