Journal of Health and Safety at Work

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Introduction: Any disorders or injuries to musculoskeletal system due to working procedure or conditons would be considered as work-related musculoskeletal disorders (WMSDs). The present study aimed to evaluate body postures and main risk factors contributing musculoskeletal disorder in barbers in IRAN, SARDASHT

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Materials and Methods: This study is a descriptive – analytical and cross sectional study. Total number of the hairdressers in Sardasht city were one hunderd and ten people. Nordic questionnaire, camcorder and Reba checklist were used to collect required data.

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Results: Based on the demographic data 42.9 % of the studied people were male and 57 .1% were women with the mean age of 18.8±73.31 and 75.6±12.28, respectively. Elbow pain has the highest prevalence (90%) and it was 71, 70, 68, 66, 63, 56, 48, 45 percent respectively, in the neck, wrist . hand, shoulder, hip, thigh, back, foot, ankle, knee, back body regions. According to the posture assessment, 27.6% of the risks were in moderate to high levels of exposure as risk factors for the musculoskeletal disorders.

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Conclusion: High prevalence of upper extremity musculoskeletal disorders shows that inappropriate posture,improper use of work tools, and highly repetitive movements for long period in make up task are the main reasons for the er prevalence of upper limb disorders in this occupational group.

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Introduction: Prevention of accidents and work related diseases, are not allowed regardless of the safety of employees, customers, contractors and other persons. Assessment of individual safety management activities could reduce many losses. Present study aimed to evaluate the safety management of a household appliance manufacturing company.

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Material and Method: This study has done in a household appliance manufacturing company in Damavand city. Two questionnaires were firstly designed based on the weighted scores. The questionnaire 1 consisted of 4 indicators: Safety of machinery, Electrical safety, Risk assessment and Fire safety. Questionnaire 2 consisted of 11 sub indicators. Both questionnaires were completed by 30 HSE experts and supervisors. Reliability of questionnaires was based on cronbachs alpha coefficient. the safety status of each unit was determined and scored using information acquired by the questionnaires. Lastly, the safety of the entire company was determined.

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Result: Results showed that in safety management: the pressing and store house were in a good range of 66.66 and 60.12 points. Powder painting, enameling, laboratory were in a average range of 56.25, 55.92 and 54.15 points. Assembling and door storage were in a week range of 46.06 points.

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Conclusion: The findings showed that the safety status in the studied appliances company is in average range with 55.45 points. Therefore, it is recommended that the safety indicators should be improved for the betterment of the safety management in the company.

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Introduction: Lead exposure is considered as a global health problem. The irreparable harmful effects of this heavy metal on human have been proven in various studies. Comparing to general population, workers in related industries are more exposed to lead. Several studies have investigated lead occupational exposure and its biological evaluation in Iran; however there is no overall estimate. Thus, the present study was conducted to determine the occupational exposure to lead and its biological evaluation in Iranian workers, using systematic review and meta-analysis.

Material and Method: This study was carried out based on information obtained from databases including Magiran, Iranmedex, SID, Medlib, Trials Register, Scopus, Pubmed, Science Direct, Cochran, Embase, Medline, Web of Science, Springer, Online Library Wiley, and Google Scholar from 1991 to 2016, using standard key words. All of the reviewed papers which met the inclusion criteria have been evaluated. Data combination was performed according to Random Effects Model using Stata software version 11.1.

Result: In the 34 qualified studies, the mean blood lead level (BLL) concentration in Iranian workers was estimated 42.8µg/dl (95% CI: 35.15-50.49). The minimum and maximum BLL were belonged to west (28.348µg/dl) and center (45.928µg/dl) regions of Iran, respectively. Considering different occupations, the lowest mean value was reported in textile industry workers (12.3 µg/dl), while the highest value was for zinc-lead mine workers (72.6 µg/dl). Mean breathing air lead level of Iranian workers reported in 4 studies was estimated 0.23 mg/m3 (95% CI: 0.14-0.33).

Conclusion: According to the high concentration of BLL and breathing air, it is recommended to increase protective measures and frequent screening. Scheduled clinical and paraclinical examination should also be performed for workers.

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Introduction: Throughout the world, many efforts have been made to provide suitable tools for achieving sustainable urban development and the achievement of a sustainable city. Establishing a Health, Safety and Environment Management System (HSE-MS) is one of the tools for achieving sustainable urban development. Measuring the performance of an organization in the HSE area is a precondition for continuous improvement, which is the spirit of the new HSE management systems. Therefore, the main purpose of this research was to provide a practical model for quantitative ranking of different areas of Tehran municipality in terms of HSE performance with using of multi-criteria decision-making method.  
Material and Methods: In this descriptive-applied study, after determining functional axis and performance evaluation indicators related to each of them (29 functional axis and 154 performance evaluation indicators), through designing a questionnaire and based on the views of the expert group, weight of functional axis and performance indicators were determined using a hierarchical process analysis technique.
Results:  In this study, the weighted value for functional axis of the process based HSE in comparison to the result based HSE were higher. “Commitment and Leadership” and “HSE Certificate of Occupations” for the process based HSE, “Safety” and “Health” for the result based HSE, and “Economic Sustainability” and “Architecture and Urbanism” for urban management had the higher and lowest weighted values.
Conclusion: The results of assessment and validation of selected indicators and functional axis showed that in designing and determining the HSE performance assessment model of municipalities, in addition to the axises and indicators of the HSE domain, factors affecting urban management can have a significant impact on the performance of municipalities in the field of HSE.

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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: 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: Permit-to-work system (PTW) system is a documented system to control the activities with inherent risks and probability of accident occurrence. To inform the performance and efficiency of a system, it must be periodically monitored and evaluated, and the permit to work system is no exception of this principle. The aim of the present study was to design and develop software for evaluating the performance of the PTW system.
Material and Methods: This study included two main stages. At the first stage, based on the literature review and interview to the academic and industrial experts, the PTW questionnaire for evaluating the performance was created. The second stage involved the design and implementation of an initial version of a software and the investigation of its usability. Designing the software was performed using system development life cycle (SDLC). The usability of this software was evaluated by Think -Aloud method. Finally, the users’ satisfaction was measured using the Questionnaire for User Interface Satisfaction (QUIS) questionnaire.
Results: Based on the results of the QUIS questionnaire, the overall satisfaction of the designed software was 7.71 in a nine-point scale. The scores of the software performance, display and user interface features, software terminology and information, learning, and overall system capabilities were obtained as 7.58, 7.37, 7.75, 8.11, and 7.74, respectively. Also, the outputs of the excel and SPSS software were in accordance with those of designed software, which show the reliability of the outputs of the designed software.
Conclusion: The designed software facilitate the proper and systematic analysis and it is flexible to evaluate the PTW system and represent types of reports in predefined structures that can be a useful tool in the process industries such as oil and petrochemical refineries and other similar industries.

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Introduction: Improving health and the environment is one of the components of development, social welfare, and economic growth. Another influential factor in increasing health costs and reducing social welfare is work-related accidents and diseases, which impose high costs on individuals, industries, and the national economies of countries. Therefore, using multi-criteria decision-making methods, the present study provided a conceptual model to identify and rank work-related diseases’ environmental and health costs.
Material and Methods: The present study was conducted in 2023. A classification model for the economic evaluation of environmental and health costs of occupational diseases was developed to achieve the study’s aim. In the current research, the Delphi method was used to identify health and environmental criteria, and the Analytic Network Process (ANP) was used to weight the sub-criteria. Finally, the cost of health and the environment was estimated based on the available information. Naft Tehran Hospital (NSHT) was also selected as a case study site.
Results: The results showed that the drug and medical equipment cost factor, with a weight of 0.312 in the treatment sector, and the particular and infectious waste cost factor, with a weight of 0.085, were the most critical factors in the economic evaluation. Also, the parametric model results showed that 99.84% of the total costs are related to health costs, and 0.16% are related to environmental costs. In general, the results of this research showed that 61.3% of the costs of the health sector are related to the two sectors of medicine and medical equipment and the cost of service personnel, and 91.7% of the costs of the environmental sector are related to wastewater treatment and the cost of electricity consumption.
Conclusion: This study presented a semi-quantitative model to estimate health and environmental costs caused by occupational diseases. The results can create a novel scientific insight into implementing control measures using the optimal point of cost-benefit parameters. Implementing this integrated model can be a practical and effective step in allocating resources and prioritizing interventions.
 

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Introduction: Sugarcane is an important and strategic product in many countries, including Iran. While the introduction of mechanization, e.g., sugarcane harvesting machines, has significantly enhanced the production process, operators of these machines still face many ergonomic and safety challenges. 
Material and Methods: The present study investigated the ergonomic status of sugarcane harvester operators by examining some of their physiological and physical evaluations. Physiological evaluations included heart rate, oral temperature, and energy consumption of the operators, perceptual strain index, and physiological strain index. Physical evaluation included estimating the amount of pain and discomfort in body segments. The correlation between pain and discomfort of body parts with some demographic and physiological indices of users was investigated using IBM SPSS 24 software.
Results: Sugarcane harvester operators’ heart rate, energy consumption, and physiological strain index were 79.05 beats/min, 18.81 kJ/min, and 0.83, respectively. The average of three indices of thermal sensation, perceived exertion of activity, and perceptual strain index were estimated as 4.40, 9.21, and 8.86, respectively.
Conclusion: Pain and discomfort in the neck and back segments, like many agricultural activities, had the highest rate among the body parts. Also, shorter and thinner operators reported higher pain and discomfort in some segments of the body. 
 

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Introduction: The Total Quality Safety Management (TQSM) model is a tool used to assess the performance of occupational health and safety (OHS) management. This study evaluated the OHS management performance in two edible oil production factories using the TQSM model.
Material and Methods: A total of 78 OHS-related evaluation criteria across four main areas of the TQSM model were assessed at the Saboos Mazand (Factory 1) and Mino Caspian (Factory 2) factories, located in Mazandaran Province, Iran. The four areas included Total Quality Management (TQM), the ISO 9001 Quality Management System guidelines, the Voluntary Protection Program (VPP), and Process Safety Management (PSM). The study population consisted of 20 individuals from each factory, including managers, supervisors, and members of the OHS Committee, all with at least one year of experience in their respective roles. Participants were selected using a convenience sampling method.
Both factories had established active management systems for quality management (ISO 9001), customer satisfaction management (ISO 10002), and Hazard Analysis and Critical Control Points (HACCP) at the time of the study, reflecting the nature of the industry.
Results: The total scores achieved by Factory 1 and Factory 2 across the four main areas were as follows: 52.11 and 51.8 in the TQM area, 43.94 and 45.5 in the QMS-ISO 9001 area, 45.23 and 46.45 in the VPP area, and 30.22 and 30.06 in the PSM area. The overall scores obtained in the TQSM model were 171.51 for Factory 1 and 173.81 for Factory 2, corresponding to 54.97% and 55.7% of the maximum achievable score, respectively. No significant difference was observed between the mean scores across the four areas of the TQSM model for the two factories (p > 0.05).
Conclusion: Both factories exhibited an overall average performance level in OHS management. The evaluation criteria across the four areas of the TQSM model indicated weak to moderate conditions in the assessed subareas. Effectively using this model highlighted the organizational and operational areas requiring increased effort and focus to enhance OHS management performance in both factories.

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Introduction: Computer-based systems have become integral to every aspect of daily life, with the successful performance of such systems heavily reliant on error-free software. Given the significance of these systems, tools are essential for evaluating their usability. One such tool is the Post-Study System Usability Questionnaire (PSSUQ). The present study aimed to localize and psychometrically evaluate the Persian version of the third edition of the PSSUQ and assess the usability of the library website at Mazandaran University of Medical Sciences.
Material and Methods: This descriptive cross-sectional study employed the Backward-Forward method for translating the questionnaire. The study population included 314 participants for cultural adaptation of the scale and 147 postgraduate students for evaluating the library website, all from Mazandaran University of Medical Sciences. Content validity was assessed using the Content Validity Index (CVI) and Content Validity Ratio (CVR). Reliability was determined via Cronbach’s alpha, and exploratory factor analysis was performed. Data analysis was conducted using SPSS version 16, adhering to ethical guidelines at all stages of the study.
Results: The overall content validity index (CVI) of the questionnaire was 0.96, while the overall content validity ratio (CVR) was satisfactory, with clarity and simplicity both scoring 0.91 and necessity at 0.75. Cronbach’s alpha coefficient was 0.95, with correlations between items exceeding 0.30. No significant differences in the usability of the library website were observed based on age, gender, field of study, educational level, or year of admission.
Conclusion: The Persian version of the third edition of the PSSUQ is a valid and reliable tool for evaluating system usability and user satisfaction with digital systems. It holds substantial potential for identifying system weaknesses and areas requiring improvement.

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Introduction: Nurses play a crucial role in hospital settings, often undertaking demanding tasks that exceed their physical and cognitive capacities. The Structured Multidisciplinary Work Evaluation Tool (SMET) is an instrument for evaluating and identifying risks in workplace environments. The objective of this study was to assess the psychometric properties of the Persian (Farsi) version of the SMET.
Material and Methods: In this cross-sectional study, the face and content validity of the questionnaire were evaluated both qualitatively and quantitatively by a panel of 13 experts. Quantitative content validity was performed using the Content Validity Ratio (CVR) and Content Validity Index (CVI). Reliability was measured using Cronbach’s alpha and Intraclass Correlation Coefficient (ICC).
Results: The face validity assessment revealed that questions 3, 4, 6, 23, and 24 required clarification. The CVI for all items was calculated to be above 0.79. However, several questions had a CVR below 0.54, indicating that specialists considered some questions unnecessary or repetitive. Consequently, these questions were either removed or merged with similar items based on the scores and subsequent reviews. Cronbach’s alpha and ICC values for the entire questionnaire and its dimensions were above 0.7, indicating acceptable to strong reliability.
Conclusion: The Persian version of the SMET questionnaire demonstrated acceptable psychometric properties for comprehensive multifactorial evaluation of healthcare workplaces.