The Factors Affecting Unsafe Behaviors of Iranian Workers: A Qualitative Study Based on Grounded Theory

Background@#Some researchers state that they are not yet able to provide a deep understanding of the underlying causes of unsafe behaviors (UBs). Therefore, the present study was conducted to investigate the attitudes and experiences of Iranian workers of UBs. @*Methods@#This present study was conducted in 35 industries using a semistructured interview based on grounded theory. Forty participants were interviewed, including 13 industrial safety and health experts and 27 workers and supervisors. The analysis of the present study consisted of a three-step coding process including open, axial, and selective coding. @*Results@#The results showed that the factors affecting UBs could be classified into three categories: organizational, individual, and socioeconomic factors. Organizational factors were divided into 6 parts: procedure and environmental conditions, communications, monitoring, organizational safety culture, resource allocation, and human resources. Socioeconomic factors had three subcategories: community safety culture, type of organizational ownership, and economic problems. Finally, the individual factors were classified into two categories of personality traits and individual competence. @*Conclusion@#The results showed that organizational factors were the most categorized, and it is estimated that this factor has a more important role in the UBs. Of course, to better understand the close relationship between these factors and find the weight and importance of each factor, it needs to measure it with multicriteria decision systems.

The Factors Affecting Unsafe Behaviors of Iranian Workers: A Qualitative Study Based on Grounded Theory

Background@#Some researchers state that they are not yet able to provide a deep understanding of the underlying causes of unsafe behaviors (UBs). Therefore, the present study was conducted to investigate the attitudes and experiences of Iranian workers of UBs. @*Methods@#This present study was conducted in 35 industries using a semistructured interview based on grounded theory. Forty participants were interviewed, including 13 industrial safety and health experts and 27 workers and supervisors. The analysis of the present study consisted of a three-step coding process including open, axial, and selective coding. @*Results@#The results showed that the factors affecting UBs could be classified into three categories: organizational, individual, and socioeconomic factors. Organizational factors were divided into 6 parts: procedure and environmental conditions, communications, monitoring, organizational safety culture, resource allocation, and human resources. Socioeconomic factors had three subcategories: community safety culture, type of organizational ownership, and economic problems. Finally, the individual factors were classified into two categories of personality traits and individual competence. @*Conclusion@#The results showed that organizational factors were the most categorized, and it is estimated that this factor has a more important role in the UBs. Of course, to better understand the close relationship between these factors and find the weight and importance of each factor, it needs to measure it with multicriteria decision systems.

Understanding Occupational Accidents in Tunnelling Construction Using a Natural Experiment

@#Introduction: Reducing occupational accidents is of utmost importance. This research investigated how individual and job-related risk factors affect occupational accidents in one of the largest tunnelling companies in Iran. Methods: A descriptive cross-sectional natural experiment utilizing data from 760 employees who consented to participate in the study. 150 individuals had a history of occupational accidents and 610 individuals did not. Information about accidents was extracted from reports, medical records, and interviews. Results: The main causes of accidents were unsafe acts performed by workers. 71% by unsafe acts alone, and another 12% unsafe acts in unsafe conditions. The odds ratio of occupational accidents was significantly higher in workers aged under 30 years (p = 0.016), with a high school diploma or lower educational achievement (p = 0.012), low job satisfaction (p = 0.035), work experience less than 16 years (p = 0.023), as well as lack of regular exercise (p = 0.001). Within the final adjusted logistic model, low levels of education (OR= 5.81; 95% CI, 1.03-9.03) and younger age group (OR= 2.38 95% CI, 0.24 to 8.02) remained significant. Conclusion: Use of young and inexperienced staff, low education, and lack of simple and understandable safety guidelines for workers in the tunnelling industry have led to unsafe acts that can increase the rate of occupational accidents. Changes in working conditions, and unstable job security also contribute to explaining the accident rates in this 12-month period. Managers should pay special attention to these individual-organizational factors to prevent accidents and promote safety.

Evaluating the Occupational Health and safety Engineering Internship Course from the Perspective of Trainees: At Developing and Validating A New Tool

@#Introduction: The internship course is a very important part of each university course. The present study aimed at designing and validating a standard instrument for evaluating the internship course in the field of Occupational Health and Safety Engineering (OHSE) from the perspective of trainees. Methods: The dimensions and items of the tool were developed using the panel of experts, syllabus provided by the Iranian Ministry of Health and Medical Education, and literature reviews. Validity of the tool was assessed using face validity, Content Validity Ratio (CVR), Content Validity Index (CVI), and Impact Score (IS). Reliability was evaluated by test–retest reliability analyses and internal consistency (Cronbach’s alpha coefficient). Finally, the internship courses were evaluated during three subsequent years (2016-2018) among 45 students of Shahroud University of Medical Sciences (SHMU) in Iran. Results: The final version of the tool contained five dimensions and 20 items. The CVI and CVR were 0.81 and 0.74, respectively. The ISs of all 20 items were above the minimum acceptable value (1.5). The Cronbach’s alpha coefficient was 0.79 and test-retest Pearson’s correlation coefficient was significant at 0.891 (p<0.001). The overall mean score of evaluation was estimated to be 3.81, which was acceptable. However, poor mean scores were obtained in “access to equipment and laboratory instruments” and “familiarity with job opportunities and internship” dimensions. Conclusions: The results of this study led to a valid tool for evaluating the OHSE internship course. This standard tool can be used to evaluate the perspective of OHSE trainees about the training period and use the results to correct the weaknesses and reinforce the strengths of the training programs.

Evaluation of Respiratory Protection Program in Petrochemical Industries: Application of Analytic Hierarchy Process

BACKGROUND: Respiratory protection equipment (RPE) is the last resort to control exposure to workplace air pollutants. A comprehensive respiratory protection program (RPP) ensures that RPE is selected, used, and cared properly. Therefore, RPP must be well integrated into the occupational health and safety requirements. In this study, we evaluated the implementation of RPP in Iranian petrochemical industries to identify the required solutions to improve the current status of respiratory protection. METHODS: This cross-sectional study was conducted among 24 petrochemical industries in Iran. The survey instrument was a checklist extracted from the Occupational Safety and Health Administration respiratory protection standard. An index, Respiratory Protection Program Index (RPPI), was developed and weighted by analytic hierarchy process to determine the compliance rate (CR) of provided respiratory protection measures with the RPP standard. Data analysis was performed using Excel 2010. RESULTS: The most important element of RPP, according to experts, was respiratory hazard evaluation. The average value of RPPI in the petrochemical plants was 49 ± 15%. The highest and lowest of CR among RPP elements were RPE selection and medical evaluation, respectively. CONCLUSION: None of studied petrochemical industries implemented RPP completely. This can lead to employees' overexposure to hazardous workplace air contaminants. Increasing awareness of employees and employers through training is suggested by this study to improve such conditions.

Respiratory Disorders Among Workers in Slaughterhouses

BACKGROUND: Workers in slaughterhouses are exposed to a wide range of biological contaminants, such as bacteria and fungi, due to their working environment. This study aimed to assess the prevalence of respiratory disorders among workers in slaughterhouses. METHODS: This study was conducted on 81 workers in slaughterhouses and 81 healthy office workers as a reference group. The American Thoracic Society standard respiratory symptoms questionnaire was used to determine the prevalence of respiratory disorders. Besides, lung function tests were conducted using a calibrated spirometer at the beginning (preshift) and at the end (postshift) of the 1st working day. Single-stage Anderson sampler was used to measure the concentration of bioaerosols in different parts of slaughterhouses. RESULTS: The prevalence of respiratory disorders, such as cough, productive cough, breathlessness, phlegm, and wheezing, was 3.17, 4.02, 3.07, 4.66, and 3.94 times, respectively, higher among workers in slaughterhouses compared with the reference group. CONCLUSION: The prevalence of respiratory disorders was significantly higher among workers in slaughterhouses. Thus, the significant reduction in the percentage predicted lung function among workers in slaughterhouses might be associated with exposure to bioaerosols in their work environment.

survey of the safety conditions of student housings: a case study in a type one university in Shiraz, Iran

Background: This study aimed to investigate the extent of implementation of safety measures in 14 student housings in one of the largest universities in Fars province, Shiraz, Iran

Methods: A cross-sectional study was conducted in 14 student housings of one of the largest universities, located in Shiraz, Iran. Audit checklists were completed and rated thought field inspection and interview. Safety Requirement Index [SRI] was then used to evaluate the safety of student housings. SRI was graded on five scales [0-19%: very poor [unsafe]; 20-39%: poor [relatively unsafe]; 40-59%: moderate; 60-79%: good [relatively safe]: and 80-100%: excellent [safe]]

Results: The mean SRI score was 71.01 +/- 15.46%. The highest and lowest level of SRI was 94.11 +/- 6.60% for dimensions of public health and 47.70 +/- 18.42% for elevator safety

Conclusion: None of the studied housings was completely safe in all dimensions. Most of the studied housings were categorized as safe in the dimensions of public health and ventilation and air-conditioning systems; relatively safe in the dimensions of electrical, building, fire and kitchen safety; and moderate in the elevator safety and emergency response. Establishment of safety management system is necessary to promote safety in the studied housings. The results of this study indicated the need to inform the authorities about the safety priorities in housings, to promote the safety conditions. The results could also be used to raise awareness regarding their role and responsibilities about the safety of housings

A Descriptive Study of Occupational Health Services in Self-employed Enterprises (Nanoscale Enterprises), Shiraz, Iran

BACKGROUND: This study was conducted with aim of providing an overview of the current status of occupational health services and identifying the most common harmful agents at workplaces of Iranian self-employed enterprises (Nano-Scale Enterprises). METHODS: A cross-sectional study was performed among a random sample including 1,758 employees engaging in self-employed enterprises with 5 and less employees. RESULTS: Coverage of occupational health surveillance was very poor, annual health examinations were been conducted only for 64 (3.64%) of males and 31 (1.76%) of females, and occupational health trainings were not included of the services at all. Personal Protective Equipment were available in 462 (26.3%) of the enterprises. only in 0.4% of the enterprises working processes were been equipped by a local exhaust ventilation system. Difficult postures were the most common (81.5%) adverse working conditions. CONCLUSION: This study revealed a poor level of the implementation of occupational health services in Iranian self-employed enterprises. Based on the findings, providing basic training on the occupational health, more enforcing in conduction of health examinations and providing PPE, and taking appropriate strategies aimed at eliminating or minimizing work environment harmful agents are the major factor that should be considered to improve the level of occupational health services among the studied enterprises.

Validity Assessment of the Persian Version of the Nordic Safety Climate Questionnaire (NOSACQ-50): A Case Study in a Steel Company

BACKGROUND: The Nordic Safety Climate Questionnaire-50 (NOSACQ-50) was developed by a team of Nordic occupational safety researchers based on safety climate and psychological theories. The aim of this study was to develop and validate the Persian version of NOSACQ-50 and assess the score of safety climate on a group of workers in a steel company in Iran. METHODS: The Persian version of NOSACQ-50 was distributed among 661 employees of a steel company in Qazvin Province (Iran). Exploratory factor analysis (EFA) and confirmatory factor analysis were used to determine the dimensions of the questionnaire. The reliability of the questionnaire was assessed using Cronbach α coefficient. Pearson correlation test was applied to investigate the correlation between different dimensions. RESULTS: The results of EFA showed that the Persian version of NOSACQ-50 consisted of six dimensions. The Cronbach α coefficient of the questionnaire was 0.94. The mean score of safety climate in all dimensions was 2.89 (standard deviation 0.60). CONCLUSION: The Persian version of NOSACQ-50 had a satisfactory validity for measuring safety climate in the studied Iranian population.

Human Error Analysis in a Permit to Work System: A Case Study in a Chemical Plant

BACKGROUND: A permit to work (PTW) is a formal written system to control certain types of work which are identified as potentially hazardous. However, human error in PTW processes can lead to an accident. METHODS: This cross-sectional, descriptive study was conducted to estimate the probability of human errors in PTW processes in a chemical plant in Iran. In the first stage, through interviewing the personnel and studying the procedure in the plant, the PTW process was analyzed using the hierarchical task analysis technique. In doing so, PTW was considered as a goal and detailed tasks to achieve the goal were analyzed. In the next step, the standardized plant analysis risk-human (SPAR-H) reliability analysis method was applied for estimation of human error probability. RESULTS: The mean probability of human error in the PTW system was estimated to be 0.11. The highest probability of human error in the PTW process was related to flammable gas testing (50.7%). CONCLUSION: The SPAR-H method applied in this study could analyze and quantify the potential human errors and extract the required measures for reducing the error probabilities in PTW system. Some suggestions to reduce the likelihood of errors, especially in the field of modifying the performance shaping factors and dependencies among tasks are provided.

Needle Stick Injuries and their Related Safety Measures among Nurses in a University Hospital, Shiraz, Iran

BACKGROUND: This study aimed to determine the prevalence and factors related to needle stick injuries (NSIs) and to assess related safety measures among a sample of Iranian nurses. METHODS: In this cross-sectional study, a random sample of 168 registered active nurses was selected from different wards of one of the hospitals of Shiraz University of Medical Sciences (SUMS). Data were collected by an anonymous questionnaire and a checklist based observational method among the 168 registered active nurses. RESULTS: The prevalence of NSIs in the total of work experience and the last year was 76% and 54%, respectively. Hollow-bore needles were the most common devices involved in the injuries (85.5%). The majority of NSIs occurred in the morning shift (57.8%) and the most common activity leading to NSIs was recapping needles (41.4%). The rate of underreporting NSIs was 60.2% and the major reasons for not reporting the NSIs were heavy clinical schedule (46.7%) and perception of low risk of infection (37.7%). A statistically significant relationship was found between the occurrence of NSIs and sex, hours worked/week, and frequency of shifts/month. CONCLUSION: The study showed a high prevalence of NSIs among nurses. Supportive measures such as improving injection practices, modification of working schedule, planning training programs targeted at using personal protective equipment, and providing an adequate number of safety facilities such as puncture resistant disposal containers and engineered safe devices are essential for the effective prevention of NSI incidents among the studied nurses.

Shift work-related psychosocial problems in 12-hour shift schedules of petrochemical industries

Shiftwork that affects diverse aspects of human life is arranged in various schedules. The main purpose of this study was to compare psycho-social problems among employees working in different 12-hour shift schedules of Iranian petrochemical industries. This cross-sectional study was carried out at eight petrochemical companies in Asalooyeh area. The study population consisted of 549 shift workers. Data on personal details, shift schedule, and adverse effects of shift work were collected by anonymous questionnaire. Statistical analyses were performed using SPSS, version 11.5. Among 549 studied shift employees, 39.6% worked in 4N-7D-3N-7R [4 nights- 7 days- 3 nights- 7 rests], 29.1% in 7N-7 D-7R, and 31.3% in 7D-7N-7R schedules. Psychosocial problems among 7D-7N-7R schedule shift workers were significantly more prevalent than other schedules [p<0.05]. Prevalence rates of psychosocial problems among all schedules were high, but odds ratios of problems among 7D-7N-7R schedule shift workers were significantly more than those of the two other ones were. This schedule should be changed therefore to decrease such problems

Stage-based interventions for drug abuse prevention among petrochemical workers in assaluyeh

Educational program for drug abuse prevention should emphasize on trans-theoretical model [TTM]. This study was designed to survey effects of TTM in substance abuse prevention among petrochemical workers in Iran. This randomized clinical trial was done on 181 workers of petrochemical company in Assaluyeh. Education program was prepared according to resistance skills, decisional balance, processes of change [cognitive and behavior], self esteem, self-efficacy and life skills. Intervention group received educational program by lecture and group discussion about principles of TTM. Intervention and control groups was compared before and 5 month after intervention. Intervention group received educational package, including posters and pamphlets, within 5 months. Educational activities had significant impact on awareness of substance abuse, risk factors and protective factors, self efficacy, decisional balance for apply resistance skills contain pros and cons, attitude and also processes of change on resistance skills in cognitive and behavioral domain, while there found no significant changes in control group. According to positive effects of TTM as a educational program for drug abuse prevention, application of this model recommended in prevention of drug abuse among industrial workers