The effect of first aid training on Australian construction workers' occupational health and safety motivation and risk control behavior

METHOD: A 24-week experiment was conducted to assess how first aid training affects the motivation of small business construction industry employees in avoiding occupational injuries and illnesses and its effect on their occupational health and safety behavior. A simplified multiple baseline design across workplace settings was used to evaluate the effects of first aid training. Participants' motivation to control occupational safety and health risks was explored during in-depth interviews before and after receipt of first aid training. Objective measurement of occupational safety and health behavior was conducted by a researcher directly observing the workplace before and after participants received first aid training. RESULTS: The observations at participants' worksites suggested that, for the most part, the first aid training had a positive effect on the occupational safety and health behavior of participants. First aid training appeared to reduce participants' "self--other" bias, making them more aware that their own experience of occupational safety and health risks is not beyond their control but that their own behavior is an important factor in the avoidance of occupational injury and illness. First aid training also appeared to reduce participants' willingness to accept prevailing levels of occupational safety and health risk and increase the perceived probability that they would suffer a work-related injury or illness. Participants expressed greater concern about taking risks at work after receiving first aid training. IMPACT ON INDUSTRY: It appears that first aid training enhances participants' motivation to avoid occupational injuries and illnesses and improves their risk control behavior. The implications of this are that first aid training can have a positive preventive effect and could complement traditional occupational health and safety training programs. As such, there may be benefit in providing first aid training to all employees rather than limiting this training to a small number of designated "first aiders."     

组织管理失误对操作人员行为安全影响分析

为使操作人员行为更安全,对组织管理失误进行分析,归纳为管理控制失误、组 织规程失误、组织安全管理失误、安全监督失误、教育培训不足5个方面,运用结构方 程模型（SEM）分析对操作人员行为安全的影响,使用AMOS软件对模型求解。运用直觉 三角模糊数对模型中指标进行评价并采用TOPSIS法对不安全行为进行排序。研究表明: 管理控制和组织规程对建立安全监督体系有正向作用;管理控制和组织规程对组织安全 管理实施有正向作用;管理控制和组织规程对有教育培训正向作用;建立安全监督体系 、组织安全管理实施和教育培训对操作人员安全行为有正向作用。进行风险排序有利于 企业对关键工种提出改进措施,提高企业效益。     

Enhancing safety competencies of young adults: A randomized field trial (RCT)

IntroductionYoung workers are exposed to various occupational hazards, often with limited experience and skills. In this study, we investigated the effects of the Attitude to Work Program on the safety competencies of young workers. Based on the social cognitive theory, the intervention was developed to help young people adopt an active role in preventing occupational hazards and overcoming barriers to safe work.MethodThe program was implemented in eight upper secondary-level vocational schools in Finland during 2015. A total of 464 students participated in the cluster randomized field trial. Those in the intervention group (n = 229) participated in the Attitude to Work Program. During the program, students identified and practiced behavioral strategies to prevent occupational hazards. Students in the control condition (n = 235) received written material about the same safety-related topics.ResultsThe short-term follow-up showed that the intervention significantly increased safety preparedness and the internal safety locus of control among the students in the intervention condition in comparison to those in the control condition. Students in the intervention condition also showed reduced risk-taking attitudes relative to those in the control condition. Furthermore, those who benefited most from the program were high conscientiousness students. The sensation-seeking level or vocational track did not moderate any of the intervention effects.ConclusionThe results demonstrated that safety competencies can be modified by intervention techniques based on a social-cognitive framework.Practical implicationsThis study provides tools for school-based safety training and future intervention development. Further research is needed to study the relationships between cognitive factors, safety behavior, and accidents.     

基于行为安全理论的化工事故统计及分析

行为安全理论是事故分析和预防的理论和方法,应用基于行为安全理论的事故致因“2-4”模型对10起化工事故的直接、间接、根本、根源原因进行分析。结果表明:该模型是化工事故分析的有效方法。10起事故的直接原因主要为一线员工在涉及高温加热工艺、带压设备、有毒有害环境和动火作业中的违规违章操作,管理人员未建立或运行安全管理体系等不安全动作及不安全物态,且不安全物态与管理人员不安全行为有关;间接原因是一线员工缺乏岗位安全操作等知识,管理人员缺乏安全管理、技术等知识,导致其安全意识薄弱,养成不良的安全习惯;根本原因是组织安全教育等管理程序缺失和执行不力;根源原因是组织成员对安全的重要度等安全文化元素缺乏理解。     

Development of a new masters program for occupational physicians in Flanders

Background: discussions with occupational physicians and a postal survey identified the shortcomings of previous programs, mainly found in the fields of occupational hygiene, ergonomics, environmental health and management.Objectives of the new program: basic knowledge (see content), the development of problem solving skills, scientific and social attitudes.Content: first year: occupational health practice, occupational hygiene, epidemiology, work physiology, toxicokinetics and dynamics and in service training (4 weeks). Second year: occupational pathology, environmental health, ergonomics, social legislation, safety, management and in service training (4 weeks). The total study load is estimated at about 1600 hours per year.Methods: interactivity is stimulated by the introduction of interdisciplinary seminars, project work in groups and Socratic dialogue. The objectives, contents and teaching and student-evaluation methods of the separate items were defined before selecting teachers.Finality of the program: a masters title sufficient to practice occupational medicine in Belgium. A subsequent postacademic training of 2 years, while at work, will be required for the title of specialist in occupational medicine, valid at European Union (EU) level. It will include preparing and publically defending a thesis.Statement: The collaboration of ex-students working in the field is essential in the development and quality assessment of adequate teaching programs.     

日本劳动安全卫生监管模式对我国的借鉴作用

学习和借鉴国外先进的安全生产管理模式,可以促进我国安全生产监管水平的不断改善。日本的劳动安全卫生监管采用了超前管理和过程管理方式,政府监管部门通过制定和完善有关法律法规,建立政府计划指导,劳动灾害防止团体和产业协会提供技术服务,企业承担劳动安全卫生主体责任,使劳动安全卫生政策、计划得到有效的执行和不断的修正。经多年的实践和积累,日本劳动安全卫生的重点已从灾害预防控制,向劳动工作紧张焦虑预防控制、创造舒适劳动环境转移,整个劳动安全卫生监管模式进入了一个良性循环。该文借鉴日本劳动安全卫生监督管理体制四十多年的经验,提出我国职业卫生监管应该通过培训教育,提高全民的劳动安全卫生意识。要充分研究和利用第三方技术服务组织,规范第三方技术服务,承担我国劳动安全卫生的事务性工作。     

基于结构方程模型的地铁乘客安全行为影响因素分析

为了研究地铁乘客安全行为的影响因素,通过对北京、上海、广州、深圳等城市的地铁乘客的多项安全指标的抽样调查,建立了关于乘客安全行为的结构方程模型,研究了影响地铁乘客安全行为的主要因素。结果表明:良好的地铁安全氛围能有效提高乘客的安全知识水平、安全动机、安全心理水平、安全参与行为水平;安全参与行为水平同时受到乘客安全知识水平和乘客接受安全培训状况的影响,其中,乘客安全知识水平的高低取决于乘客接受安全培训状况;安全服从行为则与安全动机存在较强的正相关关系;乘客的安全心理水平只跟地铁安全氛围有关,安全氛围越好,乘客安全心理水平越高,安全知识作为中介变量同时影响着安全氛围与安全参与行为、安全培训与安全参与行为、安全氛围与安全动机以及安全培训与安全动机之间的关系,提高乘客安全知识水平是提高乘客安全行为水平的重要途径。     

Individual,business-related,and work environment factors associated with driving tired among taxi drivers in two metropolitan U.S. cities

Introduction: Violence-related events and roadway incidents are the leading causes of injury among taxi drivers. Fatigue is under-recognized and prevalent in this workforce and is associated with both injury outcomes. We describe the association of individual, business-related, and work environment factors with driving tired among taxi drivers in two very different cities. Method: We developed a comprehensive survey for licensed taxi drivers. We trained surveyors to administer the 30-min survey using systematic sampling among taxi drivers waiting for fares in two large U.S. cities: the Southwest (City 1) and the West (City 2). A driving tired scale of the Occupational Driver Behavior Questionnaire was the outcome. Multivariate logistic models described driving tired behavior in city-specific models using adjusted Odds Ratios (ORadj). Results: City 1 and City 2 had 496 and 500 participants, respectively. Each driving tired behavior was significantly more prevalent in City 2 than City 1 (p < .05). There were more variables and a greater diversity of variables in the models describing drowsy driving in City 1 than City 2. In City 1, variables describing negative safety climate (ORadj = 1.15), socio-demographic groups (identifying as Asian, educational attainment), passenger-related violence (ORadj = 1.79), and company tenure (ORadj = 1.15) were associated with driving tired. In City 2, high perceived safety training usefulness (ORadj = 0.48) was associated with driving tired. A risk factor for driving tired that was common to both cities was job demands (ORadj = 1.21 in City 1; 1.43 in City 2). Conclusions: These findings represent two diverse taxi populations driving in two geographically distinct regions that differ in safety regulation. It is important that safety measures that include fatigue awareness training are reaching all drivers. Fatigue management training should be integrated into driver safety programs regardless of location. Practical applications: Fatigue management strategies that recognize individual factors, business-related characteristics, and work environment are an important component of road safety and are particularly relevant for occupational drivers.     

工作压力、安全注意力与不安全行为的影响机理模型

为探索矿工工作压力、安全注意力与不安全行为之间的深层次逻辑关系,在文献梳理和开放式访谈的基础上,采用结构方程构建工作压力、安全注意力与不安全行为的影响机理模型。采用多阶段随机抽样,抽取矿工650名,对矿工的工作压力、安全注意力和不安全行为进行问卷调查。结果表明:矿工工作压力的安全管理方式、无效能感、干部风格、组织支持和角色冲突均显著负向影响安全注意力,影响程度依次减弱;安全注意力的安全信息刺激显著负向影响不安全行为;工作压力通过安全注意力的自身素养和安全监管显著正向影响不安全行为。安全注意力是矿工工作压力和不安全行为的部分中介变量。有效减轻工作压力和控制安全注意力水平,可以有效干预不安全行为。     

Strategies and methods for investigation of airborne biological agents from work environments in Germany.

In 2004/2005, a European Twinning Project was carried out to support Polish occupational safety and health institutions in putting into practice Directive 2000/54/EC regarding the protection of workers from risks related to exposure to biological agents at work. Information on and training in sampling and analysing biological agents of people responsible for bioaerosol measurements and the assessment of measuring results from the workplace atmosphere were part of the project. This paper is an extract of the authors' activities within the project and can be used as a tool for comparable activities in future projects with other European Union candidates. It gives information on working standards for bioaerosol measurements worked out and commonly used in Germany within the frame of European guidelines for bioaerosol measurements in the workplace atmosphere. Additionally it summarizes the authors' long practical experience in carrying out bioaerosol measurements in the atmosphere of various workplaces.     

关于国家职业安全卫生培训的战略思考

职业安全卫生培训是开展职业安全卫生工作的基础。如何充分发挥培训的作用是众所关心的问题。笔者在研究我国职业安全卫生培训工作发展的历史及现状的基础上 ,指出了职业安全卫生培训与目前社会需求的差距 ;提出了在当前培训工作中存在的主要问题 ;论述了如何建立起从资格培训规定、培训大纲、培训教材到考核标准的培训体系和职责明确、层次清楚的培训程序 ;特别强调 ,要建立起适应市场经济发展和现代工业安全生产的有效的职业安全卫生培训机制 ,是使职业安全卫生培训工作进一步走向正规化的核心问题。     

Enhancing corporate compliance with worksite safety and health legislation

Introduction: A 2-year prospective study evaluated the effectiveness of a managerial training program to enhance corporate compliance with statewide worksite safety and health regulations. The program offered participants information about regulatory requirements and emphasized organizational and environmental strategies for reducing occupational injuries and illnesses. Objectives: To assess the effects of a train-the-trainer program on business managers' knowledge of statewide occupational safety and health legislation and on levels of corporate compliance with regulatory requirements. Methods: Forty-eight small- and medium-sized companies participated in the training sessions during the first year of the study. These firms were compared with 46 control companies that did not receive the training until the conclusion of the study. Results: Participation in the program was associated with higher levels of corporate regulatory compliance 12 months after the training sessions were held (controlling for baseline levels of corporate compliance with the regulations). Program effects on compliance levels were mediated by posttraining changes in managers' knowledge of regulatory requirements. Conclusions: The REACH OUT training program raised managers' awareness of and corporate compliance with statewide worksite safety and health regulations. Impact on Industry: Smaller companies face greater challenges than larger ones in developing and maintaining worksite safety and health programs. Barriers to regulatory compliance, especially in small- and medium-size companies, should be identified and removed to enhance the efficacy of these programs.     

Training trade unionists in ergonomics: Interaction between public policies, trade union practices and the development of research

For a number of years now, enterprises have become increasingly interested in training in the area of health and safety at work. Even though trade unionists and managers see different advantages in such training, they share the same willingness to reduce occupational injuries. Even if demand for training is sometimes limited on purpose (all that is expected of it is to pass on recipes enabling work to be continued without getting hurt), training in safety and health is a privileged point of contact between researchers and trade unionists. But the contact between these two groups of actors in the process of changing working conditions does not happen without raising a number of questions: that of reciprocal mental images of each other, for instance, something which will condition the ways in which their knowledge meets; or the issue of the target groups of training: all the workers or just the delegates representing the workers in cooperation bodies? Other fundamental questions relate to the context in which training takes place: what type of training should take pride of place? What is the role of the expert in this approach? And how should the expert's knowledge be linked in with that of the workers?     

A learning-by-doing strategy to improve top management involvement in safety

The growth of legal regulations in occupational safety during the 70's alienated to some extent top management from health and safety issues; safety was regarded as an activity of safety professionals and labour inspection. This lack of commitment to safety management led to reduced activity and awareness. However, both research and practice indicate that the role of top management is of crucial importance for achieving results in safety.Having realized the problem and the lack of appropriate training to meet the demands of top management, a program called “One hour for safety management” has been developed. The training is arranged in an “action” setting, during the formal meeting of the executive board of the company. The program consists of four main parts: (1) Principles of modern safety management, (2) The company's accident insurance system, the interdependency between compensation costs and premiums, (3) The safety situation of the company; accidents, premiums and losses, hazards, safety program, and (4) Setting the safety targets and action plans required. More recently, a short audit process has been developed to reveal the important sources of loss and the state of affairs in the company's loss control systems. A special software package includes essential handouts of the safety management meetings complemented by self-auditing tools.The approach initiated or revived top management interest in and awareness of safety in several companies. The success of the meeting seems to depend on several factors, e.g. consultation skills, safety expertise, style of presentation, corporate culture and co-operation in the preparation of the session. The factors that contribute to an effective training for top management should further be analyzed, and the impact of the management training on accident rates is a task for evaluation studies in future.     

Implementing and evaluating novel safety training methods for construction sector workers: Results of a randomized controlled trial

Introduction: The construction industry is regarded as one of the most unsafe occupational fields worldwide. Despite general agreement that safety training is an important factor in preventing accidents in the construction sector, more studies are needed to identify effective training methods. To address the current research gap, this study evaluated the impact of novel, participatory safety training methods on construction workers’ safety competencies. Specifically, we assessed the efficacy of an immersive virtual reality (VR)-based safety training program and a participatory human factors safety training program (HFST) in construction industry workplaces. Method: In 2019, 119 construction sector workers from eight workplaces participated in a randomized controlled trial conducted in Finland. All the study participants were assessed using questionnaires at baseline, immediately after the intervention and at one-month follow-up. We applied generalized linear mixed modeling for statistical analysis. Results: Compared to lecture-based safety training, VR-based safety training showed a stronger impact on safety motivation, self-efficacy and safety-related outcome expectancies. In addition, the construction sector workers who participated in the VR-based safety training showed a greater increase in self-reported safety performance at one-month follow-up. Contrary to our study hypotheses, we found no significant differences between the study outcomes in terms of study participants in the HFST training condition and the comparison condition without HFST training. Conclusion: Our study indicates that VR technology as a safety training tool has potential to increase safety competencies and foster motivational change in terms of the safety performance of construction sector workers. In the future, the efficacy of participatory human factors safety training should be studied further using a version that targets both managerial and employee levels and is implemented in a longer format. Practical implications: Safety training in virtual reality provides a promising alternative to passive learning methods. Its motivating effect complements other safety training activities.     

果园农药作业个体防护的影响因素

农药是果树种植园进行病虫害防治常用方法,农药会通过呼吸道、口腔及皮肤等途径进入人体,进而对作业者健康产生不利影响。在辽东某地区种植园的调查发现,果园作业者的防护装备配置情况与果园人均产值和安全教育水平呈正向相关。近年来果园作业的防护装备配置水平逐年提升,果园管理者及员工对个体防护装备的认知也逐步提高,但防护装备的配置及使用情况仍有很大改善空间。本文进一步普及农药作业安全与健康教育,普及防护装备的选用和维护常识对降低农药中毒现象的发生有直接影响。     

Facilitators and barriers to occupational health and safety in small and medium-sized enterprises: a descriptive exploratory study in Ontario,Canada

Purpose. The purpose of this particular study was to test a newly created instrument in describing the facilitators and barriers to occupational health and safety in small and medium-sized enterprises (SMEs) in Ontario, Canada. Methods. A cross-sectional design was used to identify the occupational health and safety culture of SMEs in public and private sectors in Ontario. Results. A total of 153 questionnaires were completed. The majority of respondents were female (84%) with a mean age of 49.8 years (SD 10.6). Seventy-four percent were supervisors. Seventy percent of respondents were from the private sector while 30% derived from the public sector including healthcare, community services, and non-profit organizations. Further, conducting regular external safety inspections of the workplace was found to be statistically associated with a safe work environment 2.88 95% CI [1.57, 5.27]. Conclusions. Strategies and training opportunities that focus on how to adapt occupational health and safety legislation to the nature and diversity of SMEs are recommended. Furthermore, employers may use such information to improve safety in their SMEs, while researchers can hopefully use such evidence to develop interventions that are applicable to meeting the occupational health and safety needs of SMEs.     

Efficacy of text messaging apprentices to reinforce ergonomics and safety voice training

Introduction: Injuries and work-related musculoskeletal disorders (MSDs) are common among masons. SAfety Voice for Ergonomics (SAVE) integrates training in ergonomic and safety problem-solving skills into masonry apprenticeship training. The purpose of this study was to assess the efficacy of text messaging to reinforce SAVE program content. Method: SAVE effectiveness was evaluated at masonry apprenticeship training centers across the United States by comparing three experimental groups: (1) Ergonomics training, (2) Ergonomics and Safety Voice training, and a (3) Control. Apprentices received SAVE training with their standard instruction. To reinforce classroom training, refresher training was implemented by sending weekly text messages for six months. Half of the text messages required a response, which tested knowledge or assessed behavior, while the remaining reiterated knowledge. Apprentices (n = 119) received SAVE text messages. Response rates and percentage of correct responses were compared with chi-square tests and independent group t-tests. Multivariable logistic regression analysis predicted apprentice response with selected demographic and work experience variables. Finally, feedback on of the use of text messaging was obtained. Result: Of 119 participants, 61% (n = 72) responded to at least one text message. Logistic regression revealed that being a high school graduate and a brick and block mason significantly affected the odds of responding. Sixty-nine percent of apprentices agreed that text messages reinforced SAVE content. Conclusion: Even though there was no training center requirement to respond, the high response rate suggests that text messaging can effectively be used to reinforce ergonomics and safety voice training for both knowledge and behavior. Practical Application: The prevalent use of text messaging creates opportunities to reinforce health and safety training and engage workers, especially for populations that may be at various locations over time such as construction sites. Instructors and practitioners should consider the utility of text messaging for supporting their training and safety programs.     

Work-related road safety: A case study of Roche Australia

Fleet, work-related or occupational road safety has the potential to make a major contribution to reducing both human harm and asset damage. To date, however, there would appear to be a dearth of well researched and evaluated case studies in the public domain in this area.This paper provides an on-going, documented, real-world case study of work-related road safety within an Australian company that has sought to manage, monitor and improve its road safety performance over the last 5 years through a range of proactive, fleet manager, insurance and risk-led initiatives.Roche Australia has successfully implemented a Company Motor Vehicle Safety Program with support from its fleet insurers and risk management advisors. Four key initiatives are set out covering: (1) Driver risk assessment, monitoring and improvement. (2) Policy development and communications. (3) Process and outcomes evaluation. (4) Continuous review and refinement of policies, processes, programs and future developments.The program has led to a range of process and performance-based outcomes. Typical barriers to success in work-related road safety have been identified and overcome. Almost 100% risk assessment and improvement process compliance by drivers has been achieved. A predictive relationship between risk assessment outcomes and collision history has been identified. Reductions in insurance claims, collision costs and claims ratio have been sustained. A detailed project plan is in place to continue the program for the next 3 years.The paper concludes that with effective management, a well developed work-related road safety program can result in performance improvements within the initiating organisation. Several limitations in the case study methodology, as well as areas for further work and lessons for policy makers, researchers and practitioners are also identified.     

Occupational safety conditions of bus drivers in Metro Manila,the Philippines

The study looks into the occupational safety and working conditions among bus drivers in Metro Manila, the Philippines. Quantitative data were collected through survey interviews of 95 bus drivers using the stratified sampling technique. Results showed that bus drivers worked an average of 16?h/day and were engaged in risky driving behaviors such as over-speeding and road racing in order to reach their quota for the day. Fifty-nine percent experienced work-related accidents, with a mean of three accidents. The most common accident was hitting another vehicle followed by side swipe. The accidents were blamed on other drivers, followed by vehicle defect, inattentiveness and tiredness/micro-sleep or sudden involuntary sleep while driving. The most common health symptoms experienced by the bus drivers were fatigue, back pain, and cough and colds. This study underlines the need for an occupational health and safety program for bus drivers in the Philippines.