Manual Material Handling Ergonomics Training Program 2006 RiskAnalytics, LLC 2006 RiskAnalytics, LLC Page 1 Disclaimer The information, suggestions and recommendations contained herein are for general informational purposes only. This information has been compiled from sources believed to be reliable. No warranty, guarantee, or representation, either expressed or implied, is made as to the correctness or sufficiency of any representation contained herein. Reliance upon, or compliance with, any of the information, suggestions or recommendations contained herein in no way guarantees the fulfillment of your obligations under your insurance policy or as may otherwise be required by any governmental, national, federal, state, or local laws, rules or regulations. This Information should not be construed as business, risk management or legal advice, or legal opinion. 2006 RiskAnalytics, LLC Page 2 Learning Objectives 2006 RiskAnalytics, LLC Describe the concept and purpose of ergonomics Identify personal, job, and environmental ergonomic risk factors Discuss ways to prevent musculoskeletal disorders Discuss the importance of engineering and administrative controls Describe the steps in implementing an effective ergonomics program Page 3 Introduction The word Ergonomics comes from the Greek words “Ergos”--(work) and “Nomos”-- (natural law) Ergonomics is an interdisciplinary approach toward adapting the man-made environment around man, rather than man around the environment Ergonomics considers the physical and mental capabilities and limits of the worker and how they interact with tools, equipment, work methods, tasks, and the working environment D = 24 in 48 lbs V = 8 in 2006 RiskAnalytics, LLC H = 20 in Page 4 Ergonomics Program Goals 2006 RiskAnalytics, LLC Goal: Reduce work-related musculoskeletal disorders (MSDs) by adapting the work to fit the person, instead of forcing the person to adapt to the work Principle: Human characteristics should be considered at the beginning of the design process Page 5 What are Musculoskeletal Disorders (MSDs)? 2006 RiskAnalytics, LLC Illnesses and injuries affecting one or more parts of the musculoskeletal system They include sprains, strains, inflammation, degeneration, tears, pinched nerves or blood vessels, bone splintering and stress fractures Symptoms are discomfort, pain, fatigue, swelling, stiffness or numbness, and tingling Page 6 Why is effective ergonomics so important? 2006 RiskAnalytics, LLC Back injuries are the leading cause of disability In 2007, occupational musculoskeletal disorders comprise 28.9% of all nonfatal injuries and illnesses involving days away from work. In 2009, there were 195,150 back and spinal cord nonfatal injuries involving days away from work. Musculoskeletal disorders accounted for 29% of all workplace injuries in 2007 Page 7 The Economics of Ergonomics MSDs Injury: Muscle Strain Average Direct Cost: $ 5,945 Average Indirect Cost: $11,890 Estimated Total Cost: $17,735 Net profit margin for this company is The ADDITIONAL sales necessary to cover Total Costs are: 4% $445,875 MSDs Injury: Carpal Tunnel Syndrome Average Direct Cost: $ 8,305 Average Indirect Cost: $16,610 Estimated Total Cost: $24,915 The net profit margin The ADDITIONAL sales necessary to cover Total Costs are: 4% $622,875 The total additional revenue required to cover the costs of these 3 incidents is estimated to be $1,793,775 MSDs Injury: Cumulative Trauma Average Direct Cost: $ 9,667 Average Indirect Cost: $19,334 Estimated Total Cost: $29,001 The net profit margin The ADDITIONAL sales necessary to cover Total Costs are: 2006 RiskAnalytics, LLC 4% $725,025 Page 8 Ergonomic Risk Factor Interaction The Worker The Job 2006 RiskAnalytics, LLC The Environment Page 9 Ergonomic Risk Factors – Physical Awkward Postures Body postures determine which joints and muscles are used in an activity and the amount of force or stresses generated or tolerated. 2006 RiskAnalytics, LLC Page 10 Ergonomic Risk Factors – Physical Forceful Exertions Tasks requiring forceful exertions place higher loads on the muscles, tendons, ligaments, and joints Prolonged experiences of this type can give rise not only to feelings of fatigue but may also lead to musculoskeletal problems when there is inadequate time for rest or recovery 2006 RiskAnalytics, LLC Page 11 Ergonomic Risk Factors – Physical Repetitive Motions Fatigue and muscle-tendon strain can accumulate if motions are repeated frequently… affected by: 2006 RiskAnalytics, LLC Duration - Duration refers to the amount of time a person is continually exposed to a risk factor Frequency - Frequency refers to how many times a person repeats a given exertion within a given period of time Page 12 Ergonomic Risk Factors – Physical Contact Stresses Repeated or continuous contact with hard or sharp objects such as non-rounded desk edges or unpadded, narrow tool handles 2006 RiskAnalytics, LLC Page 13 Ergonomic Risk Factors – Physical Vibration Exposure to local vibration occurs when a specific part of the body comes in contact with a vibrating object, such as a power hand tool 2006 RiskAnalytics, LLC Page 14 Ergonomic Risk Factors - Psychological Positive Stress vs. Distress In control 2006 RiskAnalytics, LLC Out of control! Page 15 Ergonomic Risk Factors - Tasks Lifting/Lowering Carrying 2006 RiskAnalytics, LLC Pushing/Pulling Holding Twisting Sitting Page 16 Static vs. Dynamic Muscular Effort Blood Needed vs. Blood Flow Blood Need Blood Flow Resting 2006 RiskAnalytics, LLC Blood Need Blood Flow Dynamic Effort Blood Need Blood Flow Static Effort Page 17 Spinal Anatomy 101 2006 RiskAnalytics, LLC The spine’s vertebrae are held together by ligaments Muscles are attached to the vertebrae by bands of tissue called tendons Between each vertebra is a cushion known as a disc Openings in each vertebra line up to form a long, hollow canal The spinal cord runs through this canal from the base of the brain Nerves from the spinal cord branch out and leave the spine through spaces between the vertebra The lower part of the back holds most of the body’s weight Page 18 Spinal Anatomy 101 - Intervertebral Discs The vertebrae are separated by Intervertebral discs which act as cushions between the bones. Each disc is made up of two parts - the hard, tough outer layer called the Annulus surrounds a mushy, moist center termed the Nucleus. 2006 RiskAnalytics, LLC Page 19 Physical Stress on Skeletal System Forces Involved: Imagine your back as a lever. With the fulcrum in the center of the lever, how many pounds would it take to lift a 10 pound object? 5 pounds? 10 pounds? 15 pounds? ? 10 Lbs 2006 RiskAnalytics, LLC Page 20 Physical Stress on Skeletal System Forces Involved: It takes 10 pounds of pressure to lift a 10 pound object. Will it take more or less force to lift the same 10 pound object with the fulcrum shifted away from the object? ? 10 Lbs 2006 RiskAnalytics, LLC Page 21 Physical Stress on Skeletal System Forces Involved: With the fulcrum shifted away from the object, it takes more force to lift the object. The human back operates on a 10:1 lifting ratio, with the waist acting as the fulcrum. 10 Lbs 2006 RiskAnalytics, LLC Page 22 Physical Stress on Skeletal System Forces Involved: When you add in 105 pounds of the average human upper torso, lifting a 10 pound object puts 1,150 pounds of pressure on the human back. 1150 Lbs 105 Lbs 10 Lbs 2006 RiskAnalytics, LLC Page 23 Physical Stress on Skeletal System Forces Involved: If you were 25 pounds overweight, it would put an additional 250 pounds of pressure on your back every time you bent over. 1400 Lbs 130 Lbs 10 Lbs 2006 RiskAnalytics, LLC Page 24 Common Causes of Musculoskeletal Injuries Heavy Lifting …especially repetitive lifting over a long period of time Twisting at the waist …while lifting or holding a heavy load Reaching and lifting …over your head, across a table, or from the floor with straight legs Working in odd, uncomfortable positions …tasks that require you to bend over for long periods of time Sitting or standing too long in one position …sitting can be very hard on the lower back Slips, trips and falls 2006 RiskAnalytics, LLC Page 25 Preventing Injuries Avoid lifting and bending whenever you can If you must lift, the best zone for lifting is between your shoulders and your waist Place objects up off the floor so you won’t have to reach down to get them Always use a dolly or a forklift if you can Pushing an object is better than pulling the object Don't overdo it - if you have to strain to carry the load, it's too heavy for you Make sure you have enough room to lift safely Look around before you lift and know where you are going to put down the load Avoid walking on slippery and uneven surfaces while carrying something 2006 RiskAnalytics, LLC Page 26 Preventing Injuries Use proper lifting procedure Plan your move 2006 RiskAnalytics, LLC Size up the load and make sure your path is clear Get help as needed Use handles or straps Use a dolly or other material handling equipment if possible Use a wide, balanced stance with one foot slightly ahead of the other with your heels on the floor Get as close to the load as possible Use your palms, not just your fingers, to grasp the load Tighten your stomach muscles as the lift begins Keep your lower back in its normal arched/curved position Move the feet to turn - Don’t twist your back Lower the load slowly, maintaining the curve in your lower back Page 27 Preventing Injuries More Lifting Tips Transferring weight Lifting heavy bags 2006 RiskAnalytics, LLC Pull object towards you while transferring your weight to the lift side Lift only to the level required Shift your weight to the other leg while pushing the object into position. Do not twist Put one knee down against bag Pull bag up leg Rest bag on edge of knee Stand upright Pull bag to waist height Page 28 Preventing Injuries Lifting Safety Checklist Have you checked the object before you try to lift it? Is the load you want to lift packed right? Have a tight grip on the object Is it easy to reach this load? 2006 RiskAnalytics, LLC Make sure the weight is balanced and stable so the load does not shift when moved Loose pieces inside a box can cause accidents if the box becomes unbalanced Is it easy to grip this load? Test every load before you lift by pushing the object lightly with your hands to see how easily it moves Remember, a small size does not always mean a light load You can be injured if you arch your back when lifting a load over your head. Avoid lifting overhead To avoid hurting your back, use a ladder when you're lifting something over your head Page 29 Preventing Injuries Body Management Stretch early and stretch often Slow down; don’t overdue it Take frequent micro breaks 2006 RiskAnalytics, LLC Sleep on a firm mattress Get in shape and stay in shape with regular exercise Page 30 Controlling Ergonomic Risk Factors Recommendations for controlling risk factors include: 2006 RiskAnalytics, LLC Ask employees in the problem job for recommendations Identify, assess and implement feasible controls Track your progress Identify and evaluate musculoskeletal hazards Page 31 Hazard Control Strategies Two Types: 2006 RiskAnalytics, LLC Engineering controls - Eliminates/reduces hazards existing through equipment redesign, replacement, and/or substitution Administrative controls - Reduce exposure to the hazard by controlling behaviors through design of work procedures, schedules, use of personal protective equipment Page 32 Hazard Control Strategies Engineering Controls: 2006 RiskAnalytics, LLC Changing the way materials, parts, and products can be transported Changing the process or product to reduce worker exposures to risk factors Changing workstation layout Changing the way parts, tools, machinery and materials are to be manipulated Changing tool designs Changes in materials and fasteners Changing assembly access and sequence Page 33 Hazard Control Strategies Administrative Controls 2006 RiskAnalytics, LLC Broadening or varying job content to offset risk factors such as repetitive motion or awkward posture Adjusting work pace to relieve repetitive motion risks and give the worker more control of the operational process Rescheduling work for cooler times of day Reducing shift length or curtailing the amount of overtime Rotating workers through jobs with different physical demands to reduce the stress on limbs and body regions Scheduling more breaks Page 34 Implementing Control Strategies Effective control strategies are based on the following principles: Carefully plan the change - make small changes Conduct limited trials or tests of the selected solutions Study the effects of the change Adopt, abandon or revise as needed Once a change is adopted, implement full-scale Conduct follow-up evaluation of control strategies PLAN DO ACT STUDY 2006 RiskAnalytics, LLC Page 35 Summary 2006 RiskAnalytics, LLC Ergonomics is about fitting the work to the worker Lower back problems are the leading cause of disability Risk factors exist in the environment, the job or specific tasks and with the person Job related risk factors include awkward posture, forceful exertions, repetitive motions, and contact stress Psychological risk factors include lack of time, unreasonable workload and poor working relationships Proper lifting technique includes planning the move, using a wide, balanced stance, getting as close to the load as possible and moving your feet versus twisting the torso Ergonomic hazard control strategies include engineering controls, administrative controls and personal protective equipment Page 36