Reliable exposure assessment strategies for physical ergonomics stressors in construction and other non-routinized work

The objective of this research was to provide guidelines for the reliable assessment of ergonomics exposures in non-routinized work. Using a discrete-interval observational sampling approach, two or three observers collected a total of 5852 observations on tasks performed by three construction trades (iron workers, carpenters and labourers) for periods of several weeks. For each observation, nine exposure variables associated with awkward body postures, tool use and load handling were recorded. The frequency of exposure to each variable was calculated for each worker during each of the tasks on each of the days. ANOVA was used to assess the importance of task in explaining between-worker and within-worker variability in exposures across days. A statistical re-sampling method (bootstrap) was used to evaluate the reliability of exposure estimates for groups of workers performing the same task for different sampling periods. Most exposures were found to vary significantly across construction tasks within trade, and between-worker exposure variability was generally smaller than within-worker exposure variability within task. Bootstrapping showed that the reliability of the group estimates exposure for the most variable exposures within task tended to improve as the assessment periods approached 5 – 6 d, with marginal improvements for longer assessment periods. Reliable group estimates of exposure for the least variable exposures within task were obtained with 1 or 2 d of observation. The results of this study demonstrate that an initial estimate of the important environmental or task sources of exposure variability can be used to develop an efficient sampling strategy that provides reliable estimates of ergonomics exposures during non-routinized work.     

Medium- and long-term reproducibility of self-reported exposure to physical ergonomics factors at work

INTRODUCTION: The literature is sparse on reproducibility of self-reported exposure to physical ergonomics risk factors for musculoskeletal disorders (MSDs). Aims of this study were to evaluate, in a cohort of workers interviewed up to three times: 1-year test-retest reliability; and 5- and 6-year recall of physical exposures. We also examined whether reproducibility was influenced by the presence of UE MSD or by technological changes introduced between the last two surveys. METHODS: A cohort of automobile manufacturing employees was interviewed at baseline, one and six years later about work history, physical and psychosocial exposures at work, upper limb symptoms, injury and medical history, and demographics. Agreement between interviews was evaluated by intraclass correlation and Spearman coefficients. Differences in exposure between 1- and 6-year follow-up were analyzed by Wilcoxon matched-pairs signed-ranks test. RESULTS: Large and significant decreases in work pace and physical effort were observed from baseline, although an upper extremity composite index was quite stable in the total population. One-year test-retest reliability was fair to good for the composite exposure index (ICC=0.58), whole-body vibration, handling parts, and tool use, but poor for the other variables considered. Long-term reproducibility, from baseline or 1-year follow-up to 6-year follow-up, was poor for the composite index and almost all single items. UE MSD case status influenced 1-year test-retest reliability, with subjects who changed case status from baseline displaying higher reliability, but not reproducibility of recalled exposures. A strong regression to the mean effect was observed on exposures reported at follow-up surveys. CONCLUSIONS: Recalled ergonomics exposures could be employed in retrospective cohort studies as a somewhat reliable and unbiased estimate of the self-reported exposures that would have been obtained up to one year earlier, but not over a longer period (5-6 years). These longer-term results may have been limited by difficulty in matching jobs between interviews; also the regression to the mean effect likely contributed to reduce agreement. Changes in production technology and work organization produced a decrease in physical workload intensity and job pace, but did not have a substantial impact on an exposure index for the upper limb.     

Measuring the physical demands of work in hospital settings: design and implementation of an ergonomics assessment

BACKGROUND: Assessing the physical demands of the heterogeneous jobs in hospitals requires appropriate and validated assessment methodologies. METHODS: As part of an integrated assessment, we adapted Rapid Entire Body Assessment (REBA), using it in a work sampling mode facilitated by a hand-held personal digital assistant, expanding it with selected items from the UC Computer Use Checklist, and developed a scoring algorithm for ergonomics risk factors for the upper (UB) and lower body (LB). RESULTS: The inter-rater reliability kappa was 0.54 for UB and 0.66 for LB. The scoring algorithm demonstrated significant variation (ANOVA p<0.05) by occupation in anticipated directions (administrators ranked lowest; support staff ranked highest on both scores). A supplemental self-assessment measure of spinal loading correlated with high strain LB scores (r=0.30; p<0.001). CONCLUSION: We developed and validated a scoring algorithm incorporating a revised REBA schema adding computer use items, appropriate for ergonomics assessment across a range of hospital jobs.     

Development work for quality and ergonomics

Employee participation in the development and improvement of their own work activities and daily production tasks has been strongly emphasised by the “quality movement”. From this point of view, the quality perspective, and in particular development work, are supportive of improved working conditions and ergonomics. This paper proposes a classification of development work in relation to participative problem solving. Further, the introduction of development work was found from a theoretical point of view to be consistent with improvement in the characteristics that represent good and rewarding work. Several empirical studies in the field confirm that improvements in work and company performance take place as a result. There is also criticism of development work, which largely focuses on the difficulties of integrating such concepts into organisational structures and of making developments long-lasting. In addition, stress, intensification of work and increased pressure are also mentioned as possible harmful outcomes. It is concluded that the development work concept is an important innovation with great potential, but the organisational models and applications need to be further developed for the future.     

The process evaluation of two alternative participatory ergonomics intervention strategies for construction companies

To gain insight into the process of applying two guidance strategies – face-to-face (F2F) or e-guidance strategy (EC) – of a Participatory Ergonomics (PE) intervention and whether differences between these guidance strategies occur, 12 construction companies were randomly assigned to a strategy. The process evaluation contained reach, dose delivered, dose received, precision, competence, satisfaction and behavioural change of individual workers. Data were assessed by logbooks, and questionnaires and interviews at baseline and/or after six months. Reach was low (1%). Dose delivered (F2F: 63%; EC: 44%), received (F2F: 42%; EC: 16%) were not sufficient. The precision and competence were sufficient for both strategies and satisfaction was strongly affected by dose received. For behavioural change, knowledge (F2F) and culture (EC) changed positively within companies. Neither strategy was delivered as intended. Compliance to the intervention was low, especially for EC. Starting with a face-to-face meeting might lead to higher compliance, especially in the EC group.

Practitioner Summary: This study showed that compliance to a face-to-face and an e-guidance strategy is low. To improve the compliance, it is advised to start with a face-to-face meeting to see which parts of the intervention are needed and which guidance strategy can be used for these parts.

Trial registration: ISRCTN73075751     

Evaluation of the effects of two alternative participatory ergonomics intervention strategies for construction companies

To improve the use of ergonomics tools by construction workers, the effect of two guidance strategies – a face-to-face strategy (F2F) and an e-guidance strategy (EG) – of a participatory ergonomics intervention was studied. Twelve construction companies were randomly assigned to the F2F group or the EG group. The primary outcome measure, the percentage of workers using ergonomics tools, and secondary outcome measures – work ability, physical functioning and limitations due to physical problems – were assessed using surveys at baseline and after 6 months. Additionally, a cost-benefit analysis was performed on company level. No differences in primary and secondary outcomes were found with the exception of the use of ergonomics tools to adjust working height (F2F +1%; EG +10%; p?=?.001). Newly-implemented tools were used by 23% (F2F) and 42% (EG) of the workers (p?=?.271). Costs were mainly determined by guidance costs (F2F group) or purchase costs (EG group).

Practitioner Summary: Participatory strategies aim to stimulate behavioural change of stakeholders to increase the use of ergonomics tools. Two guidance strategies – face-to-face or e-mail interventions – among construction companies were studied. Both guidance strategies led to an increase in the use of new ergonomics tools.     

Developing measures for information ergonomics in knowledge work

Information ergonomics is an evolving application domain of ergonomics focusing on the management of workload in the real-world contexts of information-intensive tasks. This study introduces a method for the evaluation of information ergonomics in knowledge work. To this end, five key dimensions of information ergonomics were identified: contextual factors of knowledge work, multitasking, interruptions at work, practices for managing information load, and perceived job control and productivity. In total, 24 measures focusing on the above dimensions were constructed. The measures include, for example, the number of fragmented work tasks per work day. The measures were preliminarily tested in two Finnish organisations, making use of empirical data gathered by interviews, electronic questionnaires and log data applications tracking work processes on personal computers. The measures are applicable to the evaluation of information ergonomics, even though individual measures vary with regard to the amount of work and time needed for data analysis.

Practitioner Summary:

The study introduces a method for the evaluation of information ergonomics in knowledge work. To this end, 24 measures were constructed and tested empirically. The measures focus on contextual factors of knowledge work, multitasking, interruptions at work, practices for managing information load, and perceived job control and productivity.     

Validity of fixed-interval observations for postural assessment in construction work

While observing six simulated construction tasks in the field, trained analysts recorded arm, trunk and leg postures categorically with two fixed-interval observational protocols. Observations were compared to measurements obtained with an electronic postural assessment system coupled with video analysis. The electronic postural assessment system consisted of electronic inclinometers to measure upper arm posture, knee flexion and trunk flexion, coveralls to house the inclinometer wiring, and an eletrogoniometric system to measure trunk lateral bending and twisting. Video analysis included frozen-frame analysis that corresponded to the moment of observation and simulated real-time analysis. Measurements were made on five male participants who each performed three tasks representative of construction laborers' work. Agreement among the observational and reference methods was generally high, although significant differences in measured frequency of exposure existed for knee flexion, trunk lateral bending and trunk twisting. The results suggest that, under appropriate conditions, discrete observations can be used to obtain reasonably accurate estimates of exposure frequency for broad categories of certain body postures.     

Relationships between ergonomics and quality in assembly work

Several studies indicate a relationship between ergonomic work conditions and the quality of the work. The purpose of this study was to evaluate relationships between a number of ergonomic conditions and product quality in car assembly. The most physically demanding tasks, the tasks with the most difficult parts to assemble, and the most psychologically demanding tasks, were identified by interviews with experienced assembly workers. Information on quality deficiencies was obtained from the internal quality statistics of the company and from interviews with quality control personnel. The results showed that the quality deficiencies were three times as common for the work tasks with ergonomics problems, compared with the other tasks. An increased risk of quality deficiencies was seen for all three categories of ergonomics problems investigated. Direct causes of quality deficiencies were identified, such as discomfort from strained parts of the body, organizational factors and time pressure. The analyses pointed to certain types of task that were more likely than others to cause quality problems. The results also showed that an important factor for job satisfaction was the possibility for the workers to perform their tasks with high quality. The study therefore confirms close relationships between ergonomics and quality, and thereby points to the possibility of conducting integrated change programmes aimed at improving work quality and work conditions simultaneously.     

PATH: a work sampling-based approach to ergonomic job analysis for construction and other non-repetitive work

A high prevalence and incidence of work-related musculoskeletal disorders have been reported in construction work. Unlike industrial production-line activity, construction work, as well as work in many other occupations (e.g. agriculture, mining), is non-repetitive in nature; job tasks are non-cyclic, or consist of long or irregular cycles. PATH (Posture, Activity, Tools and Handling), a work sampling-based approach, was developed to characterize the ergonomic hazards of construction and other non-repetitive work. The posture codes in the PATH method are based on the Ovako Work Posture Analysing System (OWAS), with other codes included for describing worker activity, tool use, loads handled and grasp type. For heavy highway construction, observations are stratified by construction stage and operation, using a taxonomy developed specifically for this purpose. Observers can code the physical characteristics of the job reliably after about 30 h of training. A pilot study of six construction laborers during four road construction operations suggests that laborers spend large proportions of time in nonneutral trunk postures and spend approximately 20% of their time performing manual material handling tasks. These results demonstrate how the PATH method can be used to identify specific construction operations and tasks that are ergonomically hazardous.     

Life-time occupational exposure to heavy work and individual physical capacity

The aim of the present study was to retrospectively analyze the effect of occupational physical activity on maximal isometric hand grip strength and maximal oxygen consumption among males and females between 19 and 64 years of age in different occupations. A life-time occupational physical activity index was formed from questions in a questionnaire. The maximal isometric hand grip strength was measured with a dynamometer and maximal oxygen consumption was estimated from a submaximal bicycle ergometer test. The results showed a negative correlation between physical activity and estimated maximal oxygen consumption among males but no other statistically significant associations between life-time physical activity and the present physical capacity was found. The present results suggest that a high level of occupational physical activity does not maintain individual physical capacity.     

History and future of ergonomics in building and construction

In this paper an overview is given of what has been done in the field of ergonomics on behalf of the building and construction industry. Characteristics of the building and construction are given in relation to working conditions. The developments within this branch of industry are described in view of perspectives for a better future.     

Modeling the relationship between occupational stressors, psychosocial/physical symptoms and injuries in the construction industry

Injury statistics place the construction industry as a high-risk industry, making it necessary to investigate factors that influence accidents to be able to protect workers. Research was carried out to investigate the relationship existing among occupational stressors, psychological/physical symptoms and accident/injury and work days lost outcomes as experienced by manual workers engaged in a range of industrial construction occupations. Some of the occupational stressors significantly associated with self-reported and OSHA logged injuries were training, job certainty and safety climate of the company. The OSHA logged injuries were associated with the occurrence of headaches and feelings of tenseness on the job. These results imply that non-physical stressors should be included as a potential input associated with injuries in injury risk models for construction workers.

Relevance to industry

Traditional approaches to workers’ safety in the construction industry have focused on the physical and biomechanical aspects of work by improving tools, equipment and task completion methods. The impact of psychosocial factors, specifically stress as experienced by construction workers, is an area of growing research, which is yielding results that suggest overall work safety on the construction site should take into account psychosocial aspects of work.     

Embedding ergonomics in hospital culture: top-down and bottom-up strategies

In England there has been increasing emphasis on the use of ergonomics to tackle manual handling problems for the last seven years (MHO, 1992, 1998; HSAC, 1998). At Nottingham City Hospital NHS Trust, I have tried to incorporate an ergonomic approach throughout a wide range of activities since 1994. This paper does not seek to report a research project, simply to share the experience of trying to tackle hospital manual handling risks by taking an ergonomic approach. It will explain what this has involved, where it has been successful and where there have been difficulties. In the five years since the implementation of this strategy three measures have been used to monitor trends. These are (1) manual handling incidents: showing a 33% reduction; (2) days lost from musculoskeletal-related sickness absence: 36% reduction; and (3) completed risk actions: rising from 33% completion to over 75% completion.     

A survey of anthropometry and physical accommodation in ergonomics curricula

The size and shape of users are an important consideration for many products and environments. Designers and engineers in many disciplines must often accommodate these attributes to meet objectives such as fit and safety. When practitioners have academic training in addressing these issues, it is typically through courses in Human Factors/Ergonomics (HF/E). This paper investigates education related to physical accommodation and offers suggestions for improvement. A survey was conducted wherein 21 instructors at 18 universities in the United States provided syllabi for 29 courses, which were analysed to determine topics related to anthropometry and resources used for the courses. The results show that within the US, anthropometry is covered in the majority of courses discussing physical ergonomics, but important related concepts were often omitted (e.g. digital human modelling, multivariate accommodation and variability across global populations). Curricula could be improved by incorporating more accurate anthropometry, multivariate problems and interactive online tools.

Practitioner Summary: This paper describes a study investigating collegiate ergonomics courses within the US in the area of physical accommodation. Course schedules and texts were studied for their treatment of several topics related to accommodating the spatial requirements (anthropometry) of users. Recommendations are made for improving course curricula.     

The search for complex problem-solving strategies in the presence of stressors

OBJECTIVE: The present research tests the effects of time pressure and noise on open-mindedness to discover new problem-solving strategies. BACKGROUND: We are primarily interested in transfer of skill from one phase to the next. More specifically, this study investigates whether the presence of stressors makes participants adhere to the sustained use of complex rules. METHOD: Participants learned to apply a complex rule in the first phase of a category learning task. In the second phase, this rule became dysfunctional and participants had to search for a new categorization rule in order to assign the stimuli to the correct classes. Two experiments were set up to investigate this issue. RESULTS: Participants were found to have difficulty discovering a complex Phase 2 rule in the presence of stressors, whereas the discovery of a simple rule was not hindered by the presence of stressors. CONCLUSION: In the discussion, it is argued that the present results are compatible with previous research on stressors showing that time pressure and noise induce the application of simple strategies. The innovative finding here is that this simplification also occurs in individuals who are accustomed to using complex solutions. APPLICATION: The implications of the present results for emergency response training are elaborated upon.     

Study of the effectiveness of a participatory ergonomics intervention in reducing worker pain severity through physical exposure pathways

A participatory ergonomics programme was implemented in an automotive parts manufacturing factory. An ergonomics change team was formed composed of members from management and the organized labour union. It was hypothesized that the physical change projects implemented as part of this process would result in decreased worker exposures to peak and cumulative physical demands and reduced worker perceptions of physical effort and pain severity. A quasi-experimental design was employed, utilizing a sister plant in the corporation as a referent group. A longitudinal questionnaire approach was used to document pre-post changes in worker perceptions. In general, the physical change projects were rated as improvements by workers and were successful at reducing peak and/or cumulative mechanical exposures. However, there were few systematic changes in perceived effort or pain severity levels. Explanations include the confounding effects of differential production rate and staffing changes at the intervention and referent plants and/or insufficient overall intervention intensity due to a relatively short intervention period, plant and team ambivalence towards the process and the low overall impact on exposure of the particular changes implemented.     

Empirical evaluation of training and a work analysis tool for participatory ergonomics

A controlled laboratory experiment was performed to test the effects of ergonomics training and the NIOSH lifting equation on the participatory redesign of a simulated manual material handling job. Before performing the job, 16 subjects were given ergonomics training and 16 were instructed on how to use the NIOSH lifting equation for manual lifting tasks. Compared to a control group, subjects who received the ergonomics instruction identified and eliminated more risk factors in the simulated job. While subjects who used the NIOSH lifting equation also identified more risk factors, they did not eliminate any more risk factors than the control group. No additive benefit was found using both the training and the lifting equation over either method alone. Ergonomics training led to better improvements than use of the lifting equation in terms of risk factors identified and eliminated. Implications for use of training and tools in participatory ergonomics approaches are discussed.

Relevance to industry

This study supports that ergonomics training should be a requisite for any participatory ergonomics approach. Given a fundamental level of ergonomics training, subjects demonstrated that they were better capable of identifying and eliminating risk factors in the job.     

Study of the effectiveness of a participatory ergonomics intervention in reducing worker pain severity through physical exposure pathways

A participatory ergonomics programme was implemented in an automotive parts manufacturing factory. An ergonomics change team was formed composed of members from management and the organized labour union. It was hypothesized that the physical change projects implemented as part of this process would result in decreased worker exposures to peak and cumulative physical demands and reduced worker perceptions of physical effort and pain severity. A quasi-experimental design was employed, utilizing a sister plant in the corporation as a referent group. A longitudinal questionnaire approach was used to document pre-post changes in worker perceptions. In general, the physical change projects were rated as improvements by workers and were successful at reducing peak and/or cumulative mechanical exposures. However, there were few systematic changes in perceived effort or pain severity levels. Explanations include the confounding effects of differential production rate and staffing changes at the intervention and referent plants and/or insufficient overall intervention intensity due to a relatively short intervention period, plant and team ambivalence towards the process and the low overall impact on exposure of the particular changes implemented.     

An ergonomics approach for work in the next millennium in an IT world

This article begins by giving the background to different the approaches in trying to predict what the labour market will look like in the future. Ongoing changes in the labour market are then discussed, together with their consequences in the slightly longer term. We then look at various ways in which we can steer changes in the labour market into a direction desirable to both society and the workforce. Finally, the needs for new research are reviewed, followed by some concluding remarks.