Journal of Health and Safety at Work

Introduction: Exposure to crystalline silica in the construction workers such as miners and diggers are widespread. Exposure to respirable silica (quartz) can results in silicosis. The goal of this study was to determine the contribution of each workers and component task to total dust and respirable quartz exposure in the tunnel of metro.

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Method and Materials: The assessment of crystalline silica and total dust was performed according to standard procedure ( NIOSH 7601).

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Results: Both total dust and quartz levels were high. The results of total dust in the digging process (37.63± 0.76 mg/m3) were higher than in the cement work ( 9.88 ± 0.80 mg/m3). The maximum 8 h time-weight average concentration for quartz was found among the digging workers (0.407± 0.006 mg/m3) , followed by the barbed workers (0.11 ± 0.008 mg/m3).

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Conclusion: It can be concluded that the total dust contains high amounts of crystalline silica and it is responsible for the occupational exposure to quartz in n construction workers. Thus, it is to be expected that the construction workers will suffer negative health effects due to exposure to the quartz dust.

Introduction: Risk assessment of Toxic or hazardous chemicals enables the Industrial Hygienists to make the appropriate decision in providing healthy work place. This project was conducted in an assembling plant,(4workshop) of an Automobile Industry in IRAN with 2 types of welding operations, including GMAW (CO2 welding) and Spot resistance welding operations.

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Method and Materials: Welders` exposures were assessed via collecting 143 breathing zone air samples based on NIOSH 0500 method. Risk assessment was carried out using Singapore recommended method.

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Results: Finding showed that the mean of welders exposure in GMAW and Spot resistance welding operations 5.61 ± 5.78and 2.38± 2.15 mg/m3, respectively(p<0.05). The results showed that in GMAW welders had the highe exposure in comparison with Spot resistance welders (p<0.05). The findings also demonstrated that the risk rate of GMAW welders were high, while this rate for Spot resistance was low.

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Conclusion: more hygienic attention is needed for GTAW welders. Control approaches are required including effective engineering control, conduct air monitoring, biological monitoring training, adopt respiratory protection program, develop and implement safe and correct work procedures and finally reassess the risk after all the controls have been done.

Introduction: Heat stress is considered as physical hazard, in working environments. The effects of working in hot environment include: muscle cramp, fatigue, loss of consciousness, perception and heat exhaustion.The purpose of this study was to evaluate heat stress and identify hazardous workstations in terms of heat stress in one of the Teheran's forging industries, using WBGT index.

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Methods and Materials: This Cross-Sectional study has been done in one of the forging industries of Tehran on five successive days during the warmest period in Summer 2010. for measurements, a calibrated WBGT meter according to ISO7243 standard was used. All workers who were exposed to radiant heat in this industry, had more than 3 years continuous work history, So they were well accommodated to the environment. For statistical analysis SPSS14 and Exell2007 software were used.

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Results: In this study, the WBGT of all workstations in the exposed to the furnace were estimated. the workstations average WBGTTWA were calculated 27.97°C, Which were higher than the threshold limit value according to ACGIH recommendation. The ANOVA and Post hoc(LSD) tests showed significant difference in the radiant heat (P-value<0.01), and WBGT index (Pvalue<0.05), between three different heights of the body. The observed differences between head and waist were not significant, but the difference between two heights and the ankle were significant.

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Conclusion: Heat stress in workers exposed to the radiant heat sources were higher than the Threshold limit value, which recommended by ACGIH. The results also indicated that the main problem were the radiant heat, especially in the head and waist height. Hence in order to decrease the radiant heat, some control solutions were Suggested.

Background and Aim: According to the biorhythm theory when the phase shift from positive to negative and vice versa people experience a critical an unstable day that prone them to error and accident. The purpose of this study is to determine this relationship in one of the automobile manufacturing industry.

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Materials and Methods: At first 1280 person incident entered the study was reviewed and then the critical days of each biological cycle was determined using the software Easy Biorhythm Calculator for all persons.

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Results: This study showed that the frequency of accidents in critical days and negative section of physical cycle was more than expected. Also the frequency of accidents in critical days and negative section of emotional and intellectual cycles was less than expected.

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Conclusion: This study showed that the frequency of accidents in critical days and negative section of physical cycle was more than expected. Also the frequency of accidents in critical days and negative section of emotional and intellectual cycle was less than expected. Due to the physical nature of the work activities in the automobile manufacturing industry can be stated that the study showed that in physical work activities, frequency of accidents in critical days and negative section of physical cycle in which the person is not physically ready to do the job was more than expected.

Introduction: The purpose of this study was prioritizing the noise control methods using Analytic Hierarchy Process (AHP) technique in Hamadan glass industry.

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Material and Method: This is a cross-sectional – descriptive - analytical study. According to a survey of experts by questionnaire and Delphi method four criteria were selected including cost, efficiency, executive capability and not to interfere in the process and eleven alternatives for control options. Prioritizing of the items was conducted based on the study criteria as well as the importance ranking determined in this study.

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Result: The results showed all that consistently Ratios were less than 10 % and compatibility of answers has been confirmed. According to expert’s views, the criteria of executive capability (0.277) and using the barrier between the two main sections (0.111) have achieved the highest priority among the criteria and control methods, respectively.

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Conclusion: In this study a pattern of decision-making structure was introduced based on Analytic Hierarchy Process for determining the method noise control. This method can improve the decision making process and prioritizing noise control methods as an efficient and effective approach.

Introduction: work related musculoskeletal disorders are the most wide spread type of occupational diseases among workers. Awkward body postures during work and manual material handling are among the most important risk factors of musculoskeletal disorders in different jobs. Due to importance of recognizing these factors prevalence and risk factor of work related musculoskeletal disorders, this research was aimed to study the among employees of Kashan City’s Saipa automobile industry in 2011.

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Material and Method: This study is a descriptive-cross sectional study conducted among workers with manual material handling 37 activities and 84 work duties. To recognize musculoskeletal disorders, body map questionnaire was applied and occupational risk factors were evaluated using Key Index Method (KIM). Data was analyzed using SPSS and Excel software.

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Result: Highest prevalence of musculoskeletal disorders was in low and upper back region (%92). Based on the results from KIM, workers in the installing the tire, shuttle-aided fitting of seat, and engine work station had higher risk level with the scores of 66, 52 and 52, respectively. Risk level among three individuals (%3.6) was at 1, 40 (%47.6) at 2, 38 (%45.2) risk level 3, and 3 (%3.6) at 4.

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Conclusion: Awkward body posture, improper twisting and flexion of low back were major risk factor among worker doing manual material handling tasks. Regarding the high prevalence of musculoskeletal disorders, appropriate ergonomic interventions such as engineering and organization interactions can reduce this risk factors (posture, heavy load, duration, workplace conditions) as much as the risk level reach to an acceptable level.

Introduction: Agriculture is one of the oldest jobs in the world and almost 7-2 billion people all over the world are working in this field. In the field of agriculture workers may be always in danger, due exposure to various chemical and physical factors. Despite the dramatic technological developments in agricultural science, this field is still among one of the most dangerous workplaces in the world.

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Material and Method: This study is conducted in the suger cone industry. It is about agricultural machines and their major role in noise production. In order to identify the dominant- source index model was proposed.

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Result: All the agricultural machines were classified and the main characteristics of each group such as type of the machines, their number, the number of operators, and existence of cabin, were determined. Also operator's annual exposure to noise was measured according to the international standards. The data was analyzed with the proposed model formula, and the noise – source indices were calculated.

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Conclusion: The results show that the suger cane reaper poster case I H7000 has the highest noise- production index among all other agricultural equipments. So the suger cane reaper was identified as the main source of sound production in the agricultural industry. This machine in usually being used in harvesting the suger can farms. After identifying this device as the main source of sound in the suger can farming industry, a sound – controlling method was proposed in order to reduce the operator exposure in the caloin. First a fall, the noise frequently of the inside and outside of the cabin was analyzed in case the engine speed was 2100 rpm. After identifying the dominant frequency, the capacity of cabin sound reduction was determined with the usage of cabin transferring reduction index the proposed control method was based on increasing the absorption of the cabin. The results shows that the  Sound pressure level indices in the dominant frequencies of 125, 250, 500, 1000, 1000.2, 90.3 were respectively 100.2,90.3, 86.6,83.6 but after performing the control method the numbers were reduced to 82.1,75.2,80.5,80.2 in the other hand. Sound pressure level in frequencies of 8000, 4000, 2000 was below the permutable limit and does not cause significant dangers. So there will be no need for further reduction in noise levels.

Introduction: Occupational injuries and accidents as one of the problems have always been considered important in occupational environments. Domino model that Heinrich was formed to pursue the idea of the cause of the accident is the man. Thus one of the effective way to reduce accidents will be control by the unsafe behaviors among workers by promoting safety culture.

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Material and Method: In this descriptive - analytical study, the reliability and exploratory factor analysis was used to evaluate the reliability of the questionnaire. In total 303 questionnaires were analyzed using SPSS 17 software.

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Result: The alpha crumbed, coefficient was 0/86. Structural factor of the questionnaire was evaluated using factor analysis. KMO and Bartlett’s sphericity test coefficient were 0/909 and 9785/057, respectively. The varimax rotation showed that all test questions are based on factors.

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Conclusion: The results indicated favorable validity of this questionnaire for use in detergents and cleaners industries within the country. Considering the load factor safety culture in detergents and cleaners industries, contained 5 factors including “management commitment”, “education and information exchange,” “supportive environment”, “barriers” and “priority to safety”. The obtained the correlations, the highest positive correlation was belong to the “management commitment” (r=0/952), as the strongest correlation with the safety culture.

Introduction: Exposure to respirable fraction of cement dust and its crystalline silica content is the most important occupational risk factor in cement industries requiring more evaluation and monitoring. This study aimed to assess exposure to crystalline silica and cement dust among workers of a cement industry in Saveh city, Iran.

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Material and Method: In this cross-sectional study, 62 samples of respirable dust were collected from breathing zone of the workers in different sections of factory. Determination of respirable fraction of cement dust concentrations carried out using gravimetric method according to the NIOSH method no. 0600. Visible absorption spectrophotometry was used according to the NIOSH method no. 7601 to determine crystalline silica content of respirable dust samples.

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Result: The highest exposure concentrations to respirable fraction of cement dust was observed in the Raw Mill and Cement Mill, and the lowest exposure in Administrative Department and Kiln the range of workers exposure in the production sites were 1.77 to 18.89 mg/m3. The range of workers exposure to the crystalline silica in the production sites was 0.011 to 0.104 mg/m3. The highest and lowest mean of exposures was observed in the raw Mill and cement mill respectively. Occupational exposure to the crystalline silica in 57% of site samples exceeded adjusted TLV recommended by NIOSH and Iranian of Occupational Health Technical Committee (0.05 mg/m3). The average of free SiO2 fraction in whole site samples was 1.17% varying from 0.49% in the cement Mill to 1.53% and 1.7% in crusher and Kiln sections, respectively

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Conclusion: Levels of exposure to cement respirable dust in all productive sections were significantly higher than the adjusted TLV. However, in administrative and control departments it was lower than the TLV level. Regarding crystalline silica, levels of exposure only in “Raw mill” and “kiln” were significantly higher than the adjusted TLV. Highest exposure concentrations to respirable fraction of cement dust recorded in Raw Mill and cement mill, and exposure to crystalline silica in raw Mill, Crusher and kiln, Therefore, preventive measures should primarily be targeted at these units.

Introduction: The human factor played major role in the accident causation. Statistics show that human error and human mistake are the primary cause for more than 80 percent of the accidents in petrochemical industry.The aim of this study wasidentification and assessment of human error due to unsuitable design which causeaccident and damage to the equipment in thesour water and SRP unit of arefinery plant.

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Material and Method: This research was qualitative case study to identify and assessment of human errors of worker in the control room of sour water within a oil refinery plant. The group of tasks with potential to causing accidents wereidentifiedby direct observation of activities and documents and individual interview. Hierarchical Task Analysis method (HTA) was used tojob analyze and the results were presented in HTA charts. All possible human errors in work stages were identified and assessed using SHERPA method.Action Errors, Checking Errors, Retrieval Errors, Communication Errors, Selection Errors were analyzed and their related data were entered in SHERPA work sheet.

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Result: The findings showed that from all of the 118 identified errors 50% were Retrieval, 22/22% wereAction Error22/22% Communication and 5.55% Selection Error.

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Conclusion: To prevent and control occurring each of the identified errors and to limit the consequences of them, appropriate counter measures such as proper control measures in the form of changes in design, including install the appropriate colored tag, digital indicator and warning lights which must be used base on the kind of system consequently, of this study showed that SHEPA can be an efficientmethod to study humanness in operational site.

Introduction: In the steel industry,air blowers used to supply compressed air are considered as sources of annoying noise. This study aims to acoustics analysis of theairblower workroomand sound source characteristics in order to present noise controlmeasuresinthe steel industry.

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Material and Method: Measurement of noiselevel and its frequency analysis was performed usingsound levelmetermodelof CASELLA-Cell.450. Distribution of noise level in the investigated workroom in form of noise map was provided using Surfer software. In addition, acoustic analysis of workroom and control room was performed in view point of soundabsorption andinsulation. Redesignofdoor and window of controlroom and installation of soundabsorbing materialson theceiling of the workroom were proposed and the efficiency of these interventionswasestimated.

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Result: The totalsound pressurelevelin the blower workroom was 95.4 dB(L) and the dominant frequency was 2000Hz. Sound pressure level inside the room control was 80.1dB(A). The average absorption coefficient and reverberation time in the blower workroom was estimated equal to 0.082 Sab.m2 and 3.9 seconds respectively. These value in control room was 0.04 Sab.m2 and 3/4 seconds respectively. In control room, sound transmission loss between the two parts of the wall dividing was 13.7 dB(A). The average of noise dose in blower operators was 230%. With the installation of sound absorber on ceiling of workroom, average of absorption coefficient can increase to 0.33 Sab.m2 and sound transmission loss of the new designed door and window was estimated equal to 20dB.

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Conclusion: The main cause of noise leakage in the control room was insufficient insulation properties of door and windows. By replacing the door and window and installation of sound absorbing on ceiling of workroom, the noise dose can reduce to 49.6%. New Improved door and window of control room can reduce noise dose to 69.65% solely.

Introduction: Job satisfaction is a feeling of increased motivation, productivity and growth of personnel at work. Considering the negative effects of burnout, this syndrome can effect on occupational functions, such as quality of work, public health and job satisfaction. This study investigated the relationship between job satisfaction, general health and burnout is one of the automotive industries.

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Material and Method: This study was a descriptive - analytical study conducted among. 120 workers in an automobile manufacturing industry in Tehran.the samples were selected using simple sampling method. Data were collected using, job satisfaction questionnaire Barry field, GHQ-28 and self-evaluation scale questionnaire. The data were analyzed using SPSS software.

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Result: In this study 95% of individuals had low job satisfaction and moderated. In addition, 73/6% significant of people were likely to burnout, and 55% were people with mental health disorders. There was Inverse relationship between job satisfaction and general health the whole item. The direct correlation between the variables of general health and burnout, and there was a significant variable. The inverse relationship between job satisfaction and burnout, there was significant.

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Conclusion: Given the obvious relationship between burnout and job satisfaction with public health, industry executives need to learn and improve incentive programs to promote employment, human relations and feelings of efficacy and bring into force.

Introduction: In the interaction between man and machine, the human behavior plays a key role in the accidents occurrence and the risks. Safety culture models can be a base to safety culture assessments and may lead scientists toward effective aspects of organization safety. The aim of present study was to develop and offer a specific questionnaire for safety culture assessment according to the customized model in an automotive industry.

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Material and Method: In this cross-sectional analytical study, a questionnaire including 16 items and 37 questions was developed based on management, individual, and organizational factors. Then, the reliability and validity of the developed questionnaire, it were studied among 30 employees of an automotive company.

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Result: Concerning the reliability of the questionnaire, the Cronbach’s alpha was 0.855. In the context of validity of the questionnaire, the simplicity and clarification of contents were investigated by means of Expert Analysis. Moreover, in terms of the integral components of culture, according to the factorial analysis, this evaluation regarded to have ten main components.

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Conclusion: So far, there was no exclusive tool for evaluating safety culture based on a customized model. The findings of the present study showed that evaluating safety culture using the administered questionnaire is valid and reliable in the understudied industry.

Introduction: Musculoskeletal disorders are the most prevalent problem in the workplace. Unsafe manual material handling is amongst important causes of such disorders. Unsafe manual material handling can result in different musculoskeletal disorders such as acute physical injuries and increase of strain in back, shoulders and arms. United state society of orthopedic surgeons ranked back pain as the most costly disorder, which workplaces are considered to be responsible for most of them. Few studies compare related national and non-national standards in Iran. Therefore, the aim of the present study was to compare Iranian manual material handling regulation, NIOSH equation and MAC method in one of metal casting industries in Tehran, 2001.

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Material and Method: In this cross-sectional study, participants were randomly selected among men workers, working in industry. Data collection was done using MAC data sheet, NIOSH equation and Iranian MMH regulation. Data were Analyzed using stata software and P-value of 0.05 or less was considered significant.

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Result: Results showed an acceptable agreement between Iranian regulation and MAC method as well as Iranian regulation and NIOSH equation. However, no acceptable agreement was observed between MAC method and NIOSH equation.

Introduction: Pollutants in gas turbine air intake can cause erosion ،corrosion، fouling as well as reduction of power and efficiency of turbine and noticeable economic losses. In order to select the appropriate filtration system, air monitoring of turbine inlet and its filtration is essential. Therefore, this study was performed to assess the quality of gas turbines inlets in a gas power plant in Tehran.

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Material and Method: In this cross- sectional study, the concentration of particulates contained in air intake of 4 types of gas turbines, including: Fiat, Assec, Hitachi and mitsubishi were evaluated in second-half of spring season. For this means, 12 series of air samples were collected using 8 stages cascade Impactor, model AN -200 made by OGAWA company on cellulose – ester filters . The dust concentrations were determined gravimetrically in different ranges of sizes . Then the concentrations of 8 metals including Sodium, Potassiumu Lead, Mercury, Aluminum ,Copper and Cadmium were measured using ,Atomic Absorption Spectroscopy method and the data were statistically analyzed by SPSS Software, version16.

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Results: The results showed that the mean of particulate concentration with the diameter less than 4.7 µ were 64% ,66% ,60% ,67% for Fiat, Assec, Hitachi, mitsubishi respectively and it was 64.25% totally. The concentrations of all assessed metals in particulates less than 4.7 µ were greater than of larger than 5 µ. There were not any differences between particulate concentration in the inlet of Fiat and Hitachi (P>0.05), while in the case of other gas turbine intakes , there were statistically significant differences (P<0.05).

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Conclusion: Based on mass distribution of particles, the highest concentration belongs to particles with diameter of less than 4.7 µ. These particles could damage turbine blades, especially due to the presence of sodium and potassium as corrosive elements in this range (200 µg/m3). Therefore,this range of particle size must be considered in selecting the air intake filtration system.

Introduction: Every year many people around the world lose their lives or suffer from injuries and serious damages in industrial fire. This study aims at evaluating fire risk using an suitable method and determining endangered humane, financial and environmental capitals in various parts of a chemical industries.

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Material and Method: In this analytical study the developed Frank and Morgan method was used to evaluate the risk of fire in all units of a chemical company. Improved checklists validity was confirmed by experts and then, its reliability was determined by test-retest analyzing method. Human, financial and environmental probable losses were calculated in the case of fire. A risk factor was determined for each unit and all of them were prioritized accordingly.

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Result: The study of developed checklists’ validity showed that there was a high conformity (homogeneity) between results of two measured loads (ICC=0.87 %95CI: 0.699-0.952). Mean value of risk in units was 115.45 and research and development (R&D) and sparse part store units have the highest and lowest risk values, respectively. Endangered humane, financial and environmental capitals had the highest to lowest score, respectively.

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Conclusion: Results showed that the developed Frank and Morgan method can be a suitable tool for evaluating industrial fire risk and prioritizing units in general level of an industrial complex especially chemicals company. According to the findings in this study, the investigation of likely damages to environment in the case of fire has high importance.

Introduction: Heat stress is considered as one of the hazardous occupational agents in hot environments. Working under heat stress condition may lead to individuals’ health problems. Several studies have been shown that stress in the working environments can elevate stress hormones such as cortisol. Since heat stress is one of the serious stresses in hot industries including melting, this study was done to investigate the effect of heat stress on the cortisol concentration of workers in one of the melting industries.
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Material and Method: In this cross-sectional study, 70 workers in two groups of case and control (35 people in case group from foundry unit and 35 people in control group from casting unit without heat stress) were investigated. First, a demographic questionnaire was complete for each subject. Then in order to evaluate the changes in cortisol level, blood samples were taken from the participants during their working hours (9:30 to 10 AM) and the obtained levels were compared with the normal level of cortisol, provided at 7 to 10 AM. In order to assess environmental condition, WBGT (Wet Bulb Globe Temperature) index was measured at three highest including feet, waist and head. Moreover, noise and lighting were measured at the workers work station. Data were analyzed using SPSS software version 16.
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Result: Regarding WBGT, it was shown that mean WBGT index were 33 C and 16.7 C in case and control groups, respectively. Additionally, cortisol concentration in case group was significantly higher than control group (P<0.001).
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Conclusion: Results of the present study indicate that physical stresses of working environment can lead to changes in physiology of human body. Thus, variations in hormone level in its consequences in hot environment should be considered in occupational hygine.

Introduction: Safety signs provide information,related to hazards or dangers in the industry,in form of instructions. These signs are effective as long as they are designed in accordance with principles of ergonomics and design cognitive features. The purpose of this present research was to study the relationship between cognitive features of signs and ability to guess, and to develop the relevant regression model.

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Materials and methods: This descriptive cross-sectional study was carried out on 100 employees in a petrochemical industry complex. A three part questionnaire was used to collect required data while first part of the questionnaire dealt with demographic information, second part included cognitive features of signs designand the third part proceeded on testing the ability to guess. Then, a regression model was developed to determine the relationship between cognitive features, and the ability to guess.

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Results: Mean and standard deviation obtained for the ability to guess the total study signs were 63.73 and 4.36, respectively. The feature of “familiarity” obtained the lowest possible score (49.15). The “semantic closeness” (β=0/390) and “meaningfulness” (β=0/369) had the highest correlation with the ability to guess safety signs.

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Conclusion: According to results of this study, use of principles of ergonomic design of signs and training are necessary to promote the ability to guess the safety signs to the minimum available standards. Therefore, it is possible to balance cognitive features especially “familiarity”, with the lowest score, and “meaningfulness” and “semantic closeness”, with the highest influential relationship with the ability to guess of signs. The developed regression model for this industry can be used to predict the ability to guess of safety signs in future studies

Introduction: Occupational accidents are of the main issues in industries. It is necessary to identify the main root causes of accidents for their control. Several models have been proposed for determining the accidents root causes. FTA is one of the most widely used models which could graphically establish the root causes of accidents. The non-linear function is one of the main challenges in FTA compliance and in order to obtain the exact number, the meta-heuristic algorithms can be used.

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Material and Method: The present research was done in power plant industries in construction phase. In this study, a pattern for the analysis of human error in work-related accidents was provided by combination of neural network algorithms and FTA analytical model. Finally, using this pattern, the potential rate of all causes was determined.

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Result: The results showed that training, age, and non-compliance with safety principals in the workplace were the most important factors influencing human error in the occupational accident.

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Conclusion: According to the obtained results, it can be concluded that human errors can be greatly reduced by training, right choice of workers with regard to the type of occupations, and provision of appropriate safety conditions in the work place.

Introduction: In theexperienceof pain,thesensory andthe emotional components should be considered. Emotionalcomponents of the painincludea variety of emotional states which depression is the most importantone. Thus, in this study, first, musculoskeletal pain was compared between depressedand non-depressed industrial workersand then otherphysical anddemographicfactorsinfluencing thedepression andmusculoskeletal disorderwere studied.
 

Method and material: Thiscross-sectional and descriptive-analytical study was conductedin 2012, among 179 industrial workers in Shiraz city.In this study,the participantswere selected throughcensus.The data collection instruments were three questionnaires including Body Discomfort Chart (BDC), visual analogue scale type, Beck Depression Inventory (BDI) and demographic informationquestionnaire. The collected data were analyzed using SPSSsoftware version 16. Mann-Whitney and Kruskal-Wallis statistical tests wereemployedfor comparison of variables and Kendall correlationwas used for determining the relationship between variables.
 

Results: Findings of the study showed that the maximum (19%) and the minimum (3.4%) painwere belonged to back and arm/forearm, respectively. Furthermore, 36.2% of participantshad a low-to-acute level of depression. Comparison of musculoskeletal disorders betweendepressed and non-depressed workers with Mann-Whitney Test manifested a significant different in head/neck, back,left hand/wrist,right hip and knee (p<0.05).Also Kruskal Wallis statistical test showed no significant differences in depression levelamong various occupational groups,however, painsignificantly differed among various groupsin a way that its rate was higher for office workers,comparing to other groups.
 

Conclusion: The higher score of depression among workerswith musculoskeletal pain can be due to failure in pain relief achievement. Psychological problemsthatoccurfollowingchronicpainarerelated to continuous discomfort, frustration and thinking about the pain. This situation causes the feelings of inadequacy and inefficiency and consequently the increase ofprobability of depression.