Journal of Health and Safety at Work

---

Introduction: Although risk assessment and accident prevention program have been widely used in industries such as steel industry, there are still numerous accidents in these industries. Hence, applying an accident analysis method can identify the root causes and casual factors of accidents and causal factors. Human Factors Analysis and Classification System can identify human errors in the steel industry by using an analysis of past events. The aim of this study was to identify the human errors in the steel industry using the HFACS methodology.

.

Material and Method: In this study first, incident reports of industries with high risk, such as Ahvaz steel and pipe industries existing in the department of work and social security was gathered. Then, an analysis of accident was done based on HFACS model. This model has 4 levels and 18 categories which are 1 - unsafe acts of operators (that includes four subtypes) 2 - pre-conditions for unsafe acts (with seven categories) 3 - unsafe supervision (includes four categories) and 4 - the effect of association (with three categories).

.

Result: In this study, 158 reports of accident in Ahvaz steel industry were analyzed by HFACS technique. This analysis showed that most of the human errors were: in the first level was related to the skill-based errors, in the second to the physical environment, in the third level to the inadequate supervision and in the fourth level to the management of resources.

.

Conclusion: Studying and analyzing of past events using the HFACS technique can identify the major and root causes of accidents and can be effective on prevent repetitions of such mishaps. Also, it can be used as a basis for developing strategies to prevent future events in steel industries.

---

Introduction: Investigation of accidents have shown that more than 90% of industrial accidents are related to human aspects. What is more, safe behaviors can not be institutionalized in industries by only using technical-engineering measures and enacting safety rules. Building a positive and effective safety culture can make individuals aware of hazards and consequently reduce accidents in the workplace.

.

Material and Method: In this analytical-descriptive study, a standardized safety culture questionnaire was used. The questionnaire comprised of 40 question including five dimensions of: training, work environment, safety priority, information exchanges and management commitment. In this regard, the questionnaire was distributed among personnel of three laboratories in a petrochemical company. Five point Likert scale was for recording the responses.

.

Result: The mean score for safety culture was 136.7 for laboratory personnel which was considered positive according to the presented definition. In this sense, safety priority and management commitment with score of 31.9 and 25.2 obtained respectively the dimensions of safety culture.

.

Conclusion: Strong and positive safety culture among laboratory personnel would prevent incidence of many occupational accidents. In another word, it would help organizations to facilitate access to higher standards.

---

Introduction: Resilience engineering is a new approach in safety science. Its goal is to maintain organizational capacity in an acceptable level to help system in managing the crisis. Indeed, resilience engineering rely on systems abilities instead of weaknesses, and try to find indicators that help the system durability.

.

Material and Method: In this study,first, 6 resilience engineering factors were chosen and sent toexperts in the form of paired comparison sheets. On the other hand, a valid standard questionnaire distributed among drilling rigs operational workers for measuring the NIDC resilience level. Finally,the priority of corrective actionswas determinedaccording to the score of the two analyzedquestionnaires.

.

Results: The results of resilience engineering factors weighting showed that the management commitment has the highest value andthe second place belonged to the correct culture. The indicators’scores,based on the distributed questionnaires among workers, showed that all of the six factors had similar scoreswhich can be evaluated as fairly good. Finally, the results of prioritization of indicators ofresilience engineering, basedon the combination ofthe questionnaire and experts opinions showed that management commitment is the most effective resilience factor in the organization. .

.

Conclusion: Management commitment and the current culture are the most importantcontributing factorsin company resilience level. Experienced workforce was the best strengthof the company and the effect of financial issues on resilience and safety was the biggest problem ahead.

---

Introduction: The weaknesses of traditional hazard analysis methods lead to their inefficiency to utilization for modern socio-technical systems. System Theoretic Process Analysis (STPA), which is in the category of systematic analysis methods, has a powerful logic to identify hazards in such systems,as a suitable alternative method. This study aimed to analyze hazards associated with extinguishing systems of steam unit of a power plant, using STPA method.

.

Material and Method: The present research is a qualitative case study. The related hazards were defined using STPA method.Following, the safety control structure diagrams in different parts were plotted and inadequate control measures and its causal factors were identified.

.

Result: For steam unit of power plant, the most tragic incidents wererelated to hazards and risks of turbine device (switch the turbine cycle). Then, according to the plotted diagram for structure of safety control extinguishing systems associated with switching the turbine cycle, PLC system was determined as the most important part of the control system and operator was identified as the strategic and effective part of a control system. Following, more than 54 causal factors were identified, considering the relevant details about the risks analysis of the turbine.

.

Conclusion: Due to its systematic structure,STPA method can be effective for a more complete identification of risks and causal factors which causing hazards in the emergency extinguishing systems. Therefore, development of such tools for those operators involved in safety-critical systems will be useful in terms of safety.

---

Introduction: Safety signs provide information,related to hazards or dangers in the industry,in form of instructions. These signs are effective as long as they are designed in accordance with principles of ergonomics and design cognitive features. The purpose of this present research was to study the relationship between cognitive features of signs and ability to guess, and to develop the relevant regression model.

.

Materials and methods: This descriptive cross-sectional study was carried out on 100 employees in a petrochemical industry complex. A three part questionnaire was used to collect required data while first part of the questionnaire dealt with demographic information, second part included cognitive features of signs designand the third part proceeded on testing the ability to guess. Then, a regression model was developed to determine the relationship between cognitive features, and the ability to guess.

.

Results: Mean and standard deviation obtained for the ability to guess the total study signs were 63.73 and 4.36, respectively. The feature of “familiarity” obtained the lowest possible score (49.15). The “semantic closeness” (β=0/390) and “meaningfulness” (β=0/369) had the highest correlation with the ability to guess safety signs.

.

Conclusion: According to results of this study, use of principles of ergonomic design of signs and training are necessary to promote the ability to guess the safety signs to the minimum available standards. Therefore, it is possible to balance cognitive features especially “familiarity”, with the lowest score, and “meaningfulness” and “semantic closeness”, with the highest influential relationship with the ability to guess of signs. The developed regression model for this industry can be used to predict the ability to guess of safety signs in future studies

---

Introduction: Resilience engineering is a novel approache to risk management and is the inherent ability of a system to adapt their work before, during and after the changes and adverse events in such a way that maintain the system performance under predictable and unpredictable conditions. The aim of this study was to identify indicators of organizational resilience of refineries and ranking them using fuzzy TOPSIS technique.  

Material and Method: A qualitative study was done to identify organizational resilience indicators of refinery complex. The main method of data collection was semi-structured interviews. Indicators were determined using qualitative content analysis and literature review. Weighting and ranking identified indicators was performed using fuzzy TOPSIS technique.   

Result: Eleven indicators were identified as follows: management commitment, performance management system, flow of information/communication, involvement culture, error management culture, education, preparedness, flexibility, innovation culture, change management, and human resource management.

Conclusion: Critical sociotechnical organizations especially refinery complexes in order to improve safety management and resilience situation should focus on effective indicators. Monitoring and improving them will increase safety and the resilience level of organization

---

Introduction: Extensive human and economic losses due to the fire accidents shows the necessity of scientifically dealing with major industrial fires, , investing in the development of fire protection technologies and determination of the most effective techniques to limit damages. This study is conducted to evaluate the effect of active and passive protection methods on reducing the level of fire risk, in the control room of a thermal power plant.

Material and Method: In the first phase of this study, fire risk level for buildings, goods, occupants and activities was calculated using Fire Risk Assessment Method for Engineering. In the second phase, from 36 sub-factors affecting risk level, three sub-factors of passive protection measures and two sub-factors of active protection measures were analyzed and modified, in reducing the fire risk level of occupants.

Result: The results of the present study showed that occupants’ fire risk level (20.64) is above the acceptable level. Correction of three sub-factors, including constant fire load, floor number, and changing the dimensions and area of the control room up to 40% and installing an automatic fire extinguishing system and training the occupants to use fire extinguishing equipment and emergency evacuation up to 33%, is effective in reducing the fire risk level.

Conclusion: Passive and active protection methods, despite their impacts on reducing the level of risk, cannot provide an acceptable level of fire safety independently. Therefore, combined use of these methods is essential to protect buildings and people, and prevent any interruption in the system’s activities.

---

Introduction: The development of residential and industrial areas has led to increasing gas consumption and overcrowding in gas supply networks. Accordingly, hazards and risks caused by human errors, processing and mechanical failures in pipelines, and gas leaks are on a rise. Several techniques have been so far proposed for identifying and controlling human errors. The main purpose of this study was to compare two human error evaluation techniques, namely, Human Error Template (HET) and Systematic Human Error Reduction and Prediction Approach (SHERPA) in gas supply operations using the analytic hierarchy process (AHP) to select a suitable method.
Material and Methods: This cross-sectional descriptive study was to identify the human error modes in one of the gas supply projects operating by Kurdistan Gas Company, Kurdistan, Iran. Different tasks in gas supply operations were accordingly determined by the health, safety, and environment (HSE) unit, then the ones susceptible to human errors were selected and analyzed through task analysis technique. The next step was to weight and rank the human errors by evaluating indexes based on many variables including accuracy, sensitivity, and quantity of the errors as well as usability, time, and education analysis using the Expert Choice software (ver. 11).
Results: According to the findings of this research, the criteria were ranked based on accuracy (0.339), sensitivity (0.322), quantity of errors (0.118), usability (0.116), time (0.056), education (0.050), and analysis. The inconsistency ratio was also equal to 0.1, which meant that the subjective judgments were accepted.
Conclusion: The results also showed that the analysis of human errors, using the HET, required less training and time, while the number of the detected errors and applicability in the SHERPA was greater. Considering the weight of the criteria, their importance in determining the superior technique and the weight of each one in relation to the criteria, the contribution of that method in the relevant criterion was expressed. Calculating the final weight of the techniques revealed that SHERPA with a weight of 0.53 was more practical compared with HET with a weight of 0.46.

---

Introduction: Considering the accreditation of international standards of hospitals and the necessity to improve the safety and quality of patients’ care, this study aimed at evaluating reliability among nurses using predictive analysis of cognitive errors and human event analysis techniques.
Material and Methods: The analysis of nurses̓ tasks was done by HTA method. Then, the types of errors and their causes were identified by TRACER method. In the next step, the error probability of each task was calculated by ATHEANA method. In order to calculate the probability of total event, the probability of human error was imported to probabilistic risk assessment.
Results: Factors affecting performance of the nurses were included: the complexity of the work, high workload, nurse’s experience, work environment design, fatigue, anxiety, shortage of the workforce, insufficient time period for doing job, sleep disturbance, and poor lighting and noise pollution. According to the instruction of ATHEANA method, the error probability for each base event was considered 0.001. Given that there are 15 base events, the probability of human error in the heart attack event was calculated 0.015.
Conclusion: The finding of this study was indicated the need for providing required nursing workforce, reducing overtime, scientific planning for nurses’ work shifts and giving practical training and stress management methods in the emergency conditions.

---

Introduction: Heat stress is a critical problem in hot industries, especially in incredibly hot climates. It can greatly impair the work process and put the health of workers at risk. This study aims to investigate the applicability of the WBGT index in determining the allowable working time in very hot weather conditions in one of the steel industries in Ahvaz.
Material and Methods: This study was conducted in different sectors of a steel industry in Ahwaz. The physiological parameters of sixty workers working in different parts of the industry were evaluated. Environmental variables and the Wet-Bulb globe temperature (WBGT) Index were also simultaneously measured during work shifts. The acceptable work time was calculated based on the reserve heart rate (RHR) and the WBGT index.
Results: The heat stress index among all occupational groups, based on the WBGT index, was incredibly high and surpassed the recommended level (P<0.05). The statistical test results also indicated a significant difference between the two indices in predicting the adequate work time at different work stations (P <0.05).
Conclusion: The current study results revealed that using the WBGT index for assessing and managing the risk of heat exposure in a hot climate may not have sufficient reliability and performance. Consequently, it is recommended to use optimal indices based on environmental and physiological assessments in a hot climate in order to monitor and control the heat stress associated with heat exposure. 

---

Introduction: Strategic management involves determining the organization’s direction, preparing a strategic vision and mission statement, and providing the basis for growth, profitability, and production. It also includes the inclusion of employee safety and health programs throughout the organization. The existence of a strategic plan for the scientific and practical strengthening of occupational health and safety is one of the country’s academic and industrial priorities. The purpose of this study is to present a strategic plan for developing the specialized field of occupational health and safety engineering in Iran.
Material and Methods: The current study is a collaborative action research study that was conducted in 2021. The strategic planning committee consisted of 20 professors, experts, and doctoral students. Over the course of 14 weeks, they held regular weekly meetings, collected information from inside and outside the organization, analyzed the organization’s internal and external environment, and identified its strengths, weaknesses, opportunities, and threats. Based on this analysis, the committee determined the organization’s mission, perspective, values, and general and specific goals for 2021-2024. They also identified the necessary measures to achieve these goals and developed an operational plan to improve the performance of the specialized field of occupational health and safety.
Results: Conducting this applied research led to the strategy of internal and external analysis of the specialized OHS field, determining the direction of the basic strategy, mission, perspective, values, and general goals. Finally, seven specific goals and 286 actions were determined to improve the performance of OHS. The SWOT analysis of OHS’s internal and external environment identified 27 strengths, seven weaknesses, 26 opportunities, and 12 threats. According to the results of the SWOT matrix, the strategic position of the OHS field is to implement preventive strategies and maintain existing conditions.
Conclusion: This plan aligns with the 4-year OHS plan. In developing the program, attention has been paid to the documents and policies of upstream organizations. The strategic position of occupational health and safety engineering is a prudent strategy. In this situation, strategies for maintaining existing conditions can be applied. Therefore, it is suggested to reduce the weaknesses of OHS as much as possible and increase its strategic capabilities by focusing on prudent strategies. From the second year of implementing the strategic plan, the OHS field can gradually focus on developing activities.

---

Introduction: Musculoskeletal disorders (MSDs) have a multifactorial nature. Biomechanical factors are one of the most important factors. Consequently, the precise identification of effective factors plays a significant role in controlling and preventing these disorders. Therefore, the current study aimed to identify the awkward upper body postures and their effect on the prevalence of MSDs in office workers in both women and men groups by objective methods.
Material and Methods: In this cross-sectional study, the participants were 36 office workers (18 women and 18 men). The prevalence of musculoskeletal discomfort was evaluated using the Nordic questionnaire. The upper limbs posture, including the back, neck, and wrists, was evaluated continuously with an electronic inclinometer and an electrogoniometer for 30 min, followed by analyzing the collected data.
Results: The results revealed that the highest prevalence of musculoskeletal symptoms in both gender groups was in the neck (58.33%), trunk (52.77%), and wrist (47.22%), respectively. The results disclosed that the median trunk and neck flexion in both groups is over 20° and the posture angle in women is higher than that of men (P<0.05). The results showed that pain and discomfort in the trunk and neck in both gender groups have a significant relationship with the median posture angle (P<0.05). Also, the wrist posture in both gender groups during work was in extension and static condition.
Conclusion: Based on the results of this study, the prevalence of disorders in women was higher than in men. Although the tasks performed in both groups were similar, the assessment of postures disclosed that women office workers had more awkward postures in the trunk and neck than men. In both groups, the prevalence of musculoskeletal discomfort had a significant relationship with awkward postures in the trunk and neck. According to the results of the current study, ergonomic interventions are recommended to reduce awkward postures and to prevent MSDs, particularly among women office workers.