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National reference metadata

France

Reference metadata describe statistical concepts and methodologies used for the collection and generation of data. They provide information on data quality and, since they are strongly content-oriented, assist users in interpreting the data. Reference metadata, unlike structural metadata, can be decoupled from the data.

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Accidents at work (ESAW, 2008 onwards) (hsw_acc_work)

National Reference Metadata in Single Integrated Metadata Structure (SIMS)

Compiling agency: Dares – Ministry of Labor

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The French ESAW data for the reference year 2022 come from three sources: the CNAM, which covers the majority of private sector employees and contract workers in the public sector; the CNRACL, for civil servants in the territorial and hospital public sectors; and the CCMSA, for employees covered by the agricultural social scheme. Overall, these sources cover 84.5% of the employees (estimation based on the France 2021 Labour Survey). 

The 2022 French ESAW data does not cover civil servants of the state public sector, due to the absence of a centralized information system that collects data on accidents at work. Employees covered by minor work accident insurance schemes and employees of private individuals are also excluded, mostly because of issues related to data accessibility and/or data quality. Overall, the categories not covered by the 2022 French ESAW data represent 15.5% of employees. 

Up to 2020, data from French surveys on working conditions were used to estimate work-related accidents among state civil servants. These estimates were previously included in the French ESAW data.

In France, all insurance schemes for work accidents are public. Work accidents recognition in France has some unique particularities when compared to other countries as explained below.

Presumption of Causality 

In France, any accident causing physical or mental injury that occurs at work or during work, regardless of its cause, is recognized as work accident. It is the employers’ responsibility to prove that the accident has no link at all with work. Failing to establish a link between the accident and the work is not sufficient to consider that the accident is not work-related. 

Until 2017, this presumption of causality for victims of accidents at work was only applicable to employees in the private sector. Since 2017, the presumption of causality is extended to civil servants [1].

Recognition Criterion 

Reported accidents are subject to a recognition procedure by the health insurance funds or by their administration (for accidents reported by the National retirement fund for local collectivities workers (CNRACL)). 

For the employees in the private sector, the recognition system is based on declarations of work accident made by the employers. The second mandatory element that will allow the recognition of the accident as a work accident is the initial medical certificate (IMC). IMC is a medical report about the health consequences of the accident. Any physician can provide an IMC. It is the responsibility of the physician to establish an initial medical certificate of accident at work, as soon as the patient indicates that it is an accident at work. It is not necessary for the employee to have a proof of any declaration of accident at work made by his employer. In case of disagreement between the employee and the employer, there is a dispute, and the decision is made by a court. 

Once all the elements of a recognition demand are gathered, insurance schemes decide if the accident at or during work is a work accident or not. In 2022, 94 % of all the complete recognition demands were validated by the primary work accident insurance scheme (CNAM). 

French ESAW data covers all accidents thus recognized as work accidents if they resulted in 4 days or more of absence from work. 

During the year 2022, a reform of the declaration procedure has been implemented. This change is one of the suspected sources of the significant decrease in the number of work-related accidents this year, in break with previous trends.

[1] Article 21 bis of Law No. 83-634 of July 13, 1983, as amended by Ordinance No. 2017-53 of January 19, 2017.

18 December 2024

In the French social security system, an accident at work is defined as 'any accident causing physical or mental injury, regardless of the cause, that occurs as a result of or during work to any person employed or working, in any capacity or location, for one or more employers or company managers.' An employee who is the victim of an accident benefits from a presumption of causality: as soon as an accident occurs in the workplace or during working hours, it is presumed to be an occupational accident. 

French ESAW data includes accidents at work resulting in more than 3 days’ absence of work, permanent incapacity or death of the victim. 

In France, with few exceptions, any death that occurs in the workplace or is related to work activities is presumed to be a fatal workplace accident. This includes fatal heart attacks and other sudden deaths that cannot be definitively proven to be unrelated to work. These accidents accounted for over half of all fatal workplace accidents in 2019. 

Data are collected for each accident. 

If a person is a victim of more than one accident during the reference year, several cases are reported (one for each accident). 

If there are several victims in the same event of accident, also several cases are reported (one for each victim). 

All employees of the general social security scheme are covered. 

The civil servants of the state public sector, employees of households as employers, and employees of certain special social security schemes are excluded.  

This excludes a large part of workers in sectors D, H, O, P, and T. 

France.

2022 French data reports accidents that were recognised in 2022, that is to say that they gave rise to a first administrative payment procedure during the reference year (with more than three days' absence from work or which resulted in disability or death). 

Not applicable. 

The following measurement units are used in ESAW data: 

  • Numbers of accidents;
  • Percentages of accidents (in relation to different totals and breakdowns);
  • Incidence rates of accidents: number of accidents per 100,000 workers;
  • Standardised incidence rates: number of accidents per 100,000 workers adjusted for the relative sizes of economic sectors at EU level. 

Direction de l'Animation de la Recherche, des Études et des Statistiques, Directorate for the Coordination of Research, Studies, and Statistics (Dares).

Caisse nationale de l'assurance maladie, National Health Insurance Fund (CNAM).

Mutualité sociale agricole, Agricultural Social Mutuality (MSA).

Caisse nationale de retraites des agents des collectivités locales, National retirement fund for local collectivities workers (CNRACL).

Annual. 

Not applicable. 

There is no concern when comparing accidents between French regions, because work accidents are dealt with the same regulations and by the same institutions in all parts of French national territory.  

Furthermore, work accidents recognition in France has some unique particularities when compared to other countries, as explained in §3.1. 

Break in time series in 2017 and in 2022.  

For the year 2022, accident data appear to diverge from previous statistical series, which cannot be fully explained by ‘natural’ favourable trends in accidents at work. It is partially due to the change in the recognition process mentioned in 3.1, since there is a substantial rise in incomplete declarations (without initial medical certificate or without declaration of an accident at work).