Effect of the implementation of an occupational health and safety management system applying current regulations to reduce risks in EsSalud de Chota, 2020

Abstract

This research aimed to implement an occupational health and safety management system at EsSalud de Chota, applying current standards to reduce risks. The identification of hazards and risks was carried out to assess the level of exposure of the 49 workers across 16 areas, using a structured survey to complete the Hazard Identification and Risk Assessment Matrix (HIRAM), in accordance with Law No. 29783 on Safety and Health at Work (LSST) and its regulation D.S. No. 005 -2012- TR. The results highlighted the most recurrent hazards, such as the physical risk related to exposure to low temperatures, chemical risk due to contact with solutions, biological risk due to exposure to various microorganisms, including COVID-19, ergonomic risk due to prolonged tasks and improper postures, psychosocial risk due to extended shifts, and mechanical risk due to contact with sharp surfaces. These hazards presented risks ranging from moderate to intolerable, especially the biological risk, which showed impacts on temporary health and unfortunately, the deaths of two doctors due to virus infection. In response to these findings, control measures were proposed to mitigate the most significant risks, ranging from moderate to intolerable. The post-implementation evaluation revealed that all hazards reached a tolerable risk level, considered acceptable.