Target the Problem, Not the Symptom Choosing The Correct Ergonomic Analysis Tool What We Are Going To Cover General overview of different types of ergonomic assessments • Ergonomic Risk Assessment – Ergonomic Risk Factors – Qualitative Analysis – Quantitative Analysis • Physical Demand Assessment – Post-offer testing for new hires – Return-to-work www.ergomethods.com Ask the Following Questions Before Analyzing the Job • • • • Why are you analyzing the job? How are you going to apply the data? What are your desired outcomes? Are you comparing apples to apples? Physical Demand Assessment vs. Ergonomic Risk Assessment • Ergonomic Risk Assessment • Used to Assess Ergonomic Risks or Resolve Ergonomic Risks • Physical Demand Assessment • Used for Post-Offer Testing, Functional Capacity Evaluations & Return to Work • Why Do We Have to Differentiate? • Desired Outcome • Liability and Legal Issues Ergonomic Risk Assessments The goal of an ergonomic risk assessment is to identify factors that may increase the likelihood of a worker developing a musculoskeletal disorder (MSD). Awkward Postures Excessive Force Personal Repetitive Motions MSD Risk Factors Contact Stress Static Postures Risk Depends On Magnitude, Frequency and Duration Ergonomic Risk Assessments • • • • • • • • • RULA REBA Moore-Garg Strain Index NIOSH Lift Equation Back Force Estimation Shoulder Force Estimation Heart Rate Rodgers Muscle Fatigue Ergonomic Risk Assessment Qualitative vs. Quantitative • Qualitative • Exploratory and/or investigative. • Findings are not conclusive. • Used to categorize • Quantitative • Used to recommend a final course of action. Risk Qualitative Quantitative Force High Force 65 lbs Repetition Fast Pace 10 reps/1 min cycle Posture 45 – 90 deg 45 Degrees of Flexion Outcome 7/10 Rank Force, Repetition, Posture Data Rapid Upper Limb Assessment • Rapid Upper Limb Assessment or RULA is used to assess posture force and movement associated with tasks where the worker is seated or standing without moving about. • Qualitative assessment Rapid Upper Limb Assessment RULA Outcomes • Qualitative Assessment • Compare to other jobs • Rank body parts 4 Rapid Entire Body Assessment • The Rapid Entire Body Assessment is used to assess static, rapidly changing and unstable postures. • It can be used to assess handling loads. • Qualitative assessment Rapid Entire Body Assessment Moore – Garg Strain Index • The strain index (SI) is a method of evaluating jobs to determine if they expose workers to increased risk of developing MSDs of the distal upper extremity (i.e. elbow, forearm, wrist & hands) • Based off of physiological, biomechanical & epidemiological principles. • Validity has been demonstrated in pork and poultry processing Moore – Garg Strain Index • Advantages – Accounts for task duration & recovery time – Assesses adverse effects of magnitude, duration & frequency • Disadvantages – Requires individuals with experience & training – Helpful to utilize video tape for analysis NIOSH Lifting Equation •The NIOSH Lifting Equation is intended for two-handed lifts with without sudden changes in acceleration that are performed from a standing position. •Based on biomechanical, physiological and psychophysical criteria. •The end product of the equation is the RWL or Recommended Weight Limit and the Lifting Index. Variables RWL = 51 X HM X VM X DM X AM X FM X CM • • • • • • HM – Horizontal Multiplier VM – Vertical Location Multiplier DM – Vertical Distance Multiplier AM – Asymmetry Angle (Twisting) Multiplier FM – Frequency Multiplier CM – Coupling Classification V VM 0 .78 5 .81 10 .85 15 .89 20 .93 25 .96 30 1.00 35 .96 40 .93 45 .89 50 .85 55 .81 60 .78 65 .74 70 .70 >70 .00 Vertical Multiplier Variables RWL = 51 X HM X VM X DM X AM X FM X CM • • • • • • HM – Horizontal Multiplier VM – Vertical Location Multiplier DM – Vertical Distance Multiplier AM – Asymmetry Angle (Twisting) Multiplier FM – Frequency Multiplier CM – Coupling Classification Interpretation of Results • The Recommended Weight Limit is defined as the weight of the load in which nearly all healthy workers could perform over a substantial period of time without an increased risk of developing lifting-related low back pain. Interpretation of Results • Lift Index = (Actual Load) / RWL • Most experts believe that there will be an increased risk of low-back injury for most (if not all) workers if the lift index exceeds 1. • Some experts feel that if workers are properly screened (based on the task requirements) and trained that they can safely work at lift indexes greater than 1 but less than 3. Low Back Compressive Force Model • Developed by Don Bloswick, PhD (Professor at University of Utah) • Used only as an estimation of low back compressive force. • Applicable lifting situations: •Two handed lifts •Smooth lifting situations without sudden changes in acceleration •Performed from a standing position Low Back Compressive Force Model A = 3(BW)Cosθ B = 0.5(L + HB) C = 0.8[(BW)/2 + L] – 0.8 FC = A + B + C Low Back Compressive Force Model •BW: Body Weight •L: Load •HD: Horizontal Distance •Cos Θ: Back Angle FC = A + B + C A = 3(BW)Cosθ B = 0.5(L + HD) C = 0.8[(BW)/2 + L] – 0.8 •FC: Total Compressive Force Estimate •A: Back muscle force reacting to upper body weight •B: Back muscle force reacting to the load moment •C: Direct compressive component reacting to upper body weight and the load Low Back Compressive Force Model Measure Body Weight [kg] Average body weight for an even gender distribution is 75 kg Load [kg] Horizontal Distance [m] Hands to lower back {L5 - S1 Joint} Back Posture (Angle from Vertical) Θ Load = L Muscle Force UBW = 0.5 BW HB Symbol Value BW 200 L 35.0 HB 15 θ 45 Sin θ 0.71 [lb] [lb] [in] [°] [--] Low Back Compressive Force Model Outcomes Contributor Back Posture A = 3 (BW) sin θ Load Moment B = 0.5 (L*HB) Direct Compression C = 0.8 [(BW)/2 + L] Estimated Compressive Force Fc = A + B + C Value [lbf] Computation 3*( 200 ) * ( 0.71 ) 424 0.5 * ( 35.0 ) * ( 15.00 ) 263 0.8 * {( 200 )/2 + ( 35.0 115 Comparison Value: 700 lbf )} 802 Utah Shoulder Moment Estimation • Developed by Don Bloswick, PhD (Professor at University of Utah) • Used only as an estimation of shoulder moment force. • Applicable when the arm is raised or lowered without sudden changes in acceleration Utah Shoulder Moment Estimation Variable and Abbreviations • BW = Body weight in lbs. • D = Horizontal distance from the load to the should joint. • L = Load weight in lbs. • A = Forearm angle in degrees • B= Upper arm angel in degrees A B D Utah Shoulder Moment Estimation Mb = Moment at the shoulder due to the weight of the arm. Mf = Moment at the shoulder due to the weight of the load in the hands. Mtask = Total moment at the shoulder. Mcap = Moment capacity • • • • Mb = 0.0115 x D x BW Mf = 0.5 x D x L Mt = Mb + Mf % Max = Mtask / Mcap Utah Shoulder Moment Estimation % Max = Mtask / Mcap Forearm angle (A) 45 Upperarm angle (B) 90 135 180 50% Male 0 632 691 751 810 45 598 658 717 777 90 565 624 684 743 135 531 591 650 710 180 498 557 617 676 Heart Rate • Heart rate is the most convenient physiological measure of job stress. • In many situation heart rate is closely related to maximum aerobic capacity. • This data is very easy to gather with today’s technology. Heart Rate Shift Heart Rate Work Classification < 90 bpm Light Work 91-100 bpm Moderate Work 101-120 bpm Heavy Work > 120 bpm Very Heavy Work Heart Rate • Obviously this upper range could not be sustained for long periods of time. • A work capacity level of 33 percent for an eight-hour work shift has long been the accepted guideline for jobs where wholebody fatigue is primary concern. • Longer work shifts also necessitate a lower work capacity requirement. The recommended work capacity guideline drops to 30.5 percent for a 10 hour shift and to 28 percent for a 12-hour shift3. Rogers Muscle Fatigue Analysis • Studies of physiological muscle fatigue at different effort levels and holding times provided the basis for this assessment. • Looks and muscular effort (static & dynamic) in relation to recovery time. • Variables include: – Effort – Duration – Frequency • Not appropriate if fatigue is not likely to occur during the task. Rogers Muscle Fatigue Analysis Category Scores Grouped by Priority for Change in the Order of Effort, Continuous Effort, Duration and Frequency Low (L) Moderate (M) High (H) Very High (VH) 111 123 223 323 112 132 313 331 113 213 321 332 211 222 322 4xx 121 231 x4x 212 232 xx4 311 312 122 131 221 Awkward Postures Excessive Force Personal Repetitive Motions MSD Risk Factors Contact Stress Static Postures Risk Depends On Magnitude, Frequency and Duration Wrist MSDs - Reps & Force 20 16.6 15 Odds Ratio 10 5 2.9 1 2.7 0 Control group Force Reps Force + Reps Ergonomic Risk Assessments The goal of an ergonomic risk assessment is to identify factors that may increase the likelihood of a worker developing a musculoskeletal disorder (MSD). Standardized Ergonomic Risk Assessment Quantitative Assessment Problem Solving: The Problem Definition The ___________ employees are experiencing fatigue or discomfort in ___________ due to_________ . Problem Solving Matrix Physical Demands • Physical Demands Analysis provides an overview of physical, environmental and psychosocial stressors within a particular job classification or task. Used in Functional Testing Examples: stoop, lift, push, pull, carry, walk, climb, drive, sit, reach forward, etc. Physical Demands Physical Demand Photo Documentation •Quick reference for job requirements for: •HR •Physicians •Therapists Functional Testing Protocol # Required Test Passing 1 Static Grip Strength Dominant (stop 1) 75 lbs 2 Static Grip Strength Non-Dominant (stop 1) 75 lbs 3 Lift 0 “ to 45” 55 lbs 4 Reaching Task Utilizing BTE ER Completion of Test 5 Single Arm Lift (Right & Left Hands) 20 lbs 6 Lateral Pinch (Right & Left Hands) 15 lbs 7 Finger Press (Right & Left Hands) 25 lbs 8 Dynamic Push Shoulder Level 45 lbs 9 Dynamic Pull Shoulder Level 45 lbs 10 Simulated Work Task (Bolt Box) for 3 minutes Completion of Task 11 Bilateral Carry 35 lbs Functional Testing In Summary • Physical Demand Assessments • Functional Testing – Used to document physical requirements of essential job tasks – Used for post-offer testing – Used for return-to-work • Ergonomic Risk Assessments • Qualitative – Used to give a quick “snapshot” of overall status – Used to identify areas for more in depth analysis – Used to compare and rank jobs • Quantitative – Used to quantify ergonomic risks – Used to resolve ergonomic issues – Used for before and after comparisons Assessment Objectives • Ergonomic Risk Assessments • Reduce ergonomic risk factors and prevent injuries from occurring • Choose the correct analysis tool • Quantify the ergonomic risks • Physical Demand Assessments • Hire individuals with the physical capabilities to perform the job safely • Test injured individuals to confirm legitimacy of the injury claim and return to work status. Speaking From Experience Make Sure: • Ergonomists are certified by the BCPE • Help you develop a process not a program. • Don’t just provide data but provide solutions. • Involve employees in the problem solving process. Other Ergonomic Assessments • • • • • • • • Liberty Mutual Tables ACGIH for Hand Activity Level WISHA Hand-Arm Vibration Analysis MSD Analysis Guide (MAG) Time Motion Studies Work Recovery Cycles 3D Static Strength Prediction Program Biomechanical Analysis Remember • Your results are only as good as the data used to calculate them. • There are many ergonomic analysis tools, make sure you choose tool and an expert that will provide the data you need for your desired outcome. • Prove you’re success with numbers and dollars. ErgoMethods Has One Objective All employees perform their job without pain or discomfort and that all employees reach their retirement in a physical condition that enables them to enjoy it! Mark A. Heidebrecht, MSE, ACSM, CEA 14610 S Kaw Olathe, KS 66062 913-393-2773 mark@ergomethods.com www.ergomethods.com