Journal of Health and Safety at Work

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Introduction: Noise is one of hazardous agents of workplaces in industries. Electric industries and power plants are among industries in which noise pollution should be taken into account. This study aimed to develop and verify a statistical model for acoustic wave propagation in an indoor environment for noise related risk reduction management.

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Material and Method: This theoretical-experimental study was performed in a gas power plant with nominal capacity of 648 MW including four gas turbine with nominal capacity of 162 MW. The relations between sound power level and sound pressure level in indoor environments were used for developing the statistical model. Moreover, verification of the obtained data was done by a field inside a turbine hall study using ISO9612 standard method.

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Result: Comparison of results from the field and the theoretical study showed no significant differences. The differences between predicted value and field measurements was, in average, less than 0.5 db. This shows the acceptable accuracy of the presented model in estimating the workplace noise level, according to the real functional conditions of the noise sources.

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Conclusion: The presented model is easy and practical and allows managers to model scenarios of noise pollution reduction in indoor environments, before huge expenses of actual control measures. This method is faster comparing to numerical modeling methods. Furthermore, its accuracy is also acceptable.

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Introduction: The responsibility of achieving sustainable development goals in most megacities and subsequently in Tehran megacity are in charge of the municipalities. Since, the goal of municipalities in environmental-friendly activities is to protect the physical and mental health of citizens. Therefore, the sustainability assessment of health performance in municipalities is one of the most significant issues in the field of municipal sustainable development of megacities. The Objective of this study was to develop a tool for assessing the sustainability performance of Tehran municipality in the field of health- related activities and services.

Material and Method: In this research the main sustainability indicators in the field of health performance were extracted and localized by providing an indicator-based tool for Tehran municipality as a case study. To determine the initial set of effective indicators, guidelines and standards related to health sustainability issues were surveyed, and an initial set of indicators were extracted. Afterward, a two-round Delphi method was applied by 12 qualified experts to select the most robust indicators of Health performance and assign the importance of the inclusion for each proposed indicator on a seven-point Likert scale. The mean value set to 70% and the standard deviation less than 1 were considered as the cut value.

Result: The findings resulted in extracting 11 main categories and 28 sustainability indicators of health performance. The set of indicators related to the “green space” and “waste” categories with slight differences gained the first and second position in the health sustainability field respectively, whereas “urban planning”, “active and healthy life” and “health and hygienic services” located in the bottom of the list with the relatively close scores.

Conclusion: The results of this study showed that due to little difference between the score of the main selected categories (less than 1 point difference between the highest and lowest categories) and also due to the fact that the expert panel reached a consensus on the total 11 categories, therefore  in order to achieve municipal sustainable development and improving the health level of citizens in the future, it is essential to have a robust consideration toward applying engineering and management measures against all 11 selected categories.

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Introduction: Using diesel generators is necessary for activities like welding in construction sites and it is often accompanied with noise pollution. The aim of this study was to evaluate noise pollution induced by diesel generators in construction activities in one of the districts of Tehran city.
 

Material and Method: In this descriptive study, 14 construction sites were selected for the evaluation of noise pollution in Tehran, district 4. Background and diesel generators sound pressure level were measured in accordance with BS 5228(2015) and noise guidance in the area around the construction sites. Diesel generators sound pressure level at 4 points and also the audio frequency analysis, one meter away from the device was measured at a random locations around it. TES-1358, Type 2(Taiwan) sound level meter was used to measure sound pressure level and calibration was performed before and after noise measurement. The validated Noise annoyance questionnaire adopted from ISO15666 standard, completed by the residents. T test, correlation and analysis of variance was performed to analyze data using SPSS software ver. 22.
 

Result: The mean equivalent sound level of diesel generators background noise were respectively 76 ± 4.05 dB(A) and 46.2 ± 1.09 dB(A) around the construction sites. Diesel generators noise around the construction sites was higher than the noise limit (background noise plus 5 dB)(P Value <0.05). The highest (95.3 ± 0.33 dBA) and lowest (90.9 ± 0.63 dBA) average sound pressure level was related to Benz355 and Perkins generators. One-way ANOVA statistical analysis showed significant differences in the average sound pressure level of various diesel generators between the devices (P Value <0.05). The mean sound pressure level among 190 sound monitoring stations in the interior parts of the construction sites were about 81.11 ± 4.6 dB(A). The experienced noise annoyance was evaluated higher than the average by 73.4 percent of residents. Residents’ noise annoyance and noise level around construction sites were significant using Pearson correlation (R=0.486, P value <0.05). Dominant noise frequency and associated sound pressure level of diesel generators were measured 63 Hz and 84.4 dBA, respectively.
 

Conclusion: Diesel generators noise in the area around the construction sites was higher than the environmental noise limit and it was accompanied with abundant noise annoyance for residents around these construction sites. Therefore, due to the lack of environmental rules related to construction industry noise pollution in Iran, assessment and approving of such rules is essential to reduce noise annoyance in urban areas.

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Introduction: The oil and petrochemical industries had been amongst the first industries which developed the HSE-MS. This system aims to maintain and protect human resources along with reducing the environmental impact of the industry. Although it has been mulling over this system in a plethora of studies, unfortunately, most of the assessments have been carried out in a qualitative manner. In recent years, the evaluation of the performance of HSE-MS has been limited due to the lack of appropriate quantitative evaluations.
Material and Methods: In the present study, the development of criteria and sub-criteria of health, safety and environment management system was investigated using a different approach. Using the opinion of experts and according to the performed categories, a questionnaire was developed to determine the pairwise comparisons. Decision making trial and evaluation (DEMATEL) technique was used to determine the relationships between the criteria and network analysis method was used to determine their importance weight. the developed methodology was then evaluated and compared between two factories in a case study.
Results: The performance evaluation showed that the leadership and commitment criterion with a final score of 1.8; Risk assessment and management with a final score of 0.8; Planning criterion with a final score of .0.40; Policy criterion with final score of 0.33, Organization, resources, and documentation with a final score of 0.31, implementation and follow-up with a final score of 0.22, and Evaluation and Review criterion with a final score of 0.12 were ranked from the first to the seventh, respectively.
Conclusion: The results of the study demonstrated that the most important criterion for health, safety and the environment is leadership. The significant difference between the final score of the leadership criterion and the other criteria reflects its crucial importance in HSE-MS performance evaluation. Participation of employees, allocation of appropriate funding and support of innovativeness are factors to be implemented in order to improve HSE-MS program as a better and successful management.  

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Introduction: Accidents caused by children’s play equipment are considered a serious threat to children’s health. The aim of this study was to design slide, swing and see-saw based on national standards and children’s anthropometric data.
Material and Methods: The present study is an applied research, in which the design of children’s play equipment, including slides, swing and see-saw was done according to national standards No. 6436-2, 6436-3 and 6436-6, as well as measuring the anthropometric dimensions. All anthropometric data of 385 children aged 2 to 12 years were measured and equipment design was performed using Minitab software.
Results: In the national standards No. 6436-2, 6436-3 and 6436-6, the size of more dimensions required for the design of the slides, swing, and see-saw is not stated. In the present study, the ergonomic and standard design of these types of equipment is shown. Comparison of designed see-saw with see-saw available in parks showed that the length and width of the see-saw should be 0.37 and 0.25 meters, respectively. In the current study, however,  they were 0.24 and 0.35 meters, respectively. Also, the height, width and depth of the swing chair should be 0.2, 0.35 and 0.37 meters, while their actual size in the studied parks was 0.25, 0.42 and 0.31 meters, respectively.
Conclusion: The result of this study is helpful for standard and ergonomic designing of children’s play equipment and is very useful for urban planning. This study emphasizes the revision of national standards.
 

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Introduction: Recognizing the personality traits of employees and examining the role of these traits in motivating people’s safety can greatly lead to the formation of safe behavior of employees. Considering the significant importance of reducing adverse events and developing safe behaviors, the present study aimed to investigate the role of nurses’ personality traits in their safety behaviors with the mediating role of safety motivation during 2019-2020. 
Material and Methods: This is a descriptive-analytical study conducted among nurses working in educational hospitals affiliated by Qazvin University of Medical Sciences, from which 435 individuals were selected by multi-stage proportional sampling method. Data were collected using McCray and Costa Five-Factor Personality Questionnaire, Saleh Motivation Questionnaire (2010) and Safe Behavior Questionnaire (2016) and analyzed by SPSS software version 26 and AMOS software version 23.
Results: The path coefficients between nurses’ personality traits and their safety motivation (0.557) and safety motivation with safe behavior of individuals (0.267) were statistically significant (p<0.05). Furthermore the path coefficient between nurses’ personality traits and safe behavior (0.573) was statistically significant (p<0.05).
Conclusion: Results affirmed that safety motivation in nurses had a significant effect on their safety behavior. Therefore, it is recommended to improve safety motivation through establishing an incentive systems to appreciate the employees who had an appropriate and safe behavior in the workplace. 

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Introduction: Maintaining and improving organizational safety requires a strong safety culture. Following the occurrence of occupational incidents, proper registration, reporting, and investigation is a key requirement for safety culture to provide an appropriate learning culture. As a result, this study was carried out to assess the culture of occupational incident registration, reporting, and investigation in the province of west Azarbaijan’s industries.
Material and Methods: In this cross-sectional study, data on the culture of registration, reporting, and investigating occupational incident were collected using a 68-item questionnaire. A total of 420 employees from a number of construction and mine companies, as well as hospitals participated in this study.
Results: The results of study showed that the average total score for the culture of registration, reporting, and investigating occupational incidents was 3.08 (±0.38), with the factor of corrective action had the highest 3.17 (±0.72) and the reasons for lack of reporting had the lowest 2.90 (±0.54) scores. There was also a significant relationship between the average score of the culture of registration, reporting, and investigating occupational incidents with education, industries, and companies. Employees who attended training courses had a lower mean score for the culture of occupational incident’ registration, reporting, and investigation than those who did not take training courses. The mean score of the culture of registration, reporting, and investigating occupational incidents of the employees who had experienced an occupational accident was lower than those who had not experience occupational accidents in the past.
Conclusion: The findings of this study revealed that corrective actions is necessary after the occurrence of occupational incidents. Attending training courses and having an occupational accident experience had no positive impact on promoting culture of registration, reporting, and investigating occupational incidents.

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Introduction: Health workers, especially nurses, are facing a high risk of contracting the COVID-19 and consequent mental disorders such as stress, anxiety and depression. We aimed to study the relationship between anxiety, stress and the protective behavior of nurses during the Covid-19 pandemic.
Material and Methods: This cross-sectional study was conducted on nurses working in COVID -19 referral hospitals in Qazvin, Iran, in 2020. Out of 645 nurses working in two hospitals, 260 of them were selected randomly. Three questionnaires including demographic and contextual information, COVID-19 anxiety, stress and precautionary behaviors against COVID-19 were used. Descriptive statistical methods, Pearson correlation, t-test and one-way analysis of variance and binary logistic regression analysis were applied at 95% confidence interval.
Results: The prevalence of anxiety symptoms in nurses was 32.08%, the mean score of protective behavior was 18.45+5.66 and the maximum score was 22.06+4.7. The negative relationship between anxiety and nurses precautionary behavior) β=-0.36, P<0.05) and the significant effect of COVID-19 stress on nurses’ behavior) β=-0.22, P<0.05) were confirmed. Furthermore, adding stress as an interfering factor, affirmed the mediating role of stress in the relationship between anxiety and nurses’ precautionary behavior (β=-0.18, P<0.05). Nurses under 35 years of age were more likely (OR=1.62, P=0.004) to follow the protective rules; those with 6 to 10 years of hospital experience were respectively 32 times and 37 times more probable to use personnel protective equipment (PPE) (OR=1.32, P=0.002) .
Conclusion: The probability of effective use of PPE and observance of protective guidelines among nurses with severe and very severe anxiety levels was less than their counterparts. While in those with controlled level of stress level such obedience was much more probable. Therefore, all health service providers, need to develop supportive programs to emphasize on the promotion of employees’ mental health.