| Sumario: | Background: Every year, many people around the world lose their lives due to occupational diseases and injuries. This has led industries to focus on controlling risks and preventing accidents and illnesses. Objective: This research aligns with the zero-harm approach at Isfahan Mobarakeh Steel Company, aiming to compare, update, and prioritize occupational health performance indicators. Methods: A longitudinal study was conducted at Mobarakeh Steel Company in Isfahan in 2022. Initially, occupational health indicators used by the company were collected, and the trends of 10 existing indicators from 2016 to 2021 were compared. Subsequently, these indicators were updated and categorized into 12 specialized areas. Finally, prioritization and weighting of the indicators were performed using the Analytical Hierarchy Process (AHP) Results: The analysis of the trends in the 10 occupational health performance indicators indicated a favorable performance level at Isfahan Mobarakeh Steel Company. Among the 86 updated indicators across12 areas, measuring and evaluating harmful factors had the largest representation with 17 indicators, followed by education with 16 indicators. The prioritization results revealed that controlling harmful factors held the highest weight at 0.184, followed by the budget area at 0.137 Conclusions: The findings suggest that utilizing occupational health indicators, particularly leading indicators, serves as an effective tool for evaluating organizational performance in occupational health aimed at achieving zero-harm. However, it is essential to recognize that complete elimination of workplace injuries remains an ideal rather than a guaranteed outcome.
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