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Health and safety improvement in construction projects: a lean construction approach

Abu Aisheh YI, Tayeh BA, Alaloul WS, Almalki A

Int J Occup Saf Ergon, 2022 Dec;28(4):1981-1993.
PMID: 34126867 DOI: 10.1080/10803548.2021.1942648

Objectives. Lean construction techniques have been considered an effective approach and strategy to reduce accidents in construction projects. This article aims to investigate the application of the lean construction principle and its impact on occupational health and safety. Methods. To achieve the aim, an analytical descriptive method was used. The data were collected through a questionnaire, with 70 respondents who were chosen using a random stratified sample method. The questionnaire evaluated the perception of contractors and consultants about the important lean construction factors and their impact on construction project safety. Results. There is an agreement that the application of lean construction techniques can be impeded by challenges like lack of lean construction knowledge, complexity, misconception about lean construction and difficulties in changing employees. Conclusions. The study identified strategies that could be used to address these challenges that will improve the safety of construction projects. These include enlightenment on benefits of the lean practice, publication of improvements realized from lean practice, training, workers' involvement and empowerment, persistence, robust planning and gradual implementation.

Matched MeSH terms: Accidents, Occupational/prevention & control
Workplace injuries in Malaysian Manufacturing Industries

Saad Mohd Said, Zairihan Abdul Halim, Fatimah Said

Journal of Occupational Safety and Health, 2012;9(1):21-31.
MyJurnal

This study analyzes the determinants of workplace injuries across 44 four-digit manufacturing industries in Malaysia from 1993 to 2008 through the business cycle and structural approaches. The results of fixed-effects estimations revealed that workplace injuries in Malaysian manufacturing sector were negatively influenced by firm size and positively influenced by business cycle. Consistent with the findings of previous studies in other countries, the empirical evidence of this study supports the pro-cyclical behavior of injury rates in manufacturing industries towards business cycle. The analysis demonstrates that both structural and cyclical variation effects are important determinants of workplace injuries in Malaysia.

Matched MeSH terms: Accidents, Occupational
Fulltext A need for new accident theories in Malaysia?

Saravanan Dhanabal, Karmegam Karuppiah, Kulanthayan K.C Mani, Irniza Rasdi, Sivasankar Sambasivam

Malaysian Journal of Public Health Medicine, 2016;16(20):1-4.
MyJurnal

Workplace accident is a big challenges for a safety professional. Workplace accidents may lead from minor to serious
effects to both employees and employers alike. Accident is an unexpected and undesirable event, especially those
resulting in damage, harm or unforeseen incidents. This paper also discussed all available accident theories that are
commonly used in workplace as fundamental to mitigating accident. Throughout this paper, the author justified that a
new or updated accident theory is needed in Malaysia. The author stated that current accident theories are based on
different environments and are different in terms physical of the employee who involved in the accident. This author
also stated that technology changes is also another factor which can be supporting the new or updated accident
theory needed in Malaysia.

Matched MeSH terms: Accidents, Occupational
Fulltext Safety training and safety behaviour in the Malaysian SME

Khoo, Teng Hong, Lilis Surienty, Mohd Nasir Selamat

Journal of Occupational Safety and Health, 2016;13(2):55-62.
MyJurnal

Workplace accident is still prevalent in the Malaysian industry sector. Although statistics indicates that the number of
accidents in the workplace is showing signs of decrease over the last five years, there is still room for improvements. According to
report, a majority of the workplace accidents in Malaysia happened in Small and Medium Enterprise (SME). This shows that SME is
still lagging behind in ensuring the safety of their workplace. This can disrupt their business activities as workplace accidents bring
several negative effects. Therefore, this study explores the use of safety training to foster safety behaviour among employees. Surveys
were distributed to employees working in SME, Northern Corridor of Economic Region (NCER). The data was analysed and results
were presented. Suggestions to management in SME are made at the end of the paper.

Matched MeSH terms: Accidents, Occupational
Fulltext The relationship between management practices and safety

Siew, Lee Cheng, Florianna Lendai Michael, Hana, Hamidi, Siti Mariam, Abdullah

Journal of Cognitive Sciences & Human Development, 2018;4(1):15-27.
MyJurnal

Work-related accidents is a controversial topic in Malaysia as evidenced by the increased number of occupational accidents throughout the years. The purpose of this research is to examine the relationship between management practices and safety performance in an or-ganization. The four management practices investigated are (a) training, (b) management commitment, (c) communication and feedback, and (d) employee involvement. The most effective safety practice is also identified. The data was collected at a manufacturing com-pany located in Shah Alam, Malaysia using closed-ended questionnaire. 95 respondents from the production line were involved in this study. The result found that training had a very weak relationship to the safety performance while the management commitment, as well as the communication and feedback, revealed to have a weak impact on safety perfor-mance. On the other hand, the analysis showed that employee involvement is the most ef-fective safety practice to the safety performance, as it had a moderate impact on safety per-formance.

Matched MeSH terms: Accidents, Occupational
Fulltext Decompression illness secondary to occupational diving: recommended management based current legistation and practice in Malaysia

Rozali A, Khairuddin H, Mohd Sidik S, Zin BM, Sulaiman A

Med J Malaysia, 2008 Jun;63(2):166-9.
PMID: 18942312 MyJurnal

Occupational divers are exposed to hazards which contribute to the risk of developing decompression illnesses (DCI). DCI consists of Type I decompression sickness (DCS), Type II DCS and arterial gas embolism (AGE), developed from formation of bubbles in the tissues or circulation as a result of inadequate elimination of inert gas (nitrogen) after a dive. In Malaysia, DCI is one of the significant contributions to mortality and permanent residual morbidity in diving accidents. This is a case of a diver who suffered from Type II DCS with neurological complications due to an occupational diving activity. This article mentions the clinical management of the case and makes several recommendations based on current legislations and practise implemented in Malaysia in order to educate medical and health practitioners on the current management of DCI from the occupational perspective. By following these recommendations, hopefully diving accidents mainly DCI and its sequalae among occupational divers can be minimized and prevented, while divers who become injured receive the proper compensation for their disabilities.

Matched MeSH terms: Accidents, Occupational/legislation & jurisprudence*
A fatal nail gun injury--an unusual ricochet?

Nadesan K

Med Sci Law, 2000 Jan;40(1):83-7.
PMID: 10689867

An 18-year-old construction worker suddenly collapsed while handling a power-actuated nail gun and died shortly after. A neat, almost circular puncture wound was found on the front of his left chest. No fire-arm residues were detected on the surrounding skin. The police stated that it was an accidental injury, at a construction site, where a nail fired from a nail gun by the deceased had deflected off the wall and struck him on the front of the chest. Since the entry wound appeared to be a neat hole, and that too on the front of the left chest overlying the heart area, there was reluctance on the part of the pathologist to accept it as an accidental injury due to a ricochet. A visit to the scene, interrogation of witnesses, examination of the alleged tool and post-mortem X-ray of the deceased were undertaken prior to autopsy. A bent nail was found in the heart. The scene visit and the subsequent autopsy revealed that the nail took a roughly circular flightpath after it had struck the wall, all the while travelling with its pointed end directed forward. Within the body too, the nail maintained the same path. Various medicolegal issues are discussed pertaining to nail-gun injuries. The importance of a visit to the scene, examination of the alleged tool, interrogation of witnesses and the X-ray of the body, all prior to autopsy, are emphasized. The conclusion was: accidental death due to the unusual ricochet of a nail.

Matched MeSH terms: Accidents, Occupational*
Occupational health in Malaysia

Rampal KG, Aw TC, Jefferelli SB

Occup Med, 2002 Jul-Sep;17(3):409-25, iv.
PMID: 12028951

This article provides a detailed examination of Malaysian occupational health agencies and their roles in formulating and enforcing standards, promoting occupational health and safety (OSH), and providing advisory services. Available OSH training is described, and the need for policies and personnel in various industries is outlined. Further, the authors discuss how international models and collaboration have influenced Malaysian OSH, and how some successes can be repeated and failures remedied.

Matched MeSH terms: Accidents, Occupational/statistics & numerical data
Fulltext A freak accidental injury to the spinal cord

Koh KB, Vaikunthan R, Sengupta S

Med J Malaysia, 1988 Sep;43(3):246-9.
PMID: 3241584
Matched MeSH terms: Accidents, Occupational*
A study of work injuries in eight Asian countries

Ong CN, Phoon WO, Tan TC, Jeyaratnam J, Cho SC, Suma'mur PK, et al.

Ann Acad Med Singap, 1984 Apr;13(2 Suppl):429-34.
PMID: 6497348

This study is based on a survey conducted in Hong Kong, Indonesia, Korea, Malaysia, the Philippines, Singapore, Sri Lanka and Thailand on occupational injuries during the years 1975-1980. The number of work accidents have risen rapidly during this period in all of the 8 countries studied. In the case of Thailand, the total number of work injuries increased four fold from 1975-1978, whereas, in Singapore it has almost doubled in 6 years. The number of permanent disablement nearly trebled in Korea, and the Philippines for the year 1967-1980. The largest percentage of accidents are lost-time injuries in all of the 8 countries. Thailand had a three fold increase in lost-time injuries whilst in Hong Kong the figure doubled. Six out of the 8 countries indicated that the building construction industry had the largest number of fatal accidents, followed by the manufacturing industry.

Matched MeSH terms: Accidents, Occupational*
Fulltext Developing an Ensemble Predictive Safety Risk Assessment Model: Case of Malaysian Construction Projects

Sadeghi H, Mohandes SR, Hosseini MR, Banihashemi S, Mahdiyar A, Abdullah A

Int J Environ Res Public Health, 2020 11 13;17(22).
PMID: 33202768 DOI: 10.3390/ijerph17228395

Occupational Health and Safety (OHS)-related injuries are vexing problems for construction projects in developing countries, mostly due to poor managerial-, governmental-, and technical safety-related issues. Though some studies have been conducted on OHS-associated issues in developing countries, research on this topic remains scarce. A review of the literature shows that presenting a predictive assessment framework through machine learning techniques can add much to the field. As for Malaysia, despite the ongoing growth of the construction sector, there has not been any study focused on OHS assessment of workers involved in construction activities. To fill these gaps, an Ensemble Predictive Safety Risk Assessment Model (EPSRAM) is developed in this paper as an effective tool to assess the OHS risks related to workers on construction sites. The developed EPSRAM is based on the integration of neural networks with fuzzy inference systems. To show the effectiveness of the EPSRAM developed, it is applied to several Malaysian construction case projects. This paper contributes to the field in several ways, through: (1) identifying major potential safety risks, (2) determining crucial factors that affect the safety assessment for construction workers, (3) predicting the magnitude of identified safety risks accurately, and (4) predicting the evaluation strategies applicable to the identified risks. It is demonstrated how EPSRAM can provide safety professionals and inspectors concerned with well-being of workers with valuable information, leading to improving the working environment of construction crew members.

Matched MeSH terms: Accidents, Occupational/prevention & control
Industrial development and health in Malaysia

Chan WK

Southeast Asian J. Trop. Med. Public Health, 1979 Dec;10(4):650-5.
PMID: 538514

Industrial development in Malaysia is discussed in relation to impact on health. Trends in Malaysia are evaluated and the findings of some studies in Malaysia are reviewed.

Matched MeSH terms: Accidents, Occupational/economics
Preventive ophthalmology

Singh A

Med J Malaysia, 1977 Sep;32(1):45-7.
PMID: 609343
Matched MeSH terms: Accidents, Occupational/prevention & control
Accident patterns and prevention measures for occupational injuries in the Philippine food and beverage manufacturing industry

Prasetyo YT, Garcia MM, Dewi RS, Chuenyindee T, Kurata YB, Widia M

Work, 2022;73(4):1307-1324.
PMID: 36057804 DOI: 10.3233/WOR-210662

BACKGROUND: The manufacturing industry is one of the catalysts for the Philippines. However, this sector is one of the most dangerous industries in the Philippines considering the frequency of occupational injuries.
OBJECTIVE: To determine the primary and root causes of recorded accidents, demographics of the person involved, and solutions to prevent the recurrence of certain accidents.
METHODS: This study analyzed 185 occupational injury cases in a food and beverage manufacturing company in the Philippines from January to December 2018. A comprehensive classification system was established to examine and code each case in terms of age, gender, working shift, employee type, tenure, department, category, activity during the accident, root cause of injury, injury classification, direct cause of injury, type of injury, part of body injured, agent of injury, and location of the accident. Cramer's V analysis and Phi coefficient analyses were employed on the subject cases to determine the significant factors and the corresponding extent of significance.
RESULTS: The results showed that the majority of the occupational injuries were caused by stepping on, striking against, or stuck by objects (77 cases, 41.6%), caught in between (34 cases, 18.4%), fall (34 cases, 18.4%), and exposure or contact with extreme temperatures (24 cases, 13%). Interestingly, female workers who had accidents were more likely due to inadequate hazard information or lack of procedures whereas male workers were more likely due to failure to secure. The prevention measures such as passive safeguards and personal protective equipment, pictograms, and regular safety audits were derived from the results of these analyses.
CONCLUSIONS: This study is the first comprehensive analysis of occupational injuries in the food and beverage industry in the Philippines. The findings can be applied to positively influence the effectiveness of prevention and rehabilitation programs mitigating workplace injuries and illnesses.

Matched MeSH terms: Accidents, Occupational/prevention & control
Fulltext Current status of industrial accident learning in Malaysia

Kamarizan Kidam, Zainazrin Zainal Abidin, Mimi Haryani Hashim, Adnan Ripin, Mohammed Wijayanuddin Ali, Hazlee M. Safuan, et al.

Journal of Occupational Safety and Health, 2015;12(1):1-4.
MyJurnal

In general, the industrial accident rate in Malaysia is decreasing. However, statistically it is still relatively high
if compared with that of other developing nations. One of the reasons why accidents keep on happening is poor
learning from accidents. This paper discusses the level of accident learning, based on accident reports submitted to the
Department of Occupational Safety and Health (DOSH) Malaysia and the Society Security Organization (SOCSO)
Malaysia involving a total of 1,291 accident cases. Based on the quality and completeness of accident reports, the
levels of learning were classified into five accident causation levels which are no, limited, fair, good and excellent
learning.

Matched MeSH terms: Accidents, Occupational
Occupational health and safety issues in the informal economic segment of Pakistan: a survey of construction sites

Ahmed I, Shaukat MZ, Usman A, Nawaz MM, Nazir MS

Int J Occup Saf Ergon, 2018 Jun;24(2):240-250.
PMID: 28795938 DOI: 10.1080/10803548.2017.1366145

This research covers the current status of occupational health and safety (OHS)-related practices in the informal construction segment of Pakistan. Data were collected, through interviews, from 316 construction sites employing 3577 workers. The results of the study reveal that both employers and workers lack knowledge of OHS laws/standards and no practices of this nature are enacted at these construction sites. Alarmingly, work-related accidents, whenever they happen, are not given due attention and there is no formal injury-report system. The informal construction industry employs a huge portion of the informal workforce, and lack of OHS happens at tremendous human cost. These research findings may thus play their role in strengthening the case for reforms in the sector. This study, if properly utilized, may also enable employers of the sector by increasing their knowledge about OHS practices and, as a result, trying to offer safer environments for their workers.

Matched MeSH terms: Accidents, Occupational/legislation & jurisprudence; Accidents, Occupational/prevention & control; Accidents, Occupational/statistics & numerical data*
Laboratory accidents--a matter of attitude

Karim N, Choe CK

Malays J Pathol, 2000 Dec;22(2):85-9.
PMID: 16329540

This is a prospective study on accidents occurring in the Pathology laboratories of Hospital Ipoh over the 3-year period from January 1996 to October 1999. 15 mishaps were recorded. The location of the accidents were the histology (40%), microbiology (33%), haematology (20%) and cytology (7%) laboratories. No mishaps were reported from the clinical chemistry, blood bank and outpatient laboratories. Cuts by sharp objects were the most common injuries sustained (47%) followed by splashes and squirts by fluid such as blood or chemicals (27%). There was 1 case each of contact with biohazardous fluid, burn, allergy and accidental drinking of disinfectant. 67% of the accidents involved medical laboratory technicians, 20% involved attendants and the rest were medical officers and the junior laboratory technicians. Although the accidents reported appeared trivial, it is vital to document them and bring them to the attention of all concerned in the laboratory, in order to prevent major accidents and also because of medico-legal implications. The role of the Laboratory Safety Committee cannot be overemphasised. Modification of staff attitude is considered an important remedial goal.

Matched MeSH terms: Accidents, Occupational/prevention & control; Accidents, Occupational/statistics & numerical data*
Fulltext Non-fatal occupational injuries among non-governmental employees in Malaysia

Abas AB, Said AR, Mohammed MA, Sathiakumar N

Int J Occup Environ Health, 2011 Jan-Mar;17(1):38-48.
PMID: 21344818

We analyzed data on non-fatal occupational injuries reported to Malaysia's social security organization from 2002 to 2006. There was a decrease in both the absolute number and the incidence rates of these injuries over time. About 40% of cases occurred in the manufacturing sector followed by the service (17%) and trading (17%) sectors. The agriculture sector reported the highest incidence rate (24.1/1,000), followed by the manufacturing sector subcategories of wood-product manufacturing (22.1/1,000) and non-metallic industries (20.8/1,000). Men age 40 to 59 and persons of Indian ethnicity had a greater tendency to sustain injuries. Government and non-governmental organizations should strive to develop strategies to reduce the occupational injuries targeting vulnerable groups. Enforcement of safety measures will further play an important role to ensure that both employees and employers take special precautions to address workplace hazards.

Matched MeSH terms: Accidents, Occupational/trends; Accidents, Occupational/statistics & numerical data*
Seat belt use in a developing country: covert noncompliance with a primary enforcement law in Malaysia

Hauswald M

Accid Anal Prev, 1997 Sep;29(5):695-7.
PMID: 9316717

Malaysia has strict laws requiring seat belt use by all vehicle occupants. However, neither passive devices nor inertial reel belts are mandated. Seat belt usage was investigated among 60 taxicab drivers in Kuala Lumpur, Malaysia, in 1993. Although all drivers appeared to be restrained during an initial curb-side inspection, 60% did not fasten the latch. There was no statistical difference between ethnic groups. Curb-side estimates of restraint use may overestimate actual usage, resulting in falsely low estimates of effectiveness. Requiring inertial reel belts, which would retract if not latched, could greatly increase actual restraint use. This may be cost effective for developing nations.

Matched MeSH terms: Accidents, Occupational/legislation & jurisprudence; Accidents, Occupational/prevention & control
Fulltext Post traumatic stress disorder following an electric shock

Premalatha GD

Med J Malaysia, 1994 Sep;49(3):292-4.
PMID: 7845283

Post Traumatic Stress Disorder (PTSD) is still a diagnosis which is frequently missed even by psychiatric professionals. Each doctor needs to maintain a high level of awareness that patients may have experienced trauma; that PTSD can often occur for a variety of common symptoms; and that it may also be at the root of a persisting treatment-resistant depressive or anxiety state. This case demonstrates that occupational accidents may result in this condition.

Matched MeSH terms: Accidents, Occupational/psychology*; Accidents, Occupational/statistics & numerical data

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