Journal of Health and Safety at Work

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Introduction: Safety situation awareness is an important element affecting operator's reliability and safety performance, which is influenced by various variables. Identification of these variables and their relationship will play a major role in optimizing control measures. The present study was conducted for this purpose.
Material and Methods: This study was based on the situation awareness, expert’s opinions and use of a Fuzzy multi-criteria decision-making method. Triangular fuzzy numbers was used to quantify the experts' judgments and to reduce the errors that result from theirs’ subjective evaluation on the relationships between the variables.
Results: The results showed that the studied organizational variables together with "safety/g knowledge" and "experience in job/specific task” are the most important predictive variables of situation awareness. Among the organizational variables, "Organizational Safety Attitudes", "Safe System Design" and "Education" are the most important determinants of safety situation awareness.
Conclusion: Fuzzy logic was used to aggregate expert opinions to determine the most important variables affecting situation awareness and their cause-effect relationships. Organizational variables are the main determinants of situation awareness. To improve situation awareness, the best results are obtained by modifying effective root variables, i.e., organizational variables and some individual variables.

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Introduction: Each country needs to preserve its human capital through preventing accidents for its development. Therefore, this study is carried out to study the relationship between safety investments and safety performance indices considering the interactive effect of the project hazard level in construction industry.
Material and Methods: This study was conducted using multiple case studies in 5 major construction worksites, in Tehran, in 2019. Data was collected using questionnaire, checklists and interview as well as evaluating the safety documents. The data analysis in this study was carried out using SPSS 18.
Results: There was a strong inverse correlation between safety investments (total safety investment, basic safety investment, and voluntary safety investment) and accident frequency rate (AFR) (r=-0.936, P-value<0.05), and there was a direct strong correlation between safety investment and safety performance (P-value<0.05, r=0.939). Also, the effect of various safety investments on safety performance indices under various project conditions (project hazard levels) was not the same; when the project hazard level was high, the effect of safety investments on safety performance was higher.
Conclusion: Increasing safety investment improves safety performance through decreasing the accidents. Also, investment in both safety components (basic safety investment and voluntary safety investment) might improve safety performance. The results of the current study can be used as a basis by the contractors and construction companies to invest in safety and to determine proper budget for managing safety of construction projects.

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Introduction: Comprehensive and reliable performance evaluation of organizations has always been one of the main concerns of stakeholders and managers of organizations. Performance evaluation can raise awareness of the progress made in improving the performance of any organizations, especially in the field of health, safety, and environment (HSE) and thus, create the necessary motivation and opportunity to improve the quality of HSE performance. National quality awards and excellence approaches emphasizes the fact that survival in global competition requires improving the performance of organizations on a global scale. The EFQM enterprise excellence model, as a comprehensive tool with a comprehensive approach to all aspects of organizations, helps managers to understand their organization well.
Material and Methods: This study was conducted in Tehran Industrial Group in 2018, during which the performance of this industrial group in the design and construction of one of the dams in the south of the country was evaluated and analyzed. The data collection tool was a standard self-assessment questionnaire based on the EFQM enterprise excellence model, the validity and reliability of which was tested by Cronbach’s alpha coefficient at 0.971.
Results: In terms of “enablers” criteria, the leadership dimension, with a score of 76.36, obtained the best percentage of scores, while the processes criterion with a score of 72.04 had the lowest percentage of scores. This dimension, along with staff, resources, and partnership dimensions, needs to be improved. In the field of “results” criteria, the key performance results with 79.77 points had the best percentage and the customer result dimension with a score of 69.13 had the lowest, indicating that the organization should improve these sectors.
Conclusion: The results indicated the suitable status of the organization in terms of the criteria of excellence model. The results of this model are generally used for systematic analysis of the organization in order to achieve a comprehensive view of the organization and its challenges.

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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: The development and implementation of effective safety educational program for minimizing hazards in a farm, is the most important activity that can be done to improve safety level there. This program, however, requires to needs assessment process. So, the present study was designed to analyze of the educational needs of farmers in the field of agricultural occupational health.
Material and Methods: This quantitative study was conducted with a survey method. Statistical population consisted of farmers in Mahidasht County, Kermanshah Province, Iran (N =213), where 140 farmers was selected as sample by simple random sampling method and base on Krejcie & Morgan table. Research instrument was research made questionnaire that its validity confirmed by a panel of experts and the reliability was confirmed through a pilot study and calculation of Cronbach’s alpha coefficient. SPSS/16 software was used for data analysis.
Results: Findings showed that educations in the field of occupational health were done neither sufficient nor according to the principles. Educational needs identified in the area included exposure to noise, exposure to dust, ergonomic issues, compliance with hygiene and protection principles in spraying, individual protection in working with tractors and other machinery.
Conclusion: Dangers of farming in one hand and the lack of appropriate education and  the farmers’ dissatisfaction in the other hand, has highlighted the necessity of implementing correct eductional programs according to needs assessment principles in Mahidasht County. In this regard, considering the knowledge and occupational health behaviors of the studied farmers, they need to receive education in most areas of health, among which, environmental hazards (sun and noise, dust on farms), ergonomic issues, proper and safe use of chemical input and adherence to safety principles in working with agricultural machinery are considered priorities.

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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: The formation and evolution of culture in organizations are related to the learning experiences of their members over time. In this regard, the present study was conducted to empirically investigate the correlation relationship between the Learning Organization (LO) and safety culture concepts in Iran’s nuclear and radiological industries.
Material and Methods: A theoretical model concerning the connections between seven facets of LO and safety culture was proposed. It was then empirically tested with a structural equation modeling PLS analysis of a survey data set of 388 observations, collected from the radiation workers of 45 organizations in 4 Iranian industrial groups i.e. medical radiation, industrial radiography, nuclear installations, and radiological installations. Yang’s DLOQ questionnaire in 2004 and IAEA’s SCPQ-LH questionnaire in 2017 were used to measure LO and safety culture, respectively.
Results: According to the findings of this study, being a LO could explain 52% of the variance in safety culture. Besides, it was observed that the strength of this relationship between four different subpopulations of Iran’s radiological and nuclear industries due to their different contexts, had significant differences and they vary from 34% for industrial radiography to 65% for nuclear installations.
Conclusion: The existence of LO conditions in the working environment is linked to high safety culture. Thus, the LO can be joined to the toolbox of consultants, managers, and other organizational developers attempting to advance the conditions for safety at work.

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Introduction: Methane is one of the most widely used gases in industries with a high flammability potential. This study aimed to evaluate the efficiency of ventilation systems installed on methane valve pits based on hazardous areas classification.
Material and Methods: This study was implemented in a steel industry in Qom Province in 2019. The tools used in this study were a DELTA OHM pitot tube (DO-2003) to measure wind speed, EPA Protocol for equipment leak emission estimates (U.S. Environmental Protection Agency) and IEC-60079-10 for evaluating the safety of ventilation of methane valve pits.
Results: The methane LELm was about 0.0334 kg/m³, and the volume of the release area was approximately VZ = 0.053 m³. The expected leak emissions were within the Vz < 0.1 m3 range. The ventilation system embedded on methane distribution pipelines was not effective for openings with diameters of more than 0.3 mm and the volume of gas inside the valve pits would quickly exceed high ventilation border which might lead to a dangerous accumulation of gas in the valve pits.
Conclusion: Given that a very small opening or leak in gas transmission valves may lead to the formation of an explosive atmosphere, it is essential to monitor methane before entering the valve pit area and performing any operations on valve pits.

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Introduction: Safety climate potentially affects safety performance in high-hazard industries. Resilience is a developing concept and is defined as the ability that can affect the continuous improvement of safety performance. The present study assesses the influence of organizational resilience on workers’ safety performance in a steel-manufacturing industry. In this regard, the safety climate mediates the effect of organizational resilience on safety performance.
Material and Methods: A cross-sectional study was accomplished in the steel manufacturing industry in 2021. The survey included three parts: (1) organizational resilience, (2) safety performance, and (3) safety climate. Besides, the organizational resilience was measured by a scale with six dimensions and 19 items. Also, safety performance was assessed by six items regarding two performance dimensions (i.e., safety compliance and safety participation). In addition, safety climate was measured by 19 items, comprising four dimensions (i.e., safety communication, supervisor safety perception, coworker safety perception, and work pressure).
Results: The structural equation modeling results showed that the organizational resilience and safety climate had significant impacts on safety climate (β = 0.23, P ≤ 0.05) and safety performance (β = 0.43, P ≤ 0.05), respectively. Also, the indirect results indicated that safety climate mediated the relationship between organizational resilience and workers’ safety performance.
Conclusion: The increment of organizational resilience and safety climate improves workers’ safety performance. Besides, organizational resilience and related dimensions (e.g., reporting culture, learning, and awareness) improve the safety performance dimensions (i.e., safety compliance and safety participation).

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Introduction: Due to occupational accidents, many costs are annually lost from the countries’ Gross Domestic Product (GDP). Estimating these costs can be essential for optimal investments and establishing appropriate policies in many countries, such as Iran. The present study aimed to review the studies conducted on the safety economics and the costs of accidents in Iran from 2000 to 2021.
Material and Methods: The reliable databases “Web of Science”, “Embase”, “IranDoc”, “SID”, “Magiran”, “Google Scholar”, “PubMed” and “Scopus” were used to conduct this research. Articles in these databases were searched and extracted by searching for keywords such as “accident”, “cost of accidents”, “occupational accidents” and “Iran” in Persian and English from 2000 to 2021.
Results: Among the 66 identified articles, 19 were selected as final articles, of which 11 studies were carried out in the transportation industry and eight in other industries. Among these studies, nine studies only examined and stated the total costs, and six studies separately examined and stated the direct, indirect, and total costs. Four other studies also investigated and expressed the costs caused by accidents in other ways. Most notably, in three studies, the number of direct costs is higher than indirect costs. Similarly, only six studies estimated the damage to the GDP, ranging from 0.03% to 6.46% of the GDP.
Conclusion: The results of the review of studies showed that occupational accidents cause the loss of a significant part of Iran’s GDP. It is recommended to carry out further studies on the relationship between investment in the safety sector and reducing the costs of accidents concerning the grouping of jobs, mainly in the process, service, and production industries, to prevent wasting such heavy costs.

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Introduction: Human factor analysis has been identified as the most common cause of accidents in natural gas transportation and distribution facilities. The occurrence of accidents at these systems, especially gas reduction stations located in residential and industrial areas, has had catastrophic consequences. Therefore, this study aimed at analyzing critical tasks and human error assessment using the system for predictive error analysis and reduction (SPEAR) method and providing the appropriate framework for error management in the operation and maintenance of city gate stations.
Material and Methods: This descriptive cross-sectional study was conducted using the SPEAR framework and safety critical task analysis guideline to evaluate errors in gas pressure reduction stations. First, critical tasks were screened and evaluated, followed by performing task analysis by the hierarchical task analysis and detecting performance-influencing factors (PIF). Then, human errors were predicted and assessed based on the predictive human error analysis. Finally, error management was developed at three process, equipment, and training improvement levels.
Results: In general, out of 23 operations and 164 sub-tasks, 12 critical tasks were identified based on the results. Criticality level percentages were about 67% high risk, 25% moderate, and 8% low risk. In addition, 134 errors were identified which were mostly related to action (42.53%) and checking (39.55%) errors, respectively. Eventually, communication, retrieval, and selection errors were 8.96, 5.22, and 3.74%, respectively.
Conclusion: The results revealed that action and checking errors had the highest percentages. This method can be applied to appropriate the systems approach to error reduction using the PIF assessment output. The privilege affecting factors include preparing standard operation procedures, implementing a comprehensive training program, and controlling environmental hazards.

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Introduction: Risk assessment is a scale for predicting reliability and can manage interactions between components and process variables. Moreover, the reliability of one component or barrier affects the overall risk of the system. Being one of the most critical safety barriers of the storage tank, the failures of Fixed Foam Systems (FFS) on demand can result in severe consequences. FFS, is of grave importance in decreasing the risks associated with fires and damages.
Material and Methods: This study aims to determine the probability of root causes related to FFS failure through Fuzzy Fault Tree Analysis (FFTA) to estimate system reliability. In conventional fault tree analysis, accurate data is usually used to assess the failure probability of basic events. Therefore, the introduced approaches were employed to quantify failure probabilities and uncertainty handling. Finally, system reliability was estimated according to the failure probability of the top event.
Results: The findings showed that 13 baseline events involved FFS performance. According to the results, failures of cable path and detection system (or resistance temperature detectors), set the activation switch (multi-position) incorrectly, and foam makers not continuously running are the three most critical basic events influencing the reliability of fixed foam systems. In addition, this paper estimated the system reliability at 0.8470.
Conclusion: The results showed that the FFTA could be used in matters such as reliability evaluation failure and risk assessment using experts’ judgment. This paper can also show the adaptation of the fuzzy approach to assess the failure probability of the basic event in the fault tree analysis (FTA).

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Introduction: Drowning is one of the most prevalent accidents in aquatic environments. Although drowning has been noticed by healthcare policymakers in the world today, the issue of drowning has been neglected in the safety management of students. This research was conducted with the aim of investigating the predictors of adopting preventive behaviors from drowning trauma among students in the west of Tehran city with the approach of safety management.
Material and Methods: This study was descriptive-analytical (cross-sectional). The statistical population of this research included all parents of students who were studying in the first grade of the selected public schools in West of Tehran city in the academic year of 2021-2022 (N=3000). The random convenience sampling was used and 340 parents participated in this study. The data collection tool was a researcher-made questionnaire with a new approach to safety management (preventing accidents by doing preventive behaviors) based on a protection motivation model (preventive behavior model), of which reliability and validity were checked. Data analysis was done using SPSS 26 software and Pearson correlation test and linear regression.
Results: The constructs of the protection motivation model explained 67% of the variance of the behavioral intention of protection motivation and 69.7% students had no history of taking swimming classes. The highest correlation was between behavior and perceived costs (r=-0.579 and P<0.01) and 237 students (69.7%) had never exhibited preventive behaviors of learning swimming techniques or gaining swimming abilities from professional swimming coaches.
Conclusion: A significant relationship between the most constructs of the protection motivation model by performing drowning prevention behaviors, as well as the strongest correlation between preventive behaviors and perceived cost structure, emphasizes the design of free educational programs to increase students’ knowledge and motivation in the field of drowning prevention behaviors.

 

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Introduction: Fire in hospitals and medical centers can lead to unfortunate and dire accidents due to the immobility of most patients, the presence of expensive medical equipment, and the essential role of hospitals in providing health services to people. This study aims to increase fire safety in a healthcare training center in Qazvin.
Material and Methods: The latest NFPA 101A was used for fire risk assessment in seven departments of an educational hospital in Qazvin City in 2021-2022. The study calculated the residential risk factor for residents of each area, examined fire safety parameters and determined their risk factor, calculated the obtained points of the area under evaluation, determined the minimum required points in different areas of fire safety, and estimated the fire risk level.
Results:  ICU 1 and 2 departments, CCU 1 and 2, central warehouse, pharmacy warehouse, and hospital facilities were selected for fire risk assessment. The ICU building had the best condition with a total fire safety point of 21.1. The facility building, with a total fire safety point of -14.5, was in the worst condition.
Conclusion: The results showed the need for more attention from researchers to conduct studies in outdoor environments, in various parts of the country, on development and validation of novel heat stress indices, and on implementation and evaluation of control measures in environments with high heat stress.

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Introduction: Many general indicators have been proposed to assess an organization’s safety performance. However, due to their holistic nature, these indicators may not always reflect safety-specific aspects of an organization’s performance. In other words, the nature of an organization’s activities necessitates the use of specific criteria to better reflect safety performance. This study aimed to identify and measure key safety performance indicators using the Delphi method in Alborz Province Electric Power Distribution Company.
Material and Methods: This descriptive, survey-based study utilized the Delphi method to collect the opinions of 11 safety experts in the electric power distribution industry. Opinions were gathered in four phases, and key indicators were determined in the last phase of the study. These indicators were subsequently used to evaluate the safety performance of Alborz Electric Power Distribution Company for three months.
Results: This study identified and documented 34 safety activities. The expert group proposed 20 indicators in the first phase of the Delphi method. In the second and third phases, four and one indicators were eliminated, respectively, because they did not receive the required score. The content validity ratio (CVR) and content validity index (CVI) were calculated for the remaining 15 indices in the fourth phase. The results revealed that the mean quarterly performance scores of Alborz Province electric power distribution districts and departments in 2016, including Nazarabad, Savojbolagh, Mehrshahr, Fardis, West, East, Taleghan, and Eshtehard, were 78.9, 54.7, 78.8, 75.9, 75.7, 80.8, 61, and 83.5 out of 100 points, respectively.
Conclusion: The Delphi method is useful for identifying key safety performance indicators. The indicators discovered using this technique are active indicators (pre-accident) that are crucial in determining Alborz Electric Power Distribution Company’s safety performance. These indicators are suggested for use in evaluating the safety performance of other electric power distribution companies.

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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.

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Introduction: The COVID-19 pandemic caused many businesses to face problems and created job insecurity, leaving many workers and employees stressed about losing their jobs. Therefore, the current research aimed to analyze the impact of workplace safety management measures on the behavior of organizational citizens concerning the role of job insecurity and the perceived risk of COVID-19 among the employees of Mashhad Social Security Organization.
Material and Methods: The current applied research is a descriptive survey. The research population is all 560 employees of the social security organization of Mashhad city. The sample size was estimated based on Morgan’s table using a convenience sampling method, with a total number of 225. The data collection instrument was Wu et al.’s (2022) standard questionnaire, used to check construct validity and confirmatory factor analysis. Cronbach’s alpha coefficient and composite reliability were used to measure reliability, and the results showed that the questionnaire was adequately valid and reliable. The data analysis also involved structural equation modeling conducted in Smart PLS.
Results: The results showed that workplace safety management measures have an impact on organizational citizenship behavior and the perceived risk of COVID-19. Also, the perceived risk of COVID-19 has a positive effect on perceived job insecurity. Yet, the perceived risk of COVID-19 does not influence organizational citizenship behavior and does not mediate the relationship between workplace safety management measures and organizational citizenship behavior. Workplace safety management measures have an impact on perceived job insecurity, and job insecurity has an impact on organizational citizenship behavior.
Conclusion: In light of the present findings, it can be concluded that workplace safety management measures are among the most important programs and strategies of organizations to increase citizenship behaviors, support employees, and provide safe conditions in an organization.

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Introduction: To ensure employee safety and health, it is crucial to choose and use personal protective equipment correctly. An investigation of the respiratory and hearing protection equipment used in the industries of Tehran was conducted in the present study.
Material and Methods: This study was a descriptive-analytical study conducted in 2023 on 400 occupational health and safety experts in Tehran province. A researcher-made checklist and questionnaire (physical and online versions) were used to determine the criteria that are considered when selecting protective equipment. Statistical analysis and graphing were performed using SPSS-v21 and Excel-2016.
Results: Participants had an average age of 38.66 and an average work experience of 11.78 years. The participants reported 48.3% and 47.7% disapproval of the quality and 42.5% and 39.5% disapproval respectively of the quantity of respiratory and hearing protection equipment available in their industrial units. In addition, 56.3% of them admitted that they have no responsibility for providing or approving the equipment in their workplace. Overall, 27 and 29 criteria were mentioned by study participants pertaining to respiratory and hearing protection equipment, respectively. In the identified criteria, the frequency distribution ranged from 0.3% to 38%.
Conclusion: A high rate of expert dissatisfaction with protective equipment and a low frequency of most of the criteria mentioned indicates that industries aren’t paying much attention to the issue of choosing the right respiratory and hearing protection equipment. To improve the situation, more investigation is needed and practical and operational solutions will be provided. This study highlights the importance of proper selection and use of personal protective equipment in ensuring the safety and health of employees.

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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.