Ildeberto Muniz Almeida

São Paulo State University | Unesp · Department of Public Health

Hospital managers should target occupational risks and harm prevention since this can contribute to the quality of life at work and patient safety. This article aims to elucidate the activity of prevention of occupational risks and injuries in the hospital setting based on analysis of historical and empirical contradictions of the activity system....

Resumo A prevenção de riscos e agravos à saúde dos trabalhadores nos hospitais deve ser foco dos gestores, pois contribui para a qualidade de vida no trabalho e a segurança do paciente. O objetivo deste artigo é compreender a atividade de prevenção de riscos e agravos à saúde dos trabalhadores no contexto hospitalar, a partir das contradições histó...

Aim To assess a Change Laboratory (CL) intervention concerning the promotion of learning about the causes and prevention of workplace aggression in a Healthcare Service for Drug and Alcohol Users. Background It is estimated that one fourth of all healthcare professionals worldwide have already experienced some kind of workplace violence. In mental...

A flexibilização nas relações capital-trabalho com diminuição dos direitos trabalhistas é tendência que vem sendo observada no mundo inteiro. No Brasil, em 2017, foi aprovado conjunto de alterações na legislação do trabalho, conhecido como Reforma Trabalhista (RT). A presente revisão busca conhecer as recentes alterações promovidas na legislação do...

Resumo O objetivo deste artigo é apontar hipóteses de contradições que estariam incubadas historicamente nos sistemas de atividades da Vale, e que podem ter levado ao maior desastre ambiental do Brasil: o rompimento da barragem B I em Brumadinho, bem como à interdição de muitas outras barragens da empresa no estado de Minas Gerais, Brasil. Trata-se...

The objective of this article is to point out hypotheses of contradictions historically incubated in Vale’s activity systems and that may have led to Brazil’s biggest environmental disaster, the B I dam break in Brumadinho, and the interdiction of many other dams owned by Vale in the state of Minas Gerais, Brazil. This is a case analysis from secon...

Encontro Internacional sobre o trabalho (EITA)

Introduction. Organizational and systemic analyses of workplace accidents do not include systematic methods of stimulating workers' learning and empowerment. Objective. The purpose of this study is to present an incident analysis in a railway passengers transport system using the Expanded Method of Workplace Accident Analysis and Prevention (MAPAEX...

Resumo Introdução: transformações ocorridas na prestação do serviço de Reabilitação Profissional (RP) pelo Instituto Nacional do Seguro Social (INSS) fizeram emergir contradições entre seus resultados e o que se espera de uma política pública de inclusão social. Objetivo: compreender como tais transformações afetaram a atividade de trabalho e como...

In Brazil, many motorcycle accidents have occurred in displacements home-work/school-meals. This study aims to understand the aspects and origins of accidents involving motorcycles used to transport. Therefore, analyzes 20 cases of nonprofessional motorcyclists that accidents occurred in 2011 in Paranavaí, Paraná State, Brazil. Consisted of semi-st...

Introdução: O câncer relacionado ao trabalho é um agravo de notificação compulsória desde 2004 no Sistema Único de Saúde, no entanto, os serviços de saúde não incorporaram essa prática em suas rotinas de trabalho. Objetivo: Descrever o processo de estabelecimento do nexo epidemiológico do câncer relacionado ao trabalho em um hospital de referência...

Objetivo: discutir desafios para a elaboração e implementação de planos de resposta e prontidão estratégica contra a COVID-19. Métodos: partindo de recomendações da Organização Mundial da Saúde, que enfatiza três grupos de objetivos a serem buscados nesses planos, defende-se a inclusão do tema da proteção à saúde dos trabalhadores da Saúde no âmbi...

The present chapter discusses the application of the Change Laboratory (CL) method at the hemodialysis service of a public hospital in Brazil. The initial context of the intervention was characterized by a high absenteeism rate among the nursing staff and reports of a crisis in the unit. The chapter describes an experience of the application of the...

In recent years, there have been 12 fatal work accidents at a metropolitan passenger railway company. The Labor Prosecution Office contacted the School of Public Health to carry out a research making a deep analysis to understand the accidents and implementation of changes in this company to prevent accidents. Considering the presence of a civil ac...

This chapter includes a brief history of the creation of our research group and the need for formative interventions in workers’ health. The traditional approaches to work health and safety are reductionist and top-down; interventions are performed by experts and focus on compliance with rules or reduction of elementary hazards, without involvement...

The chapter presents a Change Laboratory (CL) intervention in the construction airport activity. After the occurrence of two severe accidents in a brief time interval, the Labor Prosecution Office sought the School of Public Health to assist at the second accident analysis. The application of Analysis and Prevention of Accidents’ Model (MAPA) and C...

Analysis and Prevention of Accidents’ Model (MAPA) was structured with the objective of replacing old practices that condemn work accidents on the victim. Applied to different activities, MAPA was able to explain accidents as a product of multiple interacting factors. However, a few changes have been implemented on underlying conditions. Overall, t...

Desde sua privatização, mudanças organizacionais no setor elétrico brasileiro impactam a saúde e segurança dos trabalhadores. Este estudo é motivado por três objetivos: descrever (1) desfechos imediatos e tardios de um acidente de trabalho grave no setor elétrico; (2) aspectos técnicos e proximais do acidente e; 3) origens organizacionais e gerenci...

Acesse pelo Scielo ( caderno de saúde pública, 2019)

TL007 - TRAGÉDIA EM BRUMADINHO: DESASTRE INEVITÁVEL OU ECOS DE MARIANA? PARTE 01 Ildeberto Muniz de Almeida; Rodolfo Andrade Gouveia Vilela Introdução: Três anos depois de Mariana o rompimento da barragem do Córrego do Feijão (BCF), em Brumadinho, MG abala o país. Segundo dirigentes da Vale não havia problemas de segurança na barragem. Objetivos:...

Man-made disasters, such as tailings dam failures, raise countless questions. Such is the case of the Vale S.A. dam in Brumadinho, which failed on 25 January 2019. Based on the Accident Analysis and Prevention Model (AAPM), in the present essay we raise some issues deserving of consideration in an in-depth analysis of this disaster. Following AAPM...

Resumo O Sistema de Vigilância de Acidentes de Trabalho (SIVAT), implantado pelo Centro de Referência em Saúde do Trabalhador de Piracicaba (CEREST-Piracicaba), em 2003, constitui-se em experiência consolidada de acordo com as diretrizes da Rede Nacional de Atenção Integral em Saúde do Trabalhador (RENAST). Este artigo visa analisar a história e o...

Resumo René Amalberti é médico, mestre e doutor em medicina. Após uma residência em psiquiatria, integrou a Força Aérea francesa em 1977. Foi pesquisador e médico permanente em 1982, tornando-se professor titular de medicina em 1995. Ele se aposentou em 2007 no posto de general e divide seu tempo entre a Haute Autorité de Santé (Agência de Acredita...

Resumo Alistair Gibb é engenheiro civil e professor da Universidade de Loughborough, no Reino Unido, trabalha na área de pesquisa em saúde e segurança desde 1993 atuando em saúde e segurança na construção civil e também em tecnologia da inovação. É membro do Instituto Europeu de Construção e da Instituição de Engenheiros Civis. Antes de se tornar p...

Resumo: O setor elétrico brasileiro registra elevados índices de mortalidade por acidentes de trabalho que vêm sendo associados à terceirização, introduzida como forma de rebaixamento de custos. Para diminuir o tempo de interrupção do fornecimento de energia aos consumidores, o setor adotou, como solução tecnológica, o religador automático. Essa me...

Background: In many companies, investigations of accidents still blame the victims without exploring deeper causes. Those investigations are reactive and have no learning potential. Objective: This paper aims to debate the historical organizational aspects of a company whose policy was incubating an accident. Methods: The empirical data are an...

Introduction Work injuries are a serious public health problem since work is a significant role in living conditions and health. We aimed to evaluate work injuries in Piracicaba between 2004 and 2013. Methods This is a cross-sectional study and is part of the thematic project “Work Accident: from socio-technical analysis towards the social constru...

Occupational accident rates in Brazil are still very high. Paradoxically, the national prevention system does not contribute to change in this scenario due mainly to the hegemony of behavioral safety approaches (BSA) that drives not only professional practice and in-company safety programs, but also the way of thinking and the actions of institutio...

Objective: to describe the occupational accidents characteristics and the profile of their victims assisted by the Emergency Trauma Care Integrated Service (SIATE) in Londrina, PR, Brazil. Methods: a descriptive cross-sectional study; data was collected from July 1st to December 31st, 2008, through telephone interviews with the victims or their rel...

This is the Link to the paper http://www.scielo.br/pdf/rbso/v40n132/0303-7657-rbso-40-132-113.pdf

The present qualitative study was carried out in a university hospital, with the purpose of analyzing the work of nursing assistants and technicians, the most numerous category among health professionals and more prone to accidents in the workplace. This hospital has little more than 2.000 nurses. Two methods of analysis were used. 1) The Collectiv...

The objective of this study is to compare the interventionist methodologies of Ergonomic Work Analysis (EWA) influenced by a French approach, and the Change Laboratory method based on the Activity Theory approach. This study aims at identifying complementarities and convergences between these methods to improve work related accident and diseases pr...

The sugar-alcohol sector is growing year by year, especially in the state of Sao Paulo where approximately 42.9% of the sugar-ethanol plants are concentrated. The production chain is a subject for concern to public agencies and to civil society by exposing migrant workers to risks arising from the work process. In Sao Paulo, from 2006-2009, Occupat...

The analysis of work-related accidents is important for accident surveillance and prevention. Current methods of analysis seek to overcome reductionist views that see these occurrences as simple events explained by operator error. The objective of this paper is to analyze the Model of Analysis and Prevention of Accidents (MAPA) and its use in monit...

Discute desafios da construção da Saúde do Trabalhador no SUS, no Brasil apontando restrições impostas pelo atual modelo desenvolvimento econômico do país e da atual desagregação e falta de perspectiva estratégica nas intervenções vigentes. Acidentes de trabalho representam oportunidades para intervenções apoiadas na noção de vigilância em saúde do...

Fórum Acidentes do Trabalho: Uma Experiência de Educação Permanente na Vigilância em Saúde do Trabalhador

Introdução: O câncer relacionado ao trabalho ainda não se consolidou como objeto das vigilâncias no Brasil, não obstante a notória importância do trabalho como fator de risco para o câncer. Objetivo: Descrever o processo de eleição dos canceres prioritários para a implantação da notificação do câncer relacionado ao trabalho no município de Londrina...

Arquivo de Apresentação feita durante o 1º SIAPAT

In Brazil, the accident rate in the electrical sector is 5.5 times higher than in the other formal segments of the economy. In 2011, outsourced work represented 56% of the workforce in this group and his mortality from workplace accidents reached 8 times that of permanent workers in the sector as a whole. This study aims to ascertain how third-part...

The fire incident in Santa Maria, Brazil, where died 242 people, 123 injuries, repeated aspects already found in similar tragedies in other countries and showed the difficulty of learning with these aspects regard to accident prevention. The disaster occurred when a pyrotechnic component used by a music band emitted heat that reached the polyuretha...

In 2005, there was an explosion during a repair at Barrancabermeja refinery in Colombia. The fire that followed caused the death of two people, left seven wounded and caused losses estimated at nine million dollars. The company presented a video with the description of this accident, pointing as immediate causes of the explosion a dripping of propa...

Michel Llory, engineer specialized in industrial safety and accidents, conceded an interview to Revista Saúde e Sociedade where he shares aspects of his personal and professional trajectory and discusses what paths should be taken by those who want to analyze and prevent industrial and occupational accidents. Michel Llory created the Risk Analysis...

Work-related accidents are complex phenomena determined by the work organization process, the dimensions of which are usually invisible to surveillance agents. The scope of this paper was a case study based on documentary evidence to analyze and compare the success of an intervention conducted at a meat processing and packaging factory, by focusing...

This study analyzes an accident in which two maintenance workers suffered severe burns while replacing a circuit breaker panel in a steel mill, following model of analysis and prevention of accidents (MAPA) developed with the objective of enlarging the perimeter of interventions and contributing to deconstruction of blame attribution practices. The...

In 2008, academic researchers and public service officials created a university extension studies platform based on online and on-site meetings denominated "Work-Related Accidents Forum: Analysis, Prevention, and Other Relevant Aspects. Its aim was to help public agents and social partners to propagate a systemic approach that would be helpful in t...

Workplace accidents involving machines are relevant for their magnitude and their impacts on worker health. Despite consolidated critical statements, explanation centered on errors of operators remains predominant with industry professionals, hampering preventive measures and the improvement of production-system reliability. Several initiatives wer...

In 2010, an accident occurred in Americana-SP, Brazil, involving two trains and one bus on a Grade Crossing, when 10 people died and 17 were injured including workers. This paper aims to analyze the accident using the Model of Analysis and Prevention of Work Accidents (MAPA). The method provides observation of work, interviews and analysis of docum...

The objective of the study was to compare the results of aviation accident analyses performed by the Center for Investigation and Prevention of Aviation Accidents (CENIPA) with the method Human Factors Analysis and Classification System (HFACS). The final reports of thirty-six general aviation accidents occurring between 2000 and 2005 in the S...

Starting from presentation of accident analysis proposals based on systemic and non-linear model of accidents called functional resonance, developed by Erik Hollnagel, this paper discusses criticism of deterministic accident conceptions and linear models representing these events. Aspects of Functional Resonance Accident Model are used as an axis t...

Abstract Air accidents represent a small proportion of the flights registered worldwide. Airplane collisions in the air are rare. In September of 2006, a Boeing 737-800 collided in midair with a Legacy Jet. It was the largest accident registered in the history of Brazilian aviation until that time. The present study explores aspects of press covera...

There has been a rapid increase in the complexity and integration of many safety-critical systems. In consequence, it is becoming increasingly difficult to identify the causes of incidents and accidents back through the complex interactions that lead to an adverse event. At the same time, there is a growing appreciation of the need to consider a br...

Resumo Partindo de apresentação da proposta de análise de acidentes baseada no mode-lo sistêmico e não linear de acidentes, dito de ressonância funcional, desenvol-vido por Erik Hollnagel, este texto discute críticas às concepções deterministas de acidente e aos modelos lineares de representação desses eventos. Aspectos do modelo de ressonância fun...

There has been a rapid increase in the complexity and integration of many safety-critical systems. In consequence, it is becoming increasingly difficult to identify the causes of incidents and accidents back through the complex interactions that lead up to an adverse event. At the same time, there is a growing appreciation of the need to consider a...

A abordagem tradicional de acidentes pressupõe que a obediência a procedimentos e normas protege o sistema contra acidentes e que esses eventos decorrem de comportamentos faltosos dos trabalhadores, originados, em parte, de aspectos de suas personalidades. A identificação desses comportamentos baseia-se em comparação com o padrão que toma por base...

The traditional approach to accidents assumes that compliance with procedures and norms protects the system from accidents and that these events are caused by the faulty behavior of workers, which results partly from personality aspects. Identification of these behaviors can be based on comparing them with the standard "safe working practices", whi...

Neste artigo discute-se o tema das omissões na gênese de acidentes do trabalho, tendo como referência contribuições de James Reason. Os autores descrevem três acidentes de trabalho ocorridos em atividades de manutenção, e nos quais a omissão de passos na execução da atividade foi apontada como "causa" nas análises efetuadas pelas empresas, acarreta...

This article discusses omissions in work-related accidents. The authors present James Reason's concepts on task characteristics which can increase the chance of operator omission. These ideas were applied to three accidents in which worker omission was given as the "cause" and "proof" of victim's guilt. Analysis of these accidents as a stepwise seq...

Neste artigo analisam-se os laudos e dados obtidos das investigações de acidentes graves e fatais do trabalho efetuadas pelo Instituto de Criminalística (IC), Regional de Piracicaba. Foram analisados 71 laudos de acidentes ocorridos em 1998, 1999 e 2000. Os acidentes envolvendo máquinas representam 38,0%, seguido pelas quedas de altura (15,5%) e em...

This article analyzes reports and data from the investigation of severe and fatal work-related accidents by the Regional Institute of Criminology in Piracicaba, São Paulo State, Brazil. Some 71 accident investigation reports were analyzed from 1998, 1999, and 2000. Accidents involving machinery represented 38.0% of the total, followed by high falls...

Este estudo descreve os acidentes do trabalho registrados na Previdência Social, em Botucatu, São Paulo, de 1995 a 1999. Foram analisadas 2.462 comunicações de acidentes do trabalho, 87,3% referentes a acidentes do trabalho típicos, 6,1%, a acidentes de trajeto e 6,6% a doenças ocupacionais. Entre 1996 e 1999, o número de acidentes típicos declinou...

Unlabelled: This study describes workplace accidents recorded by the Social Security Office in Botucatu, São Paulo, from 1995 to 1999. Related work force information for the same period was obtained from the 8 largest industrial companies in the city. Data were coded and processed electronically. A total of 2,462 accidents were recorded. Of these,...

This report describes the consequences and some aspects of the origin and development of victim blaming in accident analysis, and some methods for investigating such events, with particular emphasis on the situation in Brazil. In Brazil, the spread of this practice seems to have been helped by several factors. (1) The idea that occupational acciden...

This paper discusses, within the prevailing Brazilian situation, the possibility of applying "causal tree" (CT) method in investigating occupational accidents by safety personnel in the public health services and workers' unions. The method was developed during the seventies in France, for use by plant safety personnel. The authors used this method...

The Brazilian Ministry of Labour has been attempting to modify the norms used to analyse industrial accidents in the country. For this purpose, in 1994 it tried to make compulsory use of the causal tree approach to accident analysis, an approach developed in France during the 1970s, without having previously determined whether it is suitable for us...

Cardiovascular diseases have been shown to be the leading cause of death in Brazil since the 1970s. High blood pressure has been the major risk factor among the above mentioned diseases. A negative correlation between occupational qualification and blood pressure has been observed among workers. The above mentioned facts bring out the importance of...

INTRODUÇÃO: O grupo das doenças cardiovasculares tem sido apontado como a principal causa de óbito no Brasil desde os anos 70, sendo a hipertensão arterial sistêmica (HAS) o fator de risco mais importante para esse grupo. Entre os trabalhadores observa-se correlação negativa entre o status ocupacional e a pressão arterial. Tais fatos ressaltam a im...

We present here the results of a study of 21 work-related accidents that occurred in a Brazilian manufacturing company. The aim was to assess the safety level of the company to improve its work accident prevention policy. In the last 6 months of 1992 and 1993, all accidents resulting in 15 days' absence from work, reported for social security purpo...

In a large company in São Paulo State, two work accidents were investigated using the Causal Tree Method (CTM), leading to the accurate identification of factors related to work organization as the causal factors for the accidents. These cases pointed to the role of organizational factors, such as improvised and temporary assignments to work statio...

São apresentados dois acidentes do trabalho típicos, ocorridos em empresa de grande porte, investigados com o Método de Árvore de Causas ­ ADC, método que permite identificar o papel desempenhado por fatores gerenciais e de organização do trabalho no desencadeamento desses fenômenos. Os casos apresentados revelam a participação, na gênese dos acide...

The principal objectives of this text are: to propagate concepts of systemic approaches to work accidents and to stimulate reflections on their utilization in Occupational Health and Safety Management Systems (OHSMS) in Brazil. The concepts presented suggest new ways to interpret human behaviors that participate in the proximal or remote causes of...

Objetivos: Analisa investigacoes de acidentes e materiais didaticos e educativos, explorando aspectos da construcao das analises e de atribuicao de culpa. Metodos: Foram analisados registros de investigacoes e materiais didaticos de empresas de Botucatu-SP, em 1997 arvores de causas e materiais educativos. Com isso, foram formados bancos de dados g...

Tem por objetivo descrever e comparar os fatores do processo causal identificados em dois tipos de analises de acidentes graves do trabalho, desenvolvidas em Programa de Saude do Trabalhor: a analise feita com o Sistema de Informacoes sobre Acidentes do Trabalho (SISCAT) e a feita com o metodo de arvore de causas (ADC). 42 acidentes considerados co...

Objetivos: Analisa investigações de acidentes e materiais didáticos e educativos, explorando aspectos da construção das análises e de atribuição de culpa. Métodos: Foram analisados registros de investigações e materiais didáticos de empresas de Botucatu-SP, em 1997 árvores de causas e materiais educativos. Com isso, foram formados bancos de dados g...