1. ASSSESSING ERGONOMIC HAZARD

2. Purposes To Identify specific work place hazards that can cause or aggravate work-related MSIs, and than to reduce the workers exposure

3. It does not and cannot eliminate all MSIs among affected workers It’s only reduce incidence / severity of MSIs caused in whole or in part of the risk factors listed in in the hazard assessment checklist Non work-exposures and risk factors inherent individual worker are not addressed Use of this recommendation is voluntary

4. Is this a caution zone job? A caution zone job is a job where worker’s typical work activities meet one or more of the physical risk factors and level listed in table 1 Typical work activities are those that are regular and forseeable part of the job, > 1 day/week, > 1 week/year Caution zone job  all have sufficient degree of risk -> need some precautionary steps be taken (ergonomic awareness training and hazard assessment)-but they do not necessarily have risks great enough to require corrective action Caution zone may not be hazardous

5. The duration list in table 1 (see acrobat reader doc, page 3) Two hours – refer to the total amount of time workers exposed to the risk factors, not how long they spend performing the work activity that includes the risk factor

6. What action that employer should take If there are no physical risk factor exceeding the level list in table 1  NO ACTIONS ARE REQUIRED If ≥ 1 physical risk factors exceed the level list in table 1  CAUTION ZONE JOB  ergonomic awareness training  to provide workers with a basic level of understanding knowledge

7. The training for workers should include: How to use their work station, including how to adjust its equipment and furnishings How to use or select tools appropriate to the work they are performing The safe work practices they are expected to follow; and Information describing the signs, symptoms and methods of preventing MSIs

8. When should a hazard performance be performed When work process or operation changes When a new work process is introduced Prior to the design and installation and a new workstation Affected worker should be involved in hazard assessment

9. Ergonomics Rule: Major features Do you have “caution zone” jobs? Reduce exposure below the hazard level or to the degree feasible No additional requirements Not covered No requirements Yes Hazards present No No hazards present Annual review Annual review Two requirements: Awareness education Evaluate “caution zone jobs” for hazards

10. Injuries and risk factors

11. W Work-related M Musculo S Skeletal Ds Disorders WMSDs WMSDs?

12. Injuries and risk factors WMS DWMSDsWhat are Work-related Musculo Skeletal Disorders (WMSDs)? Common types and symptoms of injury Causes and prevention of injury

13. What are Work-related Musculo Skeletal Disorders (WMSDs)? Also known as: –CTDCTDs –Cumulative Trauma Disorders (CTDs) –RSIRSIs –Repetitive Strain Injuries (RSIs) –Overuse injuries –Work Related Upper Limb Disorders (WRULDs) –Musculo Skeletal Injuries (MSIs) –Musculo Skeletal Disorders (MSDs) –Soft tissue injuries Usually develop gradually, but sometimes can appear suddenly Can be serious, if not taken care of early

14. What are some of the symptoms of WMSDs? Discomfort Pain Numbness Tingling Burning Swelling Change in color Tightness, loss of flexibility

15. What causes WMSDs? Risk Factors –Awkward Postures –High Hand Force –Repetitive Motions –Repeated Impacts –Heavy, Frequent, or Awkward Lifting –Moderate to High Hand-Arm Vibration

16. Risk Factors Risk of injury depends upon: –Duration (how long) –Frequency (how often) –Intensity (how much) –Combinations of risk factors

17. Risk Factors Duration –usually need hours of exposure before risk factors become a concern –Can be all at one time or cumulative over the day

18. Risk factors for WMSDs Awkward postures

19. Standing neutral postureSeated neutral posture Head level Shoulders relaxed Feet supported Wrists straight Elbows at sides Low back supported Neutral postures

20. For more than 2 hours per day Hands over head or elbows above shoulders

21. For more than 2 hours per day Neck bent more than 30°

22. For more than 2 hours per day Back bent more than 30°

23. For more than 2 hours per day Squatting

24. For more than 2 hours per day Kneeling

25. Wrists bent

26. Reducing awkward postures Change workstation heights & display heights Tilt or rotate the work Use platforms Bring items within easy reach Pause to stretch

27. Case Study Reducing awkward postures

28. Risk Factors for WMSDs High hand force

29. A power grip can be 5 times stronger than a pinch grip =

30. 10 lbs. of weight or force for more than 2 hours per day Gripping with the whole hand

31. 2 lbs. of weight or 4 lbs. of force for more than 2 hours per day Pinching with the fingertips

32. Your grip strength decreases when you: Bend your wrists Pick up slippery items Wear poorly fitting gloves Have cold hands Other factors

33. Pick objects up from the bottom using whole hand Attach handles or use lift tools Build up handles on small tools to reduce grip force Avoid pinch grips

34. Pick up smaller loads Use power tools instead of hand tools Keep tools in good working order Use lighter tools or tool balancers Use two hands Keep your wrists straight Reduce power grip force

35. Use clamps to hold onto work Place items on carts rather than carrying them Put down a tool when not actually using it Avoid holding onto objects for long periods

36. Case Study Use tool balancers

37. Working with bent wrists decreases grip strength Use tools that let you keep your wrist straight Tool use example

38. Risk factors for WMSDs Highly repetitive motions

39. For more than 2 hours per day Highly repetitive motion

40. Arrange work to avoid unnecessary motions Let power tools and machinery do the work Take stretch pauses Rotate task with co-workers if possible Change hands or motions frequently Reducing repetition

41. Case Study Reducing repetitive motions

42. For more than 4 hours per day Intensive keying

43. Spread keyboard work throughout the day Take stretch pauses Improve your posture and move around as much as possible Reducing intensive keying

44. Risk factors for WMSDs Repeated impacts

45. Using the hand or knee as a hammer more than 10 times per hour, more than 2 hours per day Repeated impacts

46. Use tools instead of your hand or knee Avoiding repeated impacts

47. Risk factors for WMSDs Heavy, frequent or awkward lifting

48. Lifting 75 lbs. once per day Lifting 55 lbs. more than 10 times per day Heavy lifting

49. Take smaller loads at one time Use mechanical assistance - handtrucks, carts, hoists, conveyors Get help from a co- worker Reducing heavy lifting

50. Lifting more than 10 lbs., more than twice per minute, for more than 2 hours per day Frequent lifting

51. Use mechanical assistance Slide objects instead of lifting them Rotate lifting tasks with co-workers if possible Reducing frequent lifting

52. Lifting more than 25 lbs. above the shoulders, below the knees or at arms’ length more than 25 times per day Awkward lifting

53. Store items where you won’t have to bend or reach to lift them Use rolling stairs to get items down from high shelves Reducing awkward lifts

54. Safe lifting technique

55. Risk factors for WMSDs Moderate to high hand–arm vibration

56. Moderate levels of vibration for 2 hours per day High levels of vibration for 30 minutes per day Vibration

57. Use low vibration tools if available Maintain tools Use tool wraps or anti-vibration gloves Keep hands warm Reducing vibration

58. If you have identify a caution zone, what next ? Analyze it by using table 2 (do it thoroughly and systematically) –Pay attention on physical demands of the job (body position, force, repetition) –The lay out of the work area (reaches, working heights –The load lifting and handling requirements of the job (object size and shape)

59. If the physical risk factor exceed table 2  A HAZARD IS PRESENT  TAKE ACTION !! –Changes to workstations and tools –Reducing the size and weights of loads handled –Process redesign to eliminate unnecessary steps or introduce task variety –Job rotation

60. If the action cannot reduce hazards While looking for alternatives to solve the problems permanently  –PPE –team lifting –training of work technique

61. How to se the check list Go to acrobat reader doc.(hazard assessment check list-table 2) page 7-14

62. you What you can do: earlyRecognize and report symptoms early Get involved in ergonomics

63. Symptom recognition and reporting Report symptoms if: –Pain is persistent, severe or worsening –Pain radiates –Symptoms include numbness or tingling –Symptoms keep you from sleeping at night

64. early Why is it important to report symptoms early? Chronic injuries sometimes lead to disability, even surgery Early treatment more successful

65. Getting involved Look at jobs and help identify problems Come up with solutions Work with solutions Take part in training Take responsibility for changing the way you do your job Help to make sure efforts are successful

66. Six key points to remember 1 Ergonomics can help you on your job 2 Employers have to implement ergonomics if caution zone jobs are present 3 Risk factors can be reduced and WMSDs prevented 4 You can help your company put ergonomics changes into place 5 WMSDs can happen in jobs with risk factors early 6 Reporting symptoms early is important