Journal of Health and Safety at Work

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Introduction: Provision of high quality nursing care for patients, has made patient safety culture as an important issue for improving the quality of health care in the country. This study aimed to determine the relationship between nurses’ job satisfaction and patient safety culture in hospitals of Rasht city, Iran.

Material and Method: This research is a descriptive-analytical, cross-sectional, and field data collection study. Nurses working in public and private hospitals in Rasht City comprised the study population, of whom 322 subjects were selected randomly as the study sample. The Wakefield questionnaire and the Agency for Healthcare Research and Quality questionnaire were employed to investigate nurses’ job satisfaction and patient safety culture, respectively. The Pearson correlation coefficient was used for statistical hypothesis testing, employing SPSS software version 19.

Result: The results showed that according to the respondents’ viewpoints, scores of job satisfaction (Mean(SD):3.59±0.68) and patient safety culture (Mean(SD):54/0±31/3) Rasht city hospitals were at the average level. Furthermore, there was a significant direct relationship between nurses’ job satisfaction and patient safety culture with the correlation coefficient of 0.643 at the 0.01 level of significance.

Conclusion: According to the findings, it is necessary to improve study nurses’ job satisfaction and patient safety culture. Moreover, according to statistical correlation between research variables, increasing nurses’ job satisfaction results in improvement of patient safety culture.

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Introduction: Hazard Identification, risk assessment and management have an important role in reducing potential risks in industrial settings. This research was done with the aim of identifying the hazard and evaluating HSE risks and providing a HSE management program for the Urea Unit of Shiraz Petrochemical Complex.
Method: Firstly, hazard identification and qualitative risk assessment was done using FMEA technique and risky units were identified. Then, main events were identified and analysed as inputs of the Bow-Tie method. By identifying the strength, weakness, opportunity and threat factors, ranking and weighting them using the ANP method and Super Decisions software, a SWOT matrix was prepared and HSE management strategies were extracted.
Findings: The results showed that chemical leakage, falling from height and slipping were the most important incidents, and defect of control equipment, lack of attention to instructions, non-compliance with safety principles and human error were causes of these events. Also, ranking of weaknesses, strengths, opportunities and threats were 0.58, 0.2, 0.16 and 0.05, respectively.
Conclusion: Organizational opportunities with a weight of 0.124 were 4.8% higher than threats with a weight of 0.076. This shows that the company had a good situation in terms of achieving its goals.

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Introduction: Occupational accidents are one of the major challenges of the industrial workplaces. The identifying of the effective causes of the incidents occurrence, could be used to prevent them. This study was aimed to determine basic causes of occupational accidents in a vehicle manufacturing company.
Material and Methods: The occupational accidents leading to loss of time, which cause losing at least one working day, occurred from 2012 to 2017 were analyzed using the Tripod-Beta method and the causes of their occurrences were determined from the active failures to the root causes. The data were analyzed using the SPSS-22 software.
Results: Eighty percent of the occupational accidents that occurred in a vehicle manufacturing company were related to 6 root causes, i.e. the weakness of OR (20%), EC (17%), MM¬ (12%), CO (10%), IG (10%) and DE (9%). Absence of necessary authority to stop working is the most important reason for the occurrence of the weakness of Organization system with a rate of 28%.
Conclusion: By handling three root causes appropriately, i.e. improving OR, EC and MM, more than 50% of accidents can be prevented. Proper hiring of workers, exact definition of accountability and an accurate job description to the employees, proper monitoring and supervision, and near-miss recordings are suggested to reduce this incidence rate.

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Introduction: Falls from height rank among the most frequent accidents encountered in construction workplaces. To mitigate such risks, the utilization of suitable personal fall protection equipment, including safety harnesses, proves to be an effective control measure.
Material and Methods: This study involved a comprehensive review of articles pertaining to the study’s objective, published in renowned scientific journals between 2000 and 2021. To achieve this, a meticulous search was conducted across ten scientific-specialized databases, employing eight keywords: “Full body harness,” “fall arrest systems,” “industrial harness,” “harness ergonomic,” “design procedures harness,” “standard for harness,” “fall protection,” and “P.P.E work at height.” The search yielded a collection of relevant articles for analysis and examination.
Results: A total of 101 articles were gathered through the utilization of the specified keywords. Subsequently, a meticulous review process led to the selection of 23 relevant articles for inclusion in the primary study. These chosen articles were categorized into two distinct groups: one focused on the “design of harnesses and optimization of fall arrest systems,” while the other delved into “studies on the consequences of suspension from a height and its effects.” Our findings revealed that 34.7% of the studies evaluated harness safety, 34.7% examined harness ergonomics, and 30.3% investigated suspension consequences.
Conclusion: When a harness is suspended, it leads to physiological changes. Notably, no studies have reported any fatalities resulting from harness suspension. However, the longevity of the suspension greatly depends on utilizing the appropriate harness accessories. The most significant challenge lies in the ergonomic design of the harnesses.

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Introduction: One of the ways to produce electricity in power plants is to use gas turbines and generators. Due to the use of methane gas as the fuel of the burners and the high rotation speed, this equipment has a high DOW index level, therefore, if the hazardous conditions in the gas turbine are not controlled by the safety instrumented system and the process is not directed to a safe state, Catastrophic events will occur such as fire and explosion and damage to property and people as well as interruption of the power generation process will happen in the long term, so gas turbine safety instrumentation systems can be considered as “critical safety systems”. Therefore, the reliability and availability of their function should be evaluated. The purpose of this research is to determine and verify the safety integrity level (SIL) related to the safety instrumented function (SIF) of the gas turbine and generator in a combined cycle power plant.
Material and Methods: In this study, the safety integrity level was determined by using two methods, Calibrated Risk Graph (CRG) and Independent Protection Layer Analysis (LOPA), and to verify the safety integrity level, the requirements related to random hardware failure, hardware failure tolerance, and systematic capability are considered according to IEC 61511 and IEC 61508 standards.
Results: The results of a case study in gas turbine and generator showed that the LOPA method is more quantitative than CRG and provides more details of independent protective layers, so it is a more suitable method for determining SIL. The SIL verification results show the SIL2 level, closer to the LOPA results.
Conclusion: The obtained results show that the function of the studied gas turbine safety instrumentation system has a suitable level of reliability and availability and is well responsive to risky conditions and possible deviations. The present approach helps safety engineers and instrumentation engineers to calculate the reliability and availability of the Function of the safety instrumentation systems of their process equipment and ensure its acceptability or not.

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Introduction: The safety harness is a critical device for preventing falls from height, particularly in the construction industry. This study aimed to identify the factors contributing to the non-use of safety harnesses during work at height and to evaluate the comfort, satisfaction, and usability of these harnesses among construction workers in Tehran using a custom-designed tool.
Material and Methods: A semi-structured interview was conducted with construction workers to identify the factors influencing the non-use of safety harnesses. The collected data were analyzed using MAXQDA 10 software. Based on the results, which revealed dissatisfaction with the current safety harnesses, the levels of comfort, satisfaction, and usability were assessed using the Safety Harness Usability and Comfort Assessment Tool (SHUCAT) questionnaire.
Results: The reasons for not using safety harnesses were categorized into four main groups: management factors, worker attitudes, comfort, and harness design. These were further subdivided into 27 subgroups. The average satisfaction and comfort scores for safety harnesses were 26.8 ± 6.25, indicating that workers generally felt uncomfortable and dissatisfied with their harnesses. The average usability score was 38.70 ± 5.60, reflecting poor usability of the harnesses.
Conclusion: Improving the safety harness design could enhance workers’ comfort and satisfaction, increasing their willingness to use the equipment. Incorporating feedback from users and experts into the design process can help address the identified shortcomings and result in better product development.