Journal of Health and Safety at Work

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Introduction: Workers employed in outdoor occupations such as farm working, especially during rice harvest, are exposed to hot and humid environments that put them at risk for different kinds of heat-related disorders or heat stress. The aim of this study was to determine the susceptibility to heat-related disorders and prevention methods among a group of agriculture workers in one of the northern cities in Iran.

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Method and Materials: This study is a descriptive-analytical and cross-sectional study which was done among 340 agricultures workers in a city (Sorkhrood) in Mazandaran province. The samples were collected from 42 villages using two stage cluster-randomized sampling method. The data were collected by means of tailor-made data collection sheet and analyzed using descriptive statistical indexes and Chi- square test, and p<0.05 was considered as significant.

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Results: The findings indicated that the mean values of age and years of experience were 42.8 and 26 years, respectively. Almost half of the agriculture workers were overweight or obese, 34% illiterate, and 15% encountered chronic illnesses. Ninety five percent of the workers were not informed about prehydration in hot environment and none of them know about the consumption of electrolytes. According to Chi-square test result, there were no significant differences between the prevalence of headache as one of the early signs of heat –related disorders and other related factors.

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Conclusion: According to the results, agriculture workers based on their age distribution, education, body mass index, health knowledge, drug use and incidence of chronic diseases, are very vulnerable to heat-related disorders. Therefore, training on recognizing the early signs and doing control measures as essential element in heat stress prevention should be seriously considered.

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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: Global Harmonized System (GHS), is a system for labeling chemicals. The aim of present study was to investigate the effect of rapid training intervention on student’s awareness toward Global Harmonized System.  
Material and Methods: This research was a descriptive-analytical and cross-sectional study conducted among 317 students of Public Health and Allied Medical Sciences faculties of Qazvin University of Medical Sciences in 2016 year. Sampling was done in a random base among the study population.  A general demographic and a global system labeling questionnaires were used for data collection. Training intervention for familiarization with the chemical safety labels, types of chemicals hazardous was implemented using a rapid training method and PowerPoint tool. Data analysis was performed by T-Tests, ANOVA and T-Paired using the SPSS version 18.
Results: Allied medical sciences students with an average of 48.31% before training and occupational health students with an average of 94.44% correct answers after the training have the highest awareness on global harmonized system (GHS). The findings also showed that training has a significant effect on the awareness on the international labeling system.
Conclusion: The present study showed that initial awareness of the students is low concerning the global harmonized system. So, the prevention of serious accidents in the laboratory environment, the implementation of a short training course would play a significant role in raising students’ awareness about chemical hazards and will control unsafe behaviors during laboratory works.

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Introduction: Changing the national System of Classification and Labelling of Chemicals to Globally Harmonized System of Classification and Labelling of Chemicals (GHS) is beneficial for all the industries of the countries, their workers and the general public. Increasing the awareness of chemical hazards, improving the safety uses, reducing chemical accidents, and providing better conditions for emergency response in the event of chemical accidents, are some of the most important benefits of the GHS. Present study aimed to develop a tool for assessing the awareness level of chemical related personnel using the GHS and current status.  
Material and Methods: By reviewing the literatures, the GHS Guide, available sources and consultation with experts, two questionnaires were developed to assess the level of awareness of chemical related personnel and current statue. The two designed questionnaires included personal information, multiple choice questions and questions related to safety signs. The face and content validity was conducted using the experts’ panel assessment. The face validity, content validity ratio (CVR) and content validity index (CVI) were all calculated for each question.
Results: Content Validity Ratios (CVR) and Content Validity Index (CVI) were calculated for each question. The general clarity, general fit and general simplicity of the awareness questionnaire (questionnaire number 1) were obtained 0.87, 0.91 and 0.77, respectively. The mean content validity index and the mean content validity ratio were obtained 0.85, 0.85, respectively. The overall clarity, overall fit, and the general simplicity of the current status questionnaire (questionnaire number 2) was 0.92, 0.89 and 0.93, respectively. The mean content validity index and mean content validity ratio were obtained 0.92 and 0.81, respectively.
Conclusion: The two questionnaires used to assess the awareness level of chemical related personnel and current statue of GHS, were identified as valid instruments and therefore is recommended as a valid tool for future studies.

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Introduction: Safety situation awareness is an important element affecting operator's reliability and safety performance, which is influenced by various variables. Identification of these variables and their relationship will play a major role in optimizing control measures. The present study was conducted for this purpose.
Material and Methods: This study was based on the situation awareness, expert’s opinions and use of a Fuzzy multi-criteria decision-making method. Triangular fuzzy numbers was used to quantify the experts' judgments and to reduce the errors that result from theirs’ subjective evaluation on the relationships between the variables.
Results: The results showed that the studied organizational variables together with "safety/g knowledge" and "experience in job/specific task” are the most important predictive variables of situation awareness. Among the organizational variables, "Organizational Safety Attitudes", "Safe System Design" and "Education" are the most important determinants of safety situation awareness.
Conclusion: Fuzzy logic was used to aggregate expert opinions to determine the most important variables affecting situation awareness and their cause-effect relationships. Organizational variables are the main determinants of situation awareness. To improve situation awareness, the best results are obtained by modifying effective root variables, i.e., organizational variables and some individual variables.

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Introduction: Prevention of heat-related diseases requires the participation of the workers. For this reason, the aim of this study was the development and validation of the tools for evaluating awareness and practice related to heat stress among the workers of warm workplaces.
Material and Methods: The various items and factors related to the awareness and practice of the workers were identified by the literature review. Then, several questions for evaluating these items were designed. In the next step, the reliability and validity of the questionnaires were appraised using calculating the content validity ratio (CVR) and content validity index (CVI), and Cronbach’s alpha coefficient, respectively. After that, these questionnaires were completed by 2338 employees of six industries in various regions of Iran. Finally, collected data were analyzed using SPSS software.
Results: In total, 77 questions, including 53 questions on awareness and 24 questions on practice in six groups of water and beverages, food, snacks and additives, heat exchange, thermal strain risk factors, clothing and heat protection equipment, and heat-related disorders and body reactions, were designed. The values of content validity index (CVI) of remained questions in the questionnaires of awareness and practice were equal to 0.954 and 0.824, respectively. The values of Cronbach’s alpha coefficients of these questionnaires were calculated by 0.755 and 0.716, respectively. The values of the chi-square divided by degrees of freedom (CMIN/DF) and root mean square error of approximation (RMSEA) in the construction of the awareness questionnaire were computed as 4.58 and 0.079, respectively. These values in the construction of the practice questionnaire were calculated by 2.33 and 0.084, respectively.
Conclusion: The results showed that the designed questionnaires had appropriate reliability and validity and could be used to evaluate the awareness and practice in warm workplaces.