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    Ergonomics

    Awareness Training

    Navy Ergonomics Program

    Technical Support Services

    by Naval Facilities Engineering Command

    Cathy Rothwell, PE Ergonomic Program Manager

    [email protected]

    Mindy Smith, MEng, AEP Ergonomic Technical Support - East [email protected]

    Theresa Stack, MS, AEP Ergonomic Technical Support- West [email protected]

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

    Ergonomics is derived from two Greek words

    Ergon meaning work

    andNomos meaningprinciples or laws

    Ergonom ics = The Science of Wo rk

    Ergonomics is not a new science, although the term

    has become more common lately. The phrase

    was first coined in 1857.

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    Common Definitions

    Ergonomics is essentially fitting the workplace

    to the worker. The better the fit the higher thelevel of safety and worker efficiency. Fitting theTask to the Human ~ Grandjean 1990

    Ergonomics removes barriers to quality,productivity and human performance by fitting

    products, tasks, and environments to people.ErgoWeb.com

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

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    What are the consequencesof poor Ergonomics?

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

    Consequences of poor workplace design were firstdocumented in the 17th century.

    Have you ever heard of these?

    Historic Occupational Disorders - house-maidsknee, washer womans thumb, writers cramp, data-processing disease, clergymans knee, nunsbursitis, weavers bottom, dustmans shoulder,

    tailors ankle

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    Do these historic occupationaldisorders still exist? Yes!

    They are part of a broad category of injuries and

    disorders called Musculoskeletal Disorders

    (MSDs). MSDs are not usually caused by acute trauma,

    but occur slowly over time due to repetitive injuries to thesoft 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 occupationaldisorders 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

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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 by working conditions

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    What characteristics of your job putyou at risk for MSDs?

    Repetition

    Awkward PosturesStatic Postures

    Cold Temperatures

    Prolonged, repeated or extreme exposure to multiple

    WMSD risk factors can cause damage to a workers

    body. Risk Factors include:

    Excessive Force

    VibrationCompression

    Inadequate Recovery

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    Repetition= Performing the same motionor group of motions excessively.

    Examples of Repetition

    Repeating the same motion every

    few seconds or repeating a cycle of

    motions involving the same bodyparts more than twice per minute for

    more than 2 consecutive hours in a

    row

    Using a tool or an input device, such

    as a keyboard in a steady manner for

    more than 4 hours total in a work day

    Excessive

    repetition of

    movements can

    irritate tendons

    and increase

    pressure on

    nerves

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    Awkward Postures = Postures outsideof neutral.

    Neutral is the optimal

    position of each

    joint that provides

    the most strength

    and control

    Before: Lab technician tiltshis neck forward to view

    the screen into a non-

    neutral posture. He also

    bends over resting on his

    forearms to write on the

    documents.

    Ergonomic Improvement:Sailor easily views the

    screen from a neutral

    posture. The workstation

    adjusts to accommodatedifferent working heights

    and users. When standing,

    work should be about elbow

    height.

    Awkward or unsupported

    postures that stretch

    physical limits, can

    compress nerves and

    irritate tendons

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    Awkward Postures = Postures outsideof neutral.

    Examples of Awkward Postures:

    Repeatedly raising or working

    with the hand(s) above thehead or the elbow(s) above

    the shoulder(s) for more than

    2 hours per day

    Kneeling or squatting for more

    than 2 hours total per day

    Working with the back, neck

    or wrist bent or twisted for

    more then 2 hours per day

    Sitting with feet unsupported

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    Neutral Posture for Computer Use

    Adjust the seat height

    so upper arms hang

    vertically, elbows bent

    about 90 degrees,

    shoulders relaxed and

    wrists fairly straight

    Position the monitor about an

    arms length away directly in

    front of you. The top of the

    screen no higher than eye

    level (Unless the user wears

    bi-focal glasses)Use a document

    holder close to the

    monitor rather than

    laying papers flatMouse should be next to

    keyboard both at a height

    equivalent to the users seatedelbow height

    Knees comfortably bent with

    feet resting on the floor. If the

    chair is raised so the keyboard

    height equals elbow height, use

    a footrest .

    Adjust

    the back

    rest to

    provide

    firmsupport

    to the

    small of

    the back

    i P

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    Static Postures =Holding the same position or using the

    same muscles for extended periods of time

    Static postures, or positions that a worker must hold for long

    periods of time, can restrict blood flow and damage muscles

    Before: Mechanic maintains a static posture

    holding arms and hands elevated while

    repairing aircraft

    Ergonomic Improvement: Creeper supports mechanic

    and brings him closer to the task

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    Cold Temperatures

    Working in environments

    below 68 degrees can

    cause nerve damage.

    Working in cold

    temperatures can adversely

    affect a workers

    coordination and manual

    dexterity and cause a

    worker to use more force

    than is required to perform a

    task

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    Force = A strong physical exertion

    Exertion = the tension

    produced by muscles

    and transmitted

    through tendons

    Excessive muscle tension

    can contract muscles to

    their maximum capability

    which can lead to fatigue

    and possible damage to the

    muscles and other tissues.

    Before: Three

    sailors climb

    on refuse bin

    to dump

    laundry cart fullof waste. They

    risk back strain

    and lacerationswhile tipping

    cart over to

    empty it.

    Ergonomic

    Improvement:

    One workereasily dumps

    waste in half

    the time.

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    Force = A strong physical exertion

    Examples of forceful exertions:Lifting:

    more then 75 pounds at any one time;

    more then 55 pounds more than 10 times per day;more then 25 pounds from a height below the knees, above the

    shoulders, or at arms length more than 25 times per day.

    Pushing / pulling with more than 20 pounds of initial

    force for more than 2 hours per day

    Pinching (pencil type grip) an unsupported object weighing2 or more pounds per hand for more than 2 hours per

    day

    Gripping an unsupported object weighing 10 pounds or

    more per hand for more than 2 hours per day

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    Vibration - Single Point

    Hand and Arm

    exposure results from

    vibrating objects such

    as power tools.

    Examples of vibrating tools

    Using vibrating tools or

    equipment that typically have

    high vibration levels for more

    then 30 minutes a day (chain

    saws, jack hammers,

    percussive tools, riveting or

    chipping hammers).

    Using tools or equipmentthat typically have moderate

    vibration levels for more then

    2 hours total per day (jig

    saws, grinders or sanders).Before: Sailor is exposed to vibration above

    ACGIH TLV guidelines

    Ergonomic Improvement: Lower vibration toolreduces vibration to safe levels

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    Vibration - Whole Body

    Whole Body

    exposure to

    vibration results

    from vehicles suchas forklifts, cranes,

    trucks, buses

    subways and

    aircraft.

    High or prolonged exposure to whole body vibration can affect

    the skeletal muscles and cause low- back pain

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    Compression = soft tissue is compressedbetween the bone and a hard or sharp object

    Compression, from grasping or contacting edges like tool

    handles, can concentrate force on small areas of the body,

    reduce blood flow and nerve transmission and damage tendons

    and tendon sheaths

    Before: Worker rests his wrists on the

    sharp tray edges. His wrist is extended

    into a non-neutral posture.

    Ergonomic Improvement: Worker rests her

    wrists and forearms on a padded surface.

    Wrist and forearms are in a neutral position.

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    Compression = soft tissue is compressedbetween the bone and a hard or sharp object

    Compression, from grasping or contacting edges like tool

    handles, can concentrate force on small areas of the body,

    reduce blood flow and nerve transmission and damage tendons

    and tendon sheaths

    Ergonomic Improvement: Tool handle is formed to fit the workers hand which

    requires less grip strength or force and a more user-friendly tool

    Before: Toolhandles are

    small and

    angular requiring

    the worker to

    grasp tightly

    against sharp

    edges

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    Can Other Factors Contribute to MSDs?

    Not all ergonomic risk factors

    are physical, some are

    related to the work

    environment.

    Stress on the job, quotas, peer pressure, boredom,

    conflicts with co-workers and supervisors,

    deadlines, and even a lack of control over what you

    do can contribute to (but not cause) MSDs

    l

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    Can Personal Factors Contribute toMSDs?

    Age and GenderHobbies

    Previous Injuries

    Physical ConditionMedical conditions

    (diabetes and arthritis)

    PregnancyObesity

    Medications

    SmokingFatigue

    Some people are at greater risk of developing

    MSDs due to personal factors

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    What are MSD Signs and Symptoms?

    Painful aching joints, muscles

    Pain, tingling or numbness

    Fingers or toes turning white

    Shooting or stabbing pains

    Swelling or inflammation

    Stiffness or difficulty moving

    Burning sensation

    Pain during the night

    Wh h ld d if i

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    What should you do if you experience aMSD Sign or Symptom?

    If you experience signs or symptoms

    of MSDs, report it to a supervisor,

    industrial hygienist or safety

    professional

    If pain or discomfort does not go

    away when you leave work orinterferes with you carrying out

    normal activities, see an

    occupational health nurse or

    physician

    H d A id MSD ?

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    How do you Avoid MSDs?Work Smarter, Not Harder!

    Work in neutralpostures

    Reduce excessive

    force & repetitionKeep everything in

    easy reach and atproper heights

    Keep warmMinimize static

    unsupported posturesand pressure points

    Use proper lifting

    techniques and lift aides

    Ask for assistance with

    difficult tasks

    Take micro-breaks

    (stand, stretch, change

    tasks)Maintain a comfortable

    environment

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    What can ergonomics do for you?

    The anticipated benefits of good workplace design

    Improved health and safety by reducing work-

    related injuries and disorders

    Improved comfort, morale and job satisfaction

    Improved productivity and reduced workerscompensation costs and employee turnover

    Before Improved

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    Where to go for more information

    NAVFAC web site contains ergonomic tools, resources, guides,training and awareness materialwww.navfac.navy.mil/safety (Select - Program Categories - Ergonomics)

    NAVOSH website- Contains success stories of ergonomic interventionsthroughout the Navywww.navosh.net/ergonomics

    DoD Ergonomic Working Group - Contains Guide to Setting up anErgonomics Program and many other toolschppm-www.apgea.army.mil/ergowg/index.htm

    NIOSH- order many free ergonomic documents including Elements ofErgonomics Programs and Cumulative Trauma Disorders in theWorkplacewww..cdc.gov/niosh/

    Navy Policy 5100.23F Chapter 23 Ergonomic Program