Forklift Operator Medical Certification Examinations: A Case Study in the Need for Ongoing Occupational Health Data Analysis

Objective The US Navy requires medical certification examinations for forklift operators to prevent mishaps due to medical causes, but this policy's impact has not been assessed. We aimed to evaluate medical examinations' effectiveness in preventing mishaps and demonstrate the need for new record systems to analyze policy impact on safety outcomes. Methods We reviewed all incident and injury records and medical examinations conducted over a 5-year period in a representative facility and tracked person-hours throughout. Results No examinees were medically disqualified from certification. No incidents or injuries had an identified contributing medical factor, and no operators were subsequently medically disqualified. Conclusions These medical examinations may not directly prevent mishaps. The person-hours required to perform this analysis would be prohibitive for similar assessments; data systems that can facilitate routine program analysis could solve this.