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This study demonstrates how becoming a high-reliability institution in health care is a priority, given the high-risk environment in which an error can result in harm. Literature conceptually supports the need for highly reliable health care facilities but does not show a comprehensive approach to operationalizing the concept into the daily workforce to support patients. The Veterans Health Administration closes the gap by documenting a case study that not only demonstrates specific actions and functions that create a high-reliability organization (HRO) for safety and improvement but also created a learning organization by spreading the knowledge to other facilities.

The authors instituted a methodology consisting of assessments, training and educational simulations to measure, establish and operationalize activities that identified and prevented harmful events. Visual communication boards were created to facilitate team huddles and discuss improvement ideas. Improvements were then measured and analyzed for purposeful outcomes and return on investment (ROI).

HRO can be operationalized successfully in health care systems. Measurable outcomes verified that psychological safety was achieved through the identification and participation of 3,184 process improvement projects over a five-year period, which yielded a US$2.8m ROI. Documented processes and activities were used for educational teachings, which were disseminated to other Veteran Affairs Medical Center’s through the Truman HRO Academy.

This case study is limited to one hospital in the Veterans Health Administration (VHA) network. As the VHA continues to deploy the methods outlined to other hospitals, the authors will perform incremental data collection and ongoing analysis for further validation of the HRO methods and operations. Hospitalists can adapt the methods in the case study for practical application in a health care setting outside of VHA. Although the model is rooted in health care, the methods may be adapted for use in other industries.

This case study overcomes the limitations within literature regarding operationalizing HRO by providing actual activities and demonstrations that can be implemented by other health care facilities.

Policymakers are developing national strategic plans to encourage organizations to adopt Construction 4.0 technologies. However, organizations often adopt the recommended technologies without aligning with organizational vision. Furthermore, there is no prioritization on which Construction 4.0 technology should be adopted, including the impact of the technologies on different criteria such as safety and health. Therefore, this study aims to evaluate Construction 4.0 technologies listed in a national strategic plan that targets the enhancement of safety and health.

A list of Construction 4.0 technologies from a national strategic plan is evaluated using the fuzzy technique for order preference by similarity to ideal solution (TOPSIS) method. Then, the data are analyzed using reliability, fuzzy TOPSIS, normalization, Pareto, sensitivity, ranking and correlation analyses.

The analyses identified six Construction 4.0 technologies that are critical in enhancing safety and health: Internet of Things, autonomous construction, big data and predictive analytics, artificial Intelligence, building information modeling and augmented reality and virtualization. In addition, six pairs of Construction 4.0 technologies illustrate strong relationships.

This study contributes to the existing body of knowledge by ranking a list of Construction 4.0 technologies in a national strategic plan that targets the enhancement of safety and health. Decision-makers can use the study findings to prioritize the technologies during the adoption process. Also, to the best of the authors’ knowledge, this study is the first to evaluate the impact of Construction 4.0 technologies listed in a national strategic plan on a specific criterion.

Although there are several established frameworks for health and safety in construction, there are inadequate health and safety conditions at informal construction sites, and no framework has been designed to address this problem. The purpose of this paper is to develop a validated framework for health and safety risk management (HSRM) in informal construction sites with the aim of supporting Sustainable Development Goals 3, 8 and 11 of the 2030 Agenda, which are to ensure everyone enjoys a healthy life and to create inclusive, secure, robust and sustainable cities and human settlements, respectively.

The study is based on HSRM questionnaire survey and interviews with construction workers working on informal construction sites in Tanzania. A total of 13 health and safety specialists in construction were specifically chosen to validate the proposed framework for HSRM in informal construction to determine its applicability, efficacy and adaptation.

The validation results demonstrated that all of the suggested metrics within the framework for HSRM in informal construction scored higher than the test value, proving the framework’s feasibility

This research adds to the body of knowledge on the issue in a never-before-seen setting. To the best of the authors’ knowledge, this study is the first empirical study in Tanzania to develop and validate a framework for HSRM in informal construction.

Deployment of health and safety standards in extremely hazardous work environments such as oil and gas sector, is essential to minimise accidents leaving employees permanently or temporarily incapacitated. The purpose of this research, is to understand why there are frequent accidents in case country's oil and gas sector, with a view to recommend solutions to mitigate problems.

Research methodology involved extensive review of the literature to appreciate background, and current research on typical accidents and safety measures taken at oil and gas construction sites to minimise accidents in a middle east country. Interviews, questionnaires and case stidies were deployed to acquire data which highlighted major reasons for accidents occurrence at oil and gas construction sites, and safety tools and techniques that could reduce accident rate if adopted by companies.

Findings, showed that oil and gas construction projects in case country were prone to health and safety related risks, challenges and accidents due to failure to comply with standards and legislation. Construction site teams and shop floor staff were rarely involved in development of safety policies, and some had no understanding of requirements and procedures underpinning safety during operations. Research recommended rapid application/adoption of international standards underpinned by ISO 45000 series and staff training at all levels. Deployment of robots and use of machine learning technology were suggested to implement risky tasks in the sector.

Research was based on rampant accidents occurring in hazardous oil and gas sector in country studied. Enforcement of health and safety standards, and use of modern tools and techniques were recommended to minimise accident rate.

The extant literature underlines the inadequacies of legal and policy frameworks addressing the safety and health concerns of sandstone mineworkers in India. Notably, Rajasthan, a state renowned for its extractive industries, mirrors these concerns. Against this backdrop, this paper aims to critically evaluate the relevant legal and policy landscape, with an emphasis on the recent central statute: the Occupational Safety, Health and Working Conditions Code of 2020 (OSHWCC). Given that the Code subsumes the key legislation pertaining to the safety and health of mineworkers, an in-depth critical analysis is essential to forge suitable policy interventions to address continued gross violations of human rights.

The critical analysis of legal and policy frameworks on silicosis in sandstone mineworkers is based on a comprehensive reading of existing literature. The literature includes relevant laws, case law, reports of the Rajasthan State Human Rights Commission and National Human Rights Commission, publicly available data and key scholarly contributions in the field.

Although the OSHWCC has made some changes to the existing regulatory architecture of mines in India, it has failed to safeguard the safety and health of mineworkers. Notably, the vast majority of mines in India – constituting approximately 90%, which are informal, seasonal and small-scale – remain beyond the jurisdiction of this Code. In Rajasthan, there are specific policies on silicosis, but these policies are poorly implemented. There is a serious shortage of doctors to diagnose silicosis cases, leading to under-diagnosis. The compensation for silicosis victims is insufficient; the distribution mechanism is complex and often delayed.

The central and many state governments have not established the regulatory institutions envisaged under the OSHWCC 2020; therefore, the working of the regulatory institutions could not be critically examined.

The paper critically evaluates laws and policies pertaining to silicosis in sandstone mineworkers, with a special emphasis on the state of Rajasthan. It offers a comprehensive critique of the OSHWCC of 2020, which has not received much attention from previous studies.

The construction industry has been recording a high number of accidents without any sign of abating, the majority of which have been linked to poor health and safety practices. To reduce this menace, this study aims to evaluate the factors affecting health and safety practices on construction sites to improve health and safety practices.

First, this study reviewed previous studies to derive the factors affecting health and safety practices on construction sites, and based on the literature review, the 50 factors identified were used in developing the questionnaire that was administered to construction professionals. The returned questionnaire was then analysed using fuzzy synthetic evaluation (FSE).

According to the FSE results, inadequate safety planning has the highest critical value, followed by management failure, inadequate safety promotion, safety ignorance, poor supervision and enforcement, a casual attitude towards safety and insufficient experience. The analysis showed that the overall criticality of the factors to the Malaysian construction industry is high, suggesting that if addressed, the health and safety practices of the industry will be improved.

The study provides a holistic approach to the factors affecting health and safety practices in the construction industry using a method that has not been used by previous researchers. The findings will furnish decision makers in the construction industry with practical approaches to adapt and reinforce in the industry to improve health and safety practices.

The COVID-19 pandemic has induced tourism destinations to reconsider organisational aspects related to health safety measures, as perceptions of health safety may have become particularly important for tourists. Using data from summer 2020, the period immediately after the outbreak of the pandemic, we investigate the factors that affected tourist perceptions of health safety.

Data come from a survey of tourist-card holders in Trentino, an Italian mountain destination. Through regressions, we assess the conditional correlation between health safety measure evaluations following a holiday and a set of covariates related to the features of the tourist area and the tourists themselves, as well as COVID-19 incidence in their province of residence in the months before the holiday.

Tourist-related features seem not to impact on perceived health safety, whereas some destination- and accommodation-related elements do. In particular, the number of tourist beds affects it negatively, and staying at a hotel does it in a positive way. COVID-19 incidence in one’s home province does not affect perceptions of health safety measures, which suggests a possible sample selection effect and/or the need for more fine-grained data.

This paper is one of the few on the immediate effects of the COVID-19 pandemic using data from a large sample of actual tourists. Our findings point out the importance of the intrinsic features of some places and accommodation in influencing perceptions of safety. We discuss implications for scholars and destination managers.

The construction business is widely recognised for its inherent complexity and dynamic nature, which stems from the nature of the job involved. The industry is often regarded as one of the most challenging industries globally in terms of implementing environmental, health and safety (EHS) practices. However, in the absence of EHS, the construction industry cannot be considered sustainable. Therefore, this study aims to identify the trends, knowledge gaps and implications of EHS research to enhance construction activities and knowledge.

The study adopted a science mapping approach involving bibliometric and scientometric analysis of 407 construction EHS publications from the Scopus database with the VOSviewer software. The study is based on journal articles from the Scopus database without restriction to any time range.

The main focus of construction EHS research identified in the study includes sustainability-related studies, risk-related, environmental issues, EHS management, integrated management systems studies, health and safety related and EHS in the construction process. Some emerging areas also identified include productivity, design, culture, social sustainability and machine learning. The most influential and productive publication sources, countries/regions and EHS publications with the highest impact were also determined.

Documents published in the Scopus database were considered for analysis because of the wider coverage of the database. Journal articles written in English language represent the inclusion criteria, whereas other documents were excluded from the analysis. The study also limited the search to articles with the engineering subject area.

The research findings will enlighten stakeholders and practitioners on the focal knowledge areas in the EHS research domain, which are vital for enhancing EHS in the industry.

To the best of the authors’ knowledge, this review-based study is the first attempt to internationally conduct a science mapping on extant literature in the EHS research domain through bibliometric and scientometric assessments.

This paper aims to investigate the Occupational Safety and Health (OSH) management practices of construction companies in South Korea to ascertain specific components and practices that need improvement for successful OSH performance.

A quantitative research strategy was adopted. A close-ended questionnaire survey covering 45 OSH management practices was sent to 324 contractors; 108 responses were gathered, representing a response rate of 33.3%. Data were analysed using simple descriptive statistics (frequencies and percentages) and Pearson’s chi-square test.

The findings revealed that there is a moderate level of implementation of OSH management practices among construction firms in South Korea. However, there is a significant disparity in terms of implementation between large enterprises on the one hand and small to medium enterprises on the other. Furthermore, a few of the business characteristics (i.e. the size of companies and certification to OHSAS 18001) were closely associated with the extent of the implementation of OSH management practices.

This research uncovers the OSH management practices that are poorly implemented and lays the foundation for appropriate measures to improve OSH in South Korean construction companies. It suggests an effective strategy for communicating health and safety issues to workers, training safety managers, reviewing risk assessments, reviewing the health and safety plan, incentivising workers by rewarding good behaviour and having a penal mechanism for employees not adhering to the rules.

The study provides insights into an under-investigated South Korean construction industry topic. It offers additional insight into state-of-the-art health and safety management practices in the construction industry in South Korea. Furthermore, it establishes which components of OSH management practice require improvement in the Korean context. This is also one of the few studies in OSH which establishes the association between the construction business characteristics and OSH management in the South Korean construction domain.

The study aims to investigate the impact of anxiety and depression (dimensions of mental health) on mineworkers' safety behaviors (safety compliance and safety participation) while examining the moderating role of safety climate on these relationships.

A quantitative research approach with an explanatory cross-sectional survey research design was adopted. A total of 274 purposively selected mineworkers participated in the study. Responses were obtained from participants through a structured questionnaire which was analyzed using the partial least square structural equation modeling.

Anxiety had a significant negative effect on safety compliance but not participation. However, depression was found to have a significant negative effect on both mineworkers' safety compliance and participation behaviors. The findings of the study also show that safety climate moderates the relationships between the dimensions of mental health and mineworkers' safety behavior except for the relationship between anxiety and mineworkers' safety participation behavior.

The study offers an account of the negative effect of mental health on mineworkers' safety behavior whiles highlighting that safety climate is an important construct to mitigate the negative effects of mental illness on the safety behaviors of mineworkers.