Open Access Maced J Med Sci. 2020 Jun 15; 8(E):419-424. 419 Abstract BACKGROUND: Hospitals have potential hazards that increase the incidence of accidents or occupational diseases. AIM: This study aims to analyze occupational safety and health (OSH) risks in waste management regarding the behavior of hospital health provider. METHODS: This is an explanatory research with a cross-sectional design. The population were all health providers and janitors in hospital. Random sampling technique was chosen to obtain the study sample. Data was collected from observation and interview regarding waste disposal including solid waste and sharp objects. It analyzed using descriptive statistic. RESULTS: The results found that health providers had a poor behavior in managing waste such as disposing garbage not in accordance with the predetermined containers provided by the hospital management, mixing infectious waste with sharp objects, and did not care to dispose garbage at the designated place while disregarding the corresponding waste containers. CONCLUSIONS: The potential risk of accidents were very high for janitors, specifcally in the extreme risk category. We recommend to increase the OSH standard procedure for janitors. Here, the hospital prepares special red garbage with Marca of needle stick injuries to help janitor classify the infectious waste. Edited by: Sasho Stoleski Citation: Nasution AD, Mahyuni EL. Hospital Health Provider Behavior in Waste Application Based on Occupational Safety and Health Analysis. Open Access Maced J Med Sci. 2020 Jun 15; 8(E):419-424. https://doi. org/10.3889/oamjms.2020.4359 Keywords: Hazard; Risk; Behavior; Waste; Injuries *Correspondence: Achmad Delianur Nasution. Universitas Sumatera Utara Hospital, Director of Infrastructure and Medical Facilities, Medan, Indonesia. Tel.: +6282163152525. E-mail: a.delianur@usu.ac.id Received: 29-Jan-2019 Revised: 10-Mar-2020 Accepted: 14-Mar-2020 Copyright: © 2020 Achmad Delianur Nasution, Eka Lestari Mahyuni Funding: This study was supported by Lembaga Penelitian USU Competing Interests: The authors have declared that no competing interests Open Access: This is an open-access article distributed under the terms of the Creative Commons Attribution- NonCommercial 4.0 International License (CC BY-NC 4.0) Introduction Hospital is a health institution with various disciplines and expertise to carry out activities in preventive, curative, promotive, and rehabilitative health services, rendering the hospital as an organizers of public service activities [1]. Hospitals as labor-, expert-, capital-, and technology-intensive service industries which also have potential hazards and complexity of risks that increase the incidence of workplace accidents or occupational diseases. Based on previous research, so many risks could happen in hospital activities like drug administration error, incorrect operation of medical equipment, error in patient identifcation, needle stick injuries, work-related disease from sharp injuries at night duty, blood exposure, splash exposure, body fuids exposure among health care, and occupational safety precautions among nurses [2], [3], [4], [5], [6]. All of these risks can ktisptif the cause is due to the behavior of health provider themselves in managing medical or nonmedical waste. For this reason, hospitals are required to implement Occupational Safety and Health (OSH) which is integrated into hospital management system. OSH implementation be carried out thoroughly, including in managing hospital waste. Hospital waste generally consisted of medical waste and non-medical waste. Based on its nature, the concentration and amount of hospital waste can be detrimental to health and can pollute the environment [7]. Hospital waste also contains toxic chemicals and sharp objects causing hospital waste to be infectious, toxic, and/or radioactive [8]. Hospital waste can be considered as a chain for the spread of infectious diseases and carries the risk of danger that has the potential to cause workplace accidents and work-related illnesses. In Indonesia, only 49% of 1176 hospitals (526 government hospitals and 652 private hospitals) in 30 provinces, only 648 hospitals have incinerators and 36% have an installation of a Waste Water Treatment Plant (WWTP) with non-working conditions. For solid waste management, 80.7% have already separated between medical waste and non-medical waste. But for storage, only 20.5% use special storage with diferent colors and symbols [9], [10]. Therefore, the purpose of this study was to analyze the behavior of health providers based on safety and occupational health aspects in the management of hospital waste at Hospital-Universitas Sumatera Utara (H-USU). Scientifc Foundation SPIROSKI, Skopje, Republic of Macedonia Open Access Macedonian Journal of Medical Sciences. 2020 Jun 15; 8(E):419-424. https://doi.org/10.3889/oamjms.2020.4359 eISSN: 1857-9655 Category: E - Public Health Section: Public Health Education and Training Hospital Health Provider Behavior in Waste Application Based on Occupational Safety and Health Analysis Achmad Delianur Nasution 1 *, Eka Lestari Mahyuni 2 1 Universitas Sumatera Utara Hospital, Director of Infrastructure and Medical Facilities, Medan, Indonesia; 2 Department of Occupational Safety and Health, Faculty of Public Health, Universitas Sumatera Utara, Medan, Indonesia