Journal of Health and Safety at Work

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Introduction: There are risk of fire accidents in Operating rooms during surgery. Experts estimate annually around 100 fire accidents occur in the operating rooms of United States’s hospitals. 10 to 20 of these accidents lead to severe injuries and about 1 to 2 lead to death. Despite such accidents rarely happen, but they can lead to serious injury or death of patients.

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Material and Method: This Cross-sectional questionnaire based survey was conducted among several hospitals belonged to Shiraz University of Medical Sciences. In this study, all personnel of operating rooms were investigated. Questionnaire were used to collect information and the chi-square test was applied to examine the relationship between the Knowledge of operating room personels on fire prevention and control methods, jobs and work experience. For statistical analysis SPSS14 were used.

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Result: In this study from 220 participants, about 19.72% had full awareness, 19.62% had partial knowledge, 19.37% had low awareness and 40.97% had no knowledge on fire prevention methods, concerning fire control methods. However, 76% of the participate had full awareness and 24% had no knowledge. Test result Statistically showed that the relationship between the awareness of operating room personnel to fire control methods and work experience were significant (P-value <0.05). But, the relationship between the knowledge of operating room to fire control methods and the type of jobs were not significant. Also no significant relationship were found between the level of awareness in operating room personnel to fire prevention methods, work experience and job title.

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Conclusion: The results indicated that the operating room staff awareness of fire prevention and control methods are low. The results also showed that awareness of fires prevention are lower than the awareness of fire control among the studied personel. Regarding to the potential risk of fire in the operating room, it is suggested that in order to increase awareness of vulnerable patients and personnel in operating conditions, measures like educational need assessment, training workshops on fire prevention and control methods should be implemented.

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Introduction: Emergency situation is one of the influencing factors on human error. The aim of this research was purpose to evaluate human error in emergency situation of fire and explosion at the oil company warehouse in Hamadan city applying human error probability index (HEPI).

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Material and Method: First, the scenario of emergency situation of those situation of fire and explosion at the oil company warehouse was designed and then maneuver against, was performed. The scaled questionnaire of muster for the maneuver was completed in the next stage. Collected data were analyzed to calculate the probability success for the 18 actions required in an emergency situation from starting point of the muster until the latest action to temporary sheltersafe.

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Result: The result showed that the highest probability of error occurrence was related to make safe workplace (evaluation phase) with 32.4 % and lowest probability of occurrence error in detection alarm (awareness phase) with 1.8 %, probability. The highest severity of error was in the evaluation phase and the lowest severity of error was in the awareness and recovery phase. Maximum risk level was related to the evaluating exit routes and selecting one route and choosy another exit route and minimum risk level was related to the four evaluation phases.

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Conclusion: To reduce the risk of reaction in the exit phases of an emergency situation, the following actions are recommended, based on the finding in this study: A periodic evaluation of the exit phase and modifying them if necessary, conducting more maneuvers and analyzing this results along with a sufficient feedback to the employees.

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Introduction: Every year many people around the world lose their lives or suffer from injuries and serious damages in industrial fire. This study aims at evaluating fire risk using an suitable method and determining endangered humane, financial and environmental capitals in various parts of a chemical industries.

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Material and Method: In this analytical study the developed Frank and Morgan method was used to evaluate the risk of fire in all units of a chemical company. Improved checklists validity was confirmed by experts and then, its reliability was determined by test-retest analyzing method. Human, financial and environmental probable losses were calculated in the case of fire. A risk factor was determined for each unit and all of them were prioritized accordingly.

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Result: The study of developed checklists’ validity showed that there was a high conformity (homogeneity) between results of two measured loads (ICC=0.87 %95CI: 0.699-0.952). Mean value of risk in units was 115.45 and research and development (R&D) and sparse part store units have the highest and lowest risk values, respectively. Endangered humane, financial and environmental capitals had the highest to lowest score, respectively.

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Conclusion: Results showed that the developed Frank and Morgan method can be a suitable tool for evaluating industrial fire risk and prioritizing units in general level of an industrial complex especially chemicals company. According to the findings in this study, the investigation of likely damages to environment in the case of fire has high importance.

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Introduction: In the process industries, especially industries with hydrocarbons uses, due to flammability and reactivity of materials, high temperature, operation pressure, volatility and evaporability of liquid, fire and explosion hazard always has a great significances.The purpose of this study was to assess the quantitative fire safety using DOW’s fire and explosion index, in an oil extraction industry.

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Material and Method: The required information for conducting this research was obtained from process documents, DOW’s fire and explosion guideline,the measured operational parameters and also interviews and consultation with the supervisors and experts. Following, the study was conducted in three phases: 1) determination of DOW index, the radius and area of contact, 2) determination of loss control credit factor and finally 3) loss estimation.

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Result: Fire and explosion index in the understudy process unit was calculated 243.68 and thus severity of risk was extremely high and unacceptable. Radius of exposure and loss control credit factor wasobtained62.38 meters and 0.69, respectively. Finally,the most probable loss was estimated about 2863500 dollars.

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Conclusion: DOW’s fire and explosion index is a suitable technique to measure the fire risk of whole plant or a part of it. Thus, this criterion can be used to propose the changes or amount of protective equipment according to their effect in reducing the losses.

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

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

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

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

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Introduction: Being aware of the explosion, fire radius, and their damages, has an important role in accident prevention methods. Therefore, the aim of this study was modeling and evaluation of the consequences of propylene oxide spill in a petrochemical company.
 

Material and Method: The QRA method including seven steps was used in this study. In the present study, in order to examine and modeling of the propagation propylene oxide, first a familiarization with the process information of the unit was done then, a risk assessment was carried out adopting HAZOP technique to identify existing hazards. Consequence analysis in a process unit includes: selecting important scenarios, characterizing scenario, modeling the consequences of scenarios, analyzing the results and determining the percentage of mortality. PHAST software version 6.51 was used for modeling of outcomes and assessment propylene leak.
 

Result: urves of the firing zones of sudden release of propylene oxide showed that the influence puts are included up to radius of 0.15 meters in the scenario of leakage 5 mm, in scenarios with leaks 25 mm to a radius of 1.1 meters and in scenarios with leakage of 100 mm to a radius of 39 meters. The maximum intensity of flash fire in the initial point Scenario 5 mm was 4.2 kW/m2, in the scenario of radiation leakage was 25 mm at the distance to 5 meters from the fire intensity up to maximum of 9 kW/m2, and also in the scenario with 100 mm flash fire radiation leak at an earlier point fire was 14 kW/m2. The maximum intensity of thermal radiation at the distance to 5 meters up to 16.5 kW/m2, and maximum distance of 80 meters around the reservoir affected. The mortality rate of flash fire has exposed employees, was 50 percent.
 

Conclusion: Many accidents caused by leakage and explosion were due to corrosion, spoil tanks and equipment, and the majority of such accidents can be prevented by technical inspections and continuous audits.

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Introduction: Risk perception to safety and health is particularly important and affects behavior. Most of accidents occur because people do not have proper understanding about them. Accidents may be an important consequence of risk perception or, more precisely, an inaccurate perception of risk. Education has been always widely recognized as an important component of occupational risk management programs. The aim of this study was investigating the effect of an educational intervention based on the theory of planned behavior on firefighters’ risk perception in operational units.
Material and Methods: This study was a randomized controlled trial performed on 92 firefighters, in Rasht, in 2019. Cluster sampling method was carried out, and the firefighters were randomly assigned to two experimental and control groups with equal numbers. Data collection instrument was a questionnaire with the three sections including demographic variables, risk perception, theory of planned behavior constructs. The educational program consisted of five sessions of 30-75 minutes for each group (six groups of 7-8 firefighters). The data were collected before and one month after educational intervention, and analyzed by Chi-square, independent and paired-sample T test, Mann-Whitney U and Wilcoxon using SPSS software version 21.
Results: The mean age of firefighters was 35.91±5.17 years, and no significant difference was observed between the two groups in demographic variables. Before the educational intervention, no significant difference was seen between the intervention and control groups in risk perception, the model constructs and self-report behaviors, but after performing the educational intervention the variables were significantly increased in the intervention group.
Conclusion: The current study results showed an improvement in firefighters’ risk perception due to educational intervention based on the theory of planned behavior. Thus, the theory of planned behavior can be used as a theoretical framework for the design and implementation of firefighters’ risk perception.

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Introduction: This study quantitatively analyzed the fire risk using the Fire Risk Index Method: Multistorey Apartment Buildings (FRIM-MAB) method, considering the importance of fire safety in student dormitories as human gathering centers and previous limited studies.
Material and Methods: This descriptive-analytical study was conducted on 17 sections of the Qazvin University of Medical Sciences student dormitory in 2021. This study used the FRIM-MAB version 2.1. In this method, 17 parameters and their sub-parameters affecting the fire risk index were determined and weighted. Consequently, the studied dormitory was also inspected, the weighted degree of each parameter was computed, and the fire risk index for each section, which ranged between 1 and 5, was determined.
Results: The average fire risk index of the dormitory building at the time of the study was 2.37. The laundry room received the lowest risk index (1.69), while the computer site received the highest risk index (2.7). The results indicated that the most effective parameters causing fire risk were related to “compartmentation” (12 frequency items), “linings in the apartment” (4 frequency items), and “escape routes” (1 frequency item). These parameters contributed more than 42% to create the risk index for the dormitory’s most dangerous areas.
Conclusion: The FRIM-MAB method is a suitable quantitative and indexing fire risk assessment method for student dormitory buildings, and it is a quick, inexpensive, and effective screening and ranking tool. Periodically evaluating the dormitory’s fire risk and, if necessary, improving the environment is essential. In the present study, compartmentation, linings in the apartment, and escape routes were the most effective parameters in fire risk of the studied dormitory.

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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: Medical centers, as complex technical-social systems, are exposed to the risk of fire incidents. This study analyzes the causes and contributing factors of the fire accident at Sina Mehr Clinic to prevent similar accidents, resulting in 19 deaths and 14 injuries.
Material and Methods: The causes and contributing factors for accidents in medical centers are found through studies related to laws and regulations, official accident reports, expert reports of regulatory bodies, interviews with experts, and review of past studies, extraction, and categorization. Accident analysis methods included AcciMap and STAMP. Finally, experts’ opinions were used to confirm and strengthen the findings.
Results: The most critical root and hierarchical causes of the weakness of medical center management in the field of safety, dangerous conditions, fire accidents, and emergency response are the issuance of a legal building completion permit for a building that violates national building regulations and the issuance of a legal permit for a medical institution for a building with residential use, as well as the insufficiency of supervision by government and public institutions with horizontal relationships with each other and vertical relationships with universities of medical sciences, labor offices, and firefighting organizations, as the direct supervisors of medical centers.
Conclusion: The AcciMap and STAMP findings indicate that the priority is to amend the regulations for the establishment, operation, and activity of medical centers with an emphasis on safety regulations, as well as the frequency and shortening of feedback loops such as inquiring about the building completion permit from the municipality, announcing the establishment of a medical center to other governmental and public supervisory authorities, and the reporting of unsafe cases directly by supervisors to the Ministry of Health. Legal authorities are the most crucial cycle in the resilience of fire incidents and their consequences in medical centers.
 

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Introduction: Industrial firefighting (IFF) constitutes a high-risk occupation within the domain of process industries. Firefighting teams serve as the operational component of the incident command team. This study aims to assess the alignment of physical fitness assessments conducted in selected Iranian process industrial firefighting settings and to scrutinize the extent of compliance with The U.S. National Fire Protection Association (NFPA) requirements by analyzing the resultant percentages of similarity in test outcomes.
Material and Methods: A cross-sectional observational study was undertaken across 14 Iranian process companies, encompassing two refinery companies and 12 petrochemical companies, employing a census sampling approach. The study’s benchmark was NFPA1582-2018. Data analysis was performed utilizing SPSS 27 software. This investigation focused on assessing the percentage of essential parallels within five distinct groups, along with their corresponding sub-components, in alignment with the tests and elements stipulated in the NFPA standard.
Results: Most of the selected companies (58%) lacked a cohesive program or established standard to assess the fitness of their firefighting personnel. Among the subset of companies (42%) that did employ an evaluation standard, in the majority of instances, a minimal proportion (less than 20%) underwent individualized assessments in line with the components outlined in NFPA 1582-2018 for physical fitness evaluation tests.
Conclusion: Given that 58% of the surveyed process companies in this study lacked a cohesive fitness assessment program and 42% demonstrated limited compliance with NFPA 1582-2018 in the assessed components, this issue underscores the critical need to evaluate the components quality and conduct a technical needs assessment. Developing adaptable and suitable components aligned with the work conditions prevalent in the process industry becomes imperative. Additionally, there must be existed a legal mandate for the pertinent ministry to implement an integrated framework. This scenario necessitates that process companies reevaluate their approaches concerning the selection and oversight of their firefighting personnel.