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IS Introduction ■ Introduce yourself and your teammates ■ Describe the reason you are visiting the workstation ■ Describe the activities you will be performing ■ Ask permission to take photos

Job InformationJob Name Assessment Date

Location Reference #

Shift Station

Time on Task/Week Circle: > 40 hours 20-40 hours 4-19 hours < 4 hours # Operators Exposed

Product Process/Equipment

Detailed DescriptionTask 1

Task 2

Task 3

Task 4

Task 5

Task 6

www.humantech.com © 2014 by Humantech, Inc.

Operator Survey

Operator 1 Time on Job: Years Months

Body Part L R Severity (Circle) Frequency (Circle)

Hands/Wrists Mild, Moderate, Severe, Unbearable

Seldom, Often, Always

Elbows Mild, Moderate, Severe, Unbearable

Seldom, Often, Always

Shoulders Mild, Moderate, Severe, Unbearable

Seldom, Often, Always

Neck Mild, Moderate, Severe, Unbearable

Seldom, Often, Always

Back Mild, Moderate, Severe, Unbearable

Seldom, Often, Always

Legs Mild, Moderate, Severe, Unbearable

Seldom, Often, Always

Headache/Eyestrain Mild, Moderate, Severe, Unbearable

Seldom, Often, Always

Other Mild, Moderate, Severe, Unbearable

Seldom, Often, Always

What is the most difficult part of this job?

What improvements would you like to see for the job?

Operator 2 Time on Job: Years Months

Body Part L R Severity (Circle) Frequency (Circle)

Hands/Wrists Mild, Moderate, Severe, Unbearable

Seldom, Often, Always

Elbows Mild, Moderate, Severe, Unbearable

Seldom, Often, Always

Shoulders Mild, Moderate, Severe, Unbearable

Seldom, Often, Always

Neck Mild, Moderate, Severe, Unbearable

Seldom, Often, Always

Back Mild, Moderate, Severe, Unbearable

Seldom, Often, Always

Legs Mild, Moderate, Severe, Unbearable

Seldom, Often, Always

Headache/Eyestrain Mild, Moderate, Severe, Unbearable

Seldom, Often, Always

Other Mild, Moderate, Severe, Unbearable

Seldom, Often, Always

What is the most difficult part of this job?

What improvements would you like to see for the job?

Ergonomics Hit List®

Wash Rag Elbows Out Shoulder Too High/ Too Low

Hungry Head

Butts Up Twist and Shout

Horizontal Distance

Sit vs. Stand

Bad Vibes Contact

The Humantech System® DO Workshop Data Collection

Universal Oil System Operation 5/3/16

Place fixture & base plate inside chamber

Place nozzle in fixture

Turn on motor

Start oil spray cycle

Remove nozzle

Physical Stressors

Vibration (V)

Low Temperatures (L)

Soft Tissue Compression (S)

Impact Stress (I)

Glove Issues(G)

Time on Task/Week Multiplier> 40 hours 1.25

20 - 40 hours 1.04 - 19 hours 0.8

< 4 hours 0.4

Whole-Body Assessment ̶ BRIEF™Circle Posture and Force pictures when risk factors are observed. Mark Posture and Force boxes for each body area when thresholds are exceeded.

Hands and Wrists Elbows ShouldersNeck Back Legs

Left Right Left Right Left Right

Posture

Flexed ≥ 45°

Extended ≥ 45°

Radial Deviation

Ulnar Deviation

Flexed ≥ 45°

Extended ≥ 45°

Radial Deviation

Ulnar Deviation

Rotated Forearm

Fully Extended

≥ 135°

Rotated Forearm

Fully Extended

≥ 135°

Arm Raised ≥ 45°

Arm Behind

Body

Shoulders Shrugged

Arm Raised ≥ 45°

Arm Behind

Body

Shoulders Shrugged

Flexed ≥ 30°

Extended

Sideways

Twisted ≥ 20°

Flexed Sideways ≥ 20°

Extended Twisted

Back Unsupported

Squat ≤ 45°

Kneel

Feet Unsupported

Force

Pinch Grip or Finger Press ≥ 2 lb (0.9 kg) or Power Grip ≥ 10 lb (4.5 kg)

≥ 10 lb (4.5 kg)

≥ 10 lb (4.5 kg)

≥ 10 lb (4.5 kg)

≥ 10 lb (4.5 kg)

≥ 2 lb (0.9 kg)

≥ 25 lb(11.3 kg)

Foot Pedal≥ 10 lb (4.5 kg)

Both Elbows ≥ 15 lb (6.8 kg) Both Shoulders ≥ 15 lb (6.8 kg)

For body areas with Posture or Force marked, mark Duration and/or Frequency box(es) when limits are exceeded.

Duration

≥ 10 sec. ≥ 10 sec. ≥ 10 sec. ≥ 10 sec. ≥ 10 sec. ≥ 10 sec. ≥ 10 sec. ≥ 10 sec. ≥ 30% of day

Frequency ≥ 30/min. ≥ 30/min. ≥ 2/min. ≥ 2/min. ≥ 2/min. ≥ 2/min. ≥ 2/min. ≥ 2/min. ≥ 2/min.

Add Posture, Force, Duration and Frequency check marks (0-4) and circle Risk Rating (Low = 0 or 1, Medium = 2, High = 3 or 4).

Score (0-4)

Risk Rating L M H L M H L M H L M H L M H L M H L M H L M H L M H

Notes

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The ergonomic assessment was done for a combined fixture changeover with regular oil spray cycle. The task

involves placing a fixture in the system weighing approximately 11 lb, placing a nozzle in the fixture, and running

a cycle. The only risk factor involved was the use of a finger press during fixture changeover. When a new fixture

is installed, the operator must use three different quick couplers to connect and disconnect oil and air lines.

However, this task is only done about once every hour assuming batches of 100, and is very low risk.

Manual Material Handling Analysis

Lift/Lower TaskInputs

Weight (lb or kg)

Horizontal (in or cm)

Vertical (in or cm)

Twisting (degrees) Grip

(circle)Duration (circle)

Frequency (lifts/min)

Start End Start End Start End

Good Fair Poor 1 hr 2 hrs 8 hrs

Good Fair Poor 1 hr 2 hrs 8 hrs

Good Fair Poor 1 hr 2 hrs 8 hrs

Good Fair Poor 1 hr 2 hrs 8 hrs

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Input Limits

10" - 25"(25 cm - 64 cm)

0" - 70"(0 cm - 178 cm)

Min. 0° Max. 135°

Good: Power Grip Fair: Pinch Grip

Poor: Finger Press

1 Hour 0.2 - 15 lifts/min2 Hours 0.2 - 12 lifts/min8 Hours 0.2 - 10 lifts/min

Optimal Input Values10" (25 cm) 30" (75 cm) 0° Good 1 Hour 0.2 lifts/min

Critical Workstation Dimensions

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Push/Pull TaskInputs

Initial Force (lb or kg)

Sustained Force

(lb or kg)Hand Height

(circle)Distance (circle) Task Frequency

Chest Forearm Thigh 53" 35" 22" (135 cm) (89 cm) (57 cm)

Feet: 7 25 50 100 150 200 (Meters: 2.1 7.6 15.2 30.5 45.7 61.0)

Every ____ seconds, or Every ____ minute(s)

Chest Forearm Thigh 53" 35" 22" (135 cm) (89 cm) (57 cm)

Feet: 7 25 50 100 150 200 (Meters: 2.1 7.6 15.2 30.5 45.7 61.0)

Every ____ seconds, or Every ____ minute(s)

Chest Forearm Thigh 53" 35" 22" (135 cm) (89 cm) (57 cm)

Feet: 7 25 50 100 150 200 (Meters: 2.1 7.6 15.2 30.5 45.7 61.0)

Every ____ seconds, or Every ____ minute(s)

Task

Carry TaskInputs

Weight (lb or kg)

Hand Height (circle)

Distance (circle) Task Frequency

Elbow Hand 41" 28"

(105 cm) (72 cm) Feet: 7 14 28 (Meters: 2.1 4.3 8.5)

Every ____ seconds, or Every ____ minute(s)

Elbow Hand 41" 28"

(105 cm) (72 cm) Feet: 7 14 28 (Meters: 2.1 4.3 8.5)

Every ____ seconds, or Every ____ minute(s)

Elbow Hand 41" 28"

(105 cm) (72 cm) Feet: 7 14 28 (Meters: 2.1 4.3 8.5)

Every ____ seconds, or Every ____ minute(s)

Lift fixture 11 0 12 42 42 0 0 0.2/min

Direct Causes Add Category Here Direct Cause Category

1.

2.

3.

4.

5.

6.

PD Product DesignPF Process Flow DesignET Equipment Tool DesignWL Workstation LayoutDP Dunnage PackagingO Other

© 2014 by Humantech, Inc.

Direct Causes Addressed 1 2 3 4 5 6

Improvement Title Targeted Date

Priority

Improvement Description ____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Responsible Person

Vendor

Estimated Cost

Improvements Brainstorm ideas to improve the operation.

Direct Causes Addressed 1 2 3 4 5 6

Improvement Title Targeted Date

Priority

Improvement Description ____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Responsible Person

Vendor

Estimated Cost

Direct Causes Addressed 1 2 3 4 5 6

Improvement Title Targeted Date

Priority

Improvement Description ____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Responsible Person

Vendor

Estimated Cost

Direct Causes Addressed 1 2 3 4 5 6

Improvement Title Targeted Date

Priority

Improvement Description ____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Responsible Person

Vendor

Estimated Cost

Direct Causes Addressed 1 2 3 4 5 6

Improvement Title Targeted Date

Priority

Improvement Description ____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Responsible Person

Vendor

Estimated Cost