# Application of ILO ergonomic checkpoints for workplace health and safety assessment in post-conflict small and medium-sized enterprises in the Kurdistan Region of Iraq

**Authors:** Mohammed Qadir Ali, Omid Akbarzadeh, Rasoul Ahmadpour, Parisa Moshashaei, Parvin Sarbakhsh, Seyed Shamseddin Alizadeh

PMC · DOI: 10.1038/s41598-026-41231-w · Scientific Reports · 2026-03-11

## TL;DR

This study assesses workplace safety in post-conflict SMEs in Iraq's Kurdistan Region using ILO ergonomic checkpoints, finding significant sectoral differences and proposing a model for improvement.

## Contribution

The study introduces a validated ergonomics-based methodology and a predictive conceptual model for WHS in post-conflict SMEs.

## Key findings

- Food and construction sectors had the lowest ergonomic safety scores.
- Managerial experience and workforce size significantly influenced WHS performance.
- A predictive model was proposed linking safety scores to organizational variables.

## Abstract

Workplace health and safety (WHS) in small and medium-sized enterprises (SMEs) is especially challenging in post-conflict regions with limited regulation. This study applies the ILO ergonomic checkpoints framework to assess WHS across five industrial sectors in the Kurdistan Region of Iraq. A cross-sectional study was performed among 70 SMEs, spanning food, metal, construction, furniture, and chemical industries. Ergonomic compliance data were collected using a structured observational checklist. Sectoral differences in safety performance were examined through ANOVA and ANCOVA, while correlation analysis explored the associations between WHS outcomes and organizational characteristics. Assumption checks confirmed statistical validity through Shapiro–Wilk tests, Q-Q plots, Levene’s test, and Variance Inflation Factors (VIF). The results demonstrated substantial disparities in ergonomic safety compliance across sectors, with food and construction enterprises exhibiting the lowest total safety scores. Among enterprise-level factors, managerial experience and workforce size were significantly associated with WHS performance, whereas average wage and company age showed weaker links. A conceptual predictive model is proposed to guide future research, positioning the total safety score as a function of key organizational variables. This study provides a validated ergonomics-based methodology and a conceptual model to guide WHS improvements in post-conflict SMEs. Findings support targeted interventions such as WHS training and participatory risk assessments. The model offers a scalable foundation for future predictive analytics and policy design in resource-limited settings.

## Full-text entities

- **Diseases:** accidents (MESH:D000081084), musculoskeletal complaints (MESH:D009140), SMEs (MESH:D015875), fire (MESH:D000092422), musculoskeletal strain (MESH:D013180), -related diseases (MESH:D000077733), fatigue (MESH:D005221), WHS (MESH:D000073397), fatalities (MESH:C565541), deaths (MESH:D003643), occupational injuries (MESH:D060051)
- **Chemicals:** ILO (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

6 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12979828/full.md

## References

17 references — full list in the complete paper: https://tomesphere.com/paper/PMC12979828/full.md

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Source: https://tomesphere.com/paper/PMC12979828