RISK FACTORS OF WORK STRESS ON FIREFIGHTERS

Background: Firefighters.are often under pressure and get complaints from the public when extinguishing fires. They are often having heavy workloads and time targets to extinguish fires. It makes them have work stress. The initial survey showed of 80% firefighters having moderate-heavy work stress. Purpose: The aim was to know the risk factors of work stress in Firefighters in West Jakarta in 2019. Method: The research design used a cross-sectional design study. The population and samples are 105 Firefighters in West Jakarta (total sampling). The analysis was done in bivariate which was used the chi-square test. Result: The proportion of moderate-heavy work stress in Firefighters is 60.9%. Bivariate analysis show that there are relation of age (p-value < 0.001) interpersonal relationship (p-value = 0.014), and mental workload (p-value = 0.004) with work stress on Firefighters. It also show that there are no relation between level of education (p-value = 0.163), marital status (p-value = 0.071) and years of service (p-value = 0.351) with work stress on firefighter. Conclusion: The risk factors of work stress in firefighters are age, interpersonal relationships, and mental workloads.

EFFECT OF DAILY TRIP SYSTEM ON PT. X CONTRACTOR WORKER FATIGUE AT OFFSHORE SITE

Background: PT. X implements a daily trip method that takes ±1,5 hours to arrive at the offshore platforms. Travel time that’s too long can cause fatigue. Purpose: Analyzing the effect of a daily trip system on PT. X contractor worker fatigue at offshore site. Method: This research was conducted at one of PT. X’s offshore Gresik Sites in June 2021 used Fatigue Assessment Scale (FAS) questionnaire with observational analytics method and cross-sectional study design. Research samples were taken from the population of 153 construction workers PT. X at offshore site. The data obtained were analyzed using quantitative approach, data analysis used univariate analysis and bivariate analysis, chi-square statistical test with significance value or confidence interval was 95% and error interval was 5% (CI = 95% and α = 0.05). Result: PT. X Contractor workers at the offshore site had 85 workers (55.56%) that get fatigue. Statistical analysis test showed there was no significant relationship between a daily trip system with fatigue on PT. X Contractor workers at the offshore site (p-value = 0.140). Factors that affect fatigue on PT. X Contractor workers at the offshore site were age, body mass index, and workload (p-value successive were 0.047, 0.014, and 0.001). Conclusion: A daily trip system has no effect with fatigue on PT. X contractor worker at the offshore site, recommended for the contractor to improve the BMI and manage the workload so that its more evenly distributed.

THE RELATIONSHIP OF ORGANIZATIONAL FACTORS AND COMPLIANCE LEVEL IN THE APPLICATION OF STANDARD PRECAUTIONS

Background: Infection prevention around health care facilities is one of the efforts to minimize infection in patients, officers, visitors, and communities. One of the efforts to prevent infection is to apply standard precautions. Purpose: To determine the effect of organizational factors on the level of compliance of health workers in implementing standard precautions. Method: There were 83 respondents. The sampling technique uses simple random sampling. The dependent variable is the level of compliance with the application of standard precautions. The independent variables are policies, procedures, facilities, training, monitoring, and safety climate. Data analysis using correlation test and regression test to determine the effect between variables. Result: There was a relationship between facilities and the level of compliance (p = 0.030), there was a relationship between training and compliance (p = 0.027), there was a relationship between the safety climate and the level of compliance (p = 0,009). The influence test shows that the climate safety factor (p = 0.007) and facilities (p = 0.020) have a significant effect on the level of compliance. Conclusion: There is a relationship between facilities training and safety climate with the level of compliance of officers in the application of standard precautions in hospitals. The factor that most influences the level of compliance with the application of standard precautions is the safety climate.

IDENTIFICATION AND RISK CONTROL OF THE HACCP SYSTEM IMPLEMENTATION IN THE PASTEURIZED CRAB PRODUCTION PROCESS

Background: In the production process, small accidents often occur between fellow workers in the production area, such as workers colliding with each other during the transfer process from one process to the next which causes the product to spill and workers fall, causing injury. PT. XYZ is a company engaged in the seafood industry, especially canning crabs. The company's production process applies a Good Manufacturing Practice (GMP) system with 12 work areas and 80% of the process is still done manually. Purpose: The purpose of this study is to identify risks and control the implementation of the HACCP system in the crab canning industry using the HAZOP method. Method: This type of research is a descriptive study, using the HAZOP (Hazard and Operability) method. The research was carried out at 12 nodes, namely receiving, checking aroma, sorting, mixing and filling, metal detecting, weighing, seaming, pasteurization, chilling, packing, and sanitation. Result: The results showed 4 risk ratings, namely low, medium, high, and extreme risk based on 8 sources of potential hazards. The biggest risk that is extreme is in node seaming. Conclusion: Based on processing data, 8 sources of potential hazards that can occur in the pasteurized crab meat production room. The recommendations given are to implement elimination, reduction, engineering control, administrative control, Personal Protective Equipment, work attitude improvement, and OHS training.

SMART SAFETY SHOES: INTERNET OF THINGS BASED ANTI FATIGUE SENSORS TO PREVENT MUSCULOSKELETAL DISORDERS

Background: Occupational injuries in Indonesia increase every year where one of the causes is fatigue. Musculoskeletal disorders (MSDs) is the most common occupational injuries that happen. This problem can be caused by ergonomic factors such as standing position for long periods of time. Purpose: Safety shoes can be personal protective equipment to prevent MSDs complaints on the feet. Method: Additional designs and features are needed to increase the effectiveness of safety shoes. Smart Safety Shoes are shoes equipped with anti-fatigue sensors where there is a pulse detector and a heating sensor and apply Internet of Things technology by focusing attention to ergonomic concepts. The sensor system in the shoes is connected to the android application via wifi network. The application displays pulse rate, temperature, oxygen saturation, warning and recommendation information, as well as heating sensor control. Result: From the results of trials using a random sample, the levels of comfort and safety of these shoes are 83,3% and 83,3%, so they are quite effective to use. Conclusion: Foot fatigue can be relieved by turning on the heating sensor for about 5-10 minutes for maximum comfort so that MSDs can be prevented as early as possible.

THE RELATIONSHIP BETWEEN NOISE INTENSITY AND WORKER CHARACTERISTICS WITH HEARING DISORDERS IN DENTAL LABORATORY JAKARTA

Background: Along with the development of processing goods using machine tools and equipment as well as the use of chemicals, one of the impacts is loud or noisy sound, which can be interpreted as unwanted sound or exceeding threshold and has an opportunity to damage hearing so that can be detrimental. Purpose: To analyze the relationship between the noise intensity and worker’s characteristics with hearing disorders at the Dental Engineering Laboratory in the Jakarta area in 2020. Method: This research was an analytical study with a descriptive cross-sectional design with a sample of 30 dental technicians who work in a dental engineering laboratory in the Jakarta area. Each area is taken 6 people. Measurement of noise in the laboratory with a sound level meter and measurement of hearing loss with audiometry. Result: Workers whose noise intensity is >85 dBA have hearing loss, workers whose noise intensity is 85 dBA, 4 people who have hearing loss, workers aged >40 years have hearing loss, while among workers aged ≤40 years, there are 7 people experiencing hearing disorders. workers with >5 years of service experience hearing loss, while among workers 5 years of service, none have hearing loss. Conclusion: There is a significant between noise intensity with hearing loss (p-value = 0.011), it isn’t significant between age with hearing loss (p-value = 0.0563), and it isn’t significant between tenure with hearing loss (p-value = 0.06).

PATH ANALYSIS OF PERCEPTION OF HEAT PRESSURE, PULSE RATE, BODY TEMPERATURE AGAINST HEAT STRAIN EVENTS IN WORKERS IN BREM PRODUCTION INDUSTRY

Background: Brem industry workers can be at risk to get into heat strain in their workplace. The cases are caused by heat pressure, pulse rate, and body temperature. Purpose: To analyze the heat pressure, pulse rate, and body temperature that can influence the heat strain simultaneously to the workers of the Brem industry in the Kaliabu region, Madiun city, Indonesia. Method: The research is characteristic analytic observation quantitative with the cross-sectional approach in which a sample is 157 respondents with a total amount are 266 workers. The analysis test path use SPSS AMOS 23 accessories to analyze the data. Result: The results of the research are that heat stress does not influence the pulse rate (estimate 0, 02). Heat stress influences body temperature (estimate 0, 12). Heat stress does not influence the heat strain directly (estimate 0, 011). Pulse rate does not influence the heat strain (estimate 0, 08) and body temperature influences the heat strain (estimate 0, 04). Conclusion: Heat stress does not influence the heat strain directly but it influences the variety of body temperature so it needs to pay attention to the work duration time well. (7 hours working and 1 hour for taking rest). Also, it needed an arrangement of the room and adding the system of ventilation to get down the heat from the environment so heat strain can be restrained by checking the environment temperature and body temperature workers routine.

THE EFFECT OF OSH PROGRAM AND WORK DISCIPLINE ON THE PERFORMANCE OF FIREFIGHTERS AT THE FIRE SERVICES OF BOGOR DISTRICT IN 2020

Background: Performance is very important in an agency to achieve goals. The implementation of the OSH program and work discipline is one of the important factors to improve employee performance. Purpose: The purpose of this study is to analyze an influence OSH program and work discipline on improving performance in firefighters. Method: This research method is quantitative associative. The sample used was 165 firefighters and rescue workers taken through purposive sampling. Data was collected by filling out a questionnaire. In this study, hypothesis testing will be carried out which includes the F-test (simultaneous test), T-test (partial test), and multiple linear analysis. Result: The results showed that there was a significant effect of the OSH program and work discipline on performance where the value of Fcount = 200.571 > from Ftable = 3.06. The K3 and Work Discipline Program can affect the dependent variable of performance in fire officers at the Bogor Regency Fire Department by 71.2% while the remaining 28.8% is influenced by other variables not included in this study. Conclusion: It can be concluded that there is an influence between the OSH program and work discipline on the performance of firefighters. Therefore, firefighters must always improve their performance to achieve agency goals.

IDENTIFICATION OF STRESS, ANXIETY, AND DEPRESSION LEVELS OF STUDENTS IN PREPARATION FOR THE EXIT EXAM COMPETENCY TEST

Background: Permendikbud No.2 of 2020 regulates student competency test in the health sector. The exit exam competency test is a requirement that must be met by students after completing all stages of education in order to get a certificate and Surat Tanda Registrasi (STR). The results of the preliminary study show that although there is a high chance of passing the exit exam competency test at the RMIK (Medical Records and Health Information) Study Program at Esa Unggul University (UEU), some of the students are not ready or not ready and feel negative in the form of anxiety, worry, fear. Purpose: To identify stress, anxiety, and depression levels of RMIK Esa Unggul University students in preparation for the exit exam competency test. 61 students who have met the requirements. Method: The measuring instrument used is the Depression Anxiety Stress Scale (DASS 42) which has been modified and adjusted. Result: Showed that more than half of the sample (50.8%) had normal stress, 10 students (16.4%) had severe stress, and 7 students (11.5%) had extremely severe stress. Almost half or about 25 (41%) students feel extremely severe anxiety in preparation for the exit exam competency test. On the other hand, about 14 (23%) students felt normal anxiety and 10 (16.4%) students felt moderate anxiety. More than half of the sample, namely 34 (55.7%) students felt depression at the normal level in preparation for the exit exam competency test. Conclusion: The highest level of stress felt by students in preparation for the exit exam competency test was normal stress, the highest level of anxiety was extremely severe anxiety, and the highest level of depression was normal depression.

THE DIFFERENCE OF MUSCULOSKELETAL DISORDERS BEFORE AND AFTER WORKPLACE STRETCHING EXERCISE

Background: Workers who undertake occupations that require bending, climbing, crawling, reaching, twisting, excessive activity, or repeated movements may suffer from musculoskeletal disorders (MSDs). MSDs can be prevented by doing Workplace Stretching Exercise (WSE) which is useful for minimizing the risk of musculoskeletal injury, fatigue reduction, muscle balance, and posture improvement, and muscle coordination improvement. Purpose: To analyze the difference before and after giving WSE to the reduction of MSDs complaints. Method: This research takes a quantitative approach, utilizing a quasi-experimental design in one group before and after WSE administration. Total sampling is used for sampling. The respondents of this study were 34 workers in the production division of PT Crown Pratama in 2021. The T-paired test was utilized as a statistical test in this study. Result: The results of the univariate test mean MSDs complaints before and after WSE administration were 42.97 and 36.29. Conclusion: The bivariate test revealed differences in complaints of Musculoskeletal Disorders (MSDs) before and after workplace stretching exercise.