Work Posture Work Posture A. INTRODUCTION In industry, human role as the source of power is dominant in the production process, especially in manual activity (such as manual material handling). This kind of human activity can cause ergonomic problem that is happen in work place, especially related with human power and endurance in doing their job or biomechanics that is called Musculoskeletal Disorder (MSD) in labor that doing the same movement repetition. Symptom in MSD that is often happening in industry labor that is back pain, neck pain, pain in wrist, elbow and foot. Four factors can increase MSD that is unnatural posture, exceeded power, repetition, and duration of working time. Therefore, we need some effort to prevent and minimize MSD in working environment. This effort can be achieved by doing working posture analysis. The result of working posture analysis can become consideration in correction recommendation. Practicum Objectives a. Students able to do work measurement and understand working posture. b. Students know the quantity of working load while doing certain job. c. Students able to implement the method using NBM questionnaire, REBA, and RULA to decrease work risk. d. Students able to give recomendation based on analysis result. B. INPUT AND OUTPUT Input : 1. Operator’s data 2. Nordic Body Map Questionnaire Work System Design & Ergonomic Laboratory | 1 Work Posture 3. Video of manual material handling process 4. Video screencapture Output : 1. Result of Nordic Body Map Questionnaire 2. REBA/RULA Score 3. Load and working posture analysis 4. Improvement of working system plan 5. Working posture recommendation C. REFERENSI Chaffin, D.B. et al., 1991. Occupational Biomechanics, Wiley New York. Corlett, E.N., (1992), Static Muscle Loading and the Evaluation of Posture. Edited by Wilson. J.R. & Corlett, E.N. 1992. Evaluation of Human Work a Practical Ergonomics Methodology. London :Tailor & Francis. Hignett, S., & McAtamney, L. (2000). Rapid Entire Body Assessment (REBA). Applied Ergonomics, 31(2), 201–206. Kroemer, K.H.E, H.B. Kroemer, dan K.E. Kroemer-Elbert. 2001. Ergonomics How To Design For Ease And Efficiency. New Jersey: Prentice Hall. McAtamney, L., Corlett, EN., 1993, RULA : Survey Method for The Investigation of Work Related Upper Limb Disorder, Applied Ergonomi. Journal of Human Ergonomics. 24(2), 91-99. Nurmianto, E., 1996. Ergonomi: Konsep Dasar dan Aplikasinya Tinjauan Anatomi, Fisiologi, Antropometri, Psikologi, dan Komputasi untuk Perancangan, Kerja dan Produk, Jakarta: PT Guna Widya. Sukania, I. W., Widodo, L., & Natalia, D. (2003). Identifikasi Keluhan Biomekanik dan Kebutuhan Operator Proses Packing. Jurnal Energi dan Manufaktur Vol.6, No.1,, 19-24. Sutalaksana, I.Z., Anggawisastra, R. & Tjakraatmadja, J.H., 1979. Teknik Tata Cara Kerja. ITB, Bandung. Tayyari, F. & Smith, J.L., 1997. Occupational ergonomics: Principles and applications, Chapman & Hall. Work System Design & Ergonomic Laboratory | 2 Work Posture Waters, T., 1994. Applications manual for the revised NIOSH lifting equation, DHHS (NIOSH) Publication No. 94-110, 32. Winter, D.A., 1979. Biomechanics of human movement, Wiley New York. D. LANDASAN TEORI 1. Nordic Body Map Sceletal muscle complaints related to the size of the human body is caused by the absence of equilibrium structure in order to receive a load, both weight of the body and other additional loads. For example the body that are prone to high compressive loads and bending, and therefore have a higher risk of the occurrence of skeletal muscle complaints. Through a subjective approach, skeletal muscle complaints can be measured and analyzed properly. The usage of subjective value have included some of the phenomena that occur in the psychological, biomechanical and measurement techniques, and being the easiest way to assess and is interpreted (Kroemer, 2001). Nordic Body Map is a subjective measurement tools used to determine the parts of muscle experiencing symptoms ranging from discomfort to very discomfort (Corlett, 1992). This questionnaire (Table 1.1 and 1.2) using the image of the human body which is divided into 9 main body part that is the neck, shoulders, upper back, elbows, lower back, hips, knees and ankles. From 9 body parts are then broken down into 28 parts of the body such as in Figure 1.1. Work System Design & Ergonomic Laboratory | 3 Work Posture Figure 1.1 Details of Body Parts Nordic Body Map (Source: Kroemer, 2011) Table 1.1 Level of Employees Pain A B C D Keterangan No Pain Tidak terasa sakit Moderately Pain Cukup Sakit Painful Menyakitkan Very Painful Sangat Menyakitkan Table 1.2 Nordic Body Map Questionnaire No Level of Complaints Location A 0 Upper neck/Atas leher 1 Lower neck/Bawah leher 2 Left shoulder/Kiri bahu 3 Right shoulder/Kanan bahu 4 Left upper arm/Kiri atas lengan 5 Back /Punggung 6 Right upper arm/Kanan atas lengan 7 Waist/Pinggang 8 Buttock/Pantat 9 Bottom/Bagian bawah pantat 10 Left elbow/Kiri siku 11 Right elbow/Kanan siku B C D Work System Design & Ergonomic Laboratory | 4 Work Posture No Level of Complaints Location A 12 Left lower arm/Kiri lengan bawah 13 Right lower arm /Kanan lengan bawah 14 Left wrist/ Pergelangan tangan Kiri 15 Right wrist/ Pergelangan tangan Kanan 16 Left hand/ Tangan Kiri 17 Right hand/ Tangan Kanan 18 Left thigh/ Paha Kiri 19 Right thigh/ Paha Kanan 20 Left knee/ Lutut Kiri 21 Right knee/ Lutut Kanan 22 Left calf/ Betis Kiri 23 Right calf/ Betis Kanan 24 Left ankle/ Pergelangan kaki Kiri 25 Right ankle/ Pergelangan kaki Kanan 26 Left foot/kaki kiri 27 Right foot/kaki kanan B C D Data processing using nordic body map questionnaire can be processed by many ways. But in this lab is restricted by various regulations and measures as follows (Sukania, Widodo, and Natalia, 2003): a. Fill out the questionnaire of NBM with some respondents that the same type of work. b. Make a percentage of each indicator. c. Analyzing the percentage who have high levels of complaints by workers Work System Design & Ergonomic Laboratory | 5 Work Posture 2. Postur Kerja The movement of the organs of the body at work determines good work posture. The movement can be as flexion, extension, abduction, adduction, pronation, and supination as shown in the figure below. Figure 1.2 Kinds of Motion Body . Ergonomic considerations relating to the work posture can help to get a comfortable working posture for workers, working posture standing, sitting and so on. In several types of work is working posture unnatural and takes place in the long term. This will lead to pains in the body, or often called CTDs (Cumulative Trauma Disorders). Cumulative Trauma Disorders (may be referred as Repetitive Motion injuries or Musculoskeletal Disorders) is an injury to the skeletal system muscles that grew gradually as a result of minor trauma are constantly. It caused by worst design that the design of the tool / work systems that require body movements in position unnormal and the use of tools / handtools or other device that is too often (Tayyari & Smith, 1997). There are four factors that most often the causes of CTDs are: a. The usage of excessive force during normal movement. b. Unnormal position movement of stiff joints. For example, the shoulders that are too elevated, back bending, and so on. c. Repetition the same movement. d. Lack of adequate rest to heal the trauma of the joint. Work System Design & Ergonomic Laboratory | 6 Work Posture A. Work Posture Method Work attitude (posture) plays an important role in the world of work, especially in manual material handling (MMH). By having the correct working posture, the worker / operator would need a little break, faster, and more efficient in work, work postures otherwise false and in the long term will lead to a wide range of health problems that can be worst. In working posture analysis, there are several methods used in analyzing scores of positioning posture. Existing methods for analyzing posture can be seen in the following figure. REBA (Rapid Entire Body Assessment) RULA (Rapid Upper Limb Assessment) OWAS (Owako Work Posture Analysis) Metode Analisa Postur Kerja PEI (Posture Evaluation Index) QEC (Quick Exposure Check) PLIBEL Figure 1.3 Methods Posture Analysis Based on methods exist in the measurement work postures, only two method that will be used in the practicum. 1. Rapid Entire Body Assessment (REBA) In 1995, McAtamney and Hignett introduce Rapid method Entery Body Assessment (REBA). The method can be used to quickly assess the posture of a worker and this method is also influenced by coupling, external load supported by the body and the activity of workers (Hignett & McAtamney, 2000). The input method REBA namely: 1. Collecting data using the camcorder posture workers 2. Determination of the angle of the torso, neck, legs, upper arms, forearms and wrists. Work System Design & Ergonomic Laboratory | 7 Work Posture Process of REBA method shown as Figure 1.4 as follows: Figure 1.4 REBA Scoring REBA output contained in Table 1.3 is a grouping of the action levels should be based on the results of the total value in the assessment of REBA, as shown in the following table: Table 1.3 Action Level REBA Method Action Level 0 1 2 3 4 REBA Score 1 2–3 4–7 8 – 10 11 – 15 Risk Level Can be ignored Low Moderate High Very High Corrective Action Not necessary Maybe necessary Necessary Need fast Need immediately a. Steps of Rapid Entire Body Assessment (REBA) 1. Retrieving data posture workers use video or photos. To get an idea of the attitude (posture) workers and neck, back, arm, wrist to toe in detail is done by recording or photographing posture workers. It is done so that researchers get the data posture in detail (valid), resulting from the recording and the images can be obtained accurate data for the calculation stage and subsequent analysis. Work System Design & Ergonomic Laboratory | 8 Work Posture 2. Determination the angle of the worker's body parts Having obtained the recordings and photographs posture of workers carried out the calculations of the angles of each body segment that includes the back (torso), neck, upper arms, forearms, wrists, and feet. In the REBA method segment - a segment of the body is divided into two groups, namely group A and B. Group A includes the back (torso), neck, and legs. While Group B includes of the upper arm, forearm and wrist. From the data on each corner of the body segments - each group can know the score, then the score is used to view the table A (Table 1.10) for group A and Table B (Table 1.11) for group B in order to obtain a score for each table. Work System Design & Ergonomic Laboratory | 9 Work Posture a. Back Scores movement back (torso) and range of movement can be seen in Table 1.4 and Figure 1.5. Table 1.4 Score movement back (torso) Movement Upright / natural Score 1 Score Change 00 - 200flexion 00 - 200extension 200 - 600 flexion > 200 extension > 600 flexion 2 +1 if rotate or tilted to the side 3 4 Figure 1.5 Range of back movement (a) natural posture, (b) 0 – 20oflexion posture, (c) 20 – 60oflexion posture, (d) 60o or more flexion posture. b. Neck Scores neck movement and range of movement can be seen in Table 1.5 and Figure 1.6. Table 1.5 Neck movement score Movement 00 - 200flexion >200 flexion atau extension Score 1 Score Change +1 if rotate or 2 tilted to the side Figure 1.6 Neck movement range (a) 20o or more flexion posture, (b) extension posture Work System Design & Ergonomic Laboratory | 10 Work Posture c. Leg Scores leg movement and range of movement can be seen in Table 1.6 and Figure 1.7. Table 1.6 Foot position score Movement Feet propped up, the weight is spread evenly, walk or sit Legs are not propped up, the weight is not distributed evenly / posture is not stable Score Score Change 1 +1 if knee between 300 and 600flexion 2 +2 if knee >600 flexion (not when sitting) Figure 1.7 Range movement of the foot (a) foot propped up, the weight is spread evenly, (b) leg was not propped up, the weight is not distributed evenly, (c) between 300 and 600flexion knee, and (d) knee> 600 flexion (not when sitting) d. Upper arm Scores movement of the upper arm and the range of movement can be seen in Table 1.7 and Figure 1.8. Table 1.7 Scores movement of the upper arm Movement 20 extension to 200flexion 0 Score 1 0 >20 extension 200 - 450flexion 2 >450 - 900flexion 3 > 900flexion 4 Score Change +1 if arm position: - abducted - rotated +1 if the shoulder elevated -1 if lean, arm weights supported or corresponding gravity Work System Design & Ergonomic Laboratory | 11 Work Posture Figure 1.8 Range movement of the upper arm (a) posture 20oflexion and extension, (b) 20o or more extension posture and posture 20 - 45oflexion, (c) posture 45 - 90oflexion, (d) posture 90o or more flexion e. Forearm Scores movement of the forearm and the range of movement can be seen in Table 1.8 and Figure 1.9. Table 1.8 Forearm movement score Movement Score 600- 1000flexion 1 <600 flexion or >1000flexion 2 Figure 1.9 Range movement of the forearm (a) posture 60 - 100oflexion, (b) or less flexion postures 60o and 100o or more flexion Work System Design & Ergonomic Laboratory | 12 Work Posture f. Wrist Wrist movement scores and range of movement can be seen in Table 1.9 and Figure 1.10. Table 1.9 Wrist movement scores Movement 0 - 15 flexion / extension 0 Score 1 0 0 >15 flexion / extension 2 Score Change +1 if the wrist deviated or spun Figure 1:10 Range wrist movements (a) natural posture, (b) posture 0 - 15oflexion and extension, (c) 15 degrees or more flexion postures, (d) posture 15o or more extensions Table 1.10 Table A Neck = 1 Neck = 2 Neck = 3 Foot 1 2 3 4 Foot 1 2 3 4 Foot 1 2 3 4 1 2 Back 3 1 2 3 4 2 3 4 5 2 4 5 6 3 5 6 7 4 6 7 8 1 2 3 4 3 4 5 6 4 5 6 7 5 6 7 8 6 7 8 9 3 3 5 6 4 5 6 7 5 6 7 8 6 7 8 9 7 8 9 9 4 5 Work System Design & Ergonomic Laboratory | 13 Work Posture Table 1.11 Table B Wrist 1 2 3 Wrist 1 2 3 Forearm = 1 Forearm = 2 1 2 Upper Arm 3 4 1 2 3 1 2 3 3 4 5 4 5 5 6 7 8 7 8 8 1 2 3 2 3 4 4 5 5 5 6 7 7 8 8 8 9 9 5 6 Scores the results obtained from Table A and Table B is used to view the table C to obtain a score of table C as in Table 1.12. Table 1.12 Table C Score B 3. 1 2 3 4 5 6 7 8 9 10 11 12 1 1 1 1 2 3 3 4 5 6 7 7 7 2 1 2 2 3 4 4 5 6 6 7 7 8 3 2 3 3 3 4 5 6 7 7 8 8 8 4 3 4 4 4 5 6 7 8 8 9 9 9 5 4 4 4 5 6 7 8 8 9 9 9 9 Score A 6 7 6 7 6 7 6 7 7 8 8 9 8 9 9 9 9 10 10 10 10 11 10 11 10 11 8 8 8 8 9 10 10 10 10 10 11 11 11 9 9 9 9 10 10 10 11 11 11 12 12 12 10 10 10 10 11 11 11 11 12 12 12 12 12 11 11 11 11 11 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 12 Determination of the weight of the object is lifted, coupling, and the activity of workers In addition to scoring on each body segment, another factor to be included is the weight lifted (Table 1:13), coupling (Table 1:14 and 1.15), and the activity of workers (Table 1.15). Each of these factors also have a score category. Work System Design & Ergonomic Laboratory | 14 Work Posture Table 1.13 Scores heavy burden is lifted 0 1 2 < 5Kg 5 - 10 Kg > 10 Kg +1 Addition of the load suddenly or quckly Table 1.14 Coupling Table 0 1 2 Good Fair Poor Handrail fitting and Grip acceptable but Grip cannot right in the middle, not ideal or coupling accepted even strong grip. is suitable for use by possible. other parts of the body. 3 Unacceptable be Forced, grip unsafe, if without handles. Coupling is not suitable for use by other parts of the body. Work System Design & Ergonomic Laboratory | 15 Work Posture Object Lifted Container (Keranjang) Container (Keranjang) Optimal? Loose Object (Benda Bebas) NO YES Bulky Object? (Benda Besar)? NO YES POOR Tungkai (Handle) Optimal? Genggaman (Grid) Optimal? NO NO Jari - Jari memebentuk sudut 90 derajat NO YES FAIR YES YES Good Figure 1.11 Flowchart Decision Tree Classification Clutch (Waters et al, 1994) Work System Design & Ergonomic Laboratory | 16 Work Posture Table 1.15 Activity Score +1 +1 +1 - 1 or more parts of the body status, detained for more than 1 minute. - repetition of movements within a short time span, repeated more than 4 times per minute (excluding walking) - Movement causes changes or shifts in posture that is faster than the initial posture 4. REBA posture value calculation Having obtained a score of table A then calculated with the score for the heavy load lifted so that the obtained value portion of A. While scores of tables and calcilated with a score of table coupling to obtain value from the value of B. Part A and Part B can be used to find the value section C that can be seen on table C. REBA value obtained from the sum of the value of part C with the value of labor activity. REBA value can be found in musculoskeletal risk level and the actions that need to be done to reduce risk as well as the repair work. For more details, plot ways of working by using REBA method as well as the level of risk that occurred can be seen in Figure 1.12 and Table 1.16. REBA : SCORING L R Trunk Upper Arms L GROUP A R Neck GROUP B + + Lower Arms L Legs Load/ Force Coupling R Wrists SCORE A Use Table C SCORE C + Activity Score Date: Task: REBA Score Analysts: Figure 1.12 Step - step calculation method of REBA (Source: Hignett and McAtamney) Work System Design & Ergonomic Laboratory | 17 Work Posture Table 1:16 Table Level Risks and Actions Action Level REBA Score Risk Level Corrective Action 0 1 Can be ignored Not necessary 1 2-3 Low Maybe necessary 2 4-7 Moderate Nnecessary 3 8 - 10 High Need fast 4 11 - 15 Very high Need immediately From the table above risks can be determined by REBA value obtained from the previous calculation result can know the level of risk that occurred and whether or not the measures taken for improvement. Repair work may be carried out which include the redesign of work equipment based on the principle - the principle of ergonomics. 2. Rapid Upper Limb Assessment (RULA) RULA or Rapid Upper Limb Assessment developed by Dr. And Dr. Lynn McAtamney Nigel Corlett that is ergonom of universities in Nottingham (University of Nottingham's Institute of Occupational Ergonomics). He was describe in the journal form ergonomic applications in 1993 (Lueder, 1996). Rapid Upper Limb Assessment is a method developed in the field of ergonomic investigating and assessing that work done by the position of the upper body. This method is used to retrieve the value of work posture in taking sample posture of the work cycle, which have hazardous risks to the health of the workers, then do assessment / scoring. Having obtained the results of the assessment, we can know the posture of the worker in accordance with the principles of ergonomics or not, if not then necessary remedial measures. This method uses diagrams of body postures and three assessment tables (tables A, B, and C) are provided for evaluating the hazardous working posture in the work cycle. Through this method will get the maximum limit value and the various postures of workers, the limit values ranging between grades 1-7. a. RULA method objective: 1. Provides fast protection at work. 2. Identify the necessary business-related muscle posture while working. 3. Provide the results that can be included in the assessment of extensive ergonomics. Work System Design & Ergonomic Laboratory | 18 Work Posture 4. Documenting posture at work, with the following provisions: Body divided into two groups, A (arm and forearm and wrist) and B (neck, spine, and feet). 5. Distance movement of any part of the body is numbered. 6. Scoring is done on sides, right and left. RULA method was designed for ease without requiring tools are difficult to use. Using the worksheet RULA, the evaluator will assign a score to each of the following body regions: the upper arm, forearm, wrist, neck, trunk, and legs. Once the data for each region is collected and scored, tables on the form then used to construct variable risk factors, produces a single score that represents the level of risk of MSD as outlined below: Table 1.17 on assessing the level of risk RULA Score Tingkat Resiko 1-2 Negligible risk, no action required 3-4 Low risk, a change is needed 5-6 Intermediate risk, further investigation, change soon 6+ Very risk, implement change now b. Steps and examples using RULA RULA worksheet is divided into two parts, part A (Arm and wrist) and B (neck, back, legs). This division is required to ensure that each posture is restricted from the neck, back and legs that may affect the arm and wrist postures are included in the assessment of RULA. Researchers have to give value to the group A (Arm and wrist) first, then the value for the group B (neck, back and legs) to the left and right. For each part of the body, there is the scale of values penyesu posture and no provisions as described in the worksheet to be considered and taken into account in the scoring. Work System Design & Ergonomic Laboratory | 19 Work Posture 1. Steps 1-4: Right Arm & Wrist Analysis Figure 1.13 Arm and wrist analysis in RULA In step 1, a +3 score was used for upper arm position (45+ degrees). For step 2, a +2 score was given for the lower arm position (<60 degrees). The step 3 wrist score was +3 for wrist flexion (>15 degrees), and +1 was added for ulnar deviation. The step 4 wrist score is +2 because the wrist is twisted near the end range. Each score should be marked on Table A. Work System Design & Ergonomic Laboratory | 20 Work Posture 2. Steps 5-8: Calculate the score for Group A as outlined below: Figure 1.14 Group A score in RULA a. Step 5: Using values from steps 1-4, locate the score for this step in table A. b. Step 6: Add the muscle use score to this box. In this example, the posture is not sustained for more than 10 minutes, and not repeated 4x per minute. Therefore, the score is 0. c. Step 7: In this example, the load is greater than 4.4 lbs. and repeated. Therefore, the score is +2. d. Step 8: Add the values in steps 5-7 to obtain the Wrist / Arm Score. e. Steps 9-11: Neck, Trunk and Leg Analysis. Work System Design & Ergonomic Laboratory | 21 Work Posture 3. Steps 9-11: Neck, Trunk and Leg Analysis Figure 1.15 Neck, trunk and leg analysis in RULA In step 9, a +3 score was used for the neck position (>20 degrees). The step 10 score is +1 due to a trunk position of 0-20 degrees. Each score should then be circled on Table B. Work System Design & Ergonomic Laboratory | 22 Work Posture 4. Steps 12-15: Calculate the total score for Group B as outlined below Figure 1.16 Group B score in RULA f. Step 12: Using values from steps 9-11, locate the score for this step in table B. g. Step 13: Add the muscle use score to this box. In this example, the posture is not sustained for more than 10 minutes, and not repeated 4x per minute. Therefore, the score is 0. h. Step 14: In this example, the load is greater than 4.4 lbs. and repeated. Therefore, the score is +2. i. Step 15: Add the values in steps 12-14 to obtain the Neck, Trunk, & Leg Group B Score. Work System Design & Ergonomic Laboratory | 23 Work Posture Determine Final RULA Score: Use Table C to determine the final RULA score as shown below. Figure 1.17 Final score table C in RULA Final RULA Score = 7 In this example, the final RULA score of 7 indicates high risk and calls for engineering and/or work method changes to reduce or eliminate MSD risk as outlined in the chart on page 1. 3. CTDs Prevention By doing the above calculations it is expected that workers can minimize the risk of CTDs impact itself. Prevention of CTDs can be grouped into three categories: engineering controls, administrative controls and personal protective equipment (PPE) as contained in Figure 1.17 as follows: Work System Design & Ergonomic Laboratory | 24 Work Posture Avoid CTD Engineering Controls Administrative Controls Job Redesign Penjadwalan Waktu Istirahat Workplace Redesign Rotasi kerja Tool Redesign Training Automation Exercise Workplace Accessories Job/career changes APD Figure 1.17 CTDs prevention steps (Source : Tayyari, 1997) E. PROBLEMS a) Nordic Body Map A look into the company that its employees working in the sector of packaging (packaging). In a sector that there are 30 employee want to analyze which part is the complaint of workers at work, which will be calculated and analyzed further. From these results, the researchers could get results like the following table: Level of Complaints B C A % Total % Total % Total Location Total No D % 0 Upper neck/Atas leher 9 30.0 5 16.7 16 53.3 0 0 1 Lower neck/Bawah leher 7 23.3 5 16.7 18 60.0 0 0 2 Left shoulder/Kiri bahu 15 50.0 6 20.0 9 30.0 0 0 3 Right shoulder/Kanan bahu 13 43.3 13 43.3 4 13.3 0 0 4 Left upper arm/Kiri atas lengan 15 50.0 12 40.0 3 10.0 0 0 5 Back /Punggung 7 23.3 11 36.7 9 30.0 3 10 6 Right upper arm/Kanan atas lengan 6 20.0 4 13.3 20 66.7 0 0 7 Waist/Pinggang 10 33.3 9 30.0 9 30.0 2 6.67 8 Buttock/Pantat 14 46.7 11 36.7 5 16.7 0 0 Work System Design & Ergonomic Laboratory | 25 Work Posture Level of Complaints B C A % Total % Total % Total Location Total No D % 9 Bottom/Bagian bawah pantat 17 56.7 9 30.0 4 13.3 0 0 10 Left elbow/Kiri siku 19 63.3 7 23.3 3 10.0 1 3.3 11 Right elbow/Kanan siku 16 53.3 12 40.0 1 3.3 1 3.3 12 Left lower arm/Kiri lengan bawah 17 56.7 12 40.0 1 3.3 0 0 13 Right lower arm /Kanan lengan bawah 20 66.7 10 33.3 0 0.0 0 0 14 Left wrist/ Pergelangan tangan Kiri 16 53.3 14 46.7 0 0.0 0 0 15 Right wrist/ Pergelangan tangan Kanan 18 60.0 11 36.7 1 3.3 0 0 In these results, it can be seen that the pains (C) that exceeds 50% is the upper right arm, neck and upper neck. Thus, it needs further analysis and recommendations. b) Posture Torso on the work process at 35o bend (forward), to the position of the operator's neck form an angle of 34o, with normal foot position / balance. For weight carried is less than 10 kg and need rapid strength to carry the load. The movement of the upper arm while lifting a box is 20o and the arm is in a bent position. Forearm in this process allows the 50o movement, as well as a large angle to the wrist> 15o. In this case the object is lifted in the form of a box so that there are no handrails found on the side of the box, so it can be said to be poor. This activity requires a change in the posture of a relatively fast motion. As an expert in ergonomics, analyze work postures that occur on this operator. Determine the level of action and solutions. Work System Design & Ergonomic Laboratory | 26 Work Posture L R Trunk GROUP A Neck 5 2 + + 1 Load/Force Coupling 2 Upper Arms L R GROUP B Lower arms L R Legs Wrists 6 SCORE A 4 Use Table C SCORE C 7 + Activit y Score REBA Score 1 8 Conclusions: REBA score 8 Action Level 3, the level of risk is very high and the necessary corrective actions immediately. Work System Design & Ergonomic Laboratory | 27 Work Posture F. PRACTICUM Practicum groove as described in the following flowchart: Start Theory · Delivering Material · Post test Place Decision Data collection · · · Respondent do the work Take a video Fill out NBQ Data collected Data Processing Data Analysis Conclusion Consultation ACC Assistant Report submitted Work System Design & Ergonomic Laboratory | 28