Abstract
Purpose: Despite falls accounting for the greatest number of fatal and non-fatal work-related traumatic brain injuries, current standards do not evaluate safety helmets under impact conditions representative of fall scenarios. This study’s objective was to develop a test method that evaluates safety helmets under impact scenarios representative of falls. A Construction STAR rating system that quantitatively compares safety helmet performance in the context of concussion and skull fracture risk is also outlined. Methods: A multi-step approach that combined information from previous literature, Occupational Safety and Health Administration (OSHA) accident reports, and oblique impact tests were used to develop a fall-specific safety helmet test methodology. The test methodology consisting of three impact locations (front boss, rear boss, and rear), two impact velocities (5.5 and 6.8 m/s), and a 25-degree anvil was executed on a representative subset of one Type I and four Type II models. STAR scores, combining concussion and skull fracture risk, were calculated for each model and compared. Results: STAR scores demonstrated that Type II helmets reduced concussion risk by 32.7% and skull fracture risk by 57.5% when compared to the Type I model. Large variations in Type II performance were observed, with the top-performing Type II helmets reducing concussion risk by 28.7 and 33.2% compared to bottom-performing models. Conclusions: Type II helmets offer substantial benefits in head protection compared to Type I models for oblique fall-related impacts. By including both skull fracture and concussion risk in the STAR score, the proposed methodology can differentiate high and low-performing safety helmets.
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Gagliardi, S. M., Stark, N. E. P., Begonia, M. T., Madigan, M. L., & Rowson, S. (2026). Development of a Fall-Specific Impact Testing Method to Evaluate Safety Helmet Performance and Injury Risk. Annals of Biomedical Engineering, 54(3), 777–795. https://doi.org/10.1007/s10439-025-03930-9
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