Keselamatan dan kesehatan kerja (K3) pada nelayan saat melakukan pekerjaan sangat perlu mendapat perhatian, kecelakaan kerja bisa saja terjadi ketika berada dilaut dengan kondisi cuaca yang bisa saja berubah, begitu juga dengan gangguan kesehatan yang diakibatkan oleh pekerjaan. Selain itu kondisi perahu harus diperhatikan dan alat pelindung diri harus tersedia karena merupakan faktor penting dalam menjaga keselamatan. Penelitian dilakukan dengan tujuan untuk mengetahui kejadian kecelakaan kerja dan keluhan yang dirasakan saat bekerja. Jenis penelitian ini adalah deskriptif, lokasi penelitian dilakukan di Pos Upaya Kesehatan Kerja (Pos UKK) nelayan wilayah kerja Puskesmas Belawan. Hasil penelitian menunjukkan bahwa jenis kecelakaan yang terjadi adalah terpeleset, kapal karam , tenggelam, kena bisa binatang laut, terpatuk ular, terkena engkol mesin dan terkena jaring. Selain mengalami kecelakaan kerja, nelayan juga merasakan keluhan saat bekerja antara lain nyeri punggung, gatal-gatal, batuk, pusing, gangguan pendengaran, kebas pada tangan, muntah-muntah, dan sakit pinggang. Kecelakaan kerja yang sering terjadi pada nelayan adalah terkena bisa binatang laut, sedangkan keluhan yang paling banyak dirasakan adalah nyeri punggung. Disarankan agar nelayan lebih berhati-hati pada saat bekerja, perbaikan sikap kerja agar lebih ergonomi dan menggunakan pakaian pelindung dengan lengan panjang, serta menggunakan pelampung. Occupational Safety and Health OSH) for fishermen at work really needs attention. Workplace accidents can occur when they are at sea when weather changes. Fishermen can also get health problems caused by work. Besides that, the condition of the boat must be considered and personal protective equipment must be available because they are important factors in maintaining safety. This study aimed to determine workplace accidents and complaints about health problems at work. This study employed descriptive research. It took place at Occupational Health Effort Post(PosUkk) in Belawan Public Health Center. The results showed that types of workplace accidents were slips, shipwrecks, sinks, being hit by sea animals, snake snake bite, being hit by cranks of engines, and exposed to nets. In addition, fishermen also complained about health problems at work, such as back pain, itching, coughing, dizziness, hearing loss, hand numbness, vomiting, and back pain. Workplace accident that often occured to fishermen was being hit by sea animals, while the most common complaint was back pain. It is recommended that fishermen be more careful to work, improve work attitudes towards more ergonomic, wear protective clothing with long sleeves, and use buoys.

This study aims to describe the collaboration of stakeholder roles and analyzes the influence of government, Micro & Small businesses and workers to improve the performance of Occupational Health and Safety (OHS) officers in community health center. The study is a survey with a cross-sectional design to measure the influence of stakeholders' role on the performance of occupational health efforts. The study sample was 80 people, namely all OHS officers from the community health center (CHC) in the city of Medan. The independent variables in this study are the role of government (X1), the role of micro and small business (X2), the role of the workers (X3) and the performance of OHS officers is the dependent variable. Data collection is perfomed using a questionnaire that has been validated with interval scales 1 - 5. Hypothesis testing is based on using structural equation modeling path analysis and analysis is performed using PLS-SEM, Smart PLS 3.0. Direct test results show that the government has not played a significant role in Micro & Small Business and the role of workers. The government only plays a significant role in the performance of OHS officers. Micro & Small businesses significantly influence workers' role, but it has not significantly affected OHS officers' performance. The role of workers significantly influences the performance of OHS officers. Test results indirectly show the critical role of collaboration between stakeholders. Although it has not shown a significant effect, there is an increase in the significant value on the performance of officers. The finding confirms the need for seriousness and the importance of collaboration among stakeholders. The research needs to be expanded by involving all OHS officers up to sub-health centers, and other districts/cities with the same characteristics. The study has only investigated at community health center. Policy recommendations are given for managing an integrated occupational health service program in community health center involving all stakeholders in Medan.

One of the social problems that require an immediate solution in Medan city is the growing number of street children, such as in the Amplas terminal area, which reaches 60 people. These children are vulnerable to health risks from long hours and a very vulnerable workplace social environment. However, attention to street children health problems has not been so great. Therefore, the purpose of this study is to see the health problems faced by street children in Medan Amplas terminal, especially physical, psychological, and social health issues. This research is a qualitative research, with in-depth interviews to 6 street children in Medan Amplasstation, and then continues with thematic analysis for data analysis. From the research, obtained physical health problems suffered by all informants are fever, influenza, wounds, ulkus, scabies, and skin irritation. Three people have coughs and respiratory problems. A small part has itching, diarrhea, stomach acid and headache. As for the psychological health problem, 3 people feel the relationship with the family is less harmonious and only a small fears are asked for money by the Punk and Satpol PP raid and the fear of being beaten by the Punk and Satpol PP. Social health problems experienced are ngelem (breathe in glue addicted) (4 people), drop out from primary school (3 people) and smoking addicted (2 people). This physical health problem occurs due to poor personal hygiene and poor hygiene knowledge. This is exacerbated by exposure to dust on the road and the exposure of street children to sunlight for a long time, as well as poor lifestyles such as ngelem and smoking. Therefore, the promotion of health on street children is needed, especially about personal hygiene, prevent exposure to dust on the highway into the body, avoid exposure to sunlight, and how to live a good lifestyle.

Human factor occupies a very important position against the occurrence of work accidents that is between 80-85%. Health Safety and Environment Accident Prevention Unit said that 90% of the accidents were caused by human errors and 70% of them can be prevented. The accident prevention effort in Indonesia faces so many problems such as traditional mindset which assumes an accident as a disaster so that the people would be surrender. The occupational unsafe acts were caused by some reasons such as the inadequate knowledge by the workers about occupational safety and health (OHS). The inadequate knowledge on potential hazards and risks of accidents will make workers ignoring the safety in working that affects their safety. This research was aimed at knowing the relationship between the knowledge on OHS with the safe Acts in working on cleanlines service workers in Medan. Analytical research was done with the population of 815 people of Melati group criterion, on set workers who work for ≥ 1 year and sample of 260 workers in 21 sub-districts in Medan which are taken randomly by questionairres. The data analysis in this research used univariat analysis and bivariate with Chi-Square test. As the result of the analysis, there are 163 workers ≤ 48 years old (62.7%), 135 workers with primary school education background, and 200 workers with working period ≤ 22 years (76.9%). There are 254 workers who get adequate knowledge on OHS (97.7%) and 121 workers who do occupational safe acts (46.5%). From the statistic test, the researcher gets p= 0.08 (<0, 05), interpreted as there is a relationship between having OHS knowledge and the occupational safe acts on cleanlines service workers in Medan. It is suggested for Sanitation Departmentof Medan as a leading sector to more improve the controlling effort due to the adequate knowledge of the workers but there are some who ignoring the occupational safe acts.