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International Safety Systems, Inc.
     USA, India, China, Mexico, Brazil
                   www.issehs.com


       Ganesh Desai                   Toral Mehta, CIH
 Ganesh.Desai@issehs.com           Toral.Mehta@issehs.com
India Cell: +91-9327547481        Global Cell: 1-203-685-8808


                     www.issehs.com                             1
    Greek words
        “Ergo” – Work, “Nomos” – Laws
    “Laws of Work“
    Fitting Environment-Job, Tasks, Equipment, Machinery,
     Workstation-to the working person
   Musculoskeletal disorder (MSD) refers to a group of injuries
    or health problems caused by overuse or misuse of muscles,
    tendons, ligaments, joints, nerves and blood vessels.
   If these disorders are work related they are also called as Work
    related Musculoskeletal Disorders (WMSDs).


                             www.issehs.com                            2
Objectives                                  Methodology

A.   Identify the areas/ activities       A.       Walkthrough Survey
     with potential risk                  B.       Interviews with line managers
B.   Assess risk on each body part                 and employees
C.   Comparing current                    C.       A WMSD symptom
     workstation design with                       questionnaire
     recommended standard                 D.       Ergonomics assessment for 11
D.   Finding major contributing                    activities using industrial
     factors                                       ergonomic evaluation tool.
E.   Recommendations                      E.       Observations, digital images
F.   Training                                      captured
                                          F.       Measurements of workstations
                                          G.       Recommendations


                                  www.issehs.com                                   3
Risk for Each Body Part                   Overall
      Activity                                          Upper   Arms/             Risk for
                        Back    Neck      Shoulder                        Legs    Activity
                                                        Body    Wrist
 Powder charging        High   Medium Medium            High      Low     Low      High
 Mixer Cleaning         High    High   High             Low       High    Low      High
  Laboratory Test       Low    Medium       Low         Low       High    Low       Low
  Pallet Loading        High    Low         High        Low     Medium    Low      High
   Labeling of
                        High   Medium Medium            High     High    Medium    High
   Containers
Filling of containers   Low     Low       Medium        Low     Medium Medium Medium

Printing on cartons     High    Low         Low         Low       Low     Low      High
Stacking of Cartons
                        High    Low         High        High      High    Low      High
     on pallet
Loading of Cartons
                        High    Low       Medium        High    Medium    Low      High
     on Truck
    Computer
   Workstation          High Medium         Low         Low       High   Medium Medium
 (Laptop/Desktop)
                                       www.issehs.com                                     4
A.   Work postures and movements,
B.   Repetitiveness and Pace of Work (Frequency),
C.   Forces applied and Forceful Exertions
D.   Static Load (Standing)
E.   Duration
F.   Contact Stress on sharp edges, flooring
G.   Environment - Vibration and Temperature
H.   Workstation Layout
I.   Tool selection
J.   Individual Risk Factors
K.   Recovery/Work Ratio

                             www.issehs.com         5
Risk Factors and Contributory Factors:                        Recommendations

A. Bending of back - while lifting bags from     A. Provide a scissor lift to adjust the height
   pallet                                           of the pallet
B. Twisting of torso (upper body) – during
                                                 B. Keep the raw material bags close to the
   transfer of cartons on pallet
                                                    silo charging point
C. Twisting of Shoulder
D. Bending side ways                             C. Consider providing tight fitting glove
E. Poor grip – due to and loose fitting gloves      instead of loose fitting gloves
F. Frequency and load lifted (25 kg each         D. Train employees on safe manual
                                                    material handling practices

                                                                            
   bag)

   A     D

                                         E
                             F




                                       www.issehs.com                                     6
Risk Factors and Contributory Factors:                    Recommendations

A. Continuous bending of back – while          A.      Consider providing movable
   cleaning the mixers for 10 to 12 minutes            retraceable water hose stand for
B. Employee has to continuously hold the               high pressure (100 bars) water
   lance with wrist bending towards his                supply,
   thumb the wrist (ulnar deviation)           B.      Consider providing mobile and
C. The jet pump water pressure set to 100              portable pressure wash system
   bar                                                 with ergonomically designed
                                                       handle.


        A

                      B




                       C
                                      www.issehs.com                                      7
Risk Factors and Contributory Factors:                   Recommendation

A.   Neck bent at > 200 (flexion) for about
                                               A. Consider replacing manual stirring
     10 to 12 min
                                                  activity with automatic or magnetic
B.   Bending of wrist backward (extension)        stirrer.
     at 11 to 200 for about 10 to 12 min
C.   Rotating of wrist for stirring
     continuously for 10 to 12 min
D.   Too small grip of the stirrer
E.   Contact stress on first finger while
     stirring
        A                     E




                                         B+C
                                     D



                                      www.issehs.com                                    8
Risk Factors and Contributory Factors:      Recommendation

A. Bending back (back flexion) instead of     A. Simple Fix: Use automated hand
   bending knees while lifting pallet            truck every time during loading of
B. Lifting of weight - 70 - 100 kilograms        the pallet in the packing machine.
C. Traveling 20 to 25 ft. distance while         Ensure facility has dedicated hand
   lifting pallet                                trucks for pallet loading activity.
D. Force on wrists and elbow while pushing
   pallet underneath packing machine
E. Risk of physical injury
                 A


  B

                          D
                                                     Pneumatic or Powered Pallet Truck

                                    www.issehs.com                                     9
Risk Factors and Contributory Factors:                                  Recommendations
A.       Bending forward to pick up empty              A.      Consider re-designing the Filling and
         container and labeling                                Packing area with
B.       Bending side ways to reach containers                 1) sufficient space for storage of packing
C.       Stretching of upper body and working                  material, filled containers
         above shoulder height
                                                               2) Sitting arrangements (Sit/Stand stools)
D.       Neck bent at > 200 (flexion) for 12 min
E.       Sitting in awkward posture without lumber             3) Labeling activities on a conveyor belt
         support and contact stress with sharp egdes           followed by filling activities
F.       Extension of wrist (bending of wrist          B.      Consider providing label applicator
         backward) at > 200 – while applying label-            with ergonomically designed handle
         more than 10 labels per min                           for the labeling activity.
G.       Bent legs in awkward posture


                      D




     F
                          E
G

                                              www.issehs.com                                      10
Risk Factors and Contributory Factors:                            Recommendations
                                                  A.      Erect a stand for storing of the lids at
A.       Reaching up above shoulder level for             the waist height to avoid stretching of
         container lids                                   hands or working above shoulder
B.       Static posture for longer duration               height.
C.       Poor grip                                B.      Consider providing ergonomically
                                                          designed anti-fatigue mat for the
                                                          activities involved long duration static
                                                          posture
                 A
                                            C



     B




                                         www.issehs.com                                     11
Risk Factors and Contributory Factors:                     Recommendations

A.   Continuous bending forward at hips      A.      Simple Fix: Designate a workstation or
     (back flexion)                                  a table for this activity. Increase the
B.   Bends his head backwards (neck                  height of the working surface to
     extension)                                      around 70 cm (around waist height)
                            A
                 B                           B.      Impart training to employees on such
                                                     simple fixes




                                    www.issehs.com                                   12
Risk Factors and Contributory Factors:                          Recommendations

A.   Bending of back                            A.      Consider providing a sizzer lift to
B.   Twisting of torso                                  adjust the height of the pallet
C.   Lifting of weight – each carton                      To avoid bending of back during
     contains 6 containers of paints                       arranging cartons on lower layer
     weighing 23.5 Kgs.                                    of pallet
D.   Twisting of shoulders                      B.      Enforce job rotation between three
E.   Repetition of awkward posture                      working positions of Packing line.
F.   Extended duration of awkward                       Ensure no more than 2 hours of
     posture                                            manual material handling of finished
                                                        goods by one employee in a shift.
           A
                                BD

                        C




                                       www.issehs.com                                     13
Risk Factors and Contributory Factors:                     Recommendations
A. Lifting heavy load (weight 23.5 kg)      A.      Considering loading of finished goods
B. Bending back while passing the carton            on pallet to avoid manual material
     to the other employee.                         handling.
C. Twisting of torso (upper body).          B.      Train the employees on safe manual
D. Twisting of Shoulder                             material handling practices such as -
                                                    Bending of knees and not back, taking
E. Lateral Flexion – Bending side ways              of step instead of twisting the torso,
F. Handling 20-30 cartons in one minute.            going close to the load while handling
                                                    of the load.
            C                               C.      Conduct stretching exercise for back
     B                   D                          and shoulders during the break.

                         A




                                   www.issehs.com                                   14
Risk Factors and Contributory Factors:            Recommendations
A.   Arms not supported on the arm rest           A.      Consider rearranging managers’
B.   Wrists elevated at angle > 250                       workstation with the following
C.   Lower back not supported                             recommended specifications.
D.   Contact stress – wrist pressed over the      B.      Consider using external mouse with a
     edge of workstation table                            wrist support
E.   Leg not support – lack of leg rest           C.      Adjustable Foot Rest
F.   Micro breaks were not observed               D.      Consider providing foot rest and
                                                          document holders for computer

                                         B
                           D




          C    A

      D                              E
                                         www.issehs.com                                  15
Conducting ergonomics assessment is the most effective
  approach in;
     Ensuring health and safety of the employees,
     Reduce WMSDs,
     Reduce liability and compensation cost,
     Improve morale and employee relation,
     Reduce absenteeism and
     Increase productivity.




                               www.issehs.com        16
Thank you



  www.issehs.com   17

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ISS - Reducing Musculoskeletal inuries

  • 1. International Safety Systems, Inc. USA, India, China, Mexico, Brazil www.issehs.com Ganesh Desai Toral Mehta, CIH Ganesh.Desai@issehs.com Toral.Mehta@issehs.com India Cell: +91-9327547481 Global Cell: 1-203-685-8808 www.issehs.com 1
  • 2. Greek words  “Ergo” – Work, “Nomos” – Laws  “Laws of Work“  Fitting Environment-Job, Tasks, Equipment, Machinery, Workstation-to the working person  Musculoskeletal disorder (MSD) refers to a group of injuries or health problems caused by overuse or misuse of muscles, tendons, ligaments, joints, nerves and blood vessels.  If these disorders are work related they are also called as Work related Musculoskeletal Disorders (WMSDs). www.issehs.com 2
  • 3. Objectives Methodology A. Identify the areas/ activities A. Walkthrough Survey with potential risk B. Interviews with line managers B. Assess risk on each body part and employees C. Comparing current C. A WMSD symptom workstation design with questionnaire recommended standard D. Ergonomics assessment for 11 D. Finding major contributing activities using industrial factors ergonomic evaluation tool. E. Recommendations E. Observations, digital images F. Training captured F. Measurements of workstations G. Recommendations www.issehs.com 3
  • 4. Risk for Each Body Part Overall Activity Upper Arms/ Risk for Back Neck Shoulder Legs Activity Body Wrist Powder charging High Medium Medium High Low Low High Mixer Cleaning High High High Low High Low High Laboratory Test Low Medium Low Low High Low Low Pallet Loading High Low High Low Medium Low High Labeling of High Medium Medium High High Medium High Containers Filling of containers Low Low Medium Low Medium Medium Medium Printing on cartons High Low Low Low Low Low High Stacking of Cartons High Low High High High Low High on pallet Loading of Cartons High Low Medium High Medium Low High on Truck Computer Workstation High Medium Low Low High Medium Medium (Laptop/Desktop) www.issehs.com 4
  • 5. A. Work postures and movements, B. Repetitiveness and Pace of Work (Frequency), C. Forces applied and Forceful Exertions D. Static Load (Standing) E. Duration F. Contact Stress on sharp edges, flooring G. Environment - Vibration and Temperature H. Workstation Layout I. Tool selection J. Individual Risk Factors K. Recovery/Work Ratio www.issehs.com 5
  • 6. Risk Factors and Contributory Factors: Recommendations A. Bending of back - while lifting bags from A. Provide a scissor lift to adjust the height pallet of the pallet B. Twisting of torso (upper body) – during B. Keep the raw material bags close to the transfer of cartons on pallet silo charging point C. Twisting of Shoulder D. Bending side ways C. Consider providing tight fitting glove E. Poor grip – due to and loose fitting gloves instead of loose fitting gloves F. Frequency and load lifted (25 kg each D. Train employees on safe manual material handling practices  bag) A D E F www.issehs.com 6
  • 7. Risk Factors and Contributory Factors: Recommendations A. Continuous bending of back – while A. Consider providing movable cleaning the mixers for 10 to 12 minutes retraceable water hose stand for B. Employee has to continuously hold the high pressure (100 bars) water lance with wrist bending towards his supply, thumb the wrist (ulnar deviation) B. Consider providing mobile and C. The jet pump water pressure set to 100 portable pressure wash system bar with ergonomically designed handle. A B C www.issehs.com 7
  • 8. Risk Factors and Contributory Factors: Recommendation A. Neck bent at > 200 (flexion) for about A. Consider replacing manual stirring 10 to 12 min activity with automatic or magnetic B. Bending of wrist backward (extension) stirrer. at 11 to 200 for about 10 to 12 min C. Rotating of wrist for stirring continuously for 10 to 12 min D. Too small grip of the stirrer E. Contact stress on first finger while stirring A E B+C D www.issehs.com 8
  • 9. Risk Factors and Contributory Factors: Recommendation A. Bending back (back flexion) instead of A. Simple Fix: Use automated hand bending knees while lifting pallet truck every time during loading of B. Lifting of weight - 70 - 100 kilograms the pallet in the packing machine. C. Traveling 20 to 25 ft. distance while Ensure facility has dedicated hand lifting pallet trucks for pallet loading activity. D. Force on wrists and elbow while pushing pallet underneath packing machine E. Risk of physical injury A B D Pneumatic or Powered Pallet Truck www.issehs.com 9
  • 10. Risk Factors and Contributory Factors: Recommendations A. Bending forward to pick up empty A. Consider re-designing the Filling and container and labeling Packing area with B. Bending side ways to reach containers 1) sufficient space for storage of packing C. Stretching of upper body and working material, filled containers above shoulder height 2) Sitting arrangements (Sit/Stand stools) D. Neck bent at > 200 (flexion) for 12 min E. Sitting in awkward posture without lumber 3) Labeling activities on a conveyor belt support and contact stress with sharp egdes followed by filling activities F. Extension of wrist (bending of wrist B. Consider providing label applicator backward) at > 200 – while applying label- with ergonomically designed handle more than 10 labels per min for the labeling activity. G. Bent legs in awkward posture D F E G www.issehs.com 10
  • 11. Risk Factors and Contributory Factors: Recommendations A. Erect a stand for storing of the lids at A. Reaching up above shoulder level for the waist height to avoid stretching of container lids hands or working above shoulder B. Static posture for longer duration height. C. Poor grip B. Consider providing ergonomically designed anti-fatigue mat for the activities involved long duration static posture A C B www.issehs.com 11
  • 12. Risk Factors and Contributory Factors: Recommendations A. Continuous bending forward at hips A. Simple Fix: Designate a workstation or (back flexion) a table for this activity. Increase the B. Bends his head backwards (neck height of the working surface to extension) around 70 cm (around waist height) A B B. Impart training to employees on such simple fixes www.issehs.com 12
  • 13. Risk Factors and Contributory Factors: Recommendations A. Bending of back A. Consider providing a sizzer lift to B. Twisting of torso adjust the height of the pallet C. Lifting of weight – each carton  To avoid bending of back during contains 6 containers of paints arranging cartons on lower layer weighing 23.5 Kgs. of pallet D. Twisting of shoulders B. Enforce job rotation between three E. Repetition of awkward posture working positions of Packing line. F. Extended duration of awkward Ensure no more than 2 hours of posture manual material handling of finished goods by one employee in a shift. A BD C www.issehs.com 13
  • 14. Risk Factors and Contributory Factors: Recommendations A. Lifting heavy load (weight 23.5 kg) A. Considering loading of finished goods B. Bending back while passing the carton on pallet to avoid manual material to the other employee. handling. C. Twisting of torso (upper body). B. Train the employees on safe manual D. Twisting of Shoulder material handling practices such as - Bending of knees and not back, taking E. Lateral Flexion – Bending side ways of step instead of twisting the torso, F. Handling 20-30 cartons in one minute. going close to the load while handling of the load. C C. Conduct stretching exercise for back B D and shoulders during the break. A www.issehs.com 14
  • 15. Risk Factors and Contributory Factors: Recommendations A. Arms not supported on the arm rest A. Consider rearranging managers’ B. Wrists elevated at angle > 250 workstation with the following C. Lower back not supported recommended specifications. D. Contact stress – wrist pressed over the B. Consider using external mouse with a edge of workstation table wrist support E. Leg not support – lack of leg rest C. Adjustable Foot Rest F. Micro breaks were not observed D. Consider providing foot rest and document holders for computer B D C A D E www.issehs.com 15
  • 16. Conducting ergonomics assessment is the most effective approach in;  Ensuring health and safety of the employees,  Reduce WMSDs,  Reduce liability and compensation cost,  Improve morale and employee relation,  Reduce absenteeism and  Increase productivity. www.issehs.com 16
  • 17. Thank you www.issehs.com 17