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ERGONOMICS at WSU-TC
Completion of this unit
fulfills required WSU-TC
safety training for:
Ergonomics
Lifting
Slips, trips and falls

Lezlie Couch
EH&S- WSU-TC
What is “Ergonomics”?
Ergonomics is the scientific study of human work.

Ergonomic principals adapt work to a specific person
by designing tasks & tools or equipment to fit the
individual to prevent injuries to the musculoskeletal
system.
What are the benefits of ergonomics?

•Reduction of work-related injuries
•Increased worker productivity
•Increased work quality
•Reduced absenteeism

YOU
JUST
FEEL
BETTER!

•Increased morale
Ergonomics provides a win-win
What are the risks
of ignoring ergonomic principles?


An “MSD” is an illness or injury that affects one or
more parts of the musculoskeletal system










Bones
Muscles
Tendons
Ligaments
Cartilage
Nerves
Blood vessels

MSD

Other common terms for “MSDs”are:
MusculoSkeletal Disorders




Cumulative trauma disorder (CTD’s)
Repetitive strain injures (RSI’s)
Repetitive motion injuries (RMI’s)

When not diagnosed and treated these can cause
inconvenience permanent pain and disability.
SYMPTOMS of MSDs
Discomfort Numbness
Tingling
Loss of
strength
Swelling
Reduced range of motion
Fatigue

Pain

Stiffness
Aching
What are MSD’S?
 MSD’s

are injuries caused by sustained
exposure to stressors or repetitive motion.
 They may affect muscles, tendons, ligaments,
bones, circulation, or nerves.
 Some well-known MSD’s are:
 Carpel tunnel syndrome
 Guyner’s syndrome
 Trigger finger
 Tennis elbow
CONTINUE
CARPAL TUNNEL SYNDROME
One of the best known MSDs
The median nerve does not work properly due to pressure on the
nerve as it runs through an opening called the carpel tunnel
Numbness is usually first symptom.

Pain & tingling, can go up the arm to the
shoulder and neck, causing waking to pain
in middle of night
GUYON’S CANAL SYNDROME
Similar to carpel tunnel
Guyon’s affects the ulnar nerve
as it passes through the Guyon
canal in the wrist; this is similar
to carpal tunnel, but involves a
different nerve.

Unlike carpel tunnel, Guyon’s
affects the little and ring fingers.

Can be in conjunction with carpal tunnel
TRIGGER FINGER
Trigger finger affects the ability of tendons to slip
back and forth. The tendon and/or ligament
thicken and a nodule forms
This can be caused by rheumatoid arthritis,
lacerations of tendon, gripping power tools,
long hours of grasping steering wheel, or birth
defects
Symptoms are pain and
a funny clicking sensation
TENNIS ELBOW
Overuse or misuse of the forearm muscles can cause tendonitis, or
a painful inflammation of the tendons connecting these muscles
to bone.
This condition is brought
on or aggravated by poor leverage
causing an uneven distribution
of force on a few muscles.
This may be when working,
or during certain leisure activities,
such as sports and gardening.

Symptom are severe pain.
ARE MSD’S PREVENTABLE?
 They

are preventable and reversible

….. if identified early.
 The treatment depends on the stage of MSD.
 If

the condition cannot be reversed, treatment
can turn into a pain management situation.

The individual plays a large role
in preventing MSD’s.
Am I at risk for a MSD?
Do you
…perform frequent repetitive motions?
…bend at the waist or twist when lifting objects?
…lift push or pull objects throughout the day?
…sometimes use the wrong tool for the job?
…grasp tools with your fingers?
…forget to take breaks while working?
…feel like you are under stress?
…have to stretch to reach your work?
…forget to adjust your work area to fit your task?
The more you answered “yes”, the greater your risk.
RISK FACTORS which can lead to MSDs
(Stressors)


Awkward posture



Static loading or sustained exertion



Contact stress



Force

These STRESSORS can be influenced by
1.
2.
3.

Organizational or administrative precautions
Environmental conditions
Individual work routine and habits



Vibration



Repetition of same motion for several hours/day



Length of tasks without breaks



Insufficient rest time



Psychosocial stress

Most MSDs are the result of combined risk factors
Reducing RISK FACTORS for MSDs


The purpose of ergonomic training is to
help you reduce or eliminate the stresses
that can lead to MSDs



Your body is designed to do work. When
it works in positions or postures in which it
is designed to deal with physical stress,
there is no problem, but when it is forced
to perform under unnatural situations or
for abnormal periods of time, injuries can
occur.



Almost all of the ergonomic stresses at
work can be decreased by using the right
equipment in the right position so that the
body can perform in the right posture.
Review your Work Area
•You spend most of your day in
your work area.
•You don’t want your work area to
contribute to ergonomic problems
•Ergonomic Rule #1

Work Comfortably!
If most of your work is done in an office continue

If most of your work is done outside of an office continue
Office Ergonomics-

The right equipment, the right place

Use a good CHAIR
Backrest is provides good lower back support
Arms adjustable
Front edge of seat pan
curves down

Seat pan adjustable
horizontally and tilts

Height adjustable

On rollers

Five feet for base-most stable
Office Ergonomics-

The right equipment, the right place

MONITOR HEIGHT


The position of your head and neck is very important



Place computer monitors
directly in front of you



The right height is person
dependent- usually the top
of the screen at eye level
(or slightly below for those who
wear bifocals)



Raise the monitor if you
have to look down at it

The screen should be at least an arms length away
(If you can’t see at that distance, get special computer glasses)
Office Ergonomics-

The right equipment, the right place

KEYBOARD STYLES

A variety of styles are available.
Choose one that is comfortable for you.
Office Ergonomics-

The right equipment, the right place

KEYBOARD HOLDER
Keyboard holders should
Tilt
 Provide wrist rests (rest palms not wrist)




Provide space for a mouse
Office Ergonomics-

The right equipment, the right place

MOUSE HOLDERS
Mouse trays or mouse holders can bring a
mouse to a better position
Office Ergonomics-

The right equipment, the right place

MOUSE STYLES
Choose a style comfortable for your hand and fingers
Office Ergonomics-

The right equipment, the right place

WORK PLACEMENT


Position equipment so that your body is in a comfortable and
natural position most of the time while you are working.



Don’t place things so you have to reach, twist or bend continually



Place work at monitor height or place in path of monitor



Listen to your body. If you cannot focus or often feel tired or
uncomfortable, you are probably not working in a good position.



See what you can do to make your work more comfortable for
you.

Disclaimer: Wait a minute! Though this position may look comfortable, it
is NOT a comfortable position to work in.
Imagine how your back would feel after typing a few pages in this position!
Do not equate comfortable leisure positions with comfortable work positions!
Office Ergonomics-

The right equipment, the right place

Everyone needs a relaxed, neutral position
DO WHAT’S COMFORTABLE FOR YOUR BODY!

Monitor at or below eye level

Wrists straight
Back supported
Forearms and thighs parallel to the
floor

Forearms supported

Feet flat on the floor
Office Ergonomics-

The right equipment, the right place

MOUSE POSITION


Mouse should be
close to the
keyboard and the
same height or
slightly higher

NO!



Locate the mouse
to avoid reaching
Office Ergonomics-

The right equipment, the right place

Phone PLACEMENT
Should be different for right and left handers
You should not have to twist and reach across your body
every time you answer the phone.

Many people need to spend a lot of time on the phone, and must often do other tasks at the same time
This creates a lot of stress
for neck and shoulder muscles

Consider a head set if you spend a lot of time on the phone,
especially if you do other tasks at the same time
Office Ergonomics-

The right equipment, the right place

Document PLACEMENT
Place documents so that you don’t
need to bend your head to read while
you keyboard
Consider getting a document holder
Ergonomic STRESSORS

Environmental conditions
Environmental conditions can
influence ergonomic stress.
 Lighting
 Noise
 Temperature

….even at a computer station!
Ergonomic STRESSORS

LIGHTING & MONITOR GLARE


Lighting should be
indirect and adequate



Not too much light,
or it may cause a glare,
headaches and eye
fatigue



If there is a glare on your
eyes as you work, use
glare screens on
computers, or adjustable
blinds at windows

Ideal is 35-50 foot candles
Office Ergonomics-

The right equipment, the right place

GLARE SCREENS
COMPUTER VISION SYNDROME
can be prevented
Accommodate your eyes



Use computer eyewear when appropriate
Placement of reference material
and monitor distance should be
comfortable for your eyes

Prevent constant glare



Keep monitor clean
Use:




indirect lighting
non-reflective walls and furniture
anti-glare screens

Exercise your eyes



Periodically focus on object 20 feet away
Blink eyes rapidly if they feel dry
Ergonomic STRESSORS

Noise can be a STRESSOR
 If

your office is near a noise source,
close your door, or wear ear plugs

 Besides

causing ear damage, constant
noise can create extra muscle tension in
the body causing fatigue and making it
easier for ergonomic injuries to occur.
Ergonomic STRESSORS

Temperature
 People

are more prone to ergonomic injuries
in cold environments. Muscles and other
tissues are more tense, because of decreased
circulation.

 Dress
 Do

appropriately

some warm up exercises, such as
stretching your hands, to loosen your finger
muscles before keyboarding.
Ergonomic STRESSORS

FORCE can be a stressor
A

task can require a moderate amount of
force to be applied to very small muscles

 Examples:

Dragging and dropping with the mouse
 Gripping the sides of the mouse or phone tightly
 Pounding on the keyboard
 Grasping thick file folders
 Stapling or stamping
 Opening 3-ring binder
 Lifting heavy manuals with one hand

Ergonomic STRESSORS

MECHANICAL CONTACT STRESS
A hard or sharp surface or object pressing
into the soft tissues, the tendons, nerves
and blood vessels.
 Examples:
Resting wrists on the desk edge while typing or
using mouse
 Leaning elbows on hard chair or armrests or work
surfaces
 Sitting in chair that places pressure on the backs of
the thighs

Ergonomic STRESSORS

VIBRATION causes stress
 Hand-arm

 Whole

vibration (hand power tools)

body vibration (driving rough off roads)

 Even

if these do not occur in your work
environment, what about home activities?
CONTINUE
Workplace Ergonomics
Office Ergonomics-

The right equipment, the right place

WORK PLACEMENT


Position equipment so that your body is in a comfortable and
natural position most of the time while you are working.



Don’t place things so you have to reach, twist or bend continually



Place work at monitor height or place in path of monitor



Listen to your body. If you cannot focus or often feel tired or
uncomfortable, you are probably not working in a good position.



See what you can do to make your work more comfortable for
you.

Disclaimer: Wait a minute! Though this position may look comfortable, it
is NOT a comfortable position to work in.
Imagine how your back would feel after typing a few pages in this position!
Do not equate comfortable leisure positions with comfortable work positions!
Ergonomic STRESSORS

Environmental conditions
Environmental conditions can influence ergonomic stress.



Lighting



Noise



Temperature
Ergonomic STRESSORS

EYE STRAIN can be prevented
Accommodate and exercise your eyes
When working on a computer

Use computer eyewear when appropriate
 Placement of reference material
and monitor distance should be
comfortable for your eyes


When doing work at close range



Periodically focus on object 20 feet away
Blink eyes rapidly if they feel dry

When driving for long periods of time



Periodically focus on object 5 feet away
Blink eyes rapidly if they feel dry
Ergonomic STRESSORS

Noise can be a STRESSOR
 If

you work near a constant noise
source, such as generators or
fans, close your door, or wear ear
plugs.

 Besides

causing ear damage,
constant noise can create extra
muscle tension in the body causing
fatigue and making it easier for
ergonomic injuries to occur.
Ergonomic STRESSORS

Noise can be a STRESSOR


If you use equipment which makes loud noise, wear
ear plugs. EH&S can help you find some which are
comfortable and appropriate



Use of most power equipment, machinery, lawn
mowers, and blowers should require ear plugs.

x
Ergonomic STRESSORS

Temperature
 People

are more prone to
ergonomic injuries in cold
environments because circulation
is slowed down and muscles and
other tissues are more tense.

 Dress
 Do

appropriately

warm up exercises such as
stretching before you begin work.
Ergonomic STRESSORS

FORCE can be a stressor
A

task can require a moderate amount of
force to be applied to very small muscles

 Examples:

Pushing the same button over
 Gripping the sides of the phone tightly
 Pounding a hammer using your wrist muscles
 Grasping a screwdriver with only a couple of fingers
 Lifting heavy items with one hand

Ergonomic STRESSORS

MECHANICAL CONTACT STRESS
A hard or sharp surface or object pressing
into the soft tissues, the tendons, nerves
and blood vessels.
 Examples:
Leaning elbows on hard chair or armrests or work
surfaces
 Sitting on a seat that places pressure on the backs
of the thighs

Ergonomic STRESSORS

VIBRATION causes stress
 Hand-arm

 Whole

 If

vibration (hand power tools)

body vibration (driving rough off roads)

you don’t encounter these at work, what
about home activities?
Ergonomic STRESSORS

HOME-OFFICE CONNECTION
 What

happens off the job may influence
stress, discomfort, or pain during the workday
and vise-versa.The two are intertwined.

 Hobbies

and recreational activities (golf,
sewing, gardening, etc.) may cause repetitive
motion injuries, which may then be
complicated on the job.
Ergonomic STRESSORS

Psycosocial Stress
Any interactions, job tasks or personal problems
which cause psychological or social stress
cause increased muscle tension, which can
make injury more likely. Be aware of these
additional stresses and compensate for them
by taking extra breaks and being especially
careful when under extra pressure.
Ergonomic STRESSORS

INDIVIDUAL STRESSORS
 People

face different stresses and have
different abilities to in a vacuum,
We don’t live cope.

life stresses can adversely
 Employees vary in physical condition.
effect the wellness of an
individual and contribute to
 Some individuals are also dealing with
ergonomic stressors.
chronic illnesses or disabilities
Solutions

Individual work routine and habit
Fortunately,
most STRESSORS can be minimized
or eliminated
by individual habits
and work routine.
The solution to most ergonomic
problems is to work comfortably
and avoid a few common
ergonomic pitfalls.
Solutions

Avoid REPETITION
Performing the same or similar motions repeatedly for
extended periods without time for rest and recovery
can lead to discomfort or trauma.
Examples:








Keyboarding, mousing, and 10-keying
Flipping through files & paperwork
Extended reading or writing
Punching or stapling
Pruning or clipping
Painting
Hammering
Solutions

AVOID LONG DURATION OF SAME TASK
 The

length of time spent at a task without
breaks, shifts in position, or stretches is more
important than the actual task.

 The

longer the uninterrupted duration of a
task, the more potential for discomfort or injury

Our bodies are designed to do work.
But the result on the body of doing a
repetitive task for 2 hours verses 6
hours straight is very different.
Solutions

STRETCHES & BREAKS
 Static

positions are your enemy!

 Whenever
 Small

you think of it, change position

frequent stretches go a long way in
preventing MSD’s.
Stretch Break


WSU- TC has purchased this software for all faculty, staff, and students to
use if they wish.
To download this program, go to http://www.tricity.wsu.edu/ctc/Files/Stretchbreak.exe
Choose 'Open' when prompted to do so.
Press 'Ok' and 'Next' until the installation is finished.



Stretch Break (default) interrupts you every 30 minutes- suggests three
varied stretches which take a total of 1 minute to complete. You cannot
believe how much better you feel afterwards.



You can cancel the stretches as soon as they come on the screen,
choose the amount of time you work before being interrupted ( between
10 minutes and 3 hours) and decide which of the many exercises you
want to include, and how many you want to do at each break.



Such programs are one of the best preventions of ergonomic injuries at a
computer workstation. Even if you choose not to do the exercises, you will
be reminded to shift position, etc periodically so that your muscles do not
become unduly stressed. Most computer related injuries occur because
of projects which engage persons for a substantial length of time.
Solutions

A FEW BREAK IDEAS


Organize tasks around built in breaks



Eye breaks - blink to moisten eyes every 5-10 minutes. Every 15
minutes or so look away from the screen to distant part of room.



Micro-breaks - between burst of activity rest the hands, neck and
shoulders in a relaxed straight posture.



Rest breaks - every 30-60 minutes take a brief 5-minute break
and engage in another activity.



Exercise breaks - every 1-2 hours do gentle stretching exercises
Solutions

Avoid BAD POSTURES
Everyone has seen these….
Slouching over a computer

Propping a phone on shoulder

Bad postures are a primary cause of ergonomic injuries
Solutions

Avoid AWKARD POSITIONS
Awkward positions bend the joints in a way that
they are more likely to become injured.

Examples:









Reaching up and over
Slouching or leaning forward in the chair
Leaning forward or bending over work
Holding heavy items in position
Lifting, pushing pulling
Turning head side to side to view the monitor
Cradling the phone between the ear and shoulder
Typing with bent wrists

AW
PO KW
SIT AR
IO D
NS
cre
ate
ST
RE
SS
Avoid SUSTAINED EXERTIONS

Solutions

Static loading occurs when muscles must hold
the body in a single position for a long period of
time. Lack of movement reduces circulation
and causes muscle tension
Examples:
Holding hands in place
 Keeping the head still while reading
 Sitting still for long periods of time
 Sitting upright without back support


S
PO TAT
SIT IC
IO
NS
cre
ate
ST
RE
SS
Solutions

Lifting (Static Loading)
A large percentage of ergonomic injuries are
due to improper lifting. Planning the lift before
attempting it will prevent most injuries.
When evaluating a lifting task, consider:
1.
2.
3.
4.
5.

The weight of the object
What position it must be lifted from and to
How many times you will need to lift it
If there will be twisting involved
If there is good footing, and if you can get a good
grasp on the object
Solutions

Lifting (Static Loading)


Use a step stool or platform to
reach loads above your head



For bulky and oversized loads,
get help or use mechanical
aids



Get a good grip- use handles
when available
Solutions

Lifting (Static Loading)





Don’t pull
Push
Get twice the power
Reduce the risk of injury
Solutions

Lifting (Static Loading)


Get a firm grip on what you are lifting and be sure you are on solid footing



Squat when lifting something from below the waist. Keep heels down and
feet shoulder-width apart and turned out



Keep the load close to your body



Turn your whole body in the direction you want to move- avoid twisting
when lifting



Keep your knees bent and lean in the direction of the movement



Let your legs and body weight do the work



Squat to set loads down
Individualize Solutions

NO ONE SOLUTION FOR ALL
 People

come in all shapes and sizes- what
works for one person may or may not work for
another.



Ergonomics is a puzzle to be put together for
each individual.

 What

works today may or may not work later.
We all change due to time and other
circumstances.
Individualize Solutions

Meet the Challenge!
 Individuals

must take responsibility
for their own ergonomic problems.

 Think

about possible MSDs
BEFORE you have discomfort!

 Listen

to your body: pay attention
to those aches and pains!
Meet the Challenge!

Identify your risk of ergonomic problems
Identify types of ergonomic problems


Look at your daily work tasks



Identify one or more risk factors



Review & rethink your work activities/tasks
(including those outside of work)



For a Free WORK STATION ASSESSMENT
Contact your supervisor and Lezlie Couch



http://www.ehs.wsu.edu/ohs/ohs-ergo.htm



WSU ergonomic fact sheet
Meet the Challenge!

Identify barriers to solving the problems


Let supervisors know when there is a problem



Discuss concerns and possible solutions with your
supervisor



Adjusting work schedules



Modifying job design



Rearranging task order



Changing task assignments



Consult a physician, if warranted
Meet the Challenge!
Identify approaches to overcoming the barriers



Recommend and/or implement solutions.



Try something and if it doesn’t feel comfortable,
discontinue and try something else!



As time passes, try to notice if the problem has truly
been eliminated.



Let your supervisor know how well the controls are
working.
Meet the Challenge!

REMEMBER!

You Can Reduce Risk Greatly
Improve body posture and keep a safe body position
• avoid awkward positions
• use tools and equipment correctly

Rearrange work area•control your environment,
•use the right equipment in the right position,
•keep work within reach

Change work habits•practice and use correct procedures,
•avoid repetition and long duration of a single task
•take frequent breaks

Apply ergonomic principals at home, too
Meet the Challenge!

Things YOU can do TODAY
 Look

up & away from your work frequently

 Change

your chair position occasionally

 Take

frequent mini breaks & include
stretches/exercises
(Use stretch break computer program)

 Vary

tasks and the daily order of tasks

Ergonomics is a Win-Win situation!
SLIPS TRIPS FALLS
Real slips, trips and falls are not
funny.

At WSU-TC, more people are injured and
more work time is lost by slips, trips, and
falls, than by any other means.
Slips, Trips and Falls

•Hazards that can lead to slips, trips and falls are often

overlooked, even though they cause many injuries
ranging from minor cuts and sprains to disabling injuries
and even death.

•Although slip, trip and fall hazards are easily created,
they are also easy to correct.

•Be aware of such hazards, and correct them quickly,
before the next person becomes a victim!
SLIP Hazards
A slip occurs when there is too little friction
or traction between footwear and a walking
surface. Common causes of slips are:

•Slippery floor surfaces
•Liquid, moisture or ice on the floor,
•Food, trash or other small objects
•Oil or grease on the floor
•Footwear without nonskid soles
Trip Hazards
A trip occurs when a person’s foot contacts
an object or drops to a lower level
unexpectedly, and they are thrown off
balance.
Some common causes of tripping are:
Unsafe stairway conditions or use

Hazardous changescords that cross that may not and
Floor or telephone or hidden steps
Electrical level floor conditions such as passageways be
protruding nails, holes or loose boards,
obvious
aisles
loose carpet and rugs
Furniture that creates
Insufficient lighting Elevator cars that do not level off at
forobstaclesor working
walking
Materialsthe same height of the floor stopped
stored in passageways, aisles and
areas
Desk or file cabinet drawers left open, objects
stairways
at
protruding into passageways and aisles
Fall Hazards
In addition to falls as a result of slips and trips,
you may be injured if you fall from an elevation.
Some causes of falls are:

•Using makeshift items (boxes, buckets, chairs, etc ) to gain
height

•Not sitting on “4 square” of a chair
•Carrying large or too many items that prevents seeing where
you are going

•Jumping from one level to another
Preventing Injuries with good housekeeping
Good housekeeping is one of the most important methods
for preventing falls due to slips and trips










Clean up all spills immediately
WITHOUT GOOD HOUSEKEEPING PRACTICES,
MarkANY and wet areas
spills OTHER PREVENTIVE MEASURES (SUCH AS
INSTALLING SPECIAL NO-SLIP FLOORING, EXPENSIVE SHOES
Mop or sweep debris from floors SAFE FALLING) OR TRAINING ON WALKING
TECHNIQUES AND
Remove obstacles from walkways and always keep
WILL NEVER BE FULLY EFFECTIVE.
them free of clutter
Secure mats, rugs and carpets that do not lay flat
Always close file cabinets or storage drawers
Cover cables that cross walkways
Keep work areas and walkways well lit
Replace used light bulbs and faulty switches
Walking on Slippery Surfaces
•Take small steps- shorter than your foot length- to keep
your center of balance under you.
•Walk with your toes pointed outward. This provides a wider,
more stable base of support for maintaining balance.
•Turn gradually- a sharp turn results in a sideways force that
can cause loss of balance and a fall
•Keep both hands free for balance rather than in your
pockets.
•Wear shoes with slip-resistant soles or studded shoe
pullovers for walking on icy surfaces
•Use sidewalks walkways that have been cleared of ice and
snow.
Using the Stairs
•Use the handrail from start to finish
•Avoid carrying loads on the
stairways- or only carry loads you
can see over.

•Keep your eyes on where you are

going, and descend stairs slowly to
keep your balance and identify
tripping hazards.

•Test potentially slippery stairs by
tapping them with your foot.

•Going up or down, keep weight on

your back leg until your front foot is
safety on the next step. This
maintains your center of gravity.
Most Slips and Trips can be
Prevented
As part of the WSU organization, know what to
look for and take action to reduce the risk and
eliminate the hazards before someone is injured.
If you don’t, the result can be potentially serious
injuries and costly lawsuits.

$

$
In Conclusion…
•Take responsibility for the safety of your work area.
•Report unsafe situations or conditions to
Facilities (Jerry Massey 2-7216 )or
EH&S (Lezlie Couch 2-7163)

•Think Safety Act Safely
When you have completed this training on preventing injuries
due to ergonomic problems and slips, trips and falls, you may
return to review it, or you may proceed to take the review quiz.
You must complete the quiz and submit it to receive credit for
this training.
Click here if you want to go back to the beginning and review the training
Click here if you are ready to complete the 15 question quiz

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Ergonomics Training by Washingtion State University

  • 1. ERGONOMICS at WSU-TC Completion of this unit fulfills required WSU-TC safety training for: Ergonomics Lifting Slips, trips and falls Lezlie Couch EH&S- WSU-TC
  • 2. What is “Ergonomics”? Ergonomics is the scientific study of human work. Ergonomic principals adapt work to a specific person by designing tasks & tools or equipment to fit the individual to prevent injuries to the musculoskeletal system.
  • 3. What are the benefits of ergonomics? •Reduction of work-related injuries •Increased worker productivity •Increased work quality •Reduced absenteeism YOU JUST FEEL BETTER! •Increased morale Ergonomics provides a win-win
  • 4. What are the risks of ignoring ergonomic principles?  An “MSD” is an illness or injury that affects one or more parts of the musculoskeletal system         Bones Muscles Tendons Ligaments Cartilage Nerves Blood vessels MSD Other common terms for “MSDs”are: MusculoSkeletal Disorders    Cumulative trauma disorder (CTD’s) Repetitive strain injures (RSI’s) Repetitive motion injuries (RMI’s) When not diagnosed and treated these can cause inconvenience permanent pain and disability.
  • 5. SYMPTOMS of MSDs Discomfort Numbness Tingling Loss of strength Swelling Reduced range of motion Fatigue Pain Stiffness Aching
  • 6. What are MSD’S?  MSD’s are injuries caused by sustained exposure to stressors or repetitive motion.  They may affect muscles, tendons, ligaments, bones, circulation, or nerves.  Some well-known MSD’s are:  Carpel tunnel syndrome  Guyner’s syndrome  Trigger finger  Tennis elbow CONTINUE
  • 7. CARPAL TUNNEL SYNDROME One of the best known MSDs The median nerve does not work properly due to pressure on the nerve as it runs through an opening called the carpel tunnel Numbness is usually first symptom. Pain & tingling, can go up the arm to the shoulder and neck, causing waking to pain in middle of night
  • 8. GUYON’S CANAL SYNDROME Similar to carpel tunnel Guyon’s affects the ulnar nerve as it passes through the Guyon canal in the wrist; this is similar to carpal tunnel, but involves a different nerve. Unlike carpel tunnel, Guyon’s affects the little and ring fingers. Can be in conjunction with carpal tunnel
  • 9. TRIGGER FINGER Trigger finger affects the ability of tendons to slip back and forth. The tendon and/or ligament thicken and a nodule forms This can be caused by rheumatoid arthritis, lacerations of tendon, gripping power tools, long hours of grasping steering wheel, or birth defects Symptoms are pain and a funny clicking sensation
  • 10. TENNIS ELBOW Overuse or misuse of the forearm muscles can cause tendonitis, or a painful inflammation of the tendons connecting these muscles to bone. This condition is brought on or aggravated by poor leverage causing an uneven distribution of force on a few muscles. This may be when working, or during certain leisure activities, such as sports and gardening. Symptom are severe pain.
  • 11. ARE MSD’S PREVENTABLE?  They are preventable and reversible ….. if identified early.  The treatment depends on the stage of MSD.  If the condition cannot be reversed, treatment can turn into a pain management situation. The individual plays a large role in preventing MSD’s.
  • 12. Am I at risk for a MSD? Do you …perform frequent repetitive motions? …bend at the waist or twist when lifting objects? …lift push or pull objects throughout the day? …sometimes use the wrong tool for the job? …grasp tools with your fingers? …forget to take breaks while working? …feel like you are under stress? …have to stretch to reach your work? …forget to adjust your work area to fit your task? The more you answered “yes”, the greater your risk.
  • 13. RISK FACTORS which can lead to MSDs (Stressors)  Awkward posture  Static loading or sustained exertion  Contact stress  Force These STRESSORS can be influenced by 1. 2. 3. Organizational or administrative precautions Environmental conditions Individual work routine and habits  Vibration  Repetition of same motion for several hours/day  Length of tasks without breaks  Insufficient rest time  Psychosocial stress Most MSDs are the result of combined risk factors
  • 14. Reducing RISK FACTORS for MSDs  The purpose of ergonomic training is to help you reduce or eliminate the stresses that can lead to MSDs  Your body is designed to do work. When it works in positions or postures in which it is designed to deal with physical stress, there is no problem, but when it is forced to perform under unnatural situations or for abnormal periods of time, injuries can occur.  Almost all of the ergonomic stresses at work can be decreased by using the right equipment in the right position so that the body can perform in the right posture.
  • 15. Review your Work Area •You spend most of your day in your work area. •You don’t want your work area to contribute to ergonomic problems •Ergonomic Rule #1 Work Comfortably! If most of your work is done in an office continue If most of your work is done outside of an office continue
  • 16. Office Ergonomics- The right equipment, the right place Use a good CHAIR Backrest is provides good lower back support Arms adjustable Front edge of seat pan curves down Seat pan adjustable horizontally and tilts Height adjustable On rollers Five feet for base-most stable
  • 17. Office Ergonomics- The right equipment, the right place MONITOR HEIGHT  The position of your head and neck is very important  Place computer monitors directly in front of you  The right height is person dependent- usually the top of the screen at eye level (or slightly below for those who wear bifocals)  Raise the monitor if you have to look down at it The screen should be at least an arms length away (If you can’t see at that distance, get special computer glasses)
  • 18. Office Ergonomics- The right equipment, the right place KEYBOARD STYLES A variety of styles are available. Choose one that is comfortable for you.
  • 19. Office Ergonomics- The right equipment, the right place KEYBOARD HOLDER Keyboard holders should Tilt  Provide wrist rests (rest palms not wrist)   Provide space for a mouse
  • 20. Office Ergonomics- The right equipment, the right place MOUSE HOLDERS Mouse trays or mouse holders can bring a mouse to a better position
  • 21. Office Ergonomics- The right equipment, the right place MOUSE STYLES Choose a style comfortable for your hand and fingers
  • 22. Office Ergonomics- The right equipment, the right place WORK PLACEMENT  Position equipment so that your body is in a comfortable and natural position most of the time while you are working.  Don’t place things so you have to reach, twist or bend continually  Place work at monitor height or place in path of monitor  Listen to your body. If you cannot focus or often feel tired or uncomfortable, you are probably not working in a good position.  See what you can do to make your work more comfortable for you. Disclaimer: Wait a minute! Though this position may look comfortable, it is NOT a comfortable position to work in. Imagine how your back would feel after typing a few pages in this position! Do not equate comfortable leisure positions with comfortable work positions!
  • 23. Office Ergonomics- The right equipment, the right place Everyone needs a relaxed, neutral position DO WHAT’S COMFORTABLE FOR YOUR BODY! Monitor at or below eye level Wrists straight Back supported Forearms and thighs parallel to the floor Forearms supported Feet flat on the floor
  • 24. Office Ergonomics- The right equipment, the right place MOUSE POSITION  Mouse should be close to the keyboard and the same height or slightly higher NO!  Locate the mouse to avoid reaching
  • 25. Office Ergonomics- The right equipment, the right place Phone PLACEMENT Should be different for right and left handers You should not have to twist and reach across your body every time you answer the phone. Many people need to spend a lot of time on the phone, and must often do other tasks at the same time This creates a lot of stress for neck and shoulder muscles Consider a head set if you spend a lot of time on the phone, especially if you do other tasks at the same time
  • 26. Office Ergonomics- The right equipment, the right place Document PLACEMENT Place documents so that you don’t need to bend your head to read while you keyboard Consider getting a document holder
  • 27. Ergonomic STRESSORS Environmental conditions Environmental conditions can influence ergonomic stress.  Lighting  Noise  Temperature ….even at a computer station!
  • 28. Ergonomic STRESSORS LIGHTING & MONITOR GLARE  Lighting should be indirect and adequate  Not too much light, or it may cause a glare, headaches and eye fatigue  If there is a glare on your eyes as you work, use glare screens on computers, or adjustable blinds at windows Ideal is 35-50 foot candles
  • 29. Office Ergonomics- The right equipment, the right place GLARE SCREENS
  • 30. COMPUTER VISION SYNDROME can be prevented Accommodate your eyes   Use computer eyewear when appropriate Placement of reference material and monitor distance should be comfortable for your eyes Prevent constant glare   Keep monitor clean Use:    indirect lighting non-reflective walls and furniture anti-glare screens Exercise your eyes   Periodically focus on object 20 feet away Blink eyes rapidly if they feel dry
  • 31. Ergonomic STRESSORS Noise can be a STRESSOR  If your office is near a noise source, close your door, or wear ear plugs  Besides causing ear damage, constant noise can create extra muscle tension in the body causing fatigue and making it easier for ergonomic injuries to occur.
  • 32. Ergonomic STRESSORS Temperature  People are more prone to ergonomic injuries in cold environments. Muscles and other tissues are more tense, because of decreased circulation.  Dress  Do appropriately some warm up exercises, such as stretching your hands, to loosen your finger muscles before keyboarding.
  • 33. Ergonomic STRESSORS FORCE can be a stressor A task can require a moderate amount of force to be applied to very small muscles  Examples: Dragging and dropping with the mouse  Gripping the sides of the mouse or phone tightly  Pounding on the keyboard  Grasping thick file folders  Stapling or stamping  Opening 3-ring binder  Lifting heavy manuals with one hand 
  • 34. Ergonomic STRESSORS MECHANICAL CONTACT STRESS A hard or sharp surface or object pressing into the soft tissues, the tendons, nerves and blood vessels.  Examples: Resting wrists on the desk edge while typing or using mouse  Leaning elbows on hard chair or armrests or work surfaces  Sitting in chair that places pressure on the backs of the thighs 
  • 35. Ergonomic STRESSORS VIBRATION causes stress  Hand-arm  Whole vibration (hand power tools) body vibration (driving rough off roads)  Even if these do not occur in your work environment, what about home activities? CONTINUE
  • 37. Office Ergonomics- The right equipment, the right place WORK PLACEMENT  Position equipment so that your body is in a comfortable and natural position most of the time while you are working.  Don’t place things so you have to reach, twist or bend continually  Place work at monitor height or place in path of monitor  Listen to your body. If you cannot focus or often feel tired or uncomfortable, you are probably not working in a good position.  See what you can do to make your work more comfortable for you. Disclaimer: Wait a minute! Though this position may look comfortable, it is NOT a comfortable position to work in. Imagine how your back would feel after typing a few pages in this position! Do not equate comfortable leisure positions with comfortable work positions!
  • 38. Ergonomic STRESSORS Environmental conditions Environmental conditions can influence ergonomic stress.  Lighting  Noise  Temperature
  • 39. Ergonomic STRESSORS EYE STRAIN can be prevented Accommodate and exercise your eyes When working on a computer Use computer eyewear when appropriate  Placement of reference material and monitor distance should be comfortable for your eyes  When doing work at close range   Periodically focus on object 20 feet away Blink eyes rapidly if they feel dry When driving for long periods of time   Periodically focus on object 5 feet away Blink eyes rapidly if they feel dry
  • 40. Ergonomic STRESSORS Noise can be a STRESSOR  If you work near a constant noise source, such as generators or fans, close your door, or wear ear plugs.  Besides causing ear damage, constant noise can create extra muscle tension in the body causing fatigue and making it easier for ergonomic injuries to occur.
  • 41. Ergonomic STRESSORS Noise can be a STRESSOR  If you use equipment which makes loud noise, wear ear plugs. EH&S can help you find some which are comfortable and appropriate  Use of most power equipment, machinery, lawn mowers, and blowers should require ear plugs. x
  • 42. Ergonomic STRESSORS Temperature  People are more prone to ergonomic injuries in cold environments because circulation is slowed down and muscles and other tissues are more tense.  Dress  Do appropriately warm up exercises such as stretching before you begin work.
  • 43. Ergonomic STRESSORS FORCE can be a stressor A task can require a moderate amount of force to be applied to very small muscles  Examples: Pushing the same button over  Gripping the sides of the phone tightly  Pounding a hammer using your wrist muscles  Grasping a screwdriver with only a couple of fingers  Lifting heavy items with one hand 
  • 44. Ergonomic STRESSORS MECHANICAL CONTACT STRESS A hard or sharp surface or object pressing into the soft tissues, the tendons, nerves and blood vessels.  Examples: Leaning elbows on hard chair or armrests or work surfaces  Sitting on a seat that places pressure on the backs of the thighs 
  • 45. Ergonomic STRESSORS VIBRATION causes stress  Hand-arm  Whole  If vibration (hand power tools) body vibration (driving rough off roads) you don’t encounter these at work, what about home activities?
  • 46. Ergonomic STRESSORS HOME-OFFICE CONNECTION  What happens off the job may influence stress, discomfort, or pain during the workday and vise-versa.The two are intertwined.  Hobbies and recreational activities (golf, sewing, gardening, etc.) may cause repetitive motion injuries, which may then be complicated on the job.
  • 47. Ergonomic STRESSORS Psycosocial Stress Any interactions, job tasks or personal problems which cause psychological or social stress cause increased muscle tension, which can make injury more likely. Be aware of these additional stresses and compensate for them by taking extra breaks and being especially careful when under extra pressure.
  • 48. Ergonomic STRESSORS INDIVIDUAL STRESSORS  People face different stresses and have different abilities to in a vacuum, We don’t live cope. life stresses can adversely  Employees vary in physical condition. effect the wellness of an individual and contribute to  Some individuals are also dealing with ergonomic stressors. chronic illnesses or disabilities
  • 49. Solutions Individual work routine and habit Fortunately, most STRESSORS can be minimized or eliminated by individual habits and work routine. The solution to most ergonomic problems is to work comfortably and avoid a few common ergonomic pitfalls.
  • 50. Solutions Avoid REPETITION Performing the same or similar motions repeatedly for extended periods without time for rest and recovery can lead to discomfort or trauma. Examples:        Keyboarding, mousing, and 10-keying Flipping through files & paperwork Extended reading or writing Punching or stapling Pruning or clipping Painting Hammering
  • 51. Solutions AVOID LONG DURATION OF SAME TASK  The length of time spent at a task without breaks, shifts in position, or stretches is more important than the actual task.  The longer the uninterrupted duration of a task, the more potential for discomfort or injury Our bodies are designed to do work. But the result on the body of doing a repetitive task for 2 hours verses 6 hours straight is very different.
  • 52. Solutions STRETCHES & BREAKS  Static positions are your enemy!  Whenever  Small you think of it, change position frequent stretches go a long way in preventing MSD’s.
  • 53. Stretch Break  WSU- TC has purchased this software for all faculty, staff, and students to use if they wish. To download this program, go to http://www.tricity.wsu.edu/ctc/Files/Stretchbreak.exe Choose 'Open' when prompted to do so. Press 'Ok' and 'Next' until the installation is finished.  Stretch Break (default) interrupts you every 30 minutes- suggests three varied stretches which take a total of 1 minute to complete. You cannot believe how much better you feel afterwards.  You can cancel the stretches as soon as they come on the screen, choose the amount of time you work before being interrupted ( between 10 minutes and 3 hours) and decide which of the many exercises you want to include, and how many you want to do at each break.  Such programs are one of the best preventions of ergonomic injuries at a computer workstation. Even if you choose not to do the exercises, you will be reminded to shift position, etc periodically so that your muscles do not become unduly stressed. Most computer related injuries occur because of projects which engage persons for a substantial length of time.
  • 54. Solutions A FEW BREAK IDEAS  Organize tasks around built in breaks  Eye breaks - blink to moisten eyes every 5-10 minutes. Every 15 minutes or so look away from the screen to distant part of room.  Micro-breaks - between burst of activity rest the hands, neck and shoulders in a relaxed straight posture.  Rest breaks - every 30-60 minutes take a brief 5-minute break and engage in another activity.  Exercise breaks - every 1-2 hours do gentle stretching exercises
  • 55. Solutions Avoid BAD POSTURES Everyone has seen these…. Slouching over a computer Propping a phone on shoulder Bad postures are a primary cause of ergonomic injuries
  • 56. Solutions Avoid AWKARD POSITIONS Awkward positions bend the joints in a way that they are more likely to become injured. Examples:         Reaching up and over Slouching or leaning forward in the chair Leaning forward or bending over work Holding heavy items in position Lifting, pushing pulling Turning head side to side to view the monitor Cradling the phone between the ear and shoulder Typing with bent wrists AW PO KW SIT AR IO D NS cre ate ST RE SS
  • 57. Avoid SUSTAINED EXERTIONS Solutions Static loading occurs when muscles must hold the body in a single position for a long period of time. Lack of movement reduces circulation and causes muscle tension Examples: Holding hands in place  Keeping the head still while reading  Sitting still for long periods of time  Sitting upright without back support  S PO TAT SIT IC IO NS cre ate ST RE SS
  • 58. Solutions Lifting (Static Loading) A large percentage of ergonomic injuries are due to improper lifting. Planning the lift before attempting it will prevent most injuries. When evaluating a lifting task, consider: 1. 2. 3. 4. 5. The weight of the object What position it must be lifted from and to How many times you will need to lift it If there will be twisting involved If there is good footing, and if you can get a good grasp on the object
  • 59. Solutions Lifting (Static Loading)  Use a step stool or platform to reach loads above your head  For bulky and oversized loads, get help or use mechanical aids  Get a good grip- use handles when available
  • 60. Solutions Lifting (Static Loading)     Don’t pull Push Get twice the power Reduce the risk of injury
  • 61. Solutions Lifting (Static Loading)  Get a firm grip on what you are lifting and be sure you are on solid footing  Squat when lifting something from below the waist. Keep heels down and feet shoulder-width apart and turned out  Keep the load close to your body  Turn your whole body in the direction you want to move- avoid twisting when lifting  Keep your knees bent and lean in the direction of the movement  Let your legs and body weight do the work  Squat to set loads down
  • 62. Individualize Solutions NO ONE SOLUTION FOR ALL  People come in all shapes and sizes- what works for one person may or may not work for another.  Ergonomics is a puzzle to be put together for each individual.  What works today may or may not work later. We all change due to time and other circumstances.
  • 63. Individualize Solutions Meet the Challenge!  Individuals must take responsibility for their own ergonomic problems.  Think about possible MSDs BEFORE you have discomfort!  Listen to your body: pay attention to those aches and pains!
  • 64. Meet the Challenge! Identify your risk of ergonomic problems Identify types of ergonomic problems  Look at your daily work tasks  Identify one or more risk factors  Review & rethink your work activities/tasks (including those outside of work)  For a Free WORK STATION ASSESSMENT Contact your supervisor and Lezlie Couch  http://www.ehs.wsu.edu/ohs/ohs-ergo.htm  WSU ergonomic fact sheet
  • 65. Meet the Challenge! Identify barriers to solving the problems  Let supervisors know when there is a problem  Discuss concerns and possible solutions with your supervisor  Adjusting work schedules  Modifying job design  Rearranging task order  Changing task assignments  Consult a physician, if warranted
  • 66. Meet the Challenge! Identify approaches to overcoming the barriers  Recommend and/or implement solutions.  Try something and if it doesn’t feel comfortable, discontinue and try something else!  As time passes, try to notice if the problem has truly been eliminated.  Let your supervisor know how well the controls are working.
  • 67. Meet the Challenge! REMEMBER! You Can Reduce Risk Greatly Improve body posture and keep a safe body position • avoid awkward positions • use tools and equipment correctly Rearrange work area•control your environment, •use the right equipment in the right position, •keep work within reach Change work habits•practice and use correct procedures, •avoid repetition and long duration of a single task •take frequent breaks Apply ergonomic principals at home, too
  • 68. Meet the Challenge! Things YOU can do TODAY  Look up & away from your work frequently  Change your chair position occasionally  Take frequent mini breaks & include stretches/exercises (Use stretch break computer program)  Vary tasks and the daily order of tasks Ergonomics is a Win-Win situation!
  • 69. SLIPS TRIPS FALLS Real slips, trips and falls are not funny. At WSU-TC, more people are injured and more work time is lost by slips, trips, and falls, than by any other means.
  • 70. Slips, Trips and Falls •Hazards that can lead to slips, trips and falls are often overlooked, even though they cause many injuries ranging from minor cuts and sprains to disabling injuries and even death. •Although slip, trip and fall hazards are easily created, they are also easy to correct. •Be aware of such hazards, and correct them quickly, before the next person becomes a victim!
  • 71. SLIP Hazards A slip occurs when there is too little friction or traction between footwear and a walking surface. Common causes of slips are: •Slippery floor surfaces •Liquid, moisture or ice on the floor, •Food, trash or other small objects •Oil or grease on the floor •Footwear without nonskid soles
  • 72. Trip Hazards A trip occurs when a person’s foot contacts an object or drops to a lower level unexpectedly, and they are thrown off balance. Some common causes of tripping are: Unsafe stairway conditions or use Hazardous changescords that cross that may not and Floor or telephone or hidden steps Electrical level floor conditions such as passageways be protruding nails, holes or loose boards, obvious aisles loose carpet and rugs Furniture that creates Insufficient lighting Elevator cars that do not level off at forobstaclesor working walking Materialsthe same height of the floor stopped stored in passageways, aisles and areas Desk or file cabinet drawers left open, objects stairways at protruding into passageways and aisles
  • 73. Fall Hazards In addition to falls as a result of slips and trips, you may be injured if you fall from an elevation. Some causes of falls are: •Using makeshift items (boxes, buckets, chairs, etc ) to gain height •Not sitting on “4 square” of a chair •Carrying large or too many items that prevents seeing where you are going •Jumping from one level to another
  • 74. Preventing Injuries with good housekeeping Good housekeeping is one of the most important methods for preventing falls due to slips and trips          Clean up all spills immediately WITHOUT GOOD HOUSEKEEPING PRACTICES, MarkANY and wet areas spills OTHER PREVENTIVE MEASURES (SUCH AS INSTALLING SPECIAL NO-SLIP FLOORING, EXPENSIVE SHOES Mop or sweep debris from floors SAFE FALLING) OR TRAINING ON WALKING TECHNIQUES AND Remove obstacles from walkways and always keep WILL NEVER BE FULLY EFFECTIVE. them free of clutter Secure mats, rugs and carpets that do not lay flat Always close file cabinets or storage drawers Cover cables that cross walkways Keep work areas and walkways well lit Replace used light bulbs and faulty switches
  • 75. Walking on Slippery Surfaces •Take small steps- shorter than your foot length- to keep your center of balance under you. •Walk with your toes pointed outward. This provides a wider, more stable base of support for maintaining balance. •Turn gradually- a sharp turn results in a sideways force that can cause loss of balance and a fall •Keep both hands free for balance rather than in your pockets. •Wear shoes with slip-resistant soles or studded shoe pullovers for walking on icy surfaces •Use sidewalks walkways that have been cleared of ice and snow.
  • 76. Using the Stairs •Use the handrail from start to finish •Avoid carrying loads on the stairways- or only carry loads you can see over. •Keep your eyes on where you are going, and descend stairs slowly to keep your balance and identify tripping hazards. •Test potentially slippery stairs by tapping them with your foot. •Going up or down, keep weight on your back leg until your front foot is safety on the next step. This maintains your center of gravity.
  • 77. Most Slips and Trips can be Prevented As part of the WSU organization, know what to look for and take action to reduce the risk and eliminate the hazards before someone is injured. If you don’t, the result can be potentially serious injuries and costly lawsuits. $ $
  • 78. In Conclusion… •Take responsibility for the safety of your work area. •Report unsafe situations or conditions to Facilities (Jerry Massey 2-7216 )or EH&S (Lezlie Couch 2-7163) •Think Safety Act Safely When you have completed this training on preventing injuries due to ergonomic problems and slips, trips and falls, you may return to review it, or you may proceed to take the review quiz. You must complete the quiz and submit it to receive credit for this training. Click here if you want to go back to the beginning and review the training Click here if you are ready to complete the 15 question quiz