ANALYSIS OF SLIPS AND FALLS AMONG WORKERS AT WORKPLACE SHARIFAH AZNEE BT SAID ALI @ SYED ALI A project report submitted in partial fulfilment of the requirements for the award of the degree of Master of Engineering (Mechanical - Advanced Manufacturing Technology) Faculty of Mechanical Engineering University Technology Malaysia APRIL 2010 iii To my beloved husband, Noor Ariman Bin Koya and my adorable children Nik Muhammad Syafiq and Nik Nur Batrisyia Balqis. iv ACKNOWLEDGEMENT I would like to take this opportunity to acknowledge my deepest gratefulness and appreciation to the most important person for his invaluable advice, suggestions, comments, and encouragements until my completion of this research. The important person is my greatest supervisor, Assoc. Prof. Dr. Mat Rebi Bin Abdul Rani. Without your help, it is hard for me to successfully complete this research. Thank you for all your help. Secondly, I would like to thank En. Mohammad Kassim (Occupational Safety & Health Officer) and En. Mohammad Shukri (Occupational Safety & Health Manager) from SCA Hygiene Company and En. Sadiyuk Rigit (Research Department) from Department of Occupational Safety and Health Ministry of Human Resources Malaysia. Through their advice, many problems related to the project can be solved much easier, also it acts as guidance for the completion of my Master’s degree project. Thirdly, I would like to thank FKM staff that include Cik Halimah as technician in the Computer Laboratory, En. Khalid in Metrologi Laboratory and technician in Fluid Mechanic Laboratory and En. Fitry from Department of Mechanical Engineering, Polytechnic of Port Dickson for their full co-operation and support during the execution of this project, therefore I manage to get facilities in completing my research. Last but not least, I would like to express my indebtedness to my loving family and to everyone who has supported me in one way or another, your continuous support, cooperation, patience and guidance has brought me this far. I am so grateful to have all of you in my life. Thank you. v ABSTRACT Slips and falls are frequent incidents that occur everywhere either in an office, a school, a factory, a public building or a warehouse, inside and outside. This research focuses on slips and falls incident at workplace only because, workplace is an area that employees are not protected from such hazards. There are several factors that induce slips and fall incidents especially among workers. Although this incident seldom occur but the effect of this accident surely cause various kind problem either to victim or employer. The effects of slips and falls not only cause a small or simple injury, instead it might result in serious injuries such as permanent injury and also result in fatalities. Besides the injuries, the victim also have to support the medical cost and at the same time the victim will loose of their jobs or salary result of the slips and falls incident. Although victim may get their compensation claims from that accident, it would commensurate for victim or victim’s family. Because of such reason, this project will identify the main cause of slips and falls incident among workers at workplace. This project will produce some of suggestion or guidelines that have been identified to overcome the causes of slips and falls. vi ABSTRAK Tergelincir dan terjatuh adalah merupakan satu kejadian yang kerap berlaku di mana- mana sahaja sama ada di pejabat, sekolah di dalam ataupun di luar bangunan. Namun, bagi tujuan kajian ini difokuskan kejadian tergelincir dan terjatuh di kawasan tempat kerja kerana ia adalah satu tempat yang boleh menyebabkan para pekerjanya terdedah kepada pelbagai jenis bahaya. Terdapat pelbagai faktor yang menjadi punca utama berlakunya kejadian tergelincir dan terjatuh dikalangan para pekerja. Walaupun masalah ini jarang-jarang berlaku namun kesan daripada kemalangan ini pasti menyebabkan pelbagai masalah kepada mangsa mahupun pihak majikan. Kejadian tergelincir dan jatuh ini bukan sahaja menyebabkan kecederaan ringan namun boleh mengakibatkan kecederaan kekal malahan sehingga membawa kepada kematian. Selain daripada kecederaan yang terpaksa ditanggung oleh mangsa, kos perubatan atau kos rawatan juga menyebabkan masalah ini menjadi serius dan mangsa juga akan kehilangan mata pencarian akibat daripada masalah tergelincir dan terjatuh ini. Walaupun mangsa mendapat pampasan ataupun bayaran ganti rugi di atas kemalangan yang menimpanya, namun adakah ia berbaloi untuk mangsa mahupun keluarga mangsa. Oleh sebab itulah, projek ini diilhamkan untuk mengenal pasti punca-punca utama berlakunya masalah tergelincir dan terjatuh dikalangan para pekerja khasnya di tempat kerja. Seterusnya cuba mengatasi semua punca-punca tersebut seminima mungkin dan memberikan beberapa penambahbaikan kepada garis panduan yang telah sedia ada. cadangan untuk vii TABLE OF CONTENTS CHAPTER 1 TOPIC PAGE DECLARATION ii DEDICATION iii ACKNOWLEGEDMENT iv ABSTRACT v ABSTRAK vi TABLE OF CONTENTS vii LIST OF TABLES xi LIST OF FIGURES xiii LIST OF APPENDICES xvi INTRODUCTION 1.1 Introduction 1 1.2 Problem Statement 3 1.3 Background to the problems 5 1.4 Terminologies of slips and falls 8 1.4.1 Slip 8 1.4.2 Fall 8 1.4.3 Trip 8 1.5 Objective of study 9 1.6 Scope of study 10 1.7 Organization of thesis 10 1.8 Conclusion 10 viii 2 LITERATURE REVIEW 2.1 Introduction 11 2.2 Slips and Falls Theories 12 2.2.1 Slip and Fall Theory – Extreme Order Statistics 12 2.2.2 Floor Reliability With Respect To “Slip and Fall” 12 2.2.3 Stochastic Theory of Human Slipping 13 2.2.4 Slip and Fall Characterization of Floors 13 2.2.5 Extreme Value Formulation of Human Slip: A Summary 2.3 Types of falls 15 2.3.1 Same level falls 16 2.3.2 Falls from heights 17 2.4 Slip and Fall Statistics 18 2.5 Workplace injuries 20 2.6 Slips and falls case study 26 2.6.1 Environmental issues 26 2.6.2 Housekeeping issues 27 2.6.3 Incident report Injury 29 Research from HSE/HSL 32 2.7.1 Pendulum 33 2.7.2 Surface micro roughness 34 2.8 Research for walkway surface 35 2.9 Conclusion 37 2.7 3 14 METHODOLOGY 3.1 Introduction 38 3.2 Strategy of Experiment 39 3.3 “Best-guess” experiments 39 3.3.1 Questionnaire Development 40 3.3.2 Data Collection 42 ix 3.4 4 3.3.3 Surface roughness value 44 One-factor-at-a-time (OFAT) experiments 45 3.4.1 Experiments 46 3.4.2 Experimental set up 48 3.4.3 Experimental layout 48 3.4.4 Experimental apparatus and liquid 50 3.4.4.1 Tape measurement 50 3.4.4.2 Digital Camera 51 3.4.4.3 Footwear 51 3.4.4.4 Weight measurement 53 3.4.4.5 Viscosity apparatus 54 3.4.4.6 Liquid 56 3.4.5 The experimental procedure 57 3.5 Data Analysis 58 3.6 Conclusion 59 RESULTS AND ANALYSIS 4.1 Introduction 60 4.2 Questionnaire result 60 4.3 Experiments result 64 4.3.1 Water as liquid 65 4.3.2 Combination of Water and Detergent as liquid 5 67 4.3.3 Sharlu oil as liquid 69 4.3.4 Castrol oil as liquid 73 4.4 Result of loses (A case study) 78 4.5 Result of guidelines 79 4.6 Conclusion 80 DISCUSSION 5.1 Introduction 81 5.2 Review on Survey 81 x 6 5.3 Review on Experiment 83 5.4 Review on losses 85 5.5 Review on guideline 88 5.6 Conclusion 90 FUTURE WORK AND CONCLUSION 6.1 Introduction 91 6.2 Future Work 91 6.3 Conclusion 92 REFERENCES 94 APPENDIX 97 xi LIST OF TABLES TABLES NO. TITLE PAGE 1.1 Types of Accident from Year 2006 until June 2009 4 1.2 Types of body Injuries from Year 2006 until June 2009 6 1.3 Number of Permanent Disablements by Body Part Injured, Year 2006 and 2007 2.1 Workplace Injuries by type of accident and degree of disablement on Year 2007 2.2 7 21 Industrial Accident Reported to the Labour Department and SOCSO by Industry1, 2004 – 2008 23 2.3 Number of Accidents by cause of accident – 2006 24 2.4 Slip potential classification, based on Pendulum Test Value (PTV) 2.5 Slip potential classification, based on Ra micro roughness values 2.6 34 Typical Ra surface micro roughness levels for a low slip potential, as function of contaminant type 2.7 33 35 Example of Typical Roughness characteristics for Some Common Floor surfaces 36 3.1 Point Likert Scale Indicator 42 3.2 Surface roughness for floor and footwear 45 3.3 Value of liquid 57 4.1 Water testing result 65 4.2 Water and detergent testing result 67 xii 4.3 Sharlu oil testing result 69 4.4 Castrol oil testing result 74 4.5 Guidelines from selected organizations 79 5.1 Recommended Guidelines 88 5.2 Typical Roughness characteristics of Floor surfaces 90 xiii LIST OF FIGURES FIGURES NO. TITLE 2.1 Primary fall, faller and prevention categorizations 2.2 Number of major injuries to employees by most kind of accident 1996/97 to 2007/08 2.3 15 20 Total of industrial Accidents and Fatal Accident (2004-2008) 2.4 PAGE 22 The unsuitable and suitable environment to avoid Slips and Falls 27 2.5 Provide a clear workplace and systematic storage area 28 2.6 Poor housekeeping can easily cause a slip, trip or fall hazard 28 2.7 Incident Report Injury (1-3) 29 2.8 Slip potential model 32 2.9 The pendulum CoF test 32 2.10 Surface micro roughness meters 33 3.1 Surtronic 3+ 43 3.2 Flooring Surface 46 3.3 Footwear Surface 47 3.4 Water 47 3.5 Oil 47 3.6 Floor surface at Fitting laboratory 48 3.7 Plan layout of experimental set up 49 3.8 Location and position of experiment 49 xiv 3.9 Scale to measure slip distance 50 3.10 Tape measurement 50 3.11 Digital Camera 51 3.12 Type Shoe 1 52 3.13 Type Shoe 2 52 3.14 Weight measurement 53 3.15 Weight of three different person 54 3.16 Digital Viscometer model DV-II 55 3.17 Liquid to test in slip and fall experiment 56 4.1 Gender Respondent 61 4.2 Age Group Respondent 61 4.3 Respondent who have seen and know the Slip and Fall signs 62 4.4 Respondent have experience on slips and falls 63 4.5 Cause of Slip and Fall 64 4.6 Graph Water testing for subject no. 3 without footwear 66 4.7 Graph Water testing for subject no. 3 with old footwear 66 4.8 Graph Water + detergent testing for subject no. 3 without footwear 4.9 68 Graph Water + detergent testing for subject no. 3 with old footwear 68 4.10 Graph Sharlu oil testing for subject no. 1 without footwear 70 4.11 Graph Sharlu oil testing for subject no. 2 without footwear 70 4.12 Graph Sharlu oil testing for subject no. 3 without footwear 71 4.13 Graph Sharlu oil testing for subject no. 2 with old footwear 71 4.14 Graph Sharlu oil testing for subject no. 3 with old footwear 72 4.15 Graph Sharlu oil testing for subject no. 2 with new footwear 72 4.16 Graph Sharlu oil testing for subject no. 3 with new footwear 73 4.17 Graph Castrol oil testing for subject no. 1 without footwear 74 4.18 Graph Castrol oil testing for subject no. 2 without footwear 75 4.19 Graph Castrol oil testing for subject no. 3 without footwear 75 4.20 Graph Castrol oil testing for subject no. 2 with old footwear 76 4.21 Graph Castrol oil testing for subject no. 3 with old footwear 76 xv 4.22 Graph Castrol oil testing for subject no. 2 with new footwear 77 4.23 Graph Castrol oil testing for subject no. 3 with new footwear 77 xvi LIST OF APPENDICES APPENDIX TITLE A The Company profile B The three source that have potential to cause slips and falls at SCA Hygiene company C PAGE 97 100 The place of incident related to slip and fall at SCA Hygiene company 102 D The Questionnaire survey 103 E The Surface roughness at SCA Hygiene Company 107 F The Surface roughness for glasses 108 G The Surface roughness at Fitting Laboratory 109 H The Surface roughness for footwear 110 I The Quantity of liquid 111 J The graph distance of slip during experiment 115 K Guidelines on Occupational Safety and Health in the office 124 L Guidelines for Protecting The Safety and Health 127 M Occupational Health, Safety and Welfare Regulation, 1995 131 CHAPTER 1 INTRODUCTION 1.1 Introduction Study about slips and falls are very interesting. The reason because slips and falls are an intriguing problem. These are common incidents and can cause everywhere either in an office setting, a school, a factory, a public building or a warehouse, inside and outside. Slips usually occur as a result of too little friction or traction between footwear and the walking surface, or tires and the road in the case of sliding accidents and the most important is afflicting to human life from childhood until old age. Slips and falls whether on or off the job are expensive, disruptive, painful, and may be tragic. Although, the number of cases in Malaysia is less but the impact will create lots of losses and become serious in the long term. Slips and falls are among the most frequent types of accidents in the workplace. Slips and falls can result in serious injuries including fractures, sprained joints, back injuries, contusions and lacerations. These injuries cause a lot of pain and suffering and sometimes result in death. Employees working daily almost 8 hours and above. During this period, they uncovered from any hazard and accident can occur because at workplace there are employees, machine, equipment and so on. 2 In this case, the workplace have high potential and risk to attend the hazard and cause the injuries to the employees. If the employees are not sensitive or avoid the safety rules or wear proper safety apparatus, they might be the victims of slips and fall accident. Besides injuries, employer may face the loss of manpower. Their employees might not fit well to their jobs and get the medical certificate or leave the jobs. So by that time factory will face the less manpower especially if it involve skill workers. So these problems will affect the production department. On the other hand, if there are a lots of slips and falls problems, the company also could spent plenty of money for compensation claim from employees. So, this study is carried out to identify the factors why slips and falls occur at work place. What are the main causes of slips and falls? Why these accident happen and how to reduce the number of cases? From the result of study, some rules can be produced useful to industries hence reduce their loss of human power at their work place or other work that can reduce their loss of employees. This study is important because slips and falls not only happen among employees but it might happen to employers because those who work at the workplace could have potential to involve in such accident. As human, accident cannot be avoided but human can reduce it or take a first step to prevent it from occurring especially at workplace because workplace is an area that most people would spend their day time there. The outcome of the study, some guidelines or rules can be identified to reduce these accidents or establish the preventive measures of slips and falls at the workplace. 3 1.2 Problems statement Slip and fall are one of the frequent types of accident at workplace. Although such accident is not a major accident but slip and fall can contribute to serious impact when it occurs especially to people or employees. Normally employees are trained when they enter a workplace. Employer will give them training about safety and supply them with proper clothes or safety clothes suitable to their tasks. Even though they are trained and wear proper clothes, accidents still occur at workplaces especially in manufacturing industries. Why do this accident still exist? Sometimes the number of such accident increase every year and it become more serious when there are fatalities. Table 1.1 shows in 2006 there are 786 cases of falls, which is 18% of the total. However in 2007 it reduced to 659 falling cases but its percentage increased to 20%. In 2008 the percentage was reduced to 458 cases which was 18.1% and in 2009 the cases recorded until June shows 172 cases on 14.4%. From the data, falls is one of critical types of accident that give high number of cases compare to other types of accident. The record shows that falling problems is a serious occurrence in manufacturing industry and will effect employees at their workplace. 4 Table 1.1 : Types of Accident from Year 2006 until June 2009 (Source: Department of Occupational Safety and Health - DOSH) Year 2006 Types of Accident Unclassified due to lack of data Fall of person struck by falling object Stepping on, striking against or struck by object Caught in or between object Overexertion or strenuous movement Contact or exposure to extreme temperature Contact or exposure to electrical current Contact or exposure to dangerous substances Other type of accident n.e.c. Total Year 2007 No. of Case 40 786 394 No data Fall Struck by falling object Stepping on, striking against or struck by objects Caught in or between objects No. of Case 32 659 413 1133 83 Unspecified due to lack of data Fall of person Struck by falling object Stepping on, striking against or struck by object Caught in or between objects Strenous movement 156 Contact or exposure to extreme temperature 118 23 Contact or exposure to electrical current Contact or exposure to dangerous substances Other types of accident, n.e.c Total 32 1012 55 681 4363 Year 2008 Types of Accident Types of Accident 636 989 86 58 236 3259 Year 2009 until June No. of Case 4 458 290 Types of Accident Fall Struck by falling object Stepping on, striking against or struck by objects No. of Case 172 161 244 497 Caught in or between objects 295 710 Overexertion or strenuous movements Exposure to or contact with extreme temperatures 101 Overexertion or strenuous movements 166 Exposure to or contact with extreme temperatures 120 Exposure to or contact with electric current 21 Exposure to or contact with electric current 25 Exposure to or contact with harmful substances 32 54 Other types of accident, n.e.c 92 Exposure to or contact with harmful substances Other types of accident, n.e.c Total 208 2532 Total Are the increasing injuries shows that employers are not serious in safety and health for their employees or employees ignore safety rules? These two factors are difficult to establish. Sometimes action taken by employer is very good and employee also done their task very well. But accident still exist. Who want to take a responsibility to this problem either the employers or the employees. Thus, slips and falls should be reduced because they are not good for human health and safety. So, this study want to identify what are the factors or causes of 72 1190 5 slips and falls especially at workplace, how to reduce or prevent it from occurring, and at the end some rules can be listed for use as guidelines in industries to help them control and reduce the slips and falls accident at their workplace. 1.3 Background to the problems From the problems statement mentioned in Section 1.2, there are a lots of accident occur in manufacturing field or more specific in factories. All these accident definitely cause the workplace injuries to employees. Table 1.2a to Table 1.2d shows the types of body injuries from 2006 until June 2009. These data from Department of Occupational Safety and Health (DOSH), Malaysia are for those accidents that occur in manufacturing industry. Although the total number of the cases are reduced every year, but injuries are accounted for. These body injuries data are referred to slips and falls problems. Table 1.2, nobody can say that he or she will escape from slips and falls incident. Slips and falls problems are common incident and can cause anywhere and anytime. This problem can also occur to anybody without exception. 6 Table 1.2 : Types of body Injuries from Year 2006 until June 2009 (Source: Department of Occupational Safety and Health - DOSH) Table 1.2 (a) : Year 2006 Types of body Injuries Table 1.2 (b) : Year 2007 No. of Case 6 No. of Case Types of body Injuries Head 10 Unspecified due to lack of data Face 10 Head 15 Neck 1 Neck 1 Trunk 3 Trunk 15 Back 16 Upper Limb (except fingers) 49 Chest 3 Fingers 9 abdomen 1 Lower limb 61 Upper limb 3 Multiple location 16 Shoulder 10 General injuries 7 Upper arm 3 Unspecified due to lack of data 1 Elbow 4 Total 180 Forearm 3 Wrist 5 Table 1.2 (c) : Year 2008 Hand 35 Types of body Injuries Finger 21 Head No. of Case 9 Lower limb 12 Neck 2 Knee 23 Trunk 4 Leg 41 Upper limb 32 Foot, ankle or toe 48 Fingers 8 Multiple location 27 Lower limb 39 General injuries 1 Multiple locations 10 Other locations n.e.c. 2 Other injuries, n.e.c 1 Total 282 Total 105 Table 1.2 (d) : Year 2009(up to 31st June) Head No. of Case 2 Neck 1 Trunk 4 Upper limb 13 Fingers 2 Lower limb 21 Multiple locations 4 Other injuries, n.e.c 1 Types of body Injuries Total 48 7 Table 1.3 shows that “Accident The Body Part Injured” for more than 9 in 10 permanent disablements (94%) reported in 2007 and this involved the upper limb, predominantly hands (including fingers). Around 5.5% of the victims sustained permanent injuries localized to the lower limb, down from 7.7% as compared to the previous year. Table 1.3 : Number of Permanent Disablements by Body Part Injured, Year 2006 and 2007 (Source: Occupational Safety and Health Division, Singapore Ministry of Manpower- MOM) Table 1.2 and Table 1.3 clearly defined that slips and falls problems are not suitable for occupational safety and health. The causes slips and falls to be known as risk factors. The greater the number of risk factors to which an individual is exposed, the greater the probability of a fall, and the more likely the results of the fall that will threaten the person's health and independence. Illnesses and physical conditions, whether related to aging or not, can affect our strength and balance and contribute to a fall. Failure to exercise regularly can be a factor too, because it results in poor muscle tone, decreased strength, and loss of bone mass and flexibility. These could affect our physical and mental condition. 8 For example, when somebody slip and fall, the person will experience pain on particular parts of the body. This injury might not be on the outer portion of the body but may cause in deep or inside of the body such as problem in blood vessels. This illness has to be treated immediately and it may affect the brain if the blood vessels do not deliver adequate blood to the brain. 1.4 Terminologies of slips and falls 1.4.1 Slip A sliding motion where the foot (shoe) losses traction with the floor surface resulting in a loss of balance. 1.4.2 Fall A drop in height of the human body. 1.4.3 Trip Involves a loss of balance when the natural movement of the foot is interfered with momentarily. 9 1.5 Objective of study The main objectives of this project are: a) To identify and determine the main causes of slips. b) To analyze the relationship between the selected sources of slips. c) To compute the monetary losses by employees due to slips and falls incidents (A case study). d) To establish the guidelines for factories to reduce the slips and falls accident from occurring. The main objective of this study is to identify and determine the main causes of slips. Through this objective, a survey will be done to identify and determine what is the main cause of slips to human when walk on that floor surface at the selected company. The second objective is to analyze the relationship between the selected sources of slips. This objective will use the floor surface as a basic factor but will be added with other factor for example wet floor. What causes wet floor, with either water or oil. So through these added factors combined with floor factor will initiate experiments to study their relationship between those factors. The third objective is to compute the losses of employees. This objective want to study about the effect and impact to the employees when slips and falls occur. If this problem occur, some losses will be faced. Employees should take a medical leave, the factory will loose their employees, and they have to pay a claim and insurance that will cover injuries. So this objective would highlight the causes after the slips and falls problem occur. The fourth objective is to establish the guidelines for factory to reduce the slips and falls accident from occurring. After all the three objective will achieve, some rules or guidelines will be held to help the factories to overcome slips and falls problems. 10 1.6 Scope of study This project cover: 1.7 a) Slips and falls incidents occur on the same level only. b) Concentrate on adult male working population. c) The study involve manufacturing industry (A case study). Organization of Thesis Chapter 1, explained the introduction and background of the slips and falls incidents especially at work place. Chapter 2, the literature review will discuss on slips and falls some information on its theories, types of fall and some case studies related to slips and falls. Chapter 3 consists of methodology about how to apply and carries out the analysis. This chapter provides the development of questionnaire to obtain results. Chapter 4 provides the results of experiment and analysis that have been used. Chapter 5 included discussion. Chapter 6 is about project conclusion recommendations for future work. 1.8 Conclusion This chapter provides an introduction on slips and falls. The main purpose of doing this based on the problem statement have been stated clearly. Next chapter will discuss the literature review of this study. CHAPTER 2 LITERATURE REVIEW 2.1 Introduction Slips and falls are accidents that can occur for a number of reasons. People cannot stop the hazard but can reduce or eliminate the causes that contribute to incident. By identifying the root problems in the slips and falls, such accidents could be reduced. This literature review, focus on the theories involves in slips and falls, the types of falls. Some statistic related to slip and fall and an example of case study. 12 2.2 Slips and falls theories 2.2.1 Slip and Fall Theory - Extreme Order Statistics Ralph L. Barnett (2002) highlighted the classical "slip and fall" analysis was reformulated in this paper to account for the stochastic nature of friction. As it turned out, the new theory, arising from this analysis, was a precise statement of the distribution function for the smallest value among n independent observations. This made it possible to invoke an important result from the asymptotic theory of extreme order statistics that reduced the theory to a simple and elegant relationship among the probability of slipping, the critical friction criterion, the distance traveled by the walker, and the average, spread and asymmetry of the distribution of friction coefficients. The new theory reveals that short walks lead to fewer falls; low friction floors are sometimes better than high friction ones. 2.2.2 Floor Reliability With Respect to "Slip and Fall" Barnett and Poczynok (2000) said for a given community of walkers and a specific type of ambulation, force-plate studies have established the required level of horizontal resistance for stable locomotion. This stochastic floor loading is resisted by friction forces which must be great enough to prevent slipping. A statistical characterization of frictional resistance has recently been developed using extreme value statistics. Reliability theory provides a method for combining the floor loading and friction resistance which, for the first time, enables one to determine in a rational manner the probability of slipping. This study presented a formula describing the "slip and fall" reliability of a floor or footwear couple. 13 2.2.3 Stochastic Theory of Human Slipping Barnett et al (2003) claims that the conventional approach to human slipping is essentially deterministic; it states that no slipping will occur when the average friction coefficient is greater than some critical friction criterion. Under this condition, pedestrians will not slip when they encounter the average friction coefficient. On the other hand, to successfully negotiate a walk of n-steps they must not slip when they encounter the smallest of the n friction coefficients. Consequently, a new slip theory has been formulated as a problem in extreme value statistics. An elegant relationship is obtained among the probability of slipping, the critical friction criterion, the number of steps taken by the walker, and the central measure, scatter, and asymmetry of the distribution of friction coefficients. The new theory reveals the structure of human slipping in a startling way that introduces completely new concepts: the go or no go nature of classical slip predictions is replaced by a probability of slipping; low friction floor/footwear couples may lead to fewer slips than high friction ones; slipping can occur in any case where conventional theory predicts "no slip"; and the number of slips depends on the distance traveled by a pedestrian. This study developed the idea that the slipperiness of a real floor must be evaluated for a duty-cycle. Duty-cycles can be represented as frequency histograms when a floor is homogeneous and isotropic. 2.2.4 Slip and Fall Characterization of Floors Barnett and Poczynok (2004) conclude that during ambulation, every step would cause feet to impose tangential loading at each contact with the floor. If the frictional resistance at the contact point is less than the associated tangential loading, slipping occurs and sometimes falling. There are five disciplines, some recently developed, that enable one to develop the general theory for predicting the number of walkers who will slip within a given time period on a statistically homogeneous and isotropic floor. These include force-plate studies, floor duty cycles, tribometry, 14 extreme value theory of slipperiness, and floor reliability theory. When used with some additional bookkeeping notions, the general theory will be extended to real floors traversed by walkers with multiple ambulation styles and wearing a variety of footwear. 2.2.5 Extreme Value Formulation of Human Slip: A Summary Barnett and Glowiak (2005) pointed that conventional "slip and fall" theory establishes a go-no-go criterion that indicates whether or not a given floor has satisfactory slip resistance. Specifically, the theory states that no slip, and hence no fall, will occur whenever the average coefficient of friction between a floor and some "worst case standard footwear material," e.g. leather, is greater than a threshold coefficient of friction. This threshold friction is not selected by some rational protocol; it is often established by legislative fiat or consensus. Using extreme value statistics, this paper reformulates classical "slip theory" to explicitly account for the stochastic nature of friction coefficients. By abandoning the traditional deterministic approach to slip in favor of a statistical formulation, fully integrated protocols are able to be developed which predict the number of pedestrians who will slip or, alternatively, who will violate a threshold slip criterion. A new theory emerges that embraces everything from a simple floor with a single walker to very complicated real floors traversed by a throng of pedestrians with multiple ambulation styles and wearing a variety of footwear. It must be emphasized that the new slip protocol merely provides a mathematical framework that enables walkway professionals to make quantitative estimates of slip propensity. Like conventional theory, it also suffers from the "garbage in-garbage out" syndrome. Accurate tribometers, for example, are still required for precise predictions. On the other hand, the concept of threshold criterion and worst case footwear surrogates are replaced by force-plate data obtained by gait laboratories using various communities of walkers. Reliability determination for real floors requires the introduction of floor duty cycles. 15 2.3 Types of falls Lehtola et al (1990) highlighted that basically falls consist of two types which are falls from heights and same level falls. Even though same level falls are most frequent compare to falls from heights are more severe. Through same level fall it has a high frequency but low severity, however fall from height has a lower frequency but with high severity. Same-level falls are generally slips or trips in which the individual is injured when he hits a walking or working surface, or strikes some other object during the fall. Over 60 percent of elevated falls are of less than 10 feet. Figure 2.1 show the customary to differentiate between falls on the level, falls on steps and stairs and falls from height including ladders, raised walking areas, windows and balconies. Figure 2.1 : Primary fall, faller and prevention categorisations 16 2.3.1 Same level falls i. Slip and fall Slips normally caused by a slippery surface and compounded by wearing the wrong footwear. There are two types of slips occur. The first of these is when the forward foot contacts the walking surface at an angle near the rear edge of the heel. Through this type of slip the front foot slips forward and the person falls backward. The second type of fall is when the rear foot slips backward. The force to move forward is on the sole of the rear foot. As the rear heal is lifted and the force moves forward to the front of the sole, the foot slips back and the person falls. ii. Trip and fall Trips occur when foot strikes an object and is suddenly stopped. Lose our balance and fall. As little as a 3/8 inch obstruction in a walkway can cause a person to "stub" his toe resulting in a trip and fall. The same thing can happen going up a flight of stairs. Uneven stair heights can cause trip and fall. iii. Step and fall Step occurs when the front foot lands on a surface lower than expected. A good example is unexpectedly stepping off a curb in the dark. By this type of fall, we will normally fall forward. A second type of step and fall occurs when either the inside or outside of the foot lands on an object higher than the other side as you step forward or down. The ankle turns, and tend to fall forward and sideways. 17 2.3.2 Falls from heights Generally, falls from heights are less frequent, but more severe than falls to the same level. Falls from ladders are the most common falls from heights. However, there are significant numbers of falls from vehicles, equipment and other structures. i. Falls from ladders Ladders come in many lengths, are made of several types of materials, and are rated according to how much weight they can hold. For example, ladders can be two feet high (step-stools) or 40 feet or longer (extension-type ladders). Ladders can be made of wood, metal or fiberglass. They can be rated light, medium, heavy, or extra-heavy duty. The type of ladder you select will depend on how you will be using that ladder. ii. Falls from vehicles and equipment Death or serious injury is a frequent result of extra riders falling from tractors, equipment or the bed of a truck. Unless the operation requires riders, such as on certain planting and harvesting equipment where seats or protected work areas are provided, extra riders should never be permitted. Riding on tractor fenders, drawbars on equipment, or the bed of a truck is an invitation for a disaster. The safe way is "NO RIDERS". Far too many injuries occur in the simple process of getting in and out of trucks, on or off tractors, machinery, wagons, trailers or truck beds. When the steps are metal, there is a low COF which becomes even lower if they are wet, muddy or oily. Keep the steps clean and dry. 18 iii. Falls from Loading Docks Loading docks and ramps are dangerous areas. They are frequently congested, heavy-traffic areas, and working and walking surfaces are often wet. Metal dock plates can wear smooth and become very slippery; in particular, the edge of a dock plate invites trips and falls. Accidental backward steps can result in a fall from the dock. Portable railings, which can be easily removed from the edge of the dock, could prevent many dangerous falls. They are removed when a truck or tractor is at the dock, and replaced as soon as the truck or trailer leaves. iv. Falls on Stairs Climbing stairs is common so it is easy to forget that they can be hazardous. Stairwells should be well-lighted, with sturdy handrails installed on both sides. When using stairwells, remember to keep one hand free so you can use the handrail. Falls on stairs occur most often when someone is traveling down stairs without holding onto a handrail. Loss of traction, or friction, causes many stairway slip and fall accidents and is usually due to water or other liquids on the steps. Other conditions that may lead to accidents on stairs include running or losing your balance. 2.4 Slip and Fall Statistics In some ways, a slip and fall accident does not sound serious and, many times, we fall down and only come away with a few scrapes, bruises, or scratches. However, many people are shocked to discover how many people are seriously 19 injured in slip and fall accidents as well as how expensive these injuries can be. Slips and fall premises liability cases can happen out on the street, at work, in a store, at a construction site, or even on private property. Here are some basic slip and fall statistics, taken from the National Safety Council and the Bureau of Labor Statistics: Over one million people in the United States experience a significant slip, trip, or fall each year. An average of 17,000 Americans die from their slip and fall accidents Falls account for one quarter of serious injuries in the workplace. The most frequently injuries incurred from all are back, wrist, elbow, shoulder, and knee injuries. In general, joint injuries are most common. A death from an on-the-job slip and fall is estimated to cost an average of $940,000 - on top of the victim's family's loss and trauma. Slips and falls are the third largest cause of workplace injuries. Slips and falls are the single most common reason for visits to the emergency room. The average cost of a slip and fall injury is $28,000, including medical bills, physical therapy, and missed wages. Slips and falls are the number two cause of accident death and disability, following behind automobile accidents. Slips and falls lead to 104 million lost workdays per year in North America - that's 4,000 lifetimes! Seventy percent of slips and falls occur on level ground. Trip and fall injuries cost the US $36 billion each year. 20 2.5 Workplace injuries Firstly, base on an analysis of Workers’ Compensation in Florida agriculture that was conducted in 1991, the number of falls was nearly 25% of serious disabling work injuries: 17% were elevated falls, 8% were same-level falls. The average direct cost for one disabling injury now costly $28,000. Conservative estimates of indirect cost are significantly increase to $46,000. In the case of a death on the job, the average cost has recently estimated at $940,000. Add to these the personel and family costs and trauma, so it is evident that slips, trips and fall should be avoided. Secondly, from Figure 2.2, the Health and Safety Executive in UK reported that their study about RIDDOR (Reporting of Injuries, Diseases and Dangerous Occurrences Regulations) gave this statistic. This case study shows that the slips, trips and falls on the same level is the highest amount compare to other injuries from years 1996/1997 to 2007/2008. The amount of injuries are highest area 8000 to 12000 employees involving in the slips, trips or fall on the same level. From this, shows that the slip, trips and falls on the same level are not the small injuries and effects of these injuries also give high risk to partial permanent incapacity, temporary incapacity, permanent or serious injury but also cause death or fatal. Figure 2.2 : Number of major injuries to employees by most kind of accident 1996/97 to 2007/08 (Source : RIDDOR (Reporting of Injuries, Diseases and Dangerous Occurrences Regulations) from Health and Safety Executive) 21 Thirdly, from Table 2.1, shows that more than 10,000 cases workplace injuries on 2007 which are give effect to fatalities or non fatalities. This source from Singapore Ministry of Manpower. Step on, strike against or by objects is the high injuries compare to others type of injuries. However the fall of persons is main type of accident cause the fatalities. Hence, this table shows fall of person is the high risk to fatalities and also the highest number of workplace injuries compare to other types of accident. Table 2.1 : Workplace Injuries by type of accident and degree of disablement on Year 2007 (Source: Occupational Safety and Health Division, Singapore Ministry of Manpower- MOM) Notes: 1) Figures are based on incident reports made under the Workplace Safety and Health (Incident Reporting) Regulations. 2) Figures are victim-based. Finally, statistic from Social Security Ministry of Human Resources, Malaysia. As shown in Figure 2.3, total number of industrial accident is more than 50,000 cases every year. Although the number is reduce from 2004 until 2007. However it increase on 2008. Besides that the number of Fatal Accident also shown 22 the increasing amount especially year 2007 to 2008. It’s a drastically increasing number from 1169 to 1301 number of fatalise. Figure 2.3 : Total of industrial Accidents and Fatal Accident (2004-2008) (Source : Social Security Organization SOCSO, Ministry of Human Resources) Table 2.2, shows the Industrial Accident from 2004 to 2008. This table actually related to Figure 2.2 whereas Table 2.2 give the detail types of Industries Accident that give the highest amount to Figure 2.2. Manufacturing is the main type of industries that give the highest number of accident in Malaysia from 2004 until 2008. Although the number is reducing every year but the amount still reach more than 15,000 cases for 2008. This means a lot of action should be done to overcome this problem to reduce it. 23 Table 2.2: Industrial Accident Reported to the Labour Department and SOCSO by Industry1, 2004 – 2008 24 Table 2.3 shows the number of Accidents by cause of accident for 2006 in Table 2.3 : Number of Accidents by cause of accident – 2006 (Source : SOCSO) Malaysia. Table 2.3 : Number of Accidents by cause of accident – 2006 (Source : SOCSO) 25 26 2.6 Slips and falls case study There are some case study made by The Retail Industry Reference Group together with WorkCover New South Wales (NSW). 2.6.1 Environmental issues i. Climatic impact on the workplace. It happen when a woman slips over at work. Her names is Jenny which is working at Cara’s Clothing, women’s fashion retailer housed in a large retail building on a busy city street. One environmental issues impacting on the store’s interior is its south-westerly aspect, which cause both temperature and light levels within the store to rise in the afternoon. As parts of its design the floor is polished concrete. The front door is kept open during operating hours (as it is quite old and difficult to push) see Figure 2.4(a) and Figure 2.4(b). Because of the lighting has been designed to cope with the bright afternoon sun, the entrance to the store can often appear to be very poorly lit when there is reduced morning sun. Jenny, a casual sales assistant, attended work one morning on a cold, wet day. Just inside the store’s front door she noticed several small puddles of fluid on the cement flooring. It was Jenny’s job to reorganize the window display during her shift, which involved moving several boxes between the back and front of the store. While moving the box Jenny slipped in the puddle of fluid located near the front door, causing her to fall and injure her shoulder and back. This injury resulted in Jenny missing two weeks work on a worker’s compensation claim. 27 (a) The unsuitable environment (b) The suitable environment Figure 2.4 : The unsuitable and suitable environment to avoid Slips and Falls 2.6.2 Housekeeping issues ii. Obstructions to main walkway areas This case study happen when worker names John trips over boxes obstructing aisle. John was an 18 years old casual employee working at a variety store over the Christmas period. While the stored carried a wide range of stock throughout the year, there was always a marked increase in the amount of stock delivered for Christmas and with limited space available, it became common practice among staff to leave empty boxes and packaging material on the floor in their haste to replenish the shelves, see Figure 2.5(a) and Figure 2.5(b). As a result, when moving quickly down an aisle towards the front of the store to assist a customer, John tripped and fell over some empty boxes. He injured his left knee and required surgery and ongoing physiotherapy as he was unable to walk without difficulty for a significant amount of time and 28 was considered unfit for work for several weeks. Prior to the injury, John was fit and active, played competitive sport, jogged and had a good social life. John’s ability to continue his sporting and social activities, even on a longterm basis, has been greatly reduced. (a) Unclear and unsystematic storage (b) Clear and systematic storage Figure 2.5 : Provide a clear workplace and systematic storage area iii. Spills or leaks on a floor surfaces This case study happened when ongoing problem with leaking refrigeration unit. A small supermarket had an old, outdated refrigeration unit that leaked, causing large puddles of fluid to collect on the floor around the unit. Employees placed “ Slippery when wet” signs around the refrigeration unit, kept a mop and bucket nearby and had raised the issue as an OHS concern. Customers had also complained about the issue. The rate of slips and falls began to increase for both staff and customers as repairs to the unit were costly and took many weeks. Figure 2.6 shows that there is some drinking water on the floor that should be avoid slippery wet floor. Figure 2.6 : Poor housekeeping can easily cause a slip, trip or fall hazard 29 2.6.3 Incident report Injury This sample of incident report injury from factory visit that have been made rd on 3 September 2009 at SCA Hygiene Malaysia Sdn. Bhd. (see Appendix A to C) at No. 3, Jalan Gicing Hulu 28/33, Hicom Industrial Estate Sektor C, Seksyen 28, Taman Alam Megah, 40400 Shah Alam Selangor. See Figure 2.7. Figure 2.7 : Incident Report Injury (1/3) 30 Figure 2.7 : Incident Report Injury (2/3) 31 Figure 2.7 : Incident Report Injury (3/3) 32 2.7 Research from HSE/HSL Research by the Health and Safety Laboratory (HSL) on behalf of Health and Safety Executive (HSE) has shown that a combination of factors can contribute to slip accidents. A slip potential model has been developed, in which the relative importance of the factors contributing to a slip are assessed and quantified (see Figure 2.8) Figure 2.8 : Slip potential model The methodology is based on two instruments: i. a pendulum coefficient of friction (CoF) test (HSE’s preferred method of slipperiness assessment (Figure 2.9) Figure 2.9 : The pendulum CoF test 33 ii. a surface micro roughness meter (Figure 2.10). Figure 2.10 : Surface micro roughness meters ( left to right : Mitutoyo Surftest SJ201P, Surtronic Duo, Surtronic 25) 2.7.1 Pendulum The pendulum CoF test also known as the portable skid resistance tester, the British pendulum, and the TRRL pendulum (Figure 2.9) is the subject of a British Standard, BS 7976: Parts 1-3, 2002. Research has confirmed the pendulum to be a reliable and accurate test, leading to its adoption as the standard HSE test method for the assessment of floor slipperiness in dry and contaminated conditions. Pendulum result should be interpreted using the information reproduced in Table 2.4. Table 2.4 : Slip potential classification, based on Pendulum Test Value (PTV) Slip Potential PTV High 0 – 24 Moderate 25 – 35 Low 36 + 34 2.7.2 Surface micro roughness An indicator of slipperiness in water-contaminated conditions may be simply obtained by measuring the surface roughness of flooring materials. Roughness measurements may also be used to monitor changes in floor surface characteristic, such as wear. Research has shown that measurement of the Ra parameter allows slipperiness to be predicted for a range of common material. Ra is a measure of total surface roughness, calculated as the mean of several peak-to-valley measurement. When surface roughness data is used to supplement pendulum test data, the roughness results should be interpreted using the information reproduced in Table 2.4 (from UKSRG, 2005). Where only roughness data is available. The figure quoted in Table 2.5 related to floor surface slipperiness in watercontaminated conditions. If there are other contaminated, differing levels of roughness will be needed to lower slip potential. As a general rule, a higher level of surface roughness is needed to maintain slip resistance with a more viscous (thicker) contaminant. Table 2.5 : Slip potential classification, based on Ra micro roughness values Ra surface roughness Slip Potential Below 10 m High 10 – 20 m Moderate 20 + m Low The figures in Table 2.6 are typical Ra surface micro roughness levels at which floors are likely to result in a low slip potential, as a function of contaminant type and should not be used on their own for specifying floors. 35 Table 2.6 : Typical Ra surface micro roughness levels for a low slip potential, as function of contaminant type 2.8 Minimum roughness (Ra) Contaminant 20 m Clean water, coffee, soft drinks 45 m Soup solution, milk 60 m Cooking stock 70 m Motor oil, olive oil Above 70 m Gear oil, margarine Research for walkway surface Research findings on the influences of walkway surface roughness on slipperiness were first reported by Jung and Riediger (1982), Gronqvist et al’ (1988b, 1990), Harris and Shaw (1988) and Wieder (1988). From this research, Jung (1991) summarized the required minimum values for flooring roughness parameter Ra (arithmetic average of surface heights), Rz (DIN) and Rm (average of peak to valley height) in several lubricant condition by transforming the parameter values to Rz (DIN) values. The suggested minimum requirements expressed using Rz (DIN) were as follow : 7.6 – 8.8 m for damp surface, around 34 m for wet surfaces, 31 – 39 m for surfaces contaminated with concentrated glycerol and 34 – 140 m for oily surfaces. The example of typical roughness characteristics for some common floor surfaces are presented in Table 2.7. 36 Table 2.7 : Example of Typical Roughness characteristics for Some Common Floor surfaces ( Source : Books of Understanding and Preventing Falls) Surface Roughness Parameter Floor surface Stainless steel (smooth) Glazed ceramic tile (smooth) Semiglazed ceramic tile (rough) Unglazed ceramic tile (semirough) Vinly tile (smooth) Antislip vinly with silicon carbide particles Concrete with acrylic resin coating Epoxy resin with quartz particles (semirough) Acrylic resin with quartz particles (rough) Abrasive safety floor tape (rough) Amplitude (m)a Ra Wavelength (m)b q Slope (degrees)c q Skewnessd Rsk 0.15 120 0.55 +0.91 0.75 600 0.55 -0.01 17.0 670 12.0 +1.30 2.9 150 9.20 -0.50 1.5 – – – 7.5 – – – 6.0 – – – 5.0 – – – 14.0 – – – 22.0 – – – – = missing parameter value a Larger amplitude indicative of better slip resistance in wet or oily conditions. b Smaller wavelength indicative of better slip resistance in wet or oily conditions. c Larger slope indicative of better slip resistance in wet or oily conditions. d Symmetric profiles with equal numbers of peaks and valley have zero skewness, positive skewness provides larger void volume for better contaminant displacement, however, negative skewness provides larger apparent contact area. 37 2.9 Conclusion The literature review discuss in this chapter especially on Slips and falls theories, several types of fall, statistics and some case study will guide the selection of the methodology that will discuss further in Chapter 3. CHAPTER 3 METHODOLOGY 3.1 Introduction This chapter will discuss the methodology of the study. This chapter is important to give a guidelines to obtain information for analyzing and decision making in order to meet the specified objectives. Experiments will be carried out to test the output according to the input that achieve from the literature review. The objectives of doing the experiments are to determine which variables are most influential on the response(y), to determine where to set the influential x’s so that y is almost always near the desired nominal value, to determine where to set the influential x’s so that variability in y is small or to determine where to set the influential x’s so that the effects of the uncontrollable variables z1, z2, …are minimized. The outcomes of the experimental techniques can result in achieving the objectives of the study, ie. to establish the criteria of floor surface roughness with rate accident cases and to compare the selected sources of slips and falls. From the result of both objectives, the third and fourth objectives can be analyzed to compute 39 the losses of employees and establish the guidelines for factory to reduce the slips and falls accident from occurring especially at the workplace. 3.2 Strategy of Experiment There were are two types of strategy of doing an experiment which are “Bestguess” experiments and One-factor-at-a-time (OFAT) experiments. a) “Best-guess” experiments By using this strategy, it used a lot of guess or other factors that might related to the experiment. b) One-factor-at-a-time (OFAT) experiments Sometimes associated with the “scientific” or “engineering” method. 3.3 “Best-guess” experiments By using this strategy several factors will be to guess in order to identify the main factors that might cause the slips and falls problems. In order to identify the factors, a questionnaire is developed and distribute in a selected factory. 40 3.3.1 Questionnaire Development Questionnaire are used to achieve the research target to select the main sources of slips and falls at workplace. So the questionnaire is developed according the objectives and scope of the study. To develop the questionnaire there are the criteria have to be considered which are demographic, construct and method of scoring. i. Demographic Demographic is the basis of study of the statistics of age, gender, working experience, style of working and so on. The proper questions are developed for the purposes of this study. Normally, as referred to previous study, the questions in this section are gender, age, marital status, working experience, style of working and so on. For the purpose of this study, the demographic status for company size, working hours, lighting at workplace and basic question about slips and falls figure are also included. These questions are in need for results analysis to achieve the objectives of the study. ii. Constructs Before developing the questions, constructs are used to build the model of the questionnaire. The constructs are as written below: 1. Demographics 2. Part A (Causes of falls) Approximately 30 questions related to the objectives and used in the questionnaires. 41 The construct of demographics questions is concentrated on basic questions (for the first 10 questions). The basic question such as marital status, age, gender, working experience, working hours and so on. But after 10 questions had been asked, the next are focusing on slips and falls. Begin with the slips and falls figure, it is necessary to identify either Malaysian workers or employees are knowledgeable or not about slips and falls figure. Based on that figure, they have to choose what are the main factors of the slips and falls especially at their workplace. They are also given questions on which parts of their body will have a potential to injure if they experience slips and falls. The next questions are to prove that the other factors that will caused the slips and falls. Part A is built to support the demographics questions especially about the sources of the slips and falls. This type of question is built to give a support to demographics questions and to identify the awareness among workers at workplace in slips and falls. The questions are concerned with the working area condition which are related to slip and fall. The outcome from these questions is to examine either the workers are aware of the factors or sources that will cause slips and falls at their workplace. The worker may not be knowledgeable at such to focus on all the surrounding circumstance and based on past experience and current knowledge is likely to expect a successful outcome. Retrospective mapping seen from an investigator outside view may give the impression that the workers have a number of choices, whereas from the inside (the workers point of view in contact), it may have seemed as if there were few or no practical alternative. The challenge in the investigation and analysis is to understand the individual workers knowledge and information and how they make a decision to choose the score. 42 iii. Method of Scoring In order to give better accessibility to the respondents, Likert Scale is used as this scoring is acknowledged to have scoring easiness. The measurement is in the form of 5 point Likert Scale. The Table 3.1 shows the points’ indicators for every construct. Table 3.1: Point Likert Scale Indicator Likert Scale Points Part A 1 Disagree 2 Uncertain 3 Quite agree 4 Agree 5 Strongly agree Respondents are required to circle only one point which the represents the closes mark to their situations for each question in each construct. (see Appendix D) 3.3.2 Data Collection The questionnaire is built especially to be answered by Malaysian workers who are involved in Manufacturing field that are prone to slips and falls incidents. The target is to get as many respondents as possible to meet the terms of statistical analysis. One factory will be selected and visited to get the real situation at factory. By factory visit, it gives a focusing and easier to identify how potential of slips and falls at the selected factory. During the visit, employees will given the questionnaires to answer and the questionnaires are collected for analysis. In addition, workers who are warded in hospital or have related case on slips and falls will be interviewed for more information. This information will be used to support the data about slips and falls. 43 Besides the questionnaires, a statistic data from a factory also important to identify either there is a case on slips and falls. The data will be analyzed and some pictures will be taken to prove that the factory have a potential for slips and falls to occur or not. The flooring surface will be tested using Surtronic 3+, as shown in Figure 3.1. The purpose of testing the floor surface is to identify the surface roughness at the factory. By the surface roughness data, it can be determined either the floor surface that have a potential to slips and falls or not. Figure 3.1 : Surtronic 3+ Surtronic 3+ is used to determine the surface roughness accurately, portable for workshop or laboratory use, selectable parameters and large range of accessories, optional PC software for advanced analysis and reporting capability. Surtronic 3+ combines advanced technology with accuracy and value to give effective measurement of surface finish in the workshop, inspection room or laboratory. Portable and flexible, Surtronic 3+ is ideal for measuring a wide range of components even if they are inaccessible or difficult to move. Besides measuring the surface roughness of the factory floor, the equipment measures the surface roughness floor used in the experiment and the surface roughness of footwears. 44 3.3.3 Surface roughness value Table 3.2 show the surface roughness of floors at SCA Hygiene company, glasses, flooring at Fitting Lab and footwear. From Table 3.2 the surface roughness value at SCA Hygiene workshop floor is 9.4m and the value of surface roughness at workplace are 1.00m, 3.7m, 0.82m and 0.4m. The highest value of surface roughness for workplace floor is 3.7m and the lowest value is 0.4m. (see Appendix E) However for comparison value of surface roughness for glass which are 0.02m, 0.06m, 0.00m and 0.04m. The highest value of surface roughness for glass is 0.06m and the lowest value is 0m. (see Appendix F) Besides that, the surface roughness in the Fitting lab which is the location on doing testing are 1.52m, 1.4m, 1.8m, 3.0m, 1.6m and 2.0m. (see Appendix G) Finally, the surface roughness value for two different type of footwear which are for new footwear are 9.5m for front part of the sole of footwear and 8.3m for back part of the sole of footwear. For old footwear are 8.5m for front part of the sole of footwear and 8.5m for back part of the sole of footwear. (see Appendix H) 45 Table 3.2 : Surface roughness for floor and footwear No. 1. 2. Location SCA Hygiene 3. 4. 5. 6. 3.4 Material Surface roughness value Workshop floor 9.4m Workplace area 1.00m, 3.7m, 0.82m and 0.4m Glass 0.02m, 0.06m, 0.00m and 0.04m Fitting 1.52m, 1.4m, 1.8m, 3.0m, laboratory 1.6m and 2.0m Footwear New footwear 8.3m(heel) and 9.5m(toe) Old footwear 8.5m(heel) and 8.5m(toe) One-factor-at-a-time (OFAT) experiments Based on the questionnaire survey, those data will be used to carry out experiments. The factors will be identified and classified into levels. The purpose of the experiment is to recognize the floor is slippery when there are wet due to water, oil, or dusk, wear a wrong shoes, environment, contamination, cleaning process, obstacles, human factors and also health factors. These causes will cause slips and falls if no action is taken to rectify the condition. According to the factors, an experiment will be carried out based on the combination of selected factors to overcome slips and falls accidents. These relationship will give results for example the surface roughness have the potential to slip but will be affected by external factor would cause slips and falls. If it is wet, due to water or oil, the floor will become slippery. From the factorial designs with several factors and level from each factor, the experiment involve flooring surface roughness, footwear, water and oil are the main factors that will cause the slips and falls. From those experimental, the output can 46 contribute a guidelines to the factory to avoid those conditions so that slips and falls problems will be reduced at their workplace. 3.4.1 Experiments Form the questionnaire survey, there are three main factors that will be analyzed by One-factor-at-a-time (OFAT) experiments. The factors are flooring, footwear and cleaning. Flooring is the main cause to distribute slip and fall with 28.6 % of the respondent to respond to this factor. However footwear is the second factor cause to slip and fall problems and the third factor selected is cleaning factor which include water and oil. The figures below show the factor that will use to set up the experiments by using all these factors. Figure 3.2 shows the floor of working area. From questionnaire survey clearly stated that the floor is the most important factor that will contribute to slips and falls accident. According to research by The Health and Safety Laboratory if the surface roughness is less than 10.00m, it would have high slip potential. So the experiments will prove that either flooring will effect the slip and fall incident. Figure 3.2 : Flooring Surface 47 Figure 3.3 shows the footwear surface. The footwear is second factor that causes slip and fall at workplace. The footwear and flooring will give the result of slip and fall incident. Figure 3.3 : Footwear Surface Figure 3.4 show that water is selected to become a third factor to study the relationship between flooring and footwear. This factor will be used as a material in experimental set up. Figure 3.4 : Water Figure 3.5 shows that oil is another factor selected in the same category as water in cleaning factor. Some selected oil will be used for testing during the experiment. Figure 3.5 : Oil 48 3.4.2 Experimental set up Experimental set up is important. From the survey, three factors are selected to continue the testing. The selected location is Fitting laboratory at Polytechnic Port Dickson. The next step is setting the layout for testing. Experimental apparatus and types of liquid are selected and will be discussed later. Figure 3.6 shows the floor surface at the Fitting laboratory. As usual the surface roughness of the floor should be measured to make sure that the floor is similar or still with the range of the surface finish of factory workplace. Figure 3.6 : Floor surface at Fitting laboratory 3.4.3 Experimental layout An experimental layout is important before testing. This is essential to give a consistence result compared to different location. Figure 3.7 shows the location at the starting point for subjects to do the walking step, target area with liquid where digital camera is located. The area of the experimental set up is 550cm x 300cm. 49 50 80 180 35 180 table 25 table 90 120 155 Step of walking C 300 310 550 Starting point Target area to put a liquid C Position of digital camera All dimension in cm Figure 3.7 : Plan layout of experimental set up Figure 3.8 shows the scene where the experiment is carried out where the subject would walk pass, the position of digital camera and the targeted spot where a liquid is placed either water or oil. Starting point Step of walking Position of digital camera Target area to put a liquid Figure 3.8 : Location and position of experiment 50 Figure 3.9 shows the picture of scale used to measure the distance of slip in centimeter. Scale to measure slip distance Figure 3.9 : Scale to measure slip distance 3.4.4 Experimental apparatus and liquid 3.4.4.1 Tape measurement Figure 3.10 shows the tape measurement that can measure for 3 metres distance. This tape is used to measure the distance of slip during the experiment. The tape will be used manually if there is slip incident occurring during testing. Specification of tape measurement : To measure distance until 3 metres Figure 3.10 : Tape measurement 51 3.4.4.2 Digital Camera Figure 3.11 shows the picture of a digital camera. This digital camera brand Olympus model FE-360 can produce the picture 8 megapixel and achieve until 3 x optical zoom with 6.3 to 18.9mm. This model can also record the video. This digital camera was used not only to capture the picture but also to record video in the experiment. The digital camera is located at the position shown in Figure 3.8. Figure 3.11 : Digital Camera 3.4.4.3 Footwear Selection of a suitable footwear is important to make sure this footwear is suitable at workplace. The selected footwear that have been chosen is flat footwear. To test the slip and fall experiment, two models of footwear are selected which are shown in Figure 3.12 and Figure 3.13. Figure 3.12 is a new footwear and it is divided into two parts which are Figure 3.12 (a) shows the front part of that footwear and Figure 3.12 (b) shows the bottom part of the footwear. 52 (b) (a) Figure 3.12 : Type Shoe 1 Figure 3.13 shows the second model of the shoe which is really a used footwear. It is divided into two parts which are Figure 3.13 (a) shows the front part of the footwear and Figure 3.13 (b) shows the bottom part of used footwear. (b) (a) Figure 3.13 : Type Shoe 2 53 Both of these footwears will be used by three persons who are involved in the testing. They will start their step from the starting point and walk through passing the targeted place or area which is spread with liquid as shown in Figure 3.8. 3.4.4.4 Weight measurement Figure 3.14 shows the picture of weight measurement. This weight measurement is used to measure weight of person which is involve in slip testing. The weight measurement is analog and considered to measure weight from 0 until to 130kg. Specification: Consider weight from 0 to 130kg Figure 3.14 : Weight measurement Figure 3.15 shows that the weight of three different persons as the subjects in experiment. The objective of selecting three different weights is to study the relationships and make comparisons between the weights that influence to slip. The weight of the first person is 65kg shows in Figure 3.15 (a), the second person weight is 70kg shown in Figure 3.15 (b) and the third person weight is 80kg shown in Figure 3.15 (c). 54 Ghazali Firdaus (a) (b) Ariman (c) Figure 3.15 : Weight of three different person 3.4.4.5 Viscosity apparatus Digital Viscometer model DV-II is a viscometer measurement (Figure 3.16). It can measure viscosity in Cps (Centipoise). 55 Figure 3.16 : Digital Viscometer model DV-II Viscosity describes a fluids resistance to flow. Dynamic viscosity is obtained by dividing the Shear stress by the rate of shear strain. The units of dynamic viscosity are : Force / area x time. The Pascal unit (Pa) is used to describe pressure or stress = force per area. This unit can be combined with time (sec) to define dynamic viscosity. = Pa•s which is 1.00 Pa•s = 10 Poise = 1000 Centipoise Centipoise (cP) is commonly used to describe dynamic viscosity because water at a temperature of 20°C has a viscosity of 1.002 Centipoise. This value must be converted back to 1.002 x 10-3 Pa•s for use in calculations. 56 3.4.4.6 Liquid Figure 3.17 show that there are four types of liquid used. Figure 3.17(a) shows of water, Figure 3.17(b) shows a combination of water and detergent. Figure 3.17(c) shows lubricant oil from Castrol and Figure 3.17(d) shows hydraulic oil from Sharlu. (a) (c) (b) (d) Figure 3.17 : Liquid to test in slip and fall experiment As mention in part 3.4.4.5 before this, Digital Viscometer model DV-II (Figure 3.16) is used to measure all four types of liquid. The value is measured at room temperature in the Fluid Mechanic Laboratory at the Faculty of Mechanical Engineering, UTM. Table 3.3 shows that the viscosity of water is 1.248 Centipoise (Cps), viscosity for both combination water and detergent is 1.56 Centipoise (Cps). For 57 Sharlu oil, the viscosity is 3.914 Centipoise (Cps) and the last type is for Castrol oil viscosity is 4.7925 Centipoise (Cps). Table 3.3 : Value of liquid Material Unit 1 2 3 4 5 6 7 Average Water 0.62 0.93 1.25 1.57 1.87 1.248 Water + Detergent Sharlu oil Castrol oil Centipoise 0.62 2.35 0.93 3.14 1.25 3.91 1.56 4.69 1.87 5.48 2.19 2.5 1.56 3.914 3.14 3.91 4.69 5.48 6.26 7.03 7.83 4.7925 These four liquids will be put on the target area. During the experiment water is the first liquid followed by combination water with detergent then followed by Sharlu oil and the final with Castrol oil will be testing. Each liquid will be used in the tests with five different quantity starting from 100ml, 200ml, 300ml, 400ml and 500ml. (see Appendix I) 3.4.5 The experimental procedure The subject walked from starting point through the steps provided on the floor surface. After several step of walking the person will touch the targeted area which is provided with different types of liquid starting from water, combination of water and detergent, Sharlu oil and Castrol oil. During the walking process, it will be recorded on the digital camera located as shown in Figure 3.8. The camera will be 58 stopped when the person or subject arrive at the end point and if there is any slip incident occur, the distance will be measured using tape measurement as shown in Figure 3.10. 3.5 Data Analysis To analyze data, two softwares are used : Minitab Release 14 and Statistical Package for Social Science (SPSS). Minitab is used to process the data from questionnaire survey. This software is a leader in delivering statistical software and services for quality improvement, education and research. It provide data analysis tools that are accurate, reliable and easy to use. There are two ways to save work in Minitab which are Project (.MPJ) files store or Worksheet (.MTW) files store. In a project, we can manipulate data, perform analyses and generate graphs. Project (.MPJ) files store contain one or more worksheets which are Worksheets, Graphs, Session window output, Session command history, Dialog box settings, Window layout and Preferences. However in Worksheet (.MTW) files store contains Columns, Constant, Matrices, Design objects, Column descriptions and Worksheet descriptions. The differences between save work as a project and worksheet is when save work as a project file keeping all our data, graphs, dialog box settings and preferences together but save as worksheet file can be used in several projects and sent electronically without sending the entire project. However Statistical Package for Social Science (SPSS) software is used to analyze the experimental data. This software is useful to analyze the Table Curve 2D. The specialty about this software is that it gives us the power to find the ideal model for even the most complex data by putting thousands of equations. Table Curve 2D 59 built-in library that include a wide array of linear and nonlinear models for any application including equations that may never have been considered. 3.6 Conclusion The methodology mention in this chapter provided the explanation on the model applied in this research and the sequence to carry out the analysis. The result of the experiment and data analysis will be discussed further in Chapter 4. CHAPTER 4 RESULTS AND ANALYSIS 4.1 Introduction This chapter explains the result of experiment and analysis. By using Best Guess experiment, questionnaire are developed to survey and select the main sources of slips and falls at the workplace. However using One-factor-at-a-time (OFAT) experiments, an experiment will be done using the data from questionnaire which selected several factors that have potential to slips and falls especially at workplace. The result from both methodology will be discuss in detail. 4.2 Questionnaire result From the questionnaire survey, the data will be analyzed using Minitab software . The results of survey are as shown below. Figure 4.1 shows that the majority of the respondents are from male category with 66. 7 % compared to female category with 33.3 % of the respondents. 61 Figure 4.1 : Gender Respondent Figure 4.2 shows 54.2 % is for category age from 21 – 30 years of the respondents, then 21.7 % of the respondents from 13 – 20 years old. For age group 31 – 40 years is 16.7 % of the respondents and the last age group is 41 – 50 years old which is 7.5 % from the respondents. Figure 4.2 : Age Group Respondent Figure 4.3 shows two different responses from respondents who have seen the slips and falls signs and those who might know about the slips and falls signs. From the response, majority of the respondents who have seen the slips and falls 62 signs are 82.5 % and 91.7 % of them know about slips and falls signs. And just 17.5 % of the respondents have not seen the slips and falls signs similar to 8.3 % of respondents who did not know about slips and falls signs. Figure 4.3 : Respondent who have seen and know the Slip and Fall signs 63 Figure 4.4 shows that 57.5 % of the respondent have seldom experience on slips and falls problem. Instead 35.8 % of the respondents never have experience on slips and falls and 6.7 % of them have experience on slips and falls. Figure 4.4 : Respondent have experience on slips and falls Figure 4.5 shows that respondents need to give their opinion on what are the main factors that cause slips and falls. Flooring is the main factor that contribute to slip and fall with 28.6 % of the respondent vote for this factor. Then footwear is the second source to slip and fall with 18.8 % respond from the respondents. Environment is third source that contribute to slip and fall with 13.3 %. Environment means the working area is unsuitable environment such as temperature and lighting level, there are some boxes or apparatus that are not in proper arrangement and so on. 64 The fourth cause of slip and fall is cleaning with 12.9 %. Cleaning means there are some liquid of the walking area such as water, detergent or oily. People or human factor contribute 9.4 % of the cause to slip and falls. The sixth factor is obstacles which is 9.0 % of the respondent vote for this factor. And 3.9 % of the respondent said that our health is responsible to cause slip and fall problems. Figure 4.5 : Cause of Slip and Fall 4.3 Experiments result Each liquid was tested for five different quantities from 100ml, 200ml, 300ml, 400ml and 500ml. For each subject, he had to repeat the test three times by 65 walking in three ways such as without footwear, using new footwear and with old footwear. 4.3.1 Water as liquid Table 4.1 shows the result of experiment using water as the liquid. The table showed that by using water, the slips occur for subject no 3. While he did the walking without using any footwear cause a slip on the quantity of water 100ml until 500ml. However when he did the walking experiment with old footwear the slip occur on 500ml quantity of water only. (see Appendix J) Table 4.1 : Water testing result Quantity Liquid/Person /Footwear Subject No. 1 (Firdaus) Water Subject No. 2 (Ghazali) Subject No. 3 (Ariman) WOF NF OF WOF NF OF WOF NF OF 100ml NS NS NS NS NS NS 20cm NS NS 200ml NS NS NS NS NS NS 15cm NS NS 300ml NS NS NS NS NS NS 25cm NS NS 400ml NS NS NS NS NS NS 30cm NS NS 500ml NS NS NS NS NS NS 35cm NS 8cm WOF - Without footwear, NF - New footwear, OF - Old footwear , NS - Non Slipping Figure 4.6 shows the graph for data subject no. 3 whose data uses water as a liquid without wearing any footwear. This graph shows that a linear line with positive slope was produced with the mean values of 25 and the median is 25. 66 Figure 4.6 : Graph Water testing for subject no. 3 without footwear Figure 4.7 shows the graph for subject no. 3 which is testing using water as a liquid by wearing old footwear. This graph show a linear line with positive slope was produce which is the value of mean for this graph is 1.6 and the median is 0. Figure 4.7 : Graph Water testing for subject no. 3 with old footwear 67 4.3.2 Combination of Water and Detergent as liquid Table 4.2 shows the result of experiment using the combination of water and detergent as a liquid. The table shows that by using water and detergent as a liquid, the slips still occur for subject no. 3. While he did the walking without using any footwear for 200ml of quantity water and detergent and by wearing old footwear for 200ml and 300ml quantity of water and detergent. (see Appendix J) Table 4.2 : Water and detergent testing result Quantity Liquid/Person /Footwear Subject No. 1 (Firdaus) Water + Detergent Subject No. 2 (Ghazali) Subject No. 3 (Ariman) WOF NF OF WOF NF OF WOF NF OF 100ml NS NS NS NS NS NS NS NS NS 200ml NS NS NS NS NS NS 15cm NS 13cm 300ml NS NS NS NS NS NS NS NS 15cm 400ml NS NS NS NS NS NS NS NS NS 500ml NS NS NS NS NS NS NS NS WOF - Without footwear , NF - New footwear , OF - Old footwear , NS - Non Slipping NS Figure 4.8 shows the graph for subject no. 3 which is testing by using water and detergent as liquid without wearing footwear. This graph shows that a linear line with negative slope was produced with the mean value of 3 and the median is 0. 68 Figure 4.8 : Graph Water + detergent testing for subject no. 3 without footwear Figure 4.9 shows the graph for subject no. 3 which is testing using water and detergent as liquid by wearing old footwear. This graph shows that a linear line with negative slope was produce with decrease value with the mean value of 5.6 and the median is 0. Figure 4.9 : Graph Water + detergent testing for subject no. 3 with old footwear 69 4.3.3 Sharlu oil as liquid Table 4.3 show the result of experiment by using Sharlu oil as a liquid. The table shown that by using Sharlu oil as a liquid, the slips occur for each person which is for subject no. 1 during the experiment without using footwear for every quantity of Sharlu oil. For subject no. 2, the slip occur when he not wear a footwear and using old footwear for all five quantity of Sharlu oil and three slip on new footwear for 200ml, 300ml and 500ml. However for subject no. 3, slip occur for all quantity of Sharlu oil either without footwear, new footwear and also by using old footwear (see Appendix J). Table 4.3 : Sharlu oil testing result Quantity Liquid/Person /Footwear Subject No. 1 (Firdaus) Sharlu oil Subject No. 2 (Ghazali) Subject No. 3 (Ariman) WOF NF OF WOF NF OF WOF NF OF 100ml 57cm NS NS 43cm NS 25cm 70cm 17cm 33cm 200ml 62cm NS NS 53cm 30cm 25cm 62cm 21cm 12cm 300ml 81cm NS NS 71cm 29cm 30cm 102cm 22cm 23cm 400ml 63cm NS NS 49cm NS 35cm 83cm 25cm 24cm 500ml 64cm NS NS 51cm 5cm 36cm 89cm 18cm WOF - Without footwear , NF - New footwear , OF - Old footwear , NS - Non Slipping 28cm Figure 4.10 show the graph for data subject no. 1 which is testing using Sharlu oil as liquid without wearing any footwear. This graph show that a linear line with positive slope was produce with increase value with the mean value of 65.4 and the median is 63. 70 Figure 4.10 : Graph Sharlu oil testing for subject no. 1 without footwear Figure 4.11 shows the graph for data subject no. 2 which is testing using Sharlu oil as liquid without wearing any footwear. This graph show that a linear line with positive slope was produce the mean value of 53.4 and the median is 51. Figure 4.11 : Graph Sharlu oil testing for subject no. 2 without footwear 71 Figure 4.12 shows the graph for data subject no. 3 which is testing using Sharlu oil as liquid without wearing any footwear. This graph show that a linear line with positive slope was produce with increase value which is the value of mean for this graph is 81.2 and the median is 83. Figure 4.12 : Graph Sharlu oil testing for subject no. 3 without footwear Figure 4.13 shows the graph for data subject no. 2 which is testing using Sharlu oil as liquid with wearing old footwear. This graph show that a linear line with positive slope was produce with increase value which is the value of mean for this graph is 30.2 and the median is 30. Figure 4.13 : Graph Sharlu oil testing for subject no. 2 with old footwear 72 Figure 4.14 shows the graph for data subject no. 3 which is testing using Sharlu oil as liquid with wearing old footwear. This graph show that a linear line with negative slope was produce with decrease value which is the value of mean for this graph is 24 and the median is also 24. Figure 4.14 : Graph Sharlu oil testing for subject no. 3 with old footwear Figure 4.15 show the graph for data subject no. 2 which is testing using Sharlu oil as liquid with wearing new footwear. This graph show that a linear line with positive slope was produce with increase value which is the value of mean for this graph is 12.8 and the median is 5. Figure 4.15 : Graph Sharlu oil testing for subject no. 2 with new footwear 73 Figure 4.16 show the graph for data subject no. 3 which is testing using Sharlu oil as liquid with wearing new footwear. This graph show that a linear line with positive slope was produce with increase value which is the value of mean for this graph is 20.6 and the median is 21. Figure 4.16 : Graph Sharlu oil testing for subject no. 3 with new footwear 4.3.4 Castrol oil as liquid Table 4.4 show the result of experiment by using Castrol oil as a liquid. The table shown that by using Castrol oil as a liquid, the slips occur for each subject which is for subject no. 1 during the experiment without using footwear for every quantity of Castrol oil. For subject no. 2, the slip occur when he not wear a footwear for all five quantity of Castrol oil and two slip on new footwear for 300ml and 400ml and by using old footwear, the slip occur on 300ml, 400ml and 500ml. However for subject no. 3, slip occur for all quantity of Castrol oil either without footwear, new footwear and also by using old footwear. (see Appendix J) 74 Table 4.4 : Castrol oil testing result Quantity Liquid/Person /Footwear Subject No. 1 (Firdaus) Castrol oil Subject No. 2 (Ghazali) Subject No. 3 (Ariman) WOF NF OF WOF NF OF WOF NF OF 100ml 30cm NS NS 79cm NS NS 55cm 5cm 15cm 200ml 46cm NS NS 56cm NS NS 68cm 2cm 3cm 300ml 59cm NS NS 63cm 25cm 28cm 85cm 3cm 17cm 400ml 60cm NS NS 71cm 25cm 30cm 90cm 50cm 36cm 500ml 64cm NS NS 48cm NS 32cm 98cm 28cm WOF - Without footwear , NF - New footwear , OF - Old footwear , NS - Non Slipping 27cm Figure 4.17 shows the graph for data subject no. 1 which is testing using Castrol oil as liquid without wearing any footwear. This graph show that a linear line with positive slope was produced with increase value with the mean value of 51.8 and the median is 59. Figure 4.17 : Graph Castrol oil testing for subject no. 1 without footwear 75 Figure 4.18 shows the graph for data subject no. 2 which is testing using Castrol oil as liquid without wearing any footwear. This graph show that a linear line with negative slope was produce with the mean value of 63.4 and the median is 63. Figure 4.18 : Graph Castrol oil testing for subject no. 2 without footwear Figure 4.19 shows the graph for data subject no. 3 which is testing using Castrol oil as liquid without wearing any footwear. This graph show that a linear line with positive slope was produce with the mean value of 79.2 and the median is 85. Figure 4.19 : Graph Castrol oil testing for subject no. 3 without footwear 76 Figure 4.20 shows the graph for data subject no. 2 which is testing using Castrol oil as liquid with wearing old footwear. This graph show that a linear line with positive slope was produce with the mean value of 18 and the median is 28. Figure 4.20 : Graph Castrol oil testing for subject no. 2 with old footwear Figure 4.21 shows the graph for data subject no. 3 which is testing using Castrol oil as liquid with wearing old footwear. This graph show that a linear line with positive slope was produce with the mean value of 19.6 and the median is 17. Figure 4.21 : Graph Castrol oil testing for subject no. 3 with old footwear 77 Figure 4.22 shows the graph for data subject no. 2 which is testing using Castrol oil as liquid with wearing new footwear. This graph show that a linear line with positive slope was produce with the mean value of 10 and the median is 0. Figure 4.22 : Graph Castrol oil testing for subject no. 2 with new footwear Figure 4.23 shows the graph for data subject no. 3 which is testing using Castrol oil as liquid with wearing new footwear. This graph show that a linear line with positive slope was produce with the mean value of 17.6 and the median is 5. Figure 4.23 : Graph Castrol oil testing for subject no. 3 with new footwear 78 4.4 Result of loses (A case study) As mention in part 2.6.3 Chapter 2 Literature Review, there was example of Incident Report Injury. This report from the SCA Hygiene Company which is this incident related to slip and fall incident. The cost from the incident as shown below : A project manager was slip and fall at the slippery platform surface. As a result he got muscles sprained causing blockages to blood circulation. He went to the Chinese Medical Hall to have acupuncture and massage treatment and received one day medical leave. He has to repeat this treatment every 3 days in a week. The cost of the treatment is : 1. 2. Direct cost – treatment cost First treatment = RM250 Repeated treatment = RM150 x 2 = RM300 Indirect cost – loss of working time a) Working time, 1 day MC = RM8500 (salary) / 26days = RM327.00 b) Working time involving other person: Security – 2 hours x RM1200 (salary) / (26days x 8.5 hours) = RM11.00 Time send patient to treatment – 3 hours x RM5000 (salary) / (26days x 8.5 hours) = RM67.90 3. Indirect cost – others matter a) For the employee that taking insurance, 1 day MC is paid RM110 – RM200 (average RM155) Total cost of slip including employee who taking insurance = RM250 + RM300 + RM327 + RM11.00 + RM67.90 + RM155 = RM 1110.90 79 4.5 Result of guidelines Guidelines provided in safety and health especially for manufacturing industries are as shown in Table 4.5. (see Appendices K, L and M) Table 4.5 : Guidelines from selected organizations 80 4.6 Conclusion This chapter concentrate on result of the questionnaire survey, the experiment and analysis result, the result of the losses especially a case study at SCA Hygiene company and result of some guidelines related to slip and fall incident. All the result from each concept had been elaborated. The discussion will be explain further in Chapter 5. CHAPTER 5 DISCUSSION 5.1 Introduction This chapter elaborate and discuss all the information that mention from Chapter 1 until Chapter 4 on previous result of experiment and analysis carried out. 5.2 Review on Survey From the result of the survey, there are several factors that contribute to slip and fall at the workplace. The factors are floor, footwear, cleaning process, human or people and environment. Most of the respondent agreed that these five factors are very close to slip and fall accidents. Flooring is used as a main factor to contribute to slip and falls among workers. The surface roughness of the floor is measured and identify to prove that if the surface roughness less than 10m means that floor have high potential for slip 82 and fall to occur. However from the experiment, it shows that most of the surface roughness at the company and also at the Fitting laboratory are less than 10m. Although the surface roughness value less than 10m it does not mean that those person or people walking on that surface will experience slip and fall incidents immediately. Slip and fall incident will occur with combination other factors too. Second factor is footwear. Roughness of footwear was measured to identify the potential slip and fall. This will affect friction and slip resistance. From both sample of footwear which are new and old footwear. So, both types of footwear are used in the experiment slip and fall at the Fitting laboratory. The roughness of the new footwear is higher than the old footwear. Cleaning process is a third factor that contribute to slip and fall incident. Cleaning involve cleaning procedure at the workplace. Normally they used water, detergent and oil as a sources. On the other hand if there is some leaking from the machine or there is some spill on the floor, cleaning jobs are carried out to make sure that slip and fall incident can be avoided by proper and immediate action from housekeeping department. By using similar material such as water, water and detergent and oil as a liquid, the third factor will be tested together with the two factors mentioned earlier. The fourth factor is human or people. Human vary widely to relate them to slip and fall incidents. This is because of several criteria that can be aspected such as gender, weight, height, ageing, personal health, style of walking and so on. Every person has different criteria personality. Rarely among human or person have the same criteria even though they are twins. Sometimes if they are in the same weight and age, but maybe their health condition is not similar. Meaning those factors contribute and cause different incident in slip and fall. Finally environment is the fifth factor to contribute to slip and fall incident at the workplace. Temperature, lighting and arrangement of apparatus or machine are 83 criteria in the environment. This factor can contribute to slip and fall incident such as insufficient lighting level especially near the office area or walkway is littered with thick wires or spill with oily or water that create an obvious slippery hazard. Hence, this factor also need to be considered to avoid or reduce slip and fall incident at workplace. 5.3 Review on Experiment In the second methodology, the experimental set up utilized the combination of floor, footwear, human and cleaning factors to generate result and potential of slip and fall. In the experiment, distance of slip is measured in each test. Floor is used as a main factor but human, footwear and types of liquid are used as a variable method. There are three persons who are subjects in the testing, four types of liquid, each type of liquid is tested in five different quantities from 100ml to 500ml and the test involve two different type of footwear. However there is also an experiment on a person who has to walk on targeted step without any footwear. The result from the testing show that by using water as a liquid, there are no slip for subject no. 1 and subject no. 2. But for the third subject, slip occur for him when he is not wear any footwear and with wearing old footwear. Using a combination of water and detergent as a liquid, the third person face slip for wearing old footwear and without using any footwear. For liquid like Sharlu oil and Castrol oil, there are some differences compare to water and combination water and detergent as a liquid. These type of oil result in slip for all the three person when they walk without wearing any footwear. However, for wearing old footwear and new footwear, just subject no. 2 and 3 only experience slip during testing. 84 From the result, there are four main criteria that can be discussed in detail which is the first condition is wearing either new footwear, old footwear or without wearing any footwear. Second criteria is weight of human or person which are the weight of three different person from 65kg, 70kg and 80kg. Third criteria is aging for each person which is the subject no. 1 and no 2 who are 22 years old. However subject no. 3 is 34 years old. Fourth criteria is different type of liquid that were four different type of liquid such as water, water and detergent, Sharlu oil and Castrol oil. For the first condition without wearing any footwear, wearing old footwear or wearing new footwear. Here clearly result that human will have high potential to slip and fall when they are not wearing any footwear especially when they are walking on oily surface. On the other hand, if they were wearing a new footwear the risk is less compare to wearing an old footwear. This is because footwear became polished during walking on oily and wet floor surfaces. The old footwear will reduce friction. Coefficient of friction (COF) means the ratio of the weight of an object being moved along a surface and the force that maintains contact between the object and the surface. For this case slip is the opposite of friction. "High slip" denotes low COF and low slip denotes a high COF. Second condition is weight of human or person. From the testing clearly shown that subject no. 3 almost occur slip in every type of liquid and while not wear any footwear and wear an old footwear. However with wearing new footwear sometimes there were slip especially for oily surface but rarely to new footwear. This means that weight of human is a factor to cause a slip and fall incident. When somebody is heavy by weight, that person have high potential to experience slip and fall compare to person who is less heavy by weight. The weight for subject no. 3 is 80kg compare to other persons on who weights 65kg and 70kg. Meaning, when a person is heavy by weight the person might face a balance problem hence difficulty to control or balance of themselves. Besides that over weight also cause lower body weakness and sometime every person have their own style of walking or gait. 85 Third criteria is aging. These three person have different age which are the first and second person, their age is around 22 years old compare to third person which is 34 years old. Among older people, the risk of falling increases with age. Meaning that older person will have high potential to occur slip and fall compare to younger people. This is because when the person became older, the body strength, stamina, balance and other risks could be experienced also. Fourth criteria is different type of liquid which consisted of four different type of liquid such as water, water and detergent, Sharlu oil and Castrol oil. These type of liquid, oil has high potential to occur slip compare to water and combination water with detergent. Normally when there was spill of water, if the spill of water is not immediately cleaned, after some time the water will dry itself. However if there was spill of oily, after some time it will not dry itself and it will affect of mossy surface. The mossy surface is dangerous for everybody who walks through such an area because oil will adhere on the surface either floor or footwear surface. 5.4 Review on losses As mention in part 4.4 Chapter 4 result of losses which is a case study from the SCA Hygiene Company that involved an incident related to slip and fall. From the example of slip and fall incident that occurred in that factory, clearly shown that from a simple mistake can cause very high cost of treatment or compensation claim. Hence, the slip and fall incident should be avoided because it will give a very high impact either to individual involve or to company. The example show some of the cost borne by individual and some of them will be borne by company and 86 insurance agency. The costs are medical cost, loss production cost, loss properties cost, negative publicity or reputation, compensation claim to victim, good damage cost, cost to train new employees and regulation or law cost. Medical cost include those cost involving victim to get any treatment either at public hospital, private hospital or alternative treatment such as traditional treatment. Different types of hospital charge of treatment is different and it is known that private hospital can cause more than that of public hospital. Some of the cases should be referred to specialist hospital or doctor, meaning this treatment also need to pay in high cost that involve a specialist doctor. The treatment would normally take very long time and sometimes have to be repeated periodically. Loss production cost means the cost that the victim fail to perform his normal job functions. This cost include cost of medical certificates for medical leave from the doctor for several days, weeks or years. Sometimes if the victim is skilled employee, somebody has to undertake his or her job during the leave. This cost also give a bad implication either to victim or company because the victim cannot do the job because of the incident and at the same time the company will face loss of productivity and also have to hire other people to undertake the job. The victim would loose the salary but the victim also cannot work maybe for the difficult task for the next time and these will give a higher losses to individual as he might add to his family. Negative publicity or reputation means the company or individual loss of their reputation result of the accident. The impact to individual might be the person cannot do the same job because of his disability and the company does not want to take any risk of such disable workers. The company also might be tarnish the reputation because the incident will show that the company is not seriously to take care of their employees or may be the company will face legal implication such as litigation and OH&S compliance. 87 Compensation claim to victim meaning that either victim have their own insurance or company insurance have to cover the accident that occur. Sometime the insurance package is not covering for all accidents and sometimes the injured may cause fatal. This compensation claim have to be paid to the victim or directly to the hospital that give treatment to victims. Good damage cost also refer to properties cost. If the slip and fall occur and the accident involve the machine or equipment in the company. So the company have to solve the problem either repair the machine or get the new one, or add some of the element to prevent the occurrence of slip and fall incident such as that at the SCA Hygiene company. This company has to put the antislip material at all the platform to overcome the slip and fall incident from happen again. So this is an example of good damage or apparatus cost. If the company have to repair or buy a new one, it just not only involving the repairing cost but also can waste time of production. This problems will create a bigger losses to company if this slip and fall incident happen. Cost to train new employees. Absolutely when there is slip and fall incident and the victim was a skilled worker, the company would hire other workers to take over the victim task. This cost also give other side effect to company production line. Regulation or law cost is the cost that involve penalty from such organization such as Department of Occupational Safety and Health (DOSH) and so on. This penalty normally will be charged to the company for failure to comply to the relevant regulation. 88 5.5 Review on guideline From the result of guidelines in part 4.5 Chapter 4, a discussion on guidelines is suggested. The recommended guidelines from previous part are as shown in Table 5.1. Table 5.1 : Recommended Guidelines Criteria Guidelines Justification a) Suitable light levels based on From DOSH guidelines on Malaysia Standard for interior lighting, there are suggestion lighting (see COP for Interior suitable light levels for interior company. Lighting) are Lighting (DOSH) This level is General background 200 Lux important to follow to make Routine Office work 400 Lux sure Work with poor contrast 600 Lux sufficient level of lighting LUX (Lumens per square metre) system to make sure that that workplace have employees can see anything and are covered from any hazards. a) Floors and indoor traffic routes For cleanliness, DOSH also should be cleaned at least once per suggested that floors should be week. b) Any cleaned at least once per week waste material that and any waste material should accumulates should be removed on be removed on daily basis. Cleanliness (DOSH) a daily basis. This is because, if there any spills either from water or oily, it should be clean or remove immediately to make sure that the floor is safety to employee and avoid slips and falls incident. 89 The floors in wet and greasy areas From NIOSH (around sinks, dishwashers and recommendation, some stoves), should be made of nonskid or improvement is suggested such covered with nonskid mats. Spilled as: foods, liquids and broken dishes should Floor (NIOSH) be swept or clean up a) The flooring roughness surface for the immediately, or the area should be workplace should be more clearly marked and roped off until than 10m to avoid the cleanup. Where surface are slippery, potential of slip incident. workers should wear shoes with slip- b) If there a different floor resistant soles. Damaged floor mats surface, should be follow should Table 5.2 below as a basic be repaired or replace promptly. value to avoid the slip incident at their work place. Safety shoes are recommended to NIOSH recommendation that prevent injury to the feet from falling shoes recommended to objects and other hazards. They are prevent injury to feet from particularly important where heavy falling objects materials or parts are handles and hazards. during shipping and receiving Strandberg and According (1985), other to shoe operation. Appropriate footwear with solings without tread-pattern or Footwear (NIOSH) good traction should be worn for wet with closed cavities should be or slippery areas. Periodic avoided. Coarse textures in the conductivity checks should be made sole may cause a small draping on footwear worn in surgical areas, area in the shoe-floor contact disposable shoe covers should be and thus can contribute to a readily available to minimize the poor slip resistance. potential for surgical areas. static electricity in 90 Table 5.2 : Typical Roughness characteristics of Floor surfaces ( Source : Raoul Gronqvist, 1992) Floor surface 5.6 Surface Roughness Parameter (m) Ra Stainless steel (smooth) 0.15 Glazed ceramic tile (smooth) 0.75 Vinly tile (smooth) 1.5 Unglazed ceramic tile (semirough) 2.9 Epoxy resin with quartz particles (semirough) 5.0 Concrete with acrylic resin coating 6.0 Antislip vinly with silicon carbide particles 7.5 Acrylic resin with quartz particles (rough) 14.0 Semiglazed ceramic tile (rough) 17.0 Abrasive safety floor tape (rough) 22.0 Conclusion This chapter explain more detail about the outcomes from the methodology of the project. The discussion clearly on result of the experiment that have been achieved. This chapter also review on losses and some of guidelines related to the objective of this project. CHAPTER 6 FUTURE WORK AND CONCLUSION 6.1 Introduction This chapter discusses the conclusion for this study and three recommendations are provided based on findings and the other is made for future research. 6.2 Future Work There are some improvements that can be performed because of the risk person involve in slips and falls in industries is increasing from time to time especially in manufacturing industries. In real situation or environment, there are both gender among employees in factories, therefore this experiment also should be tested for female or women. Comparison can be done to show either male or female have a high potential to slip and fall at work place. 92 Experiment also can be expanded for different body weights. As mention, this research focused on three persons whose weight range from 60kg until 80kg. So by expanding the targeted weight from 40kg until 90kg would give different results to show the relationship between weights and potential of slip and fall. Last but not least, scope of the project also can be spread into different areas such as research at school and also shopping area. Both of these location also have a high potential of slipping and falling incident. Study about slips and falls at school area at the same time can give pupils basic knowledge on slip and fall and teach them to avoid the incidents. 6.3 Conclusion This chapter gives the overall reviews of the project. The research starts with determining the objectives. There are four objectives in this research. The first objective is to identify and determine the main causes of slips. Through this objective, there is questionnaire development to achieve this objective. As a result for this objective, there are several factors that causes slips and falls at the workplace which are floor, footwear, cleaning process, human or people and environment. After the first objective has been achieved, next step is looking for second objective. Second objective is to analyze the relationship between the selected sources of slips. From the result of first objective, the factors will use to conduct an experiments which are the main purposes of this testing is to analyze the relationship between each factors and relate them to slips and falls among workers especially at the workplace. If one factor stand alone, it is hard to say cause of slip and fall but 93 with combination those factors will create a slip and fall incident. So concentration should be given to all the factors. Then the third objective is to compute the monetary losses by employers due to slips and falls incidents (A case study). This objective use a simple case study that had been done in SCA Hygiene company which experience one slip and fall incident. From the case study, notice that there are lot of losses and it will cause very high cost when there is slip and fall incident. This losses not only affect the victims but also to company. And the fourth objective is to establish the guidelines for factory to reduce the slips and falls accident from occurring. The current guidelines or recommendation from other department involve in safety and health are useful to monitor and give a guide to those in manufacturing industries. There are three selected department to guide or recommend their rules. They are Department Of Occupational Safety and Health (DOSH), National Institute for Occupational Safety and Health (NIOSH) and Occupational Health, Safety and Welfare Regulation (OSHW). From the three guidelines, there are several recommendations that had been selected. All the objectives manage to clearly define that slips and falls incident among workers at workplace should be avoided because there are bad impact either to victims or to company. This incident can also cause high cost and it really adverse to those who are involved in slips and falls incident. That why the slips and falls incident should be minimized or eliminated from our life. 94 REFERENCES Akta Kilang Dan Jentera Dan Peraturan – peraturan (2005), MDC Publisher Sdn. Bhd. Anderson and Lagerlof (1983). Occupational Slips and Falls: More Than A Trivial Problem. Ergonomics 487- 498. Bailer, Stout, Reed & Gilbert (2001). Falls in Older People: Risk Factors and Strategies for Prevention. Cambridge University Press. Carpolio (1995). Occupational Injuries and Illness: Counts, Rates, and Characteristics, US Department of Labor, Bureau of Labor Statistics. Colin W.Fuller (1999). Alignments to Workplaces Safety Principles: An Application to Mining, Journal of Safety Research, 173-185. Dekker (2002). Occupational Injury Prevention. Journal of Safety Research. Elderly (1987). The Prevention of falls in later life. Danish Medical Bulletin, 34, 215 – 219. Guidelines On Occupational Safety And Health In The Office (1996). Department Of Occupational Safety And Health Ministry Of Human Resources Malaysia. 95 Guidelines for the Interior Lighting and the Visual Environment, Department of Occupational Safety and Health, Malaysia. Guidelines for Protecting The Safety and Health of Health Care Workers (1988). U.S Department of Health and Human Service, National Institute for Occupational Safety and Health. Heinrich, H.W, Peterson, D and Roos, N (1980). Industrial Accident Prevention A Safety Management Approach. New York: McGraw-Hill. J.E.Gordon (1978). Structures or Why Things Don’t Fall Down. Penguin Books Canada. Kines (1981). Safety in construction: Human Factors/Ergonomics For Building and Construction. Wiley New York. Matthew J. Burkart, Michael McCann and Daniel M. Paine (2004). Elevated Work Platforms and Scaffolding: Job Site Safety Manual. The McGraw-Hill Companies. Occupational Health, Safety and Welfare Regulation (1995). Government of South Australia. Occupational Safety and Health Act (1994). Government of Malaysia. Porritt, the Right Honourable Lord (1985). Slipping, tripping and falling: familiarity breeds contempt. Ergonomics, 28, 947-948. Ralph L. Barnett (2002). Triodyne Safety Brief. Volume 21 No. 3. Ralph Lipsey Barnett and Peter Joseph Poczynok (2000). Triodyne Safety Brief. Volume 24 No. 3. 96 Ralph L. Barnett, Suzanne A. Glowiak and Peter J. Poczynok (2003). Triodyne Safety Bulletin. Volume 22 No. 4. Ralph L. Barnett and Peter J. Poczynok (2004). Triodyne Safety Brief. Volume 26 No. 2. Ralph L. Barnett and Suzanne A. Glowiak (2005). Triodyne Safety Brief. Volume 27 No. 4. Roger Haslam and David Stubbs (2006). Understanding and Preventing Falls. Taylor & Francis Group. Thomas J Anton (1996). Organizational Climate and Culture: The Physiological of the Workplaces. In Applying Psychology in Business: Lexington Books. Zebatakis, Assessment of Physical Work Load for Industrial Injury, 97 APPENDIX A – The Company profile SCA Hygiene Malaysia Sdn. Bhd. addressed No. 3, Jalan Gicing Hulu 28/33, Hicom Industrial Estate Sector C, 40400 Shah Alam, Selangor. 98 99 100 APPENDIX B – The three source that have potential to cause slips and falls at SCA Hygiene company mineral oil super absorbent polymer (SAP) 101 Technical white oil and solvent 102 APPENDIX C – The place of incident related to slip and fall at SCA Hygiene company Before incident After incident ( install anti-slip strips along the platform slope) The surface roughness after install anti-slip strips 103 APPENDIX D – The Questionnaire survey 104 105 106 107 APPENDIX E – The Surface roughness at SCA Hygiene Company Surface roughness of workshop floor (a) (b) (c) (d) Surface roughness of workplace floor 108 APPENDIX F – The Surface roughness for glasses (a) (b) (d) (c) Surface roughness for glass 109 APPENDIX G – The Surface roughness at Fitting Laboratory (a) (c) (e) (b) (d) (f) Surface roughness at Fitting Laboratory floor 110 APPENDIX H – The Surface roughness for footwear 8.3 Average Surface roughness for shoe 1 9.5 8.5 Average Surface roughness for shoe 2 8.5 111 APPENDIX I – The Quantity of liquid (a) 100ml (b) 200ml (c) 300ml (d) 400ml (e) 500ml Water as a liquid 112 (a) 100ml (b) 200ml (c) 300ml (d) 400ml (e) 500ml Combination Water with detergent as a liquid 113 (a) 100ml (b) 200ml (c) 300ml (d) 400ml (e) 500ml Sharlu oil as a liquid 114 (a) 100ml (b) 200ml (c) 300ml (d) 400ml (e) 500ml Castrol oil as a liquid 115 APPENDIX J – The graph distance of slip during experiment Water No Footwear subject no. 3 Water Old Footwear subject no. 3 116 Water + detergent no footwear for subject no. 3 Water + detergent old footwear for subject no. 3 117 Sharlu oil for subject no. 1 with no footwear Sharlu oil for subject no. 2 with no footwear 118 Sharlu oil for subject no. 3 with no footwear Sharlu oil for subject no. 2 with old footwear 119 Sharlu oil for subject no. 3 with old footwear Sharlu oil for subject no. 2 with new footwear 120 Sharlu oil subject no. 3 new footwear Castrol oil for subject no. 1 with no footwear 121 Castrol oil for subject no. 2 with no footwear Castrol oil for subject no. 3 with no footwear 122 Castrol oil for subject no. 2 with old footwear Castrol oil for subject no. 3 with old footwear 123 Castrol oil for subject no. 2 with new footwear Castrol oil for subject no. 3 with new footwear 124 APPENDIX K The example of Guidelines on Occupational Safety and Health in the office from Department of Occupational Safety and Health Ministry of Human Resources Malaysia 125 126 127 APPENDIX L The example of Guidelines for Protecting The Safety and Health of Health Care Workers from U.S. Department of Health and Human Service National Institute for Occupational Safety and Health 128 129 130 131 APPENDIX M The example of Occupational Health, Safety and Welfare Regulation, 1995 from Government of South Australia 132 133 134