How to Improve Safety Commitment: A Case Study on a Plastic Manufacturer in East Java

Introduction: Every year, work accidents frequently occur at PT. X. The initial survey showed a lack of control and commitment to be the main problems. Commitment is the core of the implementation of Occupational Health and Safety (OHS). This study aims to determine the factors that can increase safety commitment of workers. Method: This study used a quantitative approach with a cross-sectional design. In this study, the independent variables were age, gender, years of service, education level, safety motivation, management of safety commitment, safety communication, and social support. Meanwhile, the dependent variable was the safety commitment. 78 workers were selected using a simple random sampling technique from a population of 395 workers. Questionnaires were used to collect data. Data analysis used a multinomial logistic regression test. Results: 64.1% of workers were aged 41-51 years old, 56.4% were females, 82.0% had >10 years of service, 75.6% had a secondary education level, 56.4% had high safety motivation, 57.7% assessed management commitment to safety as low, 59.0% assessed safety communication as less, 52.6% had high social support, and 37.2% tended to have continuous safety commitment. Characteristics of workers (age, gender, years of service, education level), safety motivation, and social support did not affect safety commitment. Meanwhile, management commitment to safety (p=0.004) and safety communication (p=0.014) affected safety commitment of workers. Conclusion: The way to increase workers' commitment to safety is to increase the company's commitment to OHS and improve safety communication efforts.Keywords: management commitment to safety, safety commitment, safety communication

The Implementation of the POPMAR (Policy, Organising, Planning and Implementing, Measuring Performance, Audit and Reviewing) Model in Occupational Health and Safety Risk Management in an Indonesian Batik Company

Introduction: In 2009, UNESCO declared Batik Indonesia as an Intangible Cultural Heritage of Humanity. This study examines the occupational health and safety hazards and risks that arise in a Batik company based on a case example of a Batik company in Surakarta, Indonesia. In Indonesia, Batik is categorized as traditional attire. Two kinds of Batik are produced - Batik tulis (traditionally handcrafted) and Batik printing, which uses specific printing tools. The UK Health Safety Executive (HSE) risk assessment framework is referred to in this study, which consists of: hazard identification, population exposure, risk evaluation, precaution development, recording findings, and regular appraisal of systems. Methods: Both observation and interviews (of workers) at the Batik company were utilized for this study as well as an independent risk assessment. Results: The findings highlighted physical, ergonomic, chemical, mechanical, and biological hazards, originating from the materials, tools, and working methods utilized in the batik production. Conclusion: Many of the issues highlighted by this study can be addressed via in-depth risk assessment, using the POPMAR model to frame the activities. This approach can create a positive pathway, leading to a continuous cycle of improvement which puts the workers’ health at the forefront of the business activities.Keywords: Batik, workers, hazard identification, HSE Model, risk management

The Relationship between Duration of Benzene Exposure with Liver Enzymes in Car Painting Workshop Workers

Introduction: Benzene is a carcinogenic compound that can be found in a car painting workshop in Surabaya. The source of benzene in the car painting workshop comes from thinners. Inhalation is the main route for benzene to enter the body. The duration of benzene exposure can affect the accumulation of benzene concentrations. If work safety is not considered, the benzene compound can cause the liver disease. Furthermore, SGOT and SGPT are basic parameters of liver function. The study aims to determine the relationship between the duration of benzene exposure with SGOT and SGPT levels in car painting workshop workers. Method: observational research with a cross-sectional approach was applied as the method of this study. The research was conducted in a car painting workshop in 2019 with 20 workers. The variables were the duration of benzene exposure (hours/day) and levels of SGOT and SGPT. Data analysis used the Fisher's Exact Test and Coefficient Contingency test. Results: Workers worked with a duration of benzene exposure ≤ 8 hours/day by 70% and > 8 hours/day by 30%. The measurement results exceeded the normal limit with the value of SGOT of 15% and the SGPT of 30%. Furthermore, the Sstatistical test show p-values between the duration of benzene exposure and SGOT (0.202) and SGPT (0.303), body weight with SGOT (1.000) and SGPT (1.000), education with SGOT (0.199) and SGPT (0.182) and alcohol consumption with SGOT (1.000) and SGPT (1.000). Conclusion: There was no relationship between the duration of benzene exposure with SGOT and SGPT levels in car painting workshop workers in Surabaya with a p-value >0.05.Keywords: car painting workers, duration of benzene exposure, SGOT, SGPT

Correlation between Individual Characteristics and Work Position with Work Fatigue on Workers

Introduction: Work fatigue is a condition of decreased efficiency and resilience of workers, which can interfere the companys’ productivity. Job fatigue can be caused by the performance, duration, and effort (work position) of the workers. Based on the observations, workers at the expedition sub units of PT X needed to lift 200 to 400kg heavy loads. The activity of lifting very heavy weights can cause fatigue. One form of physical fatigue indicators is an increase in lactic acid in the blood. The purpose of this study was to analyze the correlation between workers’ characteristics and work position with work fatigue among workers in the expedition sub units of PT X. Methods: This research was a quantitative study with a cross sectional design. The population of this study was 36 people. This research used total sampling. The independent variable were individual characteristics and work position as measured using REBA tools, and the dependent variable was work fatigue as measured using lactic acid levels in blood. Data was analyzed using statistical tools to obtain the value of correlation coefficient between variables. Result: The results showed that there was a weak positive correlation between workers’ characteristics and physical fatigue. The results showed that the coefficient value between work position and physical fatigue was 0.354. The coefficient figure indicated a weak positive correlation between work position and work fatigue. Conclusion: There was a correlation between work position and work fatigue in workers.Keywords: ergonomics, lactic acid, REBA, work fatigue, work position .

Efforts to Control Potential Hazards of Working at Height at a Gresik Fertilizer Company, Indonesia

Introduction: As one of the largest fertilizer industrieswith high competitiveness and high interest from consumers, the Gresik Fertilizer Company has various potential hazards that can cause workplace accidents, one of which is the danger of working at height. This study aims to determine the Occupational Safety and Health (OSH) programs and the application of hazard control of working at height in the Gresik Fertilizer Company. Methods: This study used a descriptive analysis method with a cross sectional study design. The variables studied were the hazard control efforts, the procedures to control the hazard, and the application of the hazard control process of working at height. Data collection techniques derived from secondary data in the form of company’s documents, and the data analysis method used in this study was in the form of qualitative method. Results: the Gresik Fertilizer Company has several OSH programs for the control of hazard of working at height with a success rate of 90%, have control methods of working at height with a success rate of 90%, and have guidelines for working at height with a success rate of 85%. Conclusion: The Gresik fertilizer company has OSH programs to control working at height, has hazard control methods for working at height, and guidelines for working at height.Keywords: control efforts, fertilizer company, working at height hazards

Relationship of Noise and Individual Characteristics with Blood Pressure of Workers in the Production Area of a Heavy Equipment Component Company in Tegal

Introduction: Noise is any unwanted sound in the work environment that comes from production machines that can cause various health problems. Noise can also cause an increase in blood pressure as a physiological reaction of the body. Apart from the noise factor, an increase in workers' blood pressure can also be triggered by several factors such as worker characteristics (worker’s nutritional status, work experience and work duration). The purpose of this study is to examine whether there is a relationship between noise and worker characteristics and blood pressure. Methods: The design of this study was cross-sectional with a descriptive observational method. The sample in this study was the total population of workers in the company's production area, as many as 42 respondents. Workers' blood pressure was measured before and after work, work environment noise was measured using sound level meter, and questionnaires were used to determine individual characteristics. Results: The increase in blood pressure before and after work occurred most in the unit with the highest noise intensity. The increase in blood pressure before and after work also occurred in the categories of the longest work period and the longest work duration in a day. Conclusion: There was a strong correlation between noise and systolic blood and a weak relationship with diastole. Nutritional status had a weak relationship with blood pressure. Period of work and blood pressure had a moderate relationship, and duration of work and blood pressure had a strong relationship. Keywords: blood pressure, individual characteristics, noise

Factors Related to Work Stress among Health Office Employees during Covid-19 Pandemic

Introduction: Study related to work stress is usually more focused on the industrial sector. Meanwhile, workers in other sectors such as the government organization also have the potential to feel stressed due to their job. During the COVID-19 (Coronavirus Disease) pandemic, Health Office is one of the main stakeholders in handling and preventing COVID-19. The COVID-19 pandemic can cause work stress due to unachieved health programs and huge demands to develop programs related to this pandemic. This study analyzed the relationship between individual factors, work factors, and factors outside of work with level of work stress among Health Office employees. This study is expected to be able to analyze work stress and its determinant as early as possible. Methods: This study was a cross-sectional study using the Depression, Anxiety, Stress Scale 42 (DASS-42) and NIOSH (National Institute for Occupational Safety and Health) Generic Job Stress Questionnaire instrument. This study was conducted at the Public Health Office Bogor Regency April 2021. This study used total sampling method on employees of the Public Health Office Bogor Regency with total sample collected of 135 respondents. Data analysis in this study was performed using multiple logistic regression. Results: 86.67% of respondents did not experience work stress, 5.93% of respondents had mild work stress, and 7.41% of respondents experienced moderate work stress. Moreover, workload (p = 0.0001) and social support (p = 0.011) had a significant relationship in increasing work stress. Conclusion: Workload was the most dominant variable affecting work stress in which workers who had high subjective workload were 33.63 times more stressful compared to workers who had the appropriate workload. Prevention of occupational stress can be done by adjusting workloads and building a good social environment between colleagues.Keywords: factors outside of work, health office, individual factors, work factors, work stress

Occupational Health and Safety Risk Assessment on Informal Workers in Ogan Ilir, South Sumatra

Introduction: One of the blacksmith industry centers in South Sumatra is in Limbang Jaya I, Ogan Ilir. Informal businesses such as blacksmiths are businesses that do not have operational standards in their work processes. Various risks from the work process can, therefore, arise, from injury to hearing loss. Therefore, it is necessary to carry out risk analysis in the work of blacksmith sector using Preliminary Hazard Analysis. Methods: This study used a descriptive research method with a qualitative approach through in-depth interviews, hazard checklists, and PHA worksheets. There were 12 informants in this study consisting of 4 key informants and 8 blacksmith worker informants. Results: The results showed that the hazards identified based on the work process were physical hazards, chemical hazards, ergonomic hazards, and psychosocial hazards. The efforts could be made by performing audiometric checks on workers, working time arrangements, stretching before and after work, and the use of Personal Protective Equipment (PPE). Conclusion: Based on the results of risk ranking, it is known that out of 34 lists of hazards that existed in the blacksmith's work process in Limbang Jaya 1 Village, there were 8 types of hazards included in the high risk group, 12 hazards included in the serious risk group, 12 hazards included in the medium risk group, and 2 hazards included in the low risk group.Keywords: blacksmith, preliminary hazard analysis, risk management

Literature Review: Factors Causing Hearing Loss Due to Noise in Industrial Workers

Introduction: Industry is a place where many individuals work. In the industrial field, one can do work by utilizing. However, high-tech applications can cause noise in industrial areas. The discomfort of this sound may indirectly pose a risk of health problems, including hearing loss. Methods: The method used in this study was a literature review study with an in-depth review of the articles through an electronic article data base with the keywords noise, hearing loss, and industrial workers. Then, a screening was carried out based on articles that have been published in a period of five years, and the sorting of articles was conducted according to the inclusion criteria, namely primary data research with cross sectional design, not descriptive research. Results: The journal research phase resulted in up to 101 papers, with 51 papers screened under pre-determined conditions. Then, sorting based on inclusion criteria resulted in 28 items. Finally, as many as 11 relevant articles and the full text were obtained as a result. Based on the review of the article, it is known that hearing loss that occurs among industrial workers is influenced by several problems in the industry such as the absence of noise measurements, the absence of ear health checks for workers, and the unavailability of ear protection equipment. Conclusion: Based on the review of the articles, it is known that hearing loss is caused by high noise levels. Besides, there are other factors that can affect hearing loss in workers such as age, working period, use of ear protection equipment, and a history of ear disease.Keywords: hearing loss, industry, literature review, noise

Exploring the Determinants of Intention to Quit and Awareness Regarding Ill Effects and Control Policies of Tobacco among Health Workers of a Tertiary Care Hospital in North India

Introduction: Sociodemographic factor, awareness of the health effects and legislative law can lead to an increase in cessation of tobacco. Tobacco related knowledge and awareness are found to be better in people working in the health care sector as compared to the general population. The objective of the study was to find the prevalence of quitting rate amongst the health workers and perceived harmful effects on health, tobacco types and awareness of the anti -smoking legislation law in India among the health care workers working in a tertiary care hospital. Methods: A cross-sectional study was conducted among 306 hospital staff (196 housekeeping staff and 110 nursing orderlies) at a tertiary care hospital of Faridabad in 2018. Convenience sampling was conducted, and data were collected through pre tested semi structured questionnaires on sociodemographic details, awareness of ill effects of tobacco and intention to quit. Results: Among 133 current tobacco users, intention to quit smoking was present in only 96 respondents (72.18%). There was association between age, marital status and type of family with the intention to quit. 63 respondents (21%) were unaware that smoking causes lung cancer and 115 (38%) of the total respondents did not consider smokeless tobacco as a causal risk factor for cancer. A total of 180 respondents (58.8%) were not aware of anti-tobacco control laws in India. Moreover, it was found that health concern was commonest reason of intention to quit. Conclusions: Intention to quit tobacco among study participants was low, so there is need to look for knowledge gaps about harms of different types of products and anti-tobacco legislation. More comprehensive tobacco cessation services should also be prioritized in the heath sector.Keywords: awareness of ill effects, COTPA, India, intention to quit, tobacco