Hasil Pencarian  ::  Simpan CSV :: Kembali

"Pelaksanaan Pembangunan Proyek seringkali mengalami keterlambatan. Sebagai Project Manager dari Owner, yang bertanggung jawab perihal mutu, biaya, dan waktu pelaksanaan proyek, praktikan berupaya untuk mencegah keterlambatan dalam pelaksanaan pekerjaan struktur mulai dari pekerjaan raft foundation, hingga topping off, yakni pengecoran struktur atap di lantai 30. Laporan Praktik Keinsinyuran ini berisikan upaya pencegahan yang dilakukan secara bersama oleh Praktikan, Kontraktor, dan Manajemen Konstruksi di lapangan, guna mencapai waktu pelaksanaan yang tepat. Upaya tersebut kemudian dianalisa menggunakan kerangka Profesionalisme, Kesehatan Keselamatan Kerja dan Lingkungan, dan Kode Etik Insinyur Persatuan Insinyur Indonesia. Salah satu pembelajaran penting dalam praktik ini adalah bahwa percepatan hanya dapat dilakukan jika dan hanya jika mutu pelaksanaan sudah baik dan didukung oleh tim kerja yang handal. Bilamana suatu pekerjaan, yang mutunya belum baik, dipaksa dipercepat dan mengakibatkan komplain, justru malah akan memperlambat proyek.

---

As the Owner’s Project Manager, Practitioner is responsible for the quality, cost, and delivery of the project. As Construction Projects is often delayed, Practitioner attempts to complete the Works on-time, preventing delay. The study period synchronized with the construction of raft foundation until roof casting (“topping off”) at the 30th storey. This Engineering Practice Report consists of the efforts done collaboratively by the Builder, Construction Manager, and the Practitioner to achieve the Completion of the structural works to be on-time. This joint effort is then analysed using the Professionalism, Health, Safety, and Environment, and the Engineering Code of Ethics framework. One important lesson learnt from this practice is that Works shall not be expedited should the quality of the result is still questionable. Uncertainty in quality has the risk of complain and should the complaint arise, it would cause further repair works which takes longer time than if it is not initially expedited."

"[Industri konstruksi merupakan salah satu industri yang mempunyai potensi bahaya tinggi yang dapat menyebabkan terjadinya kecelakaan, dimana menempati urutan jumlah kecelakaan tertinggi bila dibandingkan dengan sektor lain. PT. APIK merupakan kontraktor pembangunan gedung The H Residence yang telah menerapkan Sistem Manajemen Keselamatan dan Kesehatan Kerja, namun masih terdapat kasus kecelakaan. Perlu dilakukan suatu analisi persepsi risiko pada pekerja sektor konstruksi sebagai upaya pengendalian kecelakaan kerja. Tujuan penelitian ini adalah untuk mengetahui hubungan antara pendekatan psikomerik dengan persepsi risiko. Desain penelitian cross sectional, menggunakan kuesioner, analisis data mengunakan uji chi square. Hasil penelitian menunjukkan ada hubungan kesukarelaan, Pengetahuan terhadap sumber risiko dan risiko itu sendiri, pengendalian risiko, kebaruan risiko, potensi dampak, ketakutan, dan konsekuensi risiko, sedangkan kesegeraan efek risiko dan pengalaman ada hubungan dengan persepsi risiko. Disarankan bagi PT. APIK untuk melakukan kegiatan-kegiatan yang bersifat edukatif mengenai keselamatan kerja untuk membentuk persepsi risiko yang baik kepada pekerja; melakukan pelatihan berkala terutama cara pengendalian bahaya di tempat kerja; melakukan pengawasan terhadap pekerja untuk membiasakan peduli terhadap keselamatan mereka sendiri;The construction industry is one of the industries that have high hazard potential for accidents. It ranks the highest number of accidents compared to other sectors. PT. APIK is a building contractor of The H Residence project who has implemented OHSMS, but cases of accidents are still there. Necessary to do an analysis of the risk perceptionin construction worker as efforts to control the work accident. The purpose of this study was to determine the relationship between psycometric approach to the perception of risk.The study uses a cross-sectional study design and questionnaire. Meanwhile, chi square test were used to analyze data. The results showed there are any correlations between voluntariness of risk, , knowledge of risk (exprosure)), knowledge of risk (science), control over risk, newness, cronic-catastrophic, common–dread, and severity of consequence, while immiediacy of effect and and experience have no association with risk perception. Recommended for PT APIK to conduct activity in education concerning safety issues to increase the perception of risk for worker; training especially risk control measure, supervision to the worker to familiarize concerned about safety., The construction industry is one of the industries that have high hazard potential for accidents. It ranks the highest number of accidents compared to other sectors. PT. APIK is a building contractor of The H Residence project who has implemented OHSMS, but cases of accidents are still there. Necessary to do an analysis of the risk perceptionin construction worker as efforts to control the work accident. The purpose of this study was to determine the relationship between psycometric approach to the perception of risk.The study uses a cross-sectional study design and questionnaire. Meanwhile, chi square test were used to analyze data. The results showed there are any correlations between voluntariness of risk, , knowledge of risk (exprosure)), knowledge of risk (science), control over risk, newness, cronic-catastrophic, common–dread, and severity of consequence, while immiediacy of effect and and experience have no association with risk perception. Recommended for PT APIK to conduct activity in education concerning safety issues to increase the perception of risk for worker; training especially risk control measure, supervision to the worker to familiarize concerned about safety]"

"Penelitian ini mengenai kepuasan petugas pemadam kebakaran dalam penerapan program Keselamatan dan Kesehatan Kerja (K3) di Dinas Kota Depok. Penelitian ini menggunakan pendekatan kuantitatif yang bersifat deskriptif yang bertujuan untuk mengetahui kepuasan petugas atas penerapan K3 di Dinas Pemadam Kebakaran Kota Depok yang diukur melalui Indikator-Indikator Penerapan K3. Jumlah sampel dalam penelitian ini berjumlah 80 responden, teknik pengambilan sampel dengan menggunakan total sampling. Hasil dari analisis kepuasan petugas pemadam kebakaran dalam penerapan program Keselamatan dan Kesehatan Kerja (K3) di Dinas Kota Depok adalah petugas masih belum merasa puas atas penerapan K3 yang diberikan oleh Dinas Pemadam Kebakaran Kota Depok.

---

This research is about the satisfaction of firefighters in the application program Occupational Health and Safety (OHS) in the Office in Depok. This research uses descriptive quantitative approach which aims to determine the officer's satisfaction over the implementation of OHS in Depok Fire Department as measured by Indicators Application of OHS. The number of samples in this study about 80 respondents, the sampling technique is using total sampling. Result of the analysis of satisfaction firefighters in the application program Occupational Health and Safety (OHS) in the Office of Depok is that officers still do not feel satisfied with the implementation of OHS given by Depok Fire Department."

"PT KHI yang bergerak di sektor industri karoseri kendaraan bermotor roda empat atau lebih dan industri trailer dan semi trailer memiliki risiko kecelakaan kerja yang tinggi karena menggunakan berbagai alat berat, mesin, dan bahan berbahaya. Untuk itu, perusahaan yang bergerak pada sektor tersebut perlu menyusun ketentuan mengenai keselamatan kerja dan memastikan bahwa pelaksanaannya dapat melindungi pekerja dari kecelakaan kerja. Skripsi ini disusun dengan metode penelitian doktrinal dan menggunakan data sekunder yang diperoleh dari studi kepustakaan didukung dengan observasi ke lapangan dan wawancara kepada informan. Hasil penelitian menunjukkan bahwa ketentuan keselamatan kerja dalam peraturan perusahaan PT KHI telah sesuai dengan ketentuan peraturan perundang-undangan. Peraturan perusahaan ini mewajibkan adanya kerja sama antara perusahaan dan pekerja untuk mencegah terjadinya kecelakaan kerja. PT KHI juga telah melaksanakan keselamatan kerja dengan baik, mulai dari pemberian pelatihan dan pembinaan, layanan dan fasilitas kerja, lingkungan kerja, hingga pengawasan. Meski demikian, masih ditemukan kasus kecelakaan kerja di PT KHI yang dalam beberapa peristiwa disebabkan karena kelalaian pekerja. Oleh karena itu, pengusaha dan pekerja harus memiliki kesesuaian pemahaman terhadap peraturan perusahaan dan peraturan perundang-undangan guna mencegah terjadinya kecelakaan kerja. PT KHI harus terus menjamin agar pekerja dapat melakukan pekerjaannya dengan aman dan pekerja harus terus mendukung upaya yang dilakukan oleh PT KHI dengan cara mematuhi dan melaksanakan ketentuan keselamatan kerja yang berlaku. Selain itu, untuk mengoptimalkan pelaksanaan keselamatan kerja tersebut, pemerintah perlu berperan mengawasi pelaksanaannya.

---

PT KHI, which operates in the four or more wheeled motorized vehicle body and the trailer and semi-trailer industry, has a high risk of work accidents because it uses various heavy equipment, machines, and dangerous materials. For this reason, companies engaged in this sector need to formulate provisions regarding occupational safety and ensure that their implementation can protect workers from work accidents. This thesis is prepared using the doctrinal legal research method and uses secondary data obtained from library research supported by field observations and interviews with informants. The research results show that the occupational safety provisions in PT KHI’s company regulation are in accordance with the statutory regulations. This company regulation requires cooperation between the company and workers to prevent work accidents. PT KHI has also implemented occupational safety well, starting by providing training and coaching, work services and facilities, work environment, and supervision. However, there are still cases of work accidents at PT KHI, which in some cases are caused by worker negligence. Therefore, employers and workers must have a shared understanding of company regulation and statutory regulations to prevent work accidents. PT KHI must continue to ensure that workers can do their work safely and workers must continue to support the efforts made by PT KHI by complying with and implementing applicable occupational safety provisions. In addition, to optimize the implementation of occupational safety, the government needs to play a role in supervising its implementation."

"

Tingginya angka kecelakaan kerja di sektor konstruksi setiap tahun disebabkan oleh komitmen dari perusahaan terhadap aspek Keselamatan dan Kesehatan Kerja (K3) yang belum optimal. Komitmen tersebut dapat dilihat dari partisipasi pekerja dalam mengikuti program K3 di perusahaan salah satunya Toolbox meeting. Toolbox meeting merupakan bentuk brief sebelum bekerja yang membahas teknis pekerjaan serta bahaya dan risiko apa yang akan ditemukan pekerja saat nanti bekerja. Partisipasi pekerja dalam mengikuti toolbox meeting di Proyek Pembangunan Jalan Tol Cengkareng-Batu Ceper- Kunciran masih rendah. Pekerja yang tidak mengikuti toolbox meeting dapat mempengaruhi angka kecelakaan kerja.

Untuk mengukut tingkat komitmen dari sisi partisipasi tim lapangan terhadap pelaksanaan toolbox meeting tersebut dilihat dari analisis pekerjaan yang dilakukan pekerja, perilaku organisasi serta perkembangan karir pekerja. Desain studi yang digunakan dalam penelitian ini adalah desain studi deskriptif dengan metode analisis kualitatif. Hasil penelitian didapatkan dengan mewawancarai 4 informan melalui observasi lapangan dan telaah dokumen perusahaan menunjukkan bahwa komitmen dari sisi partisipasi tim lapangan terhadap pelaksanaan toolbox meeting tergolong rendah. Penyebab rendahnya komitmen tersebut disebabkan bahwa aspek K3 belum dapat dipahami oleh pekerja secara merata sehingga mempengaruhi analisis pekerja dalam bekerja, perilaku organisasi dan pemberian penghargaan dan pengakuan. Untuk dapat meningkatkan komitmen tersebut perlu upaya dalam meningkatkan pemahaman serta pengawasan dalam melaksanakan toolbox meeting dari perusahaan.

---

The high number of occupational accidents in the construction sector is caused by the companys commitment to Occupational Safety and Health (K3) which is not yet optimal. This commitment can be seen from the participation of workers in participating K3 programs at the company, one of the program is Toolbox Meeting. The Toolbox Meeting is a form of brief before work that discusses the technical work and the hazards and risks of what workers will find at work. Workers participation in the toolbox meeting at the Cengkareng-Batu Ceper-Kunciran Toll Road Construction Project is still low. Workers who do not follow the toolbox meeting can affect the number of workplace accidents.

To measure the level of commitment in terms of field team participation in the implementation of the toolbox meeting, it was seen from the analysis of work from workers, organizational behavior and career development of workers. The study design used was a descriptive study design with qualitative analysis methods. The results showed that commitment from the field teams participation in the implementation of the meeting toolbox was low. Low commitment caused by Occupational Health and Safety aspects cannot yet be understood by workers evenly, which influences the analysis of workers in work, organizational behavior and reward & recognition. To increase this commitment, need efforts to increase workers knowledge and monitoring in implementing the toolbox meeting of the company.

"

"Penelitian ini membahas tentang nilai risiko yang dimiliki dari setiap tahapan pekerjaan overhaul compressor chiller yang dilakukan PT. Jaya Teknik Indonesia di Gedung Pertamina Kwarnas tahun 2012. Penilaian risiko dilakukan dengan menganalisis nilai kemungkinan, pemajanan dan konsekuensi dari setiap tahapan pekerjaan yang kemudian dibandingkan dengan standar level risiko semi kuantitatif W.T. Fine J untuk mengetahui level risiko yang ada pada setiap tahapan proses produksi. Penelitian ini adalah penelitian deskriptif analitik dengan menggunakan metode semi kuantitatif AS/NZS 4360:2004. Hasil penelitian menyatakan bahwa level risiko yang dimiliki pada setiap langkah pekerjaan di area produksi meliputi level very high, priority 1, substantial, priority 3 dan acceptable.

---

This study discusses the risk that the value of owned production process every step of the overhaul compresor chiller AC system by PT. Jaya Teknik Indonesia in Pertamina Kwarna Building, in 2012. Risk assessment is done by analyzing the probability value, exposure and consequences of each phase of work which is then compared to a standard level of risk semiquantitative WT Fine J to determine the level of risk that exist at each stage of the production process.

This study is a descriptive analytical study using semi-quantitative method AS / NZS 4360:2004. The study states that the level of risk that you have on each step in the production area of work includes very high level, priority one, substantial, priority 3 and acceptable."

"Penelitian ini membahas tentang analisis risiko kesehatan dan keselamatan kerja pada proses pekerjaan pembongkaran tower crane di proyek pembangunan gedung XYoleh PT. Z tahun 2014. Tujuan dari penelitian ini adalah mengetahui prioritas risiko keselamatan dan kesehatan yang memerlukan pengendalian risiko pada proses pekerjaan pembongkaran tower crane. Metode penelitian ini menggunakan desain penelitian observasionaldengan analisis risiko menggunakan metode semi kuantitatif. Hasil penelitian ini yaitu pada basic risk terdapat 6kejadian (even)t yang termasuk kedalam kategori very high, terdapat 1kejadian (event) yang termasuk kedalam kategori priority 1, terdapat 1 kejadian(event) yang termasuk kedalam kategori subtancial,. Pada existing risk, tidak terdapat jenis pekerjaan yang masuk kedalam kategori very high, terdapat 5kejadian (event) yang termasuk kedalam kategori priority 1, terdapat 1kejadian (event) yang termasuk kedalam kategori subtancial, terdapat 4 kejadian (event) yang termasuk kedalam kategori priority 3,. Pada predictive risk, terdapat 10kejadian (event) yang masuk kedalam kategori acceptable.Saran yang dapat diberikan untuk penelitian ini yaitu perlunya pengawasan kelayakan dan pemakaian dan perlunya penambahan APD dan evaluasi risk assessment.

---

This study discusses the analysis of occupational health and safety risks in the work of dismantling the tower crane on a building site XYoleh PT. Z 2014. Purpose of this study was to determine the priority of safety and health risks that require risk control in the process of dismantling the tower crane work. Methods This study uses an observational study design to risk analysis using semi-quantitative methods. The results of this study are at risk, there are 6 basic events is included into the category very high, there is one event were included into the priority category 1, there is one event were included into the category subtancial,. In the existing risk, there is the type of work that goes into the category of very high, there are 5 events are included into the priority category 1, there is one event is included into the category subtancial, there are 4 events are included into the category priority 3. In predictive risk, there were 10 events that go into the acceptable category. Advice can be given to this research is the need for and the feasibility of the use of surveillance and the need for additional PPE risk assessment and evaluation.

"

"Penelitian bertujuan memperoleh gambaran dan hubungan faktor-faktor risiko individu dan pekerjaan terhadap keluhan muskuloskeletal disorder pada pekerja kantor PT. X Jakarta. Metode yang digunakan cross-sectional dengan menggunakan data sekunder hasil medical check up data dan perangkat lunak RSIGuard untuk 607 pekerja. Dari 607 pekerja terdapat 292 orang (48, 1%) mengalami keluhan musculoskeletal discomfort.Hasil uji bivariate menunjukkan hubungan signifikan (p<0,005) antara faktor individu (tinggi badan, berat badan, olahraga, jenis kelamin dan temuan masalah musculoskeletal pada MCU), dan faktor risiko pekerjaan (self-assessment risk, overall risk level, average daily mouse use, break time taken dan average strain from mouse use) dengan discomfort.Hasil uji multivariate menunjukkan jenis kelamin, temuan masalah musculoskeletal MCU, self-assessment dan overall assessment merupakan faktor-faktor yang memiliki hubungan kuat dan dapat mempengaruhi keluhan musculoskeletal discomfort. Saran-saran ditujukan untuk mencegah discomfort dan work related musculoskeletal disorder melalui prinsip-prinsip ergonomik.

---

The objective of this study are to describe profile and relationship between individual and occupational risks factors with musculoskeletal discomfort in office workers of PT. X Jakarta. This is cross-sectional using secondary data of medical check up (MCU) and RSIGuard software for 607 workers. There are 272 of 607 workers (48.1%) complained musculoskeletal discomfort based on self-asessment result.

Based on bivariate test results a significant (p <0.005) for individual factors (height, weight, exercise, sex and medical finding during MCU), and occupational risk factors from computer usages (self assessment risk, overall risk level, average daily mouse use, break time taken and average strain of mouse use).

The final model of multivariate test results a significant correlation of gender, findings of musculoskeletal problems, self-assessment and overall assessment with musculoskeletal discomfort complaints. Suggestions addressed to reduce occupational factors to prevent discomfort and work-related musculoskeletal disorder through ergonomic principals."

"

ABSTRAK

 

Nama                   : Yenny Rachmawati

Program studi      : Dermatologi dan Venereologi

Judul                    : Perbandingan Efektivitas serta Keamanan antara Krim Pelembap Niasinamid 4% dan Virgin Coconut Oil 30% untuk Pencegahan Sekunder Dermatitis Tangan Akibat Kerja pada Perawat Intensive Care Unit : Uji Klinis Acak Tersamar Ganda

 

Latar belakang:  Dermatitis tangan akibat kerja (DTAK) sering terjadi pada perawat Intensive Care Unit (ICU) terutama pada individu yang rentan akibat pajanan iritan berupa hand rub alcohol dan aktivitas cuci tangan berulang. Penggunaan pelembap adalah salah satu rekomendasi untuk perawatan kulit pada DTAK. Niasinamid memiliki efek antiinflamasi dan dapat memperbaiki fungsi sawar kulit. Vigin coconut oil (VCO) kaya akan kandungan lipid dan asam laurat, serta memiliki efek oklusif. Sampai saat ini belum ada panduan dan referensi jenis pelembap untuk pencegahan sekunder pada DTAK.

 

Tujuan: Mengetahui perbandingan efektivitas serta keamanan antara krim pelembap niasinamid 4% dan VCO 30% untuk pencegahan sekunder dermatitis tangan akibat kerja pada perawat ICU.

 

Metode: Penelitian ini merupakan uji klinis acak tersamar ganda terhadap perawat ICU dengan DTAK pada bulan September hingga Oktober 2019. Pasien yang memenuhi kriteria penerimaan dan bersedia mengikuti penelitian, mendapat niasinamid 4% atau VCO 30% sesuai dengan randomisasi blok. Pengolesan pelembap dilakukan dua kali sehari selama 28 hari. Perbaikan klinis dinilai dengan parameter skor Hand Eczema Scoring Index (HECSI) dan penilaian sawar kulit dinilai dengan transepidermal water loss (TEWL) serta hidrasi kulit dengan skin capasitance (SCap) pada hari ke-14 dan hari ke-28. Keamanan dinilai berdasarkan efek samping selama penelitian.

 

Hasil: Didapatkan 46 SP pada masing-masing kelompok niasinamid 4% dan VCO 30%. Terdapat penurunan skor HECSI pada kedua kelompok perlakuan di hari ke-14 dan hari ke-28. Median skor HECSI  di kelompok niasinamid 4% dan VCO 30%  pada hari ke-14 yaitu 6,5 dan 6 (p 0,160), serta pada hari ke-28 yaitu 4 dan 3 (p 0,046). Pada hari ke-28, perbedaan skor HECSI kedua kelompok secara statistik bermakna, namun secara klinis tidak bermakna. Terdapat penurunan nilai TEWL pada kedua kelompok perlakuan di hari ke-14 dan hari ke-28 dibandingkan baseline, namun pada area palmar di kelompok niasinamid 4% terdapat sedikit peningkatan nilai TEWL pada hari ke-28. Terdapat peningkatan nilai SCap pada kedua kelompok perlakuan di hari ke-14 dan hari ke-28 dibandingkan baseline. Kedua pelembap dapat ditoleransi dengan baik dengan efek samping minimal.

 

Kesimpulan: Niasinamid dan VCO efektif memperbaiki klinis DTAK pada perawat ICU, walaupun tidak terdapat perbedaan bermakna antara krim pelembap niasinamid 4% dengan VCO 30% untuk pencegahan sekunder dermatitis tangan akibat kerja pada perawat ICU

 

Kata kunci: dermatitis tangan akibat kerja, efektivitas, keamanan, pelembap, niasinamid 4%, VCO 30%

 

---

ABSTRACT

 

Name                 : Yenny Rachmawati

Study Program : Dermatologi dan Venereologi

Title                   : Comparison of the Effectiveness and Safety between Moisturizing Cream Containing Niacinamide 4% and Virgin Coconut Oil 30% for Secondary Prevention of Occupational Hand Dermatitis in Intensive Care Unit Nurses: a Double Blind Randomized Clinical Trial

 

Background:  Occupational hand dermatitis (OHD) often occurs in intensive care unit (ICU) nurses, especially in individuals who are vulnerable due to irritant exposure e.g. hand rub alcohol and repeated hand washing activities. The use of moisturizer is one of the recommendations for skin care in OHD. Niacinamide which has anti-inflammatory effects and can improve the skin sawar function. Virgin coconut oil (VCO) is rich in lipids and lauric acid, and has an occlusive effect. Until now there are no guidelines and reference types of moisturizers for secondary prevention in OHD.

 

Objective: To assess the difference of effectiveness and safety between moisturizing cream containing niacinamide 4% and VCO 30%  for secondary prevention of occupational hand dermatitis in ICU nurses

 

Methods: A double blind randomized controled trial was performed in ICU nurses with OHD during September–October 2019. Patients who fulfilled inclusion criteria and willing to be involved in the study were allocated to niacinamide 4% or VCO 30% based on block randomization.  Moisturizer were applied twice daily for 28 days. Measurement of Hand Eczema Scoring Index (HECSI) scores were conducted to evaluate the clinical improvement . Measurement of transepidermal water loss (TEWL) were conducted to evaluate the barrier skin and skin capacitance (SCap) values were conducted to evaluate skin hydration on 14^th and 28^th day. Safety were assessed based on side effects during research.

 

Results: There were 46 subjects in each arms of intention, the niacinamide 4% arm and in the VCO 30% arm. There were a decrease in HECSI scores in both treatment groups on 14^th and 28th  day. The median score of HECSI in niacinamide 4% and VCO 30% on 14^th day were 6.5 and 6 (p 0.160), and on 28^th day were 4 and 3 (p 0.046). On 28^th day, the difference in HECSI scores of the two groups were statistically significant, but clinically not significant. There were a decrease in TEWL values in both treatment groups on 14^th and  28^th day compared to baseline, but there were a slight increase in TEWL values in the palmar area in the niacinamide group on 28^th day. There were an increase in SCap values in both treatment groups on 14^th and 28^th day compared to baseline. Both moisturizers were well tolerated with minimal side effects.

 

Conclusion: Niacinamide 4% and VCO 30% were effective in improving clinical OHD in ICU nurses, although there were no significant difference between moisturizing cream containing niacinamide 4% and virgin coconut oil 30% for secondary prevention of occupational hand dermatitis in ICU nurses.

 

Keywords: occupational hand dermatitis, effectiveness, safety, moisturizer, niacinamide 4%, VCO 30%

"