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Whole-Body Vibration Exposure Among Heavy Equipment Operators at PT X, West Kutai, East Kalimantan Putra Eka Sudjana; Iwan Muhamad Ramdan; Muhammad Sultan; Ida Ayu Indira Dwika Lestari
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Coal mining activities represent one of the industrial sectors with intensive use of heavy equipment, operating at large scales and for prolonged durations. The operation of these machines generates mechanical vibrations, which are significant physical risk factors in the working environment. Vibrations transmitted to the body of operators can not only cause discomfort but also have detrimental effects on health, such as circulatory disturbances, reduced visual focus, nerve problems, and musculoskeletal disorders. The incidence of occupational accidents and work-related diseases in mining sector continues to increase, highlighting the importance of managing ergonomic risk factors, especially whole body vibration, in the implementation of occupational safety and health programs. To protect workers, the government through the Ministry of Manpower Regulation No. 5 of 2018 To assess the whole-body vibration exposure among heavy equipment operators at PT X, West Kutai, East Kalimantan, and evaluate its compliance with the occupational exposure limits as regulated by the Minister of Manpower Regulation No. 5 of 2018 Measurements were conducted on 18 units of heavy equipment at PT X Kutai Barat using a Human Vibration Meter Svantek SV 106, following SNI 7186:2021. The results showed that 11 units exceeded the exposure limit of 0.8661 m/s² for an 8-hour work period, with the dominant vibration direction occurring along the vertical axis. The highest vibration levels were recorded in the Service Truck (1.7765 m/s²) and Dump Truck (1.8203 m/s²). It is recommended that control measures be implemented through adjustments to exposure duration, and vibration damping modifications to prevent musculoskeletal health risks among operators.
Effect of Provideing Ergonomic Method Video to the Porters at Samarinda Pasar Pagi’s Dock Rifani Amar Al Khairi; Iwan Muhamad Ramdan; Dina Lusiana Setyowati
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : According to the 2018 RISKESDAS data, the prevalence of musculoskeletal disorders in East Kalimantan was 8.12%, with the highest rates observed among farmers/laborers (9.9%), civil servants (7.5%), and fishermen (7.4%). Knowledge is one of the key factors influencing ergonomic posture. The use of interactive media, such as educational videos, can enhance the effectiveness of information delivery, thereby improving comprehension, knowledge, and attitudes toward ergonomic practices. Objective : Determine the effect of providing an ergonomic method video on the knowledge and work posture of porters at the Samarinda Pasar Pagi's Dock Research Methods/ Implementation Methods : This research is using quasi-experimental. Total of 30 respondents were involved as the research sample. Musculoskeletal complaints were measured using the Nordic Body Map instrument, while knowledgment & body posture was analyzed using questionnaire & Rapid Entire Body Assessment. Results : The experimental group showed a significant increase in knowledge (p = 0.003), indicating that the ergonomic lifting and carrying video effectively improved knowledge. However, there was no significant effect on reducing work posture risk on experimental group (p = 0.180). Conclusion/Lesson Learned : Based on the results and discussion, several conclusions can be drawn from the study : a. There was a significant increase in knowledge before and after the ergonomic lifting-and-carrying video intervention in the experimental group. b. There was no significant reduction in work posture risk in the experimental group after the intervention.
Implementation of Hospital Occupational Health and Safety Programs in Indonesia: A Scoping Review Putri Agustina; Iwan Muhamad Ramdan; Ida Ayu Indira Dwika Lestari
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Hospitals expose employees to various occupational hazards, including biological, chemical, ergonomic, and psychosocial risks. Although Indonesia has regulations such as Minister of Health Regulation No. 66/2016 on Hospital OHS (K3RS) and the 2024 Hospital Accreditation Standards (KMK No. 1596/2024), OHS program implementation remains inconsistent. Understanding their execution is crucial to enhancing worker and patient safety. Objective : This scoping review aims to map existing evidence on the implementation of hospital occupational health and safety programs (K3RS) in Indonesia, focusing on governance, risk management, program domains, monitoring indicators, enablers, and barriers. Research Methods/ Implementation Methods : The review followed the Joanna Briggs Institute (JBI) framework and PRISMA-ScR guidelines. Literature published between 2015 and 2025 was identified from PubMed, Google Scholar, GARUDA, and DOAJ using keywords related to “K3RS,” “hospital,” “implementation,” and “Indonesia.” Eligible studies included empirical research, reports, and policy analyses focusing on K3RS implementation. Data were charted and synthesized thematically. Results : Hospitals expose employees to various occupational hazards, including biological, chemical, ergonomic, and psychosocial risks. Although Indonesia has regulations such as Minister of Health Regulation No. 66/2016 on Hospital OHS (K3RS) and the 2024 Hospital Accreditation Standards (KMK No. 1596/2024), OHS program implementation remains inconsistent. Understanding their execution is crucial to enhancing worker and patient safety. Conclusion/Lesson Learned : Implementation of hospital OHS programs in Indonesia is progressing but uneven. Strengthening governance, standardizing indicators, and embedding risk-based monitoring are essential for achieving safer hospital work environments.
The Physical and Psychosocial Risk Factors of WRMSDs AmongNurses in Hospital: A Systematic Review Wahyu Tri Prayogi; Iwan Muhamad Ramdan; Ida Ayu Indira Dwika Lestari
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : Nurses are one of the professions most vulnerable to musculoskeletal pain due to their physically demanding clinical work, which involves prolonged standing, walking, heavy lifting (e.g., carrying patients, medical equipment), and repetitive movements. Objective : The aim of this study was to investigate the prevalence of musculoskeletal disorders at body region on nurses and its associated physical and psychosocial factors in the workplace. Research Methods/ Implementation Methods : This study is a systematic review of the prevalence of WRMSDs and their association with physical and psychosocial factors in nurses. The study was designed using reporting methods based on the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines. Results : A review shows that the prevalence of WRMSDs in nurses is very high, ranging from 77%– 97%, with the most frequently affected locations being the lower back, neck, and shoulders. The most frequently reported physical factors are significantly associated with: awkward postures, lifting or moving patients, lack of assistive devices, long work hours and inadequate rest, and understaffing. Psychosocial factors have a significant direct or indirect influence on WRMSDs in many studies: job stress and high psychological demands, lack of social support, work-family conflict, poor leadership, and anxiety or burnout. Conclusion/Lesson Learned : WRMSDs are the most common occupational health problem among nurses. Physical and psychosocial factors contribute significantly, both independently and mutually reinforcing. Effective prevention must include multidimensional interventions, including: Improved work ergonomics (assistive devices, work positions, task rotation), workload management and shift schedules, increased social support and positive leadership, and stress management and psychological well-being programs.
Effectiveness of Occupational Health and Safety (OHS) Technical Guidance on Improving the Knowledge of OHS Personnel Arif Sumarianto; Iwan Muhamad Ramdan; Ida Ayu Indira Dwika Lestari
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Abstract

Background : One of the requirements for Occupational Health and Safety (OHS) in the workplace is the availability of competent personnel who possess authority in managing workplace environmental safety. Technical guidance is an important strategy to strengthen personnel competency, yet its effectiveness must be evaluated systematically. Objective : To analyze the effectiveness of OHS technical guidance using the Kirkpatrick Model level 2 evaluation. Research Methods / Implementation Methods : This descriptive-analytical study employed a one- group pre-test post-test design. Pre-test assessments were conducted before participants received the training materials, followed by post-test assessments afterward. A total sampling technique was used, involving 25 participants of the OHS Technical Guidance for the Workplace Environment organized by Balai K3 Samarinda on October 21–24, 2025. Results : Statistical analysis showed a significant difference between pre-test and post-test scores, indicating an improvement in participants’ knowledge following the training sessions. Conclusion / Lesson Learned : The OHS Technical Guidance for the Workplace Environment was effective in improving participant knowledge and was successfully implemented with a well- executed training process.