Alcohol Is Still the Number One Threat to Workplace Safety

Alcohol Is Still the Number One Threat to Workplace Safety

Alcohol remains the most common substance abused by workers.

The legalization of marijuana and its direct impact on the workplace garners a lot of attention, and rightfully so. According to the 2022 Quest Diagnostic Drug Testing Index, more workers are testing positive for marijuana than ever before. 

“Positivity rates for marijuana in the general U.S. workforce, based on more than 6 million urine tests, continued an upward climb, increasing 8.3 percent (3.6 percent in 2020 versus 3.9 percent in 2021), the highest positivity rate ever reported in the DTI. Over five years, positivity for marijuana in the general U.S. workforce increased 50 percent (2.6 percent in 2017 versus 3.9 percent in 2021).” 


Yet, according to the federal government, there are many more alcohol users and abusers in the U.S. than marijuana users. The 2021 National Survey on Drug Use and Health found that nearly 60 million Americans 12 and older admit to using illicit drugs and that more than 138 million people admit to being current alcohol users. 

According to the survey, of those 138 million alcohol users, 61.6 million admit to being “binge” drinkers (five or more drinks on at least one occasion in the past month) and 17.7 million being “heavy” drinkers (five or more drinks on at least five occasions in the past month). Alcohol is clearly the single most used and abused drug in America making it the number one threat to workplace safety.  

Alcohol Abuse and the Workplace 

Many employed Americans with a drinking problem consume alcohol on the job. A survey of employees conducted by the American Addiction Centers found that 14.7 percent of at-home workers and 3.3 percent of other employees admit to being impaired on the job every week. 

Workplace alcohol abuse has a direct impact on safety and injuries. According to the National Council on Alcohol and Drug Dependence (NCADD): 

  • Workers with alcohol problems are 2.7 times more likely than workers without drinking problems to have injury-related absences. 
  • A hospital emergency department study found that 35 percent of patients with an occupational injury were at-risk drinkers. 
  • [Breath] alcohol tests detected alcohol in 16 percent of emergency room patients injured at work.
  • Analyses of workplace fatalities showed that at least 11 percent of the victims had been drinking. 
  • Large federal surveys show that 24 percent of workers report drinking during the workday at least once in the past year. 
  • 20 percent of workers and managers across a wide range of industries and company sizes report that a coworker’s on- or off-the-job drinking jeopardized their own productivity and safety. 

This article originally appeared in the October 1, 2022 issue of Occupational Health & Safety.

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