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Ergonomic Related Injuries. May be called:CTD's (cumulative trauma disorders) RSI's (repetitive stress injuries)RMI's (repetitive motion injuries)Which are all considered:MSD's (musculoskeletal disorders)MSD's can affect muscles, tendons, nerves, joints and spinal disks.. Common types of MSD's.
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1. Mailroom Ergonomics Mail Services
May 27, 2004 Ergonomics is the science of fitting workplace conditions and job demands to the capabilities of employees. ( U.S. Dept.of Health)
Ergonomic principles are used to improve the “fit” between the worker and the workplace.
A practical approach to Ergonomics considers the match between the person, the equipment they use, the work processes, and the work environment.
A persons capabilities, physical attributes and work habits must be recognized to improve ergonomic factors in the workplace.
Some stats:
90% of all office workers use personal computers.
In 1997 work related musculoskeletal disorders reached 275,000 cases.
Carpal Tunnel Syndrome comprises 13% of all workplace injuries.
Women outnumber men 3:1 sustaining Carpal Tunnel Syndrome.
WMSD’s account for $20 billion in direct costs each year and $100 billion in indirect costs.
Benefits of an ergonomic approach to workplace injuries:
Decreased injuries,illnesses, and workers’ compensation costs.
Increased efficiency at work.
Increased physical well being.
Decreased absenteeism and turnover.
Increase in employee morale.
Ergonomics is the science of fitting workplace conditions and job demands to the capabilities of employees. ( U.S. Dept.of Health)
Ergonomic principles are used to improve the “fit” between the worker and the workplace.
A practical approach to Ergonomics considers the match between the person, the equipment they use, the work processes, and the work environment.
A persons capabilities, physical attributes and work habits must be recognized to improve ergonomic factors in the workplace.
Some stats:
90% of all office workers use personal computers.
In 1997 work related musculoskeletal disorders reached 275,000 cases.
Carpal Tunnel Syndrome comprises 13% of all workplace injuries.
Women outnumber men 3:1 sustaining Carpal Tunnel Syndrome.
WMSD’s account for $20 billion in direct costs each year and $100 billion in indirect costs.
Benefits of an ergonomic approach to workplace injuries:
Decreased injuries,illnesses, and workers’ compensation costs.
Increased efficiency at work.
Increased physical well being.
Decreased absenteeism and turnover.
Increase in employee morale.
2. Ergonomic Related Injuries May be called:
CTD’s (cumulative trauma disorders)
RSI’s (repetitive stress injuries)
RMI’s (repetitive motion injuries)
Which are all considered:
MSD’s (musculoskeletal disorders)
MSD’s can affect muscles, tendons, nerves, joints and spinal disks.
3. Common types of MSD’s Tendonitis
Carpal Tunnel Syndrome
Tennis Elbow
Neck and Back injuries
Strains/Sprains
Bursitis
Thoracic Outlet Syndrome
Trigger finger
4. Identifying Risk Factors What is a risk factor?
Conditions or circumstances that increase the chance of developing a MSD.
The likelihood of developing an injury is dependent on the frequency and duration of exposure to risk factors.
Both occupational and personal risk factors can affect an individuals well being at home or work.
5. Specific Risk Factors and Causes of MSD’s Repetition
Force
Awkward Posture
Static Posture
Contact Stress
Temperature Extremes
Vibration
Psycho Social
6. Neutral Standing Posture Imagine a line that goes through your ear, shoulder, and hip
Abnormal curves in the spine result from poor posture, genetics, and injuries Lordosis is a extreme inward curvature of the lower back.
Kyphosis is a general curvature of the spine requiring treatment.Lordosis is a extreme inward curvature of the lower back.
Kyphosis is a general curvature of the spine requiring treatment.
7. Repetition Occurs when the same or similar movements are performed frequently.
Repetition can also occur when different tasks are performed if those tasks have the same movements.
Injury may result from repetition when the tissues do not have adequate time to recover.
8. Force Force is the amount of physical effort required by a person to do a task or maintain control of tools or equipment.
A pinch grip produces 3-5 times more force on the tendons in the wrist than a grip with the whole hand.
With excessive force the muscles are contracting much harder than normal, this can lead to stress on the muscles, tendons and joints.
9. Awkward Postures Is a deviation from the “neutral” body position.
A “neutral” body position is safest and most efficient position in which to work.
Awkward posture puts stress on muscles, tendons and joints.
10. Static Posture Static posture occurs when one position is held for a prolonged period of time.
The muscles will become fatigued from a lack of blood flow during a static posture.
This fatigue can lead to discomfort and even injury.
11. Prolonged Standing Risks Prolonged stationary standing can result in…
Decreased blood flow to tissues
Swelling
Muscle fatigue
Pain
Sore feet
Loss of optimal posture
Increased intra-disc pressure in lower back
12. Contact Stress Contact stress is caused by any sharp or hard object putting localized pressure on a part of the body.
Contact stress will irritate local tissues and interfere with circulation and nerve function.
13. Temperature Extremes Environmental conditions such as extreme heat or cold can place stress on tissues.
Extreme cold constricts blood vessels and reduces sensitivity and coordination of body parts.
Excessive heat can result in increased fatigue and heat stress.
14. Vibration Exposure to vibration can occur while using power tools or while driving equipment.
Vibration from power tools can place stress on the tissues of the fingers, hand and arms.
Whole body vibration from driving puts stress on the spinal tissues.
15. Psycho-social Stress, boredom, job dissatisfaction and anxiety can contribute to the possibility of developing a MSD.
Psycho-social issues can create increased muscle tension and reduce a person’s awareness of work technique.
16. When to Choose Standing The task(s) cannot be performed with arms comfortably at sides - e.g. frequent reaches
Considerable movement required away from or within workstation
Heavy lifting and handling tasks
Work surface does not allow comfortable position of legs under surface because of an obstruction Remember we talked about static posture?
Prolonged standing falls under this category.
The next few slides focus on prolonged standing because so much of the work performed in the mailroom is done standing.Remember we talked about static posture?
Prolonged standing falls under this category.
The next few slides focus on prolonged standing because so much of the work performed in the mailroom is done standing.
17. Foot Rests Encourage a proper posture
Alternate feet
Appropriate height/depth
At a counter, just open the cupboard door and step inside
18. Anti-Fatigue Matting Preferred over concrete floors
Encourage body to naturally sway
Subtle movement of calves and leg muscles
Less discomfort and fatigue
Ensure proper installation to reduce tripping and falling
19. Feet and Shoes Wear shoes that:
Are comfortable!
Do not change the shape of your foot
Allow freedom to move your toes
Have adequate arch support
Have some heel - but not higher than 2 inches
20. High Stools Option to sit down during slow periods
Workstation is designed for standing, with an adjustable high stool for sitting e.g. shipping and receiving, mailroom, cashiers, computer technicians
21. Leaning Postures- Sit/Stand Stool Little clearance under work surface
Some weight can be transferred to a partially supported posture
Helps to avoid fatigue from standing, e.g. library
23. Guidelines for Arm Distances When Standing Precision work
Approx. 2 inches above elbow height
Light work
- Approx. elbow height
Heavy work
- Elbow to waist height
24. Summary - Standing DON’TS:
Stand in one position for long periods
Lean forward or slouch
Wear inappropriate shoes DO’S:
Change positions regularly (e.g sit/stand, walk)
Raise work to appropriate height
Use a foot stool
Use anti-fatigue matting
25. Manual Material Handling Moving or handling things by:
Lifting/Lowering
Carrying
Pushing/Pulling
Holding
26. Manual Material Handling
Most common cause of:
Occupational fatigue
Low back pain
Lower back injuries
27. Potential Hazards Material/Load
Conditions
Employee
28. Material/Load: Weight Standing vs. sitting - can safely handle a
weight 5x as large in standing as in sitting
Reduce the weight
Modify size, shape, and/or number of objects Potential SolutionsPotential Solutions
29. Material/Load: Storage Placement of materials to ensure:
– Twisting and bending is minimized
– Handling of objects between mid-thigh and shoulder height
– Reduce the distance the load is carried
– Store heavier loads at waist level
30. Material/Load - Handling Use more than one person, or a handling aid (carts, hand trucks, mechanical)
Accommodates a larger range of employee heights
31. Moving Odd Shaped Items Always use the appropriate device for moving items
Cylinder moves require the use of a specialized hand truck
Removing cylinders from trucks requires the use of a ramp
32. Cylinder handling Cylinders must have valve protection caps on during delivery, storage and pick-up
Never lay a cylinder on its side
Always store according to compatibility
33. Potential Solutions - Employee Good Body Mechanics - Basic Lift:
1. Test the load
2. Plan the move
3. Use a wide, balanced stance, one foot ahead of the other
4. Bring the load as close to the body as possible
5. Maintain the neutral curve in the low back - tighten
abdominals, set back muscles, keep head and shoulders up
6. Lift with the legs and stand up in a smooth, even motion
7. Move the feet (pivot) if a direction change is necessary
34. Golfer’s Lift Small, light objects; in deep bins
- Recommended for people with knee problems, or decreased leg strength
35. Tripod Lift Use for objects with uneven weight distribution or for those with decreased arm strength
1.) Raise bag upright
2.) Put 1 knee against bag
3.) Pull bag up the leg
4.) Rest bag on opposite knee
5.) Stand upright
6.) Carry in upright position
36. Straight Leg Lift
If obstacles prevent you from bending your knees
Don’t bend your back!
Bend at the hips
37. Frequency and Duration
Use different muscle groups and vary your posture (sitting, standing, walking) every hour
Vary the physical intensity of the work
Introduce task rotation
38. Summary - Manual Material Handling DO’S:
Use appropriate body mechanics
Reduce the weight of the load
Make the load easier to handle
Use storage techniques to ease MMH
Reduce the number of lifts
Reduce the distance a load is carried DON’TS:
Twist during MMH
Bend forward or to the side
Lift/move a load with outstretched arms
Carry loads long distances
39. STRETCHES Stretching can help to ease the discomforts and harmful effects of repetitive motions and awkward or static postures.
It is important to stretch out frequently.
40. Stretches - Standing If you have been sitting, stooped or bending forward during your work tasks, stretch and bend backwards.
Stand upright, put your hands firmly on your lower back for support, and bend backwards several times.
41. Standing Stretches These are some stretches that you can do while standing.
When stretching, remember:
* Movements should be slow and controlled.
* You should feel a gentle stretch of the muscle - stretching should not be painful.
* Once you feel a stretch, hold the
position 10-15 seconds - do not bounce or jerk.
* Repeat each stretch 2 or 3 times.
42. More Stretches You can vary your posture and stretch in standing or sitting.
If you have been sitting for a long time, stand up and stretch.
If you have been working in a standing position, do stretches sitting down.
43. Review Ergonomics is fitting workplace demands to employees.
MSD’s and identifying risk factors
The use of common practices and engineering controls to reduce risk
Manual material handling risk factors and minimizing risk Risk factors of MSD’s: repetition force, posture, static posture, contact stress, temperature stress, vibration, psycho-social
Engineering controls:
foot rests material lifts, hand trucks, ramps, stools, sit/stand stools
Manual Material Handling
The appropriate way to lift and carry , golfers lift, tripod lift, straight leg lift, don’t twist.Risk factors of MSD’s: repetition force, posture, static posture, contact stress, temperature stress, vibration, psycho-social
Engineering controls:
foot rests material lifts, hand trucks, ramps, stools, sit/stand stools
Manual Material Handling
The appropriate way to lift and carry , golfers lift, tripod lift, straight leg lift, don’t twist.