Field Of Occupational Safety Research Articles

The state and prospects of improving the hygienic regulation of industrial general vibration

Hygienic rationing is an integral part of national measures in the field of occupational safety and health of workers. The current norms of general industrial vibration, as is known, are not safe. This determines the urgency of improving the system of hygienic rationing of general vibration, which, despite the achievements of science and technology, the emergence of a new controlled vibration parameter — full vibration acceleration, the introduction of a risk-based approach to rationing, has remained virtually unchanged for almost four decades. The study aims to analyze domestic and international approaches to the assessment and normalization of general industrial vibration to justify the transition to a risk-oriented single-digit regulation of full vibration acceleration. The authors carried out an expert and analytical study, analyzed and compared the materials of domestic and foreign regulations, methodological documents and literary sources on various aspects of the problem of rationing general industrial vibration. Scientists have developed a new system for rationing the unfavorable factor of the production environment — general vibration, which establishes an integral standard for complete vibration acceleration, instead of differentiated rationing by vibration sources (transport, transport-technological, man-made) and directions of vibration action along the axes of the basocentric coordinate system (Z, X, Y). The new standard for full vibration acceleration is harmonized with ISO 2631 standard, Directive 2002/44/EC, standards adopted in foreign countries, and, according to calculations, can be approximately 0.56 m/s2 or 115 dB, which requires experimental studies to verify. The new risk-oriented system of rationing of the industrial general vibration will make it possible to objectify the assessment of workers' working conditions and, as a result, streamline and update the examination of the connection of the disease with the profession.

«KEGOC» КОМПАНИЯСЫНДА ӨНДІРІСТІК ЖАРАҚАТТАНУДЫҢ АЛДЫН АЛУДЫ ТАЛДАУ

This article discusses the problem of occupational injury prevention at «KEGOC». The authors analyze the current situation and present their recommendations for improving the occupational safety management system. The main focus is on electrical safety, which includes protection measures against the effects of electric current, electromagnetic field, electric arc and static electricity. The article presents data on the most common ways of passing current in the human body and on the effects of electricity on the body. «KEGOC» strives to create working conditions that meet the requirements of safety and hygiene, and is actively developing, using modern technologies and striving to increase its value for all stakeholders. The company is also actively engaged in social responsibility, implementing energy efficiency projects and environmental programs. The authors pay special attention to occupational safety and industrial safety. In particular, they emphasize the need to create safe working conditions, minimize injuries, improve production and sanitary conditions, as well as reduce the impact of harmful and adverse factors. In this context, the use of a health and safety management system is mentioned, which covers all structural divisions and subsidiaries of the company. An important aspect is the conduct of a behavioral safety audit and the implementation of the «KEGOC» JSC program on the occupational safety and health management system in accordance with the international standard ISO 45001. It also mentions the annual and shift medical examinations of employees and the availability of special labor protection services in each branch of the company. The article discusses the results of the analysis of occupational injuries and concludes that there is a need for continuous improvement of the risk management system and the introduction of innovative approaches to achieve maximum efficiency in the field of occupational safety and industrial safety.

Proposal of a workplace classification model for heart attack accidents from the field of occupational safety and health engineering

Research on occupational accidents is a key factor in improving working conditions and sustainability. Fatal accidents incur significant human and economic costs. Therefore, it is essential to examine fatal accidents to identify the factors that contribute to their occurrence. This study presents an overview of fatal heart attack accidents at work in Spain over the period 2009–2021. Descriptive analysis was conducted considering 13 variables classified into five groups. These variables were selected as predictors to determine the occurrence of this type of accident using a machine learning technique. Thirteen Naïve Bayes prediction models were developed using an unbalanced dataset of 15,616 valid samples from the Spanish Delta@database, employing a two-stage algorithm. The final model was retained using a General Performance Score index. The model selected for this study used a 70:30 distribution for the training and test datasets. A sample was classified as a fatal heart attack if its posterior probability exceeded 0.25. This model is assumed to be a compromise between the confusion matrix values of each model. Sectors with the highest number of heart attacks are ‘Health and social work’, ‘Transport and storage’, ‘Manufacturing’, and ‘Construction’. The incidence of heart attacks and fatal heart attack accidents is higher in men than in women and higher in private sector employees. The findings and model development may assist in the formulation of surveillance strategies and preventive measures to reduce the incidence of heart attacks in the workplace.

Occupational Risks in the Technological Development of Construction Materials at Brazilian Public Universities

Objective: This study investigates occupational safety in a construction materials development laboratory at a public university, identifying risks and irregularities. To date, no similar research has been conducted for research and development laboratories, highlighting the novelty of this work. Method: The methodology adopted was an in situ case study analysis to identify the nonconformities of the work environment. Finally, the GUT method was used to prioritize interventions and occupational adjustments. Results and Discussion: Risks associated with chemical and physical agents were detected, a lack of personal protective equipment (PPE) was noted, and the irregular disposal of materials and equipment was found, compromising the health and safety of workers. The absence of risk signage was also observed. Research Implications: The practical and theoretical implications of this research are discussed, providing insights into how the results can be applied or influence practices in the field of occupational safety in the development of technological innovations. These implications may encompass public sectors, such as research centers and higher education institutions, as well as private sectors, such as research and development areas in industries. Originality/Value: A search in the Scopus and Web of Science databases did not identify studies addressing occupational health and safety practices applied to laboratories for the development of technological innovations. This result illustrates the novelty of the present research, which transcends the Brazilian reality and can be applied to laboratories and research centers in other countries.

Employee and Management Preparedness in Facing Fire Disasters at Public Fuel Filling Stations in Pinrang District

Objective: The purpose of this study was to determine the preparedness of employees and management in dealing with fires at Public Fuel Filling Stations in Pinrang District. Theoretical Framework: In this topic, the main concepts and theories that underpin the research are presented. Disaster experiences influence a person's preparedness according to the theory of Havwina (2016) and Sadeka (2020), Experience in the past will have an influence on behavior in the future, so that it becomes a learning. Method: The method used is mixed methods, which is a research step by combining two pre-existing forms of research, namely qualitative research and quantitative research. This study involved 121 respondents using purposive sampling techniques, of which 112 respondents filled out the employee preparedness questionnaire and 9 respondents as informants to assess management preparedness. Variables were measured using a questionnaire and indept interview. Results and Discussion: The results showed that there was a significant relationship between disaster experience and emergency response plan, early warning system, resource mobilization and employee preparedness. The results also showed that there was no significant relationship between disaster experience and knowledge. In addition, disaster experience also affects management preparedness. The findings of this study support that disaster experience affects employee and management preparedness.. Research Implications: The practical and theoretical implications of this research are discussed, providing insight into how the results may be applied or influence practice in the field of occupational safety and health. These implications may include public fuel station workers who have highly fire-prone workplaces. Originality/Value: This research can contribute to improving occupational health and safety which can have an impact on preparedness of employees and management. The results of this study can help employees and management by educating them about the elements that can cause a decrease in performance elements that can improve preparedness in the face of fire hazards that may occur in the future.

ANALYSIS OF RISK MANAGEMENT TERMINOLOGY IN EMPLOYEE HEALTH AND SAFETY MANAGEMENT SYSTEMS

An analysis of the main provisions and terms in accordance with domestic and international standards in the field of occupational health and safety of employees (hereinafter referred to as OSH) and risk management was carried out in order to avoid different interpretations in the draft Law on Occupational Safety and Health of Employees. To achieve this goal, the continuous sampling method, the descriptive method, the method of analyzing dictionary definitions, the method of word formation analysis, and the comparative method of component analysis were used. The study was conducted in four stages: analysis of the literature on occupational safety and health protection of workers; selection of terms for analysis; analysis of approaches to defining the concepts of "term", "terminology", analysis of lexical-semantic and structural features of terms; formation of general conclusions and prospects for further research. The justification of the change in the definitions of the main terms in OSH was carried out. It is proposed to present OSH at work as a part of the overall management system of the employer's activities, which is aimed at creating safe working conditions for employees and preserving their health by managing occupational risks. We recommend adding the concept of accident to the terms in the draft Law of Ukraine on occupational safety and health of workers, since the Procedure for Investigations and The Civil Protection Code of Ukraine defines the specified term. It is proposed to define occupational risk as a combination of the probability of occurrence of a work-related hazardous event(s) or exposure(s) and the severity of injury and health impairment that may be caused by this event(s) or exposure(s); occupational risk assessment as a process of comparing the results of occupational risk analysis with risk criteria to determine whether the occupational risk and/or its magnitude is acceptable (acceptable); occupational risk management is preventive and protective measures that reduce and/or modify (change) occupational risk to an acceptable (acceptable) level. The justification of the semantic load of the most used terms in the field of occupational safety and health protection of workers: risk, risk management, acceptable risk, dangerous event, incident was carried out for their qualitative use in the draft Law on Occupational Safety and Health of Workers. Recommendations for the description of terms and definitions for the draft Law of Ukraine on occupational safety and health of workers have been developed.

RISK MANAGEMENT BASED ON THE PERFORMANCE INDICATORS OF OCCUPATIONAL HEALTH AND SAFETY MEASURES AND THE SAFETY RAINBOW CLASSIFICATION

The article proposes the use of coefficients of efficiency and effectiveness of measures, the degree of effectiveness of measures to manage the probability of negative events and risks in general. The introduction of the first universal classifier of measures "Safety Rainbow". Design/methodology/approach. To determine the effectiveness coefficient of security measures, an expert evaluation method was used to assess the consistency of expert opinions by calculating the concordance coefficient, based on the data obtained, a formula (polynomial) of the effectiveness of measures was determined, a new calculation formula was used to determine the probability of events, the effectiveness coefficient of security measures was determined as the share of the effectiveness coefficient in the cost of the measure per year, the degree of effectiveness is the total effectiveness of all measures used, given by The effectiveness coefficient of measures can be used both to determine the level of probability of negative events, as demonstrated by the matrix method of risk assessment, and in other occupational health and safety issues. The measure effectiveness ratio allows to prioritise measures for the purpose of rational use of resources. The degree of effectiveness of measures should be used to understand the prospects for reducing the level of risk and effective hazard management. The principles of ranking measures are laid down in the universal classifier "Safety Rainbow" and allow covering all possible measures for various hazards, works and not only in the field of occupational safety and health. Research limitations/implications. The proposed methodology is universal and can be used not only in the application of the matrix method of risk assessment, but also in other methods and not only in the field of occupational safety and health. The developed methodology of risk assessment allows to perform once an expert assessment of the effectiveness of safety measures and in the future by personnel who do not have sufficient qualifications in the relevant field of activity to perform promptly and efficiently assess and manage risks, develop additional safety measures, rationally use resources, including the use of computer programs, mobile applications, etc. Originality and significance. The proposed methods are used for the first time.

The Impact of the Use of VR on the Effectiveness of Training in the Field of Occupational Health and Safety and Ergonomics

Enterprises are increasingly using modern solutions to train employees in the field of occupational safety and ergonomics. This is intended to encourage active participation in such training and to shape employees' awareness of these topics. One of the solutions used may be VR technology, which allows the employees to learn about issues by presenting situations as close to real ones as possible. The aim of this article is to present conclusions from the use of VR in Polish enterprises. The advantages of this solution were analyzed according to the OHS specialists, and the difficulties with implementing it in training were also indicated.

How Can Conflicts with Supervisors or Coworkers Affect Construction Workers’ Safety Performance on Site? Two Cross-Sectional Studies in North America

A safety plateau in the construction industry has been reported in the US and Canada, which has prompted researchers to seek new factors affecting construction safety performance. Tapping into advancements in the theory of human and organizational behaviors can yield valuable new perspectives. Therefore, by leveraging the advancement of the Job Demand Control Support model in the field of occupational safety and health, this paper firstly tested the impact of one newly added hindrance stressor (i.e., interpersonal conflicts on construction sites) by researchers on organizational behaviors on the safety performance of construction workers, based on two cross-sectional studies in the US and Canada. Differentiations were made between conflicts with supervisors and conflicts with coworkers. One personal resource factor, i.e., individual resilience, was also considered in this paper. A “causal” chain that shows the mitigation impact of individual resilience on conflicts with supervisors or coworkers, and the adverse impact of conflicts with supervisors or coworkers, on unsafe events were found to hold true for both US and Canadian construction sites, based on the results from measurement invariance tests and structural equation modelling. Recommendations regarding how to improve construction workers’ individual resilience and reduce interpersonal conflicts on site, thereby reducing safety incidents on site, are provided.

Research of the latest technologies and approaches to ensuring safety at work

The implementation of appropriate measures and systems to ensure occupational safety depends not only on the economic efficiency of companies, but also on the life and health of employees, which makes this topic relevant. The purpose of the study was to assess the capabilities and effectiveness of leading technologies and new management approaches to ensuring safety at work in accordance with existing problems in the field of occupational safety. The main approaches used in the study are the statistical method, comparison, analysis, and the descriptive method. The study identified problems in the field of occupational safety in Ukraine, the main ones being a large share of undeclared labour and an inadequate system for recording accidents. Ways to ensure occupational safety are identified, which are primarily related to conducting conversations, motivating personnel, digitalisation of such safety elements as training, briefings, risk assessment, and incident management. Based on the analysis of the experience of global leading companies in ensuring occupational safety, effective practices for improving the effectiveness of the safety system have been identified, which include conversations with employees, special development and training programmes, the introduction of advanced technologies and unified safety systems. The conducted research allowed developing an occupational safety system that incorporates modern technologies and management approaches. The findings can be useful for company managers in selecting and implementing effective management measures and new technologies to ensure occupational safety

Ensuring Safe Working Conditions under the Influence of Vibroacoustic Factors on Train Crew Workers

Introduction. The increased intensity of noise and vibration of railway traffic may become not only an urgent problem in the field of occupational safety, but also a serious environmental problem in the near future due to the constant need to increase the weight of freight trains, the speed of passenger trains and the capacity of railway lines. Recently, a lot has been done to minimize the negative effects of noise and vibration in railway transport. However, the problem of exceeding the indicators of vibration noise factors remains relevant. Reducing the harmful effects helps to improve the working conditions of train crew employees and improve the comfortable conditions of transport passengers. As a rule, the main focus of the analysis is on the external impact of vibroacoustic factors on residential areas and less attention is paid to the impact on rolling stock. However, these studies do not provide a complete picture of how noise and vibration actually affect the train in motion. The aim of the study was to obtain the result of an analysis of the impact of vibroacoustic factors on train crew workers and to propose a method of comprehensive protection based on the use of vibration damping materials.Materials and Methods. In the course of the work, regulatory documents were studied, a comprehensive analysis of relevant information on this topic was carried out, and methods for calculating vibration and vibration acceleration were used. The values of the sound pressure levels were obtained using a SPM-101 sound level meter. The object of the study was a carriage of the "reserved seat" type in the process of movement. As part of the research plan, sound pressure was measured at selected sites and a class of working conditions was determined.Results. The result of the analysis of the impact of vibroacoustic factors on train crew workers indicated the need to strengthen comprehensive measures to protect them. The obtained calculation of the vibration force became the basis of the method proposed by the authors to minimize the harmful effects of vibroacoustic factors, which was based on the use of vibration and sound insulation materials suitable for the necessary acoustic parameters in the construction of the car. In particular, it was proposed to cover the floor of the car with dense rubber and the ceiling of the car with an inorganic fiber material for sound insulation. The work also provides an economic assessment of the effectiveness of measures to minimize harmful vibration noise effects.Discussion and Conclusion. The proposed methods for minimizing noise and vibration impacts can help reduce the level of sound pressure and vibration indicators to standard values, which will significantly reduce the negative impact of vibroacoustic factors on train crew workers and railway passengers. The considered complex for minimizing vibration and noise includes a set of methods in which affordable materials based on recycled substances have found application.

Survey to assess the feasibility of establishing an international network for evidence synthesis in occupational safety and health.

Evidence synthesis in the field of occupational safety and health (OSH) has been continuously growing over the last two decades. With over 100 systematic reviews now published, the Cochrane Work Review group has played an important role in this development and the Cochrane Thematic Group 'Work & Health & Social Security' was established recently to combine evidence from both the OSH and insurance medicine fields. Worldwide, many organizations produce and synthesize evidence in OSH that can complement and support each other. We believe that a global network including Cochrane and others can collaborate on methods development and in the production, synthesis, use and dissemination of different types of evidence even more effectively. To determine if establishing a global network for evidence synthesis in OSH is feasible. We conducted a survey of international and national institutions between November 2022 and January 2023 using LimeSurvey. Participants included representatives of affiliated and sustaining members of the International Commission on Occupational Health, national institutes for OSH, academia and other international organizations. From 151 invitations, we received responses from 57 representatives of 54 organizations. Representatives reported that their organization will contribute financially on an annual basis (n = 1) or provide in-kind support (n = 10), and will probably be able to provide financial or in-kind support (n = 25). The feasibility criterion was met and an international network is being established.

Work accident viewed on counterproductive work behavior: The case study of PT. Pertamina

Work accidents occurred upstream and downstream company project activities. PT. Pertamina would be one of the causes of disruption or cessation of project work activities. The risk of failure always existed in every work activity, and when a work accident occured, no matter how small, it could result in detrimental effects, therefore as much as possible and as early as possible, potential work accidents must be prevented or at least reduced in their impact. The lack of knowledge about occupational safety and health was largely due to the belief that occupational safety and health programs would be an additional burden on company costs, even though if we took into account the amount of compensation and compensation funds for work accident victims were smaller than the profits. This research aimed to identify and analyze the occurrence of work accidents at PT. Pertamina in terms of counterproductive work behavior. The approach used in this research was a qualitative approach with a case study research design. The results of the research concluded that the adoption of counterproductive work behavior was starting to be widely implemented in the field of occupational safety and health in order to minimize the number of work accidents and prevention of work accidents could be carried out using methods of elimination, substitution, technical engineering, administrative control and the used of personal protective equipment for workers.

Advantages and disadvantages of the online training system in the field of occupational safety and health

In today's context, training in the field of Occupational Safety and Health (OSH) has become essential due to the increase in the number of employees and the diversification of industries. Globalization and the accelerated technologization of jobs have imposed the need to adapt and continuously update knowledge in this field. At the same time, the covid-19 pandemic has led to an increase in interest in online training, making access to quality information and training easier for more people, regardless of location. Thus, occupational health and safety training faces new challenges and opportunities in terms of course delivery and accessibility. In this paper, the advantages and disadvantages of the online training system in the field of OSH are presented, as they emerge both from the specialized literature and from the authors' own experience. This paper also provides a number of recommendations for improving the online OSH training system at the national level.

Modern training methods and technique in the field of occupational safety – a literature review

The growing diversity of the workforce and the changing context of employment in the world present significant challenges for developing and implementing occupational safety and health training. New approaches to content development, format, and implementation need to be developed, as traditional training methods are often not effective with workers or do not account for changes in employment patterns and the way work is organized today. This paper reviews modern training methods from computer games to virtual reality, as found in the specialized literature published in the last 10 years. The article presents the results of a state of art literature review realized with the new version of PRISMA methodology, for systematic reviews, as a part of National Institute for Research and Development for Occupational Safety INCDPM Alexandru Darabont ongoing project "Development of informative content and online training system of occupational safety and health information in the context of intelligent specialization".

Health conditions in land transport workers and climate change. Exploratory systematic review.

A systematic exploratory review was carried out to describe the influence of climate change on the health conditions of land transport drivers, both physical and mental. Additionally, actions for the prevention of these complications are described. For the review, several databases, such as Science Direct, MEDLINE, Springer, PubMed, Redalyc, EBSCO, SciELO, and Scopus, were examined. There was the need to extend the search timeframe from 5 years to 10 years. The studies found consisted mainly of review articles, showing an emphasis on public health and a high frequency of possible physical effects on the cardiovascular and respiratory systems. At the mental level, the presence of cases of anxiety, depression and stress were mentioned. As for alternatives for the prevention of these effects, the importance of creating public policies for health promotion and disease prevention was highlighted. It is important to increase scientific production in the field of occupational safety and health and applied studies.

THE HUMAN DIMENSION OF SUSTAINABLE DEVELOPMENT IN THE PERSPECTIVE OF OCCUPATIONAL SAFETY AND HEALTH

The aim of this study is to examine the "Decent Work and Economic Growth" section of the United Nations' (2015) "Agenda 2030: UN Sustainable Development Goals" from the perspective of occupational safety and health. Decent work consists of various dimensions, but this study specifically focuses on the aspect of occupational safety and health. While there are studies in the literature that evaluate sustainable development from the standpoint of occupational safety and health, it is crucial to investigate the topic from a human perspective, taking into account the International Labor Organization's goal of decent work. This is because the core element of working life is the human being, and sustainable development cannot be achieved without a focus on humanity. Therefore, research in this direction underscores the significance of the study. In the analysis of this study, data obtained by the International Labor Organization from various countries on the fundamental indicators of occupational safety and health have been categorized, tabulated, and evaluated, considering the World Bank's country classifications by income groups. In conclusion, there are challenges in accessing accurate data, especially in the field of occupational safety and health worldwide. Furthermore, there is a long way to go in terms of the human dimension of sustainable development resulting from occupational accidents and diseases.

TERMS FOR MANAGEMENT OF OCCUPATIONAL RISKS IN THE DRAFT LAW OF UKRAINE "ON SAFETY AND HEALTH OF EMPLOYEES AT WORK"

Consider the requirements of international regulatory acts regarding the management of occupational risks in occupational health and safety systems (hereinafter referred to as OHSS) and determine their compliance with the draft Law on "Safety and Health of Workers at Work". To achieve this goal, the comparative legal method was used, which is the basis of the unification and harmonization of law through international treaties, as well as the method of interdisciplinary synthesis, which made it possible to reveal data on the structural properties of objects of different terms. The requirements of the main documents on risk management in the field of PPE for the draft Law on "Safety and Health of Employees at Work" were analyzed. It was determined that the guiding principles of occupational safety and health management systems - ILO-OSH 2001 (ILO-OSH 2001) have the greatest influence on the development of the draft law. The second edition, 2009, which led to the use of outdated terms, since a significant proportion of Ukrainian enterprises are certified for compliance with the requirements of the ISO 45001:2018 standard or work in accordance with its requirements and, accordingly, use the terms, definitions and methods of occupational risk management set out in this standard . It is proposed to replace the terms and phrases related to the management of occupational risks in the draft Law on "Safety and Health of Workers at Work" based on the requirements of international and domestic regulatory acts in the field of occupational safety and occupational health. In particular, use the words effectiveness instead of efficiency, elimination of danger instead of elimination of risk, prevention of incident instead of prevention of risk. The scientific novelty consists in the substantiation of the terminology related to the provision of risk management, namely, the author's definition of the terms precautionary measures and acceptable risk is provided. Recommendations have been developed for the replacement of terms, phrases and expressions in the text of the draft Law on "Safety and Health of Workers at Work". In particular, "minimization of occupational hazards" to "reduction of the number of occupational hazards, dangerous occupational factors and harmful occupational factors."

Design of a prognostic model for assessing the risk of developing asbestosis based on the results of molecular genetic studies

Introduction. Preventive measures, including the development of a system for diagnosing early signs of changes in the health status of employees and predicting individual risks of developing the disease, aimed at preserving labor resources, reducing disability and extending working life expectancy, are an absolute priority in the field of occupational safety.
 The aim of the study to develop a prognostic model of the risk of developing asbestosis based on molecular genetic studies in employees of enterprises for the extraction and enrichment of chrysotile asbestos.
 Materials and methods. Based on studies previously conducted in the Laboratory of Biomedical Research at the Izmerov Research Institute of Occupational Health, scientists have identified a set of informative and significant single-nucleotide polymorphic gene variants for use as predictors in the construction of a prognostic model in the development of asbestos in workers of enterprises for the extraction and enrichment of chrysotile asbestos. We examined 136 people who worked at the enterprise for the extraction and enrichment of chrysotile asbestos. The researchers formed two groups comparable in terms of work experience, dustiness, age and gender: 68 former employees of the main production specialties with an established diagnosis of asbestos and 68 workers without bronchopulmonary pathology.
 The authors calculated the exposure dose of chrysotile-containing dust and calculated it taking into account the percentage of time spent at the workplace, and also performed a molecular genetic study of single-nucleotide polymorphic variants of the genes IL-1β rs16944, IL-4 rs2243250, TGF-β1 rs1800471, SOD-2 rs4880 and MMP-9 rs17576.
 Results. A predictive model has been developed to determine the probability of developing asbestosis in workers of an enterprise for the extraction and enrichment of chrysotile asbestos based on the determination of single nucleotide polymorphisms IL-1β rs16944, SOD-2 rs4880 and MMP-9 rs17576. The results of genetic tests are entered into the formula and if the resulting probability of developing asbestosis is equal to or higher than the threshold (0.582), the employee is included in the high-risk group. The sensitivity and specificity of the developed model were 70.1% and 70.6%, respectively.
 Conclusion. Molecular genetic indicators can act as predictors in the development of asbestosis in workers of the chrysotile extraction and enrichment industry and can be used to form high-risk groups during preventive measures.
 Ethics. The study was conducted in compliance with ethical standards that guarantee respect for all research subjects and the protection of their health and rights in accordance with the requirements of the Helsinki Declaration of the World Medical Association. All persons included in the study gave informed voluntary consent to the examination in accordance with Federal Law No. 323-FZ dated 11/21/2011 "On the Basics of Public Health Protection in the Russian Federation". The study was approved by the conclusion of the local Ethics committee of Izmerov Research Institute of Occupational Health (minutes of the meeting of the Ethics committee of Izmerov Research Institute of Occupational Health No. 9 dated 11/29/2016).

Improving the work of the dental clinic by introducing an emergency dental care room

The organization and provision of dental medical care is one of the most important tasks in the field of occupational safety and human health today. Dental diseases occupy the first place in the frequency of occurrence in medical practice, both in our country and in other countries. The issue of access to acute dental care is an urgent task in our time. The structure of the organization of the work of dental clinics in Russia does not satisfy the need of patients to receive high-quality emergency dental care.
 Objective: To improve the work of the surgical department in the structure of the dental clinic.
 Materials and methods: The work of two shifts of the dental polyclinic of Moscow was considered. An additional office for emergency dental care was introduced in one of the shifts. The efficiency of a shift with an emergency dental care office and a shift without an emergency dental care office was considered.
 Results: The introduction of the office for emergency dental care into the structure of the dental clinic allowed to distribute the workload of dental surgeons and therapists.
 Conclusion: The effectiveness of medical work has increased in the shift with the office of emergency dental care, which is proved by the provision of more treatment assistance, as well as tooth extraction. During the shift, the number of completed complex treatment of patients increased during the six months of the duty office [15; 16].