Analysis of Factors Affecting The Implementation of SMK3 (Occupational Safety and Health Management System) Hospitals in Banda Aceh City

WHO states that hospitals that do not effectively implement an Occupational Safety and Health Management System (OSHMS) tend to have higher rates of occupational accidents. A study conducted in several hospitals in Indonesia showed that hospitals without adequate implementation of SMK3 experienced an increase in occupational accidents by 50-60% compared to hospitals that have implemented SMK3 properly. This research aims to determine the analysis of factors that influence the implementation of the Occupational Health and Safety Management System in Type B Hospitals in Banda Aceh City. This research is an Observational analytic research with a quantitative approach using a cross-sectional design. The sample in this study amounted to 356 people from all the workers recorded as health workers in two Type B Hospitals in Banda Aceh City. Data analysis was carried out in two stages: namely univariate and multivariate with the help of SmartPLS. The results showed that there was an influence of the implementation of OHS policies (t=2.628; p=0.009), OHS planning (t=4.418; p=0.000), OHS planning implementation (t=3.706; p=0.000), OHS review and improvement (t=4.054; p=0.000), and the implementation of Occupational Health and Safety (OHS) policies (t=2.430; p=0.000) on the implementation of OHSMS in hospitals. There is an influence of the implementation of OHS policies on OHS planning (t=22.430; p=0.000). There is an influence of OHS planning on OHS planning implementation (t=156.313; p=0.000). There is an influence of OHS implementation on OHS monitoring and evaluation (t=25.945; p=0.000). There is an influence of OHS performance monitoring and evaluation on OHS review and improvement (t=4.414; p=0.000). There is no relationship between OHS performance monitoring and evaluation and the implementation of OHS (t=1.427; p=0.154). In conclusion, The implementation of OHS policies, OHS planning, and OHS planning implementation are related to the implementation of OHS in hospitals, but OHS performance monitoring and evaluation are not related to the implementation of OHS in hospitals.