Journal of Health and Safety at Work

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Introduction: In recent years, a growing attention has been paid to assess the physical characteristics of rich and poor urban districts to understand social health differences. Urban districts environment play a major role in health of the residents. Previous few studies have considered some aspects of limited neighborhood environment. The current study was designed to investigate the reliability of the Neighborhood Health, Safety and Environment (NHSE) tool in one of Tehran city neighborhoods.

Material and Method: Dimensions and related items of the NHSE were extracted based on the previous studies and interviews with city experts. Five observers completed the NHSE in a selected neighborhood in order to test inter and intra-rater reliability of the tool. Data analysis was done using the Cronbach’s alpha, Interclass Correlation Coefficient (ICC) and kappa coefficient.

Result: The ICC and Cronbach’s alpha were estimated 0.86 for all dimensions of the NHSE. The calculated kappa values were in the range of 57%-66% for inter-rater reliability and 0.47-0.62 for intra-rater reliability.

Conclusion: The NHSE tool was shown to have a desirable inter and intra-rater reliability and a good level of internal consistency for assessing the health, safety, and environment (HSE) of the neighborhoods.

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Introduction: Metro driving is one of the newest jobs in Iran. There are few studies in this field. Therefore, the physical workload and their influencing factors have not been identified in metro driving. The objective of this study was task and physical workload analysis of metro driving to recommend control measures.  

Material and Method: In this mixed method study, task analysis and Quick Exposure Check (QEC) were used to assessment of physical workload in metro driving. Different methods and techniques including field investigation, document reviews, individual and focus group interviews, and focus group discussions were used to analysis physical workload to recommend control measures.   

Result: Whole body exposure with physical workload was assessed unacceptable in metro driving. Although the exposures in back, shoulder/arm and hand/wrist were under threshold 70%, neck exposure lead to over physical workload in the whole body. Many themes include unsupported body; non-sufficient view on the track and on displays; awkward posture and unsuitable layout were extracted as significant factors influencing on physical workload.

Conclusion: An intervention plan was recommended to a) support body by chair, platform and footplate; b) optimize a sufficient view on the track and on displays; c) maintain body postures in seating position with easy reaching distance and sufficient view; and d) design a suitable layout for driving panel regarding to controls, keys and displays.

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Introduction: Driving a train is one of the high demand job due to high vigilance task requiring the ability to long periods monitor surrounding environment and recognizing signals. The aim of this study was to assess train drivers’ mental workload using heart rate (HR) and heart rate variability (HRV) indices.
Material and Method: An experimental design was conducted among 12 well-trained subjects to induce two different levels of mental demands in a metro simulator and to monitor mental workload levels while driving the train. The HR and HRV parameters were recorded and analysis using ECG signals.
Result: The HRV parameters including SDNNIX (p-value=0.01), RMSSD (p-value=0.00), %PNN50 (p-value=0.01), SDNN (p-value=0.07) and LF/HF Ratio (p-value=0.04) were significantly reduced in a normal operation task comparing to the abnormal one.
Conclusion: The HR and HRV (SDNN, SDNNIX, RMSSD, %PNN50 and LF/HF Ratio) were found to be sensitive to mental workload in metro train driving .It is recommended to include the HRV parameters for mental workload assessment of train drivers.

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Introduction: Medical centers, as complex technical-social systems, are exposed to the risk of fire incidents. This study analyzes the causes and contributing factors of the fire accident at Sina Mehr Clinic to prevent similar accidents, resulting in 19 deaths and 14 injuries.
Material and Methods: The causes and contributing factors for accidents in medical centers are found through studies related to laws and regulations, official accident reports, expert reports of regulatory bodies, interviews with experts, and review of past studies, extraction, and categorization. Accident analysis methods included AcciMap and STAMP. Finally, experts’ opinions were used to confirm and strengthen the findings.
Results: The most critical root and hierarchical causes of the weakness of medical center management in the field of safety, dangerous conditions, fire accidents, and emergency response are the issuance of a legal building completion permit for a building that violates national building regulations and the issuance of a legal permit for a medical institution for a building with residential use, as well as the insufficiency of supervision by government and public institutions with horizontal relationships with each other and vertical relationships with universities of medical sciences, labor offices, and firefighting organizations, as the direct supervisors of medical centers.
Conclusion: The AcciMap and STAMP findings indicate that the priority is to amend the regulations for the establishment, operation, and activity of medical centers with an emphasis on safety regulations, as well as the frequency and shortening of feedback loops such as inquiring about the building completion permit from the municipality, announcing the establishment of a medical center to other governmental and public supervisory authorities, and the reporting of unsafe cases directly by supervisors to the Ministry of Health. Legal authorities are the most crucial cycle in the resilience of fire incidents and their consequences in medical centers.
 

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Introduction: One of the questions that always arises in the minds of researchers, especially young researchers, is what pattern the progress of science follows in their field of expertise and what is the direction of the studies. The purpose of this study is to analyze the content of the studies published from 2011 to 2022 in Persian scientific journals in the field of workplace safety and determine the direction and scientific process of studies in this field.
Material and Methods: All the studies published from the years 2011 to 2022 in the Persian scientific research journals ”Iran Occupational Health”, “Occupational Health and Safety”, “Occupational Health Engineering”, ”Iranian Journal of Ergonomics”, “Occupational Medicine” and “Occupational Health and Health Promotion” were gathered using census method from the websites of the journals. In total, 595 published articles were categorized according to the thematic codes determined by the opinion of experts, the theme of “risk analysis, assessment, and risk management” had the highest percentage of frequency (18.66 percent), while the theme of “safety application in other industries or specific workplaces” had the lowest frequency of percentage (0.34 percent). Approximately 50 percent of the variance of the published studies explained the themes of “risk analysis, risk assessment, and management”, “inspection, analysis and modeling of accidents”, “human error and safety”, “social, organizational factors, culture, safety climate, and behavior-based safety”.
Conclusion: The existing trends emphasize the importance of learning lessons from accidents as a reactive approach and risk management, human factors, and behavioral aspects in safety interventions as a preventive approach. The research development of the country’s safety at the workplace should be further improved with new policies in different fields while taking advantage of international scientific advances on the specific functions and challenges of the country and with a problem-oriented approach.

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Introduction: Scientometrics is a research field that examines and analyzes scientific trends and patterns in various scientific journals. This study aims to analyze the content of research published between 2011 and 2022 in Persian scientific journals focusing on ergonomics, to identify trends and the scientific direction in the field. 
Material and Methods: This study collected all articles published from 2011 to 2022 in Persian journals, including “Occupational Health,” “Occupational Health and Safety,” “Occupational Health Engineering,” “Iranian Journal of Ergonomics,” “Occupational Medicine,” and “Occupational Hygiene and Health Promotion,” using a census method from the journals’ websites. 368 articles were categorized based on thematic codes developed by experts, and data were analyzed using Excel 2010.
Results: The theme “Physiological Status and Occupational Factors” had the highest frequency (17.65%), while “Ergonomics in Small Workplaces and Services” had the lowest (0%). Approximately 55% of the published studies were centered around themes including “Physiological Status and Occupational Factors,” “Ergonomics Methodology, Methods and Techniques,” “Inspection, Monitoring, and Evaluation of Performance,” and “Characteristics of Physiology and Cognitive Processes.” The research focus in ergonomics tends to prioritize methodology and innovation over the practical application, emphasizing industrial needs over those in services and agriculture, and favoring large workplaces over small or construction sites.
Conclusion: The thematic framework and publication patterns can serve as valuable sources of information for educational and research planning within the field of ergonomics for universities, research centers, and related organizations; it can contribute to the scientific advancement of the field and lead to its overall improvement.