Reliability of a questionnaire and an ergonomic checklist for assessing working conditions and health at call centres.

BACKGROUND: The purpose was to study the test-retest reliability and internal consistency of questions in a questionnaire concerning working conditions and health and the inter-rater reliability of observations and measurements according to an ergonomic checklist. METHOD: Fifty-seven operators participated in a retest questionnaire and 58 operators participated in an inter-observer test. RESULTS: The questions had fair to good or higher reliability in 142 of the total of 312. Twenty-seven of the total of 44 variables in the ergonomic checklist were classified as having fair to good or higher reliability. CONCLUSIONS: About half of the questions had fair to good or higher reliability and can be recommended for further analyses. The majority of variables in the ergonomic checklist were classified as having fair to good or higher reliability. Low reliability does not necessarily indicate that the reliability of the test, per se, is low but may signify that the conditions measured vary over time or that the answers are aggregated in one part of the scale.     

Postural Loading Assessment in Assembly Workers of an Iranian Telecommunication Manufacturing Company

Background. Changes in industries and work practices have coincided with work-related musculoskeletal disorders (MSDs). This study was conducted to determine the prevalence of MSDs and to assess postural loading in assembly workers of an Iranian telecommunication manufacturing company. Methods. Data were collected from 193 randomly selected workers in 4 units of the company. The Nordic musculoskeletal disorders questionnaire and the UBC ergonomic checklist were used as data collection tools. Loading on the upper body assessment (LUBA) was used to assess postural loading. Results. Lower back symptoms were the most prevalent problems among the workers (67.9%). LUBA showed that most assembly workers (94.3%) had experienced considerable and high postural loading (postural load index, PLI > 5). Regression analyses revealed that lighting, rotation, contact stress, repetition, gender and age were factors associated with symptoms. Conclusion. Work-related MSDs occurred at a high rate among workers. Postural loading requires consideration. Any ergonomic intervention should focus on eliminating ergonomic factors associated with symptoms.     

Psychosocial and ergonomic survey of office and field jobs in a utility company

Introduction. The effect of different kinds of work on the psychosocial assessment of workers under the same management and organizational environment is investigated. Methods. A voluntary assessment in a utility company was carried out using the short version of the Copenhagen psychosocial questionnaire (CoPsoQ) on two occasions, 1.5 years apart. Initially, 25 office workers (11 men and 14 women) participated, while 14 of those workers (8 women and 6 men) participated in the second assessment together with 32 field workers. The sewage, water treatment and maintenance workers, totaling 32 men, also participated in a field ergonomics assessment using the Washington State Department of Labor and Industries field work ergonomic checklist. Results. The longitudinal outlook was fairly stable, with sustained severe scores in many CoPsoQ subscales and intensification of severity of workers’ control over work and esteem for men. A significantly higher esteem score resulted for field rather than office workers. Workers subjected to foul odors showed similar severity of psychosocial factors. Discussion. For most psychosocial dimensions, the organizational design and management system in place, as well as the overall cultural environment in which it operates, create a much stronger and more decisive impact than job-specific factors.     

Comparisons of ergonomic evaluation tools (ALLA,RULA, REBA and OWAS) for farm work

Introduction. The purpose of this study was to validate the agricultural lower limb assessment (ALLA) ergonomic checklist, which was developed for various agricultural tasks in Korea. Methods. One hundred and ninety-six working postures were selected from the real agricultural tasks to verify ALLA, a lower limb body posture assessment tool, and then evaluated by 16 ergonomic experts. Hit rate, quadratic weighted κ, one-way analysis of variance and t-test analyses were applied to compare ALLA with other assessment tools. Results. ALLA analysis had a superior hit rate with ergonomic expert assessment compared with other assessment tools. Quadratic weighted κ analysis also showed that ALLA provided superior estimates of risk levels for farm working postures. Discussion. ALLA would be an appropriate assessment tool to estimate risk factors for various lower limb body postures which frequently occur in agricultural tasks in Korea. ALLA is a simple and accurate risk assessment tool that could be usefully applied to identify and mitigate risk factors and work-related musculoskeletal disorders in agricultural tasks, and also to evaluate the effects of control and intervention for working conditions.     

A pre/post evaluation of fatigue,stress and vigilance amongst commercially licensed truck drivers performing a prolonged driving task

Purpose. The main purpose of this research study was to evaluate changes in fatigue, stress and vigilance amongst commercially licensed truck drivers involved in a prolonged driving task. The secondary purpose was to determine whether a new ergonomic seat could help reduce both physical and cognitive fatigue during a prolonged driving task. Two different truck seats were evaluated: an industrial standard seat and a new truck seat prototype. Methods. Twenty male truck drivers were recruited to attend two testing sessions, on two separate days, with each session randomized for seat design. During each session, participants performed two 10-min simulated driving tasks. Between simulated sessions, participants drove a long-haul truck for 90 min. Fatigue and stress were quantified using a series of questionnaires whereas vigilance was measured using a standardized computer test. Results. Seat interactions had a significant effect on fatigue patterns. Conclusion. The new ergonomic seat design holds potential in improving road safety and vehicle accidents due to fatigue-related accidents.     

Analysis of Conditions and Organization of Work of Notebook Computer Users

Abstract

Aim. The aim of this study was to evaluate working conditions with a notebook computer (notebook) as a potential cause of musculoskeletal disorders. Material and methods. The study had 2 stages. The first one was a questionnaire survey among 300 notebook users. The next stage was an expert analysis of 53 randomly selected workstations. The questionnaire survey included questions about the participants, their working conditions, work organization and also duration of work with a notebook. Results and conclusions. The results of the research showed that most examined operators used a notebook as a basic working tool. The most important irregularities included an unadjustable working surface, unadjustable height of the seat pan and backrest, unadjustable height and distance between the armrests and no additional ergonomic devices (external keyboard, docking station, notebook stand or footstool).     

Validation of the Polish version of the World Health Organization Disability Assessment Schedule (WHODAS 2.0) in an elderly population (60–70 years old)

Purpose. To assess the reliability and validity of the Polish version of the 36-point World Health Organization Disability Assessment Schedule (WHODAS 2.0) in an elderly population. Method. One thousand randomly selected individuals, aged 60–70 years, living in south-eastern Poland were assessed using the Polish version of the WHODAS 2.0. Results. The analysis confirmed the high reliability and validity of the tool. Cronbach’s α index was 0.89. The tool had high stability, and the correlation between test and retest results was high. The relevance of the domain selection was high or very high. A factor analysis confirmed the relevance of assigning questions to domains. High theoretical relevance was also demonstrated. Statistically significant differences between those who were and were not suffering from health problems were observed. An analysis of the internal structure of the WHODAS 2.0 revealed strong correlations between the components of each domain and the final result. Conclusion. The Polish version of the WHODAS 2.0 showed high reliability and validity; thus, it can be used to assess health, functioning and disability in the elderly population of Poland.     

Major Health Risk Factors in Iranian Hand-Woven Carpet Industry

This paper reviews the role and importance of small-scale industries together with the issue of occupational health problems and their causes in Iranian hand-woven carpet industry as a typical informal small-scale industry in an industrially developing country. The objective ofthis paper is to review health risk factors and related occupational health and ergonomic problems in the carpet industry. Since the overwhelming majority of weavers’ health problems originate from ergonomic risk factors, it is concluded that any improvement program in this industry should focus on ergonomic aspects. To assess ergonomic conditions in weaving workshops, a checklist has been developed and an ergonomics index indicating the ergonomic conditions of the workshop has been proposed. To test and verify the checklist, 50 weaving workshops were visited and their ergonomic conditions were assessed. Based on the results some modifications were made and the checklist was shown to be an effective tool.     

Safety Climate and Prediction of Ergonomic Behavior

One of the most important ways to prevent accidents is to consider safety climate or culture. Moreover, some studies suggest that behavior contributes to 86%-96% of all injuries. This cross-sectional study took place in an Iranian petrochemical company in 2010. Vinodkumar and Bhasi’s safety climate questionnaire and an ergonomic behavior sampling checklist were the data collection tools. Cronbach’s a for questionnaire reliability was .928. With reference to the results of a pilot study, a sample of 1755 was determined for behavior sampling. We used principal component analysis (PCA) to derive the coefficient of paths in the path model and the Anderson-Rabin method to calculate factor scores. The results showed that safety climate was an effective predictor of ergonomic behavior (p < .01). They also showed the importance of decreasing the number of workers with negative safety climate. Moreover, it is necessary to promote workers’ ergonomic behaviors in the workplace.     

Investigation of work-related musculoskeletal disorders among male kitchen workers in South India

Objective. This study aims to quantify the prevalence of work-related musculoskeletal disorders (MSDs) and risks among male kitchen workers in the catering industry. Method. Data were collected with the help of the Nordic musculoskeletal questionnaire and by direct observations. Results. In total, 114 male kitchen workers from various hostels of a college in South India were considered for this study. The average age and mean years of employment of the workers are 26.4 (SD 7.7) and 7.8 respectively. The statistical analysis carried out reveals that 67.5% of male kitchen workers reported MSDs during the past 12 months. The highest prevalence rate has been found in the lower back (65.8%) and shoulder region (62.3%). Among different categories of kitchen work analyzed, it is evident that chief cooks suffer more from MSDs (79.2%) than assistant cooks (74.3%) and kitchen aides (30.0%). Workers in the older group, i.e., ≥41 years, and workers with 6–10 years of experience suffer with higher risk of MSDs, i.e., 93.9% and 87.5%, respectively. Conclusion. The male kitchen workers who participated in this research were found to possess both MSDs and ergonomic hazards.     

Application of SHERPA to Identify and Prevent Human Errors in Control Units of Petrochemical Industry

Introduction. Studying human errors as a risk factor in the occurrence of accidents is necessary. Thus, the aim of this study was to identify, predict and control human errors in industrial control units. Method. This is a case study carried out using SHERPA in the first unit of Zagros Methanol of Asalooyeh, Iran, and its subunits. To collect the required data, various methods were used: observing, interviewing processing specialists and control unit operators, and studying technical documents and records. Results. In total, 222 human errors were identified in various occupational tasks. This study showed that 48.62% of them were action errors, 31.97% were checking errors, 6.75% were retrieval errors, 11.70% were communication errors and 0.90% were selection errors. Conclusion. It can be inferred that this method is appropriate for different industries, and it is useful for identifying human errors leading to hazardous accidents.     

Estimation of Aerobic Capacity and Determination of Its Associated Factors Among Male Workers of Industrial Sector of Iran

Introduction. The aim of this study was to estimate maximal aerobic capacity (V_O2max), to determine its associated factors among workers of industrial sector of Iran and to develop a regression equation for subjects’ V_O2max. Methods. In this study, 500 healthy male workers employed in Shiraz industries participated voluntarily. The subjects’ V_O2max was assessed with the ergocycle test according to the Åstrand protocol. Required data was collected with a questionnaire covering demographic details (i.e., age, job tenure, marital status, education, nature of work, shift work, smoking and weekly exercises). Results. The subject’s mean V_O2max was 2.69 ± 0.263 L/min. The results showed that there was an association between V_O2max and age, BMI, hours of exercise and smoking, but there was no association between V_O2max and height, weight, nature of work and working schedule. On the basis of the results, regression equations were developed to estimate V_O2max. Conclusion. Final regression equation developed in this study may be used to estimate V_O2max reliably without the need to use other laboratory instruments for aerobic measurement.     

Validation of a questionnaire about the perception of occupational biohazard in Spanish companies

Objectives. The aim of this work was to develop, validate and test a new questionnaire to assess the biological risk in workers with intentional or unintentional exposure to biological agents. Methods. A questionnaire including 34 questions was developed to study the perception of workers against occupational biohazard. Content Validity Index (CVI) and Content Validity Ratio (CVR) were calculated for the analysis of content validity. A pilot study was carried out with 60 workers from 17 companies performing analysis of Cronbach's α to assess the internal consistency or reliability. Results. A total of 518 workers from 51 Spanish companies in which there is exposure to biological agents participated in the study yielding a response rate of 90%. The final questionnaire obtained a Cronbach's α > 0.759 with a stable test–retest result. The questionnaire validation demonstrates that it could be used to evaluate the biological risks and help the prevention of occupational accidents and diseases. Discussion. This study has validated the need to evaluate worker's perception against occupational risks, as well as the application of prevention methods and protective equipment. It is a first step towards developing an occupational biohazards assessment method including all the requirements set by the European Health and Safety Strategy 2013–2020.     

Performance on a Work-Simulating Firefighter Test Versus Approved Laboratory Tests for Firefighters and Applicants

Aim. Firefighters must meet minimum physical demands. The Norwegian Labour Inspection Authority (NLIA) has approved a standardised treadmill walking test and 3 simple strength tests for smoke divers. The results of the Trondheim test were compared with those of the NLIA tests taking into account possible effects of age, experience level and gender. Methods. Four groups of participants took part in the tests: 19 young experienced firefighters, 24 senior male firefighters and inexperienced applicants, 12 male and 8 female. Results. Oxygen uptake (V_O2) at exhaustion rose linearly by the duration of the treadmill test. Time spent on the Trondheim test was closely related to performance time and peak V_O2 on the treadmill test. Senior experienced firefighters did not perform better than equally fit young applicants. However, female applicants performed poorer on the Trondheim test than on the treadmill test. Performance on the Trondheim test was not closely related to muscle strength beyond a minimum. Conclusion. Firefighters completing the Trondheim test in under 19 min fit the requirements of the NLIA treadmill test. The Trondheim test can be used as an alternative to the NLIA tests for testing aerobic fitness but not for muscular strength. Women’s result of the Trondheim test were poorer than the results of the NLIA treadmill test, probably because of their lower body mass.     

Evaluating the usability of a commercial cooling vest in the Hong Kong industries

Objective. The provision of appropriate personal cooling vests is recognized as an effective measure to combat heat stress. However, personal cooling vests are not widely implemented in the Hong Kong industries. The current study aims to evaluate the usability of a hybrid cooling vest that is associated with the success of its application in industrial settings. Methods. A self-administrated questionnaire focusing on 10 subjective attributes of cooling effect, ergonomic design and usability of a hybrid cooling vest was administered with 232 occupational workers in the construction, horticultural and cleaning, airport apron services and kitchen and catering industries. Results. A structural equation model estimated by analysis of moment structures was constructed to evaluate the usability of the cooling vest, as influenced by cooling effect and ergonomic design. Results showed that cooling effect (path coefficient?=?0.69, p?p?Conclusions. The structural equation model is feasible to examine the complex nature of the structural relationships among the subjective perceptions of personal cooling vests. The empirical findings furnish sound evidence for further optimization of the hybrid cooling vest in terms of cooling effect and ergonomic design for occupational workers.     

Measuring limitations in activities of daily living: a population-based validation of a short questionnaire

Purpose. A newly developed questionnaire assessing limitations in activity of daily living (LADL–Q) that should improve assessment of LADL is tested in a large population-based validation study. Methods. This survey was paper-based. Overall, 16,634 individuals who were representative of the working population in the German-speaking part of Switzerland participated in the study. Item analysis was used the final version of the LADL–Q to four items per subscale that correspond to potential problems in three body regions (back and neck, upper extremities, lower extremities). Analysis included tests for reliability, internal consistency, dimensionality and convergent validity. Results. Test–retest reliability coefficients after 2 weeks ranged from 0.82 to 0.99 (Mdn?=?0.87), with no item having a coefficient below 0.60. The median item-total coefficients ranged between moderate and good. Correlation coefficients between LADL–Q subscales and three validated clinical instruments (Western Ontario and McMaster Universities osteoarthritis index, shoulder pain disability index, Oswestry) ranged from 0.63 to 0.81. In structural equation modeling the three subscales were significantly related with two important outcomes in occupational rehabilitation: self-reported general health and daily task performance. Conclusion. The new LADL–Q is a brief, reliable and valid tool for assessment of LADL in studies on musculoskeletal health.     

坐姿时上肢作业姿势舒适性评价

针对人体呈现坐姿状态时前侧方作业区域的不同,利用人体测量数据在空间划分网格,实现了上肢作业姿势的参数化定义。并设计实验,由12位健康的男被试参加,利用自由模量幅度估计法对定义过的384种作业姿势的舒适性进行了评价和分级。对依据不同被试个数计算出的结果进行比较分析,并与快速上肢评价方法的评价结果进行比对,揭示了结果的可靠性。评价结果可以为操纵装置的工效设计以及作业空间布局提供重要参考,同时为国内的姿势舒适性评价工作提供了可靠的依据。     

The effect of helmets on motorcycle outcomes in a level I trauma center in Connecticut

Objective: The State of Connecticut has a partial motorcycle helmet law, which has been linked to one of the lowest helmet compliance rates in the Northeast. We examine the clinical and financial impact of low motorcycle helmet use in the State of Connecticut.

Methods: A retrospective cohort study comparing the outcomes between helmeted and nonhelmeted motorcycle crash victims over a 12.5-year period, from July 2, 2002, to December 31, 2013. All patients who were admitted to the hospital after a motorcycle crash were included in the study. Patients were stratified into helmeted and nonhelmeted cohorts. Group differences were compared using t-test or Wilcoxon rank test for continuous variables and chi-square test for dichotomous outcomes. Regression models were created to evaluate predictors of helmet use, alcohol and drugs as confounding variables, and factors that influenced hospital costs.

Results: The registry included 986 eligible patients. Of this group, 335 (34%) were helmeted and 651 (66%) were nonhelmeted. Overall, nonhelmeted patients had a worse clinical presentation, with lower Glasgow Coma Scale (GCS; P <.01), higher Injury Severity Score (ISS; P <.01), higher incidence of loss of consciousness (LOC; P <.01), longer intensive care unit (ICU; P <.01) admissions, and higher incidence of head (P <.01) or face injuries (P <.01). Nonhelmeted patients were also twice as more likely to die from their injuries (P =.04, odds ratio [OR] = 1.89, 95% confidence interval [CI], 1.02–3.45). Financially, nonhelmeted patients incurred mean hospital costs of $18,458, whereas helmeted patients incurred $14,970 (P =.18). ISS, GCS, and ICU length of stay were significantly correlated with increased hospital costs (P <.01). Not using a helmet was a significant predictor of mortality (P =.04) after adjusting for alcohol/drug use and age.

Conclusions: Helmet use is associated with lower injury severity and increased survival after a motorcycle crash. These outcomes remained consistent even after controlling for age and alcohol and drug use. The medical and financial impact of Connecticut's partial helmet law should be carefully evaluated to petition for increased education and enforcement of helmet use.     

An evaluation of Ontario's Group Education Session (GES) for license renewal of seniors aged 80 and above

IntroductionIn 1996, the Ministry of Transportation in Ontario (MTO) implemented the Group Education Session (GES), which is a mandatory license renewal program for drivers aged 80 and older. This study describes an evaluation of the GES to assess its impact on road safety in Ontario, as well as its effect on the safety of individual drivers who participated in the program.MethodsTime series analysis of senior driver records both before and after implementation of the GES, and logistic regression and survival analysis examining senior driver records prior to, and following, their participation in the GES.ResultsUsing time series analysis there is some evidence to suggest that the GES had a positive impact on road safety. According to the other analyses, participation in the GES is associated with a decrease in the odds of collisions and convictions, regardless of whether drivers pass their first attempt of the knowledge test or not. In addition, failing the first road test and/or having demerit points are strong indicators of future collision and conviction involvement.DiscussionResults from this evaluation suggest that the GES has had a protective effect on the safety of senior drivers.Practical ApplicationsThe findings and discussion will help MTO improve the GES program and provide insights to other jurisdictions that have, or are considering, introducing new senior driver programs.