The Practices and Challenges of Occupati

ADDIS ABABA UNIVERSITY
COLLEGE OF BUSINESS AND ECONOMICS
DEPARTMENT OF PUBLIC ADMINISTRATION AND DEVELOPMENT

MANAGEMENT
THE PRACTICES AND CHALLENGES OF OCCUPATIONAL HEALTH AND

SAFETY
IN ETHIOPIA: THE CASE OF AKAKI TEXTILE AND GARMENT FACTORY
BY: Solomon Tibebe
A THESIS SUBMITTED TO THE SCHOOL OF GRADUATE STUDIES OF ADDIS ABABA
UNIVERSITY IN PARTIAL FULFILLMENT OF THE REQUIREMENT FOR THE DEGREE OF
MASTERS OF ARTS IN PUBLIC ADMINISTRATION AND DEVELOPMENT MANAGEMENT
NOVEMBER, 2014
ADDIS ABABA, ETHIOPIA


MANAGEMENT

SAFETY
Approved by Board of Examiners
Name Signature Date
----------------------------------------- ---------------------- -----------

(Advisor)
----------------------------------------- ---------------------- ----------

(External Examiner)
----------------------------------------- ---------------------- ---------

(Internal Examiner)

MANAGEMENT

SAFETY
BY: Solomon Tibebe
ADVISOR: Worku Mekonnen (PhD)
DECEMBER, 2014
ADDIS ABABA, ETHIOPIA

DECLARATION
I, the undersigned, declare that this thesis is my original work, has not been presented for
a degree in this or any other university and that all sources of materials used for this
thesis has been duly acknowledged.
Name: ______________________
Signature: ____________________
Place: Addis Ababa, Ethiopia
Date of submission: ____________
This thesis has been submitted for examination with my approval as a university advisor.
Name: _____________________
Signature: __________________
Date: ______________________
ACKNOWLEDGEMENT
Firstly, I would like to thank the Almighty God for granting me the power and courage to
finish my study.
I wish also render my profound and heartfelt gratitude to my advisor Doctor Worku
Mekonnen (Addis Ababa University). I am exceedingly grateful to him for his
responsible and constructive suggestions, valuable contributions and constructive
criticisms for making this work what is today. All these contributions put this work to its
rightful perspective.
My undeserved thanks also to the respondents from the four working categories of ATF
who were randomly selected for the study for their maximum support and co-operation
for making data available which contributed to the success of this work.
I would be ungrateful if I don‘t mention my family members, Gete, Elsabeth, Lidia,
Rahel, Mahlet and Abenezer. What you have done for me is immeasurable and cannot be
quantified. Thank you so much and God bless you all.
Finally, I wish to express my sincere gratitude to all teachers in the department especially
those who have been a source of my academic progress for their support and
contributions towards my studies in AAU.
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Table of Content
Acknowledgment…………………………………………………………………………I
Table of content………………………………………………………………………….II
List of Tables.………………………………………………………………………… ..IV
List of Figures……………………………………………………………………………V
List of Abbreviations………………………………………………………………….,.VI
Abstract………………………………………………………………………………...VII
CHAPTER ONE…………………………………………………………………………1
INTRODUCTION......…………………………………………………………………...1
1.1. Background of the Study ............................................................................................ 1
1.2. Statement of the Problem ............................................................................................ 5
1.3 Significance of the study………………………………………………………………5
1.4. Research Questions...................................................................................................... 5
1.5. Objective of the Study ................................................................................................. 6
1.6. Scope of the study ……………………………………………………………………7
1.7. Organisation of the study……………………………………………………………. 7
CHAPTER TWO ............................................................................................................ 10
2. RELATED LITERATURE REVIEW ................................................................... 10

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2.1. Key OHS Issues in Developing Countries ................................................................ 10
2.2. Occupational Risks and Hazards ............................................................................... 12
2.3. Occupational Health Impacts………………………………………………………..15
2.4. Costs of Occupational Injuries and Diseases………………………………………..15
2.5. Occupational Health Management ............................................................................ 18
2.6. Roles and Responsibility in Occupational Health and Safety ................................... 19
2.7. Approaches to Improving Occupational Health and Safety ...................................... 21
2.8. International Conventions.......................................................................................... 23
2.9. The Need for workplace OHS.................................................................................... 27
CHAPTER THREE .......................................................................................................... 30
3 RESEARCH DESIGN AND METHODOLOGY ..................................................... 30
3.1. Design of the Study.................................................................................................... 30
3.2. Data Sources .............................................................................................................. 30
3.3. Sample Population and Sampling Technique ............................................................ 31
3.4. Instruments of Data Collection .................................................................................. 33
3.5. Procedures of Data Collection ................................................................................... 37
3.6. Data Analysis ............................................................................................................. 37
CHAPTER FOUR ............................................................................................................. 39
4 DATA ANALYSIS AND PRESENTATION ........................................................... 39
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4.1. Background of Respondents ...................................................................................... 39
4.2. Occupational Health and Safety of ATF Workers ..................................................... 45
4.3. Institutional Response to OHS ................................................................................... 54
4.4. Institutional Collaboration in Occupational Health and Safety ................................. 55
4.5. Observation Findings ................................................................................................. 57
CHAPTER FIVE .............................................................................................................. 59
5. SUMMARY OF FINDINGS, CONCLUSION AND RECOMMENDATIONS ......... 59
5.1. Introduction ................................................................................................................ 59
5.2. Summary of Key Findings ......................................................................................... 59
5.4. Conclusion ................................................................................................................. 61
5.5. Recommendations ...................................................................................................... 62
References ......................................................................................................................... 64
Annexes…………………………………………………………………………………..69
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List of Tables
Table 1: Interview ............................................................................................................. 35
Table 2: Respondents from OHS Institutions ................................................................... 39
Table 3: Work Category of Respondents .......................................................................... 40
Table 4: Demographic Characteristics of ATF Workers .................................................. 41
Table 5: Working Environment and Economic Characteristics of ATF Workers ............ 43
Table 6: Relationship between Occupations & Health Hazards Exposure in Percentage 46
Table 7: Chemical Hazards ............................................................................................... 47
Table 8: Physical Hazards ................................................................................................. 48
Table 9: Psychosocial Hazards ......................................................................................... 49
Table 10: Ergonomic Hazards .......................................................................................... 50
Table 11: Cost Implications of Injuries and Diseases among ATF Workers in 2013/14 . 53
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List of Figures
Figure 1: Employers Role in Occupational Health and Safety ......................................... 21
Figure 2: Figure 2Sampling Chart .................................................................................... 33
Figure 3: Behavioral Variables of ATF Workers ............................................................. 44
Figure 4: Common Causes of Injury................................................................................. 51
Figure 5: Institutional Collaboration in Occupational Health and Safety......................... 56
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List of Abbreviation
EPA - Environmental Protection Authority
GNP - Gross National Production
GoA - Government of Alberta Edmund ton
HSE- Health and Safety Executive
ILO - International Labour Organization
MOH - Ministry of Health
MOLSA - Ministry of Labour and Social Affairs
NIOSH - National Institute of Occupational Safety and Health
OHS - Occupational Health and Safety
OSHA - Occupational Safety Hazard Act
PADM- Public Administration and Development Management
PPE- Personal Protective Equipment
UVR-Ultra Violet Rays
WHO - World Health Organization
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ABSTRACT
The study assessed the current challenges of occupational health and safety practices and
the extent of occupational health hazards of the textile workers as well as the cost
implication of these work-related incidents and diseases among ATF. Four main
categories of Akaki textile and garment factory workers were targeted in AACA. The
sample consisted of 240 workers taking respondents randomly from each of the four work
categories according to their workers number proportionately. The study indicated that
work in the factory severely affected worker’s health, as most activities are insecure,
hazardous and take place in unhealthy and unsafe environment. In the study area the
particular nature of work in the integrated textile manufacturing created various types of
health hazards among the selected respondents such as headache, eye and skin infection,
back and chest pain, asthma, loss of interest and mental fatigue. Results of the study
showed that the highest 32 percent of the workers reported that they were affected by
physical hazards, followed by 26 percent by chemical hazards and the total economic
cost of work related injuries and illness among the four work departments for the last
Ethiopian budget year(2013/2014) was Birr. 13,090. From the foregoing, a major
recommendation is that both government and employing authority should ensure that
they adhere strictly to International Labour Organization safety and working conditions
or standard in order to increase productivity through improved welfare and health of
workers.
viii
CHAPTER ONE
INTRODUCTION
In this chapter, the background of the study, statement of the problem, research questions,
objectives of the study, scope and limitation of the study, organization of the study, and
key operational definition have been treated one after the other.
1.1. Background of the Study

―
Occupational health‖ deals with all aspects of health and safety in the workplace and has
a strong focus on primary prevention of hazards (MOLSA, 1997). The health of the
workers have several determinants, including risk factors at the workplace leading to
cancers, accidents, musculoskeletal diseases, respiratory diseases, hearing loss,
circulatory diseases, stress related disorders, communicable diseases and others (WHO,
2014).
―
Occupational Safety‖ has been defined as the condition of being free from danger of
harm and as a legal concept (Gray, 1990). It also implies as state of relative security from
accidental injury or death due to measures designed to guard against accidents (Burdine
and Mc Leroy, 1992). According to Encyclopedia Americana (1998), safety is the
condition of being free from danger or harm. According to ILO (1996), occupational
safety and health can be defined as a multidisciplinary activity aiming at:
 Promotion and maintenance of the highest degree of physical, mental and social
well-being of workers in all occupations;
 the prevention among workers of adverse effects on health caused by their
working conditions;
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 Protection of workers in their employment from risks resulting from factors
adverse to health;
 the placing and maintenance of workers in an occupational environment adapted
to physical and mental needs; and
 the adaptation of work to humans.
The prime objective of OHS at a global level is to ensure that health and safety is
accessible to every worker employed in any sector across the economy. According to the
Global Strategy on Occupational Health for All document the ten high priority
objectives(development of healthy work environment, strengthening international and
national policies, establishment of information management system, strengthening
research, etc) proposed by the strategy stress upon the significance of primary prevention
and encourage countries (receiving support from WHO), to devise national policies and
programmes for occupational health with required infrastructure and resources for
occupational health. The importance of devising national policies further lays emphasis
on the role of the government (W H O, 1995).
Occupational health and safety is a multi-disciplinary field, covering issues related to
law, medicine, technology, economics and industry specific concerns. The core eleven
occupational health and safety principles put forth by the ILO are as follows:
i. All workers have rights. Workers, as well as employers and government, must
ensure that these rights are protected and foster decent conditions of labour.
As the International Labour Conference stated in 1984:
 Work should take place in a safe healthy environment
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 Conditions of work should be consistent with workers‘ well-being
and human dignity
 Work should offer real possibilities for personal achievement, self
fulfillment and service society.
ii. Occupational health and safety policies must be established. Such policies must
be implemented at both the governmental and enterprise levels. They must be
effectively communicated to all parties concerned.
iii. There is a need for consultation with the social partners (that is, employers and
workers) and other stakeholders. This should be done during the formulation,
implementation and review of such policies.
iv. Prevention and protection must be the aim of occupational health and safety
programmes and policies. Efforts must be focused on primary prevention at the
workplace level. Workplaces and working environment should be planned and
designed to be safe and healthy.
v. Information is vital for the development and implementation of effective
programmes and policies. The collection and dissemination of accurate
information on hazards and hazardous materials, surveillance of workplaces,
monitoring of compliance with policies and good practices, and other related
activities are central to the establishment and the enforcement of effective
policies.
vi. Health promotion is a central element of occupational health practice. Efforts
must be made to enhance workers‘ physical, mental and social well- being.
vii. Occupational health services covering all workers should be established. Ideally
3
all workers in all categories of economic activity should have access to such
services, which aim to protect and promote workers‘ health and improve working
conditions.
viii. Compensation, rehabilitation and curative services must be made available to
workers who suffer occupational injuries, accidents and work related diseases.
Action must be taken to minimise the consequences of occupational hazards.
ix. Education and training are vital components of safe, healthy working
environments. Workers and employers must be made aware of the importance and
the means of establishing safe working procedures. Trainers must be trained in
areas of special relevance to different industries, which have specific OHS
concerns.
x. Workers, employers and competent authorities have certain responsibilities, duties
and obligations. For example, workers must follow established safety procedures;
employers must provide safe workplaces and ensure access to first aid; and the
competent authorities must devise, communicate and periodically review and
update occupational health and safety policies.
xi. Policies must be enforced. A system of inspection must be in place to secure
compliance with occupational health and safety and other labour legislation (Alli,
2001).
Implementation of such principles requires appropriate legal provisions, administrative
enforcement and service systems for occupational safety and health and occupational
health services.
4
Thus, the purpose of this study is to assess the current work-related practices and
challenges in the selected textile industry and forward the necessary recommendation
based on the result of the study.
1.2.Statement of the Problem
These days, the expansion of industrialization and mechanization in developing countries
including Ethiopia has brought with its accompanying occupational health and safety
issues. This new development has necessitated a fresh campaign for the protection of
industrial workers from hazards which are unfavorable to their health, safety and welfare
through the provision of occupational health services. Currently there is almost no
documented verification of existing issues of occupational health and safety in relation to
most industrial workers in Ethiopia in general Akaki Textile and Garment Factory
workers in particular. In order to address these shortfalls, the research seeks to find out
the occupational health and safety issues confronting Industrial workers in Addis Ababa
City Admininistration with special reference of Akaki Textile Factory.
1.3 . Significance of the study
The aim of this research is to examine the practices and challenges of OHS in selected
industry for the purpose of establishing the critical issues affecting the overall welfare
and safety of industrial workers on selected industry, and thereafter make a
recommendation towards addressing the shortfalls.
1.4. Research Questions
This section contains questions that guide the focus of the study in relation to what the
5
study intends to attain. Therefore, the study will be guided by the following research
questions to answer the research problem.
 What are the contemporary occupational health and safety practices confronting
workers in the selected industry?
 What are the key health and safety risks faced by product workers in the selected
industry?
 What are the major economic costs of work-related injuries and diseases of
workers in the selected industry?
1.5 Objective of the Study
The broad objective of the study is to assess health and safety issues regarding the
selected industry in AACA.
The specific objectives of the study are assessing:
 Contemporary occupational health and safety practices confronting workers in the
selected industry.
 Key health and safety risks associated with the selected industry.
 The socio-economic cost implications of injuries and diseases among injured
workers in 2013/14.
1.6. Scope of the Study
This study is delimited to product workers of Akaki Textile and Garment
Factory in Addis Ababa City Administration. In more specific terms the Spinning,
Weaving, Finishing and dyeing and Cutting and sewing Units were targeted in the
factory.
6
The above categories of works were selected because these units are the highest risky
areas as the workers are exposed directly to the cotton, dust and a number of occupational
hazards compared with other departments. The study therefore considered the key health
and safety risks each of the category faces. The study also tries to examine the economic
costs of occupational health injuries and diseases in the above mentioned units. The time
scope of the study is six months i.e. from April to September 2014.
1.7 Organization of the Study

The organization and over all content of this study can be described as follows. The First
chapter focuses on introduction which includes clarification of concepts and key
principles of OHS, statement of the problem, research questions, objective of the study,
scope and limitation of the study, research methodology, organization of the study, and
operational definition.
The Second chapter focused on the review of literature related to OHS issues in
developing countries as a whole with special attention on Akaki Textile and Garment
Factory in AACA, Ethiopia. The third and fourth chapters deal with research
methodology and data analysis, and presentation respectively. The final chapter
concentrates on conclusion and recommendation on the overall study based on the
analysis of collected data.
1.8 Operational Definition1
Hazard: a physical situation with a potential for human injury, damage to property,
damage to the environment or some combination of these
1
Many of the operational definitions presented on this part are taken from Ousman, OHS injuries at
Tendaho Agricultural S.C. (2006).
7
Incident: an unsafe occurrence arising out of or in the course of work where no personal
injury is caused, or where personal injury requires only first-aid treatment.
Labour Inspectorate: a government authority with the task of advising and giving
directions on issues concerning the protection of workers and the work environment as
well as checking that the protection provided is sufficient.
Occupational accident: an occurrence arising out of, or in the course of, work
which results in:
o fatal occupational injury or
o non-fatal occupational injury.
Occupational Hazards: In this study it refers to the undesirable effects of non
conductive occupational environment manifested in the form of physical, chemical,
biological, mechanical and psychosocial hazards.
o Physical hazards: That includes assaults, heat, cold UV rays and noise.
o Chemical hazards : That included fumes, dust and gases
o Mechanical hazards : that includes muscular sprain, back ache, joint pain,
varicose veins etc.,
o Psychosocial hazards: That includes fatigue, headache, stress, depression
and absenteeism.
Occupational Injury: death, any personal injury or disease resulting from an
occupational accident.
Personal Protective Equipment (PPE): Utilization of the worker-specialized clothing
8
or equipment worn by employees for protection against health and safety hazards at the
time of interview. Personal protective equipment is designed to protect many parts of the
body, that is, eyes, head, face, hands, feet, and ears.
Workers’ Representative: any person who is recognized as such by national law or
practice
Work-related Disease: a disease with multiple causal agents which may include factors
in the work environment.
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CHAPTER TWO
RELATED LITERATURE REVIEW
This chapter reviews available literature on occupational health and safety (OHS)
practices in developing countries, occupational risks and hazards, economic costs of
occupational injuries and diseases, roles and responsibilities in OHS, approaches to
improving OHS, International conventions, and the need for workplace OHS.
2.1 Key OHS Issues in Developing Countries
In general, it is possible to say that work-related injuries, illness and deaths has improved
from time to time in most developed countries because of better health and safety
programmes, improved medical facilities, and active participation of workers in the
decision making process on occupational health and safety issues. However, the situation
in developing countries is relatively unclear largely because of inadequate accident and
disease recognition, record-keeping and reporting mechanisms. For instance, a survey
conducted on occupational safety and health by ILO suggests that, 250 million
occupational injuries, 160 million work-related diseases and 2 million deaths occur each
year resulting in a loss of roughly 4% of the world gross national product due to worker‘s
compensation, loss of workdays, interruption of production, retraining, and medical
expenses. According to the new estimates of ILO (2005) the number of job-related
accidents and illness, which annually claim more than 2 million lives, appears to be rising
because of industrlization in some developing countries.
The occupational health problems affecting workers of any developing country are liable
to be much more complicated and dangerous as compared to that of developed countries
mainly because of the following four reasons:

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i. Poor health status due to poverty, overcrowding, illiteracy, malnutrition, higher
prevalence of infections, parasite and other diseases, lack of adequate medical and
health care facilities and a host of other factors.
ii. Non-industrial illnesses form a major part of the health problem of Garments
workers. In fact incidence of many common illnesses like respiratory illnesses
(flue bronchitis, cough, and asthma), tuberculosis, peptic ulcer, dysentery etc. are
higher among industrial workers as compared to the general population.
iii. Sickness absenteeism the major contributory factor to the total absenteeism.
iv. Lack of any laboratory facilities for monitoring, analyzing and assessing the
harmful contaminants in the work environment and their effect on the health of
the workers is causing health hazards (Nahar et al., 2010).
The Ghanaian Ministry of Health in Puplampu & Quartey (2012) also identified some
OHS challenges in Ghana. These include weak OHS infrastructures, untrained and
inadequate OHS professionals, and lack of proper monitoring and surveillances for
occupational health and safety diseases and injuries.
In Ethiopia, a study done in Tendaho Agricultural Development Share Company
(Osuman, 2007) showed that 783 per 1000 workers were injured in relation to their work.
Another study done in Gondar (Abera, 2007), among construction workers and urban
factory of Ketena One revealed that 335 per 1000 workers and 200 incidents per 1000
workers respectively.
In addition to this, Zewdie A. et al. (2011) cited Amhara National Regional State BOLSA
(2007/8), that Amhara National Regional State, textile factories incidence rate was very
high as compared with other sectors. As indicated in the study, textile factories accounted
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about 35% of total reported injuries and the working rooms in both Bahir Dar and
Kombolcha Textile factories are too hot; there are high speed rotating and unprotected
machines and the working time shift causes workers to have sleep disturbance problem
were among occupational injury risk factors.
2.2 Occupational Risks and Hazards
There are an unlimited number of hazards that can be found in almost any workplace and
are caused by obvious unsafe working conditions, such as unguarded machinery, slippery
floors or inadequate fire precautions. These dangerous hazards may be classified as
follows:
i. chemical hazards(hazards arising from liquids, solids, dusts, fumes, vapors and
gases);
ii. physical hazards(includes hazards such as noise, vibration, fire, poor sanitation
radiation and extreme temperatures);
iii. biological hazards(includes hazards such as bacteria, viruses, and infectious
waste);
iv. psychological hazards(hazards that resulting from stress and strain);
v. ergonomic hazards are hazards associated with the non-application of ergonomic
principles, for example badly designed machinery, mechanical devices and tools
used by workers, improper seating and workstation design, or poorly designed
work practices(MOLSA, 1997).
Most workers are faced with a combination of these hazards at work. Some of the hazards
that apply to the textile sector are explained below:
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2.2.1 Noise
The Canadian Centre for Occupational Health and Safety identifies noise as one of the
most common occupational health hazards. In heavy industrial and manufacturing
environments, as well as in farms, cafeterias, permanent hearing loss is the main health
concern. Noise, vibration, ionizing and non-ionizing radiation can all affect health
adversely. Between 10 and 30 percent of the workforce in developed countries, and up to
80 percent of the workforce in developing are exposed to noise. Noise-induced hearing
loss is one of the most prevalent occupational health effects in garages and construction
works. The generally acceptable level of noise which is potentially damaging and result
in deafness is 85dBA (Amedofu, 2002). It is therefore necessary to control noise by the
use of ear plugs and ensuring workers are not exposed to noise for long hours.
2.2.2 Chemical Hazards
About 100,000 different chemical products are in use in modern work environments and
the number is growing (SmartName, 2011). High exposures to chemical hazards are most
prevalent in industries that process chemicals and metals, in the manufacture of certain
consumer goods, in the production of textiles and artificial fibers, and in the construction
industry. Chemicals are also increasingly used in virtually all types of work, including
non-industrial activities such as hospital and office work, cleaning, and provision of
cosmetic and beauty services. Health effects chemicals include metal poisoning, damage
to the central nervous system and liver (caused by exposure to solvents), dermal and
respiratory allergies, cancers and reproductive disorders. (US EPA, 2010)
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2.2.3 Psychosocial Hazards
Working conditions do not only have physical effects on workers but there are
psychological repercussions too which usually result in social and mental problems.
According to OATUU (2003), psychosocial hazards cause fatigue, stress and general loss
of interest in work. Monotonous work which requires constant concentration, irregular
working hours and work carried out at risk of violence can also have adverse
psychological effects. Psychological stress and overload have been associated with sleep
disturbances, burn-out syndromes and depression.
The lack of adequate security in jobs and the presence of criminal elements also decrease
the sense of physical security felt by workers (Johnston et al, 2008).
2.2.4 Ergonomic Hazards
It is not as such difficult to estimate that workers in developing countries are exposed to a
heavy physical workload or ergonomically poor working conditions, involving much
lifting and moving of heavy items, or repetitive manual tasks. Following are some of
ergonomic hazards of textile sector:
 Working positions – standing and/or sitting
 Visual conditions
 Strenuous work
 Design of controls and tools(MOLSA, 1997)
2.3. Occupational Health Impacts
The great variety of occupational health hazards makes quantification of their associated
health risks and impacts at the global level very difficult. Some estimates have been
14
based on the occupational injuries and diseases reported in official statistics notably ILO
and World Bank documents. But a large number of injuries and diseases caused by
workplace hazards are not reported (Joubert, 2002).
Due to the changes in occupational distribution with development, many countries have
experienced a shift from the hazards that characterize work in agriculture, mining and
other primary industries, to those of manufacturing industries or service industries.
Following such a shift, occupational injuries and diseases could be expected to fall in
number and the severity of those that do occur to be less. But, in fact, new occupational
disease problems have emerged, leading to an increased incidence of reported
occupational disease in certain developed countries. Occupational injuries and diseases
have both social and economic costs, their determination of which is in the next section.
2.4 Costs of Occupational Injuries and Diseases 2
Work-related accidents or diseases impose costs on employers, workers and the
community. These include both direct and indirect costs. Some of the direct costs of an
injury or illness include items such as the pain and suffering of the injury or illness, the
loss of income, the possible loss of a job, health-care costs, payment for work not
performed, medical and compensation payments, repair or replacement of damaged
machinery and equipment, increased training expenses and administration costs and
possible reduction in the quality of work.
Indirect costs include items such as lost productivity, loss of current and future earnings,
lost potential output and the cost of providing social welfare programs for injured or
2
Much of the information presented in this part is based on ILO‘s OHS training module (ILO) and MOLSA
training manual (1997).
15
incapacitated workers and the human suffering caused to workers' families. The level of
costs borne by each economic agent varies with the severity of the injury or disease.
While measures of direct costs are understood and reasonably simple to measure, these
costs cover only a fraction of the total cost of work-related injury and disease.
Calculations of economic loss or burden can be based on a number of theoretical models.
There is no definite model considered as the best among economists or policy analysts.
Two approaches have been reviewed by Biddle (2001), and are considered dominant
among the methods used to calculate the costs of injury, illness, or premature death: Cost-
of-illness and willingness-to-pay. Both methods have strengths and weaknesses. The
theories underlying the approaches as well as their strengths and weaknesses are
discussed below:
2.4.1 Cost-Of-Illness
The Cost-of-illness (COI) method estimates the value of an occupational injury, illness,
or fatality by summing the value of two components: direct and indirect costs.
2.4.2 Willingness to Pay Method
The willingness to pay approach measures the amount an individual would pay to reduce
the probability of illness or mortality. There are various methods of determining an
individual‗s willingness to pay, including surveys, examining the additional wages for
jobs with high risks, examining the demand for products that lead to greater health or
safety and other related methods (Dorman, 1996)
An essential assumption of this theory is that workers in the labor market know and
understand the risks associated with jobs and that they will undertake only the jobs that
16
are within the limits of their risk tolerance. This implies that workers are willing to accept
a certain level of job-related risk in return for a specific level of compensation.
2.4.3 Human Capital Method
Briggs (1999) views the human capital method as one that measures the cost of
production, in terms of lost earnings, of a patient or caregiver. For mortality or permanent
disability costs, the approach multiplies the earnings lost at each age by the probability of
living to that age. The earnings in future years are discounted and often a one percent real
annual growth rate in earnings is assumed. The human capital approach often includes the
value of household work, usually valued as the opportunity cost of hiring a replacement
from the labour
2.4.4 Friction Cost Method
A related method, the friction cost method, measures only the production losses during
the time it takes to replace a worker. This approach assumes that short-term work losses
can be made up by an employee and the loss of an employee only result in costs in the
time it takes a new employee to be hired and trained, known as the friction period.
Benichou (2001)
2.4.5 Advantages and Limitations of the Methods
The human capital method, according to Benichou (2001), is the most common approach
used to calculate the indirect costs of an illness. A criticism of this approach is that
certain groups are assigned a higher value than others. This is because the human capital
approach uses wage rates and employment rates (often by age, sex, or race), so certain
groups that earn less are consequently assigned a lower value.
17
Also, the willingness to pay approach attempts to improve these problems, however, this
approach is often difficult to implement in cost-of-illness studies. For specific diseases,
extensive surveys of people‘s preferences are needed, although the results rely heavily on
people‘s responses to very specific hypothetical questions about their willingness to
avoid certain illnesses. For communicable diseases, surveys may not fully capture the
cost of the disease because of externalities. People only take into account the cost to
themselves, without taking into account the societal benefit that having fewer people with
a communicable disease benefits everybody because the disease is less likely to spread.
Thus, the willingness to pay method is often not feasible for a cost-of-illness study
(Kuchler & Golan, 1999).
Kirschstein (2000) criticizes the human capital method for overvaluing the indirect costs,
claiming that the productivity losses are often eliminated after a new employee is trained
and can replace the former employee. However, the friction cost method is rarely used
because it requires extensive data to attempt to estimate only the losses in the friction
period. Valuation of the productivity losses is complicated further by firms‘ use of
internal reserves of labor during the friction period, which lowers the estimates of losses
even more but can be difficult to calculate.
2.5 Occupational Health Management
Occupational health case management is actually a system that tracks each incident that
relates to employee health and safety. It integrates the entire plan of an organization into
a unified whole that assumes complete responsibility for each employee. This means that
it is concerned with prevention as it is with health care after an accident. The goal of
Occupational Health and Safety is to do everything that can be done to prevent accidents
18
and minimize illness. Ultimately, that is all that can be done, but it is also considerably
more than has been done in the past (Cruickshank, 2010). In occupational health case
theory, the work environment is the first line of defense for worker health and safety.
Compliance with Occupational Safety and Health Authority (OSHA) standards is taken
for granted, but that is often the starting point for safety. Constant monitoring and
auditing of the safety conditions of the workplace is essential. This monitoring includes
the individual employee. A health record can be kept on the employee as part of their
other employment records. This process starts with a physical examination appropriate to
the type of work that is done. It would be followed up by routine safety meetings
stressing health related issues such as safety gear and proper lifting techniques (ILO,
2001).
When a health issue develops, either as a result of illness or accident, the employee must
be covered by a health plan that is part of the overall health care system. These selected
health care providers must do more than just provide medical insurance. They must also
be aware of the health and safety situation of the employer as well as the employee.
Careful follow up and record keeping of every health situation can provide ideas for
improving the environment for others. Occupational health should no longer be taken for
granted, but rather be managed and controlled for success in organizations (Cruickshank,
2010).
2.6 Roles and Responsibility in Occupational Health and Safety

According to Doan (2001), the occupational health and safety of employees and visitors
to workplace is an important issue for both employees and employers.
19
2.6.1. Employee’s Role
The roles of employers need to be complemented by employees. Specifically, they are
supposed to work in a safe manner, be safety conscious on their jobs and co-operate with
their employers in the health and safety measures they put in place. They must also work
safely to protect themselves and others from injury (GoA, 2008). For example, they must
not move or disfigure or spoil signs, tamper with machine guards , and behave in a way
that puts others at risk.
All employees share equal responsibility and so must obey all health and safety
procedures, including correctly wearing all personal protective equipment provided. They
should also know emergency procedures, the location of the first aid kit and report any
workplace hazards to employers (OSHA).
2.6.2 Employer’s Role

According to GoA (2008), employers have the obligation to ensure that all their
employees are protected from health and safety risks arising out of their work activities.
This implies that they have to inform the workers of all the known hazards associated
with their work, the health risks involved and the relevant preventive and protective
measures; take appropriate measures to eliminate or minimize the risks resulting from
exposure to those hazards; provide workers with suitable protective equipment, clothing
and other facilities where adequate protection against risk of accident or injury to health,
including exposure to adverse conditions, cannot be ensured by other means; and provide
first aid for workers who have suffered from an injury or illness at the workplace, as well
as appropriate transportation from the workplace and access to appropriate medical
facilities.
20
Figure 1: Employers Role in Occupational Health and Safety
To monitor the
health and safety To ensure safe arrangements To provide safe
of all employees working methods
and workplaces for the use, handling storage and systems
and transport of all equipment
and personnel
To develop a To provide clear
written OHS information
policy instruction and
in consultation supervision in
with union and OHS matters to all
employees Employers employees
To provide safe
machinery, Responsibility
tools,appliances, To have worker’s
walkways, compensation
ladders, insurance for all
entrances and employees
exits
To keep an To provide a
accident record rehabilitation
register in which programme to
details of accidents assist injured
are recorded employees return
To provide first To ensure to work
aid and equipment is
appropriate maintained
medical services regularly
Source: Clewett (2008)
An integral part of an employer's duty is to engage in risk management processes in the
workplace. This is a system which identifies the occupational health and safety risks that are
relevant to a particular workplace. A risk management system should be flexible and up-to-
date to reflect the safety issues associated with a company‗s daily operations. A risk
management system involves identifying hazards, assessing risks, controlling the risks and
reporting accidents (Doan, 2001).
2.7. Approaches to Improving Occupational Health and Safety
There are many different systems for supervising and improving occupational safety and
21
health. Gustavsen (1996) in his study identified three categories of improving OHS
namely;
A specification model - where laws and regulations are at the core and the main actors
are various types of experts. In Sweden, for example, the Working Environment Act
provides for the establishment of a safety committee that plans and supervises safety
activities. It also provides for the appointment of one or more workers' safety delegates
who have wide powers of inspection and access to information. This combined force is
authorized to order work to be suspended when it considers a situation to be dangerous,
pending a ruling by the labour inspection service and despite opposition by the employer.
No penalty can be imposed on a safety delegate whose decision to have the work
suspended is not confirmed by the labour inspector, and the employer cannot claim any
compensation for the suspension from the safety delegate or trade union organization.
A procedure-based model- where the potential of a rational systems approach is at the
core and the line organization is the main actor, e.g. internal control. In principle, it is a
system for monitoring the work environment and for defining remedial action, with a
strong resemblance to modern quality control systems (Gustavsen, 1996). The idea is to
identify errors and rely on the ordinary line organisation to correct them. Essentially, the
point is to bring health and safety into the orbit of ordinary managerial concerns and
actions. In return for this involvement, management is given a certain authority to use its
own discretion in defining problems and priorities. The role of the labour inspection is
defined as systems supervision where the primary point is to ensure that each enterprise
has an adequate system in place. In general, it would seem that the participation of
workers in the inspection of working conditions and the working environment will
22
continue to increase, particularly in countries that have introduced "self - inspection
regimes" or internal control was introduced in Norway and Sweden during the 1990´s.
Such regimes depend, however, on effective and aggressive workers' organizations and
their active involvement in the audit process at the enterprise level, which is the centre-
piece of any such self inspection.
A developmental model - where the principle of continuous improvement is at the core
and the activity is distributed as widely throughout the whole organization as possible.
Does the continuous improvement approach give advantages lacking in the two other
approaches? Gustavsen (1996) once again argues that it does, this was based on a study
of about 1300 Swedish workplaces. The study suggested that if there is broad active
involvement, there will be strong positive improvements in work environment conditions
as well as in productivity. When health and safety was part of an overall process of
improvement and integrated with efforts to promote productivity there was a clear
management motivation. The idea of continuous improvement is widespread in working
life today. Originally introduced by the Japanese, it has become a globally accepted
practice and in most versions active participation from all concerned is a part of the
concept. In sum, all three approaches described above are important. While expert
competence is necessary in dealing with, for instance potentially toxic substances, work
postures can hardly be changed without some kind of participation from those concerned.
2.8 International Conventions
There are several agencies dedicated to improving occupational safety and health. The
23
most prominent of these are the International Labour Organization (ILO), the World
Health Organization (WHO), and the International Organization for Standardization
(ISO).
2.8.1 The International Labour Organization
The International Labour Organization (ILO) which seeks to promote safe and decent
work in all countries of the world is a member of the United Nations organizations. It is
responsible for the formulation of international labour standards in the form of
Conventions and recommendations. Since 1919, the International Labour Organization
has approved and published nearly 190 Conventions, which are statements of legally
binding international treaties related to various issues regarding work and workers. They
cover a wide range of working conditions such as hours of work, the right of association
for workers, child labour, employment discrimination, labour inspections, maternity
leave, health and safety, workers‘ compensation, medical examinations, minimum
working age, holidays with pay, and contracts of employment for indigenous workers.
Hogstedt and Pieris (2000) identified the major objective of the ILO in relation to
occupational safety and health as enabling countries extend social protection to all groups
in society and to improve working conditions and safety and health at work through its
InFocus Programme which covers working conditions. The objectives of the Safe Work
Programme are;
i. To create worldwide awareness of the dimensions and consequences of work-
related accidents, injuries and diseases
24
ii. To promote the goal of basic protection for all workers in conformity with
international labour standards; and
iii. To enhance the capacity of member States and industry to design and
implement effective preventive and protective policies and programmes.
2.8.2. World Health Organization (WHO)
The World Health Organization was established in 1948 to improve the health status of
working populations. WHO has an occupational health programme with emphasis on data
collection and analysis, research, formulation of strategies and recommendations for
hazard prevention and control, human resource development with special emphasis on
developing countries. It is responsible for offering technical advice and expertise on
health and safety by setting hygienic standards, promoting medical services and medical
examinations.
WHO‘s way of solving health problems vary substantially according to the national and
local needs and conditions, cultural influences, resources and other local factors.
Currently, there is a network of occupational health institutes assigned as WHO
collaborating centers. The policy objective of this collaboration is a global strategy for
occupational health for all‖ with 10 priority objectives. These objectives according WHO
(1994a) include; Strengthening of national policies for health at work and development of
policy tools, development of healthy work environment , development of healthy work
practices and promotion of health at work , strengthening of Occupational Health
Services (OHS) , establishment of support services for occupational health , development
of occupational health standards based on scientific risk assessment , development of
human resources for occupational health, establishment of information systems,
25
strengthening of research , and development of collaboration in occupational health and
with other activities.
2.8.3. International Organization for Standardization (ISO)

The International Organization for Standardization (ISO) is the world‗s largest developer
and publisher of international standards. It is a non-governmental network of the national
standards institutes of 162 countries. It develops standards that are based on the best
scientific evidence available, and which are agreed to by consensus among all
participating nations (ISO, 2007).
2.8.4. Local Legislations
According to labor proclamation No. 377/2003, the Ministry of Labor and Social Affairs
of Ethiopia (MOLSA) is the organ charged with the responsibility to inspect labor
administration, labor conditions, occupational health and safety.
A. Constitutionally Protected Labor Rights
The Ethiopian Constitution (adopted in 1994) preserves the protection of certain worker
rights. It protects freedom of association and collective bargaining for workers (Articles
42(1) (a) and (3)) and all citizens (Article 31) and the right of women to equal pay (Article
42(1) (d)). It also states that ―

[…]workers shall have the right to appropriately defined
working hours, breaks, leisure, periodic leave with pay, paid public holidays, and a safe and
healthy working environment‖ (Article 42(2)). It further prohibits forced and compulsory
labor (Article 18(3)).
26
B. The Labor Proclamation
The Labor Proclamation is comprehensive legislation with provisions on rights,
administration and dispute resolution processes notable for its strong emphasis on the
creation and enforcement of OSH standards. It sets forth a range of general provisions
on contracts, termination, wages, hours of work and rest, leave, working conditions,
OSH, collective relations, period of limitations and priority of claims, enforcement, and
penalties.
C. The Occupational Safety and Health Directive
The OSH Directive, issued by the MOLSA Minister, establishes the duties of employers,
rights and duties of workers, responsibilities of the labor inspectorate, and mandatory
conditions on overcrowding, sanitation, fire safety, and preparedness. Part II provides
guidance on mandatory employer responsibilities; Part III details provisions for ambient
working conditions and certain hazards; and Part IV describes specific and general
hazards by work practices or types of manufacturing processes, machinery operation or
job performance procedures. Part V covers OSH in construction and Part VII covers the
agricultural sector and the duties of authorities.
2.9. The Need for workplace OHS
Work plays a central role in people's lives, since most workers spend at least eight hours
a day in the workplace, whether it is on a plantation, in an office, factory, etc. Therefore,
work environments should be safe and healthy. Yet this is not the case for many workers.
Every day workers all over the world are faced with a multitude of health hazards, such
as dusts, gases, noise, vibration, and extreme temperatures.
27
Unfortunately some employers assume little responsibility for the protection of workers'
health and safety. In fact, some employers do not even know that they have the moral and
often legal responsibility to protect workers. As a result of the hazards and a lack of
attention given to health and safety, work-related accidents and diseases are common in
all parts of the world and they have claimed the lives of many people. To mitigate this
catastrophe OHS plays significant role. OHS is important not only to individual workers
and their families, but also to the productivity, competitiveness and sustainability of
enterprises or organizations, and thus to the national economy of countries and ultimately
to the global economy at large.
In general the health and safety interventions creates conducive environment for workers.
This reduces health risks to individuals and the resulting effects on their families and the
society at large. A central belief in most of the occupational health promotion literature is
that people perform better when they are physically and emotionally able to work and
want to work, which in turn leads to higher productivity, which can lead to higher profits.
Work Environment Individual Workplace

(Healthy and safe) (Physical, social and (Higher productivity)
Psychological well-being)
An individual‘s work environment is very crucial. The work environment can have a
positive or negative impact on the individual. If the environment within the workplace is
healthy and secure, which means that if the workplace has sufficient structures and
systems that addresses the well-being of the worker, then the worker will be able to
perform better and her/his productivity levels will be very high. In other words, the
environment of the workplace has an impact on the individual‘s socio psychological
28
health, which has an impact on the overall output. When we say safe and secure work
environment, we are not only referring to the availability of safe and hazard free
equipment or tools within the workplace, but also aspects such as human relations within
the workplace, which have a direct impact on the physical and psychological health of the
individual.
29
CHAPTER THREE
RESEARCH DESIGN AND METHODOLOGY
This Chapter deals with design of the study, sources of data, sample population and
sampling techniques, instruments of data collection, procedures of data collection, and
data analysis.
3.1. Design of the Study
A descriptive survey design was used so as to assess the current practices and challenges
of occupational health and safety in selected industrial sector in Addis Ababa City
Administration with special reference of ATF. The design was selected on the
assumption that it is helpful to gather enough information from many people on the issues
under study. The appropriateness of this design for such study was noted by many
scholars. For example, Koul (1996) states that descriptive survey design becomes useful
particularly where one needs to understand some particular information. Best and Khan
(1989) have noted that a descriptive survey research design involves a clearly defined
problem and definite objectives.
3.2. Data Sources
In this study, both primary and secondary sources were used to gather adequate
information about the existing occupational health and safety issues of workers in ATF.
Primary sources were used to get first-hand information concerning the current OHS
practices of workers in ATF. The primary sources were Factory workers, Trade union
representatives, OHS inspectors (both from MOLSA and AACA BOLSA). The
secondary sources were used to strengthen the primary sources. They include books,
journals, and articles. The internet was used to avoid the inadequacies of the data and to
make the study reliable.
30
3.3. Sample Population and Sampling Technique
3.3.1. Population
According to Castillo (2009), a research population is generally a large collection of
individuals or objects that is the main focus of a scientific query. Workers are selected
from four working departments in ATF since a complete survey cannot be undertaken.
The sample size for the four working units was determined using the mathematical
approach by Miller and Brewer (2003):
n=N/ [1+N (α) ²]
Where
n-is the Sample size,
N-is the Sampling frame,
a - is the Error margin and
1-is the Constant
3.3.2. Sampling Technique
A stratified random sampling technique that considered a fair representation of all
workers in the factory was employed. The study samples that have been determined in
the sample size determination technique were distributed in the four work units fairly
according to their worker number proportion. Thus, the spinning unit with 350 full-time
workers and 140 contract workers had a sample size of 49 (10% of the total), weaving
unit with 400 full-time workers and 150 contract workers had a sample size of 55 (10%
of the total), the finishing unit with 500 full-time workers and 120 contract workers had a
31
sample size of 62 (10% of the total) and the cutting and sewing unit with 740 workers
had sample size of 74. Workers registrations were used as sampling frame. To select the
study subject the total number of workers in each industry were categorized in to
administrative and product workers and further the product workers were grouped in to
sections and the study subjects were drown according to their number proportions.
To determine sampling interval and select the first subject, the total number of workers
was divided to the total sample size and the first person was selected by lottery method
and follow the already determined sequences.
32
Figure2: Sampling Chart
All Textile Industries

in AACA
Purposive sampling
ATF
Stratified random sampling
Purposive sampling
Spinning Weaving Dyeing Sewing
Unit Unit Unit Unit
Random Sampling
SSamplingg
n=49 n=55 n=62 n=74 sampling
Source: Field survey, September 2014
3.4. Instruments of Data Collection
Questionnaire, an interview, checklist and document analysis were the main data
gathering instruments.
This was because of the need to collect adequate data and for triangulation purpose.
Therefore, employing multiple data collection instruments helps the researcher to
combine, strengthen and amend some of the inadequacies of the data and for triangulating
it (Cresswell, 2003).
3.4.1Questionnaire
Questionnaires were used to collect relevant and first-hand information from key
33
informants such as factory workers, inspectorates, health and safety officer and trade
union representative. The reason why a questionnaire was used was that it is easier to
handle and is simpler for the respondents to answer within a short period of time (Koul,
2008).
The items of the questionnaires were mainly close-ended questions and accompanied by
some open ended ones. The closed ended questionnaires aid the coding and analysis of
responses whilst the open ended facilitate richness and intensity of responses. The
questionnaire first prepared in English and then interpreted into Amharic to ensure clarity
of understanding by respondents and administered by the researcher and two research
assistants who completed grade eleven.
3.4.2. Interview
Structured interview was used to collect data from factory inspectorates and trade union
representative. The reason why structured interview was employed was that the
procedure to be used is standardized and determined in advance as well as to obtain
answers to carefully phrased questions (Koul, 2008). Using this instrument is important
to get the required data about the issue under study.
34
Table 1: Interview
Institutions Interviewer Duration of Interview
Factory Inspectorate The Researcher* 18 mins.

(MOLSA)
Factory Inspectorate
* 20 mins.
(BOLSA of AACA)
Health and Safety Officer * 25 mins.

(ATF)
TU Representative
*
(ATF) 22 mins.
Source: Field Survey, September 2014
3.4.3. Reliability of Research Instrument
According to Polit and Hungler (1993), reliability is the degree of consistency with which
an instrument measures the attribute it is designed to measure. The questionnaires that
were administered to workers in the various categories were consistent and follow a
logical pattern such that responses not contradict or conflict each other. In addition,
biases in data collection were reduced by ensuring that at most the questionnaires are self
administered by the researcher and two research assistants.
3.4.4. Validity of Research Instrument

The validity of a research instrument determines whether the research truly measures that
which it intends to measure. The study seeks to achieve both content and external
35
validity. Bashir (2008) consider content validity as the extent to which an instrument
represents the variables understudy. Questions were based on information gathered
during the literature review to ensure representativeness and they are also based on the
objectives and the data requirement.
External validity refers to the extent to which study findings are generalized beyond the
sample used. Therefore based on the sample and the information gathered the study
generalized.
3.4.5. Ethical Considerations
Research requires not only expertise and diligence but also honesty and integrity. Ethics
in research refers to the norms for conduct that distinguish between acceptable and
unacceptable behavior (David and Resnik, 2010). This helps to protect the rights of
respondents. To render this, the rights to anonymity, confidentiality and informed consent
were observed. Permission was obtained from the leaders of the various offices as well
as individual respondents. Respondents were well communicated about the purpose of the
study, the required data and assured that there would be no potential risks or costs
associated with the exercise.
3.4.6. Document Analysis
Document analysis was also used to gather necessary information about OHS issues. This
was to strengthen the data obtained through questionnaires and interview. Due to this
reason, journals, books, and articles were seen because they are important sources of data
to explore OHS practices. Supporting this, Best and Khan (1989) have noted that
36
document analyses are important and relevant sources of data, and useful in yielding the
needed information.
3.5. Procedures of Data Collection
To assess the current occupational health challenges and safety practices, first
questionnaires and structured interview were developed. Then, they were pretested
(piloted) and being administered to 15 Engineering Department workers, 1 trade union
representative and 1 health officer of ATF workers. Accordingly, with some
modifications and clarifications, the final instruments were developed and used for the
purpose. The questionnaires were designed and administered by the researcher and two
grade twelve students to factory workers, inspectorate and health and safety officer. An
interview was also conducted through disclosing the purpose of the study based on the
permission and willingness of the participants by the researcher. Finally, document
analysis was made by the researcher himself.
3.6. Data Analysis
Different statistical techniques were employed on the basis of the nature of the data
collected. Consequently, the data collected from the respondents were analyzed
quantitatively and qualitatively. In analyzing the quantitative data, respondents were
categorized and frequencies were tallied. Percentage and frequency counts were used to
analyze the characteristics of the population as it helps to determine the relative standing
of the respondents. The data obtained through an interview, first summary sheets were
prepared and field notes were written and the content of the responses were analyzed.
37
The documents such as journals, books, and articles were also used in data analysis. To
this end, analysis and interpretations were made on the data obtained through
questionnaires, interview and document analysis.
38
CHAPTER FOUR
DATA ANALYSIS AND PRESENTATION
This section of the report addresses the results and discussions of the research. It begins
with the background of all respondents and subsequently borders on the health and safety
of each work category and ends with the institutional response to occupational health and
safety issues.
4.1. Background of Respondents
Data was collected from two major categories which are OHS institutions and ATF
workers. The number of respondents for each OHS institution is represented in Table 2.
Table 2: Respondents from OHS Institutions
Institution Number of
Respondents
AACA Factories Inspectorate(BOLSA) 1
MOLSA Factories Inspectorate 1
Health & Safety Officer(ATF) 1
Trade Union Representative 1
Total 4
From the institutions, key informants who were considered to be side by side with OHS
issues were interviewed. It can therefore be observed from Table 2 that, two factory
Inspectors (one from MOLSA and one from AACA BOLSA), one labour officer and one
Trade Union Representative (TRU) from the factory were interviewed in-charge of OHS
and the result of their response will be presented in section 4.3.
39
A total of 240 questionnaires were administered to the respondents selected from
spinning, weaving, dyeing & finishing, and cutting & sewing work units. Table 3
indicates the details of respondents.
Table 3: Work Category of Respondents
Work
Category
Permanent % Contract % Total %
Spinning Unit 35 15 14 35 49 20.4
Weaving Unit 40 10 15 25 55 22.9
Finishing Unit 50 45 12 22.5 62 25.8
Cutting & sewing Unit 65 30 9 17.5 74 30.8
Total 200 100 40 100 240 100
From Table 3 it can be deduced that 83.3 percent of factory workers were permanent
where as 16.7 percent of factory workers were contract employees who were providing
cheap labour to the factory.
In addition to this the study indicated that majority of respondents was working in cutting
and sewing department. This is because the working section has many sub units where
product workers engaged in. The study further revealed that participants from spinning
department account 49 or (20.4%) which reveal least in number than other respondents
under the research.
40
Table 4: Demographic Characteristics of ATF Workers
Variable Frequency(n=240) Percentage

Gender
Male 110 45.8
Female 130 54.2
Age
< 30 years 101 42.1
30-50 years 92 38.3
50+ years 47 19.6
Minimum age: 17 Maximum Age: 62
(1.25%) (0.83%)
Educational Level
Illiterate 28 11.7
Can read & write 41 17.1
1–8 62 25.7
9- 12 28 11.7
Diploma 63 26.3
Degree & above 18 7.5
Marital Status
Single 88 36.7
Married 80 33.3
Divorced 45 18.8
Widowed 27 11.2
Of all respondents more than half percent are females. This is because the female workers
in the cutting and sewing units were mainly females. Further the study uncover there is
no age limit for employment in the factory since 1.25 percent of workers were as young
as 17 years and 0.83 percent were as high as 62 years. Specifically from Table 4, a
greater percentage of 42.1(101) of the workers were below the age of 30 years, this
41
implies that the factory comprises young and energetic youth whose skills need to be
developed and enhanced to ensure the development of the sector. The highest educational
level attained by 26.3(63) percent of respondents was diploma which was closely
followed by primary education by 25.7(62) percent of respondents. This implies that
majority of ATF workers have had some level of education at least to the basic level. As
indicated in Table 3, 11.7 percent of respondents had never been to school implying the
limited recognition given to education in the industrial sector.
Regarding marital status, 36.7 percent were single closely followed by 33.3 percent being
married and 18.8 percent and 11.2 percent divorced and widowed respectively. As the
study indicates single respondents in the factory constitute greater number and this could
be because of the number of workers who are below the age of 30 comprises 42.1 percent
of the total respondents.
42
Table 5: Working Environment and Economic Characteristics of ATF Workers
Variable Frequency Percentage

Employment Status
Full time 200 83.3
Contract 40 16.7
Work Hours
< Eight Hours - -
Eight Hours 208 86.7
12 Hours 13 5.4
14 Hours 12 5.0
16 Hours 7 2.9
Maximum = 16 hours Minimum = 8 hours
Years of Employment
< Five Years 120 50
Five – 20 years 80 33.3
Above 20 years 40 16.7
Maximum = 35 years Minimum = 6 months
Monthly Salary
< Birr. 400 80 33.3
Birr 400 – 1500 110 45.8
Birr 1501 - 3000 40 16.7
>Birr 3000 10 4.2
From Table 5, 86.7 percent of employees work for 8 hours, 5.4 percent for 12 hours, and
5 percent for 14 hours and the remaining 2.9 percent work for sixteen hours. This shows
the kind of irregularity in working hours and the work burden on employees comparable
to regular eight working hours. As indicated in Table 5, exactly 50 percent of respondents
had working experiences below five years whilst 33.3 percent had between 5 and 20
43
years. The remaining 16.7 percent had above 20 years of work experience. Available data
shows that monthly earnings of employees (both permanent and contract) ranges between
a minimum of bir.360 and a maximum of bir.4020. Specifically, 33.3 percent of contract
workers were paid below bir.400 a month.
Figure 2: Behavioral Variables of ATF Workers
90
83.3%
80
70
59.6% 62.5%
60
50
40 40.4% 37.5%
30
20 16.7%
10
0
Of studied participants almost 200 (83.3%) of the respondents had sleep disorder at their
workplace and the reasons for the disorder were mentioned as working in evening by 41
(59%) participants, excessive heat by 30 (43%), and doing more than one task at a time
18 (26%). More than half of the respondents 143 (59.6%) were satisfied by their current
job (Figure 3).
The use of PPE in the factory was not quite similar among workers even though there
was PPE delivered to workers in the industry. The majority of the respondents
150(62.5%) were used PPE at their workplace frequently, whereas 90 (37.5%) were not
44
used any types of PPE; they answered they did not use PPE frequently. Most of the
reasons for not using PPE included they were not comfortable to use by 50 (52.1%)
participants, lack of provision by 44 (45.8%), and perception of decreased work
performance by 38 (39.6%). Among users, ear plug (47.4%), glove (40.4%), and goggles
(39.3%) were commonly used PPE.
4.2. Occupational Health and Safety of ATF Workers
The ongoing discussions describe that the ATF workers in the AACA are exposed to a
range of hazards including ergonomic hazards, physical hazards, chemical hazards and
psychosocial hazards. It is evident from below that; there are no work units in the factory
that are free from occupation and health hazards. Table 6 which includes multiple
responses gives a summary of hazards faced by the workers.
45
Table 6: Relationship between Occupations and Health Hazards Exposure in
Percentage
Hazards Ergonomic Chemical Physical Psycho- Total (%)

W. Category Hazards Hazards Hazards social
Hazards
Spinning Unit 19 33 32 27 111(27.3)
Weaving Unit 19 28 29 23 99(24.3)
Finishing Unit 19 23 30 26 98(24.1)
Sewing Unit 17 22 39 21 99 (24.3)
Total (%) 74(18.2) 106(26.0) 130(31.9) 97(23.8) 407 (100)

From Table 6, physical hazard is the most exposure experienced by all work categories
whilst ergonomic hazard though experienced by all workers was the least of all hazard
exposure. It is also evident from the table that all hazards are peculiar to all work
categories though its degree varies from one unit to the other. In general, the above
mentioned occupation and health hazards may be due to lack of safety, duration and types
of work. In addition, about 42% of workers belonged to less than 30 years of age group
and their work experience might be additional contributory factors.
After identifying the risk exposure of respondents in broad terms, it is necessary to know
the specifics of each of these hazards. Therefore Table 7 indicates the kinds of risk
exposure across the different work types.
46
Table 7: Chemical Hazards
W. Category Spinning % Weaving Finishing % Sewing % Total %

%
Unit Unit. Unit
Unit
Hazards
Dusts 33 67.4 28 50.9 23 37.1 22 29.7 106 44.2

Fumes 6 12.2 12 21.8 17 27.4 22 29.7 57 23.7
Gases 8 16.3 10 18.2 16 25.8 21 28.4 55 22.9
Others* 2 4.1 5 9.1 6 9.7 9 12.2 22 9.2
Total 49 100 55 100 62 100 74 100 240 100
* Fire & smoke

Source: Field Survey, September 2014.
From Table 7, dust hazard (44.2) is the most exposure experienced by all work categories
whilst fume and gas hazards constituted 23.7 and 22.9% respectively. It is also evident
from the table that chemical hazards are peculiar to all category workers. Further the
study indicates that spinning and weaving unit workers are the most exposed to dust
hazards. Similar findings were made by Mohammed M. et al. (2004). In his study of OHS
hazards among Assiut spinning factory workers in Egypt. In his study he indicated that
cotton dust, fumes and other work related injuries are the most common hazards in the
factory.
47
Table 8: Physical Hazards
W. Types
Spinning % Weaving % Finishing Sewing % Total %
%
Unit Unit Unit
Hazards Unit
Vibration 4 8.2 3 5.4 5 8.1 6 8.1 18 7.5
Noise 32 65.3 29 52.7 30 48.4 39 52.7 130 54.2
Light 4 8.2 7 12.7 9 14.5 9 12.2 29 12.1
Heat 6 12.2 8 14.6 8 12.9 3 4.1 25 10.4
Others 3 6.1 8 14.6 10 16.1 17 22.9 38 15.8
Total 49 100 55 100 62 100 74 100 240 100
Workers in the cotton work category are major sufferers when it comes to physical
hazards. As indicated in Table 8, 54.2 percent of ATF workers had been exposed to
noise, 15.8 percent to various injuries and 12.1 percent to light. The remaining 10.4
percent and 7.5 percent were exposed to heat and vibration.
48
Table 9: Psychosocial Hazards
W. Units
Spinning % Weaving % Finishing Sewing % Total %
Unit %
Hazards Unit Unit Unit
Loss of
interest 27 55.1 23 41.8 26 41.9 21 28.4 97 40.4
Mental
fatigue 12 24.5 18 32.7 17 27.4 18 24.3 65 27.1
Stress
7 14.3 8 14.6 11 17.7 23 31.1 49 20.4
Others 3 6.1 6 10.9 8 12.9 12 16.2 29 12.1
Total 49 100 55 100 62 100 74 100 240 100
As indicated in Table 9, 40.4 percent of respondents experienced loss of interest and are
not satisfied with their work. The study further indicates that poor treatment from
superiors (6 percent) and general lack of interest (40.4 percent) are the two major reasons
for their job dissatisfaction. The present study result has supported by a case control
study among coal mining factory workers in India (Zewdie A., Dagnew E. and Takele T.
in N. Ramendra et al, 2004) reported that workers who were highly satisfied with the
existing jobs have lower risk of occupational injury. This can be explained that workers
who did not injured have positive thinking about the physical environment and always
take necessary safety precautions.
49
Table 10: Ergonomic Hazards
W. Types Spinning Weaving % Finishing Sewing % Total %

Unit Unit Unit Unit
% %
Hazards
Backaches 17 34.6 10 18.2 10 16.1 12 16.2 49 20.4
Skin
Infections 19 38.8 19 34.5 19 30.7 17 22.9 74 30.8
Eye
Infections 2 4.1 9 16.4 12 19.4 24 32.4 47 19.6
General
body pains 9 18.4 13 23.6 15 24.2 18 24.3 55 22.9
Others 2 4.1 4 7.3 6 9.7 3 4.1 15 6.3
Total 49 100 55 100 62 100 74 100 240 100
Table 10 shows that, 30.8 percent of respondents suffer from skin infections as majority
of their work requires a direct contact with skin, 22.9 percent experience general body
pains whilst 19.6 percent suffer from eye infections.
Psycho-social hazards cause fatigue, stress and general loss of interest in work.
According to Filiatrault et al (2002) to be able to work efficiently one must sleep for not
less than eight hours. This is not respected among ATF workers since 2.9 percent of them
work for 16 hours, 5 percent work for 14 hours and 5.4 percent work 12 hours a day. This
increases the stress level among workers.
50
In view of these associated risks, majority of workers are not satisfied with their jobs.
Those who are not satisfied gave reasons such as low income (55.5 percent), general lack
of interest (40.4 percent) and the tediousness of work (27.8 percent).
Figure 3: Common Causes of Injury
Others 20.9
High 7.5
temprature
Hand tools 5.8
Dust 10.4
Chemicals 14.6
Machinery 40.8
0 10 20 30 40 50
Source: Field survey, September 2014
With reference to Figure 4, it can be deduced that machinery, chemicals, dust, high
temperature, hand tools slippery floors and long sitting and standing as common causes
of textile industry accident. Different studies done in Ethiopia indicated that there are
different sources of work-related injuries. For instance, a study done by Aberra F.(1988)
in eleven urban industries in Addis Ababa showed that hit by or against objects and
falling were the most common causes and similarly, Amhara regional
BOLSA(2007/2008) reported that machinery(36.7%), mishandling(15.3%),
51
falling(14.5%),and hand tools6.2%) were the major causes of occupational injury types
among manufacturing industrial workers.
In general, it is possible to agree with Aghera Nirmala D. (2013) who, although
describing the situation of an Indian textile factory could be referring to any region‘s tex-
tile industry in the developing world.
“In the textile industry employees suffer from many diseases of eye, nose, ear,
skin and throat. In printing and finishing departments the workers skin is
affected by the chemicals used. The workers inhale cotton dust in the
carding/winding section, through the ears, mouth and nose, causing different
harmful diseases like lung cancer, skin and eye allergies. The yarn dust
disperses in the air in the weaving section which affects the workers health and
they suffer in different health problems. In mercerizing, folding, bleaching,
warping and calendaring sections, the workers suffer from various
psychological and physical diseases. For instance, in the folding and warping
section, accidents occur because of the slippery floors, and the pressure of time.
Often such accidents result in the permanently disability of the workforce. In
many industries the workplaces of units don’t meet the required standards as
described in the factory act”.
The above mentioned injuries and diseases have cost implications which impact the lives
of workers negatively. Table 11 itemizes the different costs components associated with
injuries and diseases.
52
Table 11: Cost Implications of Injuries and Diseases among ATF Workers in
2013/14
Variable Spinning Weaving Finishing Sewing Total

Unit Unit Unit Unit (Birr)
Direct Cost (Birr)
Cost of 2,160 1,800 1,200 1,680 6,840
Treatment
Indirect Cost
*Lost Man 150 120 130 100 500
days
Lost 1,800 1,440 1,560 1,200 6,000.00
Earnings
Transport 75 60 65 50 250
Cost
Economic 4,035 3,300 2,825 2,930 13,090.00
Cost
*Lost Man Days not in Birr
From Table 11, it can be deduced that the highest lost man days was 150 among spinning
unit workers with an associated lost earnings of birr 1,880. The least economic cost of
birr 2,825 was recorded among dyeing and finishing unit workers and the highest of birr
4,035 among spinning unit workers. The total economic cost of injuries and diseases
among ATF for the last Ethiopian budget year (2013/14) was 13,090. A survey conducted
by the Health and Safety Executive in 2007/2008 on work related illness estimated 34
million lost work days; 28 million due to work-related illness and 6 million due to work-
place injury ( HSE,2009). One can estimate this in monetary terms and how this seriously
affects the profit margins of organizations.
53
4.3. Institutional Response to OHS
4.3.1. Department of Factories Inspectorate
MOLSA and Addis Ababa City Labor Inspectorates ensure health and occupational
safety by regular inspection of workplaces. Inspections are organized at least three times
a year to every registered enterprise. This implies that an organisation that fails to register
with them by paying their registration fees receives no attention from them. The
Inspectorates play an advisory role more than an enforcement role though they have the
legal backing to enforce.
According to the OSH Team Leaders, the following challenges are the major once facing
their department:
 Inadequate budget allocation
 Poorly served in terms of infrastructure and staff
 No adequate information management system
 No systematic surveillance in place for
o workplace environment conditions
o occupational health disease/injury
 There are a few focused studies
 OSH expertise needs development
 No specialized OSH programs at the Universities, etc
4.3.2. Trade Union Representative
From the survey, 45 employees representing 18.8 percent all respondents are paid below
the current minimum wage a day. Also, five percent also received unfair treatment from
54
their immediate bosses. Another major problem relates to the termination of employees
appointment in unfair manners.
The role of the TUR is to represent employees on OHS issues both inside and outside the
factory, seek the welfare of workers and educate them and negotiating on their behalf.
According to the representative, their work is made difficult because the government
does not see OHS as a major issue.
4.4. Institutional Collaboration in Occupational Health and Safety
It has been widely acknowledged that OHS requires an interdependent approach among
concerned ministries agencies and other stakeholders. It was realized that all stakeholders
covered in the study had links with each other. However, the Department of factories
Inspectorate (DFI) in ATF had a conflicting role with the Addis Ababa City
Administration Factories Inspectorate (BOLSA). This is because DFI saw the BOLSA to
be interfering in its affairs to the extent that employers call BOLSA for workplace
inspection instead of the DFI. This problem is as a result of no clear cut roles and
responsibilities of both departments and the overlapping nature of their work. Figure 5
portrays a simplified layout of interaction between the various institutions for ensuring
OHS in the industrial sector as discovered from the field survey.
55
Figure 4: Institutional Collaboration in Occupational Health and Safety
DEPARTMENT OF
FACTORIES
INSPECTORATE/ATF
Regular Regular
Ensuring health Inspection

Inspection and safety of
offices work
Seeking the
welfare of all Ensuring clean
workers and safety
HEALTH & work
SAFETY OF
MOLSA FACTORY BOLSA
WORKERS
Ensuring
harmonious Negotiate on behalf
working
environment of workers
TRU
Legend
Inputs to promote OHS
Collaborated Actions
Source: Authors Construct
It is evident from Figure 5 that there is a good institutional set up for promoting health
and safety of workers in the industrial sector. In this set up activities like public
education, sensitization, regular inspection and negotiation on behalf of workers are all
geared towards promoting workers welfare and ensuring harmonious work environment.
If this collaboration is strengthened and transferred to other concerned bodies will help
curb the safety problems at workplaces.

56
4.5. Observation Findings
4.5.1. Spinning Department
 Majority of the workers were use PPE.
 No emergency exit signs.
 Fire extinguishers were present and easily accessible.
 The floor was free and no slip hazard.
 Workers used over coats, ear plugs and gloves.
 There is excessive noise and heat
 There is no machine guards
 There were no any safety signs/symbols and/or written precautions that
give information on occupational health and safety.
4.5.2. Weaving Section

 Fire extinguishers were present, and easily accessible.
 Floors are clean and not used for storage of materials.
 No emergency exit.
 Electrical cables are in good condition.
 The floor is dry, but not clean.
 There are different hazard signs or symbols.
 The workers used PPEs.
4.5.3. Dyeing and Finishing Unit
 The floor is slippery and not clean.
 Majority of the workers were use PPE.

57
 No emergency exit.
 There is shower, but not in the vicinity of the department.
 There are different hazard signs or symbols.
 Fire extinguishers were present and easily accessible, but a few product
workers in the department told the researcher they don‘t know the
operation of the fire extinguisher.
4.5.4. Cutting and Sewing Working Section
 Workers used over coats and gloves
 Floors were kept free of obstructions and were not used as storage for
other materials.
 Work areas were free of electrical hazards: no uninsulated wiring or
damaged electrical cords, or unsafe use of extension cords.
 There is no dust particle and excessive noise.
 No any hazard sign/symbols were posted in the working section.
58
CHAPTER FIVE
SUMMARY OF FINDINGS, CONCLUSION AND RECOMMENDATIONS
5.1. Introduction
This final chapter presents the key findings emanating from the data analysis. Based on
these findings, recommendations have been made to inform policy makers and any
responsible body. The chapter ends with a conclusion for the entire study.
5.2. Summary of Key Findings
From the survey, the following major findings have been outlined. This has been done
according to the objectives of the study.
5.2.1. Nature and Operations of ATF Workers
In this study, from the total study subjects 54.2% are females. Of this cutting and sewing
department constitutes majority of female product workers. The survey further revealed
that spinning, weaving, and dyeing and finishing unit female workers account 18(13.8%),
16(12.3%),and 38(29.2%) respectively. The sector employed labour as young as 17 years
and as old as 62 years. Most (42.1 Percent) respondents however were less than the age
of 30 years. It was realised that education was not a requirement in the sector though
majority of respondents had some level of education at least to the basic level and 11.7
percent were illiterates. Employment in the ATF is basically done on full-time basis and
work is done for a maximum of 16 hours a day.
5.2.2. Key Health and Safety Risks Associated with ATF Workers
Chemical hazards
Dust hazard (44.2) is the most exposure experienced by all work categories whilst fume
59
and gas hazards constituted 23.7 and 22.9% respectively. Besides this, chemical hazards
are peculiar to all category workers. Chemical hazard is the next most exposure
experienced by all work categories. Spinning and weaving unit workers are the most
exposed to dust hazards.
Ergonomic hazards
All respondents in the four departments were affected in one way or the other by their
working postures. 22.9 percent of respondents experience general body pains whilst 19.6
percent suffer from eye infections. A combination of standing, bending and sitting results
in waist, knee, feet and general body pains among respondents.
Physical hazards
The major physical hazard workers are exposed to be constant noise from rotating
machines (54.2percent). Product workers in spinning department are the major sufferers
to physical hazards; noise (54.2%) is the most exposure experienced by all work
categories whilst injuries constituted 15.8%.
Psycho-social hazards
40.4 and 27.1 percent of respondents experienced loss of interest and mental fatigue
respectively and are not satisfied with their work. Poor treatment from superiors (six
percent) and general lack of interest (five percent) are the two major reasons for workers
job dissatisfaction.
5.2.3. Costs of Occupational Health Injuries and Diseases in the ATF
The economic cost of injuries and diseases among spinning unit workers was valued at
60
birr 4035 at 2013/14. This is made up of both direct (birr 2160) and indirect costs (birr
1875) of injuries and diseases. The economic cost of injuries and diseases for weaving
unit workers for 2013/14 was birr 3300, total direct and indirect cost of injuries and
diseases were birr 1800 and birr 1500 respectively. The economic cost of injuries and
diseases among dyeing and finishing unit workers was birr 2825 made up of birr 1200 for
direct cost of illness and birr1625 for indirect cost. The direct cost and indirect costs of
injuries to cutting and sewing department workers were birr 1680 and birr 1250
respectively. Hence the economic cost of injuries and diseases is birr 2930.
5.4. Conclusion
The size of labour force in the Addis Ababa City Administration in the Industrial sector
more especially, the garment and textile sectors is very high. As long as population
increases and there is unemployment in the country, employment in the garment and
industrial sector will increase. This calls for a comprehensive OHS policy to emphasize
the health and safety needs of workers.
Available literature from chapter two revealed the neglect of OHS generally in the
developing African countries. This was confirmed by the empirical data from garment
and textile workers in developing countries and was realized that little attention given to
all activities of OHS. The economic cost of injuries and diseases as indicated in the
analysis is alarming and therefore requires immediate attention from employers and
employees through the use of PPE‗s, and the government by the formulation and
implementation of an OHS policy.
61
5.5. Recommendations
Based on the study findings and the above conclusions the following recommendations &
duties are forwarded.
In general we recommend with improving of worker‘s health through: Periodic medical
examination should be performed to all workers in the factory not only sample from
them, the physician must be present daily in outpatient factory clinic to provide medical
services to workers at any time, qualified nurse must be present in outpatient factory
clinic to help in worker‘s health promotion and improve health services, first aid
measures should be available at any time of day and the managing officer, safety
department and health authorities should provide protective measures to workers such as
ear plugs, disposable mask, worker clothes, fire protection and observation for using it.
Periodic inspection of working environment by industrial hygienist through regular
measurement of noise level, illumination, humidity, ventilation and cotton dust
concentration. Training and health education programs should be provided to all workers
from the start of work and regularly carried out to assist the worker adjustment to the
working environment. Emphasizing the correct use of personal protective measures. If
possible, the factory should look into the possibility of replacing the old machines with
new ones, which is less noisy.
5.5.1. Role of Managements
The duties of managements at a place of employment should include:
 The provision and maintenance of PPE;
 The provision of any information, instruction, training and
62
supervision that is necessary to protect the health and safety of
workers at work; and
 The preparation, labeling and posting of safety signs and equipments
at reasonable working sites to improve the knowledge level and safe
practice of the workers.
5.5.2. Role of Employees
They should place their safety above their work and insist their employers provide them
with PPE and employees should co-operate with their employers in the health and safety
measures they put in place and also work safely to protect themselves and others from
injury.
5.5.3. Role of Associations
Associations should set rules and regulations that insist on the usage of PPEs by all
members and they should also monitor activities of members and penalize employers
whose employees go contrary to the set rules and regulations.
5.5.4. Recommendations for Future Research
An in-depth survey on economic cost of injuries and diseases should be considered for
future studies and similar studies in the other sectors of the economy (formal and
informal) should be done to understand and appreciate OHS issues within the sectors.
63
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67
RESEARCH INSTRUMENTS
ADDIS ABABA UNIVERSITY COLLEGE OF BUISNESS AND ECONOMICS
DEPARTMENT OF PUBLIC ADMINSTRATION AND DEVEVELOPMENT
MANAGEMENT
TOPIC: THE PRACTICES AND CHALLENGES OF OCCUPATIONAL HEALTH
AND SAFETY IN ETHIOPIA: THE CASE OF AKAKI TEXTILE FACTORY.
PLEASE BE ASSURED THAT YOUR RESPONSES WILL BE TREATED WITH
UTMOST CONFIDENTIALITY.
SECTION I: QUESTIONNAIRE FOR EMPLOYEES. .
A. BACKGROUND INFORMATION N I: QUESTIONNFOR
1. Sex: (1).Male (2).Female 2. Age: ----------------------
3. Educational level (1).Illiterate (2).can read & write (3).1-8
(4).9-12 (5).Diploma (6).Degree & above
4. Marital Status (1).Married (2).Single (3).Divorced (4).Widowed
5. Employment pattern? (1).Permanent (2).Temporary
6. Job category or responsibility? ---------------------------------------------
7. Work experience in the current job category? ---------------------------
8. Monthly salary? -----------------------------------
B.WORK-RELATED INJURY
1. Have you ever faced any injury or accident in the past 12 months related to
your works? (1).Yes (2) No
2. If the answer is yes for question number one, what kind of injuries or
accidents? 1. Piercing (1).Yes (2).No
2. Fracture (1).Yes (2).No
3. Eye injury (1).Yes (2).No
4. Burn (1).Yes (2).No
5. Poisoning (1).Yes (2).No
6. Backaches (1).Yes (2).No
7. Lung disease (1).Yes (2).No
8. Neck problems (1).Yes (2).No
9. Skin infection (1).Yes (2).No
10. Sleeping disorders (1).Yes (2).No
11. General body pains (1).Yes (2).No
12. Others (specify) ------------------------------------------------------
69
3. What are the causes of the injury or the accident?
1. Machine (1).Yes (2).No
2. Chemicals (1).Yes (2).No
3. Electricity (1).Yes (2).No
4. Slippery floors (1).Yes (2).No
5. Hand tools (1).Yes (2).No
6. Fire (1).Yes (2).No
7. Dust (1).Yes (2).No
8. High temperature (1).Yes (2).No
9. Fumes (1).Yes (2).No
10. Others (specify) -----------------------------------------------------------
4. Have you hospitalized as a result of injury in the last 12 months?
(1). Yes (2). No
5. How many hours do you absent from work in the last 12 months? ---------------
6. If the answer is yes for question number four, what were the medical and non medical
costs of the injury and disease? Please complete the table below.
Date Injury/disease Medical cost Nonmedical

cost
70
C. WORK ENVIRONMENT AND EMPLOYEES BEHAVIOR
1. How many hours do you work per day? -------------------
2. Is there any supervision in the workplace?
(1). Yes (2). No
3. Have you had any occupational health & safety training?
(1). Yes (2). No
4. Do you have sleeping disorders?
(1). Yes (2). No
5. If yes, what is the reason for this sleeping disorder?
(1). Working more than 8 hrs/day in the enterprise
(2). Engage in additional duties outside the enterprise
(3). Evening/Mid-night working time
(4). Work burden
(5).Other, specify--------------------------------------------------------------------
6. Are you happy with your work?
(1). Yes (2). No
7. If No, why? -------------------------------------------------------------------------------
8. Do you use any Personal Protective Equipment at your workplace?
(1). Yes (2). No
9. If yes, which of the following Personal Protective Equipment(PPE) do you have at
your workplace?
(1). Gloves (2).Ear Protectors (3).Mouth & nose protectors (4).Helmet
(5).Over coat (6).Goggle (7).Face shields (8).Safety boots
(9).Others specify -----------------------------------------------------------------
10. If not, why?
(1). Absence of PPE (2). No Occupational Health &Safety training
(3). Not convenient (4). Affects health
(5). others specify ----------------------------------------------------------------
This is the end of our questionnaire. Thank you very much for taking time to answer the
questions. We appreciate your help.
71
SECTION II: INTERVIEW GUDIE FOR KEY INFORMANTS
Name of Department: ---------------------------------------
1. What is your department‗s mandate concerning OHS?
2. How often do you go on inspection?
2. Is there any OHS policy for formal workers in Ethiopia?
3. Does your department collaborate with other departments?
4. What are some of the challenges and constraints of ensuring health and safety?
5. What are the common and most important Occupational and Health problems
experienced in textile factories?
6. Is there any OHS inspection report?
7. Does the factory have health and safety personnel?
This is the end of our questionnaire. Thank you very much for taking time to answer the
72
SECTION III: OBESERVATION CHECKLIST
No. Item Yes No
1. Are there any records of all individual workers?
2. Is there any occupational health and safety board?
3. Any availability of accident and incident records?
4. Availability of occupational health inspection reports?
5. Does the industry have of health & safety personnel?
6. Is there any First Aid Kit with necessary facilities in

various work sites?
7. Is there any fire fighting equipments?
8. Any emergency exit provided?
9. Do the employees use the necessary Personal

Protective Equipment?
10. Is there excessive heat in the workplace?
11. Is there excessive noise in the workplace?
12. Is there excessive dust in the workplace?
This is the end of our observation. Thank you very much for taking time to answer the
73
በአዲስ አበባ ዩኒቨርሲቲ የቢዝነስና ኢኮኖሚክስ ኮሌጅ
የሕዝብ አስተዳደርና ልማት አመራር የትምህርት ክፍል
ይህ መጠይቅ የ----------------------------------እንዱስትሪ ሠራተኞችን ሙያዊ ደህንነት ጤንነትና
የሥራ አካባቢ በተመሇከተ ጥናት ሇማጥናት የተዘጋጀ ነው፡፡
የመጠየቂያ ቅጽ መሇያ ቁጥር-----------------አድራሻ --------------------
ቃሇ መጠይቁ ከመደረጉ በፉት የተሣታፉዎች ፍቃደኛነት መጠየቂያ ቅጽ
ሰላምታ፣ እንደምን አለ? እኔ አቶ/ወ/ሪት -------------------------እባላሇሁ፡፡
እዚህ የመጣሁት ይህን ጥናት የሚያካሂደው የአዲስ አበባ ዩኒቨርሲቲየሕዝብአስተዳደርና ልማት አመራር
የትምህርት ክፍል ቡድን አባል ሆኜ ነው፡፡
ከዚህ በመቀጠል ከሥራ ጋር በተያያዘ ባሇፈት አስራ ሁሇት ወራት ውስጥ የደረሰብዎት ጉዳቶችን
በተመሇከተ የተወሰኑ ጥያቄዎችን ልጠይቅዎት እወዳሇሁ፡፡
ከእርስዎ የሚገኘው መልስ በሀገራችን ሇሚከናወነው የሙያ ደህንነት ጤንነትና የሥራ አካባቢ አገልግሎት
ሇማሻሻል ከፍተኛ እገዛ ይኖረዋል፡፡
ከእርስዎ የምናገኘውን ማንኛውንም መልስ በሚስጥር እንጠብቃሇን፡፡ ከዚህ ጥናት ጋር በተያያዘ

በማንኛውም ጊዜና ቦታ ሥምዎ እንደማይጻፍና እንደማይጠቀስ ልንገልጽልዎ እንወዳሇን፡፡ በአጠቃላይ
መጠይቁ ወደ ሰላሳ ደቂቃ ገደማ የሚወስድ ሲሆን በጥናቱ የምናሳትፍዎት የእርስዎን ሙለ ፇቃደኝነት
ስናገኝ ብቻ ነው፡፡ በመጠይቁ ሂደት ሇመመሇስ የማይፇልጉትን ጥያቄ ያሇመመሇስ መብትዎ የተጠበቀ
ነው፡፡
በጥናቱ ሇመሳተፍ ፍቃደኛ ነዎት?
1. አዎ ( መልስዎ አዎ ከሆነ ወደሚቀጥሇው ጥያቄ ይሸጋገሩ )

2. የሇም ( ፍቃደኛ ያልሆኑበትን ምክናያት ቢገልጹልን ---------------------------------------------------)
የጠያቂ መሇያ ቁጥር ----------- ሥም ----------------------------

ፉርማ -------------------------- ቀን -------------------------
የተቆጣጣሪ ሥም ----------------------- ፉርማ---------- ቀን -------
ምርመራ--------------------------- ኮድ------------------
74
ክፍል አንድ፡- ማህበራዊና ሥነ ህዝባዊ ገጽታዎችን በሚመሇከት
1. ፆታ
1. ወንድ 2. ሴት
2. ዕድሜ ( በዓመት )
1. <30 2.30-50 3. > 50
3. የትምህርት ደረጃ
1. መጻፍና ማንበብ የማይችል/ የማትችል

2. መጻፍና ማንበብ የሚችል/ የምትችል
3. የመጀመሪያ ደረጃ ትምህርት ( 1-8 ) ያጠናቀቀ/ች
4. ሁሇተኛ ደረጃ ትምህርት(9-12) ያጠናቀቀ/ች
5. ዲፕሎማ
6. ዲግሪና እና ከዚያ በላይ
4. የሥራ ክፍል ------------------------------------
5. አሁን ባለበት የሥራ ቦታ ስንት ዓመት አገሇገለ?
1. < 5 ዓመት 2. 5-20 ዓመት 3. ከ 20 ዓመት በላይ
6. የወር ደሞወዝ -----------------------------------------------
1. ከብር 400 በታች 2. ከብር 400 - 1500
3. ከብር 1501 - 3000 4. ከብር 3000 በላይ
75
ሁሇት ፡- የሥራ ቦታ ጉዳትን በተመሇከተ
1. ባሇፈት አስራ ሁሇት ወራት ውስጥ ከሥራ ጋር በተያያዘ የደረሰበዎት ጉዳት አሇ?
1.አዎ 2. የሇም
2. መልስዎ አዎ ከሆነ የጉዳቱ ዓይነት?
1.መወጋት 7. የሳምባ ህመም
2. ስብራት 8. የአንገት ጉዳት
3.ዓይን ላይ የደረሰ ጉዳት 9. የቆዳ መመረዝ
4. መቃጠል 10. የእንቅልፍ ችግር
5. መመረዝ 11. አጠቃላይ የሰውት ህመም
6. የጀርባ ህመም 12. ሌላ ካሇ ይጠቀስ---------------
3. የጉዳቱ ምክናያት
1. በሚንቀሳቀሱ ማሽኖች 8.ከፍተኛ ሙቀት
2. በተሇያዩ ኬሚካሎች 9. ማንኛውም ዓይነት ጪስ
3. ኤሌክትሪክ 10. ሌላ ካሇ ይጠቀስ--------------
4. የሚያንሸራትት ወሇል ------------------
5. የእጅ መሣሪያዎች ------------------
6. እሳት
7. አቧራ
76
4. በደረሰብዎ ጉዳት በጤና ተቌም ተኝተው ታክመዋል?
1. አዎ 2. የሇም
5. ከሥራ ጋር በተያያዘ ጉዳት ባሇፈት 12 ወራት ውስጥ ከሥራ የቀሩበት ቀን ብዛት………………
6. ሇጥያቄ አራት መልስዎ አዎ ከሆነ እባክዎ ከጉዳቱ ጋር በተያያዘ ያወጡትን ወጪ በሰንጠረዡ
በተመሇከተው መሠረት ይሙለ
ቀን የጉዳት ዓይት ወይም ህመም የህክምና ወጪ የትራንስፖረትና ሌሎች ወጪዎች
77
ክፍል ሦስት፡- የሥራ ቦታን እና የሠራተኛ ባህሪን በተመለከተ
1. በቀን ምን ያህል ሰዓት ይሰራለ?
1. < 8 ሰዓት 2. 8 ሰዓት 3.12 ሰዓት 4. 16 ሰዓት
2. በሥራ ቦታቁጥጥር ተደርጎ ያውቃል?

3. የሥራ ቦታ ደህንነትን በተመሇከተ አዲስ ሆነው ሲቀጠሩ ወይም በአዳዲስ አሰራሮች ወይም
በሌሎች ሇውጦች ምክናያት ሥልጠና ወስደው ያውቃለ?
4. የእንቅልፍ ችግር አሇበዎት?
5. መልስዎ አዎ ከሆነ ምክናያቱን ቢገልጹልን? ----------------------------
6. በሚሰሩት ሥራ ደስተኛ ነዎት?
1. አዎ 2. ደስተኛ አይደሇሁም
7. መልስዎ ደስተኛ አይደሇሁም ከሆነ ምክናያቱን ቢገልጹልን?
---------------------------------------------------------------------------------------------------------
8. በሥራ ቦታዎ የጉዳት መከላከያ መሣሪያዎች ተጠቅመው ያውቃለ?
78
9. ሇጥያቄ ስምንት መልስዎ አዎ ከሆነ ምን ዓይነት መሣሪያዎችን ነው?
1. ጓንት 6. የብየዳ መነፅር
2. የጆሮ መከላከያ 7. የፉት መከላከያ
3. የአፍና አፍንጫ መከላከያ 8. ቦቲ ጫማ
4. የጭንቅላት መከላከያ 9. ሌላ ካሇ ይጥቀሱ -------
5. የሥራ ልብስ ------------------
10. የማይጠቀሙ ከሆነ ምክናያቱ ምንድን ነው?
1. የመከላከያ መሣሪያዎች ባሇመኖራቸው
2. የደህንነትና ጤና ትምህርት ስሇማይሰጥ
3. ሇአጠቃቀም ምቹ ስላልሆነ
4. የደህንነትና ጤና ጠንቅ ስሇሚያስከትል
5. ሌላ ካሇ ይጥቀሱ -------------------------------
ይህ የጥያቄዎቻችን መጨረሻ ነው፡፡ጊዜ ወስደው እነዚህን ጥያቄዎች በመመሇስ ላደረጉልን ትብብር
በጣም እናመሰግናሇን፡፡
79

The Practices and Challenges of Occupati

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ADDIS ABABA UNIVERSITY

COLLEGE OF BUSINESS AND ECONOMICS

DEPARTMENT OF PUBLIC ADMINISTRATION AND DEVELOPMENT