Multiple Fatal Accidents at Work in Italy: How They Occur and Causal Factors for Identifying Specific Prevention Measures
Parole chiave:
multiple fatal accidents, mode of occurence, organizational factors, surveillanceAbstract
Background: Workplace accidents represent a significant health problem for workers. In 2022, the EU recorded over 3,000 workplace deaths and nearly 3 million non-fatal accidents. The aim of this paper is to provide an in-depth analysis of multiple fatal accidents in Italy in recent years, analyzing their occurrence patterns and causal factors to increase useful information for risk management. Methods: The statistics come from the INAIL Database and the Infor.MO National Surveillance System, which collects detailed information on accident dynamics and uses a multifactorial model to analyze the causes of injuries. In this system, the in-depth analysis of multiple fatal accidents was conducted on a cluster of 181 events that occurred between 2008 and 2022. Results: Data sources show that road accidents are a significant cause of multiple injuries. Other recurring accidents include collapses, fires, explosions, and asphyxiation in confined spaces. The construction and manufacturing sectors are the most affected. The main causes, highlighted particularly in the Infor.MO system, include poor worker training, inadequate workplace organization, and a lack of safety devices. Conclusions: To reduce workplace accidents, especially those with dramatic consequences such as multiple accidents, the importance of a stronger organizational safety culture is reiterated, in which training enables workers to understand risk analysis and gain greater awareness of hazards.
Riferimenti bibliografici
1. ILO. “A call for safer and healthier working environments” 2023. Doi: https://doi.org/10.54394/HQBQ8592.
2. Ariani F, Baldasseroni A, Rondinone B, et al. Burden of occupational injuries occurred in Italy, 1900-2017. Eur J Public Health. 2020;30(5):ckaa165.1116. Doi: https://doi.org/10.1093/eurpub/ckaa165.1116
3. Come valutare gli effetti degli interventi di prevenzione degli infortuni sul lavoro? Osservazioni sugli indicatori INAIL-ISPESL-Regioni [How to assess the effects of interventions for preventing work injuries? Observations on INAIL-ISPESL-Regioni indicators] Italian. Epidemiologia e Prevenzione. 2008;32(3):168-75.
4. Relazione annuale INAIL 2024. [INAIL Annual Report 2024.] Italian. Available at: https://www.inail.it/portale/it/inail-comunica/news/notizia.2025.07.news-presentazione-relazione-annuale-inail-24.html#:~:text=Scarica%20file%3A,Dimensione%202.36%20MB.
5. Andamento degli infortuni sul lavoro e delle malattie professionali [Trends in accidents at work and occupational diseases]. [Italian]. Dati INAIL January 2025. Available at: https://www.inail.it/portale/it/inail-comunica/pubblicazioni/dati-inail/dati-inail-dettaglio.2025.01.dati-inail-anno-2025.html.
6. Drudi D, Zak M. Work-related multiple-fatality incidents. Mon Labor Rev. Oct 2004, pp. 20-37.
7. [Directive 2012/18/EU – Seveso III – on the control of major-accident hazards involving dangerous substances [Italian].
8. [Legislative Decree no. 105 of 26 June 2015 implementing Directive 2012/18/EU – Seveso III]. [Italian].
9. Kulkarni Ajit C. Deaths due to hydrogen sulphide on a jack up rig at Bombay High: an avoidable accident. 2023. Int Marit Health. 2023;74(3):171-174.
10. Tao Z, Ming-Xiao W, Miao-Rong X, Ming-Qiu J.A. Analysis of traumatic occupational fatalities in China. J Ind Med. 2011;54(7):560-4. Doi: 10.1002/ajim.20958. Epub 2011 Apr 22.PMID: 21520213.
11. Carpenter J. Release of data following a serious incident in the UK construction industry. 2015;168(3):140-147.
12. Pierce B. How rare are large, multiple-fatality work-related incidents? Accid Anal Prev. 2016;96:88-100. Doi: 10.1016/j.aap.2016.07.014. Epub 2016 Aug 6.PMID: 27505100.
13. Andamento degli infortuni sul lavoro e delle malattie professionali. Trends in accidents at work and occupational diseases]. [Italian] Dati INAIL January 2024. Available at: https://www.inail.it/portale/it/inail-comunica/pubblicazioni/dati-inail/dati-inail-dettaglio.2024.03.dati-inail-anno-2024.html.
14. INAIL. Infor.Mo sistema di sorveglianza nazionale degli infortuni mortali e gravi sul lavoro (National surveillance system for fatal and serious accidents at work). [Italian] Available at: https://www.inail.it/portale/ricerca-e-tecnologia/it/ambiti-di-ricerca/area-salute-sullavoro/sistemi-di-sorveglianza--gestione-integrata-del-rischio-e-modell/infor-MO.html.
15. De Merich D, Gnoni MG, Guglielmi A, et al. Designing national systems to support the analysis and prevention of occupational fatal injuries: Evidence from Italy. Saf Sci. 2022;147:105615. Doi: 10.1016/j.ssci.2021.105615
16. Piano Nazionale di Prevenzione 2020-2025. Italy, Ministry of health, National Prevention Plan 2020-2025. [Italian] https://www.salute.gov.it/new/it/tema/piano-nazionale-della-prevenzione/piano-nazionale-della-prevenzione-2020-2025/
17. Kjellen, Urban, Larsson, Tore J. Investigating accidents and reducing risks – A dynamic approach. J Occup Accid. 1981;3(2):129-140. Doi: https://doi.org/10.1016/0376-6349(81)90005-5
18. Laflamme, Lucie, 1990. A better understanding of occupational accident genesis to improve safety in the workplace. J Occup Accid. 12(1-3):155-165. Doi: https://doi. org/10.1016/0376-6349(90)90094-C.
19. Laflamme L. Mod`eles et methodes d’analyse de l’accident du travail: del’organisation du travail aux strategies de prevention. Italian version edited by Pianosi G, ARPAT, 2000, Firenze.
20. Campo G, Guglielmi A, Marconi M, Pianosi G. The reconstruction of the causes and dynamics of work-related injuries using the model “We learn by our mistakes” [Italian]. Prevenzione Oggi. 2006;2:(1-2):27-38.
21. Parliamentary Commission of Inquiry into Working Conditions in Italy, Exploitation, and Health and Safety in Public and Private Workplaces. 10th September 2024. Pages 71-73. Available at: https://documenti.camera.it/leg19/resoconti/commissioni/bollettini/html/2024/09/10/82/comunic.htm#.
22. Nilsen M, Kongsvik T, Almklov PG. Splintered structures and workers without a workplace: How should safety science address the fragmentation of organizations? Safety Science. 2021;142:105382. Doi: 10.1016/j.ssci.2021.105382.
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