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Rumah sakit sebagai fasilitas pelayanan kesehatan menghasilkan limbah medis dan non-medis. Data menunjukkan limbah medis/B3 bersifat infeksius dan toksik, berisiko tinggi jika tidak dikelola dengan baik. Di Indonesia, banyak fasilitas kesehatan masih belum sepenuhnya sesuai standar pengelolaan limbah medis. Penelitian ini bertujuan mengevaluasi pengelolaan limbah medis padat di Rumah Sakit Pendidikan Kota Depok, Jawa Barat, menggunakan desain studi kasus melalui observasi, wawancara, dan analisis dokumen.
Hasil penelitian menunjukkan rumah sakit menghasilkan total 138.370,3 kg limbah medis padat B3 pada tahun 2024. Secara keseluruhan, tingkat kesesuaian implementasi mencapai 72,2% ("Sesuai Sebagian"). Namun, kesenjangan masih ditemukan pada pemilahan di sumber (33,3%) dan pewadahan/pengumpulan (25%), seperti masih ditemukannya limbah medis tercampur limbah non-medis, yang dapat menyebabkan risiko luka tusuk jarum atau penyebaran infeksi nosokomial. Meskipun petugas memiliki pemahaman baik, penggunaan APD oleh semua petugas belum sepenuhnya konsisten. Tahap pengurangan, penyimpanan, pengangkutan internal, pengolahan, dan pemusnahan akhir menunjukkan kepatuhan tinggi (100%). Oleh karena itu, perbaikan berkelanjutan diperlukan, terutama pada tahapan hulu yang bergantung pada faktor manusia. Tenaga Kesehatan Lingkungan berperan penting dalam pengawasan, edukasi, dan pemutusan rantai penularan untuk menjaga keselamatan petugas, pasien, dan pengunjung. Penelitian ini berkontribusi untuk mengoptimalkan sistem pengelolaan limbah medis di rumah sakit pendidikan.
Hospitals, as healthcare service facilities, generate both medical and non-medical waste. Data show that medical waste, classified as hazardous (B3), is infectious and toxic, posing a high risk if not properly managed. In Indonesia, many healthcare facilities still do not fully comply with medical waste management standards. This study aims to evaluate the solid medical waste management system at a Teaching Hospital in Depok, West Java, using a case study design through observation, interviews, and document analysis. The findings indicate that the hospital produced a total of 138,370.3 kg of B3 solid medical waste in 2024. Overall, the compliance level of implementation reached 72.2% (“Partially Compliant”). However, gaps were still identified in segregation at source (33.3%) and in containment/collection (25%), such as the mixing of medical and non-medical waste, which can lead to risks like needlestick injuries or the spread of nosocomial infections. Although staff demonstrated a good understanding of procedures, the use of personal protective equipment (PPE) among all workers was not fully consistent. The stages of waste reduction, temporary storage, internal transport, treatment, and final disposal showed high compliance (100%). Therefore, continuous improvement is needed, particularly in the upstream stages that depend on human factors. Environmental Health personnel play a crucial role in supervision, education, and breaking the chain of transmission to ensure the safety of healthcare workers, patients, and visitors. This study contributes to strengthening medical waste governance in teaching hospitals.
The chemical manufacturing industry is one of the industrial sectors with high hazard potential and complex work processes, requiring the implementation of a strong occupational safety system. One critical aspect that must be explored in depth is the level of safety culture maturity within a company. This study aims to analyze the maturity level of safety culture at PT. XYZ and identify the differences in perception and engagement among employees. The assessment was conducted using a questionnaire instrument consisting of various safety culture dimensions and elements, supported by data from interviews, focus group discussions, and document reviews. Based on the analysis results, the overall safety culture maturity level at PT. XYZ was found to be at level 3 or Calculative. This indicates that while the company has a structured and well-documented safety management system, safety values have not yet been fully internalized into daily work behaviors. In addition, the study found significant differences in perceptions across job levels and departments, where workers in operational roles had limited involvement in safety evaluation and organizational learning. Areas that require improvement include safety communication effectiveness, employee participation in incident analysis, and consistency in follow-up actions from findings and risk evaluations.
Berbagai cara dan pendekatan penerapan sistim menejemen K3 telah dikembangkan, akan tetapi kecelakaan kerja masih terus terjadi terutama dalam dunia kerja Industri. Dalam kurun waktu 10 tahun terahir angka Kecelakaan Kerja dunia masih tidak berubah secara signifikan . Konstruksi merupakan sektor industri yang mempunyai tingkat bahaya dan risiko kecelakaan kerja yang tinggi. Data menunjukkan bahwa selama berlangsungnya kegiatan pekerjaan pada tahun 2010-2011 di PT. XM telah terjadi peningkatan kejadian Kecelakaan Kerja dari 46 kejadian (2010) menjadi 98 kejadian (2011) atau terjadi peningkatan sebesar 52 kasus (113%). Penelitian ini dilakukan untuk mengetahui asosiasi faktor-faktor kecelakaan kerja proyek konstruksi pada PT. XM selama periode waktu 20102011. Metodologi penelitian ini menggunakan desain studi cross sectional dengan sumber data sekunder yang didapat dari laporan investigasi kecelakaan yang tercatat di PT. XM selama tahun 2010-2011. Jumlah sampel yang digunakan dari data sekunder yaitu seluruh sampel yang memenuhi kriteria inklusi dan seteah mengalami proses cleaning yaitu sebanyak 98 sampel. Sampel penelitian dianalisis secara univariat (distribusi frekuensi) dan bivariat (uji chi-quare). Analisis hubungan dilakukan dengan melihat nilai p terhadap α untuk melihat tingkat kemaknaan hubungan. Dari 98 sampel yang diteliti, sebagian besar kecelakaan yang terjadi merupakan kecelakaan jenis medical treatment accident (48%), disusul kemudian oleh jenis first aid accident (46,9%), dan lost time accident (5,1%). Adapun factor penyebab yang diduga menjadi penyebab terjadinya kecelakaan dengan frekuensi terbanyak yaitu factor briefing yang tidakcukup untuk bekerja (88) dan kurang pengawasan (81). Secara signifikan diketahui tidak ada factor yang diketahui berhubungan secara signifikan dengan timbulnya kecelakaan kerja di PT. XM selama tahun 2010-2011 (p val > 0,05). Berdasarkan hasil tersebut diatas maka sebaiknya pihak manajemen terkait lebih aktif berperan khususnya dalam fungsi pengawasan, mengoptimalkan sosialisasi dan pembinaan yang terkait dengan safety di tempat kerja, dilain pihak pekerja juga diharapkan dapat turut serta dalam menciptakan suasana yang aman dan sehat di tempat kerja, disiplin dalam menggunakan APD dan meningkatkan pengetahuan penerapan safety dilokasi kerja Kata kunci: Faktor-faktor penyebab kecelakaan kerja, konstruksi.
Various ways and approaches to Ocupational Health and Safety application management system has been developed, but accidents still occur, especially in the industrial workforce. In the last 10 years the world's number of Accidents still did not change significantly. Construction of an industrial sector that has the level of danger and high risk of work accidents. The data show that during work activities in 2010-2011 at PT. XM has been an increased incidence of Occupational Accidents met 46 events (2010) to 98 events (2011) or an increase of 52 cases (113%). The research was conducted to determine the association of these factors on the construction project work accident at PT. XM during the time period 2010-2011. Methodology of This study uses cross-sectional study design with secondary data sources are obtained from accident investigation reports are recorded in the PT. XM during the years 2010-2011. The number of samples used secondary data from the entire sample that met the inclusion criteria and had established after the cleaning process as many as 98 samples. The samples were analyzed by univariate (frequency distribution) and bivariate (chi-quare test). Relationship analysis done by looking at the p value of significance level α to see the relationship. Of the 98 samples studied, the majority of the accidents was the crash accident type of medical treatment (48%), followed by first aid type of accident (46.9%), and lost time accident (5.1%). The factors causing the alleged cause of the accident with the highest frequency factor insufficient briefing for work (88) and lack of supervision (81). Significantly there are no known factors that are known to be significantly associated with incidence of occupational accidents in the PT. XM during the years 2010-2011 (val p> 0.05). Based on the above it should be related to more active management role in the oversight function in particular, to optimize socialization and training related to safety in the workplace, Supervision to practical safety on site also need to enforcing by management to ensure occupational health and safety at all of the works, on the other workers are also expected to participate in creating a safe and healthy workplace, discipline in the using PPE and enhance the application of knowledge of safety on work place Key words: The factors that cause workplace accidents, construction