纹身行业的风险评估:MARAT, William Fine和MIAR方法可以使用吗?

M. Santos
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引用次数: 0

摘要

介绍/背景/目标在职业健康的背景下,纹身部门仍然很少被提及。有很多关于纹身客户风险的文件,但是关于纹身师的信息很少。在这种意义上发现的参考书目并不详尽,它只是给出了一些劳动风险的一般概念,没有定量评估,更没有层次。在进行了与风险评估方法相关的审查并详细阐述了纹身工作室的风险信函之后,选择了三种方法:MARAT(工作风险和事故评估方法),William Fine (WF)和MIAR(风险评估综合方法),因为易于获取有关如何使用它们的信息,适合该部门和设施;这些被应用于68个风险因素,包括在突出的工作任务中。观察到的纹身工作站主要考虑的任务是:在纸上或皮肤上绘制;或选择设计放在皮肤上,从电脑;在贴花纸上插入图案;刮干净皮肤;对皮肤进行消毒;将贴花片的设计转移到皮肤上;工作台准备好必要的用具和产品;使用纹身机给皮肤上漆;擦去皮肤上未注射和多余的墨水;在纹身过程中,在皮肤上涂抹各种化学物质(专业人士之间有所不同);如病人出现脂肪不足或晕厥(如有必要),应给予帮助;以及清洁/消毒/消毒表面和工作仪器。虽然这三种方法所看重的方面不同,但验证结果的同质性是非常有趣的,即MARAT技术将8个项目标记为属于最高风险类别;世界自然基金会的方法和MIAR分别强调了7个和9个。在这三种方法中,有六个风险因素被列入最高风险类别,即在向皮肤插入色素的过程中,以及在注射之间清洗皮肤(多余的色素)过程中,最终接触到化学试剂、尖锐物体和可能被相关微生物污染的血液。只有MIAR方法指出了其他技术不包括在这一类中的两个项目(即在工作表面和工作仪器的清洁/消毒/灭菌过程中最终与血液接触),MARAT和William Fine技术人员分别将其列为第二类和第三类。一般来说,最重视工人风险因素的方法是MIAR(最高风险类别中的9项和最低风险类别中的37项),相反的是William Fine(风险类别中的7项)最高和最低风险类别中的46项)。
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Avaliação de Riscos no Setor da Tatuagem: podem utilizar-se os Métodos MARAT, William Fine e MIAR?
Introduction / background / objectives The Tattoo sector is still little addressed in the context of Occupational Health. There are many documents about Risk for tattooed clients, but the information is scarce in relation to the Tattooist. The bibliography found in this sense is not exhaustive, it just gives a general idea of ​​some Labor Risks, with no quantitative assessment, much less hierarchical. Methodology After conducting a Review related to Risk Assessment methods and after the elaboration of a Risk Letter from a Tattoo studio, three methods were selected: MARAT (Methodology for Assessment of Risks and Accidents at Work) , William Fine (WF) and MIAR (Integrated Method for Risk Assessment), due to the ease of access to information on how to use them, suitability for the sector and facility; these were applied to 68 risk factors included in the highlighted work tasks. Content The main tasks considered in the Tattoo workstations observed were: making the drawing on paper or on the skin; or select the design to put on the skin, from the computer; insert the design on decal sheets; shave the skin; disinfect/ sterilize the skin; transfer the design of the decal sheet to the skin; prepare the workbench with the necessary utensils and products; paint the skin using the tattoo machine; wipe off uninjected and excess ink from the skin; placing various chemicals on the skin during the tattoo (variable among professionals); help the client in case of lipothymia or syncope (if necessary); as well as cleaning/ disinfecting/ sterilizing surfaces and work instruments. Conclusions Although the three methods value different aspects, it was very interesting to verify the homogeneity of the results, that is, the MARAT technique marked eight items as belonging to the category of highest risk; the WF methodology and MIAR highlighted seven and nine, respectively. Among the three methods, there were six risk factors that were included in the highest risk category, namely the eventual contact with chemical agents, sharp objects and blood potentially contaminated with relevant microorganisms during the act of inserting pigment in the skin, as well as during the cleaning of the skin (of the excess pigment, between injections). Only the MIAR method indicated two items that the other techniques did not include in this category (namely the eventual contact with blood during the cleaning/ disinfection/ sterilization of work surfaces and work instruments), which the MARAT and William Fine technicians both placed in the second and third category, respectively. The method that most valued the worker’s risk factors in general was MIAR (nine items in the highest risk category and thirty-seven in the lowest risk category), the opposite being William Fine (seven items in the risk category) highest and forty-six in the lowest risk).
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