• 한국생활환경학회지
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• 제24권5호
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• pp.549-561
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• 2017

We conducted a nationalwide questionnaire to investigate accidental experiences and injuries at flashover or flame-fire for active firefighters in the line of duty. A total of 794 firefighters participated in this survey (764 males, 27 females, and 3 respondents; $39.2{\pm}8.4yr$ in age, $173.7{\pm}5.1cm$ in height, $73.4{\pm}8.6kg$ in body mass). The results showed that high risk circumstances the most frequently experienced while firefighting in Korea was flashover followed by backdraft, rollover and flameover. At the high risk circumstances the most frequently-experienced injuries were bruise, stabs and burns. Firefighters hoped to reduce the total mass of personal protective equipment (PPE), improve the mobility of the PPE and dexterity of protective gloves, so that they could escape from the high risk circumstances as fast as possible. In particular, requirements for improvement on protective gloves were greater than those on other PPE. The present study suggested that the need for improvements on the current firefighters' PPE to cope with emergency high risk situations in terms of PPE mass reduction and mobility.

• 한국환경보건학회지
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• 제47권1호
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• pp.101-109
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• 2021

Objectives: The objectives of this study are to introduce the development process of work situations and types in the revised regulations on wearing personal protective equipment (PPE) for hazardous chemical handlers, analyze the implementation of the regulations, and then provide basic data for future education strategies. Methods: The development process of work situations for regulation was explained through a flowchart by year. In 2018, a survey of 30 chemical managers and 201 managers and handlers was conducted based on recognition of work situations and the related regulations. In 2019, 91 chemical managers and 204 handlers were surveyed to find the degree of compliance with regulations, direction for improvement of understanding the regulations, and training methods. Results: Only 78.0% of chemical managers and 66.7% of handlers said they were aware of the regulations (p<0.05). Just 79.0% of handlers knowing the regulations said they would wear PPE in compliance with these regulations. Therefore, the best way to make workers wear proper PPE in accordance with regulations is to strengthen the promotion of education on regulations. In order to improve the quality of education, 51.7% of managers and 33.3% of handlers cited educational content (video, ppt, etc.) as the top priority. Conclusion: This study suggested that more educational opportunities should be provided and educational content should be developed in order for workers handling hazardous chemicals to wear PPE as prescribed in regulations.

• 한국의류산업학회지
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• 제25권4호
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• pp.520-533
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• 2023

The present study developed a test protocol for evaluating the mobility of firefighting chemical and flame personal protective equipment (PPE) for the National 119 Rescue Headquarters in Korea and suggested ergonomic design factors to improve their mobility and performance. Six types of PPE were employed, including three types for flame protective PPE (5 ~ 6 kg excluding the self-contained breathing apparatus), and three types for chemical and flame protective PPE (8 ~ 11 kg). These PPEs are used by the 119 Rescue firefighters. Three male firefighters (34.3 ± 1.2 y in age, 175 ± 8 cm in height, 81 ± 13 kg in body weight) participated in the mobility test and interview. A mobility test protocol consisting of 16 components (nine postures and seven motions including a dexterity test) along with a visibility test were developed based on pre-interviews and literature reviews. The findings indicated that the clothing microclimate humidity on the neck and chest exceeded 85%RH on average for all the six PPE conditions, with the chest area reaching as high as 98%RH. This high humidity caused fogging inside the visor and impaired visibility. The requirements for improving the PPE design in terms of mobility varied depending on whether it was the separated types or all-in-one types, particularly regarding the hood and gloves design. The findings of this study can be applied to improve the design of Level A_PPE for firefighters. The mobility test protocol and visibility test developed in this study can also be applied to other types of Level A impermeable PPE.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제29권3호
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• pp.37-44
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• 2023

Purpose: To decrease cross-infection, it's essential to analyze the spatial composition of the 'PPE doffing area'. Instead of solely relying on manpower standards, we should focus on responding to infectious diseases within the context of space planning. By doing so, we can lower the risk for healthcare workers' infection and ensure a level of safety in various environmental changes or new manpower input situations. Methods: This analysis is conducted specifically for facilities with negative pressure isolation wards. Additionally, interview surveys to obtain feedback from healthcare workers and incorporate their expertise into the design of the 'PPE doffing area' have been carried. Results: In a PPE doffing area, the standard spaces include a PPE doffing room, a shower room, and a clothing room. Depending on the facility environment or the level of infectious diseases, a Decontamination room or Anteroom can be optionally added. Healthcare workers who remove their PPE in the PPE doffing room should avoid re-entering the Negative pressure room. The shower room is often underutilized. When planning for a future PPE doffing area, an aisle space or passageway must be included even if a shower room is planned. Implications: This study examined the space used by healthcare workers rather than patients, with a focus on infection prevention through architectural planning rather than individual efforts. However, the investigation was limited to facilities that have been converted from general wards to negative pressure isolation wards, so it cannot be generalized to all infectious disease facilities.

• 한국화재소방학회논문지
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• 제30권1호
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• pp.138-148
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• 2016

본 연구에서는 화재 현장에서의 소방진압 업무 적합도를 평가하기 위한 소방관 모의작업 프로토콜을 개발하였고 기존의 체력검정법과 평가 방식을 비교하였다. 본 연구에서 개발한 프로토콜은 모든 소방용 개인보호구를 착용한 채 복사열원 앞에서 3분 동안 걷는 동작을 포함한 총 여덟 가지 동작으로 구성되었으며 5분의 휴식을 사이에 두고 3회 반복되었다. 연구 결과로, 약 30분의 테스트 동안 소방관의 직장온과 심박수는 각각 $38.5^{\circ}C$, 185 bpm까지 상승하였다. 또한 총 소요시간과 연령보정치를 적용하지 않은 기초체력검정 결과는 유의하게 부적 상관관계를 보였다(r = -0.728, p < 0.05). 그러나 진압 경력이 긴 소방관일수록 총 소요시간은 길었던 반면, 총 소요시간과 생리적 부담 수준이 함께 고려된 평가 방식에서는 기초체력검정 결과보다 더 높은 점수를 얻었다. 이러한 결과는 단순하게 소요시간만을 이용한 평가는 생리적 서열부담을 무시할 수 있으며, 소방관 모의작업 프로토콜 이용 시 생리적 부담 수준을 함께 고려할 때에 소방진압 업무 적합도에 대한 보다 심층적인 평가가 가능함을 보여준다.

• 한국인터넷방송통신학회논문지
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• 제23권6호
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• pp.163-170
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• 2023

중대재해 처벌 등에 관한 법률의 등장으로 사업주와 경영책임자 및 법인 등은 산업현장에서 안전사고를 예방하기 위해 안전관리자를 대폭 늘리고, ISO 취득 등 많은 투자와 노력을 하고 있다. 또한 SSMS(Smart Safety Management System)을 도입하여, 인원의 관리 및 안전보호구의 관리 또한 진행되고 있다. 작업자의 생명을 보호하는 안전보호구에서 안전모, 안전고리, 안전복에는 IoT 기반의 관리 시스템이 적용되고 있지만 안전화의 경우 현장 관리자와 개인에게 맡겨지고 있고 여전히 안전사고에 취약한 상황이다. 이에 따라 본 연구에서는 현장 출입 시 작업자의 안전화 또한 착용 여부를 사전에 파악할 수 있도록 Raspberry PI 기반의 Sensor 인식 장비를 구현해 착용 여부를 확인하고 안전화 미착용으로 발생될 수 있는 사고를 예방하는 것을 목표로 한다.

• 한국의류산업학회지
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• 제24권5호
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• pp.655-665
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• 2022

This study evaluated the validity of a newly developed mobility protocol examining the comfort functions and requirements of personal protective equipment (PPE) for COVID-19 healthcare workers. Eight males (age: 24.7 ± 3.0 y, height: 173.4 ± 2.3 cm, and body weight 69.9 ± 3.7 kg) participated in the following three PPE conditions: (1) Plastic gown ensemble, (2) Level D ensemble, and (3) Powered air purifying respirator (PAPR) ensemble. The mobility protocol consisted of 10 different tasks in addition to donning and doffing. The 10 tasks were repeated twice at an air temperature of 25oC with 74% RH. The results showed significant differences among the three PPE conditions in mean skin temperature, local skin temperatures (the forehead, thigh, calf, and foot), clothing microclimate (the chest and back), thermal sensation, thermal comfort, and humidity sensation, while there were no significant differences in heart rate or total sweat rate. At rest, the subjects felt less warm and more comfortable in the PAPR than in the Level D condition (P<0.05). However, subjective perceptions in the PAPR and Level D conditions became similar as the tasks progressed and mean skin and leg temperature became greater for the PAPR than the Level D condition (P<0.05). An interview was conducted just after completing the mobility test protocol, and suggestions for improving each PPE item were obtained. To sum up, the mobility test protocol was valid for evaluating the comfort functions of PPE for healthcare workers and obtaining requirements for improving the mobility of each PPE item.

• 한국환경보건학회지
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• 제42권6호
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• pp.430-437
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• 2016

Objectives: The new Chemical Control Act from the Korean Ministry of Environment (2014-259) simply states only in basic phrases that every worker handling the listed chemicals should wear personal protective equipment (PPE) and does not consider the different hazard characteristics of particular chemicals or work types. The purpose of this study was to produce an exposure risk matrix and assign PPE to the categories of this matrix, which would be useful for revising the act to suggest PPE to suit work types or situations. Methods: An exposure risk matrix was made using hazard ranks of chemicals and workplace exposure risks in the previous study. For the 20 categories of exposure risk matrix PPE, levels A, B, C, D as classified by OSHA/EPA were assigned. After 69 hazardous chemicals were divided into 11 groups according to their physiochemical characteristics, respirators, chemical protective clothing (CPC), gloves and footwear were suggested on the basis of the assigned PPE levels. Results: PPE table sheets for the 11 groups were made on the basis of work types or situations. Full facepiece or half-mask for level C was recommended in accordance with the exposure risk matrix. Level A was, in particular, recommended for loading or unloading work. Level A PPE should be worn in an emergency involving hydrogen fluoride because of the number of recent related accidents in Korea. Conclusion: PPE assignment according to the exposure risk matrix made by chemical hazards and work type or situation was suggested for the first time. Each type of PPE was recommended for the grouped chemicals. The research will be usefully used for the revision of the Chemical Control Act in Korea.

• 한국산학기술학회논문지
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• 제21권4호
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• pp.463-470
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• 2020

본 연구는 중소병원 간호사를 대상으로 다제내성균 감염관리 지식과 교육요구도를 파악하여 중소병원 간호사 맞춤형 감염관리 교육프로그램을 개발하고자 시도되었다. 자료수집은 중소병원에 근무하는 간호사 115명을 대상으로 하였다. 자료수집기간은 2019년 11월 15일~11월 30일까지 구조화된 설문지를 이용하여 시행되었다. 수집된 자료는 IBM SPSS 21.0 프로그램을 이용하여 분석하였으며, 기술통계, t-test, ANOVA를 이용하였다. 연구결과 중소병원 간호사의 86.1%가 다제내성균 환자를 간호한 경험이 있었으며 다제내성균 감염관리 교육을 받은 경우가 67.8%로 나타났다. 다제내성균 감염관리지식은 27점 만점에 25.51점이었으며, 다제내성균 환자가 사용한 의료기기에 대한 소독수준, 선제 격리환자의 격리 해제기준, 코호트 격리에서 환자관리, 개인보호구 탈의시점에서 정답률이 낮았다. 교육요구도는 격리병실배정, 선별검사 대상기준, 유행발생관리가 가장 높았다. 또한 일반적 특성에 따른 교육요구도 차이에서 최종학력과 직급에서 차이가 있었다. 따라서 다제내성균의 원내전파 차단 및 유행발생을 예방하기 위해서 다제내성균 감염관리 교육이 중요하므로 다제내성균 감염관리 교육프로그램 개발시 경력별로 교육 구성의 차별화가 필요하다. 신규간호사와 경력간호사 감염관리교육시 필수적으로 다제내성균 감염관리 교육을 수행하는 것이 필요하다.

• 한국산업보건학회지
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• 제33권2호
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• pp.156-170
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• 2023

Objectives: This study conducted practical training to improve the proper usage of personal protective equipment(PPE), which greatly impacts workplace safety and health management. Personal protective equipment education was conducted through active participation, without theoretical modules, and aimed to identify the effects of repeated practical education and determine ways to increase participant satisfaction. Methods: Study data were analyzed using the IBM SPSS Statistics ver.29 software. First, participants' general characteristics were analyzed with frequency analysis. Second, the normality and equality of variances (Leven's test) were tested for the dependent variables prior to statistical analyses to determine the use of parametric tests. In general, normality is assumed when the sample size is 30 or more per the central limit theorem (Park et al., 2014). As our sample size of health management workers was 43, normality can be assumed. However, to ensure rigor of the study, we examined skewness and kurtosis. The results confirmed that the data were normally distributed. Third, the effects of repeated PPE training were analyzed using paired t-tests. Fourth, differences in satisfaction with PPE training according to the safety and health job position and safety and health certification were analyzed with t-test and Welch's t-test. For parameters that did not meet the assumption of equal variances, the Welch's t-test was performed. Results: Repeated PPE training improved the educational outcomes, and the improvements were significant in the 1st and 2nd respiratory PPE and safety and hygiene PPE training evaluations (p<.001). In terms of safety and health job position, repeated training led to improvements in educational outcomes, with significant improvements observed among supervisors and specialized health management institution workers in the 1st and 2nd training evaluations (p<.005). In terms of safety certification, repeated training led to improvements in educational outcomes, with significant improvements observed among both certified and non-certified individuals (p<.005). Regarding satisfaction with PPE training according to safety and health job positions, specialized health management institution workers showed greater satisfaction than supervisors, with significant differences in the satisfaction for expertise of lecture, work relevance, and lecturer's attitude (p<.001). Regarding satisfaction with PPE training according to safety and health certification, satisfaction was higher among certified individuals, with significant differences in satisfaction for work relevance and lecture attitude (p<.05) Conclusions: PPE education should be recommended to be provided as practical training. Repeated training can enhance educational outcomes for individuals with inadequate knowledge and understanding of PPE prior to education. For individuals with high levels of pre-existing knowledge and understanding of PPE, the results show that various training experiences should be provided to enhance their satisfaction. Therefore, it suggests that the workplace should actively seek educational media and methods to acquire expertise and skills in wearing personal protective equipment and improve the ability to use