Magister Curationis - MCur / Background: Health care workers who sustain needle stick injuries are at risk of contracting blood-borne pathogens, e.g. Human Immunodeficiency Virus,Hepatitis B virus or Hepatitis C virus. Needle stick injuries are viewed as occupational hazards that can lead to health care workers developing acute or chronic diseases, which may lead to disability or death. Due to these healthrelated risks, health care workers are encouraged to adhere to universal precautions and standard operating procedures. In South Africa, the Occupational Health and Safety Act promulgated in 1993 required institutions draw up protocols in line with the regulations of the Act. However, if the health care workers do not comply with the protocols they may not be compensated for contracting a disease, e.g. Human Immunodeficiency Virus infection, following needle stick injuries. Aim: The aim of the study was to explore the health care workers’ perceptions of the needle stick injury protocol at a level 2 hospital in Cape Town. Research design: A qualitative approach was used to make sense of health care workers’ compliance to the protocols when sustaining a needle stick injury. An exploratory descriptive, contextual design was used to carry out an in-depth investigation of the phenomenon. Sample: The study was done at Mowbray Maternity Hospital, a level 2 obstetric hospital in Cape Town. The researcher made use of convenience, purposive sampling. Semi-structured interviews were used to collect the research data. Data collection: During the data collection phase, ethical considerations towards participants were ensured to include, among others, anonymity, autonomy and confidentiality of information. Data analysis: It included the following steps: reading and rereading,coding, displaying, reducing and interpreting the data. Findings: Some health care workers do not view sustaining a needle stick injury as risky enough to report the injury or even go for follow-up testing. This risky behaviour can have detrimental effects on their health. There is also a lack of knowledge about the institutional needle stick injury protocol. Recommendations: It is recommended to have educational and training sessions for all health care workers and new employees to familiarise them with the needle stick injury protocol and policies of the institution; to provide adequate management support 7 following work related injuries and to make health care workers aware of the consequences of non-compliance to institutional protocol.

The thesis titled "Occupational safety and health" is focused on summarizing the current legal regulations that impose rights and obligations on employers and employees in the field of occupational health and safety. Introductory chapter emphasizes the understanding of the importance and function of safety aspects, historical context and role of the state. In the crucial second chapter the Czech legal regulations are analyzed in detail and the basic concepts of this issue (prevention of risk, work categorization, training...) are characterized. Following the legislation chapter three introduces options above standard approaches, by which the employer can be inspired or directly certified in task of the safety system solution. In the next chapter the analysis of the current legislation of "Occupational Services" is presented and also compared with the previous one. The theoretical part is concluded with an article concerning work accidents and occupational diseases, in which are also defined possibilities of accident insurance. In the case study, I focused on the application of the legal regulations for a particular employer, evaluation of the current state and the proposal for possible remedy measurements.

Dans nos pays industrialisés, les comportements sédentaires entrainent des enjeux de santé pour de nombreux travailleurs, les exigences physiques de leur travail étant désormais insuffisantes. Afin de répondre à cette problématique, la recherche s’intéresse aux bureaux actifs (poste de travail debout, avec pédalier ou avec tapis roulant) qui comparativement au poste de travail conventionnel permettent aux travailleurs d’augmenter l’apport d’activité physique au travail et ainsi, réduire le temps sédentaire quotidien. Lorsqu’ils sont comparés au poste conventionnel (assis), les bureaux actifs ont des effets sur des biomarqueurs physiologiques et biomécaniques liés à l’amélioration de la santé. En plus, ils offrent quelques avantages sur la productivité et le bien-être au travail des travailleurs. Malgré l’accumulation des connaissances sur les bureaux actifs, les différences entre bureaux actifs sont toujours méconnues. Ce mémoire s’adresse donc à la compréhension et à la comparaison entre les types de bureaux actifs, plus précisément à leurs impacts sur le temps sédentaire au travail, leurs effets sur les biomarqueurs physiologiques et biomécaniques et à leurs effets sur la productivité et le bien-être au travail. Pour ce faire, les résultats et la discussion sont développés autour d’un article de revue systématique (Dupont et al., 2019) et d’un article issu d’une recherche expérimentale soumis en octobre 2019. Dans un premier temps, les avantages associés à chaque type de poste de travail actif (debout, avec pédalier ou avec tapis roulant) ne sont pas équivalents. En effet, les postes avec pédalier et avec tapis roulant semblent apporter de plus grands changements physiologiques à court terme que les postes de travail debout et pourraient potentiellement améliorer la santé. De plus, les postes debout, avec pédalier et avec tapis roulants semblent tous présenter des avantages de productivité à court terme, toutefois les postes avec tapis roulants réduisent les performances des tâches faites à l’aide de clavier et de souris d’ordinateur. Dans un deuxième temps, à court terme (2 semaines), l’introduction d’un poste debout et d’un poste à pédalier dans leur bureau permet aux travailleurs d’accumuler en moyenne 132 minutes de temps actif (ex. travail fait avec poste debout et/ou avec poste avec pédalier) par jour, ce qui représente 46 % du temps total passé dans leur espace de travail personnel. Ce faisant, les travailleurs réduisent de moitié leur temps assis au travail en fractionnant le temps assis en courtes périodes de 30 minutes. Basé sur nos résultats, l’ajout de deux postes de travail actif à même le bureau d’un travailleur permet de diminuer le temps sédentaire au travail. / In our industrialized countries, sedentary behaviours lead to health issues for many workers, as the physical demands of their work are now insufficient. To answer this problem, the research focuses on active workstations (standing, with pedals or treadmill workstations) which compared to the conventional workstation allow workers to increase physical load at work and thus, reduce daily sedentary time. When compared to the conventional (sit) workstation, active workstations have effects on physiological and biomechanical biomarkers related to better health. Also, they offer some advantages over workers’ productivity and wellbeing at work. Despite the accumulation of knowledge about active workstations, the differences between active workstations are still unknown. This thesis is aimed at understanding and comparison between active workstation types, specifically their impacts on sedentary time at work, their effects on physiological and biomechanical biomarkers and their effects on productivity and well-being at work. The results and the discussion are developed around a systematic review article (Dupont et al., 2019) and an article from an experimental research submitted in October 2019. First of all, the benefits associated with each type of active workstation (i.e. standing, cycling, treadmill) may not be equivalent. Cycling and treadmill workstations appear to provide greater short-term physiologic changes than standing workstations that could potentially lead to better health. Cycling, treadmill and standing workstations appear to show short-term productivity benefits, while treadmill workstations reduce the performance of computer-related work. Secondly, in the short term (2 weeks), the introduction of a standing workstation and a pedal workstation in their office allows workers to accumulate an average of 132 minutes of active time (i.e. work done with standing and/or cycling workstations) per day, which represents 46% of the total time spent in their personal workspace. As a result, workers reduce their total desk-sitting time by half and sat on average 30 minutes per sedentary bout. Based on our findings, adding two active workstations to an office worker’s helps reduce sedentary time at work.

Thesis (LLM.) -- University of Limpopo, 2017. / In South Africa, during the then apartheid era, the mining sector had records of extremely high fatalities, injuries and occupational diseases that led to massive death of miners predominantly the Blacks. In the post-apartheid era, numerous laws have been enacted to address the problem. One of the laws that was introduced is the Mine Health and Safety Act 29 of 1996 which provides for radical enforcement of health and safety standards using various mechanisms, such as monitoring systems and inspections, investigations, and employers' and employees' duties to identify hazards and eliminate, control and minimise the risk to health and safety of mine workers. This study examines the extent, efficient and efficacy of the implementation and enforcements of these laws and points out the challenges being encountered and prospects made thus far. The study used Australia and Chile for comparative study and showcased how the government and the laws they have passed are being effectively used to contain and curtail health hazards, accidents and fatalities in the mining environment.

[pt] O presente trabalho apresenta a importância da Termoeletricidade a gás para o País, abordando a caracterização do setor elétrico brasileiro, as especificidades e seus impactos. Demonstra a importância da gestão ambiental e a conceitua em diversos cenários. São abordados os aspectos legais e institucionais, inerentes ao licenciamento específico para unidades geradoras. É feita a caracterização da UTE Macaé, objeto de estudo da gestão ambiental. A análise crítica da implementação do sistema de gestão ambiental identificou diversas lições aprendidas nos diversos períodos do empreendimento. / [en] The present work aims the importance of gas thermoelectricity for the country, considering the Brazilian electrical sector characterization, specificities and their impacts. Demonstrate the importance of environmental management and concepts it in several scenarios. Issues regarding legal and institutional aspects, mainly permitting process for generator units. It was presented a characterization of Macae Power Plant, the object of our environmental management studies. A critical approach to the implementation of the environmental management system of UTE Macaé has identified several lessons learned during different project periods. We have the historical evolution of thermoelectrical plants in Brazil in order to understand the type of energy matrix available. In 2001, the country faced problems due lack of rain when the whole Country was supplied by Hydro plants needed to save energy. The lack of energy tied the Country development. Immediately the Brazilian government take action with the using a gas from Bolivia-Brazil pipeline putting emergencial gas power plants as a fast track project In order to implement an alternative energy source based on natural gas, it was considered the lesser impact alternative source and more reliable for the power plants in case of lack of rain that supplies the Hydro plants. The characterization of Brazilian energy sector, verifying the main characteristics and specificities of thermoelectrical plants and their environmental impacts, are the most critical paths in order to implement a projects. To develop any project or specific projects such power plants it is necessary to understand the culture and specific environmental and social issues in order to avoid any impact to the project. Other specifities regarding hydro plants and gas power plants such environmental and social impacts generate by each specific type of generation was brought up. During the development of this work is highlighted the environmental management concept analyzing the national and international guidelines regarding environmental management, some of them are already well accepted however all the organizations should be aware that not just a good recognized management system will guarantee an excellent results of environmental , health , safety and production. Knowledge and commitment is required from everyone in the organization. It is impossible not mention and discuss in a work like that, the legal and institutional aspects related with natural gas power plant emphasizing environmental licensing problems. The Brazilian legislation is pretty new and all the time has some changes that usually can impact the project. During the our case of study UTE Macaé, we were learning together with the environmental agency because this was one of the first gas power plants built in Brazil. The UTE Macaé – Power Plant our case of study is well characterized with all project details. In the process side there is a good description, energy generation process, basic sources “water and natural gas “. Operational and project characteristics is aligned with all information needed to understand the project are described in this work. Considering our case of study UTE Macaé we went through all the experience and each specific area including: Environmental management system, mitigation programs and a really huge monitoring program that covers whatever deviation that could appear due any operation. With all the experiences before us established a lessons learned to be shared with you in order to avoid future environmental, social or economic impacts in other Gas power plant implementation worldwide. It is good to be clear that two separated phases area explained and both are very important, construction and operation. The Environmental Management analysis of Macaé Power Plant was identified in the previous paragraphs and concluded with the lessons learned giving a really good supporting a critical approach of implementation of the environmental management system of UTE Macaé. Create a good interaction between competent project manager and integrated project team. Define on time with good anticipation HSE resources necessaries as following: people, budget and time.

Site is situated northwest of existing borders of BVV. This location is based on urban design from last semester. The design focuses on function and sustainable design. Fire station is type P4 (2 firefighting groups) for firefighters of Jihomoravský kraj with direct connection to BVV. Because of need to fast access to BVV. The firestation has grounds for training of fire sports and training with car wrecks. Health and safety center (CZAB) with main building and outside area. This center is focused on training public in area of dangers of everyday life. The center is simulator of these risks and is based on living through the situations in safe space under profesional guidance. Center can be connected with BVV. Both grounds are connected together with humanitary hall which serves as training space for firefighters and learning space for CZAB and in case of humanitary needs can be used as humanitary hall.

The aim of this diploma thesis is the preparation of a constructional-technology study into the realization of carcass industry hall in the village Moravany u Brna. An itemized budget has been created for the framework alongside a proposal for the main building mechanisms, time management, health and safety plan and environmental management. The thesis is focused on detailed realization of the precast concrete frame which outlines technological regulation and inspection and a trial plan. The thesis further deals with site equipment, possible public transport routes into specific areas and how the main technological stages are developed. In creation of this thesis were used constructional-technological softwares BuildPowerS, CONTEC, ArchiCAD, AutoTurn, Vehicle Tracking and Hluk+9.

This thesis identifies and systematizes two categories ofpractical problems that stem from work and working environmentcontexts: workplace privacy and occupational health risks. Thefocus of the discussion is on ethical justification. Do we havereason to accept a certain level of (potential) harm toemployees by virtue of the fact that they are employees, and ifso, under what circumstances? The thesis consists of a briefintroduction and three essays. InEssayI, it is argued that employees have a prima facieright to privacy, but that this right can be overridden bycompeting moral principles that follow, explicitly orimplicitly, from the contract of employment. Three types ofjustification are specified: those that refer to the employer'sinterests, those that refer to the interests of the employee,and those that refer to the interests of third parties. A setof ethical criteria is developed and used in the subsequentessay to determine the moral status of infringement ofworkplace privacy. InEssayII, these criteria are applied to three broadcategories of intrusive workplace practices: (1) monitoring andsurveillance, (2) genetic testing, and (3) drug testing.Scenarios are used to show that such practical ethical problemscan be handled systematically using proposed guidelines. It isalso shown that some practices are dubious and at least some ofthem can be replaced by less intrusive means of ensuring thedesired outcome, for instance efficiency or safety in aworkplace. EssayIII deals with the fact that health and safetystandards for employees are less protective than those thatapply to the public. Emphasis is put on the distinction betweenexposure and risk, and this distinction is claimed to be a keyfactor in the relevance of arguments in favour of such doublestandards. The analysis of 'double standards' for public andoccupational exposure to risk aims to show that a justificationof such standards is closely linked to two separate types ofissues, namely empirical and normative issues. It is claimedthat this kind of differentiation seems to be supported neitherby a reasonable conception of the contract of employment nor byany obvious ethical principle that is applicable to workplacesor work situations in general. Key words:Contract of employment, double standards,drug testing, ethics, ethical justification, exposure, genetictesting, health and safety standards, privacy, surveillance,risks, work, work environment

La labor de un profesional de construcción se orienta al diseño y desarrollo de proyectos inmobiliarios que busquen satisfacer las necesidades del público objetivo, bajo estrictos estándares de seguridad y calidad; y con énfasis en la integración del proyecto en su propio entorno de acuerdo con sus diversas características sociodemográficas, urbanísticas y ambientales, de manera que sean un hito que potencie el entorno y sus complejas relaciones sociales. En particular, existe una cada vez mayor tendencia global que busca disminuir al máximo el impacto ambiental de las diversas obras de edificación. Un claro ejemplo de lo anterior se basa en las diversas certificaciones de edificios verdes o sostenibles; alcanzables bajo estrictos estándares en cuanto a materiales, procesos, mantenimiento, etc. Por esta razón, el presente trabajo de investigación consiste en el desarrollo de un proyecto inmobiliario de 101 viviendas unifamiliares, enfocado para satisfacer la necesidad del sector socioeconómico “C” en la ciudad de Arequipa. En consecuencia, se ha previsto que para el desarrollo del proyecto se deban cumplir con los requerimientos propuestos por la Normas G 050 – Seguridad durante la construcción; la OHSAS 18001 – Sistema de Gestión de Seguridad y Salud en el Trabajo, y la Ley 29873 de Seguridad y Salud en el Trabajo. Asimismo, se implementarán los ocho principios básicos de Edificaciones Verdes. Finalmente, los resultados de la evaluación económica resultan ser prometedores luego de realizar el análisis financiero y el flujo de caja. Esto predice un proyecto rentable y viable. / The construction professional’s work, it is oriented to design and development projects that seek to satisfy the needs of target audience, under strict safety and quality standards; and with emphasis on the project in its own environment integration according to its various sociodemographic, urban and environmental characteristics, so that they are a milestone that enhances the environment and its complex social relationships. In particular, there is a growing global trend that seeks to minimize the environmental impact of the various building works. A clear example of the above, it is based on the various certifications of green or sustainable buildings, achievable under strict standards regarding materials, processes, maintenance, etc. For this reason, the present research consists in the development of a real estate project of 101 single-family homes, focused to satisfy the need of the socioeconomic sector "C" in Arequipa city. Consequently, it has been foreseen that for the development of the project the requirements proposed by Norms G 050 - Safety during construction must be met; OHSAS 18001 - Occupational Health and Safety Management System, and Law 29873 on Occupational Safety and Health. Likewise, the eight basic principles of Green Buildings will be implemented. Finally, the results of the economic evaluation turn out to be promising after carrying out the financial analysis and the cash flow. This predicts a profitable and viable Project. / Trabajo de investigación

This applied research study was designed to examine hospital employees’ perceptions of safety as it relates to error reporting. Data from safety culture surveys at the research site showed a clear trend of a perception of a punitive environment for error reporting. Hospital administrators depend on error-report data to create safe and reliable systems for care; therefore, a safe reporting environment is a critical component of a safe and just culture. A recently developed instrument was used to survey the 1,730 employees at the northeastern community hospital regarding their perception of just culture and safety in the error-reporting process. No significant relationships were established between survey scores (perceptions of just culture) and the variables of age, gender, experience, and degree of training in just culture principles for the overall study population. However, significant differences were identified when comparing groups consisting of specific positions or specialties. Notably, administration and management had a more optimistic viewpoint of just culture than other groups, particularly technologists and technicians, who had a somewhat diminished perception of just culture. The findings of this applied research study have implications for hospital leaders seeking strategies to improve the safety cultures within their organizations. Measurement of specific dimensions of just culture may be valuable in these settings; particularly, stratification of survey results by position with analysis of gaps between leaders and frontline staff may provide a clue to the maturity of the safety culture. The study is a valuable addition to the safety culture research community as it aligns with and extends findings from previous research.