HD NRLF EXCHANGE mniY>ersit$ of Cbicaao THE RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS A DISSERTATION SUBMITTED TO THE FACULTY OF THE GRADUATE OF SCHOOL ARTS AND LITERATURE IN CANDIDACY FOR THE DEGREE OF DOCTOR OF PHILOSOPHY (DEPARTMENT OF SOCIOLOGY) BY EMORY S. BOGARDUS Reprinted from THE AMERICAN JOURNAL OF SOCIOLOGY, XVII (1911-12) CHICAGO, 1912 Composed and Printed By The University of Chicago Press Chicago, Illinois. U.S.A. I. INTRODUCTION 1 The discussion of any question relative to industrial accidents remains incomplete if the influences and possible consequences of fatigue are not considered. 2 The origin of the problem of fatigue in industry is to be found in connection with the industrial revo- lution. Before the introduction of the factory system, employer and employee usually worked side by side as companions. The blacksmith had a helper or two ; the farmer had his "hired hand" ; the shoemaker, an apprentice. Tools were simple; accidents, rare. The occupations were usually not hazardous; the existing dangers, if any, were obvious. People generally worked from "sun to sun/' but in a more or less leisurely fashion. When hand-driven tools were supplanted by power-driven machinery, and the home gave way to the factory as the unit of, production, the long hours of labor were carried over. Monoto- \ nous, speeded-up processes took the place of interesting forms of work at a leisurely rate. At about the same time, work by artificial light was made possible. Consequently, work-hours, instead of being shortened to suit the new mechanical processes, were "considerably lengthened, and in the case of child labor particularly, to a cruel degree." 3 As late as 1842, for instance, the working day in cotton mills (United States) was fourteen hours long. When domestic industry was supplanted by the factory system, not only men but women and children in large numbers were subjected to the monotonous, speeded-up processes \ of machine labor and for extremely long hours. Herein is to be found the origin of the problem of fatigue in industry. From such a beginning, the fatigue problem developed rapidly under cover of the laissez-faire philosophy of the last century. It was held by the theorists that if labor conditions became too 1 1 am indebted to Professor C. R. Henderson for suggesting this problem. 3 A. Imbert. 14. Intern. Kongr. f. Hyg. u. Demog., II, 634. 3 Adams and Sumner, Labor Problems (Macmillan, 1008), 515. i 255768 2 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS severe in one factory, the laborers would leave and flock to other factories where more favorable conditions existed. But such freedom of choice was not actually open to working men and women, for the severe labor conditions came to prevail generally. In this way, under the protection of laissez faire, the fatigue problem came to assume amazing proportions. Thus it has escaped social vigilance until within the last few years, and today it presents almost insuperable difficulties. It has recently been said that among the many problems of industrial hygiene, the most important has hitherto been most neglected the problem of industrial overstrain. Josephine Goldmark designates overfa- tigue as "the commonest and most subtle danger of occupation," and says that in the United States this danger has not yet been faced nor even fairly stated ; yet no one element of industry is more fraught with peril for workers. Indeed, overfatigue or exhaustion surmenage as the French call it affects every department of life, physical and economic, mental, moral. It predisposes to disease; it destroys intelli- gence and all the habitual restraints; it cuts down output and impairs its quality; it invites industrial accidents. It affects not only workers in admit- tedly dangerous occupations but all workers every man, woman, and child employed for excessive working hours. 4 The problem of fatigue in industry has at least six phases : (a) the relation of fatigue to industrial accidents; (6) fatigue and industrial inefficiency presumably poorer work and less work is done in the last hour of a day's labor than in other hours ; (c) fatigue and contagious diseases an overworked laboring man or woman is probably more susceptible to pneumonia, tuber- culosis, typhoid fever, than is a person whose vital resistance is normal; (d) fatigue and nervous diseases the evidence indi- cates that long hours of feverish haste among factory workers lead to nervous breakdown; (e) fatigue and future generations the children of overworked parents are likely to be physical weaklings; (/) fatigue and morals of working people long hours of monotonous labor probably increases the susceptibility of the human organism to harmful temptations. The first phase of the general fatigue problem with which 4 Josephine Goldmark, "The Study of Fatigue," Survey (1909), XXII, 534. EMORY S. BOGARDUS 3 this report is concerned' has not yet been formulated, as far as the writer is aware, as a distinct problem in itself. Investiga- tions relative to accidents have had largely to do with the ob- jective causes ; while the more deep-seated and perhaps the more primary causes have been neglected. In spite of the advance which has been made in this country within recent years in the introduction of safety appliances 1 and of a system of factory inspection, an enormous human sacrifice is annually made to production; herein lies the chief reason for this study. A few typical facts are subjoined. Crystal Eastman found that 526 lives were sacrificed to pro- duction in one year, ending June 30, 1907, in Allegheny County, Pa. With respect to accidents, her report says there has been no respite each year has turned them out as surely as the mills ran full and the railroads prospered. In Allegheny County alone the number would reach 5,000 in ten years enough to make a small city of cripples. 5 After carefully investigating the returns from the labor offices of nine states, 6 Gilbert L. Campbell finds that these reports show clearly that in the year 1907, for example, a total of at least 43,713 industrial accidents befell working-men in the states cited, and that 3,436 of these accidents were fatal. 7 In regard to accidents befalling railway employees, Mr. Campbell bases an estimate on the statistics gathered by the Interstate Commerce Commission and states that during the seven-year period, 19027 inclusive, 335,974 employees were injured and 23,895 were killed. Of the trainmen alone 218,082 were injured and 14,888 killed. In a given year the trainman has one chance in 127 of death, and one in 9 of injury. Seven years in the train service offer him one chance in 18 of death, and if his place is one of average danger present a practical certainty of injury. 8 Industry may be charged not only with extravagance of killing and s Crystal Eastman, Work Accidents and the Law (Charities Pub. Com., 1910), 12. 6 These nine states are: Minnesota, Iowa, Wisconsin, Illinois, Michigan, Ohio, Pennsyl- vania, New Jersey, and New York. 7 Gilbert L. Campbell, Industrial Accidents and Their Compensation (Houghton Mifflin Co., 1911), 9, 10. Ibid., 15. 4 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS maiming yearly thousands of workers, but it seems to choose for its victims many persons in the prime of manhood, normally with years of life before them, and with obligations but partly discharged to wives and children." Approximately 30,000 wage-earners are killed by accidents every year and at least 500,000 more are seriously injured (in the United States). 10 John B. Andrews says that industry "maims more men than war ever did." Professor H. R. Seager states that the United States "shows every year a larger propor- tion of industrial accidents on its railroads and in its mines and factories than any other civilized land." 11 Moreover, the re- sultant suffering and denial of opportunity to the wives and children of the daily increasing numbers of the prematurely dead and of the industrially maimed and handicapped for life are beyond computation. Professor Henderson asks: "Who can set a price on mangled limbs, tortures of men caught in cog- wheels and bands, sawed asunder in mills, and the sorrow, anxiety, and despair of their impoverished families?" 12 The enormous blood-tax which industry daily levies upon wage- earners makes necessary new forms of careful investigation of the causes, one of which may be fatigue. Difficulties arise at the outset of this inquiry. Fatigue is an illusive phenomenon. It varies with different workmen, with different kinds of work, with different days. It also appears that fatigue develops insidiously and often without the knowledge of the worker. Moreover, physiologists and psychologists disagree as to the nature of the fatigue processes. Another kind of difficulty is common. When three well- known social and economic writers (two Americans, one Euro- pean) were communicated with, and asked for the references on the strength of which each had published the definite statement that more accidents occur in the last hours of work than in other hours, no one of them could cite such references. One of the frank confessions reads : "For the statement you quote, I imagine now that I did not have at hand the European .statistics, and did 9 Op. tit., 21. " J. B. Andrews, "A Clinic for Industrial Diseases," Survey, XXV, 269. " H. R. Seager, Social Insurance (Macmillan, 1910), 25. " C. R. Henderson, "Wood-Workers and Their Dangers," World To-Day (1910), XIX, 972. EMORY S. BOGARDUS 5 not know where to find them ; or I would have been more specific in referring to them." Attempts to collect new data are difficult. Some employers have established a monopoly of knowledge and of social facts facts concerning which the public should know. One day in August, 1910, the writer explained to the attorney of a company employing hundreds of men that data regarding accident-hours were wanted. When the attorney had assured himself of the bona fide nature of the inquiry and that personal data, such as names, would be held strictly in confidence, he gave the writer access to accident records covering a period of years and giving the exact time of the accidents. A tabulation of the hours when these accidents occurred was scarcely begun when a high official of the company happened to enter the attorney's office. Almost at a glance he unjustifiably read much into the situation and gruffly said: "This is irregular; we can't have it." A courteous explanation that the sole aim was to secure social facts elicited no response from this apparently anti-social individual other than a curt abbreviation of his first remark. An investigation of the relation of fatigue to industrial acci- dents raises difficulties which increase on every hand. On one side is a series of physiological and psychological phenomena; on the other, an equally involved series of objective and social factors. At this point the question might easily have been raised as to whether further study would bring definite results. It was from such an attitude that further inquiry was made. A pre- liminary study of this phase of the general problem of fatigue in industry raises six important groups of questions, which will be considered in as many sections. (a) While considerable research work has been done in con- nection with a study of fatigue, each of the inquiries has treated the phenomenon more or less independently of its social signifi- cance. Although the physiologists and especially the psycholo- gists have contributed extensively to the study of fatigue, 13 the writer has not seen a description of the manner in which and the extent to which fatigue is psychically related to accidents in " For example, the description of the investigations of Kraepelin and of his colaborers in the laboratory at Heidelberg fill several large volumes of the Psychologische Arbeiten. 6 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS industry. The discussions regarding fatigue generally stop with analyses of subjective processes. They do not deal with fatigue as a social problem or consider it in relation to a special group of social phenomena such as accidents. 14 Is there not a need, then, for a concise description of what the physiologists and also the psychologists have discovered that may be used in a study of fatigue as a cause of accidents ? The question that is raised here calls for the formulation of a law of the development of the fatigue processes which accompany continued work, in so far as they may be related to accidents. (&) In the next place, how does modern industrial labor affect the normal development of fatigue in what ways is the devel- opment of the fatigue process hastened in the case of present- day working people, and why; and what are the observable circumstances under which these processes result in accidents? (c) Can the subjective fatigue processes be measured by means of controlled experiments in terms comparable to the observable conditions preceding accidents, and thus be causally related to accidents ? (d) The fourth question is: What are the objective corre- lates of fatigue in terms of actual accidents, or to what extent do statistics of the hours when accidents occur isolate fatigue from the other and more evident causes? (e) Has over fatigue attracted attention to itself to the extent that men of the busi- ness and legal world have pronounced it a cause of accidents? Specifically, to what extent do investigations of the causes of railway accidents, for example, by the Interstate Commerce Com- mission, isolate fatigue as a cause of accidents; and have the courts indicted fatigue as a cause of accidents ? (/) In the last place, should not all the facts relative to this problem be brought together in a unified whole? The facts de- rived (i) from a study of the normal development of fatigue, (2) from a study of pathological fatigue under modern indus- trial conditions, (3) from an experimental study of fatigue under 14 The Brief in Defense of the Ten-Hour Law for Women in Illinois (1909), by Louis D. Brandeis, assisted by Josephine Goldmark, contains an excellent compilation of opinions from European and American sources regarding different social phases of the fatigue problem. The brief has served as a valuable reference work in the preparation of portions of sections II, III, and V of this study. EMORY S. BOGARDUS 7 controlled conditions, (4) from a statistical inquiry into accident- hours, and (5) from a compilation of legal opinion relating to the problem in hand; will be summarized and presented in de- fense of the proposition that fatigue is a cause of industrial acci- dents. To the extent that the facts show that fatigue is a causal factor of work-accidents, a modified method of combating their prevalence will be necessary. One general suggestion in this con- nection will be made. In the next section a description of the development of the fatigue processes which may lead up to and culminate in industrial accidents will be undertaken. II. RELATED FATIGUE PROCESSES 1 Mosso was among the first to point out in a scientific way the fatal struggle between the machine-operative, subject to the laws of fatigue and exhaustion, and the machine itself, powerful and indefatigable. 2 He designates fatigue as a chemical process. The earliest experiments relative to fatigue were of a chemical nature. Normal muscle-tissue has the power of changing the sugar brought to it by the blood into glycogen (C 6 H 2 O 6 H 2 O= C 6 H 10 O 5 ). The muscle stores away the glycogen thus formed and it becomes a constant constituent of a normal muscle. The glycogen which the muscle has stored away while resting is con- sumed during activity. If the activity is sufficiently prolonged, the glycogen disappears entirely and exhaustion of the muscle is likely to result. It has been shown by verified experiments that if most of the carbohydrate (or glycogen) be removed from the body of an animal, the organism gives the 'Symptoms of "pro- nounced fatigue." 3 The same result holds true of individual muscles. Without doubt, during muscle activity there is a constant 1 This sketch of the fatigue processes is such as appears preliminary to the formulation of a causal law of fatigue underlying industrial accidents. Only the material germane to a clear understanding of the chapters which follow is presented here. 1 "Le savant professeur (Mosso) nous montre la lutte inevitable fatale, entre la machine puissante, infatigable et aveugle et 1'ouvrier charge de la conduire, de la guider, mais qui lui, organisme vivant, est soumis aux lois de la fatigue et de 1'epuisement." P. Langlois, Introd., trans, of Mosso's La fatigue intellectuelle (Paris, 1904), 12. J F. S. Lee, "The Nature of Fatigue," Pop. Sci. Mon., LXXVI, 185, 186. 8 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS drain upon the material from which muscle-energy is obtained. 4 There is a growing loss of power to absorb nutriment from the blood, and a continual tearing down without equal building up. After repeated muscle contractions, the processes of katabolism (tearing down) are in excess of those of anabolism (building up) ; and prolonged muscular activity is accompanied by an "exhaustion of energy-yielding material/' It should be added that this exhaustion process goes on not only in the groups of muscles which are being visibly used, but also in the groups of muscles in different parts of the body which are held tense and unrelaxed in guiding the groups of visibly working muscles. Besides, the mentioned structural changes which accompany work 5 occur not only in muscles but in nerve-cells. Physio- logical evidence indicates that during mental and muscular ac- tivity nerve-cells undergo actual structural changes. 6 (a) The nucleus of the nerve-cell shows marked decrease in size; it changes from a smooth and round to a jagged, irregular outline ; it loses its open, reticulate appearance, (b) The protoplasm of the nerve-cell shows a slight shrinkage, and undergoes vacuola- tion. (c) The cell capsule suffers a decrease in the size of its nuclei. These results were obtained from a study of spinal ganglion and brain-cells electrically stimulated and of those in a state of fatigue produced normally. For certain of these nerve-cells, Hodge found that a period which varied from seven to twenty-four hours was necessary before the cells returned to their previous shape and appearance. Guerrini's experiments corroborated Hodge's results. He ex- amined microscopically the brain-cells of animals fatigued by muscular work. The more the animal had been fatigued the more profoundly altered the nerve-cells of its cerebral or cerebellar cor- tex were found to be. These are, briefly, the modifications which fatigue 4 W. H. Howell, A Text-book of Physiology (Saunders Co., 1909), 71. * It is not intended to make a definite distinction here between mental and muscular fatigue. In all forms of hazardous labor the mental and muscular factors are both inextricably involved as parts of one bodily process, but of course in varying degrees. 'See D. F. Hodge, "A Microscopical Study of Changes Due to Functional Activity in Nerve Cells," Jour, of Morpkol., VII, 95-168; also "Some Effects of Electrically Stimulating Ganglion Cells," Amer. Jour, of Psych., II, 376-402; also A. G. Levy, "Fatigue of the Cerebral Motor Cortex," Brit. Med. Jour. (1900), 741. EMORY S. BOGARDUS 9 produces on the microscopic structure of the nerve-cell, and more evidently in that of the cerebral than in that of the cerebellar cortex, and most of all in the structure of those nerve-cells which correspond to the motor zones. 7 This progressively exhaustive chemical process has another significant phase for this paper. As a result of his experiments, Ranke came to the belief that certain substances which inhibited the power of muscular contraction were formed as a result of the chemical processes occurring during contraction. He named these, "fatigue substances" ("ermiidenden Stoffe"). 8 In the extracts of normal muscle, parcolactic acid (C 3 H 6 O 3 ) is found but slightly, while the amount greatly increases during muscle activity. Mosso calls attention to the fact that before the close of the i8th century Lavoisier and Sequin, by a series of memorable chemical analyses, demonstrated that muscular work increased the amount of carbonic acid eliminated from the system. A laborer expires nearly twice as much carbon dioxid during a working day as during a resting day. The carbon dioxid results from the oxidation of the carbon found in the constituents of the muscle. Monopotassium phosphate ( KH 2 PO 4 ) is another of the important and definitely determined fatigue sub- stances. 9 These substances seemed to be formed also in the nerve-cell during activity. 10 In the next place, the fatigue substances mentioned exert a poisonous and paralysing effect upon the whole organism. Both parcolactic acid and carbon dioxid "when in any but small quan- tity are inimical to protoplasmic activity, and furthermore, .... a muscle under their influence shows the very same physical symptoms that are shown by a muscle fatigued through work." After investigating a large amount of testimony from physicians and physiologists, both European and American, Brandeis and Goldmark state: They [the unexpelled products of fatigue] circulate in the blood, poison- ing brain and nervous system, muscles, glands, and other organs until normally removed by the oxygen of the blood, by the liver or kidneys When they exceed their physiological or normal amount, exhaustion results 7 Guido Guerrini, "Preliminary Account of the Influence of Fatigue on the Structure of the Nerve-Cells," Lancet, II, 1087. 1 J. Ranke, Tetanus (Leipzig, 1865), chap, xv, "Die einzelnen ermudenden Stoffe." ' Howell, op. cit., 70. 10 Ibid., 139. 10 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS In extreme instances of overexertion death results, not from sheer ex- haustion of the heart, but from chemical poisoning due to the unexpelled products of fatigue. 11 In this connection, Dr. H. B. Favill says : Any living organism will die promptly if the waste products (including the fatigue substances) from its life processes accumulate Laboratory- research, verified by many competent observers, indicates that there are created in the process of muscular work .... substances of a nature dis- tinctly poisonous. 12 Besides the fatigue substances mentioned, Weichardt states that muscular contraction produces a definite toxin (keno- toxin). 13 He found kenotoxin in the muscle juices ("Muskel- preszsaft") ; and in addition to the known fatigue substances. When injected into an animal, kenotoxin produces fatigue; in large doses it causes death ("wirkte er ermiidend und in groszen Doses, todtlich"). Weichardt has definitely isolated both keno- toxin and its antitoxin ("beide Substanzen, habe ich isoliert dargestellt und zu ausgedehnten Versuchsreihen verwendet")- These results have been verified by Dr. Wolff-Eisner. 14 They add weight to the fact that the known fatigue substances possess a toxic and paralyzing nature. It appear that the fatigue poisons accumulate first, not in the muscles actually moving but in the groups of tense, non- moving muscles, which are used in guiding the given activity. These muscles are poorly irrigated. But sooner or later the fatigue substances accumulate in the moving muscles, even though these are better irrigated. The toxins also circulate in the blood throughout the body. Howell describes the twofold chemical process accompanying work as (a) an exhaustion of energy- yielding material, and (b) an accumulation of the products of katabolism (the fatigue substances). 15 Verworn refers to the 11 L. D. Brandeis (assisted by Josephine Goldmark), The Brief in Defense of the Ten-Hour Law for Women in Illinois (1909), 77, 78. " H. B. Favill, "The Toxin of Fatigue," Survey, XXIV, 769. 13 See W. Weichardt, "Ueber das Ennudungstoxin und Antitoxin," Munch, med. Wochenschr., LI, 2122-26, LII, 1234-36; "Ermudungs- und Ueberermuduncsmaszmethoden," Deutsche Vierteljahrschr.f. ojfentl. Gesundheitspjl., XXXIX, 324-34- 14 See A. Wolff-Eisner, "Ueber Ermudungs- und Reduktionstoxine," CentralbLf. Bakteriol., i Abt., XL, 634-44- 15 Howell, op. cit., 71. EMORY S. BOGARDUS II using up of energy-yielding material as culminating in "Erschop- fung" a literal exhaustion; and to the production of fatigue substances as resulting in a state of "Ermudung." 16 The change that takes place in the reaction of an active muscle, in the size of an active nerve-cell, and in the amount of waste material thrown off by the organism when it becomes active, leaves little room to doubt that there is a direct relation between structural changes and activity. ^" This conclusion brings up the related functional changes ac- companying work. For the purpose of this istudy, the fatigue process may be treated as centering around the objective phe- nomenon of increasing muscular inaccuracy. Because of the using up of muscle material and because of the accumulation in the muscles of the fatigue-toxins, a given group of working mus- cles gradually become less able to respond to the demands made upon them by the psychical-neural apparatus. If rapidly repeated stimuli of equal strengths at equal intervals be applied to a mus- cle, it is found that at first the contractions increase in extent (forming the "treppe"), that after a certain period the contrac- tions begin to diminish steadily in height until finally the muscle will fail to respond to the stimulus. This progressive loss of ir- ritability in the muscle, caused by repeated activity, has been designated as fatigue. 17 Ergograph experiments (where the stimulation of the muscle is not artificial, but voluntary) show that after a state of complete fatigue has been reached with a given task, a very long interval is necessary for the muscle to make complete recovery. 18 Mosso lays stress on the fact that Professor Maggiora proved that two hours' rest is necessary before the fatigue traces are completely removed from the flexor muscles of the fingers after they have been exhausted by a series of contractions in the ergograph. 19 Maggiora found that the last smaller contractions of muscles are more exhaustive than the first large contractions. 20 After '* Max Verworn, Allgemeine Physiologic (Jena, 1909), 557. 17 Howell, op. cit., 34, 35. 11 Ibid., 49. The ergograph is a special instrument devised by Mosso, by means of which the muscle is given a specific work to do, such as lifting a weight. "A. Mosso, Fatigue (Paris, 1904), trans, by the Drummonds, 150. " A. Maggiora, "Ueber die Gesetze der Ermudung," Arch.f. Anat. u. Physiol. (1800), 213. 12 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS muscles are completely fatigued, still further efforts to contract them greatly prolong the period of complete recovery. Work which calls for contractions of tired muscles is much more in- jurious ("viel schadlicher") than greater muscular tasks under normal conditions. 21 Verworn states that a fatigued muscle re- quires a considerably longer time ( "unvergleichlich mehr Zeit") for relaxation than does a normal muscle. 22 It is the long in- terval of recovery, a period unduly long for the removal of the katabolic products due to the activity of a single muscle, which leads to the belief already cited that fatigue is partly due to con- sumption of muscle-material itself, which has to be replaced by anabolic or building-up processes before the muscle is entirely free from fatigue effects. 23 Other things being equal, the rate at which the working mus- cle becomes less responsive to stimulation depends (a) upon the rapidity and (b) upon the difficulty of the given piece of work. Kronecker found that the more rapid is the rhythm in which mus- cular contractions are produced, the more rapidly does the height of these contractions diminish; and vice versa. 24 By using the ergograph, Winfield S. Hall found that if a muscle be given a load proportional to the actual strength of the muscle and if the muscle be allowed to rest from the strain of the weight during the period of relaxation, the time of the fatiguing process may be indefinitely prolonged. 25 Not only do working muscles become less able to respond to stimulation because of fatigue, but they receive less and less effi- cient stimulation from the psychical-neural apparatus. It appears that with the exhaustion of energy-giving material and with the accumulation of the toxic fatigue substances in the parts used and in those portions of the muscles located at any place in the body that are under tension in guiding the activity of the mus- cles that are working, inhibitory impulses ascend along the affer- ent fibers, with which every muscle and tendon is supplied, to " Op. cit., 211. " Max Verworn, op. tit., 548. " W. H. Howell, op. tit., 71. 14 See C. S. Yoakum, An Experimental Study of Fatigue (The University of Chicago Press, 1009), 3. ts W. S. Hall, Bulletin (Northwestern Medical School, Chicago). EMORY S. BOGARDUS 13 the motor centers of the cortex and cord. Myers says that the afferent fibers running from the muscular (and other) tissues of the body to terminate around the cells of the motor nuclei of the cord, bulb, and mid-brain, play an important part in reflexly co-ordinating muscular action. 26 The various motor centers of the cord which control the movements of flexion and extension are alternately excited or inhibited, owing to the play upon them of afferent impulses peripherally derived from the movements themselves. Whatever disturbs these afferent impulses disturbs muscular co-ordinations. The using up of muscle material and the accumulation of fatigue substances appear to increase the inhibitory action of afferent impulses. The neural apparatus also becomes less efficient in guiding the working muscles because of the structural changes going on in the nerve-cells. Dearborn says that nerve-cells do become ex- hausted progressively, however slowly, even in cases where their blood-supply is ample and their vigor normal. 27 Tigerstedt says that by a method especially adapted to the purpose it may be shown that the nervous mechanism is being greatly strained be- fore there is any sign of fatigue in the external work done. 28 In summing up the situation regarding nerve-cell fatigue, it may be said that it seems probable that under normal conditions some portions of the nerve centers remain in more or less constant activity during the day without showing a marked degree of fatigue, just as muscles remain in a more or less continuous state of contraction throughout the waking period. 29 But when the nerve centers are strongly stimulated the fatigue is more marked "because the processes of repair in the nerve centers cannot then keep pace with the processes of consumption of materials." 30 Another factor which affects the efficiency of the neural appa- ratus in guiding the active muscles, has been mentioned, namely, the poisoning and paralyzing effect of the fatigue substances * C. S. Myers, Experimental Psychology (Longmans, Green & Co., 1909), 186. 37 G. V. N. Dearborn, "On the Fatigue of the Nerve Centers," Psych. Rev,, IX, 182; see also W. H. Burnham, "The Problem of Fatigue," Amer. Jour, of Psych., XIX, 385. * R. Tigerstedt, A Text-book of Human Physiology (Appleton, 1006), trans, by Murlin, 446. "Howell, op. cit., 138. "Ibid. 14 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS which circulate through the brain and other centers of control. The structural and functional fatigue changes which have been described may be briefly summarized at this point. Not only do muscles become less responsive to stimulation (because of the using up of energy-giving material and because of the paralyzing effects upon them of the fatigue substances), but the muscles receive less and less efficient stimulation from the neural appa- ratus (because of the effects upon the neural apparatus by the inhibitory impulses from both the tense and the moving muscles, by the structural changes in the spinal ganglion and central nerve- cells, and by the poisonous fatigue substances circulating through the higher neural centers). The combined effects of these forces result in increasing mus- cular inaccuracy. Muscular co-ordinations become seriously ham- pered and irregular. The loss of control over the muscular co-ordinations consists first in "the immeasurably short shifts and 'blockings' of the more finely adjusted musculature .... on to the grossest muscular contractions that finally cease to respond to the effort of the will. 5 ' 31 Loss of muscle control as indicated by the progress from blocking of the more finely adjusted musculature on to failure to make the grossest muscular contractions is not adequately represented by a continuous descending slant. Increasing fatigue when brought to the notice of the worker leads to tempo rary spurts, that is to say, to an increase in the volitional strain or at- tention which he brings to bear on his task. Although the fatigue process may go on for a time unnoticed, it sooner or later appears in consciousness in the form of "sensations." These sensations may arise first as feelings of effort, then as feelings of strain, then as sensations of fatigue. 32 The fatigue sensations are warn- ings. They indicate that the organism demands "a shift in the working mechanism." By tremendous effort, a fatigued worker may for a short time bring to his labor a striking degree of vo- litional attention. These spurts appear irregularly, and there are alternating and irregular periods of depression or bad spells -when the worker ' Yoakum, op. cit., 114. Ja Ibid., 117. EMORY S. BOGARDUS 15 is less able to give attention and when the co-ordinations are less likely to be .correct than during the periods of volitional strain. Beyond doubt, the periods of depression are due to flagging interest and increasing fatigue. 33 Hence, during uninterrupted work and as soon as fatigue effects predominate over skill due to practice, there sets in an irregularly decreasing control over mus- cle co-ordinations. The time at which fatigue is likely to over- come practice during a given period of work depends among other things upon the rate and difficulty of the work, as already noted, for the given individual. At the beginning of a period of unin- terrupted work there is likely to be uncertain muscle control, due to the necessity of getting "warmed up" and occasionally to nervous excitement attendant upon beginning a piece of work. Then for a certain length of time the muscle control is likely to be good due to practice effects. 34 When practice gain is overcome by fatigue effects, then muscular inaccuracy becomes a developing and important factor. During this period effort is expended in waves of force that approximate what Treves calls the irregular progress of mental fatigue rather than the regular decline of muscle power. 35 Muscular inaccuracies may be of two kinds : one may keep up with the rhythm of work and make spatial maladjustments; or one may make accurate spatial movements, and fall behind the rhythm; or one may do both. Thus muscular inaccuracies may be not only of a spatial nature, but may involve a time element as well. Mosso says: The time of physiological reaction .... is the name given to the inter- val between the occurrence of an electric spark, for instance, and our giving some sign of having perceived it, say by touching an electric button on which our hand rests. This short space of time .... represents the delay which takes place before we take account of one of the most simple forms of per- ception Fatigue has great influence on the duration of this reaction time. When such measurements are repeated without an interval for rest, the time before the response is given gradually increases. 86 M Myers, op. cit., 194. 34 A. Binet, La fatigue intettectuelle (Paris, 1898), 334; also E. Kraepelin, Philos. Studien, XIX, 459-507. " Yoakum, op. cit., 42. 36 Mosso, op. cit., 205. 1 6 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS A delay in promptness of reaction 37 and a greater number of faults of memory and attention are noticeable after fatigue. 38 It is almost impossible to be attentive when the brain, for in- stance, is fatigued. 39 The length of time that ordinarily elapses before one responds with the hand, for example, to a touch on the foot may be doubled as a result of the effects of fatigue on attention. 40 ^The effect of fatigue on attention which is such an impor- tant factor in failure to make accurate muscular co-ordinations appears to have its basis in the difficulty of maintaining the ten- sions which are guiding the given activity." It is not possible to maintain one set of tensions long without physiological changes taking place. And any physiological changes may while they are still subconscious be the "cue" for a change of attention to some other topic of thought, a change which may involve a new set of tensions and thus the process continues. Or, the physio- logical changes referred to may come to consciousness in the form of sensations of fatigue, and in this case there is a change of attention to the point of origin or to the sensations themselves, and vigilance over muscular movements is temporarily suspended. V In the case of monotonous division of labor where the work- man must attend continually to one single uninteresting point or part of a machine the same neural-muscular apparatus must be used, the same tensions must be maintained. The difficulty of maintaining this situation with little if any variation becomes increasingly great. If the task in hand requires constant atten- tion, increasing muscular inaccuracy is likely to result imme- diately due to the effects of fatigue on attention. The degree of muscular inaccuracy is determined partly by the inability of mus- cles to respond according to their state of wear and tear and to the amount of fatigue substances which have accumulated and partly by the inability of the neural apparatus to attend to 17 "Reaction time includes such phenomena as (a) the latent period in the sense organ, (6) time of transmission along the afferent nerve, (c) resultant processes within the central nervous system, (d) time of transmission along the efferent nerve, and (e) the latent period in the muscle." J. M. Cattell, "The Time Taken by Cerebral Operations," Mind, XI, 230. 11 Z. Treves, "Dans quelle mesure peut-on, par des methodes physiologiques, etudier la fatigue,'* etc., 13* Cong. Intern. d'Hyg. et Demog., V, sec. 4, ques. 3, p. 37. 39 Mosso, op. cit., 198. 4 * Ibid., 205. EMORY S. BOGARDUS 17 the movements of the given muscles according to the number of and the state of the tensions which can be relied upon in guiding the given activity. 41 Muscular inaccuracy is increased especially where the regular effects of fatigue on attention are augmented by a general con- dition of over fatigue of the whole system, that is to say, by a state of chronic overfatigue. Pathological fatigue also results in "increasing inaccuracy of judgment," 42 which in turn increases muscular inaccuracy. Overwork blunts all the psychic activities and diminishes sensibility; and hence diminishes the precision of movements and the exactness of the rhythm. 43 It has been pointed out in this section that uninterrupted mus- cular work results in using up of energy-yielding material of muscles and of nerve-cells, and in the accumulation of toxic waste substances, with an accompanying decrease in muscle irrita- bility and activity, and inability of the neural apparatus to attend to muscle movements, i.e., with a corresponding and increasing irregularity in the co-ordination of muscular action.^ The rate X at which these various phases of the fatigue process takes place is dependent on the rate and difficulty including monotony of the given task.J If stated in terms of the subjective conditions which the writer believes quite generally precede accidents, a summary of this chapter may be given psychological expression. The re- sultant and germane law of fatigue i^i Uninterrupted muscular activity is accompanied by inaccurate muscular co-ordinations, which increase irregularly and at a rate largely determined by the speed and relative difficulty of the activity for the given individual.} 41 See Yoakum, op. tit., 99-124; also Myers, op. cit., 186 ff. 4 * E. W. Scripture, "Researches in Reaction Time," Yale Studies, IV, 12-16, 69-75. 41 J. de Moor, 13. Intern. Kongr.f. Hyg. u. Demog., Pt. I, 5, sec. 4, ques. 3, p. 9. 1 8 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS III. RELATED INDUSTRIAL CAUSES OF ACCIDENTS After a study of the related subjective processes accompany- ing work had been made and after the formula given at the close of section II had been determined upon, the writer supplemented a previous limited experience by spending considerable time in visiting factories and shops in and about Chicago. The purpose was to test the conclusions already in mind and to observe more accurately the conditions which precede accidents. Eleven fac- tories and shops were visited, representing as many forms of industry. 1 Permission was obtained to wander leisurely about and thus unnoticed to observe operatives of dangerous machines while at work. About twenty types of dangerous machines were found. 2 Three accidents were directly witnessed two at solder- ing machines and one at a press and drill. As a result of these observations it appears to the writer that thejchief industrial conditions leading up to and culminating in V accidents are those of monotony and speed and of unrelated tension, kept up for long hours. This process seems to result in increasing numbers and extent of muscular inaccuracies, which in turn appear to be the phenomena immediately preceding acci- dents. This view in more or less detail will be supported in this section. Proof is hardly necessary to show that monotony and great speed characterize the conditions under which operatives of dangerous machines work. In most industries, labor is so sub- divided that each worker has but one small part to do. This part is repeated thousands of times daily. To make a small sickle section, for example, requires thirty operations by as many men and boys. Certain parts of this process make vivid the factors of monotony and speed. A man feeds metal sheets into a machine that cuts them out in a three- cornered form, 20,000 per day .... one motion is required for each sheet. 1 These included the packing, canning, and steel industries; leather-goods and knitting establishments; steel-castings and box factories; various wood- working and metal- working concerns, and wagon shops. 1 Among these types are those represented by the press and drill, the press and die, revolv- ing knives, saws, stamping and cutting machines of various forms, and soldering machines. EMORY S. BOGARDUS 19 The two holes of the sickle section, when punched, are slightly enlarged on one side to receive the head of the rivet, 7,000 per day. Along one side of the room in which the edges of the sickle section are beveled are arranged a row of grindstones six feet across. In front of these whirring stones sit a line of powerful, heavy-faced men, not a spark of animation in their faces. They are each doing the same thing; they drop one of these plates into the slot of the frame, shove the frame against the rapidly revolving stone and then draw it back; drop, shove, draw back .... 5,000 times each day. In the room where the sections are serrated, a row of young men stand, feeding machines which run at great speed and with deadening noise. These machines cut the teeth on the bevel edge of the plate, 7,000 plates a day. These monotonous, speeded-up operations in connection with dangerous machinery are found in "the manufacture of nearly every article of use or comfort with which our lives are sur- rounded ; in the manufacture of that piano, the chair you are sit- ting on, the watch in your pocket, the car you ride in, the sewing machine, the meat you ate for your breakfast this morning." In the canning factories of Pittsburgh, for instance, where tops for cans are cut from sheets of tin, the foot-press operator puts the sheets in the press, gauges it so that it will fall evenly, gives a quick pressure of the foot in order to clip the tin for each top. This quick pressure and accompanying hand move- ments are repeated "forty times a minute, 24,000 times a day." 3 Ernst Abbe points out that with this sameness ("Gleichformigkeit") and continually recurring monotony ("Einformigkeit"), we also get the continuous ("fortgesetzte") fatigue of the same organ, of the same nerve centers, and of the same part of the brain .... because all that is to be done, whether muscular or mental work, must be constantly repeated ("sich wiederholen") in the same manner from morn- ing to night, day by day, and week by week.* s Today, the necessary rapidity of monotonous motions fa- Xtigues workers and causes accidents. Dr. Thomas Oliver regrets the attempt to americanize shipbuilding in England for the rea- son that this "rushing" is a cause of serious accidents. 5 Pro- fessor G. Pieraccini and Dr. R. Maffei, Florence, state that piece- work, which necessitates higher speed, tends, both in itself and * Eliz. B. Butler, Women and the Trades (Charities Pub. Com., 1909), 36. 4 E. Abbe, Gesammelte Abhandlungen (Jena, 1906), HI, 225. s T. Oliver, Diseases of Occupation (London, 1908), 3. 20 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS together with the fatigue that ensues, to favor the occurrence of labor accidents. 6 It is no exaggeration to say that the pace kills andjnjures more people than labor peruse.. To the extent that the stupefying effects of monotony and the confusion attendant upon "speeding up }} are added to the regular development of the fatigue process, loss of muscular control and danger of accident are increased. A characteristic phase of monotony and speed is unrelaxed tension of the worker. Arlidge says that the fatigue of machine operatives is more the fatigue of watching than that of working. 7 From a psychological standpoint, it is impossible to attend to very many things at a time or to attend to one thing for very long at a time. It is especially fatiguing to keep the attention on a simple process which presents no new phase, but which is a continuous repetition of a few simple movements hour by hour. It is true, of course, that these movements tend to become auto- matic ; but when they must be made in close proximity to danger- ous and rapidly revolving tools, a certain degree of voluntary attention must be exercised, or else injury will result during a moment of inattention. Professor Henderson states that the speed of saws, for instance, is a -significant factor in increasing danger, "because the swift movement increases the strain upon attention and so X rapidly exhausts nervous energy." 8 The relaxation of tension which sometimes results in serious injury, says Elizabeth B. Butler, may be accounted for by the hurry of the worker who is usually ambitious, or by the weariness toward the end of the five hours' continuous work. 9 ^ Operatives of machinery become accustomed to the presence of danger and hence less on their guard against the effects of fatigue on attention. Cadbury says that workers accustomed to danger are apt to look away to talk to their companions and in * See Brandeis and Goldmark, Ten-Hour Law for Women, 75. T J. T. Arlidge, The Hygiene, Diseases and the Mortality of Occupations (London, 1892). C. R. Henderson, "Wood-Workers and Their Dangers," World To-Day, XIX, 975. Eliz. B. Butler, op. cit., 22 . EMORY S. BOGARDUS 21 a moment of relaxed tension the hand is caught under the ma- chine. The incessant noise of the machinery, the excessive monotony of the {/ work, and above all, the long hours, which are too often spent in an ill- lighted and ill-ventilated atmosphere all tend to produce a depressing and deadening effect which cannot fail to destroy the alertness of attention. 10 In the steel mills, for example, an alert mind is the first re- quirement for safety. 11 There, as elsewhere in connection with dangerous work, attention is focused more on the proper accom- plishment of the work than on self -protection. But attention to the matter of self -protection in steel mills is comparable to an attempt to dodge bullets on the battlefield. Neither a steel- worker nor a soldier of that type can long retain the respect of his fellows. Attention to self -protection is bound to be sec- ondary and incidental; but to insure the workman's safety it must be constant and keen. However instinctive this vigilance may be, it cannot be considered unfailing. The speed^and in- tensity of the work, the .heat and noise of the steel mill, TEe weariness of the workers, "all these things tend to numb the faculties most needed for protection." 12 As a result of continuous and unrelaxed tension, the fatigue processes go on insidiously. The onset of fatigue is often un- perceived. The tension in modern industry calls out the voli- / tional power which urges on a fatigued worker, intensi- fies application, and minimizes the sensation of effort, thus concealing fatigue. Kirkpatrick emphasizes the fact that a per- son often does not feel weary after his power to act has been very much decreased. 13 The distinction which must be made between the sensations which supervene during the performance of the work and the lowered capacity for work as shown ob- jectively by diminution in the amount of work executed is well known. Rivers says that there may be complete absence of any sensations of fatigue, when the objective record. shows that the " Edw. Cadbury and others, Women's Work and Wages (The University of Chicago Press 1907), S3- " Crystal Eastman, Work-Accidents and the Law (Charities Pub. Com., 1910), 91. "Ibid. 1J E. A. Kirkpatrick, Fundamentals of Child-Study (Macmillan, 1009), 322. 22 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS work is falling off in quantity, or in quality, or in both. 14 The curve of organic fatigue follows a different outline than that which represents the production of voluntary work. 15 Workmen are generally ignorant of the difference between the subjective development of fatigue, and its objective corre- lates. Unrelaxed tension in modern industry makes continuous and terrible demands on the human volitions. These, in turn, so intensify application and minimize warnings of overfatigue that the worker in the dangerous trades may suddenly through inaccurate movements find himself handicapped for life, or the wife and children may receive the unexpected message that their breadwinner has given up his life while serving at the post of duty. The terrific mental strain due to monotony and speeding up js doubly vicious because of the fact of long hours, After a certain period of time, varying in length with different indi- viduals, unrelaxed tension cannot be consistently maintained, un- certainty of movements increases, and danger of accidents multi- plies. After making a careful investigation of work-hours, the National Conservation Commission says : "The present working day from a physiological standpoint is too long, and keeps the majority of men and women in a continual state of overfatigue. 16 .... The manual worker through fatigue caused by long hours is in a continual state of overexertion! }Yl The situation is especially grave when the men and women kept in a continual state of overfatigue because of long hours are operatives of dangerous machinery. Further, in many in- dustries where danger exists, the long hours of regular employ- ment are supplemented by demands for "overtime" work during certain parts of the year. In Pittsburgh, for example, Elizabeth Butler found that many canning factories work every night until ten o'clock during the busy season, making a working week of over 72 hours. 18 One manager admitted that the girls M W. H. Rivers, The Influence of Alcohol, etc., on Fatigue (London, 1908), 2. 15 T. Oliver, Dangerous Trades (London, 1902), 117. 16 Senate Document No. 419, 6ist Cong., 2d sess. (1910), 626. 17 Ibid., 666. 18 Eliz. B. Butler, op. cit., 39, 40. EMORY S. BOGARDUS 23 under his direction " worked 75 hours a week for two months every year." He added that the factory inspectors generally did not interfere; that they usually come around in September and after the holidays, and "they never see any overtime." 19 In another factory where foot-press work was the chief type of labor, Miss Butler found that the employees are sometimes forced to work twelve and fourteen hours and "accidents are so frequent that the place has been characterized as a butcher shop." 20 As another more or less typical illustration, a "hinge factory" may be mentioned where "overtime" work until half- past eight is demanded almost throughout the year, there being no regular alternation of busy and slack seasons, but change according to orders. 21 This irregularity is peculiarly true of the laundries, where in the latter part of the week "overtime" often lasts till eleven o'clock at night and later. 22 In regard to railway employees, Crystal Eastman quotes a yard-master as follows : Yardmen now usually work twelve hours, but when the yards are pressed, they often work the brakemen the sixteen-hour limit. And when a man works sixteen hours at a stretch, it often means that he has been awake eighteen or twenty hours, because there is a rule that a man must be called two and a half hours before he goes on duty. 2 * In the steel industry, the working day is usually twelve hours. A typical steel- worker says : I've been twenty years at the furnaces and have been working a twelve- hour day all that time, seven days in the week We work that way for two weeks and then we work the long turn and change to the night shift. The long run is when we go on at seven Sunday morning and work through the whole twenty-four hours up to Monday morning. 8 * John A. Fitch says that in 1907 he could find only about 120 eight-hour men among the 17,000 employees in the three largest plants of the Carnegie Steel Company in Allegheny County a " Ibid., 53. * Ibid., 233. " Ibid., 225. " See Clark and Wyatt, "Women Laundry Workers in New York," McClure's, XXXVI, 401-13- 23 Crystal Eastman, op. cit., 33. 34 John A. Fitch, The Steel-Workers (Charities Pub. Com., 1911), 170. 24 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS trifle less than three- fourths of i per cent ; "the prevailing work- day is twelve hours for steel-workers." But the machinists being also repair men are sometimes obliged to work much longer, occa- sionally "a continuous twenty-four-hour period, while sometimes the men work thirty-four hours or longer without rest." 25 Under normal conditions, fatigue would be overcome by ade- quate periods of rest, but in modern industry the workman is often denied the satisfaction of the physiological demands of fatigue. The human organism is so constructed that on rare occasions great reserve powers can be called out. Modern in- dustrial labor is such that the reserve forces are called out daily. Mental strain and muscular fatigue are phases of the general fatigue process which develops with accumulative force, not only in the course of a day-period, but week by week. Jo- teyko says that it appears certain that fatigue accumulates "s'ac- cumule progressivement" in the organism. 26 "Fatigue is viciously progressive," says Dr. Favill. 27 The actual structural changes, the impairment of the nutritive processes, the accumu- lation of poisonous products when taken together make up "an overwhelming incubus which no organism can long survive." 28 Fatigue sometimes starts a vicious circle which leads to the craving of and indulgence in means for deadening fatigue. Liquor may drive away temporarily the fatigue sensations, but in the end it will leave the workman weaker, more subject ,to trembling, to uncertain muscular control, and to injury. Where fatigue is not balanced by adequate rest and nourish- ment, a deficitj-emains which is added to daily, which accumu- lates little by little; and the workman suffers increased suscepti- bility to accident. When the workman's strength becomes debilitated through overwork, he becomes incapable of atten- tion, 29 and defenseless against accident. Present-day operation of dangerous machinery finally re- solves itself into a competition of sensitive human nerves and "Op. tit., 174. * J. Joteyko, "Participation des centres nerveux dans les phenomenes de fatigue muscu- laire," L'annee Psych., VII, 166. >r H. B. Favill, "The Toxin of Fatigue," Survey, XXIV, 772. " Ibid. 19 Th. Ribot, "The Psychology of Attention," Open Court (1896), 99. EMORY S. BOGARDUS 25 muscles against relentless and insensitive iron. 30 The greater the number of hours that machinery must be operated per day, the feebler and more uncertain become the human forces that guide it. To the machine, time is nothing; to the working man and woman, each hour that passes beyond a certain limit offers increasing opportunity of injury and possibility of death. While monotony, speed, unrelaxed tension, together with long hours, appear to be the leading general causes of industrial fatigue and hence of many accidents, it is proposed next to determine if possible the modus operandi of these general causes in bringing about accidents. In other words, what are the concrete, imme- diate conditions preceding accidents? The writer has had access to the accident records of the state of Illinois for the year ipio. 31 These records refer to accidents which necessitated that the injured lay off from work fifteen days or over, and they apply to the various manufacturing industries, the steel industry, and to many small plants and factories in Illinois. Of the total number of accident reports some over 3,000 which were examined, 2,678 applied to non- fatal cases and gave a fairly accurate description of what happened preced- ing the given accidents. The remaining 4OO-odd reports either omitted a description of the immediate cause or else gave it so inaccurately as to throw doubt on its value for this analysis. The accident descriptions which apparently are accurate fall into two general classes. Class A includes the accidents where the immediate cause was evidently beyond the control of the injured due to the breaking of machinery, to bursting of boilers, to chips of steel flying in the air. Typical statements illustrating this general class of accidents, as taken from the accident reports, are subjoined: Scaffold collapsed. Bolster flew out from under steam hammer. Chip in eye. Gas exploded. Hot steam blew in eye. J *T. Oliver, Dangerous Trades, 117. 31 1 wish to acknowledge the courtesies shown me by Edgar T. Davies and his assistants in the office of State Factory Inspection (Chicago). 26 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS Flying nail struck eye. Struck in the face by piece of iron .... due to pulley breaking. Hot scale blew into eye. It is beyond doubt that in the cases represented by Class A, per- fect subjective control preceding the given accidents would not have made escape possible. Class B represents those accidents in which loss of control, varying from failure to make fine co-ordinations on to gross and bungling co-ordinations and to absence of movements which might have prevented injury, appears to have been a factor. Class B is illustrated by the following typical descriptions : Did not get her hand away soon enough and thumb was caught between billets. Placed his finger too close to the cutter in putting in a piece of work. Got his fingers under the die when it came down. Caught hand under punch. In some manner he got the small finger of right hand against the saw while the same was in motion. Did not get his hand out of the way in time and his fingers were caught between plunger and edge of socket. His hand slipped over the guard and caught in the knife. His fingers went under the die when he accidentally tripped the press. Caught his fingers in the die. The injured accidentally placed his finger too close to the cutter in put- ting in a piece of work. Automatically placed foot on treadle when tips of fingers were under die. Hand slipped on to rip-saw. Caught hands in knives. Caught fingers between press and die. Caught fingers between head of die and material. Caught fingers in jointer while operating same. Caught thumb between sheet metal and die. Her finger slipped into the gear of her machine. Of the 2,678 accident records which gave a fairly good de- scription of what occurred immediately preceding the accidents, twelve records were of doubtful analysis. Four hundred and sixty-three cases or 17.2 per cent belonged to Class B. Of the fatal-accident reports studied the number is too small to be of much value. Twenty fatal accidents or 37.8 per cent were of Class A; and forty-one or 62.1 per cent belonged to Class B. EMORY S. BOGARDUS Table I shows that a large percentage of non- fatal accidents is immediately preceded by muscular inaccuracies. In all cases of Class B, it is conceivable that if the injured had had perfect and ready control over muscular movements he would not have suf- fered accident. TABLE I INDUSTRIAL ACCIDENTS CLASSIFIED Year 1910 Doubtful Class A Class B Total Number 12 4.63 2,203 2,678 Percentage o 4 17. 2 82.2 IOO In Section II it has been shown that the developing subjective fatigue processes inevitably result in increasing muscular inac- curacy; in the preceding paragraphs of this section it has been y further shown that monotony, speed, mental strain in connection with long hours hasten the fatigue processes and hence greatly increase the loss of muscular control. In this section it is main- tained that to the extent that fatigue is a primary cause of mus- cular inaccuracies, 82.2 per cent of the 2,678 accidents studied involved fatigue as a causal factor. This proposition is illuminated by the fact that "the swift machinery of modern industry requires the attendants to push and guide the material in close proximity to merciless cutting tools." 32 In Chicago the writer found twenty types of ma- chines in connection with which the operatives were working so close to revolving saws, knives, drills, rollers, or at machines of the press and die type that the misplacement of the hand a fraction of an inch meant mutilation. The three accidents which the writer witnessed were exactly of this nature two at soldering machines and one at a press and drill in each case a hand was misplaced a fraction of an inch and came into contact with dangerous parts of the respective machines. At mangles, too, the danger is grave. What the girls call "millionaire work" work that has to come out straight in contrast with "board- ing-house" work, must be shoved up to tvithin a quarter of an inch of the cylinder. Fingers once caught in such mangles are crushed. Consider 33 C. R. Henderson, op. cit., World To-Day, XIX, 972. 28 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS in connection with these two points the high rate of speed at which the girls feed the work into the machine, and the precarious character of their work will be realized. 38 From these facts it is evident that the slight slips and mis- takes which every person makes are exactly the phenomena which precede many serious accidents when they occur in dangerous occupations. "When a cook drops a cup, the loss is a few cents; when a structural iron-worker is guilty of no greater inattention, he may lose his life." 34 The thesis of this section has been confirmed by a report prepared by the Bureau of Labor which is not off the press at this writing (April i, 1911). The following excerpt is taken from proof sheets : It (the fatigue process) gradually upsets those nice adjustments of the living organism upon which depend efficient labor and the safety of the worker. The margin of safety in modern industry is small. It is measured too frequently by fractions of an inch. Reduce the alertness and the exact- ness with which the body responds to the necessities of its labor, and by just so much have you increased the liability that the hand will be misplaced that fraction which means mutilation* Thus slight deviations entail serious consequences and result in industrial accidents. "The exhausted workman no longer has full control over his muscles. His results are less exact, danger by accident increases/' 36 Even the skilled laborer does not work as regularly as the machine. His ability to make ac- curate movements shows regularly returning shrinkings as a result of the activity of the neural-muscular factors. 37 This phase of the fatigue problem has been summed up by Felix Arnold : Concentrated activity, especially when it involves motor control, usually results in fatigue. There arises .... increased slowness of response. Effi- ciency of attention begins to decline In simple reactions, the reaction time becomes longer. Objects in the field of attention persist for a less time in the center of control. On the subjective side, fatigue is felt as weariness, disinclination to persistent effort, sensation of strain in the muscles, lack of interest in situations which normally are of an impelling nature, and some- Clark and Wyatt, McClure's, XXXVI, 402. ** Bureau of Labor and Industrial Statistics (Wisconsin), 13th Bien. Report, Part I, p. 4. " Senate Document No. 645, v. n, p. 42. 36 H. Herkner, Handworterb. d. Staatswissensch. (Jena, 1909), I, 1215. " E. Roth, 14. Intern. Kongr.f. Hyg. u. Demog., II, 611. EMORY S. BOGARDUS 29 times as pain in the parts of the body affected. On the objective side fatigue is manifested by a general slackness and listlessness of the body posture, by relaxed fingers, and by asymmetrical and fidgety movements. Co-ordina- tions become more bungling, incorrect, and for finer control often impossible" If men and women subject to industrial overstrain are work- ing at or near rapidly revolving knives or saws, are operating punches, presses, or drills at a furious rate of speed, their chances are good of being counted among the annual list (in the United States) of 30,000 killed and 500,000 injured in industry. 39 The law of fatigue as related to accidents and given at the close of Section II may be restated in the light of the facts of this section as follows: The irregularly increasing muscular in- accuracy which accompanies work results in correlatively in- creasing chances of accident. It is proposed to test this law by further facts. In the fol- lowing section it will be attempted to verify further, if possible, the causal relationship existing between fatigue, decreasing mus- cular control, and accidents, by means of several series of con- trolled experiments in which various industrial conditions are more or less closely simulated. IV. SOME CONTROLLED EXPERIMENTS (From the Psychological Laboratory of the University of Chicago)* Section II set forth the fact that continued work is accom- panied by increasing muscular inaccuracy. In Section III it was shown that these muscular inaccuracies are the immediate phenomena preceding a large proportion of accidents. In order to determine more exactly the nature of the muscular inac- curacies which increasingly accompany continued work and ** Felix Arnold, Attention and Interest (Macmillan, 1910), 153. " J. B. Andrews, "A Clinic for Industrial Diseases," Survey, XXV, 269. 1 Preliminary to these experiments, the writer conducted two series of experiments on the typewriter. The striking of a typewriter key requires a definite muscular co-ordination. All variations of one-half inch and over from the correct muscle movement appear as errors on the typewritten pages. These faulty co-ordinations are similar in general nature to the muscular inaccuracies which precede many industrial accidents. The results of the typewriter experi- ments indicated clearly an irregular but marked increase in the number of muscular errors occurring during a given work-period. This increasing inaccuracy was accompanied by symp- toms of increasing fatigue. But it will be observed that in experiments on the typewriter, the power which runs the typewriter is intrinsic; that is, the subject or operator by his own voli- tion must keep the typewriter in motion. It appeared that these experiments would have 30 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS which result in increasing danger of accident, a type of machine for experimental purposes was designed which in its operation would combine the factors most common to industrial conditions, namely, monotony, speed, mental strain and which at the same time would permit a computation of the muscular inaccuracies resulting from operating it. 2 Figs, i and 2, will give an idea of the apparatus used. The part of the machine designated x in Fig. i appears in enlarged form in Fig. 2. The letters a, b, c, d represent thin brass plates so set in the top of the table that their inner lines form a square of one-inch dimensions. They do not come in contact with each other; their upper surfaces are practically on a level with the upper surface of the table. The letters a', b', c' , d' designate another set of brass strips whose inner lines are three-sixteenths of an inch from the inner lines of a, b, c, d, respectively. The subject was given wooden inch cubes, one side of each being covered with a thin brass plate. If the block was accurately placed its outer edges brass side down would exactly coincide with the inner lines of a, b } c, d. However, the outer edges of the brass base could extend over the lines of a, b, c, d practically three-sixteenths of an inch in any direction and the placement would still be counted as accurate. But the brass strips were so electrically wired that a and a', b and b' ' , etc., represented the termini of respective circuits. Hence if the brass base of a block for instance, was misplaced to the extent that one of its sides extended over a! , as represented by the dotted line r, an electrical circuit was established and an error was recorded on an endless sheet of smoked paper carried by two slowly revolving Scripture drums, arranged after the manner of Yoakum. 3 If the block greater value if conducted on a machine which was run by external power, e.g., by an electric motor. In this case the operator would be required to keep up with the pace set by the machine, and not set his own pace. It was this problem which I took to Professor James R. Angell, to whom I am indebted for making possible the experiments described in this section, for designing a considerable portion of the apparatus, and for many stimulating suggestions. The apparatus which is described in the following pages was built only after a special study had been made of dangerous machines in industry. It was designed especially to incorporate as many as possible of the general features of the machines used in the dangerous trades. 1 For the purposes of this chapter, these experiments have been presented from a socio- logical point of view. Much material is at hand for a psychological discussion. J C. S. Yoakum, An Experimental Study of Fatigue, 54. EMORY S. BOGARDUS was misplaced as represented by the dotted line /, the circuits represented by the termini b and b' ' , and d and d' were closed respectively and two errors were recorded on the smoked paper FIG. i by corresponding markers. It was not possible to close more than two circuits and hence make more than two errors by a single misplacement. It will be noted that the inner lines of a' 32 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS and d f , and of b' and c' are separated by one and three-eighths inches, respectively, so that a leeway of three-eighths of an inch in either direction was given. A revolving pulley O (Fig. i), driven by power obtained through a speed-reducer from a motor, carried a double arm, m and m 1 '. Both m and m r carried shields s and s' t respectively, set at an angle such that when the pulley revolved, the blocks being set on the square would be brushed off to the left and toward the subject who was seated facing x. Each of the shields s and s' were of brass (as were the arms m and m' and the pulley) and each carried a small brush of fine brass wire attached to the lower inner corner. As the shield brushed off a block at x the small wire brush passed over a brass knob k and closed an electrical circuit, which occurrence was recorded by a fifth marker on the smoked paper mentioned in the preceding paragraph. Reference to the smoked paper showed the nature of errors, i.e., the direction in which the misplacement occurred, the number of errors, and their occurrence in relation to the time-element. An observation method was devised which served as a check on the record carried by the smoked paper. Because of a great variety of phenomena which happened in connection with the placement of the blocks and which the registering apparatus could not be made to record, the observation method proved more accurate and satisfactory and was finally adopted. Before each test the subject was given as much time as he wished for practice. He did not know exactly when his test- period began nor when it was likely to close except that he knew that it would not extend over twenty minutes. By this method the factors of "warming up," of the nervousness fre- quently attendant on beginning a piece of work, and of the "final spurt" were almost entirely eliminated. The actual test-period was made fifteen minutes long in all cases, although none of the subjects knew this fact fifteen minutes being the length of time determined upon as sufficient to indicate many of the character- istics of fatigue, to show the tendency of these characteristics, and to bring out important points regarding the nature of mus- cular inaccuracies. The tests were made on successive days and EMORY S. BOGARDUS 33 at the same hour each day for the given subject as far as possible; any variations were noted. A record of the subject's general physical condition at the beginning of each test was kept and also of the subject's introspections at the close of the daily trial. The following method of evaluation of errors was adopted as being the most satisfactory. If the block was misplaced to the left, for example, so as to establish the connection represented by the termini aa r (illustrated by the dotted square r, Fig. 2), one error was counted ; if, as shown by the dotted square /, the block was misplaced so as to make the connections bb' and dd r , two errors were recorded. If either hand of the subject was hit by the revolving shields s and s' f three errors were counted such an occurrence being a gross inaccuracy. Failure to put in a block being the omission of a whole muscular co-ordination was evaluated at five errors. Other types of maladjustments occurred occasionally and were evaluated on the above basis. It may be well to note that in these experiments an essential feature of the method is that stimuli were provided of the so- called extrinsic nature. 4 The machine being driven by electricity set the pace and the subject was required to keep up. To the observer these tests appeared as a real contest between human muscle and sensitive nerves, and the machine, insensible and inde- fatigable. The machine regularly worked on and on; the subject worked irregularly, with increasing tendency to fall behind. Although in these experiments no saws, knives, or drills were present and hence gross muscular inaccuracies did not mean actual mutilation of the subject's hands, this fact appeared to be adequately balanced by three other factors, (a) Throughout the experiments each subject clearly manifested an instinctive dread of getting hit by the revolving shield even in the final experi- ments, the subject would instinctively jerk back his hand when- ever he became conscious that his hand was likely to be hit. (&) Throughout the experiments the records of each subject were posted and a healthy spirit of competition was maintained which assisted greatly in keeping up a maximum efficiency, (c) In particular, the graduated system of evaluating inaccurate co- ordinations served continually in keeping down the number of 4 W. H. R. Rivers, The Influence of Alcohol, etc., on Fatigue, 12. 34 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS gross inaccuracies. The writer believes that these factors when taken together served to maintain a degree of carefulness in operating this experimental machine comparable to that mani- fested by the average worker in the dangerous trades, who in- evitably becomes inured to the danger of working close to revolving knives, saws, drills, etc. Eleven subjects participated in these experiments. 5 Br., Hy., Pr., Sp., Sw., and Wr. were men; Ch., Fr., Hys., My., and Wd. were women. This list included trained psychologists who had worked at reaction-time experiments, at co-ordination of hand and eye movements, at general fatigue experiments. Three of the subjects had taken part in the prolonged series of fatigue experiments conducted by Yoakum. One of the subjects had worked in a screw room; another, as an operator in a telephone exchange. In view of the considerable amount of practice which was given in these experiments the results did not show any particular effects of the previous training of the subjects. This point will be discussed later. Further details regarding methods will be given when the various groups of experiments are de- scribed. The first group of experiments was designed to get a maxi- mum of simplicity of operation, of monotony, of speed, and of mental strain or unrelaxed tension. The rate was such as to require that a block be set on the square x (Figs, i and 2) once a second or sixty times per minute. Two blocks were used. The cycle of a single operation may be described as follows : (a) stopping block i with the left hand when brushed off the square x by the machine, and putting block 2 on the square x with the right hand; (b) passing block i over from the left hand to the right hand; (c) placing block i on the square with the right hand while the left hand stopped block 2 ; and so on. The monotony, speed, and unrelaxed tension of this process is obvious. Eight subjectsi four men, Hy., Pr., Sp., Sw., and four women, Ch., Fr., Hys., and Wd. worked in Group I. Each subject was given several practice trials, covering two or three weeks, until the maximum efficiency was obtained, as far as could * The writer wishes to express his deep obligation to the persons who willingly gave of their time and strength that this investigation might be furthered. EMORY S. BOGARDUS 35 be judged by the daily records of errors. The tests were then continued until six to ten normal records were obtained for each subject. By the use of volitional power and highly concentrated attention, and as a result of a strong spirit of rivalry, the subject tried in each test to make no errors or to keep the errors within minimum limits. Among other things, the errors of each subject were tabulated according to their occurrence in the first or in the second half of the given test periods. 6 The tabulated figures for each sub- ject were added together and the average daily number of errors for the first and second halves of the test periods was obtained. The results appear in Table II. TABLE II MUSCULAR INACCURACIES (GROUP I) Subject Average Num- ber of Errors, First Half Average Num- ber of Errors, Second Half Average Total Number of Errors Ch. . 3.OO 6 oo Q.OO Fr 6.16 iq.Si 21 .00 Hy 6.66 12. OO 18.66 Hys Pr S.i6 2 .OO 13.00 5.83 18.16 7.83 Sp. . 4. <;o 5.83 10. w Sw.. 1.83 4.OO 5.83 Wd 1.66 3.83 c .40 Total 30-97 66.32 97.29 General average . . . 3-87 8.29 12. 16 From Table II it will be observed that the average daily num- ber of errors for all subjects was 3.87 for the first half of the test periods and 8.29 for the second half. In other words, 31.82 per cent of the errors occurred in the first half of the test periods and 68.17 per cent in the last half. As determined by the intro- spections, the immediate cause of the distribution of muscular inaccuracies in this fashion is to be found largely in the irregu- larly decreasing effectiveness of the attentive processes. In par- 6 In analyzing the results of these experiments, a large number of tables have been made. Only those have been selected for use here which best present the general results. It is difficult to avoid the omission of some classifications of data which might prove helpful. 36 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS ticular, such factors entered as rise of feelings of effort, of strains, of fatigue in the muscles of the eyes, arms, back, hands, legs, abdomen, etc. In many of the tests the subjects experienced a growing uncertainty of muscular control over the hands. Whatever the cause, the most significant result of this group of experiments was the fact that the subjects were not able to maintain a steady degree of volitional attention even though they knew that the test would cover a short period of not over twenty minutes. During these tests the subjective processes broke down, in spite of continued efforts of the subjects to the contrary, to the extent of permitting practically twice as many errors to occur in the second half as in the first half of the work period. Some of the subjects, whose work in this group of experiments is fairly typical, are working for much longer test periods. The strain on the individual caused by the greater length of the work period is compensated by giving him a slower rate of speed. While full results are not yet at hand, the indications are that when the longer period is divided into two equal periods for purposes of comparisons, the relation between the number of errors occurring during the first half and during the second half of such a period is almost a duplicate of the results shown in Table II. In other words, when the operation of the experi- mental machine is made less rigorous and continued for greater lengths of time, so that fatigue does not develop in fifteen minutes (as in the experiments already described), but in the given increased period of time, it may be assumed that the results in Table II would not suffer material change. Tables II and III illustrate the law of fatigue as given at the close of Section II, that continued work is accompanied by in- creasing muscular inaccuracy. Granted that the general results of this group of experiments would not have been essentially changed if a lower rate of speed had been substituted for a high rate and a longer period of time substituted for a short period- two substitutions which may be considered as counterbalancing each other in a large measure then the following conclusion may be given: If the subjects in this series of experiments had been operating dangerous machines where slight misplacements EMORY S. BOGARDUS 37 mean mutilation, the danger of accidents would have been far greater (if not twice as great) in the latter half than in the first half of a given work period. In Section II the point was emphasized that the increase in muscular inaccuracy which accompanies continued work depends on the rate of work. That is to say, if the operative of a dan- gerous machine should be "speeded up," his danger of suffering accident would be thereby increased; and that increased danger would persist as long as the increase in rate of work remained a "speeded-up" operation for the given operative. According to the law given at the close of Section II, an increase in speed will hasten the fatigue processes, the development of muscular v ; nac- curacies, and hence the chances of accident. In testing this point the apparatus used in the preceding series was slightly modified. A pipe p and a square box q containing a dozen inch cubes were added to the apparatus ( see Fig. i ) . By this time the observation method had been so satisfactorily de- veloped that the brass plates on one side of the blocks were taken off and the subject permitted to place the blocks with any side down. The cycle of operations consisted in catching the block with the left hand as it was brushed off the square x by the machine and of dropping it in the opening of the spout p. In the mean time the right hand had to pick out another of the blocks from box q and place it accurately on the square x. The speed was made one-half that of the preceding series, or 30 blocks per minute. This was a rate which seemed slow or moderate to most of the subjects and errors appeared to occur more as a result of chance than from any other cause. As far as the speed was concerned, there was no excuse for errors. Tests were made daily at this rate until a series of records was secured sufficient to serve as a basis of comparison with the results obtained from speeding up. Then the rate was increased from 30 to 37^ blocks per minute. On the day that test i was made at the faster rate, and preceding the test, the subject was given all the time that he wished for practice. Tests at the 37J4 rate were continued for twelve days for all subjects. Then a faster rate of 45 blocks per minute was offered. Table III gives RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS the number of errors made by each subject during the series of trials at the three rates of speed. TABLE III MUSCULAR INACCURACIES (GROUP II) Rate No. of Trials Br. Fr. Hy. Hys. My. Pr. Wd. Wr. Total I I 2 2 4 4 o 6 16 35 30 2 I 6 8 2 5 i 4 27 3 2 3 o O o 12 6 9 32 4 O i 6 I 3 2 i i 15 i 25 92 39 127 14 39 2 44 387 2 17 57 IS 3 1 IO 54 3 23 212 3 21 15 13 18 16 15 7 39 144 4 IO 5 29 61 14 7 3 38 l6 7 5 9 6 18 5 IO 44 3 26 117 6 9 23 3 20 ii 23 i 18 1x8 37^ < 7 4 12 4 i 2 7 7 14 51 8 3 29 2 4 7 17 3 6 81 9 3 23 I 3i 4 34 i 6 103 10 3 I 7 6 i 2 6 7 33 ii 3 22 22 4 o 8 7 4 70 12 o 9 7 7 o 7 7 33 70 I 48 128 52 148 65 "5 70 325 943 2 101 108 18 166 56 134 56 88 736 4.C, . 123 117 22 7i 2 A IO4. 64 202 7^1 4 * 57 * * / 182 o^ 75 / o 21 OT- *3 xwif. 102 V *T 26 108 / o 584 5 46 79 82 134 15 118 16 256 74 6 Although the first trials at the 37^ rate in the case of each subject were preceded by a practice period, the effect of speeding up from a 30 to a 37^ rate on muscular inaccuracy is marked. As indicated by Table III, the increase varies considerably from the case of Wd. to that of Hys., where the increase in number of inaccuracies is from i to 127. For the first six trials at the 37 J4 rate the process was clearly a speeded-up one for all the subjects excepting Wd. ; a decrease in errors is also characteristic. For the last six trials at the 37^ rate, the totals of errors indicate that no further decrease in inaccuracies would have resulted if the series at this rate had been continued. The introspections given by the subjects bear out this conclusion. The totals for these last six trials also indicate that the 37^2 rate had become a much less speeded-up process than for the first six trials at EMORY S. BOGARDUS 39 that rate, but that it still remained a speeded-up process when compared with the records for the 30 rate. Table III shows that the introduction of the 45 rate (al- though the first trials were again preceded by a practice period) was accompanied by a large increase in the number of errors. Table IV is prepared from Table III and indicates the relative percentage of errors occurring in the first and second half of the trials at the 30 rate, for the first six and for the second six trials at the 37J4 rate, and for the 45 rate, for each subject; at the 30 or slow rate where errors were not due to speed, but appar- ently to chance, the average percentages of errors indicate that practically the same number of inaccuracies occurred in the first half as in the second half of the given work period the ratio being 50.0 to 49.8. But when the rate was increased to 37^ blocks per minute there occurred not only a large increase in the actual number of errors, but, as will be seen by looking at Table IV, a large pro- TABLE IV PERCENTAGE OF ERRORS (FROM TABLE III) SUBJECT 30 RATE 37* RATE (FIRST Six TRIALS) 37* RATE (SECOND Six TRIALS) 4SRATE First Half Second Half First Half Second Half First Half Second Half First Half Second Half Br.. 75-0 33.3 50.0 25.0 66.6 73-3 30.7 46.6 25.0 66.6 50.0 75.0 33-3 26.6 69.2 53-3 49-4 49-4 37-6 42.3 24.0 19.1 26.3 3i-5 SO.S 62.8 62.3 57-6 76.0 80.8 73.6 68.4 43-7 32.0 60.4 39-6 35-7 4L3 29.0 50-7 56.2 67.8 39.5 60.3 64.2 58.6 70.9 49.2 33.6 29.9 38.4 36.7 44-5 34.8 26.9 40.9 66.3 70.0 6l. S 63.2 SS.4 6 S .I 73-0 59-0 Fr Hy Hys My ^"y Pr. Wd Wr . Average 50.0 49-8 33-4 66.5 41-5 58.3 35.7 64.2 portion of the inaccuracies occurred in the second half of the given trials. The ratio of errors between the first and second halves of the first six trials at the 37^ rate was 33.4 to 66.5. For the second six trials at the 37K rate when this rate no longer in- volved as speeded-up operations as during the first six tests, because of skill resulting from practice, the percentage of inac- 40 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS curacies fell, the ratio being 41.5 to 58.8. When the rate was increased to 45 blocks per minute, the process again became a speeded-up one and the percentage of inaccuracies in the last half of the trial periods again rose this time to 64.2 per cent. The ratio was 35.7 to 64.2. The noteworthy fact in these experiments is that as soon as the work was speeded up from the 30 to the 37^ rate or from the 37^2 to the 45 rate, the larger part of the increase of errors took place in the latter half of the given work periods. These in- creases clearly show the effect of fatigue on muscular inaccu- racies. This conclusion, based on the objective records, is corrobo- rated by the introspections given by the subjects. While operat- ing the machine at the speeded-up rates, all the subjects com- plained of sensations of fatigue during the second half of the work periods, ranging from distinct strains in the muscles of the eyes, arms, and hands to temporary paralysis of the right arm (Wr., in whose case the right arm co-ordinations broke down completely, and the subject was forced to stop in one test) . Typi- cal introspective reports are subjoined : Eye strain felt during last three or four minutes. Slammed blocks in toward close of period, because of less certainty of muscle control. During last half of period eyes blurred continually. Back began to ache about middle of period and continued. Conscious of increasing inaccuracy and of increasing feeling of "losing out." Greater tendency toward the last to fumble blocks. Fumbling increased, caused by developing fatigue in fore-arm, and by lapses of attention. Fatigue in arms felt early in trial. Fagged all over to keep up the process became a torture. Felt pain between shoulders toward the last. Almost decided that I couldn't keep it up for full period. Compelled to exert increasing volitional power. Strain in left arm toward the end of the period. Increasingly tended to get behind in muscular movements. Boredom of it increased. Last few minutes seemed like hours. Started well, but fatigue developed in arms, wrists, shoulders. Terrible strain developed in right arm. Became aware of a general inaccurate feelincc in regard to hands. EMORY S. BOGARDUS 41 One or two other points brought out by this group of ex- periments may be mentioned here. Reference to the tables will make clear the fact of marked individual difference in regard to making errors. These variations do not appear to be explained when the subjects are classified on the men and women basis or according to the degree of psychological training, but rather by temperamental differences. Reference to the records of indi- vidual subjects (Table III) shows marked variations from day to day in many cases. The explanation for this fact appears to be found in the varying bodily conditions of the given subject from day to day. The decidedly abnormal conditions were of two kinds either the subject found himself simply "out of form," or else he began the test normally and errors began to increase early and rapidly as a result of late hours, overwork, forms of illness. The material presented in this section may be summarized at this point. These experiments indicate that uninterrupted work is accompanied by increasing muscular inaccuracy, and other things being equal, any speeding up in the operation of dangerous ma- chinery means accelerated development of fatigue and of muscular inaccuracy. In other words, fatigue causes muscular inaccuracy. Since, as indicated in Section III of this study, men and women in the hazardous employments are working in close proximity to dangerous tools, and where misplacement of the hands a frac- tion of an inch means mutilation, the material presented in this section may be considered as evidence that fatigue causes acci- dents. The data presented in Section III to the effect that mus- cular inaccuracies are the actual phenomena preceding a large majority of accidents bears out the conclusion that fatigue, mus- cular inaccuracies, and industrial accidents are causally related. In the next section, the hours when accidents occur will be analyzed. RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS V. ACCIDENT-HOURS Reference is made in Section III to a study of accident records (State of Illinois for the year 1910) which has been made by the writer. It will be recalled that of the accident re- ports examined, 2,687 gave a fairly accurate description of what happened preceding the given accidents; and 2,203 or & 2 - 2 P er cent of the 2,687 accidents conceivably might have been avoided if the injured or the fellow-servant, who was the cause of the accident in some cases, had had accurate muscular control. Of the 2,203 accidents which might have been avoided, the time at which 2,162 of these occurred was given. These reports were tabulated according to the hours of the day, and the results appear in Table V. In general, there is ajise in the number of accidents during the forenoon, a decided fall after the noon period of rest, and another rise in the afternoon hours. Further conclusions must be withheld until certain factors are considered. A vital point is to be found, not in the number of accidents per hour, but in the number of accidents per hour during a period when the same number of employees are at work. TABLE V ACCIDENT-HOURS (ILLINOIS, IQIo) Morning Accidents Afternoon Accidents 7 to 7 : so . 7O I to I ' SO ill 8 to 8 : so . . ISO 2 to 2 ' SO is6 9 to o : <;o . IQ2 3 to ^ * so 227 10 to 10:59. ... y 2 24.6 4 to 4." SO 260 1 1 to 1 1 : 59 2S7 s to s so I4.S 12 to 12:59. ... 4.Q o * o ov Other hours 280 The figures given in Table V represent factories in which the working hours are not similar. While in general the working day is from 7 A.M. to 6 P.M. with a rest period from 12 M. to i P.M. in the factories to which the statistics in Table V apply, there are important variations. In many factories especially where women are employed, the day begins at 7:30 A.M. The time of the lunch period at noon varies in one plant employing EMORY S. BOGARDUS 43 about 3,000 men and women, the writer found that practically one-half of this number take their lunch period from n 130 to 12. Frequently the employees begin their afternoon period of work at 12 145 P.M., and in some cities at 12 130 P.M. In the large cities the working day closes in a considerable number of cases at 5 130 P.M. or 5 P.M. ; and if there is Saturday afternoon work, at 4 P.M. A study of the work-hours of the factories to which the figures in Table V apply shows that from 7 A.M. to 8 A.M., from ii A.M. to i P.M., and after 5 P.M. a lesser number of em- ployees are at work than during the other work-hours, when the employees of all the factories represented are considered in the aggregate. If the table shows a smaller number of accidents during the hour from 7 to 8 A.M. than in the succeeding hour, it is not safe to infer that the danger of accident is correspondingly less, since a smaller number of persons are at work from 7 to 8 A.M. than during the following hour. In Table V the periods from 8 to 1 1 A.M. and from i to 5 P.M. are of almost uniform employment. In considering this period of uniform employment the rate \ of work must be taken into account before definite conclusions may be drawn regarding the influence of fatigue. As pointed , out in Section IV, the greater the speed of work, the greater is the danger of accident, and vice versa. Hence the question \ arises : Is the rate of work uniform in connection with dangerous machinery ? In a recent investigation by the United States Bureau of Labor, records were taken from hour to hour from stamping presses equipped with automatic counters for registering the production. Records were kept for twenty- three machines for periods varying from one day to seven. With reference to the results, the report of the Bureau of Labor says that it is ex- tremely probable "that there is an average slackening of activity on the part of the workers in the last hour and a half of the day." 1 If this explanation be correct and be applied to the after- * Quoted from proof-sheets of Vol. XI of the "Report on Condition of Woman and Child Wage-Earners in the United States," Senate Doc. No. 645, 6ist Cong., 2d sess. 44 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS noon period of uniform employment from i to 5 P.M., it will be seen that the last hour from 4 to 5 P.M. is probably one during which the rate of activity is much less than during the preceding hours. In general and on the average it may be assumed that the afternoon period from i to 4 P.M., like the forenoon period from 8 to ii A.M., is one of both uniform employment and of fairly uniform rapidity of work. From each of the three-hour periods of both uniform em- ployment and rapidity of work three other factors have been eliminated: (a) During the last half -hour of work before noon and before the time for closing there is likely to occur what is called the "final spurt," which comes with the realization that one's work is nearly finished and which tends to reduce the dan- ger of accident because of the increased volitional forces brought to bear upon the work, (b) The close of the working period is to some extent a period of readjustment accumulated work is removed; new stock is secured in order that the next period of activity may go forward unhindered. 2 (c) There enters also the sense of accomplishment. The worker may proceed more lei- surely to the close of the period, after he has accomplished a cer- tain amount of work and has his task well in hand. 3 The question arises : How do the afternoon totals compare with the forenoon totals ? But an adequate basis of comparison is not present. In the first place, the forenoon period is often longer than the afternoon period. Further, it is not correct to compare the totals for the hours from i to 4 P.M. with those from 8 to ii A.M. because the existence of a Saturday half-holiday during the summer, and in some trades throughout the year, de- presses the afternoon totals, while a high number of accidents on Monday mornings after the Sunday holiday unduly increases the forenoon totals. Also/ the evidence indicates that the rapidity of work is considerably lessened in the last hour and a half of the day's work and the chances of accident are correspondingly decreased. * Op. cit., Senate Doc. No. 645, Vol. I, 395- 'Ibid. EMORY S. BOGARDUS 45 (^ Fig. 3 illustrates Table V and makes graphic the more or less regular increase in the number of accidents during both the forenoon and afternoon periods of uniform employment and of uniform speed of activity.) The fall in the number of accidents following the noon period of rest is striking. When it is re- called that Table V and Fig. 3 apply only to those accidents (Class B) which were immediately preceded by muscular inac- curacies of small proportion (see Section III), further illu- mination thus will be given to the law of fatigue as stated at the No. of a Accidents 7 to 8 A.M. 8 tO Q A.M. 9 to IO A.M. 10 tO IX A.M. XI A.M. tO 12 M. 12 M. tO I P.M. X tO 2 P.M. 2 tO 3 P.M. 3 to 4 P.M. 4 to 5 P.M. 5 to 6 P.M. Other hours ccidents 50 xoo 150 200 250 300 | I 1 | 1 |_ J I " FIG. 3 close of Section III; namely, that (the increasing muscular inac- curacy accompanying uninterrupted work results in increasing numbers of accidents.) The question of accident-hours has hardly been raised as yet in the United States. Only a few states, such as Wisconsin, Minnesota, and Illinois, require that the exact time of accidents be reported to the offices of factory inspection. At best, sta- tistics of accident-hours in the United States are unsatisfactory. Table VI is prepared frorn the accident records of Wisconsin for the year 1 907-8.* It should be noted that in Table VI and in the tables of accident-hours which follow that all accidents are included those due to the breaking of machinery, etc.; whereas in Table V (Illinois statistics) only those accidents are 4 Bur. of Labor and Industr. Statis. (Wis.), itfh Biennial Report, Part I (1007-8), 78. 4 6 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS classified which conceivably might have been avoided if the in- jured parties had had accurate muscular control. The question is raised by the compiler of the Wisconsin figures why the largest number of accidents did not occur in the last hour of work. Since many establishments close at some point between 5 and 6 P.M. the lessened number of accidents for this hour may be ac- counted for in this way in large measure. The explanation for the relative decrease in the number of accidents from n to 12 P.M. may be threefold: (a) As in Illinois, there may be whole shifts of men and women who take their lunch period at 1 1 130 A.M., and hence are not working during the last half -hour; (b) There presumably is a slackening of the rate of work with a correlative decrease in danger of accident; (c) Some workmen with a surplus of energy may experience the "final spurt" and thus the danger of accident may be lessened. TABLE VI ACCIDENT-HOURS (WISCONSIN, 1907-8) Morning Accidents Afternoon Accidents 7 to 7 * "sO 156 i to i : <\o . . 247 8 to 8 59 2/14 2 to 2 : so . . 4O7 9 to o ' ^o 4.27 2 to 3 : so . . 4-zc 10 to 10* 59 486 4 to 4: 5oo, and the defendant appealed. On June 25, 1909, the Supreme Court of South Carolina affirmed the judgment of the circuit court. In the seven cases cited, the courts have decided that the re- spective accidents were due (a) not to negligence, but in obe- dience to a law of nature, i.e., in part to the demands of fatigue; (b) to the fact that the injured was overworked to such an extent that sleep, the result of overfatigue, was unavoidable; (c) to the fact that the injured because of fatigue had become dull in appre- hension and unmindful of his surroundings; (d) to overex- haustion by reason of protracted employment; (e) as a conse- quence of the inability of the injured from fatigue and exhaustion to use the requisite skill and care; (/) to the fact that the fatal mistake of the injured was caused by the fatigue of overwork; (g) to the exhaustion of the physical and mental powers of the deceased. The fact that fatigue has attracted attention to itself as a cause of accidents to the extent that such a conservative body as the judiciary will thus indict it, is noteworthy. The seven " 65 S.E. Reporter, 3. 62 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS cases which have been summarized in the preceding paragraphs are not presented because of any legal points involved or for any reasons other than as a sevenfold argument in support of the thesis that fatigue is a cause of accidents. In the following chapter, all the evidence thus far obtained chemical, physiological, neural, psychological, industrial (as such), experimental, statistical, legal will be brought together and offered as a unified whole in defense of the thesis of this investigation. The facts thus collated will be used as a basis for what appears to the writer to be the one best method of re- form and of overcoming fatigue as a cause of industrial acci- dents. VII. CONCLUSIONS In this study it has been found (Section II) that continued work is accompanied by the using up of energy-giving material of the muscles and nerves and by the production and accumula- tion of toxic fatigue substances. As a result of these processes, muscles respond less and less accurately and the central nervous system becomes less and less efficient in its methods of control. At a certain point in the katabolic processes of the working mus- cle, inhibitory impulses are sent in to the cortical centers over the afferent nerves. These appear in consciousness in the form of sensations of effort, of strain, of fatigue which constitute warnings and which demand a change in the working mechanism. At the same time, the working muscle gradually becomes weaker, owing to the using up of its energy-giving material, and less responsive, owing to the paralyzing effect of the accumulating toxic substances. If the given activity is continued long enough or if continued for a shorter time with a high degree of unre- laxed tension, the cortical centers submit to katabolic processes and become less accurate in controlling peripheral movements. The combined phases of the fatigue process result in muscular inaccuracy extending from the immeasurably small blockings of the finely adjusted musculature on to the failure to make the grossest muscular contractions. But the nervous system is so constructed that on occasion it can call out reserve strengths and for short, irregular periods of EMORY S. BOGARDUS 63 time ward off disastrous fatigue effects. Thus the progressive loss of muscular control accompanying work is marked by irregu- larly appearing spurts and depressions. Upon these facts the law of fatigue is based which is so generally a fundamental ex- planation of the cause of accidents. Because knowledge of this law appears to be essential to a thorough understanding of in- dustrial accidents, it is restated here: Uninterrupted work is accompanied by muscular inaccuracy which increases irregularly and at a rate dependent on the rate of activity and on the relative difficulty of the given work for the given individual. Section III set forth the fact that the increasing muscular inaccuracy which accompanies work is greatly accelerated by the conditions peculiar to industrial conditions by the monotonous and speeded-up operations, by the mental strain which comes from trying to attend to simple operations maintained at a ter- rific rate. When these conditions must be met for excessive hours without adequate rest periods, they lead to failure to make even the grossest co-ordinations to sleep and exhaustion. Since a large proportion, especially of non- fatal injuries, occur in con- nection with dangerous machinery where a muscular inaccuracy of an inch or of a fraction of an inch results in mutilation of the operative, the facts thus far reviewed may be summarized in the statement that uninterrupted work is accompanied by in- creasing muscular inaccuracy, which in turn results in increasing chances of accident. In the series of controlled experiments (Section IV), it was definitely shown that even in a short period of work involving monotony, speed, mental strain, where a high degree of voli- tional power might be called out for the full time, practically two-thirds of the muscular inaccuracies occurred in the last half of the period. When the rate of work in these experiments was increased and as long as the rate was a "speeded-up" one for the given individual, the number of errors was and remained ab- normally increased; moreover, the abnormal increase developed quite generally in the second half of the work periods. The results of these experiments show that fatigue is an ever- constant factor in continued work, that the appearance of this 64 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS constant factor in the foreground during a given work period depends in part on the rapidity of work. These results illu- minate the proposition that uninterrupted work is accompanied by muscular inaccuracy which increases at a rate dependent on the rate of activity. When given an industrial interpretation, these results indicate that continued work in the dangerous trades is accompanied during each of the succeeding work periods by increasing chances of accident and at a rate correlative with the speed of work. The statistics of the hours when accidents occur (Section V) show complex results. As a basis for conclusions work periods were taken when the factors of "warming up" and "final spurt" are eliminated, when a uniform number of people are at work, and when a fairly uniform degree of speed was maintained. Statistics for such work periods show a regularly and pronounced rise in the number of accidents from hour to hour. If extrane- ous factors are not included statistics of accident-hours indi- cate clearly that fatigue is a cause of industrial accidents. These statistics make possible a description of typical succession of events: (a) the development of fatigue due to monotonous, speeded-up work under a high pressure of mental strain main- tained for long hours at a time; (b) the development of mus- cular inaccuracies due to this increasing fatigue; (c) increasing numbers of accidents due immediately to this increasing loss of muscular accuracy. The case against fatigue of overwork is becoming so clear that it is receiving attention in the findings of such a group of men as compose the Interstate Commerce Commission and in the decisions of the conservative courts. Legal authorities have in- dicted fatigue as a cause of accidents and the related decisions have been presented (Section VI) in further defense of the thesis of this investigation. In the preceding paragraphs the facts have been summarized upon which the thesis is maintained that fatigue is a cause of industrial accidents. A word of explanation is needed at this point. The accidents which formerly were bulked together and attributed to carelessness now receive a more careful explanation. EMORY S. BOGARDUS 65 Dr. Emil Roth says that that which is often ascribed to the care- lessness ("auf das Konto des Leichtsinns und der Nachlassig- keit") of the worker is in reality the result of oncoming fatigue. 1 Professor Adams states that this carelessness which has been alleged as a cause of accidents "we are now beginning to realize is often due to the mere stress and strain under which modern fac- tory operatives work." 2 Carelessness is not an ultimate cause, says Elizabeth Butler in her study of Women and the Trades, but a resultant from any one of a multitude of things, one of which is the haste and disregard of personal risk resulting almost in- evitably from a piece-work system. 3 Crystal Eastman, who has made a study of the causes of those fatal accidents which are commonly spoken t>f as due to the "carelessness of the man injured," says that instead of 95 per cent, only 32 per cent of the fatal accidents can be laid in a measure to the responsibility of the victims ; that of this 32 per cent, 1 1 per cent is not due to carelessness, strictly speaking, but to ignorance, youth, and physical weakness; that in the case of the remaining 21 per cent of the fatalities actually due to care- lessness, some of the men were heedless, some inattentive, and/ some reckless. 4 For the heedless ones no defense is made. For the inattentive we main- tain that human powers of attention, universally limited, are in their case further limited by the conditions under which the work is done long hours, heat, noise, intense speed. For the reckless ones, we maintain that natural inclination is in their case encouraged and inevitably increased by an occu- pation involving constant risk; recklessness is part of the trade. Not all accidents due to inattention and recklessness can be thus defended; but speaking generally these two kinds of carelessness cannot fairly be called faults of the workman. So-called carelessness may be explained by the fact that the fatigued workman is unable to give as close attention to safety appliances and machine guards as a normally resistant workman can give. In their laundry investigation, Clark and Wyatt found 1 Emil Roth, 14. Intern. Kong., etc., IV, 290. a Adams and Summer, Labor Problems (Macmillan, 1908), 483. 3 Eliz. B. Butler, Women and the Trades (Charities Pub. Com., 1909), 108. 4 Crystal Eastman, Work Accidents and the Law (Charities Pub. Com., 1910), 95. 66 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS that "each burn is due to carelessness," but that if the girls were to be careful, they would have to focus their minds on self- protection, instead of on the proper accomplishment of their tasks, and would also have to work at a lower rate of speed. 5 Hence it is becoming evident that accidents which have been hastily and unscientifically classed as due to "negligence" or to "carelessness" are in reality due to the inexorable demands of the overworked human organism. In concluding this summary, it may be added that as soon as it becomes evident that fatigue is a cause of accidents and as soon as the way in which fatigue causes accidents becomes clear, definite methods of prevention must be determined upon and put into operation. /Society cannot afford tQ,_allow its industrial members to submit themselves unduly to the law of fatigue un- dlerlying accidents or to be coercedTby external ~c^Sditions" in a sjmilar__fashipnT' Society cannot afford to permit wage-earners" because of the fatigue effects of long hours of monotonous, speeded-up toil to be destroyed or even to be removed temporarily or permanently as means of support to large families (and the support of these families thus to be thrown upon the public). The deaths and disablements due to fatigue represent a need- less waste to society. Louis M. Greeley says that every day the enormous waste to society from industrial accidents becomes clearer, that the burden imposed upon public charity becomes heavier, and that the conviction becomes stronger that our present inaction in these matters must give place to intelligent action in order that these great evils be lessened. 6 At this point, the question logically follows: What can be done to reduce the fatigue which causes accidents? 7 The answer must be psychological and economic. Make it over- whelmingly to the financial advantage of employers to reduce to the narrowest limits the number of accidents that befall their s Clark and Wyatt, "Women Laundry Workers in New York," McClure's, XXXVI, 404. 'L. M. Greeley, "Changing Attitude of the Courts toward Social Legislation," Survey, XXIV, 778. 7 It will be clear that the defense of the thesis of this investigation does not in itself call for an elaborate discussion of measures for prevention. Consequently, the suggestions made here will be presented only in outline form. EMORY S. BOGARDUS 67 employees. 8 The chief way to prevent fatigue-accidents effec- tively is to make the lives and limbs of his employees as impor- tant to an employer as the output. 9 The all-important measure in minimizing fatigue-accidents appears to be compulsory acci- dent-insurance (constitutionality granted, of course). 10 This method of prevention works better than any other in Germany, and is described briefly by Professor Henderson : The German industrial-insurance law requires the employers to pay one- third of the cost of sickness-insurance, and all the premiums for accident- insurance; the sickness-insurance fund cares for the disabled workman for thirteen weeks, after which the employers' fund pays for further support during disablement due to accident. Naturally, it is seen to be to the interest of all parties to reduce the number of accidents to the lowest possible level by taking all precautions suggested by experience. If a workingman is careless he may be fined and thus disciplined to observance of the regula- tions made for his benefit. If a certain factory shows a high rate of injury to employees, its assessment is correspondingly raised by the executive com- mittee. The accident-insurance law works automatically to reduce accidents. 11 (a) It is safe to say that when it becomes financially ad- vantageous to employers to minimize danger of accident to employees they will replace monotonous and speeded-up hand- operations as far as possible by automatic processes. Piece-work in connection with dangerous machines will be supplanted by time-work. Miss Anderson, chief lady inspector in England, says that by cutting down piece-work the danger of accidents will be lessened. In laundries more than one manageress has been able to minimize the risk of accident by insisting on payment by time, not by piece. 12 It follows from the law of fatigue (Sec- H. R. Seager, Industrial Insurance (Macmillan, 1910), 28. ' Crystal Eastman, op. tit., 106. "A problem for investigation arises at this point: What effect has compulsory accident- insurance in Germany had upon the number of accidents per year per thousand ? Adequate data are not at hand whereby a definite answer can be given. The situation is exceedingly complex and many factors would have to be given consideration, some of which may be indi- cated, (i) Year after year employees are speeded up in order to secure an increasing output and a higher accident rate would naturally result from higher rates of speed. (2) During the industrial development of a country, untrained and inexperienced workmen are constantly being added to the force a fact which would tend to increase the accident rate. (3) Stricter control is exercised now than twenty-five or even ten year?-, ago in reporting accidents. Many other factors might be mentioned. 11 C. R. Henderson, "Wood-Workers and Their Dangers," World To-Day, XXXVI, 976. " A. M. Anderson, Sess. Papers (House of Lords, 1004), LIX, 201. 68 RELATION OF FATIGUE TO INDUSTRIAL ACCIDENTS tion II), and from the results of the experiments (Section IV), that a reduction in speed would mean a reduction in chances of accident. But in many industries a reduction in speed is hardly prac- ticable competition and economic demands are too strong. To reduce speed would seem a retrogression in industry. Where it is impossible to substitute automatic machines, the employer whose employees have been made as valuable to him as his out- put (by compulsory accident-insurance) will lessen the dangers of speed by shortening hours of work. 13 (b) Under compulsory accident- insurance laws the employer would lessen the danger of accidents by making hours of continu- ous work commensurate with the intensity and danger of the work. Crystal Eastman says that shorter hours an eight-hour day for all railroaders is about the most important thing to reduce the number of accidents. 14 In regard to the employees in the dangerous wire-mills, Miss Eastman says that one way to lessen danger of accident will be "to reduce the hours and shorten the shift." 15 Greater intensity of work necessitates longer periods of relaxation. If the strain of the work cannot be lessened, the duration must be. Think of the crane man (in the steel-mill) upon whose alertness and care depend the lives of several others. His is a hot, unpleasant, lonely job. There is no one to spell him. He cannot get down from his cab for any reason. And he works twelve hours every day in the year except Christmas and the Fourth of July. No steel company can maintain that it has done everything to prevent accidents until it has reduced the working hours of men in such responsible positions." (c) Men and women must not be allowed to work at speeded and dangerous machines according to personal ambition but ac- cording to the physical ability of the given individuals. This norm will be attained not by the methods of the ordinary factory in- spector nor even by medical factory inspection, but ultimately by examinations including tests possibly similar to those described in Section IV in which each individual receives expert attention. The physically unfit for the more dangerous forms of work must be weeded out by expert tests; they must not be allowed as now " Crystal Eastman, op. cit., 74. ' Ibid., 33. **Ibid. t 86. "Ibid., 74. EMORY S. BOGARDUS 69 to assume the more dangerous forms of work from economic motives and be eliminated by the painful and costly method of accident; for here as elsewhere the law of the survival of the fittest holds. The physical ability (and mental alertness) of the worker and the hours of work must be proportional to the fa- tiguing character and danger of the work. (d) Compulsory accident-insurance so regulated that the em- ployee must contribute a certain percentage of the fund from which compensations are paid will enlist the strong forces of labor itself, from individual laborers as such, to the powerful labor unions, in a more successful fight against fatigue and other causes of accidents. When it is made to the financial advantage of both employee and employer to reduce accidents, safety appliances, for example, will be not only installed, but actually used. Employers and employees must use various methods of instructing new and uninitiated workers as to the subtle dangers of fatigue. "Ignorance permits accidents which might be pre- vented." 17 The potential force of the labor union under rational control, as a means of securing education of employees in in- dustrial hygiene, of securing shorter hours and more adequate rest periods, etc., would be aroused to activity if it were made to the financial advantage of the union to do so. The union, made up of the workers themselves, is always present to observe violations, which cannot be the case, for instance, with factory inspectors. While a discussion of methods for prevention of fatigue as a cause of accidents does not properly belong here, it is maintained that a method worthy of consideration is compulsory accident- insurance granted the constitutionality of such a procedure, of course. In other words, it is contended that in the prevention of fatigue as a cause of accidents, the will of the employer is pre- eminently important, and the will of the employees expressed through labor unions under rational control is of next importance. 17 C. R. Henderson, "Social Cost of Accident, Ignorance and Exhaustion," Pamphlet No. 72, National Child Labor Commission (New York, 1908). - 14 DAY USE RETURN TO DESK FROM WHICH BORROWED LOAN DEPT. This book is due on the last date stamped below, or on the date to which renewed. Renewed books are subject to immediate recall. use HAR26t960 lQjan' fi ?JC JAN MAY 1 6 1969 LD 21A-50m-4,'59 (A1724slO)476B General Library University of California Berkeley 26/ff LD 21-50w-l,'J U.C. BERKELEY LIBRARIES CODS2flOtb3