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Her yıl büyük bir kısmı kolaylıkla önlenebilecek iş kazaları ve meslek hastalıkları sonucu pek çok insan hayatını kaybetmekte veya engelli hale gelmektedir. İş kazalarına karşı yeterli önlem almamanın sonuçlarını daha net bir şekilde ortaya koyabilmek için kaza maliyetlerinin hesaplanması son derece önemlidir. İş kazalarının maliyetleri literatürde direkt ve indirekt maliyetler olarak iki gruba ayrılmaktadır. Bu çalışmada, 2013-2023 yılları arasında makine sektöründe yaşanan iş kazalarındaki bu iki grup maliyet ortaya konularak, bu maliyetin yüklediği ekonomik yükün analiz edilmesi amaçlanmaktadır. Çalışmada direkt maliyetlerin hesaplanmasında 5510 sayılı Sosyal Sigortalar ve Genel Sağlık Sigortası Kanunundan, indirekt maliyetlerin hesaplanmasında ise İngiltere Sağlık ve Güvenlik Müdürlüğünün “Yıllık Kaza Maliyetlerinin Hesaplanması” yaklaşımından yararlanılarak Türkiye’de 2013-2023 yılları arasında makine sektöründe gerçekleşen iş kazalarının maliyetleri karşılaştırmalı olarak incelenmektedir. Çalışmada iş kazası maliyetlerinin, kaza sayılarının, asgari ücretin ve döviz kurlarının artışıyla birlikte her yıl düzenli olarak artış gösterdiği ve 2023 yılında 4.470.466.863,73 TL’ye ulaşarak hesaplamaların yapıldığı 11 yıllık dönemde en yüksek değere ulaştığı görülmüştür.

The company analyzed in the paper presented attaches great importance to the activity of protecting all employees and its assets against the risks of injury or damage, considering life to be the most valuable asset. Therefore, occupational safety and health must be integrated through the collective effort to achieve the desired quality of the services provided. In this paper I wanted to highlight the fact that obtaining positive results in the field of OSH involves much more than the implementation of a formalized structure, the management of a company must develop a culture of continuous improvement and involvement / participation of all employees in order to generate positive effects on OSH performance, as it refers to their health and physical integrity. The implementation of these measures and conclusions can significantly contribute to reducing the risks of occupational accidents and illnesses for any employee, not just for the welding profession, thus promoting a safer and healthier working environment.

Background: One of the industrial sectors that has a high risk of danger is the informal sector, one of which is the home industry of making chips. Knowledge about occupational health and safety is one of the factors that cause health problems and incidents in the workplace. Therefore, it is necessary to handle the problem of danger by identifying risks and controlling in minimizing the occurrence of accidents and occupational health disorders. Objectives: The purpose of this research was to determine the risk of work accidents, determine the level of work accident risk and provide suggestions for controlling the risk of work accidents that can occur in the cassava chips manufacturing industry. Methods: This study is a descriptive observational study, which is a research method that provides an in-depth description of the process of making gadung chips in a home industry which is then analyzed and compared based on existing reality. Observations are made directly to ensure that the process reflects daily practices in the home industry. The study was conducted with a cross-sectional approach, data will be collected at one time to understand the conditions at that time. The data analysis technique used in this study is descriptive analysis and risk identification with the HIRARC method, namely: 1) Hazard identification, 2) Risk Assessment (Risk Analysis), 3) Determining Controls, 4) Documentation Socialization and Implementing Controls Results: 33 work accident risks were found that could occur in the process of making combined chips. The level of work accident risk from 33 risks obtained 42% low risk hazards, 21% medium risk hazards, 30% high risk hazards and 7% very high risk hazards Conclusion: Based on the research results, it can be concluded that: 1) 33 work accident risks were found that could occur in the process of making combined chips. 2) the level of work accident risk from 33 risks obtained 42% low risk hazards, 21% medium risk hazards, 30% high risk hazards and 7% very high risk hazards. 3) there are 33 risk control studies consisting of substitution control, administration, and use of PPE

İş Sağlığı ve Güvenliği (İSG) önlemleri için yapılması gereken harcamalar işletmeler tarafından göz ardı edilmemelidir. Bu harcamalar, özellikle çok tehlikeli sınıfta yer alan ve iş kazası olabilirlik oranlarına göre tüm sektörler arasında ilk sırada yer alan madencilik sektörü için çok daha hayati öneme sahiptir. Bu çalışmada, öncelikle 2013-2022 yılları arasındaki, beş farklı ekonomik faaliyetten oluşan madencilik sektörüne ait Sosyal Güvenlik Kurumu (SGK) kayıtları incelenmiştir. Doğal taş sektörünün, en fazla çalışan sayısına sahip “diğer madencilik ve taş ocakçılığı” ekonomik faaliyeti içerisinde yer aldığı ve 10 yıllık iş kazası verilerine göre ölüm oranlarında “kömür ve linyit çıkarımından” sonra ikinci sırada yer aldığı tespit edilmiştir. İSG için yapılan harcamaların mali büyüklüğünü ve işletmeye sağladığı faydanın büyüklüğünü analiz etmek amacıyla, bir mermer fabrikasının 2020 yılındaki İSG harcamaları incelenmiştir. Yapılan değerlendirme sonucunda, İSG harcamalarının işletme cirosunun yaklaşık %0,5’ine karşılık geldiği tespit edilmiştir. Ayrıca, Çalışma ve Sosyal Güvenlik Bakanlığı (ÇSGB) tarafından hazırlanan “İş Sağlığı ve Güvenliği Fayda-Maliyet Analizi Proje Raporu” esas alınarak, işletmedeki İSG harcamaları için fayda-maliyet analizi yapılmış ve faydanın İSG maliyetinin 5,54 katı olduğu belirlenmiştir. Diğer madencilik ve taş ocakçılığı ekonomik faaliyetinde alınan İSG önlemlerinin ülke ekonomisine sağlayacağı faydanın ise 2023 yılı fiyatlarıyla ortalama 13 milyar TL olabileceği hesaplanmıştır. Sonuç olarak, İSG için yapılan harcamaların geleceğe yönelik büyük yatırımlar olacağı sayısal olarak ortaya konulmuştur.

İş kazalarının temel nedenlerinden birinin çalışanların güvensiz davranışları olduğu bilinmektedir. Buradan hareketle çalışanların güvenli davranışlarının iş kazalarını azaltmada büyük rol oynayacağı açıktır. Araştırmanın amacı, bir ilaç firmasındaki çalışanların güvenlik kültürü ve güvenli davranış düzeylerinin belirlenerek, güvenlik kültürünün güvenlik davranışı üzerine etkisinin değerlendirilmesidir. Bu tespitler de kurumların davranış odaklı güvenlik yönetim sistemi kurmalarını sağlayacaktır. Çalışma, Tekirdağ ve Kocaeli illerindeki bir ilaç firmasının 3 ayrı tesisinde 610 çalışanın katılımıyla anket uygulayarak gerçekleştirilmiştir. Çalışanların %61.14’ü kazaların nedenlerinin çalışanın güvenli (emniyetli) olmayan davranışı olarak yanıtlamışlardır. Ayrıca güvenlik kültürünün, yönetimin sürdürülebilirgüvenlik desteği, çalışma alanı-iş çevresi ve güvenlik farkındalığı olarak üç ayrı faktör başlığı altında toplandığı belirlenmiştir. Regresyon analizi sonucuna göre, güvenlik kültürünü en iyi açıklayan faktör gruplarının, çalışma alanı-iş çevresi ve güvenlik farkındalığı olduğu görülmüştür. Yine regresyon analizine göre, güvenli davranışı etkileyen en önemli faktörün ise güvenlik uyumu olduğu ve üç önemli güvenlik kültürü faktörünün ise güvenlik uyumu üzerine etkisinin %39 civarında olduğu belirlenmiştir. Kadercilik algısı ile herhangi bir faktör arasında %95 anlamlılık düzeyinde bir ilişki olmadığı bulunmuştur. Bu durum bize kadercilik algısını açıklayan faktörün regresyon analizi için kullanılamayacağını göstermiştir. Çalışma sonuçları doğrultusunda, çalışanların güvenli davranışlarının arttırılması için güvenlik uyumu kapsamında güvenli davranışların alışkanlığa dönüştürülmesi gerekmektedir.

Introduction: Animal feed industry Sidoarjo is one of the companies in the animal feed manufacturing industry. The packaging unit is the last unit in the production process that packs the feed ingredients and arranges the finished goods. A location with the most safety hazards based on the work accident reports for 2010-2017 is in the packaging unit as many as 15.78%. The purpose of this research is to analyze the risk management of work safety in the packaging unit of animal feed industry Sidoarjo. Methods: Based on the data collection method, this research was included in observational research with a cross-sectional design. The subjects in this research were workers (37 people) in the animal feed packaging and the Health Safety Environment (HSE) units. The research was conducted at the packaging unit of Animaal Feed Industry, Sidoarjo, Indonesia in November 2019-June 2020. Results: Based on hazard identification, there were 15 hazards with a risk analysis of 53% moderate risk and 47% high risk. The risk evaluation obtained was including 53% tolerable risk and 47% intolerable risk. After controlling efforts, there was a decrease in the risk category. Conclusion: The residual risk obtained after controlling carried out experienced a reduction of moderate risk by 100% and high risk by 71%. The remaining risk was 33% moderate risk and 13% high risk.

CV XYZ is a company engaged in the production of fashion. The problem that occurs in CV XYZ is that there are still several cases of work accidents caused by the attitude of workers, the work environment and the tools used during the production process. The purpose of this study is to analyze the potential hazards and the causes of potential hazards, the risk of injury and even work accidents and provide suggestions for improvements to reduce the risk of work accidents so that control and prevention of hazards that arise in the work area can be carried out. The methods used in this research are Hazard and Operability Study (HAZOP) and Job Safety Analysis (JSA). Hazard and Operability Study (HAZOP) is a hazard identification approach in working environment conditions, existing facilities, equipment operation and overall production. Hazop looks for possible causes of accidents and determines the consequences of deviations that occur when a job is done. Job Safety Analysis (JSA) is the identification of hazards by taking into account unsafe act and unsafe conditions. This hazard identification method is carried out by studying a job to identify hazards and potential incidents associated with each step and used to find solutions and control existing hazards. Based on the results of data processing, it is known that the sources of hazards that exist or have the potential for work accidents are the attitudes of workers and the physical work environment and it is known that there are 30 identified hazards from 16 routine activities and 7 of them have the highest risk of intensity in causing hazards in the work area.

Introduction: According to data from the Ministry of Manpower of the Republic of Indonesia in 2016, it shows that there were 16,880 work accidents that occurred in East Java, which were classified as an OHS emergency. This study aims to analyze the incidence of work accidents and the amount of work accident insurance benefits received by the participants of Employment Insurance and Social Security in East Java Province. Methods: This study used non-reactive research and secondary data, namely gender, age, accident location, time of accident, number of work accidents and data on the number of benefits received by the participants of Employment Insurance and Social Security in East Java in 2016. The number of samples was 4,700 respondents. The analysis was conducted by comparing the number of work accidents with the amount of benefits received by workers participating in the Employment Insurance and Social Security. Results: The results showed that based on gender, the highest occupational accident cases occurred in male workers (80%), most of the occupational accident cases occurred at the age

Construction services are one of the most important and strategic sectors supporting the achievement of development in Indonesia. Through this sector, Indonesia can experience stable economic growth. In 2020, accidents in the construction sector were the highest cases compared to other sectors, with a death rate of more than 60,000 cases annually. The role of Occupational Health and Safety (OHS) Management and the application of its requirements when working at heights is crucial to protect against the dangers of work accidents due to high risk. This study aims to determine the relationship between the factors that affect work accidents in the construction sector and their effect on Productivity moderated by ergonomics. This research was conducted by analyzing surveys from work-at-height workers in the construction sector, with 107 respondents from projects in Jakarta. The data analysis method used is Structural Equation Modeling (SEM) based on non-covariance, namely Partial Least Square (PLS). Data analysis using Smart PLS 3.0 software. The results show that Ergonomics has no direct effect on Productivity, with p-value 0.313. Work Accidents do not directly affect Productivity with p-value 0.333. OHS Management does not directly affect Work Accidents with p-value 0.013. OHS Management has a direct effect on Productivity with p-value 0.000. Application of OHS Requirements has a direct effect on Work Accidents with p-value 0.527. Application of OHS Requirements has a direct effect on Productivity with p-value 0.001 and Application of OHS Requirements through Ergonomics has no direct effect on Productivity with p-value 0.000.

Abstract Background Occupational accidents continue to be a significant public health challenge worldwide. Construction workers in particular are at high risk of occupational accidents, and thus it is of major importance to identify possible predictors of occupational accidents among construction workers. We aimed to investigate the association between self-reported work pace and physical work demands and occupational accidents among ageing male construction workers in Denmark. Methods Data on perceived work pace, physical work demands, and occupational accidents was acquired from questionnaires sent to ageing construction workers in Denmark in 2016 as part of the ALFA project (ALdring og Fysisk Arbejde; Ageing and Physical Work). A sample of 1270 Danish male construction workers above 50 years of age was included in the present study. Multiple logistic regression models were applied, with adjustments for age, smoking, body mass index, musculoskeletal disorders, occupation, work experience, and support at work. Results Of 1270 construction workers, 166 (13.1%) reported an occupational accident within the last 12 months. There was no significant association between perceived work pace and occupational accidents, but physical work demands were associated with higher odds for occupational accidents, with an odds ratio of 2.27 (95% confidence interval 1.26–4.10) for medium physical work demands and 2.62 (95% confidence interval 1.50–4.57) for high physical work demands. Conclusions Ageing male construction workers with high physical work demands had statistically significant higher odds of having an occupational accident. By contrast, perceived work pace was not associated with occupational accidents in this large cross-sectional study.

In this study, the definition of work accident was made and then the concept of work accident in construction works was explained. The last five years of work accident statistics published by the Social Security Institution were examined. According to these statistics, the accident rates of the construction sector in all sectors were found by making use of the annual number of occupational accidents and fatal occupational accidents. Approximately one third of the fatal occupational accidents in our country occur in the construction sector. Occupational accident statistics of the construction sector are grouped under three headings according to the Nace economic classification codes. According to the work accident statistics examinations in these three categories, the most work accidents and the most deaths as a result of work accidents occurred in building construction works. In line with this information, occupational accidents and occupational safety costs in building construction works were examined. The data were obtained from surveys and interviews with construction companies, occupational safety companies, and consulting companies. Occupational health and safety costs; The costs of the OHS personnel employed, the cost of environmental safety measures taken to prevent occupational accidents at the construction site, the cost of health expenditures of the employees and the cost of personal protective equipment were examined under four main headings and the total cost per m2 was calculated. Moreover, the cost to the contractor is calculated and compared with the occupational safety costs in the construction sites where work accidents “resulting in death and injury” occur. Although the place of occupational health and safety costs in the total construction costs is quite low, the importance of occupational health and safety in the construction sector is emphasized by evaluating the consequences and costs of avoiding these measures through examples.

Worldwide, there are an estimated 374 million non-fatal work-related injuries with >4 days of absences from work (1) and more than 3000 fatal work injuries in European countries each year (2). The human cost of this is vast, and the economic burden of poor occupational safety and health practices is estimated to be about 4% of global gross domestic product (GDP) each year (1). There is a need to identify risk factors of work-related injuries as such knowledge may help decrease the number of injuries. A promising candidate for such a risk factor is extended working hours, which leave less time outside work and thereby less time for sleep and restitution. The resulting sleepiness can in turn cause poorer cognitive performance and thus constitutes a plausible mechanism linking long working hours to accidents. Being awake for 18 hours has been shown to impair performance corresponding to a blood alcohol content of 0.05% (3), and long daily working hours (12-hour shifts) have been associated with impairment of alertness and performance (4). This line of effects may link extended working hours to acute safety risks as well as possibly long-term health effects. In addition, reduced performance not only puts the person who works the long hours at risk, it could also have implications for the safety and health of others. Extended working hours could, for example, affect patient and traffic safety (5). In a study of nurses working 12-hour night shifts, almost all reported having at least one motor vehicle accident or near accident during the previous 12 months driving to or from work (6). Undoubtedly, there is an upper limit to how long it is possible to work as this is limited by the number of hours in the day and the need for recovery, and working hours has for long been a focus of regulation. Indeed regulation of working hours was part of the 1802 Health and Morals of Apprentices Act, which was the very first piece of factory legislation in the United Kingdom. It prevented apprentices in cotton mills from working at night and for >12 hours a day (7). Today, the Working Time Directive (2003/88/EC) regulates the duration of working hours in Europe (8). In this issue of Scandinavian Journal of Work, Environment and Health, Matre and colleagues (9) report the results of a highly welcomed systematic review and meta-analysis on extended working hours and safety incidents (accidents, near-accidents, safety incidents and injuries). They reviewed studies on extended working hours in terms of both daily and weekly working hours and found that both long daily (>12 hours) and weekly (>55 hours) working hours are associated with increased risk of safety incidents (9). The review adds to several other recent systematic reviews regarding extended weekly working hours performed by the World Health Organization, the International Labor Organization and the IPD-Work consortium, which have examined the associations between long working hours and primarily long-term health outcomes such as cardiovascular disease (10–14), cancer (15), type 2 diabetes (16), alcohol consumption (17) and depression (18, 19). From an epidemiological perspective, the analysis of extended working hours has advantages compared to analysis of many other work-related exposures. Working hours are relatively easy to measure. All employees can measure an hour objectively and with high precision. Duration of working hours can also be assessed with relatively high confidence by answering a single question. This makes the assessment of extended working hours attractive in general population surveys resulting in large cohorts with a standardized measure across jobs, gender, age, socioeconomic class and other contextual factors such as regional cultures. However, there are several methodological challenges that need to be solved in order to move the field forward. Importantly, as also pointed out by Matre and colleagues, extended work hours is highly intertwined with other measures of working hours such as short time between work shifts (quick returns) and working outside ordinary day work, eg, during the evening or night, which in itself has been associated with increased risks for health and safety. In addition, long work days do not necessarily imply long weekly working hours. The same weekly working hours can be achieved by having longer but fewer work days (compressed work weeks). Such compressed work weeks are advantageous in several ways. The lower number of work days gives employees more days without work. It decreases total commuting time – and the risks and environmental exposures associated thereof – and has been suggested as a means of reducing traffic congestion, although the effects are debated (20). Compressed work weeks are a well-established type of work schedule, eg, in the US Federal Government (21). It is therefore important to be able to disentangle the differences in risks by studying specific combinations of working hours. Another challenge is to determine whether the extended working hours are the actual cause of health safety outcomes. While there is a plausible link from extended working hours to accidents through lack of recovery and reduced performance (4), there may also be alternative mechanisms, in particular when it comes to more long-term effects. Extended weekly working hours, especially when related to overtime work, may be due to high workload. High workload may elicit feelings of being stressed at work, for example in the form of job strain that has been associated with increased risk of cardiovascular disease (22). In addition, long working hours imply longer exposure time to all other work environmental risk factors, such as chemical and physical exposures. Even if working time can be measured in a standardized way across different cultures and traditions, there are regional differences in what is considered the normal duration of working hours. For example, the proportion who worked >55 hours per week in 2016 was about 12% in South-East Asia and 3.5% in Europe (14). Furthermore, the reasons for extended working hours, may differ between countries and regions, and this may in turn modify the relationship between extended working hours and health. In countries with high social security and minimum wage, extended work hours is likely to be a more voluntary choice compared to countries or jobs where workers have extended working hours due to financial necessity. When it comes to measurement of working hours, Matre and colleagues (9) point to payroll-data as the golden standard. This is particularly true when the registration is linked to payment of wages, eg, in terms of overtime work. However, the validity of length of daily and weekly working hours is expected to be lower in jobs where unpaid extra working hours are more common (eg, among physicians and other academic personnel) and if hours from secondary jobs are not included (23). Even so, cohorts based on day-to-day registrations from payroll data have in recent years moved the field considerably forward due to highly detailed information on working hours for every day. The advantages for studies of associations between working hours and accidents include better information on temporality and decreased risk of misclassification. Thus, recent studies have analyzed associations of working hours the previous week(s) and risk of accidents on a given day (24, 25). The very detailed data are particularly important when analyzing the effect of extended working hours on accidents, since the effect must be assumed to be short term. Day-to-day registrations of payroll data also open the door to using more advanced designs, eg, case–crossover design (24, 26) that eliminates confounding by time-invariant variables. Finally, day-to-day payroll data allow detailed adjustment for other working hour characteristics and give the possibility to analyze duration of daily working hours in more detail. 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İşyerinde gerek çalışan gerekse de işveren tarafından iş sağlığı ve güvenliği önlemlerinin alınamaması nedeniyle iş kazaları meydana gelmektedir. Mesleki risklere maruziyet sonucu ortaya çıkan hastalıkların sonucu olarak da meslek hastalığı tanımı yapılmaktadır. Bu çalışma ile iş kazası ve meslek hastalığı nedeniyle Düzce ili Sosyal Güvenlik Kurumu (SGK) hastanelerinden yararlanan özel sektör çalışanlarının çalışanlara, işverenlere, kamu hastanelerine ve topluma maliyetleri hesaplanmıştır. Yapılan değerlendirmeler sonucunda Düzce kamu hastaneler birliği hastanelerine iş kazası ve meslek hastalığı nedeniyle müracaat edenlerin sayısının yıllar itibarıyla artış gösterdiği belirlenmiştir. İş kazası nedeniyle ağırlıklı olarak 21-25 yaş grubundan, meslek hastalığı nedeniyle de ağırlıklı olarak 36 yaş ve üzeri çalışanların olduğu belirlenmiştir. İş kazası nedeniyle hastanelere müracaat eden hastaların ortalama 8 dakika 14 saniyede muayene oldukları hesaplanmıştır. Yapılan hesaplamalar sonucunda hastaların ortalama 29 dakika 50 saniye poliklinikte tedavi gördükleri ve ortalama 38 dakika 2 saniye de hastanede kaldıkları belirlenmiştir. 2010-2014 yılları arasında Düzce kamu hastaneler birliğine iş kazası ile müracaat eden hastaların büyük çoğunluğunun el ya da kol yaralanmalarından ve ayak ya da bacak yaralanmalarından kaynaklı şikâyetle müracaat ettikleri belirlenmiştir. Yapılan değerlendirmeler sonucunda iş kazası nedeniyle hastalara ortalama 4 gün rapor düzenlendiği belirlenmiştir. 2010-2014 yılları arasında iş kazasından kaynaklı olarak yıllara bağlı ortalama toplam maliyetler minimum 339,10 TL, maksimum da 447,72 TL olarak hesaplanmıştır.

Introducción: Se considera como accidente de trabajo un «suceso súbito, inesperado y no deseado que puede causar un daño al trabajador». Los accidentes laborales son un importante problema de salud pública y su frecuencia está en aumento. Los profesionales de la salud se aproximan físicamente al paciente en el momento de la atención y se exponen a factores de riesgos ocupacionales clasificados como: físicos, biológicos, químicos, ergonómicos y psicosociales, y a la transmisión de enfermedades infectocontagiosas. Objetivo: Caracterizar los accidentes ocupacionales en los cooperantes de la misión médica cubana en Cabimas, Venezuela, período 2016-2017. Material y método: Se realizó un estudio descriptivo en cooperantes de la misión médica cubana en Cabimas, Venezuela, período 2016-2017. El universo fue el total de cooperantes (93) y la muestra quedó constituida por los 33 que sufrieron alguna lesión. Las variables estudiadas fueron la edad, sexo, perfil de trabajo, tipos de lesión, causas de accidentes y su reporte. Los resultados fueron expresados en medidas de resumen y distribución de frecuencia relativa y absoluta. Resultados: Predominó el sexo femenino y el grupo de 31 a 40 años. Los trabajadores de servicios quirúrgicos fueron los más afectados, seguidos de los estomatólogos. Las heridas punzantes afectaron a un tercio de los cooperantes. Las principales causas de accidentes fueron la manipulación inadecuada de objetos corto-punzantes y no uso de medios de protección. La mayoría de los afectados no reportaron el accidente. Conclusiones: Se observa una tendencia al incremento de las enfermedades infectocontagiosas antiguas y otras nuevas. Se hace necesario cumplir con los protocolos de protección para evitar adquirir enfermedades trasmisibles y accidentes ocupacionales. Introduction: Work accident is considered a «sudden, unexpected and unwanted event that can cause harm to the worker». Work accidents are a major public health problem and their frequency is increasing. Health professionals physically approach the patient at the time of patient care and are exposed to occupational risk factors classified as: physical, biological, chemical, ergonomic, and psychosocial and also to the transmission of infectious diseases. Objective: To characterize the international aid worker according to age and sex, work profile, types of injury, causes of accidents, and their report. Material and method: A descriptive study was carried out on aid workers of the Cuban medical mission in Cabimas, Venezuela, period 2016-2017. The universe was a total of 93 cooperators and the sample was the 33 who suffered any injury. The results were expressed in summary measures and relative and absolute frequency distribution. Results: The female sex and the 31 to 40 age group predominated. Surgical service workers were the most affected, followed by stomatologists. Puncture wounds affected a third of the aid workers. The main causes of accidents were the improper handling of sharp-pointed objects and the non-use of means of protection. Most of those affected did not report the accident. Conclusions: There is a trend towards an increase in old and new infectious diseases. It is necessary to comply with the protection protocols to avoid acquiring communicable diseases and suffering occupational accidents.

The article deals with the issue of performing dependent work according to the conditions of § 317 of the Labour Code which is most often referred to as home office. Because such a designation is not used by law, this article deals with the comparison of the terms that are used for this legal institute and determines the basic criteria for its precise definition. In the following sections, the article deals with the issue of the place of performing dependent work as a basic feature of this institute, and describes and analyzes the limits of its legal adjustment. It focuses on the issue of OHS, accidents at work, remuneration and other situations which are possible limitations in application in practice.

The rescuer’s safety is the first and most important step in initiating any rescue, care, first aid action. Only a rescuer in optimal physical and mental shape can ensure the maximum chances of rescuing a victim, while an injured rescuer represents a new victim who will share the rescue resources with the victim(s) or will cancel any chance of rescue either for the initial victim as well as for himself. Rescuers must be able to perform resuscitation maneuvers and rescue operations anytime and anywhere. The safety of the savior is not always entirely his responsibility.

Öz: Aralık 2019’da Çin’in Vuhan kentinde başlayan yeni koronavirüs hastalığı (COVID-19) kısa sürede küresel bir salgına dönüşmüştür. Çalışma alanında bu salgına yakalanan çalışanların sosyal güvenlik açısından sahip olacakları haklar, hastalığın iş kazası veya meslek hastalığı olarak tanımlanıp tanımlanmayacağına bağlı olarak değişmektedir. COVID-19’un iş kazası mı, meslek hastalığı mı yoksa normal hastalık olarak mı tanımlanacağı belirsizdir. Bu çalışmada ilk olarak iş kazası ve meslek hastalıkları arasındaki farklar incelenmiştir. Sonrasında COVID-19’un iş kazası veya meslek hastalığı nitelikleri konusunda Türkiye’deki ve dünyadaki görüşler araştırılmıştır. Yapılan iş ile COVID-19 arasında doğrudan bir ilişki bulunan, maruziyet riski yüksek işlerde çalışanların COVID-19’a yakalanmasının meslek hastalığı niteliğinde olacağı ancak diğer çalışanların COVID-19’a yakalanmalarının iş kazası veya meslek hastalığı niteliğinde olmayacağı görüşü tercih edilen görüş olarak sunulmuştur. Çalışmanın son bölümünde COVID-19’a yakalanan çalışanların SGK’dan (Sosyal Güvenlik Kurumu) alabilecekleri parasal yardımlar belirtilmiştir. Yazarın bilgisine göre bu çalışma; iş kazası ve meslek hastalığının farklarını tartışarak çalışma alanında COVID-19’a yakalanmanın iş kazası ve meslek hastalığı niteliğini araştıran ve COVID-19 sonrası çalışanların sosyal güvenlik haklarını inceleyen ülkemizdeki ilk çalışmadır. Abstract: The new coronavirus disease (COVID-19), which started in Wuhan, China in December 2019, rapidly became a global epidemic. In terms of social security, the rights of workers who was infected in the work field, depend on whether the disease is identified as a work accident or an occupational disease. It is uncertain whether COVID-19 to be identified as work accident, occupational disease or normal disease. In this study, firstly, the differences between work accidents and occupational diseases are examined. Afterwards, the concepts in Turkey and in the world about identifying COVID-19 as work accident or occupational disease were investigated. It is suggested that, the case for infected employees, whose duties directly related with COVID-19 and who work at high risk of exposure to COVID-19, should be identified as an occupational disease. However, in the case for other employees, COVID-19 should not be identified as a work accident or occupational disease. In the last part of the study, financial supports of SGK (Social Security Institution in Turkey) for COVID-19 infected employees are specified. To the author's knowledge, this is the first study in Turkey to investigate the differences of work accident and occupational disease in order to identify infection of COVID-19 in work environment and the social security rights of employees after COVID-19 infection.

Welding shop is a business place specializing in welding service for various types of metal in various ways ; Manually through electric welding, carbide, Argon, lathe, acetylene, or using the help of robotic or laser welding machines. The work accidents on worker in welding shop is often found.The research problem proposed is what factors are the risk factors for work accidents in welding shop of West Aceh Regency. The research design used cross-sectional method with person correlation analysis. The results of the study found a strong relationship between unsafe acts and work accidents on welding shop workers in West Aceh Regency. The P Value of the variable is 0.000

INTRODUCTION: The aim of the study was to evaluate retrospectively the burn injuries referred from our city region to our burn care unit. METHODS: 667 patients were admitted and hospitalised between Apri 2013- December 2018 to Burn Care Unit. All data including age, gender, burning etiology, total burning area of patient, stay of hospital time and period, microbiologic culture results of burning, surgical operations and mortality were recorded and analysed statistically. RESULTS: Mean age of patients was 15.2 years (0-86 years). The burn trauma was found the most frequently in 0-12 pediatric age group (421 cases, 63.1 %) and this group was followed by 19-59 age group (184 cases, 27.5 %) as second most frequently. 398 patients (59.7%) were male and 269 (40.3%) were female. The most and second frequent etiologic factors in this study were scolding (438 patients, 65.6%) and flame burning (109 patients, 16.3%) respectively. While scolding was the most frequent reason (83.8%) in pediatric age group, flame burning was found most frequently (34.7%) in adult age group. DISCUSSION AND CONCLUSION: With these results we think that more educations and preventive measures of burning especially for children needs to be taken in our region. It was found that most of burning traumas can be prevent with home accident educations, simple preventive home measures and occupational safety measures. Consequently, physical and psychological morbidities, mortalities and burden financial loss can be minimized.

A study of work accidents in forests has shown that dangerous trees play an important role in forest accidents. Despite the importance of safe working environments for forestry operations, the definition of these areas in natural forests is still unclear. Dangerous trees are considered those snagged with broken branches and a canopy or ones with dead trunks and stumps that have a hazard potential to the forest workers. This study investigates the frequency of these trees in the managed and unmanaged forests in the Caspian forests of Iran. In order to do the study, 15 circular plots with a total area of 1,000 square metres in two studied parcels were selected and the trees, according to their dangerous characteristics, were evaluated. The final results indicated that 66 and 50 trees per hectare had signs of being dangerous trees in the managed and unmanaged stand, respectively. A comparison of the average number of dangerous trees in the two studied parcels using the Mann-Whitney test indicated a significant difference so that the average number of dangerous trees in the managed parcel was more than the ummanaged parcel. Trees with broken branches had the highest frequency in the managed stand, while trees with a dead trunk or stump, a broken branch and canopy in the unmanaged forest were more than the other classes. Considering the relative frequency of the dangerous trees in the two study areas, identifying them could be one of the main attempts in logging safety. The existence of hazardous trees with different risk classes in each of the forest stands requires the development of specific safety instructions to deal with the risks of each tree.

OBJECTIVES: This randomized controlled trial (RCT) evaluated the effect of a participatory organizational intervention for improved use of assistive devices (AD) in patient transfer. METHODS: We randomly allocated 27 departments from five hospitals in Denmark to a participatory intervention (14 clusters, 316 healthcare workers) or a control group (13 clusters, 309 healthcare workers). The intervention consisted of 2×2 hour workshops with managers, the hospital’s health and safety staff, and 2–5 healthcare workers from each department. Based on an assessment of barriers and solutions conducted prior to randomization, participants developed an action plan for implementing department-specific solutions for improving the use of AD. Use of necessary AD (using digital counters as primary outcome), and general use of AD (using accelerometers as secondary outcome), pain intensity in the low-back, work-related back injuries during patient transfer, and communication and guidance in the use of AD were measured at baseline, 6 and 12 months. RESULTS: Use of necessary AD (primary outcome), low-back pain, and back injuries did not change in the intervention compared with control group at 12-month follow-up. However, general use of AD measured with accelerometers as well as communication and guidance improved significantly in the intervention versus control group. CONCLUSION: The intervention did not result in more frequent use of the necessary AD but led to more general use of AD, as well as increased communication and guidance.

The outbreak of the novel coronavirus raised many legal questions concerning the sufficiency of existing laws to address the implications of the pandemic. Amongst them is whether the employee is entitled to compensation when infected with the virus. The incident of infection is distinct compared to common work-related injuries. This is because of the covert nature of the infection and the time needed for the effects of the infection to appear on the employee, on the one hand, and the difficulty of establishing the link between the occurrence of the accident and the worker’s profession on the other. The study discusses the most significant problems facing the employee's right to compensation in case of infectious diseases, due to the courts' adherence to traditional notions of work accidents that require the injury to result from a material and external event. This study is an attempt to draw attention to this problem and calls for the adoption of a broad concept of work accident in the context of an analytical study in the Kuwaiti and Qatari laws.

The outbreak of the novel coronavirus raised many legal questions concerning the sufficiency of existing laws to address the implications of the pandemic. Amongst them is whether the employee is entitled to compensation when infected with the virus. The incident of infection is distinct compared to common work-related injuries. This is because of the covert nature of the infection and the time needed for the effects of the infection to appear on the employee, on the one hand, and the difficulty of establishing the link between the occurrence of the accident and the worker’s profession on the other. The study discusses the most significant problems facing the employee's right to compensation in case of infectious diseases, due to the courts' adherence to traditional notions of work accidents that require the injury to result from a material and external event. This study is an attempt to draw attention to this problem and calls for the adoption of a broad concept of work accident in the context of an analytical study in the Kuwaiti and Qatari laws.

Objective: To assess the case of work accidents during period (2009–2022) based on work shifts, workers age, and accident types. Method: The study design was a time series design with data on work accidents at the company period 2009–2015 as the population. Results: The variable work shift in 2009–2015 was dominated by work accidents on morning shift and night shift of 0.47%. After a projection, it was found that work accidents occurring during the shift will drop from 0.22% to 0.11%. For the years 2009–2015, accidents were dominated by age group of >50 years with a percentage of 0.52%. In 2022 for that category fell by 0%. For work accidents that occurred in 2009–2015, the most cases were falling from a height with a percentage of 0.76–0.17%. In the next seven years, the projection results obtained the highest results turned into work accident with dangerous substances with a percentage of 0.17% in 2016 and increased to 0.30% in 2022. Conclusions: The trends and predictions from 2016 to 2022 were a decrease in work accidents based on work, a decrease in accidents based on the workers age, and also a decrease on the variable type of accident.

Kecelakaan kerja merupakan suatu kejadian yang tidak terduga saat kapan akan terjadi dengan banyaknya penyebab yang dapat menyebabkan kecelakaan kerja tersebut. Salah satu penyebab terjadinya kecelakaan kerja adalah unsafe action (tindakan kerja tidak aman). Tujuan dari penelitian ini adalah untuk melihat hubungan antara faktor unsafe action dengan terjadinya kecelakaan kerja pada pekerja proyek konstruksi. Penelitian ini bersifat deskriptif observasional dengan rancang bangun penelitian yang digunakan adalah cross sectional. Populasi dalam penelitian ini berjumlah 179 responden, namun dilakukan metode sampel secara random sampling dengan (α=0,05) sebanyak 122 responden. Data dikumpulkan melalui kuesioner dan hasil wawancara yang dilakukan. Variable independent yaitu unsafe action (membuang sampah sembarangan, tidak menggunakan APD, melewati batas aman, tidak mematuhi aturan, melewati batas berat angkat beban, duduk di area yag berbahaya, meletakkan barang sembarangan, bekerja sambil bergurau, kurang pengetahuan, emosi tidak stabil, perilaku tidak baik, posisi yang dipaksakan, kurangnya istirahat, pengoperasian alat tanpa izin). Hasil penelitian menunjukkan bahwa faktor duduk dan berdiri di area yang berbahaya merupakan faktor yang memiliki risiko bahaya tinggi terjadinya kecelakaan kerja dengan persentase 64,8% dan memiliki adanya hubungan antara faktor berdiri di area yang berbahaya terhadap kecelakaan kerja. Disarankan pada perusahaan untuk terus meminimalisir penyebab terjadinya kecelakaan pada kondisi lingkungan kerja.

INTRODUCTION: The study was conducted to determine the level of awareness and knowledge of occupational health and safety for health discipline students who were admitted to practice at health facilities and to plan and direct training activities to prevent occupational accidents at health facilities. METHODS: The study was descriptive and included 452 health discipline students, aged 18 years and over, who were continuing clinical practice training at 12 health facilities affiliated to the General Secretariat of Istanbul Beyoğlu Region Public Hospitals Association between 23.11.2016 / 23.02.2017. he data were collected using the "Structured Information Form" which was developed under the guidance of literature and composed of 23 questions. RESULTS: It was found that 90.5% of the students (n = 409) were educated about "Occupational Health and Safety" before the clinical practice in the school or the institution they were going to practice, and who were exposed to work accidents at the rate of 80.9% (n = 51) 76,1% (n = 48) of them were students in Nursing department. Of the trainees (n= 409) 12.46% (n = 51) were exposed to work accidents while 27.90% (n = 12) were injured among untrained students (n = 43). DISCUSSION AND CONCLUSION: As a result, it was found that the occupational accident exposure of the students who received Occupational Health and Safety education was less.

Objectives: To evaluate demographic characteristics and clinical outcomes of work-related open globe injuries in the most industrialized region of Turkey. Materials and Methods: The demographic and medical records of patients with work-related open globe injuries who presented to the ophthalmology or emergency departments with an official occupational accident report were retrospectively reviewed. Visual acuity categories were defined according to the World Health Organization. The injury types and zones of the open globes were classified according to Birmingham Eye Trauma Terminology System. Results: Among 479 patients with work-related eye injuries in 5 years, there were 102 eyes of 101 patients with open globe injuries (21%). The mean age of the patients was 34.5±8.9 years with a mean follow-up of 12.5±12.6 months. The injuries peaked in June in the hour between 12:00 and 13:00. Eighty-six percent presented to emergency services within 12 hours after the injury. Twenty-two percent of the patients had been wearing protective eyewear at the time of injury. The open globe injuries were penetrating in 51%, intraocular foreign body in 40%, rupture in 7% and perforation in 2% of the eyes. The most frequent finding was traumatic cataract. Final visual acuity of 33.3% of patients was below 3/60. Seventy-eight percent of patients that had visual acuity worse than 6/18 at presentation had visual acuity of 6/18 or better at final visit. Sixty-three percent of eyes which had injuries involving all 3 zones resulted in phthisis bulbi, enucleation or evisceration. Conclusion: Work-related open globe injuries may have severe consequences such as visual impairment and blindness among the young male working population in industrialized areas. Nearly half of the occupational open globe injuries resulted in visual impairment and blindness.

This research focused on the possibility to improve the possession of OSH knowledge of Indonesian forestry workers, especially of both supervisor and operators who carried heavy responsibilities as executors of any forestry program. To meet the demand of both respondent groups, a prototype of a board - education game develop in 2015 called "the feeling Safety game: Supervisor" was up-graded and modified. data derived from questionnaires, direct observation, in-depth interviews, and logical assumption, provided information on the recent perception of OSH knowledge, the success of the education game implementation, and factors that led to the success of the implementation. the fact that all respondents in this research were overrated their OSH knowledge reflected serious problems in the field of OSH in the forestry work in Indonesia. It was satisfying to know that the safety game showed a very optimistic result, as the OSH knowledge of the workers were significantly improved aftter only 2-6 game repetitions. Another factor that led to the success of the implementation of the game was the performance of OSH agent who played a role as facilitator during the game. however, a strong management commitment develop based on a local-based OSH management system, remained as an important requirement for the creation of a safe work behaviour change and healthy workplace.

Aim of study: This study is focused on detailed analysis of accidents in yarding during the years 2006–2014. There is still not enough information about such accidents in Central Europe in the literature available. Area of study: We collected the data on occupational accidents recorded in timber yarding from the databases of the Slovak state forest enterprise. Material and Methods: The data on occupational accidents were recorded according to actual European Regulation, the form of the record meets the requirements of the ESAW (European Statistics on Accidents at Work) methodology. To analyze the data, we used the multiple regression and correlation analysis, contingency tables, and a χ2 –test. Main results: Almost half of the accidents were the foot injuries and the most frequent type of injury was fracture of a bone. The most hazardous operation was yarding. Most of the accidents occurred between 1301-1400 h (22 %). The most frequent agent causing accidents were Particles, dust, splinters, fragments, etc. (14.05 by ESAW). Research highlights: This study informs about the most important risk factors in timber yarding, the most hazardous parts of shift, as well as the days when the most accidents occur during the week, and as such contributes to better understanding of how the accidents happen in timber yarding. The information can be subsequently used in knowledge-based improvement of safety trainings in forest enterprises.

This research focused on the possibility to improve the possession of OSH knowledge of Indonesian forestry workers, especially of both supervisor and operators who carried heavy responsibilities as executors of any forestry program. To meet the demand of both respondent groups, a prototype of a board - education game developed in 2015 called "The Felling Safety Games: Supervisor" was up-graded and modified. Data derived from questionnaires, direct observation, in-depth interviews, and logical assumption, provided information on (1) the recent perception of OSH knowledge, (2) the success of the education game implementation, and (3) factors that led to the success of the implementation. The fact that all respondents in this research were overrated on their OSH knowledge reflected serious problems in the field of OSH in the forestry work in Indonesia. It was satisfying to know that the safety game showed a very optimistic result, as the OSH knowledge of the workers were significantly improved after only 2-6 game repetitions. Another factor that led to the success of the implementation of the game was the performance of OSH agent who played a role as facilitator during the game. However, a strong management commitment developed based on a local-based OSH management system, remained as an important requirement for the creation of a safe work behaviour change and healthy workplace.

Auxiliar de enfermería de 28 años que acude al Servicio de Urgencias porque refiere dolor y dificultad para la movilización en rodilla derecha, tras accidente laboral, hace dos días. Refiere que se resbaló mientras transportaba 32 termómetros de mercurio, rompiéndose éstos sobre su rodilla, creando una pequeña herida, siendo la puerta de entrada del metal. En la radiografía, se objetiva el cuerpo extraño metálico, correspondiente a mercurio, en bursa rotuliana. Tras el diagnóstico, se realizó la extracción de la bursa, recuperándose la trabajadora totalmente tras la intervención. Con este caso clínico que aportamos, queremos conocer los efectos del mercurio en la salud de las personas expuestas a dicho metal, estudiar los errores acontecidos en este accidente laboral, valorando cuáles hubieran sido las medidas de actuación preventiva adecuadas para evitar la repetición de este tipo de accidentes y, por último, reflexionar acerca de la relación beneficio-riesgo del uso del mercurio en aparatos de medición en el ámbito sanitario.A 28-year-old woman, nursing assistant, who attends to emergency service, referring pain and difficulty mobilizing right knee after a work accident two days ago. She relates that slipped while carrying 32 mercury thermometers, breaking them on her knee, creating a small wound, being the gateway to the metal. In the radiograph, we objective a metallic foreign body, corresponding to mercury, in patellar bursa. After the diagnosis, the bursa was extracted, and the worker recovered completely, after surgery. With this case report we bring, we want to know the health effects of mercury in people exposed to this metal, studying the errors occurred in this accident, assessing measures of preventive action that would have been neccesary to preclude recurrence of this type accidents and, finally, think about the risk-benefit balance the use of mercury in measuring devices in healthcare.

Caso clínico de una microbióloga con amplia experiencia, que sufre una inoculación accidental al manipular una cepa pura de Mycobacterium tuberculosis. Se pincha en la cara lateral externa de la falange distal del dedo índice, atravesando el guante con la aguja contaminada. (Imagen 1). La trabajadora procede de forma inmediata a la limpieza de la herida. El Servicio de Prevención, registra la inoculación como accidente de trabajo. A las tres semanas del accidente, aparece en el lugar de la inoculación una pápula eritematosa levemente dolorosa a la presión que va creciendo hasta alcanzar un tamaño de 1,5-2 cm., sin adenopatías axilares, ni clínica general. (Imagen 2) Se procede a la exéresis y biopsia de la lesión. Informe anatomopatológico: Inflamación crónica granulomatosa tuberculoide muy sugestiva de tuberculosis cutánea. Microbiología: dudosos bacilos ácido alcohol resistentes (BAAR) Cultivo: positivo a Mycobacterium tuberculosis. Ambas cepas presentan la misma identidad. Diagnóstico: tuberculosis cutánea. El SPRL realiza la comunicación de Enfermedad Profesional según el RD 1299/2006, de 10 de diciembre. Se realiza valoración y seguimiento en el Servicio de Medicina Interna, iniciando tratamiento de tuberculosis.Clinical case of a microbiologist with wide experience, which is inoculated accidental when Mycobacterium's pure strain manipulates tuberculosis; it (she) pricks itself in the lateral external face of the phalanx distal of the forefinger, crossing the glove with the contaminated needle. Immediate treatment of the wound. The Service of Prevention, he registers the inoculation as accident of work. To three weeks a slightly painful pápula eritematosa appears in the place of the inoculation to the pressure that is growing until a size reaches 1,5-2 cm., without adenopatías axyllaris, not general clinic. Exéresis and biopsy of the same one, pathological anatomy: chronic inflammation very suggestive granulomatosa tuberculoide of cutaneous tuberculosis, microbiology: doubtful BAAR (Acid bacillus resistant alcohol), I cultivate: positive to Mycobacterium tuberculosis. Both vine-stocks present the same identity. Diagnosis: cutaneous tuberculosis. The occupational risk prevention department realizes the communication of Occupational disease according to the RD 1299/2006, of December 10. Follow-up for Internal Medicine, starting treatment of TB.

Tarım ve hayvancılık sektörü çalışanları çok değişik tehlikelerle karşı karşıyadır. Bu sebeple tarım sektörü, tüm sektörler içinde en riskli gruplar arasında kabul edilir. Türkiye’de iş kazası oranları gelişmiş ülke ortalamalarının oldukça üzerindedir. Kazaların önlenebilmesi için kaza karakteristiklerinin ortaya konması ve öncelikli önlemlerin alınması gerekmektedir. Gelişmekte olan ülkelerde olduğu gibi Türkiye’de de iş güvenliği ve işçi sağlığı konusunda yeterli çalışma bulunmamaktadır. Bu çalışmada, Türkiye’de tarım sektörünün iş kazası karakteristiği ortaya konmaya çalışılmıştır. Tarım sektöründeki değerler diğer sektör ortalamalarıyla karşılaştırılarak farklılıklar belirlenmiştir. Bu çalışmanın 20 milyon tarım nüfusunun bulunduğu Türkiye’de maddi manevi birçok yükü beraberinde getiren iş kazalarının azaltılmasında bir adım olacağı düşünülmektedir

O Vale do Rio dos Sinos (RS) congrega catorze cidades, totalizando um contingente populacional de cerca de um milhão e trezentos mil habitantes. A fabricação de calçados concentrada nessa região já ao final do século XX era a que mais empregava no setor industrial no estado. A força de trabalho insere-se principalmente na indústria de transformação, comércio e prestação de serviços. Este artigo apresenta o perfil epidemiológico de acidentes de trabalho (AT) da região e discute o papel e a relevância do sistema de vigilância em saúde do trabalhador. Implantado em 2000, o Sistema de Informação em Saúde do Trabalhador da Secretaria Estadual de Saúde registrou a ocorrência de 645 AT no período de 2000 a 2003. As informações sobre ocorrência de acidentes são ainda limitadas em virtude da subnotificação por grande parte dos municípios da região e do elevado número de trabalhadores subcontratados, inseridos no setor informal da economia e em atividades domiciliares.The Vale do Rio dos Sinos, in the state of Rio Grande do Sul, encompasses fourteen cities with a total population of roughly 1.3 million. At the close of the twentieth century, the state's largest industrial employer was the footwear industry concentrated in the Vale dos Sinos region. This labor force is employed mainly in manufacturing, commerce, and services. The article describes the epidemiological profile of work accidents (WA) in the region and discusses the role and relevance of the workers' health surveillance system. Created in 2000, the State Health Department's Worker Health Information System recorded 645 WAs between 2000 and 2003. This information on WAs is still incomplete, since a large part of the region's municipalities underreport these and because of the great number of subcontracted workers, who are part of the informal labor market and work out of their own homes.

Foi realizado um estudo descritivo com trabalhadores de enfermagem para avaliar determinados aspectos epidemiológicos dos acidentes de trabalho acontecidos. No período de 1² de janeiro a 30 de junho de 1995 foram estudados 100 acidentes do trabalho ocorridos, o que correspondem a 8,2% de incidência acumulada no período para uma população de 1.218 trabalhadores pesquisados. Como síntese o estudo reconstroi o acidente do trabalho acontecido e os múltiplos fatores de risco presentes nas condições de trabalho de trabalhadores de enfermagem de um hospital universitário.A descriptive study was conducted to assess the epidemiological aspects of the work accidents that occur among nursing personnel. The study consisted of a population of 1, 218 workers and assessed 100 accidents, that corresponded to 8.2% of all accidents that took place during the period, January 1" 1995 to June 3th 1995. The summary of this study evaluates the work accidents that occur among these nursing personnel and the risk factors presented by the working conditions of a university hospital.

O presente estudo teve como objetivo verificar a associação entre o afastamento por acidente de trabalho e a ocorrência de ansiedade e de depressão, averiguando se houve desencadeamento de transtornos somáticos e/ou transtornos nas relações sociais dos indivíduos. Em todos os casos estudados, constatamos que houve aumento significativo de sintomas após o afastamento e que o retorno ao trabalho foi impossibilitado devido à persistência da patologia e ao desenvolvimento de outras manifestações. Assim, o afastamento pôde ser considerado um estímulo estressor, pois além de causar transtornos psíquicos provocou alterações orgânicas.

RESUMO OBJETIVO: analisar o perfil de relatórios, instrumentos de registros e fluxos de tratamento, notificações, acompanhamentos, profilaxias e encaminhamentos devidos a acidentes causados por material perfurocortante em trabalhadores de saúde em uma instituição de saúde pública. Métodos: a coleta de dados usou um questionário semiestruturado aplicado aos profissionais responsáveis pelos registros de acidentes e avaliou os formulários utilizados em três setores da instituição de estudo. RESULTADOS: foram analisados 134 registros de acidentes biológicos. Quando comparamos os registros da instituição com os 50 registrados no mesmo período pelo banco de dados da Secretaria Municipal de Saúde do Rio de Janeiro, apenas 11 casos foram concordantes. Também identificamos falta de padronização nos formulários utilizados, fluxos diferentes e falta de registros de investigações dos casos, além de ausência de acompanhamento do desfecho dos acidentes. CONCLUSÃO: constataram-se subnotificação e discordância entre as fontes. Um formulário de registro para acidentes biológicos foi elaborado para informações de notificação e investigações, bem como criado um programa para monitorar acidentes causados por material perfurocortante, visando melhorar a vigilância de saúde dos trabalhadores da instituição.

O presente estudo teve como objetivo verificar a associação entre o afastamento por acidente de trabalho e a ocorrência de ansiedade e de depressão, averiguando se houve desencadeamento de transtornos somáticos e/ou transtornos nas relações sociais dos indivíduos. Em todos os casos estudados, constatamos que houve aumento significativo de sintomas após o afastamento e que o retorno ao trabalho foi impossibilitado devido à persistência da patologia e ao desenvolvimento de outras manifestações. Assim, o afastamento pôde ser considerado um estímulo estressor, pois além de causar transtornos psíquicos provocou alterações orgânicas.

Considerando a possível insuficiência do exame admissional legalmente preconizado para avaliação auditiva no que se refere à identificação de comprometimento da habilidade para reconhecer fala em ambiente ruidoso, este trabalho tem como objetivo relatar o processo de uma investigação clínica, conduzida em 2010, de um trabalhador que sofreu acidente de trabalho, visando identificar possíveis elementos clínicos não previamente considerados, mas que poderiam ter contribuído para a ocorrência do acidente. Utilizou-se a escala Abbreviated Profile of Hearing Aid Benefit para comparar a habilidade de reconhecimento da fala em ambiente ruidoso do trabalhador acidentado com a de ouvintes normais e realizaram-se exames de audiometria, imitanciometria, emissões otoacústicas, potencial evocado auditivo de tronco encefálico e teste de reconhecimento de sentenças no silêncio e no ruído. Identificou-se que o trabalhador apresentava espectro da neuropatia auditiva (ENA) e que a alteração neural prejudicava de forma relevante a compreensão da fala em presença de ruído. A avaliação da sensibilidade auditiva no exame admissional se mostrou insuficiente para identificar a real situação auditiva do trabalhador com ENA, que compromete o reconhecimento de sinais de advertência, levando a um aumento no risco de ocorrência de acidente em ambientes ruidosos.