scholarly journals RISK ASSESSMENT OF OVERHEAD CRANE (OHC) DOUBLE GIRDER OPERATION IN THE KAPAL NIAGA DIVISION IN PT PAL INDONESIA (PERSERO

2018 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Lenny Novita ◽  
Erwin Dyah Nawawinetu

Background: PT PAL Indonesia (Persero) operates Overhead Crane Double Girder tool everyday. The operation of the device have some risk of material hazard, material pinched, material scratched, fracture and passed away. Purpose: The purpose of this research was to assess the level of risk of occupational injury on the operation of Overhead Crane Double Girder. Methods: This research was a descriptive observational one. This study focuses on the operation of Overhead Crane Double Girder in the Kapal Niaga division PT PAL Indonesia (Persero) which consist of the preparation and operation phase. Result: The initial risk level categorized as high-risk level of 44% and a moderate risk level of 56%. The most frequently prevention measure ware routine check, compliance of SOP and PPE usage on workers. Implementation of control efforts resulted in a moderate risk rate of 44% and a low risk level of 56%. Conclusion: Recommendation of control for PT PAL Indonesia (Persero) performs routine maintenance both on equipment and overhead crane function double girder, application and compliance of operating SOP, and operator must have driving license of overhead crane double girder and experience in the field, if applied properly then final risk level to be 100% low.

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
I Piras ◽  
G Murenu ◽  
G Piras ◽  
G Pia ◽  
A Azara ◽  
...  

Abstract Background Falls in hospital are adverse events with serious consequences for the patient. Fall risk assessment requires easy tools that are suitable for the specific clinical context. This is important to quickly identify preventing measures. The aim of the study is to identify an appropriate scale for assessing fall risk in patients from an emergency department. Methods For the fall risk assessment in the emergency department, three scales were identified in literature: Kinder 1, MEDFRAT, and Morse. MEDFRAT and Morse classify the patient in high, moderate, and low risk; Kinder 1 split patients “at risk” (also when there is only one positive item) and “non-risk” (in which all items are negative). The study was carried out in July 2019 in an Italian emergency department. Patients who arrived in triage were assessed for the fall risk using the three scales. Results On a sample of 318 patients, the used scales show different levels of fall risk. For Kinder 1, 83.02% is at risk and 16.98% is not at risk; for MEDFRAT, 14.78% is at high risk, 15.09% moderate, and 70.13% low risk; for Morse, 8.81% is at high risk, 35.53% moderate, and 56.66% low risk. As Kinder 1 implies as “high risk” that all items of the questionnaire are positive, to compare Kinder 1 to the other scales with three measurements, we assumed only one positive response as “moderate risk”, all negative responses as “low risk”. Thus, Kinder 1 shows no cases at high risk, 83.02% moderate risk, and 16.98% low risk. All the scales show that the moderate-high risk increases with age. MEDFRAT and Morse have concordant percentages for young (13.6%), elderly (61.2%), and long-lived (66.6%) people. Kinder 1, 59%, 96.7%, and 100%, respectively. Conclusions The comparison between scales shows inhomogeneity in identifying the level of risk. MEDFRAT and Morse appear more reliable and consistent. Key messages An appropriate assessment scale is important to identify the fall risk level. Identifying accurate fall risk levels allows for implementing specific prevention actions.


Author(s):  
Muhamad Bob Anthony

PT. RK is one of the major international steel producing companies. This study aims to determine the potential hazards and the value of the level of risk that is likely to occur in the new plant owned by PT. RK i.e. the gas cleaning system area which is currently in the process of entering 95% progress. This study uses the Hazard & Operability Study (HAZOPs) method in analyzing risks in the gas cleaning system area of PT. RK. The Hazard & Operability Study (HAZOPs) method was used in this study because this method is very suitable for a new plant to be used. Based on the identification of potential hazards and risk analysis that has been done in the area of gas cleaning system using the HAZOPs method, it was found that 11 deviations that might occur from all existing nodes, i.e. for extreme risk levels of 1 (one) deviation or 9%, level high risk of 2 (two) deviations or 18%, moderate risk level of 6 (six) deviations or 55% and low risk level of 2 (two) deviations or 18%.Keyword : Gas Cleaning System, HAZOPs, Potential of Hazard, Risk Levels PT. RK merupakan salah satu perusahaan manufaktur besar penghasil baja berskala internasional. Penelitian ini bertujuan untuk mengetahui potensi bahaya dan nilai level risiko yang kemungkinan terjadi di plant baru milik PT. RK yaitu area gas cleaning system yang saat ini proses pekerjaannya sudah memasuki progress 95%. Penelitian ini menggunakan metode Hazard & Operability Study (HAZOPs) dalam menganalisa risiko di area gas cleaning system  PT. RK.  Metode Hazard & Operability Study (HAZOPs) digunakan dalam penelitian ini dikarenakan metode ini sangat cocok untuk sebuah plant baru yang akan digunakan. Berdasarkan identifikasi potensi bahaya dan analisa risiko yang telah dilakukan di area gas cleaning system dengan menggunakan metode HAZOPs, didapatkan bahwa 11 penyimpangan yang kemungkinan terjadi dari semua node yang ada yaitu untuk level risiko extreme sebanyak 1 (satu) penyimpangan atau sebesar 9%, level risiko high risk sebanyak 2 (dua) penyimpangan atau sebesar 18%, level risiko moderate sebanyak 6 (enam) penyimpangan atau sebesar 55% dan level risiko low risk sebanyak 2 (dua) penyimpangan atau sebesar 18%.Kata Kunci: Gas Cleaning System, HAZOPs, Level Risiko, Potensi Bahaya


2022 ◽  
Vol 5 (2) ◽  
Author(s):  
Ambang Rizki Aji Nugrahanto ◽  
Maria Puspita Sari

PT Surya Putra Mulia is a company that produces gray (greige) using the knitting process. This research is focused on the warehouse section on the loading process finished goods. In the warehouse section there are some excessive physical activities due to activities are carried out manually. Measurement of work posture is needed to determine whether the work posture carried out by the operator is good and ergonomic. Assessment of work posture is carried out using the Rapid Entire Body Assessment (REBA) method. Based on an assessment using the REBA (Rapid Entire Body Assessment) method, it shows that the withdrawal of finished goods includes a moderate level of risk, which means that improvements are needed. The activity of loading finished goods onto trucks (figure 3) includes a moderate risk level which means that repairs are needed, while in Figure 4 it is a high risk level which means that immediate corrective action is needed. For the preparation of finished goods on trucks, it is a moderate risk level, which means that repairs are needed. So that in the process of withdrawing finished goods, proposals are given to reduce the burden being transported. Then add a tool in the process of loading finished goods to the truck in the form of a hand stacker.


2018 ◽  
Vol 17 (3) ◽  
pp. 4-10
Author(s):  
A. Yu. Efanov ◽  
Yu. A. Vyalkina ◽  
Yu. A. Petrova ◽  
Z. M. Safiullina ◽  
O. V. Abaturova ◽  
...  

Aim. To assess the specifics of antihypertension therapy (AHT) in hypertensives of various cardiovascular risk, in the registry of chronic non-communicable diseases in Tyumenskaya oblast.Material and methods. A random sample studied, of 1704 patients with hypertension, inhabitants of Tyumenskaya oblast (region), ascribed to dispensary follow-up. Mean age 62±7,5 y.o. Of those 31,5% (n=537) males. The prevalence and efficacy of AHT assessed according to cardiovascular risk level. The significance was evaluated with the criteria χ2.Results. AHT was characterized by the growth of the frequency of treatment approaches with cardiovascular risk consideration. Regular treatment took 33,9% patients of low and moderate risk vs 41,3% of high and very high (p<0,01). In the male group such tendency also took place. Gender specifics of AHT was characterized by that in the groups of high and very high risk females took medications significantly more commonly than males — 46,6% vs 29,1% in high risk group (p<0,01) and 47,5% vs 30% in very high risk group (p<0,01). With the increase of the risk level, there was decline of treatment efficacy — from 95% in low risk group to 32,5% in very high risk group; 53,1% of the participants were taking monotherapy, 32,9% — two drugs, 14,0% — ≥3 drugs. With the increase of risk grade there is tendency to increase of combinational AHT, however with no significant increase of efficacy. Treatment efficacy in high and very high risk patients comparing to patients with low and moderate risk was significantly lower — 33,1% vs 69,7% (p<0,01), respectively. Statins intake among the high and very high risk patients was 10,6-11,0% males and 7,8% females (p<0,05).Conclusion. AHT in hypertensives in Tymenskaya oblast, under dispensary follow-up, is characterized by insufficient usage of combinational drugs. With the raise of cardiovascular risk there is tendency to higher rate of combinational AHT. However there is no significant increase in efficacy of treatment with the increase of medications number. A very low rate of statins intake is noted. The obtained specifics witness for the necessity to optimize AHT among the high and very high risk patients — inhabitants of Tyumenskya oblast.


Blood ◽  
2015 ◽  
Vol 126 (23) ◽  
pp. 3276-3276
Author(s):  
Natalie Laing Smith ◽  
Kelsey Fowlkes ◽  
Beth Boulden Warren ◽  
Beth Wathen ◽  
Bryce Clark ◽  
...  

Abstract Background - Hospital-acquired venous thromboembolism (HA-VTE), comprised of deep vein thrombosis and pulmonary embolism, is associated with significant mortality and morbidity and the overall incidence is rising, leading to its recognition as a leading quality and patient safety concern in pediatric hospitals. Risk-based prophylactic strategies are used in adults but a paucity of high quality evidence exists regarding the safety and efficacy of these interventions in the pediatric population. Defining an objective assessment of VTE risk to guide standard approaches to the use of mechanical and/or pharmacologic prophylaxis (in the absence of contraindications) is a desirable strategy to decrease HA-VTE incidence while minimizing potential risks associated with prophylaxis. Methods- With Institutional Review Board approval, we retrospectively evaluated electronic health record data from 39 patients age 0-21 years (inclusive) who developed VTE more than 48 hours after admission to Children's Hospital Colorado (Aurora, CO, USA) from January 1, 2014 - December 31, 2014. We identified purported HA-VTE cases via ICD-9 discharge diagnosis codes, then two different reviewers cross-referenced and validated with pharmacy and radiology records. We evaluated the HA-VTE patient's VTE risk scores (high, moderate, or low) using our institutional VTE prevention clinical care guideline (CCG) at discrete time points prior to clot diagnosis, as well as whether the patient received mechanical and/or pharmacologic thromboprophylaxis. Objectives: We sought to determine the ability of our CCG to accurately assess HA-VTE risk prior to clot development and to assess the utilization and timing of thromboprophylaxis. Results: Of the 39 patients who developed a HA-VTE during the study period, CCG-based risk assessment on the day before the event had identified four (10.3%) patients as low risk, two (5.1%) as moderate risk, and 33 (84.6%) as high risk, as seen in Table 1. This distribution represents an overall increase in risk score compared to those determined on admission when 13 (33.3%) were low risk, 4 (10.3%) were moderate risk, and 22 (56.4%) were high risk. Admission risk scores tended to hold steady or increase during the hospitalization (Figure 1) and only one patient experienced a decrease in risk level prior to HA-VTE diagnosis. HA-VTE patients often had high risk scores as early as seven or even 14 days prior to the event, and 20 (51%) of the patients who developed HA-VTE were high risk during the entire admission. Of the HA-VTE patients, 19 (48.7%) were receiving thromboprophylaxis on the day prior to the event. 4 (21.1%) received pharmaceutical type only, 12 (63.2%) received mechanical type only, and 3 (15.8%) received both types. Conclusion: Institutional CCGs can be used to determine HA-VTE risk stratification in hospitalized children, thereby informing decisions regarding initiation of thromboprophylaxis as a preventative strategy in the absence of contraindications. Comparison to a group of age group- and risk level-matched control patients who did not develop HA-VTE is underway and will give appropriate context to the high risk designation as it pertains to HA-VTE incidence and the impact of thromboprophylaxis strategies. Table 1. Risk scores prior to HA-VTE diagnosis: Risk scores at various time points during hospitalization Risk Level Risk Score on Admission Risk Score 14 Days Prior Risk Score 7 Days Prior Risk Score 1 Day Prior Risk Score Day of VTE Low 13 (33.3%) 0 (0%) 2 (10.5%) 4 (10.3%) 4 (10.3%) Moderate 4 (10.3%) 1 (9.1%) 1 (5.3%) 2 (5.1%) 2 (5.1%) High 22 (56.4%) 10 (90.9%) 16 (84.2%) 33 (84.6%) 33 (84.6%) Total 39 11 19 39 39 Figure 1. Patient-level risk score tracking: Each colored line represents a unique HA-VTE patient's risk score trajectory during hospitalization. Risk scores upon admission correspond to days represented by negative numbers denoting various days prior to event (Day 0), and all patients have evaluations from 14, 7, and 1 day prior to the event, if applicable. Figure 1. Patient-level risk score tracking: Each colored line represents a unique HA-VTE patient's risk score trajectory during hospitalization. Risk scores upon admission correspond to days represented by negative numbers denoting various days prior to event (Day 0), and all patients have evaluations from 14, 7, and 1 day prior to the event, if applicable. Disclosures Off Label Use: We may discuss use of heparin (unfractionated or low molecular forms) for VTE thromboprophylaxis in children.


Author(s):  
Gatot Basuki HM

<em>PT. Prima Alloy Steel Universal merupakan perusahaan industri manufaktur yang memproduksi Velg kendaraan roda empat. Salah satu tahapan proses produksinya yaitu proses casting, Adanya risiko bagi pekerja akan terjadinya kecelakaan kerja sangat tinggi. Tujuan penelitian ini adalah melakukan identifikasi terhadap risiko bekerja di departemen casting dengan pendekatan Job Safety Analysis. sedangkan penilaian risiko serta penanggulangan risiko bahaya bekerja menggunakan metode HIRARC, hasil dari analisis tersebut digunakan untuk melakukan mitigasi terhadap setiap risiko yang terjadi di departemen casting. Hasil penelitian menunjukan bahwa Terdapat 5 aktivitas kerja dan 13 subaktivitas kerja di departemen casting yang mempunyai potensi bahaya bekerja. sedangkan penilaian risiko diperoleh 2 aktivitas kerja dengan potensi bahaya kategori extreme risk, 4 aktivitas kerja kategori high risk, 3 aktivitas kerja kategori moderate risk, 4 aktivitas kerja kategori low risk. Tindakan penanggulangan risiko dilakukan melalui perbaikan standart prosedur kerja (SOP) pada setiap subaktivitas. Subtitusi pada subaktivitas menggunakan alat berat seperti forklif saat mengganti matras motif dan design velg. Rekayasa engineering untuk mempermudah subaktivitas agar miminimalisir terjadinya kecelakaan kerja. Pengendalian administratif terkait penerapan instruksi kerja, memantau pengunaan APD dan APAR serta pelatihan K3 secara berkala. Memberikan tanda peringatan bahaya. Penyediaan APD pada seluruh subaktivitas untuk digunakan sesuai dengan kebutuhan saat melakukan aktivitas bekerja.</em>


2020 ◽  
Vol 20 (Special1) ◽  
pp. 176-185
Author(s):  
Sivabalan Sanmugum ◽  
Karmegam Karuppiah ◽  
Sivasankar

Company XXX is a factory that involving manufacturing of offshore containers in where the hot works are one of the crucial activities in fabrication and structuring the framework of the containers. This study had been conducted at hot work section to conduct initial and advanced ergonomic risk assessment to identify ergonomic risk factors involved among hot-work workers which cause the significant number of reports on ergonomic related health issues at hot works area from the year 2011 to year 2017. The initial and advanced ergonomic risk assessment had been conducted based on DOSH latest release of guideline on ergonomic risk assessment 2017 and all findings had been tabulated and analysed. Based on the intial ergonomic assessment, total score achived is 17.7 with main risk factors identified through the hot work acticties are including awkward postures, repetitive motions, static and sustained work postures, vibration, insufficient ventilation, exposure of noise and working in extreme temperature. Based on Advanced ERA conducted on selected 3 workers, the study shows Muscle Fatigue Assessment (MFA) with average score for risk level shown ‘High’ and ‘Very High’ categories, Rapid Entire Body Assessment (REBA) with average total score more than 10 which categorized as ‘High Risk’ and Quick Exposure Check (QEC) which shown the workers have very high risk for back and shoulder or arm parts with score level are between 29 to 40 for back static and  41 to 56 for shoulder and arm parts. Based on results of the assessment, company XXX recommended had been to conduct further investigation for improvements to determine effective control measure for the work process in order to reduce that risk level towards the hot work workers.


Author(s):  
Chen Zhou ◽  
Qun Yi ◽  
Huiqing Ge ◽  
Hailong Wei ◽  
Huiguo Liu ◽  
...  

Background: As inpatients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) are at increased risk for venous thromboembolism (VTE), identifying high-risk patients requiring thromboprophylaxis is critical to reduce the mortality and morbidity associated with VTE. This study aimed to evaluate and compare the validities of the Padua Prediction Score and Caprini risk assessment model (RAM) in predicting the risk of VTE in inpatients with AECOPD. Methods: The inpatients with AECOPD were prospectively enrolled from seven medical centers of China between September 2017 and January 2020. Caprini and Padua scores were calculated on admission, and the incidence of 3-month VTE was investigated. Results: Among the 3277 eligible patients with AECOPD, 128 patients (3.9%) developed VTE within 3 months after admission. The distribution of the study population by the Caprini risk level was as follows: high, 53.6%; moderate, 43.0%; and low, 3.5%. The incidence of VTE increased by risk level as high, 6.1%; moderate, 1.5%; and low, 0%. According to the Padua RAM, only 10.9% of the study population was classified as high risk and 89.1% as low risk, with the corresponding incidence of VTE 7.9% and 3.4%, respectively. The Caprini RAM had higher area under curve (AUC) compared with the Padua RAM (0.713  0.021 vs 0.644 ± 0.023, P = 0.029). Conclusion: The Caprini RAM was superior to the Padua RAM in predicting the risk of VTE in inpatients with AECOPD and might better guide thromboprophylaxis in these patients.


PeerJ ◽  
2021 ◽  
Vol 9 ◽  
pp. e11092
Author(s):  
Mutsuaki Edama ◽  
Hiromi Inaba ◽  
Fumi Hoshino ◽  
Saya Natsui ◽  
Sae Maruyama ◽  
...  

Background This study aimed to clarify the relationship between the triad risk assessment score and the sports injury rate in 116 female college athletes (average age, 19.8 ± 1.3 years) in seven sports at the national level of competition; 67 were teenagers, and 49 were in their 20s. Methods Those with menstrual deficiency for >3 months or <6 menses in 12 months were classified as amenorrheic athletes. Low energy availability was defined as adolescent athletes having a body weight <85% of ideal body weight, and for adult athletes in their 20s, a body mass index ≤17.5 kg/m2. Bone mineral density (BMD) was measured on the heel of the right leg using an ultrasonic bone densitometer. Low BMD was defined as a BMD Z-score <−1.0. The total score for each athlete was calculated. The cumulative risk assessment was defined as follows: low risk (a total score of 0–1), moderate risk (2–5), and high risk (6). The injury survey recorded injuries referring to the injury survey items used by the International Olympic Committee. Results In swimming, significantly more athletes were in the low-risk category than in the moderate and high-risk categories (p = 0.004). In long-distance athletics, significantly more athletes were in the moderate-risk category than in the low and high-risk categories (p = 0.004). In the moderate and high-risk categories, significantly more athletes were in the injury group, whereas significantly more athletes in the low-risk category were in the non-injury group (p = 0.01). Significantly more athletes at moderate and high-risk categories had bone stress fractures and bursitis than athletes at low risk (p = 0.023). Discussion These results suggest that athletes with relative energy deficiency may have an increased injury risk.


2021 ◽  
Vol 6 (1) ◽  
pp. 21
Author(s):  
Maita Sarah ◽  
Elyani Sembiring

The goal of understanding fall risk in the elderly, prevention and protection is to improve clinical and care satisfaction. Another anticipatory method that can be used to predict falling conditions is the assessment of the risk of falling in the elderly. The Hendrich Fall Scale (HFS) and Morse Fall Scale (MFS) are a form of assessment to anticipate the risk of falling in the elderly in nursing homes for patients. The aim is to determine the effectiveness of the Hendrich Fall Scale and the Morse Fall Scale with an assessment of the Risk of Fall in the Elderly. The research design used in this study is a longitudinal comparative design. The total sample in this study was 40 elderly. This research was conducted at the Nursing Home Foundation Guna Budi Bakti Medan Labuhan. Data collection using the Hendrich Fall Scale and Morse Fall Scale. Data analysis using Chi Square. Fall risk assessment using the Hendrich Fall Scale (HFS), elderly people with a high risk of falling (25.0%), moderate risk of falling (65.0%). Fall risk assessment used the Morse Fall Scale (MFS), the elderly who had a high risk of falling (39.1%), moderate risk of falling (47.8%). It is recommended that seniors at risk of falling should be assessed using the MFS instrument.


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