Contribution of individual components of a job cycle on overall severity of whole-body vibration exposure: a study in Indian mines

Drivers of earth-moving machines are exposed to whole-body vibration (WBV). In mining operations there can be a combination of relatively high magnitudes of vibration and long exposure times. Effective risk mitigation requires understanding of the main aspects of a task that pose a hazard to health. There are very few published studies of WBV exposure from India. This paper reports on a study that considered the contribution of the component phases of dumper operations, on the overall vibration exposure of the drivers. It shows that vibration magnitudes are relatively high, and that haulage tasks are the main contributor to the exposure. It is recommended that driver speed, haul road surfaces and vehicle maintenance/selection are optimized to ensure minimization of vibration. If this is not sufficient, operation times might need to be reduced in order to ensure that the health guidance caution zone from Standard No. ISO 2631-1:1997 is not exceeded.     

Cervical musculoskeletal disorders and their relationships with personal and work-related factors among electronic assembly workers

IntroductionElectronics assembly workers are reported to have a high prevalence of musculoskeletal disorders (MSDs). This study investigated the prevalence of cervical MSDs and the complex relationships between cervical MSDs and individual, physical, psychosocial factors among electronics assembly workers. Methods: In this cross-sectional survey, self-administered questionnaires from 700 workers in electronics manufacturing workshops were analysed. Information concerning musculoskeletal symptoms, personal and work-related factors was collected. Finally, the prevalence of cervical MSDs was computed for different subgroups, and the relationships with different factors were analyzed using logistic regression and structural equation modeling (SEM). Results: The total 12 month prevalence of cervical MSDs among the survey population was 29.4%. Variables of gender, job tenure, twisting head frequently, neck flexion/extension for long time and work required to be done quickly showed significant associations with MSDs in a multivariate logistic regression (P < 0.05). The SEM analysis showed moderate and significant correlations between postural load (γ = 0.279), gender (γ = 0.233) and cervical MSDs, while there were weak but significant correlations between vibration (γ = 0.024), work stress (γ = 0.126), job tenure (γ = 0.024) and cervical MSDs. Both work stress and vibration affected the MSDs indirectly through postural load. Conclusions: The logistic regression results support previous general epidemiological MSD studies, and indicates that individual, physical, and psychosocial factors are related to cervical MSDs. The SEM provides a better approximation of the complexity of the relationship between risk factors and cervical MSDs. Improving awkward postures may be effective ways to control the influence of occupational stressors or vibration on MSDs. Practical Applications: The study is to improve prevention of MSDs among electronics assembly workers and promote their occupational health.     

Whole-body vibration in heavy equipment operators of a front-end loader: Role of task exposure and tire configuration with and without traction chains

IntroductionThis study measured whole-body vibration (WBV) exposures in front-end loader operators, and evaluated the effects of traction chains and work tasks on their WBV exposures.MethodWBV exposures were measured and compared across three different front-end loader tire configurations: (a) stock rubber tires, (b) rubber tires with ladder chains, and (c) rubber tires with basket chains. The operators completed three distinct standardized tasks: driving on a city street, simulated plowing, and a simulated scooping and dumping task. A portable data acquisition system collected tri-axial time weighted and raw WBV data per ISO 2631-1 and 2631-5 standards. In addition, Global Positioning System (GPS) data were collected in order to compare loader speeds across tire conditions and the standardized tasks.ResultsRelative to the stock rubber tires, both types of tire chains significantly increased WBV exposures with the ladder chains having substantially higher WBV exposures compared to basket chains. Additionally, there were task dependent differences in WBV exposures. During the driving task, the z-axis (up and down) was the predominant exposure; the plowing task had a more even distribution of exposure across all three axes; while during scooping and dumping task, the x-axis (fore and aft) had the highest WBV exposures. The GPS data indicated that there were significant speed differences across tasks but not between the basket and ladder chain conditions.ConclusionsTires with ladder chains increased the front-end loader operators' exposure to WBV above the ISO 2631-1 recommended eight hour action limit increasing risk for adverse health effects. Although more expensive, basket chains are recommended over ladder chains since they substantially lowered the front-end loader operator's exposures and may ultimately reduce vibration related wear and tear on the vehicle.Impact on IndustryIn order to reduce a heavy equipment vehicle (HEV) operator’s chances for developing low back pain, this study provides information that health and safety professionals can use to reduce whole-body vibration (WBV) exposures when operating front-end wheel loaders with traction chains.     

Lower back pain and its association with whole-body vibration and manual materials handling among commercial drivers in Sabah

A cross-sectional study was undertaken to determine the prevalence of lower back pain (LBP) and its association with whole-body vibration (WBV) and manual materials handling (MMH). We studied 110 commercial vehicle drivers using a self-administered questionnaire and the VI-400Pro human vibration monitor. Prevalence of LBP was 66.4%. The percentage of drivers who had frequent manual handling of heavy loads was 45.5% and those who handled heavy loads in awkward postures accounted for 86.4%. Daily vibration A(8) averaged on the z axis was 0.25 (0.06) m·s^?2 and at vector sum was 0.29 (0.07) m·s^?2. Daily vibration exposures on the z axis, frequent manual handling of heavy loads and awkward posture during MMH were significantly associated with LBP. Drivers who are exposed to WBV and frequently handle heavy loads manually and with awkward postures probably have more LBP than drivers who are exposed to only one of these risk factors.     

Structural equation modelling of lower back pain due to whole-body vibration exposure in the construction industry

Whole-body vibration (WBV) exposure is a health hazard among workers, causing lower back pain (LBP) in the construction industry. This study examines key factors affecting LBP due to WBV exposure using exploratory factor analysis and structural equation modelling. The results confirm five key factors (equipment, job related, organizational, personal, social context) with their 17 associated items. The organizational factor is found the most important, as it influences the other four factors. The results also show that appropriate seat type, specific training programme, job rotation, workers’ satisfaction and workers’ physical condition are crucial in reducing LBP due to WBV exposure. Moreover, provision of new machines without proper training and good working condition might not help reduce LBP due to WBV exposure. The results help the construction companies to better understand key factors affecting LBP due to WBV exposure, and to plan for a better health improvement programme.     

Identification of Ergonomic-Related Hazards in an Industrial Sample Using the National Occupational Exposure Survey

The National Occupational Exposure Survey (NOES) was used to determine probabilities for 4 potential physical-agent and 10 potential ergonomic-related exposure hazards among a representative sample of U.S. industries. Potential physical-agent hazard exposures, principally whole-body and segmental vibration, were highest among railroad and heavy construction industries. Several construction industries had high probabilities of potential ergonomic-related exposure hazards, especially to the back and upper extremities.

Establishments with 100 to 249 employees had the highest probability of potential exposures to the 2 types of hazards. Measures of safety and health climate did not differ consistently between high-hazard and low-hazard establishments. The approach taken in this paper may be used to help identify highrisk industries, evaluate interventions, and develop inspection strategies.     

Ergonomic analysis of working postures using OWAS in semi-trailer assembly,applying an individual sampling strategy

In semi-trailer assembly, workers are exposed to several physical risk factors. Awkward working postures have not yet been investigated in semi-trailer assembly, although they are known to be a major risk factor for musculoskeletal disorders. We therefore conducted a comprehensive ergonomic analysis of working postures using the Ovako working posture analysing system (OWAS), with an individual sampling strategy. The postural load in semi-trailer assembly was assessed on the basis of 20,601 observations of 63 workers executing a representative set of nine work tasks. According to the OWAS, the postural load of various working postures and body part positions may have a harmful effect on the musculoskeletal system. We therefore give examples of corrective measures that could improve awkward working postures. Applying an individual sampling strategy was revealed to have advantages over a collective strategy, so this is recommended for future ergonomic analyses.     

Development of prolonged standing strain index to quantify risk levels of standing jobs

Many occupations in industry such as metal stamping workers, electronics parts assembly operators, automotive industry welders, and lathe operators require working in a standing posture for a long time. Prolonged standing can contribute to discomfort and muscle fatigue particularly in the back and legs. This study developed the prolonged standing strain index (PSSI) to quantify the risk levels caused by standing jobs, and proposed recommendations to minimize the risk levels. Risk factors associated with standing jobs, such as working posture, muscles activity, standing duration, holding time, whole-body vibration, and indoor air quality, were the basis for developing the PSSI. All risk factors were assigned multipliers, and the PSSI was the product of those multipliers. Recommendations for improvement are based on the PSSI; however, extensive studies are required to validate their effectiveness. multipliers, and the PSSI was the product of those multipliers. Recommendations for improvement are based on the PSSI; however, extensive studies are required to validate their effectiveness.     

Heavy equipment and truck-related deaths on excavation work sites

PROBLEM: Contact with objects and equipment is the third leading cause of death in construction. This study examines heavy equipment- and truck-related deaths in the excavation work industry in construction. METHODS: The Bureau of Labor Statistics Census of Fatal Occupational Injuries identified 253 heavy equipment related deaths on construction sites in the Excavation Work industry for the years 1992-2002. RESULTS: Heavy equipment operators and construction laborers made up 63% of the heavy equipment- and truck-related deaths. Backhoes and trucks were involved in half the deaths. Rollovers were the main cause of death of heavy equipment operators. For workers on foot and maintenance workers, being struck by heavy equipment or trucks (especially while backing up for workers on foot), and being struck by equipment loads or parts were the major causes of death. DISCUSSION: Ensuring adequate rollover protective structures for heavy equipment, requiring fastening of seat belts, adoption of a lock-out/tagout standard, establishing restricted access zones around heavy equipment, and requiring spotters for workers who must be near heavy equipment or trucks would reduce the risk of heavy equipment- and truck-related deaths in construction. IMPACT ON INDUSTRY: Safety of heavy equipment operators in particular is a major concern in excavation that needs to be addressed.     

Postural assessment in pen-and-paper-based observational methods and their associated health effects: a review

Introduction. This review describes standardized ergonomics assessment based on pen-and-paper observational methods for assessing ergonomics risk factors. Objective. The three main objectives are to analyze published pen-and-paper observational methods, to extract and understand the risk levels of each method and to identify their associated health effects. Methodology. The authors searched scientific databases and the Internet for materials from 1970 to 2013 using the following keywords: ergo, posture, method, observational, postural angle, health effects, pain and diseases. Postural assessments of upper arms, lower arms, wrists, neck, back and legs in six pen-and-paper-based observational methods are highlighted, extracted in groups and linked with associated adverse health effects. Results. The literature reviewed showed strengths and limitations of published pen-and-paper-based observational methods in determining the work activities, risk levels and related postural angles to adverse health effects. This provided a better understanding of unsafe work postures and how to improve these postures. Conclusion. Many pen-and-paper-based observational methods have been developed. However, there are still many limitations of these methods. There is, therefore, a need to develop a new pen-and-paper-based observational method for assessing postural problems.     

Research on simultaneous impact of hand-arm and whole-body vibration

This article presents the results of laboratory tests on the combined effect of whole-body vibration (WBV) and hand-arm vibration (HAV). The reactions of subjects exposed to various combinations of vibration were recorded. The vibrotactile perception threshold (VPT) test identified changes caused by exposure to vibration. Ten male subjects met the criteria of the study. There were 4 series of tests: a reference test and tests after exposure to HAV, WBV, and after simultaneous exposure to HAV and WBV. An analysis of the results (6000 ascending and descending VPTs) showed that the changes in VPTs were greatest after simultaneous exposure to both kinds of vibration. The increase in VPT, for all stimulus frequencies, was then higher than after exposure to HAV or WBV only.     

Postural sway following prolonged exposure to an inclined surface

Fatal and non-fatal falls from elevation have been documented to be a significant issue. Historically, roofing work has been ranked among the highest in incidents of falls. Recent literature has indicated that exposure to inclined surfaces (roof) has a detrimental effect on postural stability. The purpose of this preliminary study was to determine if postural instability was found to increase following extended exposure to an inclined surface. Twenty-three participants were pre/post tested under four postural stability conditions while varying duration exposure (0.0–2.0 h) to an inclined surface. Dependent variable postural sway measures were calculated from center of pressure data derived from a portable force plate. The results indicate significant differences between pre and post-exposure measures. Specifically, the results imply that an individual is less stable directly after performing tasks on an inclined surface. These findings contribute to the literature and serve as a basis for further research into work rest cycles for those individuals who routinely work on inclined surfaces.     

Hand-arm vibration disorder among grass-cutter workers in Malaysia

Introduction. Prolonged exposure to hand-transmitted vibration from grass-cutting machines has been associated with increasing occurrences of symptoms and signs of occupational diseases related to hand–arm vibration syndrome (HAVS). Methods. A cross-sectional study was carried out using an adopted HAVS questionnaire on hand–arm vibration exposure and symptoms distributed to 168 male workers from the grass and turf maintenance industry who use hand-held grass-cutting machines as part of their work. The prevalence ratio and symptom correlation to HAVS between high and low–moderate exposure risk groups were evaluated. Results. There were positive HAVS symptoms relationships between the low–moderate exposure group and the high exposure group among hand-held grass-cutting workers. The prevalence ratio was considered high because there were indicators that fingers turned white and felt numb, 3.63, 95% CI [1.41, 9.39] and 4.24, 95% CI [2.18, 8.27], respectively. Less than 14.3% of workers stated that they were aware of the occupational hand–arm vibration, and it seemed to be related to the finger blanching and numbness. Conclusion. The results suggest that HAVS is under-diagnosed in Malaysia, especially in the agricultural sectors. More information related to safety and health awareness programmes for HAVS exposure is required among hand-held grass-cutting workers.     

建筑施工起重机械事故一线作业人员不安全动作规律研究

为有效预防建筑施工起重机械事故,笔者将建筑起重机械一线作业人员按工种分为设备驾驶员、现场施工人员、安拆维修工和信号司索工4种。以行为安全“2-4”模型作为分析工具,对70起建筑施工起重机械事故样本中各类人员不安全动作进行分析。结果表明:建筑施工起重机械事故一线作业人员发出不安全动作196次,其中设备驾驶员发出不安全动作29次,占比41.43%,安拆维修工、信号司索工、现场施工人员分别发出不安全动作18、14和9次,占比分别为25.71%、20%和12.86%。一线作业人员常见的不安全动作是擅自拆除或起吊、未佩戴劳动防护用品、作业现场环境误判断、违反安全操作规程、资质不足作业,其中资质不足作业、违反安全操作规程和作业现场环境误判断发生频次最高。     

Participatory ergonomics and an evaluation of a low-cost improvement effect on cleaners' working posture.

Cleaning is a highly physically demanding job with a high frequency of awkward postures and working environments as contributing risk factors. Participatory ergonomics is a method in which end-users take an active role in identifying risk factors and solutions. The aim of this study was to apply the participatory ergonomics method to identify cleaning problems and to evaluate the effect of a low-cost improvement on cleaners' working postures in an office environment. The results show that the cleaning problem was identified, and the low-cost ergonomics solution suggested by the cleaners was implemented. Thus an improved working environment reduced the number of awkward cleaning postures and the Ovako Working Posture Analysis System (OWAS) action category for floor mopping decreased. It can be concluded that working in an improved environment can lead to better working postures which, in turn, leads to the cleaners' better health and better cleaning results.     

A detailed analysis of musculoskeletal disorder risk factors among Japanese nurses

INTRODUCTION: Although Musculoskeletal Disorders (MSD) represent a common occupational problem, few epidemiological studies have investigated MSD risk factors among Asian nurses, particularly those in Japan. METHOD: We administered a modified Japanese-language version of the Standardized Nordic Questionnaire to 1,162 nurses from a large teaching hospital. MSD categories focused on the neck, shoulder, upper back, and lower back regions. RESULTS: A total of 844 completed questionnaires were analyzed (response rate: 72.6%). The 12-month period-prevalence of MSD at any body site was 85.5%. MSD was most commonly reported at the shoulder (71.9%), followed by the lower back (71.3%), neck (54.7%), and upper back (33.9%). Alcohol consumption, tobacco smoking, and having children were shown to be significant risk factors, with adjusted Odds Ratios of 1.87 (95%CI: 1.17-2.96), 2.45 (95%CI: 1.43-4.35), and 2.53 (95%CI: 1.32-4.91), respectively. Workplace risk factors included manually handling patients (OR: 2.07 to 11.97) and undertaking physically laborious work (OR: 2.09 to 2.76). Nurses reporting pre-menstrual tension were 1.66 and 1.94 times more likely to suffer from lower back and upper back MSD, respectively. High mental pressure was also identified as a significant risk factor for MSD of the neck (OR: 1.53) and shoulder (OR: 2.07). IMPACT ON INDUSTRY: The complex nature of MSD risk factors identified during this study suggests that remediation strategies which focus only on manual handling tasks would probably be suboptimal in reducing MSD among nurses. Therefore, to help alleviate their considerable MSD burden, a greater emphasis will need to be placed on job satisfaction, work organization, and occupational stress, as well as the more traditional hazard reduction strategies such as manual handling, work tasks, and other occupational factors.     

Associations Between Worker Characteristics,Workplace Factors,and Work-Related Musculoskeletal Disorders: A Cross-Sectional Study of Male Construction Workers in Nigeria

Objective. This study assessed the association between worker characteristics, workplace factors, and work-related musculoskeletal disorders (WMSDs) in Nigeria’s construction industry. Methods. A cross-sectional site-by-site survey was conducted in 5 existing construction companies in Uyo, Nigeria. The subjects (n = 1200 males), aged 18-55 years, filled in the semistructured Nordic musculoskeletal questionnaire and the job content questionnaire on demographics, work and lifestyle characteristics, and workplace risk factors for WMSDs. Results. The overall prevalence of WMSDs was 39.25%. Differences in age, race, weight, body mass index (BMI), education status, and employment status were significantly associated with the prevalence of WMSDs. Prevalence according to trade was as follows: ironworkers highest at 49% and administrative staff lowest at 31%. Ironworkers (55.7%), administrative staff (53.3%), and security staff (38.7%) scored higher on physical, psychosocial, and individual risk factors, respectively. Workplace factors with increased odds for WMSDs were psychological demands and mental workload, age, BMI, low work experience, low education status, awkward movement of head and arms, working against force or vibration, fast work pace, and race. Conclusion. The recorded high prevalence was multifactorial in etiology; hence, multi-intervention strategies are required.     

Worker safety and injury severity analysis of earthmoving equipment accidents

Introduction: Research on construction worker safety associated with construction equipment has mostly focused on accident type rather than injury severity and the embedded factor relationships. Significant variables and their effects on the degree of injury are examined for earthmoving equipment using data from OSHA. Four types of equipment, backhoe, bulldozer, excavator, and scraper are included in the study. Accidents involving on-foot workers and equipment operators are investigated collectively, as well as separately. Methods: Cross tabulation analysis was conducted to establish the associations between selected categorical variables, using degree of injury as a dichotomous dependent variable (fatal vs. nonfatal) and a number of independent variables having different values. Odds ratios were calculated to determine how much a certain variable/factor increases the odds of fatality in an accident, and the odds ratios were ranked to determine the relative impact of a given factor. Results: It was found that twelve variables were significantly associated with injury severity. Rankings based on odds ratios showed that inadequate safety training (2.54), missing equipment protective system (2.38), being a non-union worker (2.26), being an equipment operator (1.93), and being on or around inadequately maintained equipment (1.58) produced higher odds for fatality. Conclusion: A majority of the earthmoving equipment accidents resulted in fatality. Backhoes were the most common equipment involved in accidents and fatalities. Struck-by accidents were the most prevalent and most fatal. Non-OSHA compliant safety training, missing seatbelt, operator not using seatbelt, malfunctioning back-up alarms, and poorly maintained equipment were factors contributing to accidents and fatalities. On-foot workers experienced a higher number of accidents than operators, while fatality odds were higher for the operators. Practical applications: Safety professionals should benefit from our findings in planning and delivering training and providing oversight to workers in earthmoving equipment operations.     

Computer professionals and Carpal Tunnel Syndrome (CTS).

Carpal Tunnel Syndrome (CTS) is an important problem among computer professionals. Hence the prevalence of CTS among computer professionals and risk factors were studied. 648 subjects were selected from 4,276 computer professionals from 21 companies by with simple random sampling method. CTS was diagnosed based on clinical features. The prevalence of CTS was found to be 13.1% (95% CI 10.5-15.7%). Subjects with over 8 years of computer work, over 12 hrs of work per day and system administrators were at a higher risk for CTS (OR 3.3, 4.9 and 2.5 respectively). Flexed or extended hand position had higher risk for CTS. Higher risk for CTS was found with higher exposure to computer work. Ergonomic considerations are important in facilitating proper positioning of hand while working with a computer. Further studies on CTS risk factors among computer professionals are essential for planning prevention.     

Comparative assessment of respiratory and other occupational health effects among elementary workers

Objective. This study was conducted to assess hazards faced by elementary workers. Methods. A questionnaire survey and a respiratory function test (spirometry) were carried out on 150 respondents. Results. Major hazards identified related to sharp objects, heavy weight lifting, thermally harsh conditions, working at height, whole body vibration, chemicals, pathogens, increased noise levels and confined space entry. Workers suffered from upper and lower respiratory disorder symptoms, digestive problems, optical and musculoskeletal issues, etc. Spirometric measurement showed obstructive lung disorders to be highest among construction workers (CW) (48%) followed by sanitation workers (SW) (32%) and solid waste pickers (SWP) (28%). Restrictive lung pattern was dominant among SW (56%) followed by SWP (46%) and CW (42%). The observed FEV₁/FVC in diseased SWP, SW and CW ranged from 51 to 96%, from 52 to 98% and from 31 to 99% respectively while observed mean FEV₁ was 2.15, 1.79 and 1.70 L, respectively. Conclusion. The study findings show that occupational exposure can significantly influence respiratory system impairment and contribute to other ailments among elementary workers. The study recommends use of appropriate protective equipment and regular medical examination for early recognition of any health risk so that timely interventions for effective management may be undertaken.