Association of OHS Knowledge and Supervision with Safety Behavior and Occupational Accident Risk among Hospital Cleaning Service Workers: A Targeted Narrative Review
DOI:
https://doi.org/10.69855/k3.v1i2.847Keywords:
Occupational Health and Safety, Hospital Cleaning Service, Supervision, Safety Behavior, Occupational AccidentAbstract
Background: Hospital cleaning service workers face biological/sharps, chemical, ergonomic, and slip, trip, and fall hazards. Existing studies do not clearly distinguish whether OHS knowledge and supervision are associated mainly with proximal safety behavior or with actual accident occurrence. Purpose: This review synthesizes evidence on associations of OHS knowledge and supervision with safety behavior and occupational accident risk among hospital cleaning service workers. Methods: A targeted narrative review was conducted in August 2026 and updated on 15 September 2026 using PubMed/MEDLINE, Google Scholar, GARUDA, and publisher/DOI records, supplemented by WHO, ILO, OSHA/NIOSH, CDC, and Indonesian regulatory sources. Thirteen peer-reviewed studies and seven authoritative guidance/regulatory documents were retained. Results: OHS knowledge and supportive supervision were more consistently associated with safer behavior, hazard recognition, PPE compliance, and fewer unsafe action than with actual accident occurrence. Direct accident findings were mixed and were modified by PPE and equipment availability, workload, waste-management systems, and safety climate. Implications: Hospitals should combine competency-based training with field supervision, resource verification, near-miss reporting, and corrective action rather than relying on knowledge alone. Conclusion: Evidence is stronger for safety behavior than for direct accident outcomes; larger longitudinal and multi-hospital studies are needed to clarify associations with specific injuries.
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