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The International Agency for Research on Cancer (IARC) estimates that in year 2020 the rate of new cancer cases will increase up to 300% to an estimated 27 million people with 17 million estimated to die. At that time, there will be approximately 75 million people in the world who suffer from cancer where 70% of the cancer patients will be from developing countries. With the increasing amount of cancer patients throughout the world, the usage of radiotherapy will also increase. In reality, although the process has been very tightly controlled and supervised, accidents caused by an overdose of radiation exposure still occurs. From a number of radiation accidents, it has been found that the cause is not only due to technical factors, but that planning and administration also plays a role. This factor will be magnified with the increasing work load the radiotherapy operators have to handle with the total patients exceeding the capacity of the available equipment. The purpose of this research is to develop a work health and safety program at XYZ hospital, not only for the safety of the radiation technicians (occupational exposure) and public safety (public exposure) but also and especially for the patients safety (medical exposure). The development of the program is done by identifying all the dangers as well as conducting a risk analysis on each step of the process of providing radiotherapy services. To get an overall picture of the implementation of the health management and safety system, the evaluation is made against the OHSAS 1800:2007 and the IAEA Safety Requirement GS-R-3. Based on the risk analysis and the "gap" analysis with OHSAS 18002:2007 and the IAEA GS-R-3, to reduce the risks identified, the risk management recommendations made are more for the procedural management as well as the continuous development of the manpower competency.
Berdasarkan estimasi dari International Agancy for Research on Cancer (IARC) diperkirakan pada tahun 2020, kasus baru penyakit kanker akan meningkat hingga mencapai 300% yaitu sekitar 27 juta penderita dengan jumlah kematian sekitar 17 juta jiwa. Pada saat itu didunia akan terdapat sekitar 75 juta orang yang menderita penyakit kanker dimana 70 % dari penderita kanker tersebut akan terjadi dinegara yang sedang berkembang. Dengan meningkatnya jumlah penderita kanker diseluruh dunia maka jumlah pemanfaatan terapi radiasi juga semakin meningkat. Tapi kenyataannya, walaupun pengendalian dan pengawasan telah dilakukan dengan sangat ketat, kecelakaan yang disebabkan oleh paparan radiasi disebabkan dosis yang berlebih terhadap pasien masih tetap saja terjadi. Dari beberapa kasus kecelakaan radiasi, faktor penyebabnya tidak saja desebabkan oleh faktor teknis, faktor perencanaan maupun administrasi juga mempunyai peran. Faktor ini akan bertambah lagi dengan beban kerja operator radioterapi dalam menangani pasien yang jumlahnya melebihi kapasitas peralatan yang ada. Tujuan penelitian ini adalah untuk mengembangkan suatu program kesehatan dan keselamatan kerja di RS XYZ tidak saja untuk keselamatan pekerja radiasi (occupational exposure), keselamatan publik (public exposure) tetapi juga yang terutama untuk keselamatan pasien (medical exposure). Pengembangan program tadi dilakukan dengan mengidentifikasi seluruh bahaya yang ada dalam proses pelayanan radioterapi beserta kajian risiko untuk mengetahui level bahaya dari setiap tahap kegiatan. Evaluasi sistem yang ada juga dilakukan terhadap standar OHSAS 18001:2007 maupun IAEA Safety Requirement GS-R-3 untuk mendapatkan gambaran secara menyeluruh dari penerapan sistem manajemen kehatan dan keselamatan kerja. Dari hasil analisa Risiko dan hasil evaluasi OHSAS 18001:2007 dan Standard IAEA GS-3-R, dalam hal mengurangi risiko radiasi yang telah diidentifikasi, maka usulan pengendalian risiko lebih banyak diusulkan pada pengendalian secara prosedural disertai pengembangan kompetensi sumber daya manusia secara terus menerus.
The International Agency for Research on Cancer (IARC) estimates that in year 2020 the rate of new cancer cases will increase up to 300% to an estimated 27 million people with 17 million estimated to die. At that time, there will be approximately 75 million people in the world who suffer from cancer where 70% of the cancer patients will be from developing countries. With the increasing amount of cancer patients throughout the world, the usage of radiotherapy will also increase. In reality, although the process has been very tightly controlled and supervised, accidents caused by an overdose of radiation exposure still occurs. From a number of radiation accidents, it has been found that the cause is not only due to technical factors, but that planning and administration also plays a role. This factor will be magnified with the increasing work load the radiotherapy operators have to handle with the total patients exceeding the capacity of the available equipment. The purpose of this research is to develop a work health and safety program at XYZ hospital, not only for the safety of the radiation technicians (occupational exposure) and public safety (public exposure) but also and especially for the patients safety (medical exposure). The development of the program is done by identifying all the dangers as well as conducting a risk analysis on each step of the process of providing radiotherapy services. To get an overall picture of the implementation of the health management and safety system, the evaluation is made against the OHSAS 1800:2007 and the IAEA Safety Requirement GS-R-3. Based on the risk analysis and the "gap" analysis with OHSAS 18002:2007 and the IAEA GS-R-3, to reduce the risks identified, the risk management recommendations made are more for the procedural management as well as the continuous development of the manpower competency.
Berdasarkan estimasi dari International Agancy for Research on Cancer (IARC) diperkirakan pada tahun 2020, kasus baru penyakit kanker akan meningkat hingga mencapai 300% yaitu sekitar 27 juta penderita dengan jumlah kematian sekitar 17 juta jiwa. Pada saat itu didunia akan terdapat sekitar 75 juta orang yang menderita penyakit kanker dimana 70 % dari penderita kanker tersebut akan terjadi dinegara yang sedang berkembang. Dengan meningkatnya jumlah penderita kanker diseluruh dunia maka jumlah pemanfaatan terapi radiasi juga semakin meningkat. Tapi kenyataannya, walaupun pengendalian dan pengawasan telah dilakukan dengan sangat ketat, kecelakaan yang disebabkan oleh paparan radiasi disebabkan dosis yang berlebih terhadap pasien masih tetap saja terjadi. Dari beberapa kasus kecelakaan radiasi, faktor penyebabnya tidak saja desebabkan oleh faktor teknis, faktor perencanaan maupun administrasi juga mempunyai peran. Faktor ini akan bertambah lagi dengan beban kerja operator radioterapi dalam menangani pasien yang jumlahnya melebihi kapasitas peralatan yang ada. Tujuan penelitian ini adalah untuk mengembangkan suatu program kesehatan dan keselamatan kerja di RS XYZ tidak saja untuk keselamatan pekerja radiasi (occupational exposure), keselamatan publik (public exposure) tetapi juga yang terutama untuk keselamatan pasien (medical exposure). Pengembangan program tadi dilakukan dengan mengidentifikasi seluruh bahaya yang ada dalam proses pelayanan radioterapi beserta kajian risiko untuk mengetahui level bahaya dari setiap tahap kegiatan. Evaluasi sistem yang ada juga dilakukan terhadap standar OHSAS 18001:2007 maupun IAEA Safety Requirement GS-R-3 untuk mendapatkan gambaran secara menyeluruh dari penerapan sistem manajemen kehatan dan keselamatan kerja. Dari hasil analisa Risiko dan hasil evaluasi OHSAS 18001:2007 dan Standard IAEA GS-3-R, dalam hal mengurangi risiko radiasi yang telah diidentifikasi, maka usulan pengendalian risiko lebih banyak diusulkan pada pengendalian secara prosedural disertai pengembangan kompetensi sumber daya manusia secara terus menerus.
Indonesia has higher work related accident than European Country. They were 171 workers fatally injured in England, meanwhile, they were 4.380 workers function disabilities, 42 has physical defect, and 2.144 died. At 1996, OSHA releases 5 core elements, one of them is evaluation of program effectiveness. PP no. 50, 2012 says occupational safety and health have to evaluated. Therefore, this research have done to evaluated OSH programs.
Kata kunci : Persepsi Risiko, Psikometri, Keselamatan dan Kesehatan Kerja
Kata kunci: Failure modes and effects analysis (FMEA), Risiko keselamatan, Tingkat risiko, Loading, Hauling, Dumping.
Loading, hauling, and dumping activities are high risk acitivities in mining, based on the literatur review (Kecojevic dan Radomsky, 2004; MSHA, 2018). During the period of 2015 to 2018, there were several accidents related to loading, hauling, and dumping activities that causing fatalities at PT. XYZ. Therefore, detail risk assessment need to be performed of these three activities at PT. XYZ. The failure modes and effects analysis (FMEA) method was used in this study. 71 potential failure modes were identified , consist of 7 failure modes at preparation step, 18 failure modes at loading process, 35 failure modes at the hauling process, and 11 failure modes at the dumping process. About 25% of the 71 potential failure modes were very high risk level. They were dumptruck tire failure due to scattered sharp stones, brake failure while operating dumptruck, tire damage while operating, loader unit crahsed with big stones while maneuvering, loader cabin hit by hanging stones while loading, scratched tire of the loader unit due to scattered sharp stones, the dumptruck caught in the labile surface, and light vehicle fell down from benches. As recommendation, it is important to strengthen maintenance of heavy equipment, improve safe environment, and increase operator competence.
Key words: Failure modes and effects analysis (FMEA), Safety risks, Risk level, Loading, Hauling, Dumping.
The complexity of the machinery and equipment manufacturing industry involves various types of production processes, one of which is welding work. Welding is one of the most important industrial processes in joining metal or steel components. Various hazards found in the welding process such as welding metal sparks, welding sparks, welding fumes emissions, and manual handling during work pose risks to occupational safety and health for workers. This study aims to identify and assess occupational safety and health risks in the welding work process in the PT XYZ fabrication area. The hazard and risk identification stage is carried out qualitatively through observation, brainstorming activities, interviews, and reviewing company documents using the Hazard and Operability Study (HAZOP Study). After that, a semi-quantitative risk assessment analysis was carried out by assessing the multiplication of probability and severity criteria based on PT XYZ's risk assessment matrix. The results showed that there were 12 stages of the welding work process. Identified 52 hazards with 49 risks from the welding work process. The level of risk obtained includes 23 risks with very high categories, 9 risks with high categories, and 17 risks with moderate categories. Risk assessment involves risk control so that the value of the risk level can be reduced through existing controls and control recommendations provided by researchers.