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Ergonomics
Management
(Compilation
of articles and guidance by OSHA and NIOSH)
Work-related and non-work related conditions can either individually,
or by interacting with each other, give rise to ergonomics related issues
such as: musculoskeletal disorders (MSD’s) cumulative trauma (CT),
visual display terminal syndrome (VDT) and others. Ergonomics is the science
of fitting the job to the worker. When there is a mismatch between the
physical requirements of the job and the physical capacity of the worker,
work-related ergonomic issues can result. The idea is to design equipment
and work tasks to conform to the capability of the worker(s). This means
adjusting the work environment and work practices to prevent injuries/illnesses
before they occur.
OSHA recommends several approaches that may be used to determine whether
conditions in the workplace might be contributing to employees developing
ergonomic issues. These approaches can be used individually or in combination.
Review
and analyze injury and illness records
Seek to determine
whether there is a pattern of ergonomic-related injuries/illnesses in
certain jobs or work tasks.
-
Step 1: Review Injury and Illness Records
An easy and straightforward approach to assessing potential ergonomic-related
problems is to conduct a review of various injury and illness records.
The records can be different for every company but may include:
o OSHA 200 forms for years prior to 2002,
o OSHA 300 Log forms for years after 2002 (see the Recordkeeping Home
Page for more information)
o Workers’ Compensation claims
o Group Health Insurance records
o First Aid Logs
o Absentee and Turnover Records
o Records of employee complaints or grievances.
- Step
2: Identify Potential Ergonomic Cases
Using all these information sources, try to identify entries, which
may indicate the presence of ergonomic related issues such as: Musculoskeletal
Disorders (MSD’s). Musculoskeletal disorders (MSD’s) are
a term that refers collectively to a group of injuries and illnesses
that affect the musculoskeletal system. While there is no single diagnosis
for MSD’s, the conditions identified below are commonly included
in the range of conditions that potentially constitute "MSD’s":
o Tendonitis
o Tenosynovitis
o Epicondylitis
o Carpal tunnel syndrome
o Bursitis
o DeQuervain’s disease
o Ganglion cyst
o Thoracic outlet syndrome
o Less precise entries such as sprains, strains, tears, or even just
pain
- Step
3: Categorize
Once all of the records have been examined, categorize MSD cases. Categories
can be established by job, department, work task, shift, and so on,
to determine whether patterns or trends exist. For example, look for
instances where:
o One unit (e.g., job, department) has a higher number of MSD’s
than other units in the company.
o One unit has more severe MSD’s than other units in the company.
o One unit's rate of MSD’s has increased each year for several
years.
o One unit's rate of MSD’s is higher than other companies doing
the same job.
o MSD’s increase during a particular shift or time of the year.
o MSD’s increase when producing a particular product or when performing
a particular work task.
Analysis of Jobs or Work Tasks
Analyze
the jobs or work tasks to identify potential ergonomic problems
before employee injuries occur. Determine if jobs present ergonomic risks
that may contribute to musculoskeletal disorders.
Not all MSD’s
are related to work activities. Other factors such as personal characteristics
and life style factors have also been associated with ergonomic related
injuries and illnesses. When analyzing jobs or work tasks that may be
associated with MSD’s, conditions to consider may include, but are
not limited to:
Awkward Postures, which might include: prolonged work
with hands above the head or with the elbows above the shoulders; prolonged
work with the neck bent; squatting, kneeling, or lifting; handling objects
with back bent or twisted; repeated or sustained bending or twisting of
wrists, knees, hips or shoulders; forceful and repeated gripping or pinching.
Forceful
Lifting, Pushing Or Pulling, which might include: handling heavy
objects; moving bulky or slippery objects; assuming awkward postures while
moving objects.
Prolonged
Repetitive Motion, which might include: keying; using tools or
knives; packaging, handling, or manipulating objects.
Contact
Stress, which might include: repeated contact with hard or sharp
objects, like desk or table edges.
Vibration,
which might include: overuse of power hand tools.
Analysis tools may help in analyzing jobs. While there are no one size
fits all approach, there are numerous voluntary analysis tools that may
be used to learn more about potential ergonomic risks associated with
jobs.
Applications Manual For
the Revised NIOSH Lifting Equation. PDF, 164 pages; also broken down
into 8 smaller files for ease of viewing. Centers for Disease Control
and Prevention (1994, January 1). This reference contains a complete description
of all terms in the lifting equation with several samples.
Lifting
Analysis Form. University of Southern Florida, 2002, 1 page
ACGIH
Hand/Arm Vibration TLV Form. (2002), PDF, 2 pages. Analysis tools
for assessing hand and arm vibration.
Rapid
Entire Body Assessment. PDF, (2001) University of Southern Florida,
3 pages.
Hazard
Zone Checklist. Washington State Department of Labor.
Working
as a Team
Everyone in an organization should participate to control or eliminate
ergonomic issues. Seek employee input about the existence of ergonomic
problems related to particular jobs or work tasks. Employers and their
employees are often able to identify conditions that may contribute to
MSD’s, because they understand the physical demands of the jobs
and work activities in their workplaces.
Some employers have chosen to conduct baseline screening surveys, sometimes
referred to as symptom surveys. These surveys typically ask employees
to identify those parts of the body that hurt while performing work and
to characterize or rate the severity of the discomfort. Even in the absence
of an OSHA recordable case on an OSHA 300 Log, the results of such surveys
may be used to determine whether employees are experiencing discomfort
while performing their work activities and the possible sources of the
discomfort:
- Speak
with employees
- Conduct
symptom surveys
- Use employee
questionnaires
Be aware
of common contributing conditions within your industry or job classifications.
If other companies in the same industry have ergonomic-related problems,
then it is possible these potential problems are also your concern. Obtain
information from others in your industry. OSHA has developed specific
tools to assist companies in industries that have routinely experienced
ergonomic related issues. These tools establish guidelines that can be
used to manage ergonomic issues according to the specific workplace areas
that industries commonly manage:
Other References:
Easy
Ergonomics. California OSHA (2001), 96 pages. Identifies
possible solutions for potential contributing conditions.
NIOSH
Ergonomics and Musculoskeletal Disorders guidance.
SMC
2003
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