فهرست نشریات علمی دسترسی آزاد ایران

BACKGROUND: The Swiss cheese model of accident causation is a model used in risk analysisand risk management, including aviation safety, engineering, healthcare, and emergency serviceorganizations, and as the principle behind layered security, as used in computer security and defensein‑depth. This study aimed to develop and weight the occupational health leading indicators usingthe Swiss cheese model.MATERIALS AND METHODS: The present study was a descriptive, cross‑sectional study;occupational health performance assessment indicators were classified into five main groups ofchemical, physical, ergonomic, psychosocial, and biological harmful agents. In addition, potentialhazards and their prevention methods were identified using the Swiss cheese model. The leadingperformance measurement indicators (n = 64) were developed based on preventive methods andwere weighted and rated by fuzzy analytic hierarchy process.RESULTS: Thirty‑six out of 64 indicators were related to the management measures, 25 indicatorswere related to exposure to harmful occupational agents, and the remaining indicators wereoccupational‑related illnesses and diseases rate. Considering the importance and frequency ofindicators, psychological agents were the most important indicators (40%) and physical agents hadthe greatest frequency (59%).CONCLUSIONS: Process of indicators’ development has demonstrated that the major occupationalhealth prevention measures in the oil and gas industry are concentrated on physical, psychological,and chemical agents, respectively. Thus, to provide protection for employees against occupationaldiseases and improve health performance indicators, paying special attention to mentioned agentsis essential in the oil and gas industry.