Occupational Health and Safety Practices in Relation to Occupational Injuries Among Iron and Steel Workers

Occupational health and safety (OHS) malpractices may increase the risk of occupational injuries and are a significant public health problem in the iron and steel industries, often leading to disability and death. Information on OHS practices related to occupational injuries in the iron and steel industries is limited in many countries. This study aimed to assess OHS practices in relation to occupational injuries among workers in the iron and steel industries in Tanzania. A cross-sectional study was conducted among 321 production line workers. Data were collected through interviews, using a structured OHS questionnaire and the modified International Labour Organization (ILO) injury assessment tool. A total of 209 workers had experienced an occupational injury in the past year. According to univariate regression analyses, the safety practice variables ‘safety inspections’ and ‘use of personal protective equipment’ were significantly associated with occupational injury. However, after adjusting for sociodemographic and organizational factors, including years of work experience, work section, daily working hours, and shift work, these associations were no longer statistically significant. Working in the rolling mill, having less than four years of work experience, working more than 10 h per day, and performing shift work were significant predictors of occupational injuries. These factors attenuated the associations between safety practices and occupational injuries. The severity of injuries was found to be related to the accessibility of PPE. The findings suggest that work experience and organizational characteristics play a critical role in shaping occupational injury risk, highlighting the need for multifaceted interventions that integrate effective safety practices, work experience and organizational measures to improve worker safety in Tanzania’s iron and steel industry.