Limiting factors to reducing motor-vehicle related fatalities in ND oil and gas workers both simple and complex. The problem is that the industry is growing faster than the data can measure it. Much of the evidence is anecdotal from interviews with law enforcement , Petroleum industry leaders, and health department officials (3) (7) (15).
There is an overall lack of existing data to describe the problem. Incidence data is available, however denomninator data is challenging to quantify. Although ND is one of the few states with a state-based workers' compensation system, occupational health surveillance data is minimal because of a lack of resources, and lack of hospital discharge data.
It seems as though there lack of safety programs and policies in this industry, and that ND has a unique aging and "traditional" population that may not comply as readily with programs even if they do exists. The ND oil and gas industry targets a recruitment pool of potentially vulnerable populations (migrant, recent high school graduates, and older workers) and there appears to be limited (but growing) collaboration between oil and gas industry and government and safety officials, such as NDDoH. Laslty, as with many occupational health and safety issues, there appears to be a lack of a safety 'culture' among workers, within companies, and in the industry as a whole. This leads to a lack of implementation, enforecement, and compliance with new and current safety programs and policies.