• Title/Summary/Keyword: a Risk of Musculoskeletal Disorders

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Development and Application of a Checklist for Analysis of Non-repetitive Work in Construction Industry (건설작업의 비정형적인 작업분석을 위한 체크리스트의 개발과 적용)

  • Park, Hee-Sok;Lee, Yun-Keun;Ok, Dong-Min
    • Journal of the Ergonomics Society of Korea
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    • v.29 no.3
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    • pp.321-329
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    • 2010
  • Unlike production line works, construction work is non-repetitive in nature. In this study, a checklist was developed to characterize the ergonomic hazards of construction work. Eight existing checklists including OWAS, RULA, and REBA were integrated, and a new version was designed to include more postures of lower extremities. The analysis results obtained using the new checklist showed that manual materials handling (MMH) is the most common risk factor. About 62% of the MMH was done below the knee level or above the elbow level, and 22% was carried out with the trunk twisted more than $60^{\circ}$. The next risk factors were the works done with the knee bent or squatted, or with the shoulders abducted. It can be concluded that the new checklist is successful as a quick and easy tool for screening risk factors of construction works, although it is not capable of determining action levels. Further studies on validation of the checklist are expected.

Examining the Predictors of Turnover Behavior in Newly Employed Certified Nurse Aides: A Prospective Cohort Study

  • Hsiao-Ching Chen;Jiun-Yi Wang;Ya-Chen Lee ;Shang-Yu Yang
    • Safety and Health at Work
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    • v.14 no.2
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    • pp.185-192
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    • 2023
  • Background: The turnover rate of nurse aides in Taiwan is high. However, the predictors of turnover behavior in the newly employed are still unclear. Objective: To examine the predictors of turnover behavior in newly employed licensed nurse aides. Methods: A longitudinal study design was used and subjects were newly employed certified nurse aides from a nurse aid training association in Taiwan. A total of five questionnaire surveys were conducted. The questionnaire was mainly used to collect information on turnover behavior, personal socioeconomic background, workplace psychosocial hazards, worker health hazards, and musculoskeletal disorders. Results: A total of 300 participants were recruited in the study. Cox regression analysis results showed that short working experience (hazard ratio [HR] = 0.21, p < 0.01), work as non-home nurse aides (HR = 0.58, p = 0.01), low monthly salary (HR = 0.68, p < 0.01), high work mental load (HR = 1.01, p = 0.01), low workplace justice (HR = 0.97, p < 0.01), high workplace violence (HR = 1.60, p < 0.01), high burnout (HR = 1.01, p = 0.04), poor mental health (HR = 1.06, p = 0.04), and high total number of musculoskeletal disorder sites (HR = 1.08, p = 0.01) contribute to a higher risk of turnover. Conclusion: The results indicated that employment period, work as a home nurse aide, monthly salary, work mental load, workplace justice, workplace violence, work-related burnout, mental health, and total number of musculoskeletal disorder sites are predictors of turnover behavior in newly employed certified nurse aides.

Biomechanical Analysis on Dynamic Back Loading Related with Low Back Disorders with Toggle Tasks in Leather Industry Low back (피혁제조 공정 중 토글 작업에서 요통과 관련된 요추 부하의 생체역학적 분석과 개선 방안)

  • Kim, Kyoo Sang;Hong, Chang-Woo;Lee, Dong Kyung
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.18 no.3
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    • pp.239-247
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    • 2008
  • Low back disorders (LBDs) have been the most common musculoskeletal problem in Korean workplaces. It affects many workers, and is associated with high costs to many companies as well as the individual, which can negatively influence even the quality of life of workers. The _evaluation of low back disorder risk associated with manual materials handling tasks can be performed using variety of ergonomic assessment tools such as National Institute for Occupational Safety and Health (NIOSH) Revised Lifting Equation (NLE), the Washington Administrative Code 296-62-0517 (WAC), the Snook Tables etc. But most of these tools provide limited information for choosing the most appropriate assessment method for a particular job and in finding out advantage and disadvantage of the methods, and few have been assessed for their predictive ability. The focus of this study was to _evaluate spinal loads in real time with lifting and pulling heavy cow leathers in variety of postures. Data for estimating mean trunk motions were collected as employees did their work at the job site, using the Lumbar Motion Monitor. Eight employees (2 males, 6 females) were selected in this study, in which the load weight and the vertical start and destination heights of the activity remained constant throughout the task. Variance components (three dimensional spaces) of mean trunk kinematic measures were estimated in a hierarchical design. They were used to compute velocity and acceleration of multiple employees performing the same task and to repetitive movements within a task. Therefore, a results of this study could be used as a quantitative, objective measure to design the workplace so that the risk of occupationally related low back disorder should be minimized.

Review of Qualitative Approaches for the Construction Industry: Designing a Risk Management Toolbox

  • Zalk, David M.;Spee, Ton;Gillen, Matt;Lentz, Thomas J.;Garrod, Andrew;Evans, Paul;Swuste, Paul
    • Safety and Health at Work
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    • v.2 no.2
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    • pp.105-121
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    • 2011
  • Objectives: This paper presents the framework and protocol design for a construction industry risk management toolbox. The construction industry needs a comprehensive, systematic approach to assess and control occupational risks. These risks span several professional health and safety disciplines, emphasized by multiple international occupational research agenda projects including: falls, electrocution, noise, silica, welding fumes, and musculoskeletal disorders. Yet, the International Social Security Association says, "whereas progress has been made in safety and health, the construction industry is still a high risk sector." Methods: Small- and medium-sized enterprises (SMEs) employ about 80% of the world's construction workers. In recent years a strategy for qualitative occupational risk management, known as Control Banding (CB) has gained international attention as a simplified approach for reducing work-related risks. CB groups hazards into stratified risk 'bands', identifying commensurate controls to reduce the level of risk and promote worker health and safety. We review these qualitative solutions-based approaches and identify strengths and weaknesses toward designing a simplified CB 'toolbox' approach for use by SMEs in construction trades. Results: This toolbox design proposal includes international input on multidisciplinary approaches for performing a qualitative risk assessment determining a risk 'band' for a given project. Risk bands are used to identify the appropriate level of training to oversee construction work, leading to commensurate and appropriate control methods to perform the work safely. Conclusion: The Construction Toolbox presents a review-generated format to harness multiple solutions-based national programs and publications for controlling construction-related risks with simplified approaches across the occupational safety, health and hygiene professions.

Ergonomics Job Hazard Evaluation of Building Cleaners

  • Lee, Kyung-Sun;Lee, In-Seok;Kim, Hyun-Joo;Jung-Choi, KyungHee;Bahk, Jin-Wook;Jung, Myung-Chul
    • Journal of the Ergonomics Society of Korea
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    • v.30 no.3
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    • pp.427-435
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    • 2011
  • Objective: The objective of this study was to evaluate a work of building cleaners using the ergonomic methods. Background: Previous studies about cleaning worker describe typical physical demands of this work. They found that the most significant risk factors associated with the physical work of cleaners are static loads and repetitive movements and high output of force. Method: A head of ergonomics estimation was work analysis(define of combined task, work tool, work time and frequency of combined task) and posture analysis of worker. Results: The results showed that combined task of building cleaners was classification sweeping, mopping(wet), mopping(oil), moving barrels/carts, dumping trash bags, scrubbing, arrangement of cleaning tool, arrangement of circumferential, moving of cleaning tool, and waiting. The work time of combined task such as mopping(wet) and scrubbing indicated high ratio. The posture analysis of building cleaners indicated high value in bending of the head, lower arm, and hands. Conclusion: The findings appear to indicate that building cleaner were related to high risk of work-related musculoskeletal disorders. So, building cleaner would be required an interventional strategy, improvement of cleaning tools and working environment. Application: If ergonomics rule can be integrated into existing cleaning tools and work environments, the risk of occupational injuries will be reduced.

Analysis of Task and Postures of Retail Grocery Store Workers (판매직 작업자의 작업 및 작업자세 분석)

  • Hwang, Jae-Jin;Lee, In-Seok;Kim, Hyun-Joo;JungChoi, Kyung-Hee;Bahk, Jin-Wook;Jung, Myung-Chul
    • IE interfaces
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    • v.24 no.4
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    • pp.387-395
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    • 2011
  • This study was aiming to examine work time, frequency, work environment, and postures of retail grocery store workers to evaluate the risk of musculoskeletal disorders. An ergonomic evaluation was conducted using job analysis and posture analysis. The four most time-consuming tasks were inspecting (27.4%), arranging (21.4%), cutting (17.6%), and displaying (15.6%). The height and length of the shelves evaluated in the field was inappropriate for workers. The most common posture was a standing posture with neutral back, and bent head, right upper arm, lower arms, and hands. Finally, this paper concluded that 'arranging,' 'cutting,' and 'displaying' seemed more stressful than other operations. The result of the ergonomic evaluation would contribute to design a better workspace in ergonomics.

Hotel housekeepers and occupational health: experiences and perceived risks

  • Xenia Chela-Alvarez;Oana Bulilete;Encarna Garcia-Illan;MClara Vidal-Thomas;Joan Llobera;Arenal Group
    • Annals of Occupational and Environmental Medicine
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    • v.34
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    • pp.29.1-29.14
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    • 2022
  • Background: Hotel housekeepers are one of the most important occupational group within tourism hotel sector; various health problems related to their job have been described, above all musculoskeletal disorders. The objective of this study is to understand the experiences and perceptions of hotel housekeepers and key informants from the Balearic Islands (Spain) regarding occupational health conditions and the strategies employed to mitigate them. Methods: A qualitative study was carried out. Six focus groups with hotel housekeepers and 10 semi-structured interviews with key informants were conducted. Next, we carried out a content analysis. Results: Hotel housekeepers reported musculoskeletal disorders, anxiety and stress as main occupational health problems; health professionals underscored the physical problems. Hotel housekeepers perceived that their work (physically demanding and with repetitive movements) caused their health conditions. To solve health issues, they used medication (anti-inflammatory agents, painkillers, sedatives and anxiolytics), which allowed them to continue working; health public services, generally rated as satisfactory; individual protective equipment; ergonomics (with difficulties due to high work pace and hotel facilities) and physical activity. Two contrasting attitudes were identified regarding sick leave: HHs who refused to accept a doctor-prescribed sick leave (due to fear of being fired, sense of responsibility, ...), and those who accepted it (because they could not continue working, they prioritised health before work). Conclusions: Our results might contribute to plan improvement strategies and programs to address health problems among hotel housekeepers. These programs should include interventions, such as coping strategies for the work-related risk factors (i.e., stress) and strategies to reduce medicine consumption. Additionally, hotel facilities should adopt policies focused on making workplaces more ergonomic (i.e., furniture) and to diminish the work pace.

Manual Handling in Aged Care: Impact of Environment-related Interventions on Mobility

  • Coman, Robyn L.;Caponecchia, Carlo;McIntosh, Andrew S.
    • Safety and Health at Work
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    • v.9 no.4
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    • pp.372-380
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    • 2018
  • The manual handling of people (MHP) is known to be associated with high incidence of musculoskeletal disorders for aged care staff. Environment-related MHP interventions, such as appropriate seated heights to aid sit-to-stand transfers, can reduce staff injury while improving the patient's mobility. Promoting patient mobility within the manual handling interaction is an endorsed MHP risk control intervention strategy. This article provides a narrative review of the types of MHP environmental controls that can improve mobility, as well as the extent to which these environmental controls are considered in MHP risk management and assessment tools. Although a range of possible environmental interventions exist, current tools only consider these in a limited manner. Development of an assessment tool that more comprehensively covers environmental strategies in MHP risk management could help reduce staff injury and improve resident mobility through auditing existing practices and guiding the design of new and refurbished aged care facilities.

The Usability Analysis for Ergonomic Evaluation Methods of Work-related Musculoskeletal Disorders (작업관련성 근골격계질환의 인간공학적 평가 기법들에 대한 사용성 평가)

  • Im, Su-Jung;Choi, Soon-Young;Park, Dong-Hyun
    • Journal of the Korea Safety Management & Science
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    • v.13 no.2
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    • pp.83-90
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    • 2011
  • It has been very important to have an exact evaluation for risk factors in order to prevent WMSDs(Work-related Musculoskeletal Disorders). However, most WMSDs evaluation methods have always been some problems of possibilities associated with subjective evaluation. Therefore, this study tried to conduct a sort of usability analysis on three major evaluation methods(OWAS, RULA, REBA). Specifically, major subjects in the study consisted of three parts as follows; comparison of the results between experienced and inexperienced observers, analysis for the consistency of the results in terms of different evaluation times, and analysis for the consistency of the results in terms of different job characteristics(based on the part of the automobile). The results of the study were summarized as follows; 1) There was statistically significant difference of the results by RULA and by REBA between experienced and inexperienced observers. This might be due to the fact that experienced observers have had better ability to detect the important working posture during evaluation. However, the results by OWAS did not give any significantly different results between experienced and inexperienced observers, 2) All three checklists applied by experienced subjects did not show any single result significantly different in terms of different evaluation times. This might have to do with high intra-observer reliability from some of previous studies, 3) The five parts of an automobile were selected as five major jobs with different job characteristics in the automobile industry. Specifically, they were door part, front part(hood, etc.), inside part(dash board, seats, etc.), rear part(trunk etc.), and bottom part. All three methods did not show any significant differences for the results from each observers. Further study on this subject would eventually provide a sophisticated evaluating guidelines for WMSDs regarding determination of observer-specific evaluation, identification of repetitive number of evaluations for stable results for each checklist, determination of job-specific evaluation methods, and so on.

The Effects of Work Characteristics of Grapes-harvesting Tasks on the Wrist and Elbow Angles (포도 수확 작업의 작업특성에 따른 손목과 팔꿈치 각도 영향 분석)

  • Kim, Jihye;Lee, Inseok
    • Journal of the Ergonomics Society of Korea
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    • v.36 no.5
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    • pp.589-599
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    • 2017
  • Objective: The objective of this study was to measure the upper-limb motions and postures of grapes-harvesting tasks using electrical goniometers and analyze the upper-limb motions in a kinematic way to assess the risk of musculoskeletal disorders. Background: Grapes farmers are exposed to various risk factors of musculoskeletal disorders (MSDs) such as repetitive upper-limb motions, non-neutral postures, and manual handling of heavy items. The farmers have to use scissors repetitively while harvesting grapes with their being arms elevated over the shoulder height, which presumed to increase the physical workload. It has been reported that the grapes farmers feel the harvesting task as the one of the hardest work in cultivating grapes. We tried measure the wrist and elbow angles while the farmers were carrying out harvesting tasks to understand how much workload the work impose on the farmers, which can be helpful in making interventions of preventing musculosksletal disorders among grapes farmers. Method: We measured joint angles at the right wrist and elbow with a wireless measuring system with two electrical goniometers from five grape farmers. The grapes-harvesting task was classified into 6 different subtasks: 1) searching, 2) picking, 3) cleaning, 4) carrying, 6) storing, and 7) miscellaneous tasks. The subtasks were compared by mean angles, 10%, 50%, and 90% APDF values of wrist flexion/extension, ulnar/radial deviation, and elbow flexion. Results: The Kruskal-Wallis tests showed that the 10th percentiles of APDF of ulnar/radial deviation and flexion/extension of the wrist significantly differs among subtasks (p<0.05). It was found that the farmers assumed more deviated wrist postures in the ulnar direction when they picking and adjusting the grapes. The use of scissors seemed to force the farmers to severely bend their wrist in the directions of ulnar deviation and flexion. The grapes-harvesting task showed similar wrist postures and motion with poultry deboning and milking tasks. Conclusion: The grapes harvesting tasks make the farmers take ulnar deviated and extended postures in the wrist. The use of scissors makes them take more severely deviated postures in the wrist. Safety guidelines including use of ergonomic scissors can be provided to the farmers to improve their work conditions. Application: The results of this study can be used as a basic data for the development of safety guidelines for agricultural work.