Influence of Working Conditions of Priority Sectors of the Economy of Kazakhstan on the Formation of Occupational Risks

Author(s):  
S.A. Bekeeva ◽  
◽  
N.G. Dzhumagulova ◽  
Zh.Kh. Esbenbetova ◽  
A.E. Tanabaeva ◽  
...  

Occupational risk assessment was carried out for the employees of 956 different professions of 20 enterprises under study in five sectors of the economy: construction, mining, manufacturing, agriculture, transportation, and warehousing. The study was conducted using the Methodological Recommendation on the implementation of the occupational risk management system at an enterprise. This Methodological Recommendation was developed by the Republican state enterprise on the right of economic management — Republican Scientific Research Institute for Labour Protection of Ministry of Labour and Social Protection of Population of the Republic of Kazakhstan. Occupational risks were assessed in the context of specific professions and structural divisions of the enterprises by five indicators: harmful working conditions, injury risk of the labor process, safety of production equipment, availability of personal protective equipment, and risk of morbidity. Based on the results of the assessment, the degree of individual occupational risk on each assessed indicator is determined by five gradations: I — acceptable risk, II — low, III — medium, IV — high and V — very high. According to the results of the occupational risk assessment, a high risk (4 degree) was established at the enterprises of mining, construction, agricultural industries, as well as transport, and warehousing industries. According to the results of equipment safety assessment, a high risk (grade IV) was identified at the enterprises of transport and mining industries. Due to the low provision with the personal protective equipment and its non-compliance with the certification requirements, a high risk is assigned to the enterprises of mining and construction industries. It is established that a high degree of occupational risk is due to the injury risk of working conditions, insufficient provision of personal protective equipment along with their low quality, the severity and intensity of the labor process accompanied by a high degree of the employees morbidity, as well as the use of the outdated equipment in production.

2019 ◽  
Vol 13 ◽  
Author(s):  
Katia Maria Rosa Vieira ◽  
Francisco Ubaldo Vieira Junior ◽  
Zélia Zilda Lourenço de Camargo Bittencourt

Objetivo: analisar as condições de trabalho percebidas por técnicos de Enfermagem e sua relação com acidentes envolvendo material biológico. Método: trata-se de um estudo misto, descritivo, transversal, realizado em um hospital público. Elencaram-se 275 profissionais que responderam a um questionário com perguntas relacionadas ao número de acidentes, percepção das condições de trabalho e sugestões para minimizá-los. Detalha-se que a pesquisa foi do tipo probabilística aleatória simples, com distribuição proporcional nas unidades e turnos de trabalho e os resultados apresentados a partir de relatos e tabelas. Resultados: declarou-se, por 210 técnicos, ter sofrido acidente de trabalho. Revela-se que as variáveis ritmo de trabalho estressante, monotonia e influência do trabalho na saúde tiveram significância estatística, e o uso de equipamentos de proteção individual e diminuição da sobrecarga foram as medidas mais indicadas pelos respondentes. Conclusão: indicou-se, pela análise, relação positiva entre sobrecarga de trabalho e acidentes com material biológico. Percebe-se que, apesar de a instituição disponibilizar equipamentos de proteção individual aos trabalhadores, há forte indício do não uso ou uso parcial. Podem-se subsidiar, pelo instrumento utilizado nesta pesquisa, ações gerenciais para readequações dos processos de trabalho. Descritores: Riscos Ocupacionais; Acidentes de Trabalho; Hospitais Públicos; Ambiente de Trabalho; Condições de Trabalho; Enfermagem.   ABSTRACTObjective: to analyze the working conditions perceived by nursing technicians and their relationship with accidents involving biological material. Method: this is a mixed, descriptive, cross-sectional study conducted in a public hospital. 275 professionals answered a questionnaire with questions related to the number of accidents, perception of working conditions and suggestions to minimize them. It is noted that the research was of simple random probability type, with proportional distribution in units and work shifts and the results presented from reports and tables. Results: 210 technicians claimed to have suffered an accident at work. It is revealed that the variables stressful work rhythm, monotony and influence of work on health were statistically significant, and the use of personal protective equipment and decreased overload were the measures most indicated by respondents. Conclusion: the analysis indicated a positive relationship between work overload and accidents with biological material. Although the institution makes personal protective equipment available to workers, there is strong evidence of non-use or partial use. It can be subsidized, by the instrument used in this research, managerial actions to readjust the work processes. Descriptors: Occupational Risks; Occupational Acidentes; Public Hospitals; Workplace; Working Environment; Nursing.  RESUMENObjetivo: analizar las condiciones de trabajo percibidas por los técnicos de Enfermería y su relación con los accidentes que involucran material biológico. Método: este es un estudio mixto, descriptivo, transversal realizado en un hospital público. Fueron listados 275 profesionales respondieron un cuestionario con preguntas relacionadas con el número de accidentes, la percepción de las condiciones de trabajo y sugerencias para minimizarlos. Se observa que la investigación fue de tipo de probabilidad aleatoria simple, con distribución proporcional en unidades y turnos de trabajo y los resultados presentados a partir de relatos y tablas. Resultados: 210 técnicos afirmaron haber sufrido un accidente en el trabajo. Se revela que las variables ritmo de trabajo estresante, monotonía e influencia del trabajo en la salud fueron estadísticamente significativas, y el uso de equipo de protección personal y la disminución de la sobrecarga fueron las medidas más indicadas por los encuestados. Conclusión: el análisis indicó una relación positiva entre sobrecarga de trabajo y accidentes con material biológico. Si bien la institución pone a disposición de los trabajadores equipos de protección personal, existe una fuerte evidencia de falta de uso o uso parcial. Puede ser subsidiado, por el instrumento utilizado en esta investigación, acciones de gestión para reajustes de los procesos de trabajo. Descriptores: Riesgos Laborales; Accidentes de Trabajo; Hospitales Públicos; Ambiente de Trabajo; Condiciones de Trabajo; Enfermería.


2020 ◽  
pp. 23-30
Author(s):  
N.V. Zaitseva ◽  
◽  
P.Z. Shur ◽  
V.B. Alekseev ◽  
A.A. Savochkina ◽  
...  

If we want to assess occupational risks predetermined by various health disorders among workers related to occupational factors and labor process factors, we need to examine whether additional methods can be applied here; these methods should allow not only quantitative determination of occupational risk but also its adequate categorizing. A procedure for risk assessment based on fuzzy sets analysis can be considered and applied for the matter. Suggested methodical approaches to occupational risk assessment based on this procedure involve step-by-step accomplishment of the following stages: determining fuzzy figures corresponding to preset occupational risk levels; preparing initial data (numeric characteristics of occupational risk) for calculations; probabilistic assessment whether a numeric characteristic of occupational risk belongs to fuzzy numbers; and estimated probability of belonging of occupational risk numeric characteristic. A basic instrument for implementing the procedure is determining a membership function for a trapezoid fuzzy number that estimates whether determined risk assessments belong to a specific risk category. We suggested a scale for assessing occupational risk levels, starting from negligible (0–1∙10-4) to extremely high (3∙10-1–1) and corresponding boundaries of trapezoid fuzzy interval (four figures that define a trapezoid number). The procedure was tested in a situation when occupational diseases (sensorineural hearing loss), work-related diseases (arterial hypertension), and their combinations were revealed under exposure to noise equal to 85 dBA; the tests allowed establishing that membership functions were equal to 1 for all risk levels determined as per results obtained via epidemiologic research.


2020 ◽  
pp. 23-30
Author(s):  
N.V. Zaitseva ◽  
◽  
P.Z. Shur ◽  
V.B. Alekseev ◽  
A.A. Savochkina ◽  
...  

If we want to assess occupational risks predetermined by various health disorders among workers related to occupational factors and labor process factors, we need to examine whether additional methods can be applied here; these methods should allow not only quantitative determination of occupational risk but also its adequate categorizing. A procedure for risk assessment based on fuzzy sets analysis can be considered and applied for the matter. Suggested methodical approaches to occupational risk assessment based on this procedure involve step-by-step accomplishment of the following stages: determining fuzzy figures corresponding to preset occupational risk levels; preparing initial data (numeric characteristics of occupational risk) for calculations; probabilistic assessment whether a numeric characteristic of occupational risk belongs to fuzzy numbers; and estimated probability of belonging of occupational risk numeric characteristic. A basic instrument for implementing the procedure is determining a membership function for a trapezoid fuzzy number that estimates whether determined risk assessments belong to a specific risk category. We suggested a scale for assessing occupational risk levels, starting from negligible (0–1∙10-4) to extremely high (3∙10-1–1) and corresponding boundaries of trapezoid fuzzy interval (four figures that define a trapezoid number). The procedure was tested in a situation when occupational diseases (sensorineural hearing loss), work-related diseases (arterial hypertension), and their combinations were revealed under exposure to noise equal to 85 dBA; the tests allowed establishing that membership functions were equal to 1 for all risk levels determined as per results obtained via epidemiologic research


2021 ◽  
Vol 37 (2) ◽  
pp. 3-8
Author(s):  
O. Kruzhilko ◽  
N. Volodchenkova ◽  
O. Tokar ◽  
V. Maistrenko

Objective: to develop and theoretically substantiate such an approach, which should ensure the creation of information and calculation-analytical basis for planning and implementation of effective preventive measures aimed at minimizing occupational risks in the workplace. Various approaches to the calculation of occupational risk are analyzed, primarily those based on the results of the assessment of working conditions in the workplace on the indicators of production factors (certification of jobs). Among the general shortcomings of the methods that use the results of job certification, the main ones should be noted: the probability of violation of the measurement method, insufficient objectivity in the assessment of production factors, the long period between measurements, high cost. It is noted that the main tasks that need to be addressed are: the formation of information databases for calculations, development of assessment methods and the involvement of qualified experts. A method of occupational risk assessment is proposed, the peculiarity of which is taking into account the results of measurements of the levels of production factors and expert assessments. As a result of calculations, the calculated value of occupational risk for a particular profession allows us to draw a conclusion about the extent to which working conditions meet current regulatory requirements. Conclusions: the proposed approach provides incentives for employers to ensure safe and harmless working conditions, as well as active involvement of employees in solving problems of labor protection. As promising areas for improving the assessment of occupational risks noted: the introduction of a flexible mechanism for systematic survey of working conditions in the workplace, justification of levels of gradation of occupational risk, the introduction of modern information systems for accounting and analysis of production factors in dynamics.


2021 ◽  
Vol 3 (1) ◽  
pp. 337-346
Author(s):  
Monika Kozińska ◽  
Norbert Radek ◽  
Andrzej Rozlach ◽  
Magdalena Mazur

Abstract The paper presents issues related to the analysis of the position of a forklift operator.Hazards at the workplace were presented and risk estimation was carried out using the matrix method on the position of a forklift operator. The risk assessment using the matrix method was performed in accordance with the PN-N-18002: 2011 standard. The hazards at the forklift operator’s workplace were identified and the occupational risk was assessed. In addition, the employee’s personal protective equipment and security factors are also presented, which have been defined to increase the safety of work with forklifts.


Author(s):  
Galina V. Kurenkova ◽  
Natalia A. Sudeikina ◽  
Elizaveta P. Lemeshevskaya

Introduction. Professional groups of railway workers engaged in the repair of wagons are directly responsible for the safety of railway traffic. The analysis of literature testifies to insufficient attention of researchers to the hygienic problems associated with labor activity of workers of wagon-repair production.The aim of the study is to assess the occupational risk to the health of wagon repair workers, due to the impact on them of factors of the working environment and the labor process.Materials and methods. The study used comprehensive hygienic studies using the methodology of occupational risk to worker’s health.Results. The leading factors of the working environment (class of working conditions 3.2–3.4), which are exposed to workers depending on the specifics of the work performed. Identified professional groups with medium (significant) high (unbearable) and very high (intolerable) category of a priori occupational risk: in wagon meintenance workshop — 17 groups (94% of jobs), in a wagon assembly workshop — 11 groups (80% jobs), in wagon wheel workshop — 3 group (100% jobs). At the same time, according to the request for medical care, employees were diagnosed with isolated cases of occupational diseases.The levels of morbidity with temporary disability of employees of the main workshops are statistically significant (p<0.05) higher than those of the control group in 1.4–1.9 times. The influence of the complex of chemical factors of low and medium intensity on the levels of morbidity of respiratory diseases in the group of workers of the wagon wheel workshop, which were 1.7–2.0 times higher than in the control group, is confirmed by the average degree of causation of the production condition of this pathology (RR=1.7; EF=42.0%).The combined effect of vibration and severity of the labor process forms a high level of temporary disability of employees of the main workshops in connection with diseases of the musculoskeletal system, which was 2.7–4.4 times higher than in the control group, and also determines the prevalence of this pathology in the structure of diseases detected on medical examinations (23.2%). Diseases of the musculoskeletal system are caused by the production of employees of the wagon meintenance workshop (RR=3,9; EF=74,9%), as the most unfavorable in terms of hygiene on these factors.The stressful influence of the complex of harmful production factors on the health of wagon repair workers is manifested by the high risk of diseases of the cardiovascular system, gastrointestinal tract, neurological disorders, violation of adaptation of the cardiovascular system in 97% of the examined, as well as the predominance of diseases of the digestive system and circulatory system detected on periodic medical examinations.Conclusions. Harmful working conditions (class 3.1–3.4) cause the suspected occupational risk from small (moderate) to very high (intolerable) to 100% of the jobs of wagon repair workers. The results of the study of morbidity and risk of pathology indicate a significant risk of damage to the health of workers.


Endoscopy ◽  
2020 ◽  
Author(s):  
Alanna Ebigbo ◽  
Christoph Römmele ◽  
Christina Bartenschlager ◽  
Selin Temizel ◽  
Elisabeth Kling ◽  
...  

Abstract Background Infection prevention strategies to protect healthcare workers in endoscopy units during the post-peak phase of the COVID-19 pandemic are currently under intense discussion. In this paper, the cost-effectiveness of routine pre-endoscopy testing and high risk personal protective equipment (PPE) is addressed. Method A model based on theoretical assumptions of 10 000 asymptomatic patients presenting to a high volume center was created. Incremental cost-effectiveness ratios (ICERs) and absolute costs per endoscopy were calculated using a Monte Carlo simulation. Results ICER values for universal testing decreased with increasing prevalence rates. For higher prevalence rates (≥ 1 %), ICER values were lowest for routine pre-endoscopy testing coupled with use of high risk PPE, while cost per endoscopy was lowest for routine use of high risk PPE without universal testing. Conclusion In general, routine pre-endoscopy testing combined with high risk PPE becomes more cost-effective with rising prevalence rates of COVID-19.


2021 ◽  
Vol 9 ◽  
pp. 205031212110470
Author(s):  
Yuji Nadatani ◽  
Akira Higashimori ◽  
Shingo Takashima ◽  
Hirotsugu Maruyama ◽  
Koji Otani ◽  
...  

Objectives: Endoscopy confers high risk for acquiring coronavirus disease 2019. Although guidelines recommend that medical staff use personal protective equipment, no infection control equipment have been established for patients. This study aimed to clarify the usefulness of two face masks we had designed for transnasal and transoral endoscopy. Methods: The efficacy of the masks was evaluated by simulating coughing in a mannequin with fluorescent dyes and mapping the droplet trajectory and number. The number of aerosols generated during endoscopy was clinically evaluated in the endoscopy room. Overall, 4356 screening endoscopies were performed with the patients wearing our masks at Medcity21, a health checkup facility, between June and December 2020; the effects of the masks on the patient’s condition were evaluated retrospectively. An 11-item paper-based survey was performed by the endoscopy staff 6 months after the adoption of the mask-based infection control method. Results: Use of both masks reduced the number of droplets released during the simulation. Clinically, the use of both masks did not affect the patients’ conditions during endoscopy and prevented an increase in the aerosols in the endoscopy room. This mask-based infection control method was favorably received, and all staff indicated that understanding the efficacy of our mask-based infection control reduced their anxiety regarding infection. Until December 2020, none of our staff had contracted SARS-CoV-2. Conclusion: Our mask-based infection control method is easy to adopt, inexpensive, and effective; understanding its effectiveness may help ease the fear of infection among endoscopy staff.


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