ergonomics and osha 24-apr-2006

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    Office Ergonomics and OSHA

    Cecilia R. AragonIEOR 170

    UC Berkeley

    Spring 2006

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    Acknowledgments

    Jeffrey Chung, Lawrence Berkeley National

    Laboratory ergonomics program manager

    Cathy Rothwell, US Navy ergonomics program

    manager

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    OSHA - Occupational Safety and

    Health Administration

    Occupational Safety and Health Act of 1970

    Purpose:

    setting standards conducting workplace inspections to ensure

    that employers are complying with the

    standards and providing a safe and healthful

    workplace

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    Who is Covered by OSHA?

    In general (with some exceptions), all employers

    and their employees in the 50 states, the District

    of Columbia, and Puerto Rico.

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    Who is Covered by OSHA?

    All employers and employees except: Self-employed persons

    Farms at which only immediate members of the

    farmer's family are employed

    Working conditions regulated by other federal

    agencies under other federal statutes. This category

    includes most employment in mining, nuclear energy

    and nuclear weapons manufacture, and many

    segments of the transportation industries.

    Employees of state and local governments(unlesscovered by an OSHA-approved state program)

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    OSHA Standards

    Employers must protect workers on the job.

    Employers have the responsibility to know relevant

    standards and comply.

    Compliance may include providing personal protectiveequipment for employees.

    Employees must also comply with OSHA rules and

    regulations.

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    Federal OSHA Requirements

    Access to Medical and Exposure Records Employers must grant employees access to medical records and

    records on employees exposure to toxic substances.

    Personal Protective Equipment

    Employers must provide employees at no cost personal protective

    equipment (e.g. protective helmets to prevent head injuries in

    construction and cargo handling work, eye protection, hearing

    protection, hard-toed shoes, special goggles, etc.)

    Hazard Communication

    Employers must conduct hazard evaluation of the products theymanufacture or import. If hazardous, containers of the material must be

    labeled and accompanied by a material safety data sheet(MSDS).

    Employers must train their employees to recognize and avoid material

    hazards.

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    State Programs

    States with OSHA-approved job safety and

    health programs must set standards that are at

    least as effective as the equivalent federal

    standard. Most of the state-plan states adopt standards

    identical to the federal ones.

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    Cal/OSHA Responsibilities

    Enforce California laws and regulationspertaining to workplace safety and health

    The Cal/OSHA Enforcement Unit conducts inspections of

    California workplaces based on worker complaints,

    accident reports and high hazard industries.

    Provide assistance to employers and workers

    about workplace safety and health issues

    The Cal/OSHA Consultation Service provides assistance

    to employers and workers about workplace safety and

    health issues, and develops educational materials on

    workplace safety and health topics.

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    For More Information

    OSHA

    http://www.osha.gov

    http://www.ehso.com/oshaoverview.php

    Cal/OSHA

    http://www.dir.ca.gov/dosh/dosh1.html

    http://www.dir.ca.gov/occupational_safety.html

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    Ergonomics

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    What is Ergonomics? ergonomics \, rg-go-'nm-iks

    Ergonomics is derived from two Greek words

    Ergon meaning work

    and

    Nomos meaningprinciples or laws

    Ergonomics = The Science of Work

    Ergonomics is not a new science, although the term has

    become more common lately. The phrase was first coined

    in 1857.

    [Rothwell]

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    Common Definitions

    Ergonomics is essentially fitting the workplace to the

    worker. The better the fit the higher the level of safety

    and worker efficiency. Fitting the Task to the Human ~Grandjean 1990

    Ergonomics removes barriers to quality, productivity and

    human performance by fitting products, tasks, andenvironments to people. ErgoWeb.com

    What is Ergonomics? ergonomics \, rg-go-'nm-iks

    [Rothwell]

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    What are the consequences

    of poor ergonomics?

    Why are we hearing about ergonomics now? Arethere new hazards at work? No!

    Consequences of poor workplace design were first documented

    in the 17th century.

    Have you ever heard of these?

    Historic Occupational Disorders - house-maids knee, washerwomans thumb, writers cramp, data-processing disease,clergymans knee, nuns bursitis, weavers bottom, dustmansshoulder, tailors ankle

    [Rothwell]

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    Do these historic occupational

    disorders still exist? Yes!

    They are part of a broad category of injuries and disorders

    called Musculoskeletal Disorders (MSDs). MSDs are not usuallycaused by acute trauma, but occur slowly over time due to repetitive

    injuries to the soft tissues (muscles, tendons, ligaments, joints, cartilage)

    and nervous system.

    MSDs can happen to anyone from office workers and

    industrial employees to athletes and hobbyists.

    Before Improved

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    Do these historic occupational

    disorders still exist? Yes!

    Work-Related Musculoskeletal Disorders

    (WMSDs) are MSDs that are caused or made worse bywork methods and environment. They occur when the

    physical capabilities of the worker do not match thephysical requirements of the job.

    Common MSDs:

    Tendonitis, Epicondylitis(Tennis or Golfers Elbow), Bursitis,Trigger Finger, Carpal Tunnel Syndrome, Back Strain

    Before Improved[Rothwell]

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    What are aliases for WMSDs?

    Work-related MSDs go by many other names:

    Repetitive Strain or Stress Injury (RSI)

    Repetitive Motion Injury (RMI) Cumulative Trauma Disorder (CTD)

    Overuse Syndrome

    Activity-related Pain Syndrome

    Ergonomics can help prevent MSDs that are caused or aggravated byworking conditions

    [Rothwell]

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    MSDs

    Carpal Tunnel Syndrome

    Cubital Tunnel Syndrome

    Tendonitis and Tenosynovitis

    Trigger Finger

    Epicondylitis

    De Quervains Tenosynovitis

    Wrist Ganglion Cyst

    [Chung]

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    Tendonitis

    Normal tendon glides smoothly in a tendon sheath

    When under pressure, the capillary flow to the sheath

    is temporarily interrupted.

    When blood supply returns, swelling occurs.

    [Chung]

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    Double Crush Syndromes

    Multiple points of pressure will have cumulative effects

    on axonal flow.

    [Chung]

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    Carpal Tunnel, Inside of Wrist

    Inside view of right wrist Yellow nerve crosses

    under flexor retinaculum

    Nerve has to share the

    space with nine tendonsand tendon sheaths.

    [Chung]

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    Median Nerve (Carpal Tunnel)

    [Chung]

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    Should Employers Care About

    Ergonomics?

    Average 2003 cost for LBNL computer-related workerscompensation claims: $23,745.

    [Chung]

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    Office Ergonomics The science of "designing the job to fit the

    worker, not forcing the worker to fit thejob."

    Ergonomics covers all aspects of jobs:

    physical stresses placed on joints,

    muscles, nerves, tendons, bones, etc.

    environmental factors affecting hearing,

    vision, and general comfort and health.

    WORK CULTURE

    ENVIRONMENT

    EQUIPMENT

    TASKS

    USER

    Enhance comfort

    Increased productivity

    Improve job satisfaction and morale

    Reduced musculoskeletal discomfort,workinjuries/illnesses

    [Chung]

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    Designing for the Worker

    Anthropometrics

    branch of ergonomics that deals with the

    measurement of body dimensions

    anthropometric data is used in the design ofequipment and products to make them fit the height

    and reach of most of the potential population

    Gaussian distribution, design to 5%

    Consider range of size, age, and physical abilitywhen designing

    Americans with Disabilities Act (ADA)

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    Ergonomic Risk Factors Awkward

    positions Static postures

    Repetitivemotion

    Forcefulexertion

    Contactpressure

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    At Risk Thresholds

    Per OSHA, certain situations create MSD risks: Performing same motion pattern every few secondsfor > 2 hours continuously or 4 hours daily.

    Maintaining non-neutral (unsupported, static/fixed or

    awkward posture > one (1) hour continuously or four(4) hours daily.

    Forceful hand exertions > two (2) hours daily.

    Unassisted frequent or heavy lifting

    Boredom and monotony

    [Chung]

    Do you have these risks?

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    Warning Signs

    Watch for: Tingling or numbness in hands

    Pain: sharp, dull or burning

    sensation

    Stiffness, reduced range of

    motion in arms, wrists

    Clumsiness, loss of grip strength

    or coordination

    Visual fatigue, watery eyes,dryness.

    [Chung]

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    Three Stages of CTDs

    Stage One aches and tiredness during working hours

    symptoms settle overnight or days off work

    no reduction in work performance

    condition may persist for weeks or months and is reversible

    [Chung]

    Stage Two

    symptoms start early in work shift and dont settle overnight

    sleep may be disturbed

    capacity to perform repetitive work is reduced

    condition usually persists for months

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    Three Stages of CTDs

    Stage Three symptoms persist even at rest

    pain occurs with non-repetitive movements of

    affected area sleep is disturbed

    person unable to perform even light duties and has

    difficulties with other manual tasks

    [Chung]

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    Workstation Setup: Neutral Posture1.Use a good chair and sit back

    2. Top of monitor 2-3" (5-8 cm)

    above eyes

    3. No glare on screen

    4. Sit at arms length

    5. Feet on floor or footrest

    6. Use a document holder7. Wrists flat and straight

    8. Arms and elbows close to

    body

    9. Center monitor and keyboard

    in front of you10. Use a negative tilt keyboard

    tray

    11. Use a stable work surface

    12. Take frequent micro-breaks

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    Workstation Setup: Neutral Posture

    Work within your normalrange of motion

    Other Office Items

    Telephones

    Staplers

    Staple removers

    Letter openers

    Hole punches

    Pens for writing

    tasks

    [Chung]

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    Sitting Risk Factors

    Neutral

    Posture

    Slumped

    Posture[Chung]

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    Posture and Spinal Stresslbs

    660

    550

    440

    330

    220

    110

    Load on 3rd Lumbar Disc in 155-pound male

    [Chung]

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    Reaching/Range of Motion Factors

    Elbow Arm/Wrist

    Shoulder

    Back

    Elbows in

    Face the

    object you are

    reaching for.

    [Chung]

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    Watch the Hand Movements

    DON'T restyour wrists

    on the

    desktop

    DO let your

    wrists float

    [Chung]

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    Watch the Hand Movements

    SAFER

    [Chung]

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    Contact Pressure

    Soft tissue compression

    (muscles, nerves & blood vessels)

    [Chung]

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    Ergo Accessories - Chair

    Features:

    Height

    Seat pan

    Backrest height Backrest tilt

    Armrest height

    - Armrest width(chairs may have none, some, or all

    of these).

    [Chung]

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    Ergo Chairs & AccessoriesFeatures/Adjustments:

    Height Seat pan (width/depth)

    Backrest height

    Backrest tilt

    Backrest tension

    Armrests

    Casters

    [Chung]

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    Monitor Accessories

    Screen height at eye

    level (exception:

    bifocals and trifocal

    lens wearers). Screen distance

    about arms length

    away.

    Room lighting -avoid

    backlight, shadows or

    reflective glare.[Chung]

    K b d d A i

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    Keyboards and Accessories

    Voice-activated

    [Chung]

    http://www.ergo-2000.com/ergo2000/showdetl.cfm?&DID=6&User_ID=442232&st=8298&st2=-35670889&st3=59199202&Product_ID=707&CATID=36
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    Input Devices - Pointing Devices

    [Chung]

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    Telephone Use

    Phone evaluation: reach,

    placement, call frequency vs.duration, multi-tasking, etc.

    Cradle with neck/shoulder

    Cordless unit / motorized unit

    [Chung]

    http://www.amazon.com/exec/obidos/tg/stores/detail/-/electronics/B00004WFYM/103-0919291-5287040
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    Document Holders

    Place hardcopy beside or in front of monitor to

    reduce neck twisting.

    [Chung]

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    Notebooks, Laptops, Etc. Laptops can cause:

    Awkward arm position Neck flexion to view the screen

    Neck pain from carrying/transporting laptops

    Fixes:

    Use docking station and external input devices. Acquire portable devices and accessories.

    [Chung]

    P t ti l At Ri k C diti ( )?

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    Potential At-Risk Condition(s)?Guidelines: Shoulders relaxed/arms close to body side; safe

    reaching distance for mouse; neutral sitting Right hand on mouse even

    when not actively mousing

    (median nerve).

    Left lean supporting body

    weight with arm; spine out

    of natural alignment

    Ulnar nerve compression

    (non-mousing elbow)

    Static muscle loading: right

    shoulder abduction, wrist

    extension, flexed left arm

    [Chung]

    P t ti l At Ri k C diti ( )?

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    Potential At-Risk Condition(s)?

    [Chung]

    Potential At Risk Condition(s)?

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    Potential At-Risk Condition(s)?

    [Chung]

    E i H d B f

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    Ergonomic Hazards - Before

    [Chung]

    E i C t l Aft

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    Ergonomic Controls - After

    [Chung]

    E i H d B f

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    Ergonomic Hazards - Before

    [Chung]

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    Ergonomic Controls - After

    [Chung]

    C t W k t ti C id ti

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    Computer Workstation Considerations

    DiscomfortTelephone Use

    Input Devices(keyboard and pointing)

    Task BreaksMonitor and Vision

    Work StyleWork Surface

    LaptopChair

    WritingLightingDocument UseLayout

    [Chung]

    Individual Issues

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    Computer Workstation

    Order of adjustments is important

    Adjust chair first

    Then adjust keyboard

    Finally, adjust monitor No single right way to sit