Kecelakaan kerja di sektor industri manufaktur masih menjadi tantangan termasuk di PT X yang mencatat insiden dengan berbagai tingkat keparahan pada periode tahun 2023-2025. Penelitian ini bertujuan menganalisis faktor-faktor yang berhubungan dengan tingkat keparahan kecelakaan kerja pada pekerja di PT X. Menggunakan desain studi cross-sectional, sampel penelitian berjumlah 257 kasus kecelakaan diambil dengan teknik total sampling dari master data perusahaan. Variabel yang diteliti meliputi jenis kelamin, usia, masa kerja, karakteristik pekerjaan, shift kerja departemen, dan penyebab langsung. Analisis data dilakukan secara deskriptif, inferensial (chi-square), dan multivariat (regresi logistik). Hasil menunjukkan bahwa mayoritas kecelakaan berada pada tingkat luka ringan dengan total 197 kasus (76,7%), sementara luka berat sejumlah 60 kasus (23,3%). Analisis inferensial membuktikan adanya hubungan signifikan antara jenis kelamin (p-value = 0,001) dengan laki-laki berisiko 2,87 kali mengalami luka berat dibanding perempuan. Ada hubungan karakteristik pekerjaan (p-value=0,000) dengan pekerjaan risiko tinggi berisiko mengalami luka berat 3,26 kali dibanding pekerjaan risiko rendah. Ada hubungan shift kerja (p-value=0,045) dengan shift siang berisiko 3,36 kali mengalami luka berat dibanding shift pagi. Ada hubungan departemen (p-value=0,002) dengan departemen support lebih berisiko 4,5 kali daripada produksi untuk mengalami luka berat. Hasil uji multivariat didapatkan jenis kelamin (p-value=0,006; OR=2,50) dan karakteristik pekerjaan (p-value=0,000; OR=2,97) merupakan faktor paling signifikan. Pekerja laki-laki berisiko 2,5 kali daripada pekerja perempuan dan pekerjaan berisiko tinggi berisiko 2,9 kali dibanding pekerjaan berisiko rendah untuk mengalami luka berat. Hal ini merupakan representasi dari segregasi penempatan kerja (job assignment), di mana pekerja laki-laki lebih banyak ditempatkan pada area berisiko tinggi yang mengoperasikan mesin bertenaga mekanis dan kinetik masif. Penelitian ini mempertegas bahwa eskalasi keparahan cedera di PT X bersifat teknis-mekanis. Manajemen perusahaan disarankan untuk berfokus pada penguatan mitigative barriers guna menahan transmisi energi saat terjadi malfungsi, seperti memprioritaskan pemasangan interlocking guard pada area high-risk, memastikan kecepatan respons darurat medis, serta menegakkan budaya Stop Work Authority (SWA) sebagai penahan energi terakhir bagi para pekerja.

Occupational accidents in the manufacturing sector remain a challenge, including at PT X, which recorded incidents of varying severity during the 2023-2025 period. This study aims to analyze the factors associated with the severity of occupational accidents at PT X. Using a cross-sectional study design, a sample of 257 accident case was selected using total sampling from the company’s master data. The variables studied included gender, age, work tenure, job characteristics, work shift, department, and immediate causes. Data analysis was performed using descriptive, inferential (chi-square), and multivariate (logistic regression) statistics. The results showed that the majority of accidents resulted in minor injuries, totaling 197 cases (76.7%), while major injuries amounted to 60 cases (23.3%). Inferential analysis demonstrated a significant association between gender (p-value = 0.001), where male workers were 2.87 times more at risk of experiencing major injuries compared to females. There was also a significant association with job characteristics (p-value = 0.000), where high-risk jobs were 3.26 times more likely to result in major injuries compared to low-risk jobs. Furthermore, work shift (p-value = 0.045) showed that the afternoon shift had a 3.36 times higher risk of major injuries compared to the morning shift. The department (p-value = 0.002) was also significantly associated, with the support department being 4.5 times more at risk of major injuries than the production department. The multivariate analysis revealed that gender (p-value = 0.006; OR = 2.50) and job characteristics (p-value = 0.000; OR = 2.97) were the most significant factors. Male workers were 2.5 times more at risk, and high-risk jobs were 2.9 times more at risk of experiencing major injuries compared to their counterparts. This represents job assignment segregation, where male workers are more frequently placed in high-risk areas operating machines with massive mechanical and kinetic energy. This study reinforces that the escalation of injury severity at PT X is technical-mechanical in nature. Company management is advised to focus on strengthening mitigative barriers to contain energy transmission during malfunctions, such as prioritizing the installation of interlocking guards in high-risk areas, ensuring rapid emergency medical response, and enforcing a Stop Work Authority (SWA) culture as the ultimate energy barrier for workers.