Job Analysis Danielle Plut, Stephen Whitlow, and Alan Wyman This is a job analysis of a bartender at a busy neighborhood bar in White Bear Lake, Minnesota. The main observations were completed on November 16, 2011 Team 4 would like to thank our main subject, Andre L., for allowing us to observe and question. HUMF 5001 – Team 4 Table of Contents Introduction ........................................................................................................................... 1 Background ............................................................................................................................ 2 Task evaluation and walkthrough ........................................................................................... 4 Risk Identification .................................................................................................................. 5 Job Observation: Bartender .................................................................................................... 6 Bibliography .......................................................................................................................... 10 Job Analysis HUMF 5001 – Team 4 Introduction Bartending is a job that requires a lot of physical exertion. Many different maneuvers are required, using most of the body, but the vast majority of the movements are upper extremity – the arms and hands. Since bartending is primarily making and serving alcoholic beverages, the job is highly repetitive over an average shift. The bartender also provides customer service by offering food and other amenities or just by exchanging pleasant conversation so they often move quickly in there confined space and grab bottles, glasses, pitchers without any hesitation. Our team of Human Factors/Kinesiology students, Stephen, Alan, and Danielle decided to observe Andre, a bartender at a cozy establishment in White Bear Lake called Washington Square Bar and Grill, as he worked a Wednesday evening shift behind the bar. The Square, as the locals know it, has been open since November 1998. The original building is now approximately one third of the total building. Because of the multiple expansions to the building, the working conditions have also changed over time. This study is concentrated on the workstation in the first addition from 2002. This workstation, commonly referred to as the South Room bar, has a L-shape that allowed the team to see behind the main portion of the bar and see the glass washing, wine and beer refrigerators, mixed drink station, beer taps, and the cash register. Figure 1 shows the layout of the bar while Figure 2 shows a photo of the same area. Figure 1: Bar layout Figure 2: Photo of bar area 1 Job Analysis HUMF 5001 – Team 4 This location proved rich ground to show the need to apply the principles of human factors to a real world space. The job of bartender is also an excellent study due to the number of people in this industry and potential for permanent physical damage. Background In Canada, the hotel and restaurant occupations have the highest incidence of overexertion and injury and the workers compensation claims have increased from $13.2M in 1996 to $18.5M in 1999 (Workers Compensation Board, 2000). Jones et al conducted a risk assessment of some of these jobs within a neighborhood pub including bartenders, waitresses, and cooks (2005). For bartenders, they identified the following high-risk tasks: • • • • Keg lift Keg pull Pitcher pour High reach They observed 85 degrees of shoulder flexion supporting 1.74 kg for 1 minute during the pitcher pour task, as seen in the Figure 3 below from the published material. Figure 3: Shoulder flexion during pitcher pour 2 Job Analysis HUMF 5001 – Team 4 The high reach task required 150 degrees of should flexion while lifting 1.75 kg; accordingly, the researchers concluded that bartenders had the highest risk of injury of the job categories since the keg lift was considered hazardous and the pitcher pour and high-reach would require immediate changes. Jones et al suggested changing the physical space to reduce shoulder flexion during pitcher pour by elevating the subfloor by 15 cm to accommodate the 5th to 95th of the female population. We did not observe lifting or pulling kegs, but a review of the keg cooler would suggest this would be even riskier given the cramped quarters and cluttered floor. We observed shoulder flexion associated with beer pouring that was similar to that documented by Jones et al. Bartenders were also required to reach high overhead for wine glasses and liquor. Given the vertical profile of the bar space and the short stature of all the servers on duty during this observation, the observed bartenders were exposed to similar risks as reported in the aforementioned research. David and Taiwo also identified a rare occupational cumulative trauma disorder, named bartender’s hand, since their patient was a bartender who had developed pain at the based on his left thumb (1996). Job analysis revealed that he was exposed to repeated biomechanical stresses to his left thumb when using a beverage gun to dispense soda and water. This gun was commonly used at the bar of the current analysis. A case study of a 57-year-old male bartender who reported constant right radial wrist pain during work that was worse while turning his wrist to pour drinks and lift packs of multiple bottles (González-Iglesias, Huijbregts, Fernández-de-las-Peñas, & Cleland, 2010). His general practitioner suggested he stop working for 6 months while undergoing physical therapy. After the physical therapy failed to relieve his symptoms, he returned to work, which was characterized by increasing pain after repetitive motions including carrying bottles from storage. He was eventually diagnosed with entrapment neuropathy of the superficial radial nerve and was able to return to work pain-free after 2 treatments of neurodynamic exercises. This case study did not include a job analysis beyond the patient’s self report. The subject of this analysis also indicated wrist pain that was worse when polishing wine glasses, pouring while holding bottleneck, and lifting six packs of beer. Another bartender was briefly interviewed at another establishment after we observed she was wearing a wrist support. She also reported constant wrist pain associated her bartending tasks especially pouring. 3 Job Analysis HUMF 5001 – Team 4 Task evaluation and walkthrough We decided to create our own checklist for task evaluation based on personal knowledge and experience. Our spreadsheet was very detailed (included many body movements, tasks and risks) and we were open to the possibility of other factors that we had not considered. Stephen entered data onto his laptop while we sat at the bar, enjoyed beverages, and observed Andre for 2 hours. Andre appeared to be working mainly at the end of the bar where we sat so we got to observe closely and to ask him many questions. During our initial observation (walkthrough), before entering data, we observed Andre reaching over the bar to listen to customers give their order. Next he would grab drink glasses and ice them, which involved leaning downward and place them on the bar. Since the bottles of alcohol are placed in somewhat random locations all around and at various levels, some over his head, he would quickly grab one or two bottles by their necks and pour which required gripping and tipping them and then, mentally estimate the amount to pour. Figure 5 shows an example of the posture for these pours. Since the bottles are glass and the full ones are quite heavy he had to have a good steady grip on them. Many of the drinks were then finished using a gun with push buttons to add the mix like cola, soda, and water. The gun requires another grip altogether and thumb pressure to dispense the liquid. Andre is not very tall so he was constantly reaching out over the counter to the customer to take Figure 5: Pouring from a bottle orders, hand out drinks, and exchange cash and credit cards. He did the cashiering for all his customers, so each drink order required him to then enter data into the cash register which required focusing on credit card numbers and using his wrists and fingers to hold cards and money and interact with a touch screen (Figure 4), all in dim lighting. Figure 4: Cashiering 4 Job Analysis HUMF 5001 – Team 4 Like the study in Canada noted above, Andre had to reach upward to fill beer glasses from the multiple taps (Figure 6). One difference at Washington Square is that the majority of the pours are single pint glasses rather than pitchers. Figure 6: Pulling a beer, using a spigot Andre spent quite a lot of time washing the drinking glasses. The glass washing area (Figure 7) was behind and underneath the bar, in a very convenient location, but it was dark and required him to slouch over and use both hands. He had two small sinks, one with hot caustic water and used force to move the glasses up and down on counter-rotating brushes. The other sink had rinse water and then there was a place for him to stack the glasses. Three things that we thought were obvious risk factors during our initial observation were pouring heavy bottles (wrist injury), handling glassware in hot water (cuts and skin irritation), and non-stop movement (fatigue). Andre stated that the owner and designer of the bar had placed many of the bottles in a rather high location causing him to reach overhead a lot and that it was not very comfortable for him. Andre repeatedly does the four tasks pictured above throughout his shift. There are other tasks too, like lifting cases of bottles, carrying and pouring buckets of ice, hand wiping wine glasses, and wiping the counter. The pictured tasks are the ones he engages in the most. Figure 7: Washing glasses Risk Identification Based on our observation we immediately suspected any injuries would be wrist, arm or finger related. Although we prepared a checklist with many potential moves, bends and reaches we eventually documented only 21 different tasks, most of which did involve the wrists, hands, arms 5 Job Analysis HUMF 5001 – Team 4 and fingers. Our checklist records a breakdown of making and serving drinks, using the beverage gun, washing glasses, cahsiering and answering the phone. In a 15 minute period we counted him twisting his wrists 19 times to pour mixed drinks and tend to other chores. This is a significant finding because it is excessive by any means and Andre did confirm that his wrists do get sore, but that for the time being he was not in any way disabled. In fifteen minutes Andre submerged his hands into hot water 11 times to wash glasses. He said the sanitizing chemicals and the hot water were brutal on his hands in the winter. He did not comment on how he remedied it, nor he did not seem to be overly concerned about it. Another employee shared how Andre had cut himself a few times washing dishes; one time severely with the stem of a broken wine glass. This could be hazardous because a severe cut could result in permanent injury, physical distress, or contamination from bodily fluids. The remaining 19 tasks on the checklist involve reaching, scooping, bending and lifting. In some ways it is good to have this variety, but the constant movement is very tiring because all of this is done standing and walking. At one time Andre used a pedometer and said he walked an average of five miles in an eight hour shift and that his legs were tired at the end of his shift. Fatigue can cause an increase in other injuries. Job Observation: Bartender We conducted the observation at a suburban bar on a weekday evening between 6:00 and 9:30 pm. After describing the class project, one the bartenders gave his verbal consent to being observed and answering our questions. He was a short, athletic male, approximately 30 years old who had worked at this bar for 9 years. For the first hour we simply observed has actions and asked questions about his duties. During this period, several risky postures and actions were identified. After this, we counted the frequency of different actions over a fifteen-minute period from 7:00 to 7:15 pm. Based on the total 3.5-hour observation period, this fifteen minute period was representative of the frequency and variety of actions performed. Each of these risky activities are described in Table 1 with their frequency for the 15-minute period and the likely musculoskeletal risk area. Based on our total observation we estimated that the bartender would be at this activity level for 4 hours of his 8 hours shift so we multiplied the 15-minute frequency by 16 to estimate total frequency for an hour shift. This estimate is included in parentheses next to the 15-minute frequency. 6 Job Analysis HUMF 5001 – Team 4 Activity Description Frequency MSD Risk Stooping to wash glasses and scoop ice The glass washing station and ice bin are very low and required stooping. Glass washing took up to a minute at a time and was done frequently (11x in 15 minutes) 15 (150) Lower back Squatting to get bottles out of low fridge Bottled beer was in a low floor fridge that required a deep-knee bend. 3 (30) Knees Wrist twisting and strain to pour liquor and wine While pouring wine and liquor, this bartender would grab the neck of the bottle and violently twist it to achieve a fast pour and hold it flexed for several seconds. There was likely wrist strain due to the lever arm of the bottle. 19 (190) Wrist Shoulder flexion > 90 to pour wine, liquor While pouring wine and liquor, the bartender regularly elevated his shoulder > 90 degree and held it for several seconds. 4 (40) Upper limb Isometric shoulder flexion to fill beer from taps The beer tap handles were above eye level and required extended, isometric shoulder flexion while filling pints. 10 (100) Upper limb Frequent torso twisting Many tasks required the bartended to move back and forth between the backside and patron side— usually done by twisting his torso. 15 (150) Lower back High noise requires them to stoop over sinks to listen to patron order The high noise level and depth of the service area under the bar required the bartender to lean forward to get close enough to patron to hear their order. 8 (80) Lower back Overhead reach for glassware The stemware was placed in overhead racks, which required an overhead reach. 2 (20) Upper limb Variety of motions, all low force-- fatiguing This bartender was nearly in constant motion doing tasks that exercised nearly all muscle groups. Despite his fitness level, he reported being fatigued at the end of every shift. n/a Fatigue Bartender estimates 5 miles of walking during 8 hour shift-- legs are tired at end The bartender was nearly in constant motion and once wore a pedometer and logged 5 miles of walking during an 8-hour shift. Although there are cushioned mats behind the bar, the bartender reported tired, sore legs after every shift and was observed stretching his legs frequently. n/a Legs, feet Table 1: Risky Activities Even though we did not observe heavy strains, such as keg lifting and pulling, this bartender performed a variety of risky actions very frequently over his shift; moreover, multiple body areas are exposed to MSD risk which dramatically increased the likelihood that an individual’s susceptibility will negatively interact with the multiple job risks resulting in some injury. When asked about polishing wine glasses the bartended had the realization that his wrist was sore ever since the owner required them to do so. Sometimes the bartender would dispense liquor 7 Job Analysis HUMF 5001 – Team 4 by grabbing the bottom of squat bottle (liqueurs), which would reduce wrist strain. He was not doing this consciously. To give a sense of the variety and frequency of bartending tasks, see the complete list of action actions in Table 2 that is sorted by most frequent to least frequent. Observed Actions Frequency Per 15 Minutes (Shift Est.) Twisting wrists 19 (190) Twisting torso back and forth between backside and patron side of bar 15 (150) Washing glasses 11 (110) Pouring a tap beer 10 (100) Stooping to take order 5 (50) Scooping ice 4 (40) Carrying stack of clean pint glasses 4 (40) Pinching citrus into drink 4 (40) Point of Sale (touchscreen) entry 3 (30) Drying hands on towel 3 (30) Dispensing from beverage gun (water, soda) 3 (30) Stooping to get bottled beer from low fridge 3 (30) Shaking mixed drink high (above shoulder height) 3 (30) Breaking down cardboard box 3 (30) Making a mixed drink 2 (20) Pouring wine from bottle 2 (20) Dispensing wine from Bota box 2 (20) Reaching for wine glass 2 (20) Reaching to serve patron at bar 1 (10) Answering phone 1 (10) Twisting wrist to polish wine glasses 1 (10) Table 2: All Observed Activities Recommendations Overall, our subject is self-correcting for many of the risky movements. For example, varying the hold on the liquor bottles to change both the grip and the wrist rotation. A possibility for management to consider would be to provide an inverted bottle stand for many of the most common liquors. This would eliminate the wrist twist, but may introduce a different motion. 8 Job Analysis HUMF 5001 – Team 4 Most of those would tend toward either a straight upward arm motion or a pinching action to trigger a valve. The twisting of the torso between the back bar and the patrons could be minimized by turning the entire body. This would be a learned behavior and one that would be difficult to implement since the bartenders are moving rapidly between tasks. They would see this turning as taking longer and probably would not self-train until they are experiencing disorders due to this twisting action. The glass washing could be automated to eliminate the plunging action and help avoid the issues with breaking glass. The drawbacks are that this is an expensive piece of equipment that would take more space than the current solution and the machine still requires loading and unloading with a cycle time that may not be compatible with the bartending needs. Some patrons have also commented that there is a taste difference in drinks from a hand-washed glass and a machine washed glass. This could be due to the difference in cleaners used. Allowing the staff more frequent, shorter breaks where they are actually able to get off their feet can minimize fatigue during the shift. No space for this is currently allocated with the exception of an outdoor area outside the kitchen used by the members of the staff that smoke. Those staff members that do not smoke do not have an alternate location away from the patrons. Since they wear uniforms it is necessary to have this location away from the customers to eliminate interruptions and inquiries. 9 Job Analysis HUMF 5001 – Team 4 Bibliography David, A., & Taiwo, O. (1996). Bartender's hand: an unusual form of occupational cumulative trauma disorder. Wester Journal of Medicine , 164 (4), 353. González-Iglesias, J., Huijbregts, P., Fernández-de-las-Peñas, C., & Cleland, J. A. (2010). Differential Diagnosis and Physical Therapy Management of a Patient With Radial Wrist Pain of 6 Months’ Duration: A Case Report . Journal of Orthopaedic & Sports Physical Therapy , 40 (6), 361-368. Jones, T., Strickfaden, M., & Kumar, S. (2005). Physical demands analysis of occupational tasks in neighborhood pubs. Applied Ergonomics , 36 (5), 535-545. Workers Compensation Board. (2000). Annual Report: Statistics '99. Workers Compensation Board of British Columbia, Statistical Services Department, Richmond, BC, Canada. 10