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Key Findings

1. Nonfatal workplace accidents in Brazil are severely underreported.
2. Work fatalities are also underreported, but the magnitude of the gap, though smaller, is not well understood.
3. Changes to health and safety inspections can help promote safer workplaces.

The first national household survey in Brazil that has asked about accidents at work generally confirms what smaller-scale studies have been indicating: that reports to the social security system (INSS) greatly underestimate — perhaps by a factor of six to eight times — the total annual number of work injuries. These findings should support efforts to improve the effectiveness of occupational safety and health prevention programs.