ANALYSIS OF EFFECT OF SHIFT WORK LOAD OF WORK ON WORKERS AT. FLAMBINDO CORTAMA TANGERANG Ratno Adi (1) Industrial Engineering Program - Mercu Buana University Jl. South Meruya, Gardens Orange - Jakarta Barat email: ratnoadi0606@gmail.com ABSTRACT Fatigue is the body's protective mechanisms of the body to avoid further damage. Fatigue is subjective, leading to the weakening of labor conditions to perform an activity. One of the causes of fatigue is sleep disturbance in this shift, because working at night may lead to decreased function of the body and stress. Work shift system turned out to have an impact on employees. In the industrial world, setting work schedules that are less well can cause accidents, health problems and complaints - physical complaints caused less ergonomisnya a job. Therefore it is necessary a good working shift system to minimize complaints the complaints. The aim of this study is to identify, menganilisis and formulate a strategy to determine a good working shift system to suppress a decrease in the productivity of workers working shifts. This study used a questionnaire to the respondents the impact of shift work for the morning shift and evening shift. The method used in this research is quantitative research methods. This research population is all employees of PT Flambindo Cortama, especially production division amounted to 170 employees. While the sample amounted to 80 employees. Keywords: Fatigue, Shift work, Impact of Shifts 1. Introduction Occupational safety and health is an important issue in every operational process, in both the traditional and modern. According to the ILO (2003), every day an average of 600 thousand people die from sickness and work accidents, or 2.2 million people per year. A total of 350,000 people per year of which died from workplace accidents. In Indonesia, the number of occupational accidents reached 58,600 in 2008 and reached 54 398 in 2009. Based on data at PT Jamsostek in 2010, work accidents reached 49 919 cases and 7965 of them died, as many of them may occur in shift workers. According Suma'mur (1993) in general there are two classes of causes of accidents, namely action / human actions that do not meet safety (unfase human acts) and the state of the environment is not safe (unfase condition). Of the few studies that have been done, the human factor occupies a very important position against occupational accidents is between 80-85%. One of the main causes of workplace accidents caused by humans is stress and fatigue (fatigue). Fatigue contributed 50% of the accidents (Setyawati, 2007). Fatigue can occur because of physical or mental stress. One reason for the fatigue is sleep disorders (sleep distribution) which, among others, could be affected by lack of sleep and disruption of circadian rhythms due to shift work (Wicken, et al, 2004). It has been believed that most of the workers who work on the night shift have a higher risk of work accidents than those who work on normal shift (morning shift). PT. Flambindo Cortama is a spare part manufacturing company manufacture branded Honda motorcycles. Chosen PT. Flambindo Cortama has a sufficient number of hours worked long and employs 170 permanent employees, and to fulfill customer orders from the PT. Flambindo Cortama achieve the production target by imposing patterns of work 2 shifts (12 hours per shift) with the aim of efficiently between labor and wages given to workers. Normal working hours on a day shift starting at 08.00-16.00 with a number of breaks at 12:00 to 13:00, but to be able to meet production targets, often do overtime until 8 pm (for the morning shift). The night shift starts from 20:00 to 4:00 pm with a break at 00:00 to 01:00. The shift work system meggunakan rotation system, meaning that employees working in the morning shift will be working on the night shift the following week in a period of one week. Shift work is only valid in the production department, but not all production departments that work with shift work. From 5 production departments only four production departments imposed shift work system, ie press department, welding department, cutting department, and the department turret. Based on the recapitulation of the deployment of questionnaires given to several employees working with shift work system, they acknowledge the existence of physical complaints including pain in certain body parts, such as pain in the neck, waist, shoulders and back. The environment at night is also an obstacle to the employees, the employees felt cold temperatures made more pronounced sleepiness during work at night. Shift work is seen as an individual consuming demands. If the shift system is not working well managed by the company, will affect physiological disorders and ultimately will reduce the productivity of the workers. Through the method of identification of the recapitulation of questionnaires impact of shift work and physical complaints against the employees are expected to minimize complaints - complaints that occur in workers who work with shift work system and can formulate a good strategy in determining the shift system of work. A. Problem Formulation Based on the description of the background of the above, the formulation of the problem to be addressed in this study is to identify the complaints complaints from workers who work shift system of work, minimize complaints complaints that occur in workers who work with the system and formulating a strategy shift work Good in determining the shift system of work with the methods of identification of the recapitulation of questionnaires. B. Limitation Problem The problem definition is used so that the matter can be investigated more targeted and focused, so that research can be carried out according to what was planned. The problem definition is as follows: - The study was conducted in PT. Flambindo Cortama Tangerang - Population and sample part production departments are employees of PT. Flambindo Cortama the work shift system of work which amounts to 80 people per shift. - Research carried out in the form of a test pulse and a questionnaire distributed to employees section production department work shift system of work. C. Objective The aim of this study was to identify the complaints - complaints from workers who work shift system of work, minimize complaints - complaints that occur in workers who work shift system of work and formulate strategies that work well in determining the shift system of work with methods of identification of the recapitulation of questionnaires. 2. Review of Literature Worker is any person who works for someone else, because of the work to be done where there are elements of a command, wages and time. Working Hours dalah time to do the work, can be carried out during the day and / or night. Shift work is a division of labor based on a specific time pursued by the company to maximize productivity. The workload is a set or a number of activities that must be completed by an organizational unit or office holder in a certain period. Shift system is a system work arrangements provide the opportunity to utilize the overall time available to operate the job. Shift system is used as a way most likely to meet the demand trend to growing goods production. This system is deemed to be able to increase the productivity of a company that is using it. Occupational safety and health is an important issue in every operational process, in both the traditional and modern. in general there are two classes of causes of accidents are the actions / deeds people who do not meet safety (unfase human acts) and the state of the environment is not safe (unfase condition). One of the main causes of workplace accidents caused by humans is stress and fatigue (fatigue). Fatigue can occur because of physical or mental stress. One reason for the fatigue is sleep disorders (sleep distribution) which, among others, could be affected by lack of sleep and disruption of circadian rhythms due to shift work. already believed that most of the workers who work on the night shift have a higher risk of work accidents than those who work on normal shift (morning shift). These health problems include sleep disorders, fatigue, heart disease, high blood pressure, and impaired gastrointestimal. All these health problems, coupled with the pressure of great stress can automatically increase the risk of accidents to the workers especially night shift workers. Shift work affects the safety and health of workers. This is related to the body's rhythms sirkadian.Fungsi as body temperature, pulse mental abilities and others at increased daytime and at night to recovery. 3. Research Methodology In this study the steps - the steps are: conduct preliminary studies, literature, formulate problems, set goals and problem definition, data collection and observation surveys, data processing by testing the questionnaire, analysis of the results of the identification of the recapitulation of questionnaires and make conclusions and suggestions for improvement. 4. Collecting and Processing Data In research on shift work is required questionnaires impact of shift work which aims to determine the complaints of workers due to the impact of shift work and questionnaires nordic body map that aims to determine whether shift work affects the physical complaints. This research questionnaire distributed at the PT. Flambindo Cortama located at Jl. Raya French, Warehousing 75 Block D No. 9 Tangerang 11810. The population is workers who work shift system of work in the production of PT. Flmbindo Cortama, and the number of samples taken by 80 respondents who work the morning shift and evening shift. The amount of sample is determined based on the criteria of permanent workers or employment over one year. These criteria into consideration, because workers who have been working over the years has been used to do the work shift system. The impact of shift work questionnaires are self-designed questionnaire based on variables impact of shift work proposed by Attwood, Joseph, and Danz- Reece (2004), so it is necessary to test the validation and reliability testing before being disseminated. The variables in the questionnaire that the impact of shift work performance, health and psychosocial. As for the questionnaire nordic body map is a questionnaire that was measurement commonly used in research, in this case the researchers adopt from Tirtayasa, Adiputra, and Djestawana (2003). Questionnaires nordic nordic body map using a table that explains the parts of the body which in general is often perceived pain by workers, ranging from the upper neck to toe. Scale questionnaire used is a Likert scale. Likert scale used to measure attitudes, opinions, and perceptions of a person or a group of social phenomenon. A. Pretest Questionnaire Before distributing questionnaires in fact, necessary to pretest questionnaires that sample questionnaires to determine whether the respondents know the purpose of the proposed statement. Pretest questionnaire is only done for questionnaires impact of shift work because the questionnaire is a questionnaire designed by themselves so we need a pretest questionnaire to whether the draft questionnaire results have valid and reliable or not. The number of questionnaires distributed is as much as 30 respondents to the production workers at the PT. Flambindo Cortama randomly. B. Test Validation Validity test is to determine whether the instruments have a standard of appropriateness or accuracy of the measurement. C. Test Reliability Furthermore, based on pretest questionnaire conducted a reliability test. Reliability (reliability) is defined as a measurement of how far free from random error variance (free from random error variance). Reliability can also be regarded as the result of a measurement confidence level. Reliability measurement aims to demonstrate the stability and consistency measuring instrument in measuring the concept to be measured. Reliability test performed using SPSS 17.0 software. The coefficient of reliability (Cronbach Alpha) ranging from 0 to 1. The higher this coefficient, the greater the reliability of measuring instruments used. If the value of the coefficient of reliability (Cronbach alpha) ≥ 0.7 then this indicates that the measuring instrument used is reliable. D. Measurement Pulse Pulse measurement is done by using the tool Pulsemeter to 5 respondents. Measurements were taken at the time before work, at work, and after working with the aim to see a comparison of the average pulse before work, at work, and after work. Working hours imposed on the company is 8 hours per day. Samples were taken at the pulse measurement is 5 respondents. This is due to the limited permission from the company. To get the desired result, then the selected departments have the heaviest workload in comparison Other departments that press department. The production department requires workers to work in a state of standing as well as its continuous rotation of the body from time to time to take the raw material. Therefore, for pulse measurement performed on workers in the production department of the press section with a number of permanent employees by 60 workers. Sections have been working on the environment is affected by the hot environment and working conditions are more severe than other departments. Measurements carried out on the morning shift at 08.00-16.00 for 2 days (Tuesday and Thursday) and on the night shift for 2 days at 20:00 to 04:00 (Sunday night and Tuesday night). Measurement is only performed at the time of actual work that is for 8 hours of work for each work shift. As for the overtime hours are not included in the measurement part, because of overtime hours in the company of only applies at certain moments. In addition the use of overtime erratic made excuse for not doing measurements on overtime hours. 5. Results and Discussion Based on the results of questionnaires impact recapitulation shifts to the respondent PT. Flambindo Cortama showed that shift work affects the performance, health, and psychosocial. A. Impact of Shifts Against Performance One can affect work performance due to fatigue or lack of rest. In this case, performance is affected because someone work shift that occurs in each week. A worker who works in the morning shift and the next week working on the night shift, then the employer will adapt to the surrounding environment every week. Problems that occur are many adaptations of each person is different, many of which require a long time to adapt to the new environment. Complaints respondents morning shift affecting the work performance of workers is of respondents stated mediocre in doing the work at the same speed every hour. The complaint due to lack of concentration caused by sleepiness. Sleepiness is caused due to shift change. Workers who previously worked on the night shift would be difficult to adapt to work in the morning shift. Based on interviews, the workers can adapt to the working hours of the morning shift after day 3 morning shift. For workers who work with shift rotation system, their body functions continue to adapt to the environment around each week. According Kuswadji (1997), the actual human body easily adapts to external circumstances, as well as the entry and exit of the sun. The difference with the cycle of the human body is only one hour per day. That is the maximum period. In shift workers is no difference for 8 hours. This course requires an adjustment for 8 days. In other words if a worker had been working the night for one week, then he has become a man the night. If after it was changed to daytime workers, he needs to adjust to a week anyway. While complaints on the performance perceived by respondents night shift are as follows: 1. Respondents stated are not able to act appropriately in case of problems at work, 2. Respondent states can not perform quick action in case of errors in the work, 3. Respondent states can not receive directives from a superior job well, 4. Respondents noted sometimes unable to remember tasks assigned correctly, 5. Respondents stated sometimes not able to pass on information to colleagues work properly, and 6. Respondents stated sometimes not able to do the planning work. Grievances felt on the night shift more perceived by the respondents. This is due to the demands of shift work causes disturbances in circadian rhythm and the metabolism of our body. Not everyone can adjust to shift work system. Shift work requires a lot of adjustment time, like bedtime, mealtime and time hanging out with family. In general, all the functions of the body is in a state ready for use during the daytime. While at night is a time for rest and recovery resources (energy). That is why people who work on the night shift often feel sleepy and tired while working. Fatigue and insomnia is a common complaint for shift workers. Fatigue will reduce the power of concentration, motivation, memory and mental reaction that can affect all aspects of performance. In addition, a job that requires vigilance and more monotonous tasks will also be affected, because when working night, a person can not maintain vigilance and attention. According to Singleton (1972) on the night shift, concentration or consistency decreases over time due to the change from night shift to the day shift. Worker's body still requires adaptation for a maximum of 8 days due to work on the morning shift. This concentration reduction occurs because during the night the low appreciating physiological functions of the body. Body activity patterns will be disrupted when working at night and maximum occur on the night shift. B. Impact of Shifts To Health Shift work shows a direct connection to health. Health disorder in question is the mental and physical health problems. On mental health disorders will affect the emotions, motivation and working mood. While the physical health problems will affect the appetite, digestion, and the quality and quantity of sleep. In this study, there are similarities complaint shift impact work on health between morning shift and evening shift, the equation is as follows: 1. Sometimes feel irritable, 2. Sometimes irritable and 3. Never lose your appetite. On the morning shift and evening shift are common complaints. This suggests that the morning shift and night shift workers experiencing mental complaints. Mental complaint in question is the anxiety, sad, angry, upset, worry, low self-esteem, lack of confidence and others. It can result from worker discontent due to lack of socialization with the family resulting from rotation shift work, or lack of rest time after the work shift and type of monotonous work that makes workers feel tired, irritable and easily upset. While the other complaints only felt on the night shift are: 1. Do not be trying to work hard to achieve a good work, 2. Unable to complete the work on time, 3. Not happy in doing the job, 4. Unable to sleep soundly, and 5. Sleeping less than 8 hours. Grievances felt on the night shift more felt by respondents than in the morning shift. Emotions will increase and motivation will decrease for workers who work at night. Decreased motivation to work is due to fatigue caused by lack of rest. For the night shift workers, the problem arises in the body habits. Outsmart night workers to sleep in the morning until noon to replace the need to sleep 8 hours per day. The problem is, the body must be made against the natural cycle that is working on the light and the dark night of rest. Workers who work on the night shift had to rest during the day, when the condition of her body woke up, and vice versa. Daytime sleep is usually shorter than the bed at night, and sleep quality was not as good as during the day to sleep at night because of the influence of sunlight and noise. The impact of poor quality and quantity of sleep can lead to drowsiness at work. By the time a person sleepy, then he will easily lose concentration so as to trigger a person's emotions and motivation. Another thing to watch out for is the accumulation of sleepiness impact will be felt after a few days. Evidence from experts showed the transfer of the natural body clock affects the heart rhythm, thus triggering the hormonal and metabolic changes. The transfer appears to increase the risk of obesity, diabetes, and heart disease. C. Psychosocial Impact of Shifts Against Psychosocial factors can affect work performance and job satisfaction. Problems and disorders are generally associated with three factors: shift work schedules, individual differences, and personal and social lives of workers. With the shift schedule shift work, life personal and social life of a worker will be disturbed. At this peneilitan complaints are common psychosocial effects of shift work on the day shift and night shift, the equation is as follows: 1. Sometimes it does not have time for hobbies, 2. Sometimes it does not have the opportunity to gather with family, 3. Sometimes it does not have time for recreation, 4. Sometimes it does not have time to talk with coworkers different shifts, and 5. Sometimes it would be able to participate in social activities. On the morning shift respondents perceived grievances in common with the grievances felt on the night shift. However, the level of perceived grievances greater on the night shift. This is caused from rotating shift work that gives effect to both workers on the morning shift and the night shift. When workers are part of a rotation system shift schedule, they find it difficult to develop and maintain social interaction with friends who happen to be in different shifts due to the rotation process. Therefore, the worker may experience social isolation. In addition, the rotation of shift work affects the level of socialization of workers due to its interaction with the environment becomes impaired, such as social activities with family, friends and participate in recreational activities, education, and community. The social impact will affect the job satisfaction of workers. While other complaints on the night shift were not felt in the morning shift was the respondents did not have time to chat with the family after work. On the night shift, workers have less time for social interaction. As mentioned earlier, that shift workers may sometimes sleep while social activities take place. This causes a hard worker gives his time to the family, get together with friends or interact with the community to get a great social value. Based on the results of questionnaires nordic recapitulation body map to respondents PT. Flambindo Cortama obtained the following results: A. Effects of Shift Work Against Physical Exhaustion Physiologically, fatigue is a decrease in muscle strength caused by exhaustion and increased the remnants of metabolism. Fatigue occurs because of some things, for example, monotonous activity, workload and excessive working hours, working environment, working facilities, state psokologis and nutritional status. Most work accidents related to fatigue. To minimize fatigue, it is worth considering the working conditions in advance, especially during the night shift. Long work shifts are not too long, and a good preparation before night duty with due regard to working conditions, in order to occupational diseases and workplace accidents can be decreased. Physical complaints are often felt by workers after work are as follows: 1. Respondents often feel pain in the right upper arm 2. Respondents often feel pain in the left wrist 3. Respondents often mearsa pain in the right wrist 4. Respondents often feel pain in the left thigh 5. The respondents often feel pain in the right thigh 6. Respondents often feel pain in the left calf 7. Respondents often feel pain in the right calf 8. Respondents often feel pain in the left ankle 9. Respondents often feel pain in the right ankle 10. Respondents often feel pain in the left leg Based on identification of the Nordic body map questionnaire, respondents felt the physical complaints on the same body segment both on the morning shift and the night shift. This suggests that the shift does not affect the problem on physical complaints, but can result from this type of work and the workload on the morning shift and evening shift are the same. Of complaints that respondents felt above, based on the percentage of over 50%, complaints most respondents felt the calf is on the left and the right calf and also on the left foot and right foot. This is because many jobs which require the respondent stood for doing his job. Production department workers who require continuous standing among them is in the press, cutting, swearjing, turret. Perceived grievances of the workers should be addressed to improve the position of the worker. The company should be able to minimize complaints from workers. The complaint if left unchecked will be prolonged pain for workers. Especially on the night shift, in which the physiological function is undergoing restoration, so that night shift workers are particularly vulnerable to physical complaints. One way to overcome this is to regulate the operations and the position of the worker. To be able to carry out these improvements it is necessary to further research that can help ease the workings of workers at PT. Flambindo Cortama B. Effects of Shift Work Against Pulse Pulse measurement is one way to determine fatigue for shift workers. The average pulse height of a worker who indicated that the level of fatigue and workload experienced by these workers is high. In general, all functions of the body increases during the day, began to weaken in the afternoon and decreases at night to recovery and renewal. Weakening condition of the body's functions, coupled with the demands of the job responsibilities that accumulate can lead to fatigue. In addition, the possibility of a physical environment that is too much pressure, perceived lack of control due to the weakening of the body's functions and the lack of interpersonal relationship skills on the night shift causes the weakening of the study tubuh.Dalam function, pulse measurement was done at the time before work, at work, and when after work. Pulse measurement results are then tested the hypothesis ANOVA to determine whether there is a significant pebedaan between morning shift pulse to pulse the night shift. 1. Pulse Current Measurement Before Working Results of hypothesis testing ANOVA, showed no significant difference between the morning shift pulse to pulse while before working the night shift. However, when viewed in a graph the average pulse on the night shift still showed greater results than the morning shift. This is due to the time before work, especially on the night shift workers have to do activities outside of work before he started work. Other things also can be caused by environmental differences that occur in the morning and in the evening, or may result from the mental state of the workers are not prepared to work at night. 2. Pulse Measurement While Working Results of hypothesis testing ANOVA showed a significant difference between the morning shift pulse to pulse while working the night shift. In general, the human body bersistirahat at night so that the pulse rate decreased for recovery, but for shift workers who work at night led to the setting of circulation in the human body to work more at night which causes a pulse on the night shift has increased due to force to work. On the night shift, the level of fatigue while working higher, it can be seen in the chart pulse that the average pulse on the night shift is greater than the average pulse on the morning shift. Intensity work can also affect the length of the working pulse. Therefore, the design of a good working shift schedules need to be done. 3. Pulse Current Measurement After Work Results of hypothesis testing ANOVA showed a significant difference between the morning shift pulse to pulse time after working the night shift. The average pulse at the time after working on the morning shift and evening shift showed a nearly close to the average pulse on saatsebelum work. When viewed graphically, the average pulse on the morning shift and evening shift quite close together. This suggests that the morning shift and a night shift, workers have the same level of recovery. From the measurement results of the pulse, either at the time before work, at work, and the time after work, when viewed in the graph pulse on the night shift larger than the pulse on the morning shift. This shows that in the evening physiological functions of the human body can not do the job as well as during the morning or afternoon. Besides influences from outside into fakor causes the pulse at night labih higher than in the morning or afternoon. Such as the influence of environmental, health conditions, and psychological condition became one of the factors causing the pulse rate at night is greater than in the morning. However, although the chart shows that the pulse on the night shift is greater than the pulse on the morning shift, the average pulse rate of employment shows that respondents still in the category of mild to moderate job that is between 60-100 beats / min ( suma'mur, 1989). This shows that the type of work that is still to be accepted by both the physical workers on the morning shift and night shift. Based on the results of the discussion above, does not indicate the presence of a heavy workload for shift workers. But when referring to the results of the questionnaire the impact of shift work, there are complaints that indicate that the shift system of work in PT. Flambindo Cortama needs to be improved. Grievances felt by many workers is the health and psychosocial variables. PT. Flambindo Cortama has two scheduled work shift, namely the morning shift and evening shift. Turnover schedule work shifts do every single week. The number of available working hours are 8 hours per day, but sometimes the schedule is not definite, so that workers subject to overtime hours earned by the worker in excess of 8 hours. With the shift work schedules, shift workers at PT. Flambindo Cortama will have difficulty adapting to the work environment every week. When they are already familiar with the work at night, they will have trouble when switching on the morning shift the next week. Long work shift schedule can be seen in the table below: No Nama 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Total Pagi Malam Off Shift S S R K J S M S S R K J S M S S R K J S M S S R K J S M S S R 1 Grup 1 P P P P P O M M M M M M O O P P P P P O M M M M M M O O P P P 13 2 Grup 2 M M M M M O O P P P P P O M M M M M M O O P P P P P O M M M M 10 12 15 Description: P (Morning) M (Night) O (Off) Improvements given are trying to propose a schedule change shifts into 3 shifts to the 2-2-2 pattern (Pattern Metropolitan), with a schedule of working hours in the morning shift starts at 07:00 and ends at 15:00, schedule the working hours of the afternoon shift starts at 15:00 and ends at 23:00, schedule hours of work on the night shift starts at 23:00 and ends at 07:00. The number of workers in the PT. Flambindo Cortama allows to schedule work shifts into 3 shifts. It is hoped the new schedule work shifts can reduce complaints from the impact of shift work. With the change of shift schedules work done every 2 days, and given the day off after working a night shift, allowing workers to be able berisitrahat with enough after doing the activity 6 6 25 25 at night. Additionally, with the shift work system no longer need to be given overtime because the production process has been going on for 24 hours and thus indirectly also can reduce workers' wages. Proposed schedule work shifts can be seen in the table below: No Nama 1 S 1 Grup 1 P 2 Grup 2 S 3 Grup 3 M 2 S P S M 3 R S M O 4 K S M O 5 J M O P 6 S M O P 7 M O P S 8 S O P S 9 S P S M 10 R P S M 11 K S M O 12 J S M O 13 S M O P 14 M M O P 15 S O P S 16 S O P S 17 R P S M 18 K P S M 19 J S M O 20 S S M O 21 M M O P 22 S M O P 23 S O P S 24 R O P S 25 K P S M 26 J P S M 27 S S M O 28 M S M O 29 S M O P 30 S M O P 31 R O P S Pagi Sore Malam Off 8 7 8 8 8 7 8 8 8 Description: P (Morning) M (Night) O (Off) Shift work schedule chosen by the 2-2-2 pattern (pattern Metropolitan) is to shorten the rotation sisitem shifts. By shortening the rotation of shifts, it can shorten the level of adaptation when workers do shift work schedules turnover of the night into the morning. As explained previously, according Kuswadji (1997), differences in the human body cycle is only one hour per day. That is the maximum period. In shift workers is no difference for 8 hours. This course requires an adjustment for 8 days. In other words, if a worker had been working the night for one week, then he has become a man the night. If after it was changed to daytime workers, he needs to adjust to a week anyway. With the enactment of 2-2-2 pattern of shift work, workers can make adjustments during the holiday after working the night. Standing is a natural human posture that does not pose a particular health hazard. But if it is done in the long term this will affect the condition of the body, as well as the dangers of sitting too long. Working in a standing position for long periods of time on a regular basis can cause foot pain, leg swelling, varicose veins, general muscular fatigue, low back pain and stiffness in the neck and shoulders. This is because the body is affected by the settings of the working area and limit the body positions of workers in the move. As a result, the worker's body has little freedom of movement and become more rigid. Lack of flexibility of the body will cause health problems. Working in a standing position in the long term will lead to discomfort and eventually if it continues could resulted in an severe health problems and chronic. Too long standing makes muscles become stiff so that it can effectively reduce the supply blood to the muscles. As a result, blood flow is reduced so as to accelerate the onset of fatigue and causes pain in the muscles of the back, legs and neck (these muscles are used to maintain the position of the body). Workers do not just feel 7 8 8 Total Shift 24 23 23 the tension but also other inconveniences such as the gathering of blood in the legs, as well as standing too long resulting in inflammation of the blood vessels. This inflammation over time develop into a chronic and painful varicose veins. It also can cause the joints in the spine, hips, knees and feet to be as locked which will trigger a degenerative rheumatic disease as a result of damage to tendons and ligaments (structures that bind muscles to bones). Even so some things can be done to reduce the impact of workers who are not pleasant, is as follows a. Using comfortable footwear. b. If you must use high-heeled shoes should choose small shoes or below 5 cm. c. Try to sit on the sidelines of working time or at least when there is rest periods stretching regularly for example at least 30 minutes or 1 hour, stretching is done to reduce the pressure on the legs, shoulders, neck and head. 6. Conclusions and Recommendations From the discussion and analysis, the conclusions of this study are as follows: 1. Based on the research, identification of grievances felt by workers is as follows: a. The impact of shift work felt by workers who work on the morning shift and evening shift. However, workers who work on the night shift more to feel the impact of shift work complaints than when working the morning shift. These complaints felt by the workers of the performance, health and psychosocial workers. b. On physical complaints (nordic body map), there is no difference between physical complaints body segments of respondents perceived the morning shift with complaints from respondents on the night shift. This suggests that the shift does not affect the problem on physical complaints, but can result from the way of work, type of work, and the workload on the morning shift and evening shift are the same. c. Workload measurement is done by measuring the pulse of employees, while working the morning shift and evening shift. Results of measurement of the pulse there is a difference between morning shift and evening shift. In the graph shows that night shift workers have an average pulse rate greater than morning shift workers. At the time before work, the morning shift have an average value of 75.6 pulse beats / min and a night shift has an average value of the pulse rate of 79.8 beats / min. At work, the morning shift have an average value of the pulse rate of 82.3 beats / minute and the night shift has an average value of the pulse rate of 90.7 beats / min. At the time after work, have a morning shift average value of the pulse rate of 81.4 beats / min and a night shift has an average value of the pulse rate of 84.7 beats / min. d. On the results of hypothesis testing ANOVA for pulse measurement, moments before work and after work obtained value F (sig)> of the value of α, namely 0144> 0.05 and 0172> 0.05. This value indicates that there is no significant difference between the morning shift pulse to pulse when the night shift before work and after work. While at work obtained value F (sig) <of the value of α, ie 0.001 <0.05. This value indicates that there are significant differences between the morning shift pulse with the pulse of the night shift. But the pulse of the workers still belong to the mild to moderate level of work that is between 60-100 beats / min. It shows that the type of work that is still to be accepted by both physical labor on the morning shift and the night shift. 2. Strategy repair workings physical segment to reduce the impact on physical complaints. To reduce the impact of physical complaints, there are some things that can be done by workers, as follows: a. using comfortable footwear. b. If you must use high-heeled shoes should choose shoes that are small or below 5 cm. c. Try to sit on the sidelines of working time or at least when there is a break to stretch regularly for example at least 30 minutes or 1 hour, stretching is done to reduce the pressure on the legs, shoulders, neck and head. As for suggestions that can author to convey to the improvement or development of future research and also to PT. Flambindo Cortama as a company where this study. Advice is to be conveyed is as follows: 1. Suggestions for the company. a. The company should pay more attention to the condition of the workers, especially workers who uses work shift system so that health conditions in the social and personal needs can still be met. b. Need more research underway to improve the way employees work in PT. Flambindo Cortama c. The company should give full permission for each student who will do the research, because research those who do may help repair and development for the company. 2. Suggestions for further research. a. Less optimal realizing research on shift work is that due to limitations of the research permission from the company, it is expected that in future studies can conduct research optimally, such as distributing questionnaires with respondents wider, so that the complaints - complaints felt by workers and comparison pulse workers can be seen more clearly. b. To determine the success of a strategy designed, it is necessary to implementation of the strategy. After that compares the impact is felt among workers before repair and after repair. Bibliography Alkamil Irfan (2011). Occupational hazards and Shift Late Night For Body. http://irfanalkamil.wordpress.com/2011/01/16/bahaya-kerja-larut-dan-shiftmalam-bagi-tubuh/ Antara News (2010). Figures Accident Year Down. http://apindo.or.id/index.php/berita-a-artikel/kliping/371-angkaaccident-work-% 20ahun-2010-down Aschoff J, Hoffman K, and H. Pohl (1975). Re-entrainment of Circadian Rhythms After Phase-shift of the zeitgeber. 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