ERGONOMICS :: TRAIN-THE-TRAINER PROGRAM :: ERGONOMICS CONTROLS Ergonomics Controls.
BOHS_Occupational Health_ Ergonomics
-
Upload
dr-divyang-shah -
Category
Health & Medicine
-
view
1.673 -
download
2
Transcript of BOHS_Occupational Health_ Ergonomics
BOHSBOHSBOHSBOHS----SeriesSeriesSeriesSeries
Ergonomics Training Module
IAOH - 2013 2
INTRODUCTIONINTRODUCTIONINTRODUCTIONINTRODUCTION
IAOH - 2013 3
What is Ergonomics?
Ergo = nomics =
“work” “laws or rules ”
Ergonomics = “the laws of work”
OSHA defines ergonomics as: “thescience of designing the job to fit theworker, instead of forcing the worker to fitthe job”.
IAOH - 2013 4
“The science of Ergonomics is a body of knowledge about
human abilities, human limitations and human
characteristics that are relevant to design.”
IAOH - 2013 5
Goals Of Ergonomics
�Provide a safe and healthful workingenvironment engineered to the capabilitiesof the human body
�Increase efficiency and productivity byreducing fatigue.
�Prevention of Occupational injury & illness.
�Work quality improvement.
IAOH - 2013 6
Rules Of Ergonomics
• Straight Back Rule
• Belly Button Rule
• Swinging Arm Rule
• Straight Wrist Rule
• Straight Eye Rule
• Skin Rule
• No Brain Machine Rule
IAOH - 2013 7
Methodology To Achieve The Goals
IAOH - 2013 8
Improving Workplace
IAOH - 2013 9
Awkward postures
IAOH - 2013 10
PosturePosture
IAOH - 2013 11
There are no “right” or
“correct” ways to sit, stand or
lift....
However, there are more and
less demanding ways!
IAOH - 2013 12
Good posture is a great
'tool'
to help in prevention of pain.
IAOH - 2013 13
Relationship Between User, Keyboard, Monitor And Mouse
Typical Work Situation
Mouse
Keyboard
Body
Graphic Representation
IAOH - 2013 14
Risk Factors
ForceForceForceForce Repetition Repetition Repetition Repetition Posture Posture Posture Posture Pain Pain Pain Pain
IAOH - 2013 15
15
What Should I Look For?
Awkward postures
Repetition
Force
IAOH - 2013 16
16
Why Ergonomics?
Employee Concerns
�Comfort
�Fatigue
� Injuries
�Job satisfaction
�Decreased boredom
�Decreased stress
�Reasonable workloads
Employer Concerns
�Worker’s comp costs
�Productivity
�Errors
�Products
�Profit
IAOH - 2013 17
Poor Ergonomic Design
o Decreased efficiency
o Decreased productivity
o Errors
o Turnover
o Absenteeism
o Job avoidance
IAOH - 2013 18
18
What Can Ergonomics Do?
�↓ discomfort
�↓ accidents and injuries
�↑ accuracy
�↑ efficiency
�↑ satisfaction
�↑ job retention
IAOH - 2013 19
19
How Do I Start?
Identify problems
�Complaints of discomfort
�Symptom surveys
�Near misses
�Accidents
�Injuries
�Errors
�High turnover
IAOH - 2013 20
20
How Do I Make a Quick Impact?
Reduce lifting
�Lifting equipment
�Job redesign
IAOH - 2013 21
Tool Use Example
Working with bent wrists decreases grip strength
Use tools that let you keep your wrist straight
IAOH - 2013 22
OFFICE ERGONOMICS
IAOH - 2013 23
Office Comprises
�Chair
�Table
�Computer
�Other items like- files, phone, etc.
IAOH - 2013 24
Chair Adjustment
IAOH - 2013 25
Seven Contact Points
IAOH - 2013 26
Good chair should have—
� Adjustability of height
� Backrest
� Seat depth
� Adjustable arm rest
� Stability.
Chair
Cont.-
IAOH - 2013 27
Adjustment Of Chair
Adjustment of chair height Adjustment of arm rest
IAOH - 2013 28
Adjustment Of Chair- Cont.
Thigh measures Lower back support
IAOH - 2013 29
KeyboardAdjustment
IAOH - 2013 30
Key Board Adjustment
� Pull up close to your keyboard& Position IT directly in frontof you.
� Determine what section of thekeyboard you use mostfrequently, and readjust thekeyboard accordingly.
� Adjust the keyboard height sothat your shoulders arerelaxed, your elbows are in aslightly open position (100° to110°), and your wrists andhands are straight.
IAOH - 2013 31
IAOH - 2013 32
Key Board Trays
� Best height for keyboard is generally –at elbow height or lower.
� Tray should hold keyboard as well as mouse.
IAOH - 2013 33
Computer Mouse
IAOH - 2013 34
Generally while using the mouse, person
stretching the arm outwards and forwards to hold
it there with unsupported forearm as long as they
are using the mouse.
Computer Mouse Hazardous
IAOH - 2013 35
Computer Mouse Hazardous
This posture caused Pain –
� on top of the hand,
� around the wrist
� Along the forearm and elbow
� Numbness and tingling in the thumb & indexfinger
� May develop the carpel tunnel syndrome
� Soreness and fatigue by putting extra load on themuscles of upper back & shoulder
Cont.-
IAOH - 2013 36
Correct Method Of Using Mouse
� Don't squeeze it.
� Hold it loosely in your hand with a relaxed
grip.
� Keep your fingers relaxed.
� Keep your wrist straight.
IAOH - 2013 37
IAOH - 2013 38
IAOH - 2013 39
Monitor Adjustment
IAOH - 2013 40
Position Of Monitor
� Viewing angle- degree above or below an imaginaryhorizontal line at the level of viewer’s eyes & center of
the object being looked at. place the monitor at about 15degrees below the horizontal line.
� Poor angle leads to postural (neck & shoulders)discomfort .
� Position the top of the screen should be at eye level orslightly lower. (If you wear bifocals, lower the monitor to a
comfortable reading level.)
� Centre the monitor directly in front of you, above yourkeyboard.
IAOH - 2013 41
Viewing distance
Sit at least an arm's length away from the screen and then adjust the distance for your vision
IAOH - 2013 42
IAOH - 2013 43
Monitor, Document, and Telephone
� Incorrect positioning of the screen and documentscan result in awkward postures.
� Look for glares and reduce it.
� Place the documents directly in front , between the monitor and the keyboard.
� Place your telephone within easy reach. Use headsets and speaker phone to eliminate cradling the handset.
IAOH - 2013 44
Incorrect Method of Using Computer
IAOH - 2013 45
Correct Method of Using Computer
IAOH - 2013 46
Manual Ergonomics
IAOH - 2013 47
Manual handling includes• Lifting
• Throwing
• Pushing
• Pulling
• Carrying
• Moving
• Holding
• Repetitive tasks such as :
• –packing, typing, assembling,
• cleaning, sorting, operating machinery and equipment
IAOH - 2013 48
Anatomy of Back & Back Injuries
Knowing what
causes back injuries
can help you prevent
them.
IAOH - 2013 49
49
Manual Materials Handling
� Golden rule
• Eliminate lifts
� When you can’t
• Keep it off the floor
• Reduce lifts
o Conveyors
o Adjust work flow
IAOH - 2013 50
50
Making a Difference
If they have to lift, teach them how!
� High risk groups first
� Then campus-wide
IAOH - 2013 51
How Should You Lift?
Stoop
Squat
Semi-squat
IAOH - 2013 52
Stoop
� Can get close to load
� Less effort and energy
than squatting
� Fast
….but it increases strain on
low back
IAOH - 2013 53
Squat
Limits strain on low back
….but it is difficult to keep
load close
….requires increased effort
and energy
….and it is inefficient
IAOH - 2013 54
Semi-Squat Lift
� Less work
� Preferred for lifting
heavy objects on
occasional basis
IAOH - 2013 55
Squat and Semi-Squat Lifts
� More protective of back
� Preferred by injured workers
IAOH - 2013 56
Not Preferred Position
Preferred Position
Preferred / Not Preferred Position
IAOH - 2013 57
MUSCULO SKELETAL DISORDERS MUSCULO SKELETAL DISORDERS MUSCULO SKELETAL DISORDERS MUSCULO SKELETAL DISORDERS
(WMSDS)(WMSDS)(WMSDS)(WMSDS)
IAOH - 2013 58
Musculo Skeletal Disorders
Also known as:
� Cumulative Trauma Disorders (CTDs)
� Repetitive Strain Injuries (RSIs)
� Overuse injuries
� Soft tissue injuries
IAOH - 2013 59
Causes MSDsRisk Factors
� Awkward Postures
� High Hand Force
� Repetitive Motions
� Repeated Impacts
� Heavy, Frequent, or Awkward Lifting
� Moderate to High Vibration
=
IAOH - 2013 60
Risk of injury depends upon:
Duration of exposure (how long)
Frequency of exposure (how often)
Intensity of exposure (how much)
Combinations of risk factors
Risk Factors
IAOH - 2013 61
How Do MSDs Affect the Body?
ForceForceForceForce Repetition Repetition Repetition Repetition Posture Posture Posture Posture Pain Pain Pain Pain
IAOH - 2013 62
Musculoskeletal Disorders (MSDs)
� Carpal tunnel
syndrome
� Epicondylitis
(Tennis elbow)
� Synovitis
� Muscle strains
� Raynaud's
phenomenon
� Sciatica
� Rotator cuff tendonitis
� De Quervains' disease
� Trigger finger
� Low back pain
� Disc Herniation
IAOH - 2013 63
Symptoms of MSDs
� Discomfort
� Pain
� Numbness
� Tingling
� Burning
� Swelling
� Change in color
� Tightness, loss of flexibility
IAOH - 2013 64
Stages of Progression
• Early Stage-The body aches and feels tired at work,but symptoms disappear during time away from work.
The injury will heal completely if dealt with properly atthis early stage.
• Intermediate Stage-The injured area aches andfeels weak near start of work. Work is more difficult todo. The injury will still heal completely if dealt with
properly.
• Late Stage-The injured area aches and feels weakeven at rest. Sleep is affected. Even light duties arevery difficult.
IAOH - 2013 65
Carpal Tunnel Syndrome
Causes-
– swelling of flexor tendons due to repeated exertions.
– Repeated or prolonged forceful exertions of the hand combined with wrist flexion.
– Repeated or prolonged non-neutral wrist postures.
– Blunt Trauma.
– Rheumatoid arthritis and other connective tissue disorders.
– Endocrine disorders: myxedema, acromegaly, diabetes, pregnancy.
IAOH - 2013 66
Tennis ElbowThis is caused by prolonged
gripping activities such as-
• hammering
• driving screws
• weight lifting
• playing certain musical instruments
• digging in the garden
• driving
• racquet sports etc.
The pain is exacerbated by gripping activities like turning a door handle can cause intense pain.
IAOH - 2013 67
Stages Of Cervical Disc Herniation
1.Poor posture, incorrect and/or repetitive lifting or twisting can place
additional stress on spines.
2.Aging.
3.Trauma.
4.Lifestyle - Lack of regular exercise, tobacco use substantially contribute to poor disc health.
IAOH - 2013 68
Back Pain
Compression
InjuryTension
InjuryShearing
Forces
Torsion Forces Acting
On A Vertebra
forward
bending of the spine,
Twisting movements
of the spine
Overstretching
IAOH - 2013 69
Common causes of back-pain
• Accidents and injuries
• Twist and sprains
• Improper working postures
• Lifting heavy weights
• Prolonged working in same posture
• Fatigue and tiredness
• Infections and diseases
• Pregnancy
IAOH - 2013 70
Prevention & Control of Ergonomic Risk Conditions
�Engineering controls
�Work practice controls
�Administrative controls
IAOH - 2013 71
Eye Strain While Working On VDT
Experienced as –
� Burning
� Tightness
� Sharp or dull pains
� Watering
� Blurring
� Double vision
� Headache etc.
IAOH - 2013 72
� Glare– light source shining directly into the eyes e.g.
ceiling lights, bright. windows etc.
� The luminance (brightness) difference between what is
being looked at and its immediate environment
� The distance between the eye and screen and document
� The readability of screen and document
� The workers vision and his or her corrective lenses
Eye Strain While Working On VDTFactors-
IAOH - 2013 73
Prevention Of Eye Strain
� Watch out for glare .
� Follow “20/20/20 rule” means every twenty minutes, look
twenty feet away for twenty seconds.
� It may be due to dryness of eyes. Lowering the monitor.
looking downward– more of eye surface will be covered by
the eyelids and eyes blinks more leads more lubrication.
� Keep the proper distance and angle between eyes and
monitor.
IAOH - 2013 74
Peoples who needs bifocal glass often experiences sore neck and shoulder because they have to tip their heads
back to see the computer screen. Other options for them like—
� Progressive addition lenses (PAL)– For persons working long hours with computers the PAL is the choice.
� Wearing contact lenses
Prevention Of Eye Strain Cont.-
IAOH - 2013 75
What you can do?
• Recognize and report symptoms
• Get involved in ergonomics
IAOH - 2013 76
Symptom Recognition and Reporting
Report symptoms if:
� Pain is persistent, severe or worsening
� Pain radiates
� Symptoms include numbness or tingling
� Symptoms keep you from sleeping at
night
IAOH - 2013 77
Key Points To Remember
� Ergonomics can help you on your job
� MSDs can happen in jobs with risk factors
� Risk factors can be reduced and MSDs
prevented
� Reporting symptoms early is important
� You can help your company put ergonomics
changes into place
IAOH - 2013 78
Thumb Rules To Prevent MSDS
� Use moderate postures for individual joints
� Don’t use too much force
� Break for 4-5 min. for every hour spent at workstation to
ease muscle aches, eye strain & stress. Vary the tasks.
Break up the keyboard task work by doing other job.
� Look away from the screen & focus your eyes on an object
far away time to time.
� Relax your muscles, stretch & change position.
IAOH - 2013 79
Ergonomic Ergonomic Ergonomic Ergonomic
ExerciseExerciseExerciseExercise
IAOH - 2013 80
Reason For Stretch At Work
�Reduce muscle tension & stress, increase
alertness, improve circulation and productivity.
�Reduction in day to day tiredness.
�To feel better
IAOH - 2013 81
Stretch At Work
�Stretches must be performed slowly and carefully. They
shouldn’t be painful. If they are painful, stop and consult
doctor.
�Make slow movements- avoid rapid or jerky movements.
�Hold the stretch for at least 5-7 seconds.
�Stretch frequently, especially when sitting or in other
constrained environments.
IAOH - 2013 82
Schedule -Each exercise 3 times
1. Preparations:- Remove shoes. Take out mobiles spectacles, pen,
diary etc
2. Neck movement � (a) Bending backwards (b) Rotate left – center –right (c) Bend sideways
3. Neck exercise � push – counter push by both hands.
4. Eyes � (a) Squeezing 10 times (b) Palming
5. Shoulders � (a) Up / down (b) Rotate clock-wise (c) Rotate anti-clockwise
6. Palm pressure & Fist Rotation
IAOH - 2013 83
Schedule -Each exercise 3 times
7. Namaskar (Front) pose + movement up/down
9. Executive stretch
11.Calf muscle stretch
12.Thigh muscle stretch
13.Walking on heels & toes
Executive stretch
Calf muscle stretch
IAOH - 2013 84
Thank youHave a Nice Day