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Serious injury and fatality prevention

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A serious injury or fatality (SIF) is a lifethreatening injury or illness that is likely to lead to death or to be life-altering, leaving the worker very limited or without use of an internal organ, body function, or body part. A few examples are significant head injuries, paralysis, and amputations.

Managing routine safety programs without identifying SIF potential can leave your business vulnerable. It takes a different approach to address SIFs, which can be broken down into ten categories, called the Fatal 10. The Fatal 10 have a higher degree of risk when combined with red-flag situations. You need to look closer to identify gaps and make sure tight prevention measures are in place when the Fatal 10 and Red-flags combine. This list is not all-inclusive; it outlines the most common categories and combining risks.

Fatal 10

  • Vehicle/equipment operations
  • Working at heights
  • Workplace violence
  • Machine hazards/lockout failures
  • Hazardous materials/environmental exposure
  • Electrical/arc flash hazards
  • Fire/explosion/hot work
  • Confined spaces/trenching/engulfment
  • Suspended loads
  • Struck by objects and equipment

Red-flag situations

  • Nonroutine work 
  • Stressors - physical/environmental 
  • Fatigue
  • Production pressures 
  • Inadequate supervision and follow-through 
  • Working alone 
  • Inadequate operating procedures, training, or follow-up 
  • Poor equipment or task design 
  • New employees 
  • Lack of engineering controls


For more on this topic, visit our serious injuries and fatalities.