PROVIDING FOR THE HEALTH, SAFETY AND WELFARE OF THE PUBLIC - REVISITING THE ERGONOMIC WORKPLACE

BY RANI LUEDER, PRESIDENT, HUMANICS ERGOSYSTEMS, INC., IBD PERSPECTIVE, SPRING 1994

We are thrown into this new world, kicking and screaming. Reported rates of work-related Cumulative Trauma Disorders (CDT) increased ten-fold. In only a decade. At last count, 62% of all recorded occupational illnesses were of this type; this represents 14 to 18 million cases of CTD per year. In the United States, worker’s compensation claims have skyrocketed, both in absolute numbers and in cost per claim.

The Occupational Safety and Health Administration (OSHA) is developing stringent ergonomic standards that many companies maintain they can not afford. A recent report put out by the Department of Labor concludes that people suffering from "ergonomic disorders" are protected by the Americans with Disabilities Act (ADA). New implications of the ADA for accommodating injured workers will continue to unfold as court precedents are established.

Insurance companies are becoming more demanding. Productivity has suffered, often dramatically, and much of today’s workforce is demoralized, fearful, and in pain. Although employers are often somewhat protected by the worker’s compensations system, a broadening network of parties, including manufacturers, dealers, retailers, interior designers, and architects, faces the prospect of being sued.

Many specialists contend that problems will continue to deteriorate until the problem is confronted head-on. We spend more time fixated in front of the computer, with more deadline crunches, more stress, often in a less supportive environment. Organizational changes frequently ignore human needs. Such considerations magnify the demands of the work environment.

Further, our work force is growing older. With the aging of the "baby boom" population, many more of us become susceptible to a host of physical and vision discomforts. We need more light to see, but are more susceptible to glare; we become subject to back problems and other disorders. The impact of these issues are compounded in today’s computerized workplace.

Yet few organizations recognize the full extent of the problem within their organization. Organizations are typically shocked to learn of how many of their workers experience symptoms of CTD. In virtually every large company, many employees do not report that they are experiencing chronic medical problems, often caused in whole or part by their work. The associated reductions of productivity are often pronounced, but invisible.

An ergonomist may be brought into a project for many reasons

  • Quick answers are needed to new questions. What schedule of rest breaks is most effective in reducing injury? What task light is best for the R&D labs? What should they look for in new keyboards? Do braces work?
  • Something is wrong.

Example: Management is dismayed when employees reject the new computer systems designed in-house and at great expense, claiming the characters on the screen are too small to read. Management wants to know if it indeed represents a safety hazard (as unions maintain), and justifies the considerable expense of redesigning the software.

  • Changes are expected, and management wants to prepare.

Example: A new computer system is being implemented, which will greatly increase the length of time employees spend in front of a computer. Ergonomics support will help ensure that user considerations are incorporated into the planning process early on, and head off downstream problems.

  • Problems have reached a critical stage.

Example: OSHA is conducting an intensive worksite evaluation due to an employee complaint. Safety or management wants to show that they are taking active steps towards complying with safety standards.

An ergonomic environment requires a team effort and needs to reflect an on-going process that will continue after the ergonomist has left. A large-scale evaluation for a large corporation would ideally include team members with responsibilities regarding the company’s management, safety, facilities, purchasing, human resources, health services, and include representatives for end users. However, to avoid the "committee effect" members might also be broken into sub-groups with five to ten members that each report from the larger group.

Fears arise from many fronts. Unions and computer users are concerned that a work place evaluation may be used to downsize the work force. Supervisors, pressured to increase group productivity, are afraid that problems will reflect negatively on them. Facilities managers, pushed from above to reduce costs, and from below to increase services, are concerned about being subjected to outside intervention from someone who doesn’t understand the organizational context in which they must function. Safety, facing a continually growing roster of issues it must address (earthquakes, hurricanes, toxic waste, sick building syndrome, etc.) is threatened at the prospect of yet another problem. Management is afraid that information provided from an evaluation may be used against them in an OSHA audit. They also are nervous that training employees in the nature of computer injuries will increase the number of complaints. These concerns are valid, and need to be addressed early on to ensure that the evaluation will be effective , and benefit all concerned. Limitations exist in every project (e.g., budget, time lines, union regulations, productivity objectives, etc.) and must be clarified from the outset.

An ergonomics analysis can address specific (local) or corporate-wide issues. Frequently, management expects an immediate solution from a consultant. However, when the reasons for the injury are not known this may effectively "throw good money after bad." It is typically much more cost-effective for the client to conduct an ergonomics workplace assessment to evaluate the many factors that may contribute to problems before taking steps to prevent them.

The complexity of analysis ultimately depends on the size and scope of your needs. Stages in an in-depth evaluation might include the following:

  • Establish general objectives with the project team.

Set up a project team, lines of authority, and responsibilities. Clarify contacts. Confirm management commitment.

  • Preliminary Preparations.

Review in-house reports on corporate planning, productivity records, safety and health records, OSHA citations, payroll information (who does what, for how long), absenteeism records, and related sources of information.

  • Conduct observations

Such procedures may provide preliminary information or involve more complex analysis. It is often best to conduct two kinds of evaluations of a workplace; a walk-through and a more extensive observations (sic) of the workplace. A walk-through can provide an overview of the workplace to provide a framework for what to focus on during the subsequent evaluation. The more detailed observations of people at work may be accompanied by video analysis, checklists, and physical measurements such as light and sound levels.

  • Questionnaires and rating forms.

A variety of widely accepted rating forms are available. These might include questionnaires, body part discomfort ratings, checklists, rapid upper limb assessments, and activity sampling procedures. Reliable and well-documented questionnaires exist for evaluating task difficulty, discomfort levels, presence of predisposing factors, workload, and other factors that may contribute to problems. However, each situation is unique and must be tailored to the specific organizational context.

  • Interviews

First-line employees, safety facilities, purchasing, human resources, supervisors, management, health professionals and others each can contribute invaluable information. Questions may be open-ended or specific, depending on the objectives of this stage. For example, some questions of end users might include: Please tell me about your job – what you do, and how long you do it? How long do you work in front of a computer? How long for any stretch of time? What keys do you use the most on your keyboard? Do you do much reaching? Why do you position the calculator so far back? How do you feel? If discomfort is reported, what kind?

  • Task analysis

A review of a specific task may highlight that employees perform the most hand-intensive tasks in the morning. A redesign of the task might distribute these physical demands more evenly over the day.

  • Video Analysis.

Video records can be used to document what exists, measure posture directly, analyze postural cycles, and repetition rates. Additional insight into working styles can be gleaned through fast forward, slow-motion, and other techniques.

  • Biomechanical and physiological measures.

Such assessments may be used to evaluate selected high-risk jobs. These might include, for example, muscle activity (EMGs), stress on the spine, nerve conduction, etc. to study the risk factors associated with postures and movements.

As each company is unique, so is the nature of the ergonomic evaluation. However , in every case this analysis and subsequent application of the recommendations should be considered as only a first step. With time, new considerations will continue to arise, and companies that benefit the most will develop a long-term commitment to monitoring and incorporat8ing ergonomic principles to the workplace.

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