Journal of Health and 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.

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Introduction: The goal of this study is to investigate how the development of technology has affected the industry (especially the mining industry). For this purpose, this paper examines the impact of intelligent mining machinery systems, including tire pressure monitoring systems (TPMS), dispatching systems, and vehicle health monitoring systems (VHMS), on health, safety, and environmental parameters and preventative maintenance.
Material and Methods: This study is descriptive-analytical research that was conducted between time intervals before and after employing the intelligent mining machinery systems. Initially, parameters were identified using the Delphi method. These parameters include human accidents, equipment accidents, environmental incidents, warnings and fines in the domains of health, safety, and the environment, tire usage parameters, the shelf life of the tire, oil overfill, fuel consumption, failure rate, mean time between failures, and preventive maintenance compliance schedules in the domain of preventative maintenance. The effectiveness of using these systems was then assessed by comparing the state of the specified parameters before and after the introduction of the intelligent mining machinery systems.
Results: The findings of this research indicate that using intelligent mining machinery systems will decrease equipment accidents by 33.3%, extend the useful life of tires by 7.1%, reduce fuel consumption by 14.6%, cut the mean time required to repair by 25.5%, and enhance preventive maintenance compliance schedules by 5.7%.
The findings showed the effectiveness of the use of intelligent systems of mining machines was obtained as follows: reduction of equipment accidents by 33.3%, increasing the useful life of tires by 7.1%, reducing fuel consumption by 14.6%, reducing the average downtime of the car for repair by 25.5% and increasing compliance with the maintenance program by 5.7%.
Conclusion: Utilizing intelligent mining machinery systems might have a positive impact on the safety of machines, reduce negative environmental effects like fuel consumption, and improve the maintenance of heavy machinery, which would lead to better mining conditions and lower costs.
 

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Introduction: Steel erection is known as one of the most hazardous construction activities. From an occupational health and safety perspective, this process carries high risk. Therefore, this study aims to conduct a qualitative risk analysis of steel structure assembly and model it using the Functional Resonance Analysis Method (FRAM).
Material and Methods: In this cross-sectional study, the construction site of a high-rise building steel structure was first visited to identify the main processes involved. Then, semi-structured and open-ended interviews were conducted with 33 workers partaking in this process. Data from the interviews and process identification were entered into FRAM Model Visualiser (FMV) software to investigate and model complex relationships and interactions between daily tasks.
Results: Of the 19 major system component functions identified, four functions had potential instability and defects due to complex human, organizational, and technological function interactions. By intensifying the FRAM graphic model, risks may be imposed on the system if the interactions of these four functions are neglected. These include coordination with the experienced rigger, preparation of the tower crane, attachment of parts at the installation site, and execution of the rescue rope.
Conclusion: The findings demonstrate that conducting qualitative risk assessment and modeling the steel frame construction process using FRAM allows for an in-depth understanding of nonlinear conditions and dynamics resulting from escalating technical-social interactions. This approach enables a comprehensive analysis of system safety status.
 

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Introduction: Due to uncertainties regarding the risks of engineered nanomaterials for human health and the environment, different organizations and researchers have developed various management frameworks and assessment tools to mitigate hazards during the procedures and applications of engineered nanomaterials. However, most of these techniques do not meet all the individual requirements. This study provides a review and introduction to the techniques developed for the management of safety, health, and environmental risks associated with engineered nanomaterials.
Material and Methods: In order to find pertinent documents on the safe handling of engineered nanomaterials, a search was conducted using the following keywords: “Engineered nanomaterials”, “Framework”, “Tool”, “Risk management”, “Occupational exposure”, “Environment”, “Risk assessment”, and “Nanotechnology”. The search was conducted on various databases, including Scopus, Web of Science, NIOSH, ECHA, and ISO. Among the search results, tools and frameworks that specifically focus on the safety, health, and environmental risk management or assessment of engineered nanomaterials were selected.
Results: Among the search results, 17 frameworks and 11 developments in the field of managing occupational, environmental, and toxicological risks associated with engineered nanomaterials were discussed. Various frameworks and tools for identifying, evaluating, and managing the potential risks of engineered nanomaterials vary in terms of their scope, goals, risk assessment approaches, and output, offering diverse applications.
Conclusion: Various tools and frameworks, each with unique properties, applications, and limitations, can assist organizations in achieving their goals related to safety, health, and environmental issues in the field of nanotechnology. Currently, there is no consensus on the optimal approach for assessing the risks of nanomaterials, underscoring the necessity for additional research, development, and collaboration in this field.
 

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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: 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: For years, chemical process industries have reported the unexpected release of highly hazardous liquids and gases. A disaster could not be avoided when these materials were not adequately controlled. The issue of Process Safety Management (PSM) is still being discussed in developing and developed countries. PSM was established to manage the risks of a company’s personnel, properties, products, environment, and credit risks. This study aimed to review the challenges and achievements of PSM implementation and provide recommendations for improvement.
Material and Methods: A collection of scholarly articles published from 2000 to 2023, such as Science Direct, WOS, PubMed, and Scopus, was chosen through a systematic, meticulous review. After thoroughly examining these abstracts, titles, and complete contexts, 49 articles were finally selected for inclusion in the study and classified based on different criteria, such as publication year, authors, achievements, and challenges.
Results: PSM in the United States has been chiefly studied due to the high number of chemical process industries and its presence in the form of OSHA legislation in this country. The areas of operations, audits, and resources have the most challenges in implementing PSM. On the other hand, reducing the severity of incidents in chemical processes and increasing productivity are considered the most significant achievements of PSM implementation.
Conclusion: PSM as an interdisciplinary field has improved  and become more effective over the years.. However, incidents still exist, and the number can increase, considering the growth of industries’ chemical processes. Therefore, a deep look at the issues of risk-based regulations, competency, operational excellence, and learning from incidents is necessary to achieve excellence in PSM.

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Introduction: Given the importance of the employment status of graduates for countries, the current study aims to investigate the employment status of occupational health and safety engineering (OHS) graduates from Kashan University of Medical Sciences (KAUMS), from the establishment of the field in 1996 up until 2023
Material and Methods: The cross-sectional study examined the employment status of OHS graduates of KAUMS using a researcher-developed Google form questionnaire. The questionnaire included demographic characteristics, five questions for unemployed individuals, and 60 questions for employed individuals. Finally, descriptive and analytical analyses of the study were performed using SPSS v16 software. 
Results: A total of 229 graduates participated in this study. The results regarding the frequency of employed and unemployed participants showed that 198 (86.5%) participants were employed, and 31 (13.5%) were unemployed at the time of the study. Most employed participants (46%, or 90 individuals) work in the industry and mining sector. Evaluating the effectiveness of the educational course of employed participants in relation to their jobs revealed that 88 participants (44.4%) believe that the subjects taught in the courses are moderately compatible with work needs. 
Conclusion: With the advancement of industries and the expansion of production, the need to control harmful factors and improve workers’ health is more evident than ever before, making it likely that graduates of this field will have favorable job prospects in the future. On the other hand, the academic conditions should be improved, particularly regarding the quality of the educational and curriculum programs of KAUMS. 
 

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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.