SlideShare a Scribd company logo
1 of 27
Download to read offline
A TechnicAl PublicATion of ASSe’S
                                                                                                      ergonomicS PrAcTice SPeciAlTy




                                                          Volume 1 number 3

                                                                                                                 PAGE 4
                                                                                                                 ASSE
                                                                                                                 The Next
                                                                                                                 100 Years

                                                                                                   D


                                                                                                                 PAGE 8
                                                                                                                 TRAINING
                                                                                                                 Proper
                                                                                                                 Ergonomics
                                                                                                   D


                                                                                                                 PAGE 10
                                                                                                                 ERGONOMICS


             From Nothing to
                                                                                                                 Integrating
                                                                                                                 Ergonomics &
                                                                                                                 Sustainability
                                                                                                   D



               Best Practice
                   Establishment of an
                                                                                                                 PAGE 19
                                                                                                                 INJURIES
                                                                                                                 Patient Care
                                                                                                                 Ergonomics
             Ergonomics Program for HTSI-COS                                                       D
                                   By Keith OsbOrne



A
            fter retiring from the                        workplace musculoskeletal disorders
            Army after 25 years of                        (WMSDs) each month and no real                For a complete
            service, I was hired by    We have estab-
                                                          process to help lessen or eliminate          Table of Contents
            Honeywell Technology       lished an ergo-    this trend.                                     see page 3
            Solutions Inc.-Colorado      nomics/well-         This level continued through 2004
                                       ness lab in our
Springs (HTSI-COS) and began             building, and
                                                          until HTSI-COS chose to become
work in the facilities department.      several safety    an OSHA Voluntary Protection
When I first arrived in 2003, no         professionals    Program (VPP) member. One of the
                                         from around      key elements of inclusion was an
ergonomics program was available         the Colorado
to employees to assess or correct        Springs area     ergonomics program with additional
deficiencies in their workstations       have toured      emphasis on health and wellness
                                          our facility.   initiatives within the company. With
or in their processes. Over the next
few years, our company saw five                           the support of our management team
to seven complaints of potential                                         continued on page 24
                                                               1
                                                   Interface www.asse.org 2011
administrator’s mEssaGE



               Another Great Year
                                                                                          Ergonomics PracticE sPEcialty

                                                                                        OffICErS
                                                                                        Administrator




                      A
                                                                                        Jeremy Harris
                                s we recognize another National                         (847) 277-4385
                                Ergonomics Month, I find it hard to believe jeremy.j.harris@ge.com
                                that a year has gone by since we became     Assistant Administrator
                                a practice specialty. The Ergonomics        DaviD BroDie
                                                                            (919) 368-1129
                      Practice Specialty continues to grow slowly, and      david_brodie@cargill.com
                      we remain very active: we enhanced our newslet-
                                                                            Publication Coordinator
                      ter to meet standards as a practice specialty, rec-   Walt rostykus
                      ognized our first Safety Professional of the Year,    (503) 680-6521
                                                                            wrostykus@humantech.com
                      sponsored speakers for concurrent sessions at
     Jeremy Harris    Safety 2011 in Chicago, solicited several speakers ASSE STAff
                      for Safety 2012 in Denver and launched fundrais- Staff Liaison
                                                                            krista sonneson
                      ing efforts to offer a scholarship for our members. (847) 768-3436
                      It truly has been a remarkable year! I look forward ksonneson@asse.org
                      to another great year. x                              Communications Specialist
                                                                                        JolinDa Cappello
                                                                                        jcappello@asse.org

                                                                                        Publication Design
                                                                                        susan Carlson
                                                                                        scarlson@asse.org

    Ergonomics Practice Specialty Resources                                             Interface is a publication of ASSE’s
                                                                                        Ergonomics Practice Specialty, 1800 East
                                                                                        Oakton St., Des Plaines, IL 60018, and is dis-
Mentoring Services                         •Topic suggestions and interview             tributed free of charge to members of the
•Members Only (click Mentor                requests                                     Ergonomics Practice Specialty. The opinions

Contacts)                                                                               expressed in articles herein are those of the

•ASSE staff
                                           Educational Resources                        author(s) and are not necessarily those of
                                           •EPS website                                 ASSE. Technical accuracy is the responsibility
Job Search Assistance                      •SH&E Standards Digest                       of the author(s). Send address changes to the
•Nexsteps                                  •Special Issues & Best of the Best           address above; fax to (847) 768-3434; or send
•Local ASSE chapter                        Publication                                  via e-mail to customerservice@asse.org.

                                           •Key Issues publication
Career Resources                                                                        Advertising policy
                                           •Interviews                                  . . . Whereas there is evidence that products
•ASSE’s Career Resources LinkedIn site                                                  used in safety and health programs, or by the
                                           •Business of Safety Committee
•Career Resource Center                                                                 public in general, may in themselves present
                                           •Nanotechnology Support Site                 hazards; and Whereas, commercial advertising
Networking                                 •Webinars                                    of products may not depict the procedures or
                                                                                        requirements for their safe use, or may depict
•LinkedIn
•Facebook
                                           Standards                                    their use in some unsafe manner . . . the
                                                                                        Board of Directors of ASSE directs staff to see
                                           •ANSI/ASSE SH&E Standards Informa-
•ASSE’s social media sites                                                              that advertising in Society publications is war-
                                           tion Center                                  ranted and certified by the advertiser prior to
Technical Questions/Advice                 •New standards                               publication, to assure that products show evi-
                                                                                        dence of having been reviewed or examined
•24/7 online question submission form      •ASSE’s Standards Development                for safety and health problems, and that no
•Ergonomics Practice Specialty’s (EPS)     Committee                                    unsafe use and/or procedures are shown and/
Volunteer Advisory Committee               *Click any of the bulleted items to access
                                                                                        or described in the addvertising. Such require-
                                                                                        ments and acceptance of advertising by ASSE
                                           linked content.
Publication Opportunities                                                               shall not be considered an endorsement or
                                                                                        approval in any way of such products for any
•Article submissions (earn COCs and win                                                 purpose. ASSE may reject or refuse any adver-
a cash prize if you are the top article)                                                tisement for any reason ASSE deems proper.



                                                         2
                                             Interface www.asse.org 2011
contEnts
                 Volume 1 • Number 3

    PAGE    1 From nothing                     to    BEst PracticE                                        d
                 By Keith Osborne
                                                                                                                 PAGE     15
                 The author explains how Honeywell Technology Solutions Inc.-          thE growing
                 Colorado Springs improved not only its safety program, but also
                 its ergonomics program and health and wellness initiatives.
                                                                                       ProBlEm in
                                                                                       Ergonomics:
    PAGE    7 Ergonomics             For sElEcting                                     oBEsity
                 FlEEt &         sErvicE vEhiclEs                                      By Winnie Ip
                 By Julia Brenner                                                      In traditional ergonomics programs, the
                                                                                       primary goal is to adapt the workplace
                 Humantech management consultants Kent Hatcher and Deepesh             and tools to the capabilities of people.
                 Desai have researched ways to improve the ergonomics of fleet         This goal does not change when consid-
                 and service vehicles.                                                 ering obese workers.




                                                                                                          d      PAGE     19
                                                                                       PatiEnt carE
                                                                                       Ergonomics
                                                                                       By Mary Willa
                                                                                       Matz
                                                                                       Manual patient
                                                                                       handling is the
                                                                                       primary reason for
    PAGE    8 BEnd mE shakE mE:                                                        musculoskeletal
                 timE to tEach adults                                                  injuries in patient
                                                                                       care providers, and
                 ProPEr Ergonomics                                                     the understanding
                                                                                       of the impact of
                 By Cathy White                                                        patient handling on the body leads to a
                 Training is an essential element to ergonomics program success.       clear understanding why this is so.
                 The right training for the right people will ensure that your orga-
                 nization has the skills and methods to effectively carry out key
                 responsibilities and to achieve sustainable gains in the ergonomics
                 program.

    PAGE    10 intEgrating Ergonomics
                 & sustainaBility
                 By Jessica Ellison & Danny Nou
                 Ergonomics initiatives have many parallels with sustainability
                 goals and can function effectively as an integrated program rather
                 than as two distinct programs.

                                        connecTion Key
                     Click on these icons for immediate access or bonus information

V   Video    W     Website          P    PDF          l    Hot Link         Ad     Ad Link        d     Direct Link


                                                3
                                    Interface www.asse.org 2011
announcEmEnts                    By GeOrGe PearsOn, CSP, ARM



                                  The Next 100 Years
                A
                    s we now begin our second century, ASSE           branches, but also from
                    still faces future challenges in improving the    the Society at large.
                    safety community. However, coming out of our      There is also a value
                    100th-anniversary Professional Development        proposition here in that
           Conference, I see many positive signs that indicate we     employers with effec-
           have a very bright future. As the world’s oldest profes-   tive health and well-
           sional society dedicated to protecting people, property    ness programs have
           and the environment, there are many heartening indica-     lower healthcare and
           tors, many of which come from our Council. In fact,        workers’ compensation
           I am very optimistic, as we are poised for the next        costs.
           hundred years, that our ability to support our growing        Growth in the
           membership is strong.                                      Common Interest
               We are fortunate our Society is vital and growth       Groups (CIGs) has
           continues as we come out of the economic recession.        been exceptional and beyond expectations. With 5,085
           Even more encouraging is that membership retention         members belonging to one or more of our four com-
                                 has increased 5 basis points from    mon interest groups, our CIGs are among the most
   Volunteer mem- 87% last year to 92% this year. This                active committees in the Society. Safety Professionals
                                                                      and the Latino Workforce (SPALW) continues its
bers and temporary proves safety professionals realize
                                 the value in ASSE membership, and    outreach into Latin America with activity in Mexico
   workers assisted we are primed for greater progress.               and Ecuador and plans to expand that into Panama,
                                 As economic times improve, our       Columbia, Brazil and Argentina. Women in Safety
 with the BOK proj- nation’s industry base expands and                Engineering (WISE) is completing its publication
   ect this summer. the global economy gains momen-                   honoring 100 women in safety. Young Professionals
                                                                      in SH&E (YP) has enjoyed additional memberships as
                                 tum. Being in a Society leadership
With the growth in role, I look forward to the introduc-              graduating student members become regular members.
                                                                      Blacks in Safety Engineering (BISE) has continued to
   membership, it is tionareas of globalopportunities inof
                                 the
                                      of additional
                                                     growth, value    grow and was able to award a scholarship at this year’s
         possible to             the profession and fruition of our   conference.
                                                                         The BOK project is on schedule. Keywords have
      accelerate the Body of Knowledge (BOK) project.
                                    Membership in the practice spe-   been finalized. More than 1,000 keywords have
   project schedule cialties and branches has grown                   been submitted for inclusion and more are to come.
                                                                      Volunteer members and temporary workers assisted
                                 in parallel to the Society, and we
    and quantity of have every reason to believe that                 with the BOK project this summer. With the growth
                                                                      in membership, it is possible to accelerate the project
  available content. we will continue to grow through
                                 additional membership and partici-   schedule and quantity of available content.
           pation opportunities. As of May 2011, we had 21,111           Looking forward to the next 100 years, I am posi-
           practice specialty members and 2,180 branch members.       tive about COPS’s and the Society’s future. Dr. Darryl
           The Health & Wellness Branch was approved at the           Hill, our departing Society president, reported in a
           Council on Practices and Standards (COPS) meet-            farewell message to the Board, “Keep your goals very
           ing held at Safety 2011 and should contribute to our       high, have a balance and enjoy your family. The future
           growth. The Health & Wellness Branch will create           is bright.” x
           awareness and will educate its members to help shape
           attitudes and beliefs, thinking and behavior through a
           proactive, holistic approach to employee well-being,
           not just freedom from disease. This refers to an active
           process that aims to build and enhance an organiza-
           tion’s employee population, promoting habits and                                 George W. Pearson, CSP, ARM
           behaviors that optimize health, social and emotional                            Vice President, ASSE Council on
           well-being. Two things will contribute to the Branch’s                             Practices & Standards (COPS)
           success: we are thinking outside the box by going
           beyond traditional ASSE boundaries, and we can draw
           new members not just from practice specialties and
                                                         4
                                             Interface www.asse.org 2011
ASSE body of knowlEdgE
                                        New
                                       Member
                                       benefit!




your source for sH&e answers and solutions


             Get started today
             visit www.safetybok.org
Welcome New Members!
                                                   •Aleece Foxx
                                                   •Christopher Gates
W    e want to thank everyone who has
     remained a loyal member of the
Ergonomics Practice Specialty (EPS) and wel-
                                                   •Maureen Gillis, Siemens Healthcare Diagnostics
                                                   •Christopher Gongora, Diagnostic Laboratory
come the following members who recently                Services Inc.
joined. We are currently at 438 members and        •George Gough, Occidental of Elk Hills Inc.
growing. If you have any colleagues who might      •George Gruetzmacher, Wisconsin State Laboratory
be interested in joining EPS, please contact           of Hygiene
Krista Sonneson to request an information          •Alejo Habal, New Safety Index
packet. If you know anyone who might be            •Jon Hamill, Oxy USA
interested in joining ASSE, please contact
                                                   •David Hanson
customer service.
                                                   •Saundra Harris
                                                   •Henry Ho
                                                   •Richard Hofman
•Katery Alfaro
                                                   •Susan Holland
•Robert Allen, Walt Disney Co. Worldwide Safety
                                                   •Randy Huff, Ingersoll Rand
•Brent Altemose, Sabre Health & Safety
                                                   •Dana Hughes-Dawsey, Caterpillar Inc.
•Manny Alviso, United Stationers Inc.
                                                   •Wael Jamaan, Saudi Aramco
•Joyce Anderson, Compliance Specialties Inc.
                                                   •Miriam Joffe, Auburn Engineers
•Mary Anderson, Honeywell International
•Gwendolyn Arps, AON                               •Joseph Jones
•Susan Barriball                                   •James Kennedy, Alaska Fisheries Science Center
•Felicia Beaulieu, Marine Corps, Quantico MCB,     •Deepa Kundadka
   Safety Division                                 •Bruce Lambert, B.A. Lambert Workplace
•Raymond Blanco                                        Performance
•Eric Blankenheim, Blankenheim Services            •Diane Lancon, NW Natural Gas
•Vickie Brewster, Mike Monroney                    •Melanie Langlais
   Aeronautical Center                             •Michael Lim, Pacific Gas & Electric Co.
•Raymond Brown, IESA LLC                           •Bernie Lynch
•Cathy Burch, Frontier Pro Services                •Brian Manges
•Patrick Carley, American International College    •Paul Marchand, APC by Schneider Electric
•Allen Coppolo, Doncasters Inc.                    •Michael Mariscalco, QEI Engineers Inc.
•Keith Crumpton, Lone Peak Conservation Center     •Jenna Marshall
•Robert Debner                                     •Etta Mason, Southern California Edison
•Michael Domingo Cruz, Pride Industries            •Dean Maudlin, Just Ergonomics LLC
•Kelly Doughty, Chevron                            •Ruth McCafferty
•Sharon DuBois, Skagit County Risk Management      •Kellie McNeil
•Phan Duong-Ngo                                    •Allison McPhee, Genzyme
•David Ewanick                                     •Danny Meekins, Ellwood Texas Forge Navasota
•Suljo Fermic                                      •Larry Mendoza, Howard Hughes Medical Institute
•Lloyd Fischel                                         —JFRC
                                      6
                          Interface www.asse.org 2011
•Mark Mitchell, Alaska Railroad Corp.                      •Eric Schultz
•Lee Mooney, Amgen                                         •Lawrence J. Schulze, University of Houston
•Brian Murphy, BRS Inc.                                    •Judy Sehnal, Hartford
•Paul Myers                                                •Albert Shaw, Honeywell International
•James Newberry, Island Insurance Co. Ltd.                 •Tom Stallings, ABB Power T&D
•Daniel O’Farrell, EA Engineering                          •Edmund Sullivan, Middlebury College
    Science & Technology                                   •Scott Swanson
•Kay Parker Paul                                           •Linda Tapp
•Robb Patterson, Pfizer                                    •Philip Taylor, Chevron Products Co.
•Ellen Rader Smith, Ergo & Rehab Services                  •James Thatcher, EnCana Oil & Gas
•Steven Ramiza, LAN Associates Inc.                        •Robert Thomas, Auburn University
•Charles Raymond, Gray Insurance Co.                       •Jimmie Tullis
•Deborah Read, ErgoFit Consulting Inc.                     •Walter Urbanski, Lafarge NA
•Susan Reinhardt                                           •Alan Weikert
•Ian Renteria, Avon                                        •Stephen Wolszczenski, Pepperidge Farms
•June Robinson, Battelle Toxicology NW                     •Pamela Yates
•Peggy Ross                                                •Kristi Young, BP x
•Karri Russ, Florida Power & Light



              Ergonomics for Selecting Fleet & Service Vehicles
                                                    By Julia brenner

W    hen your workplace is a vehicle, ergonomics matter most.
     Humantech management consultants Kent Hatcher and
Deepesh Desai have researched ways to improve the ergo-
                                                                      5) Presence of full controls on the steering wheel optimizes
                                                                   driver attentiveness on the road and reduces reaches to the
                                                                   console.
nomics of these atypical “offices” so that they do not get left       To effectively retrofit vehicles, Desai suggests assessing the
on the side of the road.                                           risks already present and then developing viable and cost-
   Anthropometry, or the measurement of the size, weight           effective solutions to create a business case for implementing
and proportions of a human, is important to consider when          them across all vehicles. Because thousands of vehicles are
selecting fleet and service vehicles, Hatcher says. If a 4’11”     already in circulation, a company should start by gaining sup-
female and a 6’6” male do the same job, then the vehicle           port from top management and by establishing a loss preven-
must accommodate both body types. This requires adjust-            tion plan and goals. from there, it can prioritize ergonomic
able features and designing for extremes. The general rule of      issues through workplace ergonomic risk assessments, develop
thumb, he says, is to design large for any clearances and small    short-term and long-term improvement plans and then imple-
for any reaches. When designing space for head room, for           ment short-term improvements. “Test it and tweak it,” Desai
example, design for the large male. When designing the verti-      says. “You do not want to do it all and realize that you have
cal reach to close the trunk, design for the small female.         made a mistake.” Desai offers his top five recommendations
   The analysis of a vehicle should focus on manual material       for field service and delivery vehicles:
handling and interior comfort and posture, Hatcher adds.              1) Product storage: Position heavier, more frequently
Manual material handling includes features like interior trunk     handled items in the comfort zone, between 38 in. and 49 in.
width, height and depth, loading service height and depth,         above the standing surface.
force required to open the trunk and the vertical reach to            2) Appropriate handholds: retrofit grab handles with 30 in.
close it. Hatcher offers his top five recommendations for sales    in length and 1.25 in. in diameter.
fleet vehicles:                                                       3) Entering/exiting cab—step height: retrofit a retractable
   1) Cargo deck (floor of trunk) height should be within rec-     supplementary step.
ommended guidelines for manual material handling, 33 in. to           4) Lift gates: Provide a pendant control to operate the lift
38 in. above the standing surface.                                 gate.
   2) The cargo deck should be flush with the loading sill to         5) Rear-view camera: Ensure that vehicles are fitted with a
prevent the need to lift and clear products from the cargo         rear-view camera. Make sure the camera monitor is placed in
area. The total depth of the sill, or the horizontal reach,        an optimal viewing distance, preferably on the dashboard.
should be 18 in.                                                      for more information, click here. x
   3) A higher driver’s seat height can ease ingress/egress from
                                                                   Julia Brenner is a communications intern with ASSE. She holds a jour-
vehicle.
                                                                   nalism degree from University of Wisconsin-Madison.
   4) Check the quality of visibility to the vehicle’s exterior
when using mirrors (rearview and side) as well as when check-
ing blind spots.


                                                             7
                                                 Interface www.asse.org 2011
traininG                   By Cathy White, Cpe



Bend Me Shake Me:
Time to Teach Adults
Proper Ergonomics
                E
                 rgonomics training takes many forms, from              gram based solely on awareness is not sustainable. The
                 teaching employees correct postures to instruct-       order of ergonomics training that people in key roles
                 ing engineers about principles of design. While        play has a major impact on the ergonomics program’s
                 each training effort has different objectives, it is   success. Education and training should then follow a
           important to provide the right type of knowledge with        logical sequence in order to implement a program from
                               the desired impact for the intended      the leaders down to the employees:
  The order of ergo- audience. Training is anprogram
                               element to ergonomics
                                                          essential        •Educate senior leaders with a business case for the
                                                                        ergonomics process. The intent of this education is to
nomics training that success. The right training for the                demonstrate the value of ergonomics for the organiza-
       people in key right people will the skills and
                               organization has
                                                 ensure that your       tion to gain their sponsorship and to establish the ergo-
                                                                        nomics program’s goals.
     roles play has a methods to effectively carry out                     •Train the person or team responsible for manag-
                               key responsibilities and to achieve      ing the ergonomics program. This group will need to
    major impact on sustainable gains in the ergonomics                 gain the knowledge and skills necessary to deploy and
     the ergonomics program. providing employees
                                  Before
                                                                        sustain the ergonomics program. This group will need
                                                                        to be able to address difficult ergonomic challenges
  program’s success. with ergonomics training, the orga-                brought to them by employees and managers.
                               nization must first define the ergo-        •Educate engineers on workplace design principles.
           nomics program’s support infrastructure. Key roles to        Principles of workplace design related to manual
           define include the senior leaders of the organization,       materials handling, hand tools and seated and standing
                                                    the person or       workstations should be reviewed with guidelines for
 Figure 1 A Working Height team responsible                             appropriate heights, reaches and clearances.
                                                    for managing           •Provide training to managers who are the interface
    That Is Too Low Will                            the ergonom-        between employees and ergonomics team members.
  Force Awkward Postures ics program,                                   In their roles, they will be the most influential people
                                                    engineers who       to impact employee safe work practices and behaviors
     to Handle the Load                             design the work     and to provide assistance with the implementation
       on the Conveyor                              environment and
                                                    the managers of
                                                                        of improvements identified by the ergonomics team.
                                                                        Provide coaching to affect work practices and behav-
                                                    the workgroups      iors and to improve workplace conditions.
                                                    in the organi-         After all roles are trained, employees then need to
                                                    zation. Many        be provided with ergonomics training to prepare and
                                                    organizations       empower them to identify potential ergonomic issues
                                                    begin an ergo-      in their workplace and to adjust the workplace or their
                                                    nomics program      work practices to control the issues. If unable to con-
                                                    by providing        trol the issues, they should be taught to escalate such
                                                    general ergo-       issues to their manager.
                                                    nomics aware-          Effective employee training is essential to a sustain-
                                                    ness training to    able ergonomics program. While computer-based train-
                                                    their workgroup.    ing has its place in a learning environment, it has been
                                                    Although this       proven that interactive training based on adult learning
                                                    is simple to        principles is effective in retaining knowledge. General
                                                    implement, an       ergonomics awareness training can be complemented
                                                    ergonomics pro-     with having all employees go through an ergonomics
                                                           8
                                               Interface www.asse.org 2011
Figure 2: Example of Office                                sure they have the skills necessary to work safely.
                                                           Training is most effective when it is interactive and
   Ergonomics Brochure                                     fully involves workers. This training needs to be based
                                                           on adult learning principles to retain the information
                                                           received. Some suggestions to achieve this include:
                                                               •Provide hands-on practice when new tools, equip-
                                                           ment or procedures are introduced to the workforce.
                                                           Being trained where they work, using the objects they
                                                           typically lift and the equipment they use on the job
                                                           helps employees relate to what they are being taught,
                                                           rather than showing them a generic lifting video.
                                                               •Use several types of visual aids
                                                           of actual tasks in your workplace.
                                                           Combine the use of pictures, hand- An ergonomics bro-
                                                           outs, charts or videos. To supple-          chure can consist
                                                           ment the visual aids, you could
                                                           compile or purchase an ergonomic            of a pictorial repre-
                                                           brochure of handy tips that can be
                                                           posted at the office desk or in the
                                                                                                       sentation of proper
                                                           work area for employees to review ergonomics design
                                                           at their convenience. This increases
                                                           the likelihood that good ergonomic and can be supple-
                                                           practices will be adopted.                  mental with a writ-
                                                               •Make sure that employees have
                                                           learned what you are trying to              ten description of
                                                           teach them by having each one, or
                                                           all of them demonstrate the proper
                                                                                                       ways to control risk
                                                           operating techniques with the tools factors in that par-
                                                           before leaving the class.
assessment of their work area. This can be completed           •Follow up with learners after          ticular workplace.
as part of a team for shared work areas or by individual the training to make sure they are
for office workstations. This exercise facilitates a       able to use the proper techniques on the job.
deeper impression of ergonomics on each employee in            An ergonomics brochure can consist of a pictorial
a hands-on format.                                         representation of proper ergonomics design and can
   An administrative option often used by companies        be supplemental with a written description of ways
to address an identified high-risk task is to train the    to control risk factors in that particular workplace.
work group on the hazard of the task and to provide        For a computer workstation, information regarding
training on the appropriate way to perform the task        chair adjustments, proper working height and loca-
with a reduced likelihood of injury. Training all by       tion of items in the computer workstation environment
itself, without making changes to the workplace, is        are typical items to include in a handout. These can
often not effective in preventing injuries. If employees be posted at the computer workstation as a recurrent
are taught “proper lifting techniques” and then sent       reminder of proper work habits.
out to work under conditions that do not allow them to         Organizations that establish clearly defined roles
use these techniques, the training is of no benefit. The   and responsibilities and provide ergonomics training to
working area should be set up to allow for the proper      ensure the capability to meet these responsibilities cre-
working height for the population with reach distances ate a strong internal support infrastructure. The infra-
minimized.                                                 structure ensures that employees receive support when
   A working height that is too low will force awkward they take responsibility for improving their workplace
postures to handle the load on the conveyor. Training      and practices. By combining this infrastructure with
on proper lifting techniques will not alleviate the inher- effective employee ergonomics training, the result is a
ent design flaw in this workplace.                         strong and sustainable ergonomics program. x
   However, training is an important part of imple-        Cathy White, CPE, is an industrial hygiene and personal safety
menting changes. Showing employees how to use              specialist at the Dow Chemical Co. She holds a bachelor’s and
new equipment and explaining why it is important to        master’s degree in Industrial and Operations Engineering from
                                                           the University of Michigan. She has 11 years’ experience as an
use it properly to prevent injuries helps make sure the    ergonomics and safety professional in managing ergonomics
equipment gets used. Workers need hands-on practice        programs, conducting risk assessments and identifying controls
with new tools, equipment or work practices to make        to manage the risks.
                                                            9
                                                Interface www.asse.org 2011
sustainability                      By JessiCa ellisOn, m.s., Cpe, Csp & Danny nOu




   Integrating R                                       ecent
                                                       trends
                                                       show
                                                                   workers’ compensation costs, improve morale and have
                                                                   a variety of other positive impacts on the company’s bot-
                                                                   tom line. However, challenges, such as a lack of fund-


Ergonomics &
                                                       that more   ing, C-level (CEO, CFO, COO) attention and support
                                               companies are       and overall government legislation have undermined the
                                               focusing on sus-    effectiveness of ergonomic programs. By integrating
                                               tainability [also   ergonomics into sustainability and repackaging successes


 Sustainability
                                               known as the        from ergonomic programs, there is a huge opportunity
                                               corporate social    for ergonomic professionals to capture attention in the
                                               responsibility      boardroom. This visibility will help get programs and
                                               (CSR) initiative,   solutions funded and will bring ergonomics into strategic
                                               3P (People,         boardroom discussions resulting in a more proactive pro-
     Planet, Profit) Triple Bottom Line or 3E (Equity,             gram that will benefit employees and also the company’s
     Environment, Economy)], which emphasizes a balance            triple bottom line.
     between people, planet and profit. In addition, the work-
     place has changed, in part due to sustainability, from                          dEFining sustainaBility
     employees working from the office to working from                 To understand ergonomics’ role in sustainability, it
     home or telecommuting and how buildings are designed          is important to first understand the definition of sustain-
     so companies can create Leadership in Energy and              ability since it is often used as a catchall buzz word.
     Environmental Design (LEED)-certified buildings.              Sustainability has been defined by many people. James
        Ergonomics programs need to start thinking outside         Hagan, Ph.D., M.S., provided a concise definition at
     of the box about their value so that they leverage the        the National Ergonomics Conference and Exposition in
     momentum created by sustainability. Based on these            2008 as “Allowing future generations to have the same
     trends occurring in industry, it is evident that there is     standard of living that we enjoy while improving the
     tremendous global momentum in corporate sustainability        condition of the current generation” (NECE, 2008).
     and that ergonomics fits right into the people aspects of         The key concepts of sustainability revolve around the
     the people/planet/profit or triple bottom line.               3Ps: people, planet and profit. The first concept within
        Corporate ergonomists and ergonomic consultants            sustainability is people, which includes the ethics of
     understand the value of the work they provide to a            how workers and the community are treated. It includes
     company. They understand that they are helping reduce         ideals, such as basic human rights and avoiding child
     injuries and decrease discomfort and in the process can       labor, and labor issues, such as providing a safe work-
     improve productivity, decrease lost work days, decrease       place that minimizes safety and health hazards, valuing
                                                 10
                                      Interface www.asse.org 2011
diversity and philanthropy. On the planet portion, we see    One more example is that the IRS reported real estate
businesses taking responsibility for the lifecycle of their  savings of $585,000 for a pilot telecommuting program
products, from the raw materials to stewardship in prod-     of 150 participants (Telework Exchange, 2007).
uct use to ultimate disposal. There is also an emphasis on       Another benefit of sustainability is that companies
reducing externalities (unintended costs) and minimiz-       that practice the principles have a higher ability to recruit
ing resource use (water, electricity, gas and packaging).    and retain top-level talent for their companies. A survey
Finally, the profit section, which emphasizes jobs and       by MonsterTRAK.com shows that 92% of Generation
growth, cost reduction and green products, is shown to       Y employees (people born between 1977 and 2002)
be impacted in a positive way by using fewer resources       are more likely to work for environmentally friendly
and by creating less waste.                                  company. Also, Adecco USA’s 2008 Workplace Insight
                                                             Survey showed that Generation Y workers are willing
             sustainaBility is hErE to stay                  to sacrifice about 6% of their salary to work for a green
    Why is sustainability such an important trend for        company as opposed to a traditional one (Stika, 2010).
ergonomists? This huge and growing trend is predicted            These are just a few of the benefits that compa-
to be here for a long time because the concept of creat-     nies practicing sustainability have reported, which has
ing economic value through environmental and social          increased the popularity of sustain-
impact has come to the forefront in businesses around        ability among some of the strongest
the world. The “green” label has captivated corporate        and most successful companies
                                                                                                        This huge and
mindshare and corporate funding. On March 1, 2011,
Hedge Funds Review (2011) showed that more than
                                                             in the market today. Therefore,            growing trend is
                                                             programs that help fit within the
$13 trillion has been invested globally in socially respon- sustainability movement also have           predicted to be
sible companies that demonstrate strong sustainability
practices.
                                                             the opportunity to grow and have a
                                                             wide-ranging impact not only on the
                                                                                                        here for a long
    Investors are making an impact on the world by put-
ting money into investments listed on the Dow Jones
                                                             environment, but on their corporate        time because the
                                                             bottom line as well.
Sustainability Indexes or the FTSE4Good or by invest-                                                   concept of creat-
ing in socially responsible investment funds, like Calvert           Ergonomics’ rolE in
and Domini, who will only buy shares in socially                         sustainaBility
                                                                                                        ing economic value
responsible companies. This is impacting decisions in            Ergonomics has the ability to          through environ-
boardrooms around the world and driving change with-         show value by having a direct and
out having the stick of regulation.                          positive financial impact on a com-        mental and social
    Corporations are even restructuring to organize for
sustainability. Many Fortune 500 companies, such as
                                                             pany’s bottom line and to affect           impact has come
                                                             the lives of people to create a more
Google, Verizon and Ikea, have their own corporate sus- sustainable work environment.                   to the forefront in
tainability officers (CSOs) and/or vice president of sus-    Ergonomists need to know how to
tainability (Deutsch, 2007). The website, Green Business market their programs internally               businesses around
Views, notes that President Obama issued Executive           and to take advantage of the sustain- the world.
Order 13514, which “provides guidance to how govern- ability trend by making connec-
ment agencies are to go green…[and] the order calls for tions where they exist in both programs. Following is a
the installation of sustainability officer or committee”     description of some of these links: people, CSR reports,
(2010). The fact that sustainability is being given as       LEED certification and telecommuting programs with a
much attention as the CEO, CFO or COO speaks to the          discussion around what future links may be possible.
importance of this movement to companies and to the
likely longevity of this trend.                                                  link 1: thE PEoPlE
                                                                 The most obvious link is between ergonomics and
                BEnEFits oF sustainaBility                   the sustainability component of people. Chris Patton,
    Sustainability is not only socially responsible, it pro- a past ASSE president, has stated that, “Safety should
vides many benefits to companies that pursue and volun- be viewed as the cornerstone of the people component.
tarily commit to the movement. The first example is the In this context, sustainability means implementing and
millions of dollars that have been saved from a variety of maintaining programs that keep people safe, facilities
sustainability efforts.                                      intact, communities protected, supply chains secure and
    For example, Wal-Mart has shown that by improv-          the organization’s mission uninterrupted. Sustainable
ing the fuel efficiency of its fleet by one mile per gal-    organizations are, by definition, safe organizations,
lon, it hopes to save approximately $35 to $50 million       and we play a key role in ensuring that safety” (Patton,
(MSNBC, 2007). Alcoa has implemented an energy               2010).
reduction strategy and has already realized $20 million          Even the pure definition of ergonomics shows the
in savings (Alderton, 2008). The cost estimates saved        link between ergonomics and people. For example, the
from this procedure have led to savings in the millions.     International Ergonomics Association (IEA) defines
                                                                  11
                                                      Interface www.asse.org 2011
within an organization, and a few companies have
                                                                                      reported not only their energy efficiency and envi-
                                                                                      ronmental and philanthropy achievements, but also
                                                                                      their ergonomic and employee wellness programs to
                                                                                      increase corporate transparency and to show the link
                                                                                      between ergonomics and sustainability. CSR reporting
                                                                                      promotes socially responsible businesses to be con-
                                                                                      cerned about public interest by voluntarily eliminating
                                                                                      practices that harm human health and the environ-
                                                                                      ment, even when those practices are perfectly legal.
                                                                                          Nintendo of America reported in its CSR report
                                                                                      that it has an Ergonomic Task Force, which focuses
                                                                                      on annual training and assessment of fixed and non-
                                                                                      fixed workstations (Nintendo, 2010). Another com-
                                                                                      pany, Hormel Foods, reported in its CSR report that
                                                                                      injury prevention was a key focus in its ergonomic
                                                                                      programs and even went as far as to show the soft-
                                                                                      tissue incident rate and its steady decline year over
                                                                                      year (Hormel Foods, 2010). There are more examples,
                                                                                      but the clear message is that companies’ sustainabil-
                                                                                      ity program and ergonomic program both focus on
                                                                                      employees and their well-being.

                                                                                                    link 3: lEEd cErtiFications
                                                                                           Currently, more than 40,000 projects currently par-
                                                                                       ticipate in commercial and institutional LEED rating
                                                                                       systems, which comprise all 50 states and 117 coun-
                                                                                       tries (USGBC, 2011). Dr. Alan Hedge, director of the
                                                                                       Human Factors and Ergonomics Laboratory at Cornell
                                                                                       University, is also an IEA representative for environ-
                                                                                       mental design and a Cornell Center for Sustainable
   Safety should be     ergonomics (or human factors) as “the scientific disci-        Futures Faculty Fellow. He has already outlined a way
      viewed as the                                                                 to use ergonomics to get one point as an “Innovation in
 cornerstone of the     pline concerned with the understanding of interactions
people component.       among humans and other elements of a system and             Design” or “Innovation in Operations” credit.
In this context, sus-   the profession that applies theory, principles, data and        A good ergonomic design is one that creates and
   tainability means                                                                maintains a flexible ergonomic environment that prop-
 implementing and       methods to design to optimize human well-being and
   maintaining pro-     overall system performance. Ergonomists contribute to       erly accommodates building users and promotes healthy,
    grams that keep     the design and evaluation of tasks, jobs, products, envi-   comfortable and productive work. The requirement for
         people safe.                                                               this point involves the development and implementa-
                        ronments and systems in order to make them compatible
                        with the needs, abilities and limitations of people” (IEA   tion of “a comprehensive ergonomics strategy that will
                        2000).                                                      have a positive impact on human health and comfort
                           Some companies and organizations, such as Xerox          when performing daily activity for at least 75% of full-
                        and Univar and many others, have listed safety on their     time equivalent building users” (Cornell, 2011). In an
                        external websites stating their commitment to safety.       e-mail communication with Hedge in April 2011, he
                        Xerox says, “Xerox creates safe and efficient prod-         noted in the next version of LEED due out at the end of
                        ucts, maintains a safe workplace for our people, sup-       November 2012, that “office ergonomics is a separate
                        ports health and wellness programs and reduces injury       line item credit point in the indoor environment section
                        and exposure to hazardous materials” (Xerox, 2010).         of the rating system.” What is great for companies that
                        People’s safety is on the forefront of any good sustain-    already have an established ergonomic program is that
                        ability program protecting a company’s most valuable        they simply need to document their efforts and possibly
                        asset. Ergonomics works directly with people to help        make a few small changes in the program to be able
                        support a safe working environment that enables compa-      to qualify for this point. This is a great opportunity for
                        nies to reduce injuries.                                    ergonomists to start getting involved in the design phase
                                                                                    and to become more strategic and proactive to prevent
                                link 2: corPoratE sustainaBility                    injury rather than reactively dealing with employees
                                  rEsPonsiBility (csr) rEPorts                      once injured, as outlined in Hedge’s article on “The
                          CSR reports show the results of sustainability efforts    Sprouting of ‘Green’ Ergonomics” (Hedge, 2008). This
                                                                     12
                                                            Interface www.asse.org
point further strengthens the role of ergonomics in sup-    A possible link also exists between ergonomics and
porting sustainability initiatives and focusing on environ- “green” products for items purchased to achieve good
mental awareness.                                           ergonomics. As ergonomists, we should be aware of the
                                                            company policy and expectations and be aware of the
           link 4: tElEcommuting Programs                   environmental impact we make when recommending
    Telecommuting is often a centerpiece of corporate       products.
sustainability programs. CNN Money’s report on “The             Another possible link is to lean manufacturing, ergo-
Best 100 Companies to Work for” showed that 82% of          nomics and sustainability. Ergonomics can improve
these companies allow employees to telecommute at           cycle time and lean metrics, which in turn drives
least 20% of their time with the top 5 companies hav-       improved safety and profit. Some great technologies are
ing 80% to 86% regular telecommuters (CNN Money,            also available on the market today to help streamline
2011). These programs have shown to reduce the carbon the efficiency of ergonomic and sustainability programs,
footprint of companies and to increase productivity at the such as Remedy Interactive and Hara. In the future, there
same time.                                                  may be an opportunity to bring these two technologies
    The disadvantage to telecommuting is that the ergo-     together into one platform for ease of use, reporting and
nomic risks for computer-based employees are the same communication.
as the risks found when employees work from the cor-            For example, the tool may be able to help home office
porate office. Many companies have not established a        workers set up their workstation ergonomically and help
system to address ergonomic concerns or are struggling      capture the true carbon footprint of
with a cost-effective method to address ergonomics          the company by collecting data on
in remote and home offices. However, workers’ com-          the number of commute miles saved Ergonomics initia-
pensation and OSHA/European Union regulations still
apply when working outside of the corporate office so
                                                            and energy and water use and may         tives have many
                                                            influence sustainable practices in the
it is important for companies to establish programs that    home.                                    parallels with sus-
address ergonomics in telecommuting programs. Many
agencies and groups already recommend that ergonom-                       conclusion                 tainability goals
ics be included in the telecommuting policy, such as
EPA, Telecommute Connecticut!, Microsoft Business,
                                                                In summary, ergonomics initia-
                                                            tives have many parallels with sus-
                                                                                                     and can function
City and County of San Francisco and many others.           tainability goals and can function       effectively as an
                                                            effectively as an integrated program
            link 5: Ergonomic associations                  rather than two distinct programs.       integrated program
    The last point is that ergonomic associations, such     Ergonomists should start by making rather than two
as the Human Factors and Ergonomics Society (HFES)          an effort to find out who leads sus-
and IEA already see the link between ergonomics and         tainability at their company. Start by distinct programs.
sustainability and have established groups dedicated to     making an introduction, sharing this
the integration of ergonomics into environmental design. article with them and discussing possible common goals.
According to HFES’s website, the overall objective of       You might find that some of these links will be intrigu-
HFES’s Environmental Design Technical Group is “to          ing to sustainability leaders, and they will be interested
foster and encourage the integration of ergonomic prin-     in anything that will help support their goals as well. The
ciples into the design of all built environments” (HFES, industry is changing to a “greener” world, and sustain-
2011). IEA’s Human Factors and Sustainable Develop-         ability offers a huge opportunity for ergonomists to assist
ment Technical Committee intends “to build a powerful sustainability efforts and to reap the benefits of being
global network of experts in the fields of ergonomics/      allied with such a strong and well-funded movement.
human factors and sustainability” (IEA, 2011). The goal         The authors would love to hear about further ideas
is to again bring ergonomics out of the reactionary mode readers may have on future links and thoughts on this
and into the design stages of projects to reduce or elimi- article. Please feel free to contact them with any ques-
nate risk prior to construction.                            tions or comments. x
                      FuturE links                                                rEFErEncEs
   This seems to just be the beginning of the link             Alderton, M. (2008). The ROI of sustainability.
between ergonomics and sustainability. Other ideas          Retrieved May 31, 2011, from http://www.greenbiz.com/
where the link could be made include employee recruit-      blog/2008/08/24/roi-sustainability.
ment and retention. It seems like a clear connection           CNN Money. (2011). Best benefits: Telecommuting.
could be made with recruitment and retention if employ-     Retrieved May 13, 2011, from http://money.cnn.com/
ees were offered comfortable workstations designed          magazines/fortune/bestcompanies/2011/benefits/telecom-
with ergonomic principles in mind. Why not offer this       muting.html.
as a benefit and publish the information in the CSR            Cornell University Ergonomics Web. (2011). “Green”
report and on the benefits page of the corporate website?   ergonomics requirements worksheets and survey.
                                                                 13
                                                        Interface www.asse.org
Retrieved May 13, 2011, from http://ergo.human.cornell.   2011, from http://www.npr.org/templates/story/story.
edu/cuergoUSGBC.html.                                     php?storyId=129406588.
   Deutsch, C.H. (2007, Jul. 3). Companies giving green       Nintendo. (2010). Nintendo corporate social responsi-
an office. Retrieved May 13, 2011, from http://www.       bility report. Retrieved May 13, 2011, from http://www.
nytimes.com/2007/07/03/business/03sustain.html.           nintendo.com/corp/csr/index.jsp.
   Green Business Views. (2010). The most secure              Patton, C. (2010). ASSE president’s blog:
green job in America. Retrieved May 13, 2011, from        Sustainability and safety. Retrieved May 13, 2011, from
http://www.greenbusinessviews.com/?tag=corporate-         http://assepresident.blogspot.com/2009/12/sustainability-
sustainability-officer.                                   safety.html.
   Hedge Funds Review. (2011). Ethical investment             Stika, N. (2010). Sustainability drives recruitment and
hits $11 trillion. Retrieved May 13, 2011, from http://   retention. Retrieved May 13, 2011, from http://www.
www.hedgefundsreview.com/hedge-funds-review/              cosemindspring.com/Topics/Sustainability/Greening%20
news/2028493/ethical-investment-hits-usd11-trillion.      Your%20Business/Sustainability%20Drives%20
   Hedge, A. (2008, Dec.). The sprouting of “green”       Recruitment%20and%20Retention.aspx.
ergonomics. Retrieved May 13, 2011, from http://ergo.         Telework Exchange. (2007). Resource center, success
human.cornell.edu/cuergoUSGBC.html.                       stories. Retrieved May 13, 2011, from http://archive.tele-
   Hormel Foods. (2010). 2010 Hormel Foods corporate      workexchange.com/resource-center-case-studies.asp.
responsibility report. Retrieved May 13, 2011, from           U.S. Green Building Council. (2011). List of top 10
http://2010csr.hormelfoods.com/.                          states for LEED green buildings released. Retrieved
   Human Factors and Ergonomics Society (HFES).           May 13, 2011, from http://www.usgbc.org/Docs/News/
(2011). Environmental design technical group.             List%20of%20Top%20Ten%20States%20for%20
Retrieved May 13, 2011, from http://www.hfes.org/web/     LEED%202011.pdf.
TechnicalGroups/EDTG.pdf.                                     Xerox. (2010). The 2010 report on global citizenship.
   International Ergonomics Association (IEA). (2000).    Retrieved May 13, 2011, from http://www.xerox.com/
What is ergonomics? Retrieved May 13, 2011, from          about-xerox/citizenship/enus.html.
http://www.iea.cc/01_what/What%20is%20Ergonomics.         Jessica Ellison, M.S., CPE, CSP, is a member of ASSE’s San
html.                                                     Francisco Chapter and incoming chapter secretary. She is a
   IEA. (2011). Human factors and sustainable develop-    principal consultant at Environmental and Occupational Risk
ment. Retrieved May 13, 2011, from http://www.iea.cc/     Management, a consulting firm headquartered in San Jose, CA.
browse.php?contID=hf_and_sustainable_dev.                 She holds an M.S. in Biomedical Engineering (Biomechanics)
                                                          from the University of California-Davis and has extensive experi-
   MSNBC. (2007). Wal-Mart on track to cut truck fuel     ence in analyzing and implementing effective solutions for office,
use by 25%. Retrieved May 13, 2011, from http://www.      laboratory and manufacturing environments.
msnbc.msn.com/id/19810648/.
                                                          Danny Nou is an Ergonomics Specialist for Environmental and
   National Ergonomics Conference and Exposition.         Occupational Risk Management in Laguna Hills, CA. He was
(2008). The role of ergonomics in green design and sus-   a lead biomechanics researcher in the biomedical engineering
tainability. Keynote speech delivered on Dec. 5, 2009.    department at Hokkaido University. Nou holds B.S. and M.S
   National Public Radio. (2010). Outsourced call         degrees in Biological Systems Engineering from the University of
centers return, to U.S. homes. Retrieved March 1,         California-Davis.




                                      The Future of EPS

  A   SSE and the Ergonomics Practice Specialty
      (EPS) would like to thank the following mem-
  bers who have volunteered to serve on the advi-
                                                             • embership
                                                              M
                                                              Development: Scott
                                                              Valorose
  sory committee for 2011-12. We thank you all for           •Nominations: Open
  your time and dedication to EPS and to the safety          •Web: Open
  community.                                                 • pecialProjects:
                                                              S
    •Administrator: Jeremy Harris                             Open
    •Assistant Administrator: David Brodie                   If you would like to
    •Publication Coordinator: Walt rostykus               get more involved and
    •Awards  Honors: Pam Perrich                         work with this great
    •Body of Knowledge: Cindy roth                        group of volunteers,
    •Conferences  Seminars: Lawrence Schulze             click here.
   Ben Amick


                                           14
                                  Interface www.asse.org
obEsity                        By Winnie iP, Cpe



The Growing Problem
in Ergonomics: Obesity
T
       he prevalence of obesity in the U.S. continues
       to climb, exceeding 30% in most gender and
                                                                              Figure 1 BMI Chart With
       age groups. Over the past decade, medical costs                         Classification Systems
       associated with obesity have also sky-rocketed
and are now $147 billion annually, representing almost
10% of all medical spending (CDC, 2009).
   Much of these costs are due to the fact that obesity
(defined as a body mass index (BMI) of greater than
30, CDC) is also a risk factor for a variety of chronic
conditions, including diabetes, hypertension, heart
disease and arthritis. So what does this mean from an
ergonomist’s perspective? It means we cannot continue
to ignore this issue and act like it is the “elephant in the
room.” Ergonomics can actually have a positive impact
on addressing issues that obese and bariatric individu-
als may face in the workplace, in addition to the grow-
ing number of injuries that healthcare providers face in
terms of safe patient handling with a larger population.

               Body mass indEx (Bmi)
   BMI stems from the Quetelet Index, which was
originally developed between 1830 and 1850 by
Adolphe Quetelet, a Belgian mathematician/statistician.
BMI is calculated using the individual’s body weight
divided by the square of his or her height (unit of mea-
sure kg/m2). BMI can also be determined using a BMI
chart (Figure 1), which displays BMI as a function of          Source: WHO, 2011
weight (horizontal axis) and height (vertical axis) using
contour lines for different values of BMI or colors for        prevalence of obesity less than 20% (CDC, 2009).
different BMI categories.                                      Thirty-three states had prevalence equal to or greater
   Several government and health organizations use             than 25%; nine of these states (Alabama, Arkansas,
BMI to classify individuals as “overweight” and                Kentucky, Louisiana, Mississippi, Missouri, Oklahoma,
“obese” in adult populations (CDC, National Institutes         Tennessee and West Virginia) had a prevalence of obe-
of Health, WHO). BMI categories can vary from coun-            sity equal to or greater than 30% (CDC, 2009). Figure
try to country; however, in 1998, the U.S. National            2 shows the shift in U.S. obesity prevalence from 1985
Institutes of Health aligned BMI categories with those         to 2009.
defined by the World Health Organization (WHO).
   The World Health Organization 2008 projections                       Bmi    as an indicator For    oBEsity:
indicate that globally:                                                          a good mEasurE?
   •approximately 1.5 billion adults, over the age of 20,         The popularity of using BMI as an indicator for obe-
were overweight;                                               sity stems from research conducted in the 1970s. Keys,
   •of these, more than 200 million men and nearly 300         et al. (1972) found BMI to be the “best proxy for body
million women were obese;                                      fat percentage among ratios of weight and height”
   •WHO further projects that by 2015, approximately           and explicitly cited BMI as appropriate for popula-
2.3 billion adults will be overweight and more than 700        tion studies and inappropriate for individual diagnosis.
million will be obese.                                         However, due to the simplicity of the equation, BMI
   During the past two decades, there has been a               has since become the “norm” to measure a person’s
marked increase in obesity in the U.S. In 2009,                “fatness” or “thinness” and has been widely adopted in
only Colorado and the District of Columbia had a               individual diagnoses.
                                                                   15
                                                       Interface www.asse.org 2011
Table 1                                                                 which is a clear indicator of obesity
                                                                                                 level.
             BMI Categories  Sample Weights                                                         —It makes no allowance for
                                                                                                 the relative proportions of bone,
                         BMI Range                 Weight of a 5 ft 11 in Person With            muscle and fat in the body.
  Category
                         (kg/m2)                   This BMI                                          —A high BMI does not mean
                                                                                                 an individual is even overweight,
  Severely
                         less than 16.0            Less than 118 lbs                             let alone obese. It could mean the
  underweight
                                                                                                 person is fit and healthy, with very
  Underweight            from 16.0 to 18.5         Between 118 and 132 lbs                       little fat.
  Normal                 from 18.5 to 25           Between 130 and 178 lbs                           •Science Daily: “BMI Not
                                                                                                 Accurate Indicator of Body Fat,
  Overweight             from 25 to 30             Between 180 and 214 lbs                       New Research Suggests” (2007)
  Obese Class I          from 30 to 35             Between 210 and 249 lbs                           —Article based on research
                                                                                                 published in the official journal of
  Obese Class II         from 35 to 40             Between 250 and 286 lbs                       the American College of Sports
  Obese Class III        over 40                   Over 290 lbs                                  Medicine.
                                                                                                     —A research team from
Source: WHO, 2011                                                                                Michigan State University and
                     In more recent years, BMI has come under scru-                            Saginaw Valley State University
                  tiny and is a controversial topic among researchers       measured the BMI of more than 400 college students—
                  and health care professionals. Sample articles and key    some of whom were athletes and some not—and found
                  points include:                                           that in most cases, the student’s BMI did not accurately
                     •CNN Health: “Can Neck Measure Indicate Body           reflect his or her percentage of body fat.
                                      Fat Better Than BMI?” (2010)             —BMI does not distinguish between body fat and
     The environment                     —Article based on research by      muscle mass.
                                      Olubukola, et al. (2010) published
    may also have an in the journal Pediatrics.                                             causEs  consEquEncEs
                                         —A wide neck circumference
   impact on obesity. is associated with obesity-related                                            oF oBEsity
                                                                               The primary cause of obesity and being overweight
People interact with conditions, such as sleep apnea,                       is an imbalance between calories consumed and calo-
                                      diabetes and hypertension. Neck
      several different circumference has been explored ries expended (WHO, 2009).attributable to many fac-
                                                                            (2009), global increases are
                                                                                                             According to WHO

     environments. In in studies for potential obesity and tors, including:
                                      heart problems in adults.                •a global shift in diet toward increased intake of
    the home, people —One of BMI’s shortcomings is energy-dense foods that are high in fat and sugars, but
    may choose to do that it “does not accurately define low in vitamins, minerals and other micronutrients; and
                                      central body fatness.”                   •a trend toward decreased physical activity due to
      activities that do —Studies have shown that                           the increasingly sedentary nature of many forms of
    not lead to caloric regionalthe midsection,collected a
                                      around
                                                adiposity, fat
                                                               is often
                                                                            work, changing modes of transportation and increasing
                                                                            urbanization.
    expenditure, such good indicator for obesity-related                       The environment may also have an impact on obe-
                                      complications, including hyperten- sity. People interact with several different environ-
  as watching televi- sion, diabetes and heart disease.                     ments. In the home, people may choose to do activities
 sion and other sed- The correlation high neckregional that do not lead to caloric expenditure, such as watch-
                                      adiposity and a
                                                       between
                                                                  circum-   ing television and other sedentary behaviors. Schools
     entary behaviors. ference was found to be strong.                      also impact children; they dictate lunch menus and
                                         •National Public Radio: “Top 10 how much physical activity children get throughout the
                  Reasons Why the BMI is Bogus” (2009.)                     day. The type of work that a person does may affect
                     —Keith Devlin of Stanford University suggests any      the amount of physical activity, for instance, sitting
                  obesity findings based on BMI should be taken with a      expends less than 720 calories over 8 hours, whereas
                  grain of salt.                                            heavy work, such as construction, can expend around
                     —Quetelet said explicitly that it could not and        2,400 to 3,600 calories over 8 hours (Sanders, 1993).
                  should not be used to indicate the level of fatness in an Finally, the community may affect people’s choices
                  individual.                                               about exercise and food. The availability of nutritious
                     —There is no physiological reason to square a per-     low-calorie food will influence the type of diet avail-
                  son’s height in BMI. Moreover, it ignores waist size,     able for an individual.
                                                              16
                                                   Interface www.asse.org 2011
Genes may also play a role in obesity. Some scien-       to 22%), shoulder adduction (~36 to 39%), trunk exten-
                    tific evidence indicates that people may have a higher       sion (22%) and trunk lateral flexion (~18 to 20%).
                    risk of becoming obese based on their family history            A person’s abdomen may also be an obstruction,
                    (CDC, 2009). Many studies have been done on obese            thereby limiting the reach distance at a work surface.
                    populations and obese families. In general, these            This could also influence working postures. Because of
                    studies have shown that a sizable portion of weight          the limited reach envelope, the individual may need to
                    variation can be explained because of genetic factors.       compensate with other parts of their body (e.g., shoul-
                    Narrowing these factors is the current challenge for         der abduction, trunk flexion). It is important to note
                    researchers and scientists.                                  that these limitations exist for both seated and standing
                        People classified as overweight or obese face many       workstations.
                    health consequences. Scientists have produced the first
                    direct evidence that fat accelerates aging. Valdes, et al.                          Physiology
                    (2005) found that obesity (BMI  30) adds the equiva-           Excess fat increases the oxygen requirements
                    lent of nearly 9 years of age to a person’s body. This       for any given task performed (Wood, et al., 2010).
                    can begin to explain why obese children are develop-         Therefore, there is a larger physiological deficit
                    ing adult-onset Type 2 diabetes between ages 10 and          for those who are overweight or obese. This may
                    19 (as opposed to age 45 which has been the norm).           reduce the endurance time for this segment of work-
                    Other health consequences include:                           ers. Fatigued workers may show increases in quality
                        •coronary heart disease;                                 defects or lower production rates. Resting heart rates
                        •type 2 diabetes;                                        are also higher for obese individuals, which can affect
                        •certain cancers (endometrial, breast and colon);        physical work capacity. It can also lead to adverse car-
                        •hypertension;                                           diac outcomes in the long run, such as heart disease.
                        •dyslipidemia (high cholesterol, high triglycerides);
                        •stroke;                                                                      kEy workPlacE
                        •liver and gallbladder disease;                                              dEsign guidElinEs
                        •sleep apnea and respiratory problems;                      We can take a proactive approach to address some
                        •osteoarthritis;                                         of the particular challenges obese workers face by
                        •gynecological problems (abnormal menses,                keeping in mind the following design guidelines:
                    infertility).
                                                                                    •Keep things close. For obese individuals, keeping
                              Physiological EFFEcts oF                           things close (i.e., within arm’s reach) becomes even
                            oBE Range of Motion (ROM)                            more important since excess body weight can increase
                   Obesity depending on the level and distribution of            the forces and loads placed on the spine. Design worksta-
                adipose tissue can affect range of motion (Park, et al.,         tions and processes to ensure that items are placed within
                2010). Overweight and obese individuals do not have              16” from the edge of the work surface. If items must be
                as much flexibility in their hips or in their back. This         placed further than the recommended 16”, minimize the
                means that obese individuals may have more trouble               time spent in sustained postures at this distance.
                reaching objects. Park, et al. (2010) found significant             •Keep it in the comfort zone. Obese individuals are
                differences between obese and non-obese groups;                  more prone to back and knee injuries from excess body
                decreased range of motion for shoulder extension (~20            weight so keeping all work tasks within the comfort


                                                   Figure 2
                                 U.S. Obesity Prevalence in 1985 Versus 2009
Source: CDC, 2009




                                                                                     17
                                                                         Interface www.asse.org 2011
Interface (Vol 1 No 3)
Interface (Vol 1 No 3)
Interface (Vol 1 No 3)
Interface (Vol 1 No 3)
Interface (Vol 1 No 3)
Interface (Vol 1 No 3)
Interface (Vol 1 No 3)
Interface (Vol 1 No 3)
Interface (Vol 1 No 3)
Interface (Vol 1 No 3)

More Related Content

Viewers also liked (17)

Mapa Conceptual
Mapa ConceptualMapa Conceptual
Mapa Conceptual
 
Seasonal work in Italy
Seasonal work in ItalySeasonal work in Italy
Seasonal work in Italy
 
TEXTO - Hand Tools
TEXTO - Hand ToolsTEXTO - Hand Tools
TEXTO - Hand Tools
 
Alfredo-PUMEX
Alfredo-PUMEXAlfredo-PUMEX
Alfredo-PUMEX
 
Iskra credentials
Iskra credentials Iskra credentials
Iskra credentials
 
CamdenGroup
CamdenGroupCamdenGroup
CamdenGroup
 
Vegan Catering For All
Vegan Catering For AllVegan Catering For All
Vegan Catering For All
 
Apresentação TMC Transformers
Apresentação TMC TransformersApresentação TMC Transformers
Apresentação TMC Transformers
 
GO
GOGO
GO
 
Perian madalin
Perian madalinPerian madalin
Perian madalin
 
Implémentation d'openvpn
Implémentation d'openvpnImplémentation d'openvpn
Implémentation d'openvpn
 
International business unit7
International business unit7International business unit7
International business unit7
 
Products Neonclass
Products NeonclassProducts Neonclass
Products Neonclass
 
Newsletter electrical july 2004
Newsletter electrical july 2004Newsletter electrical july 2004
Newsletter electrical july 2004
 
Community Resources
Community ResourcesCommunity Resources
Community Resources
 
Transformers
TransformersTransformers
Transformers
 
Diffusion of Mobile Devices in Education
Diffusion of Mobile Devices in EducationDiffusion of Mobile Devices in Education
Diffusion of Mobile Devices in Education
 

Interface (Vol 1 No 3)

  • 1. A TechnicAl PublicATion of ASSe’S ergonomicS PrAcTice SPeciAlTy Volume 1 number 3 PAGE 4 ASSE The Next 100 Years D PAGE 8 TRAINING Proper Ergonomics D PAGE 10 ERGONOMICS From Nothing to Integrating Ergonomics & Sustainability D Best Practice Establishment of an PAGE 19 INJURIES Patient Care Ergonomics Ergonomics Program for HTSI-COS D By Keith OsbOrne A fter retiring from the workplace musculoskeletal disorders Army after 25 years of (WMSDs) each month and no real For a complete service, I was hired by We have estab- process to help lessen or eliminate Table of Contents Honeywell Technology lished an ergo- this trend. see page 3 Solutions Inc.-Colorado nomics/well- This level continued through 2004 ness lab in our Springs (HTSI-COS) and began building, and until HTSI-COS chose to become work in the facilities department. several safety an OSHA Voluntary Protection When I first arrived in 2003, no professionals Program (VPP) member. One of the from around key elements of inclusion was an ergonomics program was available the Colorado to employees to assess or correct Springs area ergonomics program with additional deficiencies in their workstations have toured emphasis on health and wellness our facility. initiatives within the company. With or in their processes. Over the next few years, our company saw five the support of our management team to seven complaints of potential continued on page 24 1 Interface www.asse.org 2011
  • 2. administrator’s mEssaGE Another Great Year Ergonomics PracticE sPEcialty OffICErS Administrator A Jeremy Harris s we recognize another National (847) 277-4385 Ergonomics Month, I find it hard to believe jeremy.j.harris@ge.com that a year has gone by since we became Assistant Administrator a practice specialty. The Ergonomics DaviD BroDie (919) 368-1129 Practice Specialty continues to grow slowly, and david_brodie@cargill.com we remain very active: we enhanced our newslet- Publication Coordinator ter to meet standards as a practice specialty, rec- Walt rostykus ognized our first Safety Professional of the Year, (503) 680-6521 wrostykus@humantech.com sponsored speakers for concurrent sessions at Jeremy Harris Safety 2011 in Chicago, solicited several speakers ASSE STAff for Safety 2012 in Denver and launched fundrais- Staff Liaison krista sonneson ing efforts to offer a scholarship for our members. (847) 768-3436 It truly has been a remarkable year! I look forward ksonneson@asse.org to another great year. x Communications Specialist JolinDa Cappello jcappello@asse.org Publication Design susan Carlson scarlson@asse.org Ergonomics Practice Specialty Resources Interface is a publication of ASSE’s Ergonomics Practice Specialty, 1800 East Oakton St., Des Plaines, IL 60018, and is dis- Mentoring Services •Topic suggestions and interview tributed free of charge to members of the •Members Only (click Mentor requests Ergonomics Practice Specialty. The opinions Contacts) expressed in articles herein are those of the •ASSE staff Educational Resources author(s) and are not necessarily those of •EPS website ASSE. Technical accuracy is the responsibility Job Search Assistance •SH&E Standards Digest of the author(s). Send address changes to the •Nexsteps •Special Issues & Best of the Best address above; fax to (847) 768-3434; or send •Local ASSE chapter Publication via e-mail to customerservice@asse.org. •Key Issues publication Career Resources Advertising policy •Interviews . . . Whereas there is evidence that products •ASSE’s Career Resources LinkedIn site used in safety and health programs, or by the •Business of Safety Committee •Career Resource Center public in general, may in themselves present •Nanotechnology Support Site hazards; and Whereas, commercial advertising Networking •Webinars of products may not depict the procedures or requirements for their safe use, or may depict •LinkedIn •Facebook Standards their use in some unsafe manner . . . the Board of Directors of ASSE directs staff to see •ANSI/ASSE SH&E Standards Informa- •ASSE’s social media sites that advertising in Society publications is war- tion Center ranted and certified by the advertiser prior to Technical Questions/Advice •New standards publication, to assure that products show evi- dence of having been reviewed or examined •24/7 online question submission form •ASSE’s Standards Development for safety and health problems, and that no •Ergonomics Practice Specialty’s (EPS) Committee unsafe use and/or procedures are shown and/ Volunteer Advisory Committee *Click any of the bulleted items to access or described in the addvertising. Such require- ments and acceptance of advertising by ASSE linked content. Publication Opportunities shall not be considered an endorsement or approval in any way of such products for any •Article submissions (earn COCs and win purpose. ASSE may reject or refuse any adver- a cash prize if you are the top article) tisement for any reason ASSE deems proper. 2 Interface www.asse.org 2011
  • 3. contEnts Volume 1 • Number 3 PAGE 1 From nothing to BEst PracticE d By Keith Osborne PAGE 15 The author explains how Honeywell Technology Solutions Inc.- thE growing Colorado Springs improved not only its safety program, but also its ergonomics program and health and wellness initiatives. ProBlEm in Ergonomics: PAGE 7 Ergonomics For sElEcting oBEsity FlEEt & sErvicE vEhiclEs By Winnie Ip By Julia Brenner In traditional ergonomics programs, the primary goal is to adapt the workplace Humantech management consultants Kent Hatcher and Deepesh and tools to the capabilities of people. Desai have researched ways to improve the ergonomics of fleet This goal does not change when consid- and service vehicles. ering obese workers. d PAGE 19 PatiEnt carE Ergonomics By Mary Willa Matz Manual patient handling is the primary reason for PAGE 8 BEnd mE shakE mE: musculoskeletal timE to tEach adults injuries in patient care providers, and ProPEr Ergonomics the understanding of the impact of By Cathy White patient handling on the body leads to a Training is an essential element to ergonomics program success. clear understanding why this is so. The right training for the right people will ensure that your orga- nization has the skills and methods to effectively carry out key responsibilities and to achieve sustainable gains in the ergonomics program. PAGE 10 intEgrating Ergonomics & sustainaBility By Jessica Ellison & Danny Nou Ergonomics initiatives have many parallels with sustainability goals and can function effectively as an integrated program rather than as two distinct programs. connecTion Key Click on these icons for immediate access or bonus information V Video W Website P PDF l Hot Link Ad Ad Link d Direct Link 3 Interface www.asse.org 2011
  • 4. announcEmEnts By GeOrGe PearsOn, CSP, ARM The Next 100 Years A s we now begin our second century, ASSE branches, but also from still faces future challenges in improving the the Society at large. safety community. However, coming out of our There is also a value 100th-anniversary Professional Development proposition here in that Conference, I see many positive signs that indicate we employers with effec- have a very bright future. As the world’s oldest profes- tive health and well- sional society dedicated to protecting people, property ness programs have and the environment, there are many heartening indica- lower healthcare and tors, many of which come from our Council. In fact, workers’ compensation I am very optimistic, as we are poised for the next costs. hundred years, that our ability to support our growing Growth in the membership is strong. Common Interest We are fortunate our Society is vital and growth Groups (CIGs) has continues as we come out of the economic recession. been exceptional and beyond expectations. With 5,085 Even more encouraging is that membership retention members belonging to one or more of our four com- has increased 5 basis points from mon interest groups, our CIGs are among the most Volunteer mem- 87% last year to 92% this year. This active committees in the Society. Safety Professionals and the Latino Workforce (SPALW) continues its bers and temporary proves safety professionals realize the value in ASSE membership, and outreach into Latin America with activity in Mexico workers assisted we are primed for greater progress. and Ecuador and plans to expand that into Panama, As economic times improve, our Columbia, Brazil and Argentina. Women in Safety with the BOK proj- nation’s industry base expands and Engineering (WISE) is completing its publication ect this summer. the global economy gains momen- honoring 100 women in safety. Young Professionals in SH&E (YP) has enjoyed additional memberships as tum. Being in a Society leadership With the growth in role, I look forward to the introduc- graduating student members become regular members. Blacks in Safety Engineering (BISE) has continued to membership, it is tionareas of globalopportunities inof the of additional growth, value grow and was able to award a scholarship at this year’s possible to the profession and fruition of our conference. The BOK project is on schedule. Keywords have accelerate the Body of Knowledge (BOK) project. Membership in the practice spe- been finalized. More than 1,000 keywords have project schedule cialties and branches has grown been submitted for inclusion and more are to come. Volunteer members and temporary workers assisted in parallel to the Society, and we and quantity of have every reason to believe that with the BOK project this summer. With the growth in membership, it is possible to accelerate the project available content. we will continue to grow through additional membership and partici- schedule and quantity of available content. pation opportunities. As of May 2011, we had 21,111 Looking forward to the next 100 years, I am posi- practice specialty members and 2,180 branch members. tive about COPS’s and the Society’s future. Dr. Darryl The Health & Wellness Branch was approved at the Hill, our departing Society president, reported in a Council on Practices and Standards (COPS) meet- farewell message to the Board, “Keep your goals very ing held at Safety 2011 and should contribute to our high, have a balance and enjoy your family. The future growth. The Health & Wellness Branch will create is bright.” x awareness and will educate its members to help shape attitudes and beliefs, thinking and behavior through a proactive, holistic approach to employee well-being, not just freedom from disease. This refers to an active process that aims to build and enhance an organiza- tion’s employee population, promoting habits and George W. Pearson, CSP, ARM behaviors that optimize health, social and emotional Vice President, ASSE Council on well-being. Two things will contribute to the Branch’s Practices & Standards (COPS) success: we are thinking outside the box by going beyond traditional ASSE boundaries, and we can draw new members not just from practice specialties and 4 Interface www.asse.org 2011
  • 5. ASSE body of knowlEdgE New Member benefit! your source for sH&e answers and solutions Get started today visit www.safetybok.org
  • 6. Welcome New Members! •Aleece Foxx •Christopher Gates W e want to thank everyone who has remained a loyal member of the Ergonomics Practice Specialty (EPS) and wel- •Maureen Gillis, Siemens Healthcare Diagnostics •Christopher Gongora, Diagnostic Laboratory come the following members who recently Services Inc. joined. We are currently at 438 members and •George Gough, Occidental of Elk Hills Inc. growing. If you have any colleagues who might •George Gruetzmacher, Wisconsin State Laboratory be interested in joining EPS, please contact of Hygiene Krista Sonneson to request an information •Alejo Habal, New Safety Index packet. If you know anyone who might be •Jon Hamill, Oxy USA interested in joining ASSE, please contact •David Hanson customer service. •Saundra Harris •Henry Ho •Richard Hofman •Katery Alfaro •Susan Holland •Robert Allen, Walt Disney Co. Worldwide Safety •Randy Huff, Ingersoll Rand •Brent Altemose, Sabre Health & Safety •Dana Hughes-Dawsey, Caterpillar Inc. •Manny Alviso, United Stationers Inc. •Wael Jamaan, Saudi Aramco •Joyce Anderson, Compliance Specialties Inc. •Miriam Joffe, Auburn Engineers •Mary Anderson, Honeywell International •Gwendolyn Arps, AON •Joseph Jones •Susan Barriball •James Kennedy, Alaska Fisheries Science Center •Felicia Beaulieu, Marine Corps, Quantico MCB, •Deepa Kundadka Safety Division •Bruce Lambert, B.A. Lambert Workplace •Raymond Blanco Performance •Eric Blankenheim, Blankenheim Services •Diane Lancon, NW Natural Gas •Vickie Brewster, Mike Monroney •Melanie Langlais Aeronautical Center •Michael Lim, Pacific Gas & Electric Co. •Raymond Brown, IESA LLC •Bernie Lynch •Cathy Burch, Frontier Pro Services •Brian Manges •Patrick Carley, American International College •Paul Marchand, APC by Schneider Electric •Allen Coppolo, Doncasters Inc. •Michael Mariscalco, QEI Engineers Inc. •Keith Crumpton, Lone Peak Conservation Center •Jenna Marshall •Robert Debner •Etta Mason, Southern California Edison •Michael Domingo Cruz, Pride Industries •Dean Maudlin, Just Ergonomics LLC •Kelly Doughty, Chevron •Ruth McCafferty •Sharon DuBois, Skagit County Risk Management •Kellie McNeil •Phan Duong-Ngo •Allison McPhee, Genzyme •David Ewanick •Danny Meekins, Ellwood Texas Forge Navasota •Suljo Fermic •Larry Mendoza, Howard Hughes Medical Institute •Lloyd Fischel —JFRC 6 Interface www.asse.org 2011
  • 7. •Mark Mitchell, Alaska Railroad Corp. •Eric Schultz •Lee Mooney, Amgen •Lawrence J. Schulze, University of Houston •Brian Murphy, BRS Inc. •Judy Sehnal, Hartford •Paul Myers •Albert Shaw, Honeywell International •James Newberry, Island Insurance Co. Ltd. •Tom Stallings, ABB Power T&D •Daniel O’Farrell, EA Engineering •Edmund Sullivan, Middlebury College Science & Technology •Scott Swanson •Kay Parker Paul •Linda Tapp •Robb Patterson, Pfizer •Philip Taylor, Chevron Products Co. •Ellen Rader Smith, Ergo & Rehab Services •James Thatcher, EnCana Oil & Gas •Steven Ramiza, LAN Associates Inc. •Robert Thomas, Auburn University •Charles Raymond, Gray Insurance Co. •Jimmie Tullis •Deborah Read, ErgoFit Consulting Inc. •Walter Urbanski, Lafarge NA •Susan Reinhardt •Alan Weikert •Ian Renteria, Avon •Stephen Wolszczenski, Pepperidge Farms •June Robinson, Battelle Toxicology NW •Pamela Yates •Peggy Ross •Kristi Young, BP x •Karri Russ, Florida Power & Light Ergonomics for Selecting Fleet & Service Vehicles By Julia brenner W hen your workplace is a vehicle, ergonomics matter most. Humantech management consultants Kent Hatcher and Deepesh Desai have researched ways to improve the ergo- 5) Presence of full controls on the steering wheel optimizes driver attentiveness on the road and reduces reaches to the console. nomics of these atypical “offices” so that they do not get left To effectively retrofit vehicles, Desai suggests assessing the on the side of the road. risks already present and then developing viable and cost- Anthropometry, or the measurement of the size, weight effective solutions to create a business case for implementing and proportions of a human, is important to consider when them across all vehicles. Because thousands of vehicles are selecting fleet and service vehicles, Hatcher says. If a 4’11” already in circulation, a company should start by gaining sup- female and a 6’6” male do the same job, then the vehicle port from top management and by establishing a loss preven- must accommodate both body types. This requires adjust- tion plan and goals. from there, it can prioritize ergonomic able features and designing for extremes. The general rule of issues through workplace ergonomic risk assessments, develop thumb, he says, is to design large for any clearances and small short-term and long-term improvement plans and then imple- for any reaches. When designing space for head room, for ment short-term improvements. “Test it and tweak it,” Desai example, design for the large male. When designing the verti- says. “You do not want to do it all and realize that you have cal reach to close the trunk, design for the small female. made a mistake.” Desai offers his top five recommendations The analysis of a vehicle should focus on manual material for field service and delivery vehicles: handling and interior comfort and posture, Hatcher adds. 1) Product storage: Position heavier, more frequently Manual material handling includes features like interior trunk handled items in the comfort zone, between 38 in. and 49 in. width, height and depth, loading service height and depth, above the standing surface. force required to open the trunk and the vertical reach to 2) Appropriate handholds: retrofit grab handles with 30 in. close it. Hatcher offers his top five recommendations for sales in length and 1.25 in. in diameter. fleet vehicles: 3) Entering/exiting cab—step height: retrofit a retractable 1) Cargo deck (floor of trunk) height should be within rec- supplementary step. ommended guidelines for manual material handling, 33 in. to 4) Lift gates: Provide a pendant control to operate the lift 38 in. above the standing surface. gate. 2) The cargo deck should be flush with the loading sill to 5) Rear-view camera: Ensure that vehicles are fitted with a prevent the need to lift and clear products from the cargo rear-view camera. Make sure the camera monitor is placed in area. The total depth of the sill, or the horizontal reach, an optimal viewing distance, preferably on the dashboard. should be 18 in. for more information, click here. x 3) A higher driver’s seat height can ease ingress/egress from Julia Brenner is a communications intern with ASSE. She holds a jour- vehicle. nalism degree from University of Wisconsin-Madison. 4) Check the quality of visibility to the vehicle’s exterior when using mirrors (rearview and side) as well as when check- ing blind spots. 7 Interface www.asse.org 2011
  • 8. traininG By Cathy White, Cpe Bend Me Shake Me: Time to Teach Adults Proper Ergonomics E rgonomics training takes many forms, from gram based solely on awareness is not sustainable. The teaching employees correct postures to instruct- order of ergonomics training that people in key roles ing engineers about principles of design. While play has a major impact on the ergonomics program’s each training effort has different objectives, it is success. Education and training should then follow a important to provide the right type of knowledge with logical sequence in order to implement a program from the desired impact for the intended the leaders down to the employees: The order of ergo- audience. Training is anprogram element to ergonomics essential •Educate senior leaders with a business case for the ergonomics process. The intent of this education is to nomics training that success. The right training for the demonstrate the value of ergonomics for the organiza- people in key right people will the skills and organization has ensure that your tion to gain their sponsorship and to establish the ergo- nomics program’s goals. roles play has a methods to effectively carry out •Train the person or team responsible for manag- key responsibilities and to achieve ing the ergonomics program. This group will need to major impact on sustainable gains in the ergonomics gain the knowledge and skills necessary to deploy and the ergonomics program. providing employees Before sustain the ergonomics program. This group will need to be able to address difficult ergonomic challenges program’s success. with ergonomics training, the orga- brought to them by employees and managers. nization must first define the ergo- •Educate engineers on workplace design principles. nomics program’s support infrastructure. Key roles to Principles of workplace design related to manual define include the senior leaders of the organization, materials handling, hand tools and seated and standing the person or workstations should be reviewed with guidelines for Figure 1 A Working Height team responsible appropriate heights, reaches and clearances. for managing •Provide training to managers who are the interface That Is Too Low Will the ergonom- between employees and ergonomics team members. Force Awkward Postures ics program, In their roles, they will be the most influential people engineers who to impact employee safe work practices and behaviors to Handle the Load design the work and to provide assistance with the implementation on the Conveyor environment and the managers of of improvements identified by the ergonomics team. Provide coaching to affect work practices and behav- the workgroups iors and to improve workplace conditions. in the organi- After all roles are trained, employees then need to zation. Many be provided with ergonomics training to prepare and organizations empower them to identify potential ergonomic issues begin an ergo- in their workplace and to adjust the workplace or their nomics program work practices to control the issues. If unable to con- by providing trol the issues, they should be taught to escalate such general ergo- issues to their manager. nomics aware- Effective employee training is essential to a sustain- ness training to able ergonomics program. While computer-based train- their workgroup. ing has its place in a learning environment, it has been Although this proven that interactive training based on adult learning is simple to principles is effective in retaining knowledge. General implement, an ergonomics awareness training can be complemented ergonomics pro- with having all employees go through an ergonomics 8 Interface www.asse.org 2011
  • 9. Figure 2: Example of Office sure they have the skills necessary to work safely. Training is most effective when it is interactive and Ergonomics Brochure fully involves workers. This training needs to be based on adult learning principles to retain the information received. Some suggestions to achieve this include: •Provide hands-on practice when new tools, equip- ment or procedures are introduced to the workforce. Being trained where they work, using the objects they typically lift and the equipment they use on the job helps employees relate to what they are being taught, rather than showing them a generic lifting video. •Use several types of visual aids of actual tasks in your workplace. Combine the use of pictures, hand- An ergonomics bro- outs, charts or videos. To supple- chure can consist ment the visual aids, you could compile or purchase an ergonomic of a pictorial repre- brochure of handy tips that can be posted at the office desk or in the sentation of proper work area for employees to review ergonomics design at their convenience. This increases the likelihood that good ergonomic and can be supple- practices will be adopted. mental with a writ- •Make sure that employees have learned what you are trying to ten description of teach them by having each one, or all of them demonstrate the proper ways to control risk operating techniques with the tools factors in that par- before leaving the class. assessment of their work area. This can be completed •Follow up with learners after ticular workplace. as part of a team for shared work areas or by individual the training to make sure they are for office workstations. This exercise facilitates a able to use the proper techniques on the job. deeper impression of ergonomics on each employee in An ergonomics brochure can consist of a pictorial a hands-on format. representation of proper ergonomics design and can An administrative option often used by companies be supplemental with a written description of ways to address an identified high-risk task is to train the to control risk factors in that particular workplace. work group on the hazard of the task and to provide For a computer workstation, information regarding training on the appropriate way to perform the task chair adjustments, proper working height and loca- with a reduced likelihood of injury. Training all by tion of items in the computer workstation environment itself, without making changes to the workplace, is are typical items to include in a handout. These can often not effective in preventing injuries. If employees be posted at the computer workstation as a recurrent are taught “proper lifting techniques” and then sent reminder of proper work habits. out to work under conditions that do not allow them to Organizations that establish clearly defined roles use these techniques, the training is of no benefit. The and responsibilities and provide ergonomics training to working area should be set up to allow for the proper ensure the capability to meet these responsibilities cre- working height for the population with reach distances ate a strong internal support infrastructure. The infra- minimized. structure ensures that employees receive support when A working height that is too low will force awkward they take responsibility for improving their workplace postures to handle the load on the conveyor. Training and practices. By combining this infrastructure with on proper lifting techniques will not alleviate the inher- effective employee ergonomics training, the result is a ent design flaw in this workplace. strong and sustainable ergonomics program. x However, training is an important part of imple- Cathy White, CPE, is an industrial hygiene and personal safety menting changes. Showing employees how to use specialist at the Dow Chemical Co. She holds a bachelor’s and new equipment and explaining why it is important to master’s degree in Industrial and Operations Engineering from the University of Michigan. She has 11 years’ experience as an use it properly to prevent injuries helps make sure the ergonomics and safety professional in managing ergonomics equipment gets used. Workers need hands-on practice programs, conducting risk assessments and identifying controls with new tools, equipment or work practices to make to manage the risks. 9 Interface www.asse.org 2011
  • 10. sustainability By JessiCa ellisOn, m.s., Cpe, Csp & Danny nOu Integrating R ecent trends show workers’ compensation costs, improve morale and have a variety of other positive impacts on the company’s bot- tom line. However, challenges, such as a lack of fund- Ergonomics & that more ing, C-level (CEO, CFO, COO) attention and support companies are and overall government legislation have undermined the focusing on sus- effectiveness of ergonomic programs. By integrating tainability [also ergonomics into sustainability and repackaging successes Sustainability known as the from ergonomic programs, there is a huge opportunity corporate social for ergonomic professionals to capture attention in the responsibility boardroom. This visibility will help get programs and (CSR) initiative, solutions funded and will bring ergonomics into strategic 3P (People, boardroom discussions resulting in a more proactive pro- Planet, Profit) Triple Bottom Line or 3E (Equity, gram that will benefit employees and also the company’s Environment, Economy)], which emphasizes a balance triple bottom line. between people, planet and profit. In addition, the work- place has changed, in part due to sustainability, from dEFining sustainaBility employees working from the office to working from To understand ergonomics’ role in sustainability, it home or telecommuting and how buildings are designed is important to first understand the definition of sustain- so companies can create Leadership in Energy and ability since it is often used as a catchall buzz word. Environmental Design (LEED)-certified buildings. Sustainability has been defined by many people. James Ergonomics programs need to start thinking outside Hagan, Ph.D., M.S., provided a concise definition at of the box about their value so that they leverage the the National Ergonomics Conference and Exposition in momentum created by sustainability. Based on these 2008 as “Allowing future generations to have the same trends occurring in industry, it is evident that there is standard of living that we enjoy while improving the tremendous global momentum in corporate sustainability condition of the current generation” (NECE, 2008). and that ergonomics fits right into the people aspects of The key concepts of sustainability revolve around the the people/planet/profit or triple bottom line. 3Ps: people, planet and profit. The first concept within Corporate ergonomists and ergonomic consultants sustainability is people, which includes the ethics of understand the value of the work they provide to a how workers and the community are treated. It includes company. They understand that they are helping reduce ideals, such as basic human rights and avoiding child injuries and decrease discomfort and in the process can labor, and labor issues, such as providing a safe work- improve productivity, decrease lost work days, decrease place that minimizes safety and health hazards, valuing 10 Interface www.asse.org 2011
  • 11. diversity and philanthropy. On the planet portion, we see One more example is that the IRS reported real estate businesses taking responsibility for the lifecycle of their savings of $585,000 for a pilot telecommuting program products, from the raw materials to stewardship in prod- of 150 participants (Telework Exchange, 2007). uct use to ultimate disposal. There is also an emphasis on Another benefit of sustainability is that companies reducing externalities (unintended costs) and minimiz- that practice the principles have a higher ability to recruit ing resource use (water, electricity, gas and packaging). and retain top-level talent for their companies. A survey Finally, the profit section, which emphasizes jobs and by MonsterTRAK.com shows that 92% of Generation growth, cost reduction and green products, is shown to Y employees (people born between 1977 and 2002) be impacted in a positive way by using fewer resources are more likely to work for environmentally friendly and by creating less waste. company. Also, Adecco USA’s 2008 Workplace Insight Survey showed that Generation Y workers are willing sustainaBility is hErE to stay to sacrifice about 6% of their salary to work for a green Why is sustainability such an important trend for company as opposed to a traditional one (Stika, 2010). ergonomists? This huge and growing trend is predicted These are just a few of the benefits that compa- to be here for a long time because the concept of creat- nies practicing sustainability have reported, which has ing economic value through environmental and social increased the popularity of sustain- impact has come to the forefront in businesses around ability among some of the strongest the world. The “green” label has captivated corporate and most successful companies This huge and mindshare and corporate funding. On March 1, 2011, Hedge Funds Review (2011) showed that more than in the market today. Therefore, growing trend is programs that help fit within the $13 trillion has been invested globally in socially respon- sustainability movement also have predicted to be sible companies that demonstrate strong sustainability practices. the opportunity to grow and have a wide-ranging impact not only on the here for a long Investors are making an impact on the world by put- ting money into investments listed on the Dow Jones environment, but on their corporate time because the bottom line as well. Sustainability Indexes or the FTSE4Good or by invest- concept of creat- ing in socially responsible investment funds, like Calvert Ergonomics’ rolE in and Domini, who will only buy shares in socially sustainaBility ing economic value responsible companies. This is impacting decisions in Ergonomics has the ability to through environ- boardrooms around the world and driving change with- show value by having a direct and out having the stick of regulation. positive financial impact on a com- mental and social Corporations are even restructuring to organize for sustainability. Many Fortune 500 companies, such as pany’s bottom line and to affect impact has come the lives of people to create a more Google, Verizon and Ikea, have their own corporate sus- sustainable work environment. to the forefront in tainability officers (CSOs) and/or vice president of sus- Ergonomists need to know how to tainability (Deutsch, 2007). The website, Green Business market their programs internally businesses around Views, notes that President Obama issued Executive and to take advantage of the sustain- the world. Order 13514, which “provides guidance to how govern- ability trend by making connec- ment agencies are to go green…[and] the order calls for tions where they exist in both programs. Following is a the installation of sustainability officer or committee” description of some of these links: people, CSR reports, (2010). The fact that sustainability is being given as LEED certification and telecommuting programs with a much attention as the CEO, CFO or COO speaks to the discussion around what future links may be possible. importance of this movement to companies and to the likely longevity of this trend. link 1: thE PEoPlE The most obvious link is between ergonomics and BEnEFits oF sustainaBility the sustainability component of people. Chris Patton, Sustainability is not only socially responsible, it pro- a past ASSE president, has stated that, “Safety should vides many benefits to companies that pursue and volun- be viewed as the cornerstone of the people component. tarily commit to the movement. The first example is the In this context, sustainability means implementing and millions of dollars that have been saved from a variety of maintaining programs that keep people safe, facilities sustainability efforts. intact, communities protected, supply chains secure and For example, Wal-Mart has shown that by improv- the organization’s mission uninterrupted. Sustainable ing the fuel efficiency of its fleet by one mile per gal- organizations are, by definition, safe organizations, lon, it hopes to save approximately $35 to $50 million and we play a key role in ensuring that safety” (Patton, (MSNBC, 2007). Alcoa has implemented an energy 2010). reduction strategy and has already realized $20 million Even the pure definition of ergonomics shows the in savings (Alderton, 2008). The cost estimates saved link between ergonomics and people. For example, the from this procedure have led to savings in the millions. International Ergonomics Association (IEA) defines 11 Interface www.asse.org 2011
  • 12. within an organization, and a few companies have reported not only their energy efficiency and envi- ronmental and philanthropy achievements, but also their ergonomic and employee wellness programs to increase corporate transparency and to show the link between ergonomics and sustainability. CSR reporting promotes socially responsible businesses to be con- cerned about public interest by voluntarily eliminating practices that harm human health and the environ- ment, even when those practices are perfectly legal. Nintendo of America reported in its CSR report that it has an Ergonomic Task Force, which focuses on annual training and assessment of fixed and non- fixed workstations (Nintendo, 2010). Another com- pany, Hormel Foods, reported in its CSR report that injury prevention was a key focus in its ergonomic programs and even went as far as to show the soft- tissue incident rate and its steady decline year over year (Hormel Foods, 2010). There are more examples, but the clear message is that companies’ sustainabil- ity program and ergonomic program both focus on employees and their well-being. link 3: lEEd cErtiFications Currently, more than 40,000 projects currently par- ticipate in commercial and institutional LEED rating systems, which comprise all 50 states and 117 coun- tries (USGBC, 2011). Dr. Alan Hedge, director of the Human Factors and Ergonomics Laboratory at Cornell University, is also an IEA representative for environ- mental design and a Cornell Center for Sustainable Safety should be ergonomics (or human factors) as “the scientific disci- Futures Faculty Fellow. He has already outlined a way viewed as the to use ergonomics to get one point as an “Innovation in cornerstone of the pline concerned with the understanding of interactions people component. among humans and other elements of a system and Design” or “Innovation in Operations” credit. In this context, sus- the profession that applies theory, principles, data and A good ergonomic design is one that creates and tainability means maintains a flexible ergonomic environment that prop- implementing and methods to design to optimize human well-being and maintaining pro- overall system performance. Ergonomists contribute to erly accommodates building users and promotes healthy, grams that keep the design and evaluation of tasks, jobs, products, envi- comfortable and productive work. The requirement for people safe. this point involves the development and implementa- ronments and systems in order to make them compatible with the needs, abilities and limitations of people” (IEA tion of “a comprehensive ergonomics strategy that will 2000). have a positive impact on human health and comfort Some companies and organizations, such as Xerox when performing daily activity for at least 75% of full- and Univar and many others, have listed safety on their time equivalent building users” (Cornell, 2011). In an external websites stating their commitment to safety. e-mail communication with Hedge in April 2011, he Xerox says, “Xerox creates safe and efficient prod- noted in the next version of LEED due out at the end of ucts, maintains a safe workplace for our people, sup- November 2012, that “office ergonomics is a separate ports health and wellness programs and reduces injury line item credit point in the indoor environment section and exposure to hazardous materials” (Xerox, 2010). of the rating system.” What is great for companies that People’s safety is on the forefront of any good sustain- already have an established ergonomic program is that ability program protecting a company’s most valuable they simply need to document their efforts and possibly asset. Ergonomics works directly with people to help make a few small changes in the program to be able support a safe working environment that enables compa- to qualify for this point. This is a great opportunity for nies to reduce injuries. ergonomists to start getting involved in the design phase and to become more strategic and proactive to prevent link 2: corPoratE sustainaBility injury rather than reactively dealing with employees rEsPonsiBility (csr) rEPorts once injured, as outlined in Hedge’s article on “The CSR reports show the results of sustainability efforts Sprouting of ‘Green’ Ergonomics” (Hedge, 2008). This 12 Interface www.asse.org
  • 13. point further strengthens the role of ergonomics in sup- A possible link also exists between ergonomics and porting sustainability initiatives and focusing on environ- “green” products for items purchased to achieve good mental awareness. ergonomics. As ergonomists, we should be aware of the company policy and expectations and be aware of the link 4: tElEcommuting Programs environmental impact we make when recommending Telecommuting is often a centerpiece of corporate products. sustainability programs. CNN Money’s report on “The Another possible link is to lean manufacturing, ergo- Best 100 Companies to Work for” showed that 82% of nomics and sustainability. Ergonomics can improve these companies allow employees to telecommute at cycle time and lean metrics, which in turn drives least 20% of their time with the top 5 companies hav- improved safety and profit. Some great technologies are ing 80% to 86% regular telecommuters (CNN Money, also available on the market today to help streamline 2011). These programs have shown to reduce the carbon the efficiency of ergonomic and sustainability programs, footprint of companies and to increase productivity at the such as Remedy Interactive and Hara. In the future, there same time. may be an opportunity to bring these two technologies The disadvantage to telecommuting is that the ergo- together into one platform for ease of use, reporting and nomic risks for computer-based employees are the same communication. as the risks found when employees work from the cor- For example, the tool may be able to help home office porate office. Many companies have not established a workers set up their workstation ergonomically and help system to address ergonomic concerns or are struggling capture the true carbon footprint of with a cost-effective method to address ergonomics the company by collecting data on in remote and home offices. However, workers’ com- the number of commute miles saved Ergonomics initia- pensation and OSHA/European Union regulations still apply when working outside of the corporate office so and energy and water use and may tives have many influence sustainable practices in the it is important for companies to establish programs that home. parallels with sus- address ergonomics in telecommuting programs. Many agencies and groups already recommend that ergonom- conclusion tainability goals ics be included in the telecommuting policy, such as EPA, Telecommute Connecticut!, Microsoft Business, In summary, ergonomics initia- tives have many parallels with sus- and can function City and County of San Francisco and many others. tainability goals and can function effectively as an effectively as an integrated program link 5: Ergonomic associations rather than two distinct programs. integrated program The last point is that ergonomic associations, such Ergonomists should start by making rather than two as the Human Factors and Ergonomics Society (HFES) an effort to find out who leads sus- and IEA already see the link between ergonomics and tainability at their company. Start by distinct programs. sustainability and have established groups dedicated to making an introduction, sharing this the integration of ergonomics into environmental design. article with them and discussing possible common goals. According to HFES’s website, the overall objective of You might find that some of these links will be intrigu- HFES’s Environmental Design Technical Group is “to ing to sustainability leaders, and they will be interested foster and encourage the integration of ergonomic prin- in anything that will help support their goals as well. The ciples into the design of all built environments” (HFES, industry is changing to a “greener” world, and sustain- 2011). IEA’s Human Factors and Sustainable Develop- ability offers a huge opportunity for ergonomists to assist ment Technical Committee intends “to build a powerful sustainability efforts and to reap the benefits of being global network of experts in the fields of ergonomics/ allied with such a strong and well-funded movement. human factors and sustainability” (IEA, 2011). The goal The authors would love to hear about further ideas is to again bring ergonomics out of the reactionary mode readers may have on future links and thoughts on this and into the design stages of projects to reduce or elimi- article. Please feel free to contact them with any ques- nate risk prior to construction. tions or comments. x FuturE links rEFErEncEs This seems to just be the beginning of the link Alderton, M. (2008). The ROI of sustainability. between ergonomics and sustainability. Other ideas Retrieved May 31, 2011, from http://www.greenbiz.com/ where the link could be made include employee recruit- blog/2008/08/24/roi-sustainability. ment and retention. It seems like a clear connection CNN Money. (2011). Best benefits: Telecommuting. could be made with recruitment and retention if employ- Retrieved May 13, 2011, from http://money.cnn.com/ ees were offered comfortable workstations designed magazines/fortune/bestcompanies/2011/benefits/telecom- with ergonomic principles in mind. Why not offer this muting.html. as a benefit and publish the information in the CSR Cornell University Ergonomics Web. (2011). “Green” report and on the benefits page of the corporate website? ergonomics requirements worksheets and survey. 13 Interface www.asse.org
  • 14. Retrieved May 13, 2011, from http://ergo.human.cornell. 2011, from http://www.npr.org/templates/story/story. edu/cuergoUSGBC.html. php?storyId=129406588. Deutsch, C.H. (2007, Jul. 3). Companies giving green Nintendo. (2010). Nintendo corporate social responsi- an office. Retrieved May 13, 2011, from http://www. bility report. Retrieved May 13, 2011, from http://www. nytimes.com/2007/07/03/business/03sustain.html. nintendo.com/corp/csr/index.jsp. Green Business Views. (2010). The most secure Patton, C. (2010). ASSE president’s blog: green job in America. Retrieved May 13, 2011, from Sustainability and safety. Retrieved May 13, 2011, from http://www.greenbusinessviews.com/?tag=corporate- http://assepresident.blogspot.com/2009/12/sustainability- sustainability-officer. safety.html. Hedge Funds Review. (2011). Ethical investment Stika, N. (2010). Sustainability drives recruitment and hits $11 trillion. Retrieved May 13, 2011, from http:// retention. Retrieved May 13, 2011, from http://www. www.hedgefundsreview.com/hedge-funds-review/ cosemindspring.com/Topics/Sustainability/Greening%20 news/2028493/ethical-investment-hits-usd11-trillion. Your%20Business/Sustainability%20Drives%20 Hedge, A. (2008, Dec.). The sprouting of “green” Recruitment%20and%20Retention.aspx. ergonomics. Retrieved May 13, 2011, from http://ergo. Telework Exchange. (2007). Resource center, success human.cornell.edu/cuergoUSGBC.html. stories. Retrieved May 13, 2011, from http://archive.tele- Hormel Foods. (2010). 2010 Hormel Foods corporate workexchange.com/resource-center-case-studies.asp. responsibility report. Retrieved May 13, 2011, from U.S. Green Building Council. (2011). List of top 10 http://2010csr.hormelfoods.com/. states for LEED green buildings released. Retrieved Human Factors and Ergonomics Society (HFES). May 13, 2011, from http://www.usgbc.org/Docs/News/ (2011). Environmental design technical group. List%20of%20Top%20Ten%20States%20for%20 Retrieved May 13, 2011, from http://www.hfes.org/web/ LEED%202011.pdf. TechnicalGroups/EDTG.pdf. Xerox. (2010). The 2010 report on global citizenship. International Ergonomics Association (IEA). (2000). Retrieved May 13, 2011, from http://www.xerox.com/ What is ergonomics? Retrieved May 13, 2011, from about-xerox/citizenship/enus.html. http://www.iea.cc/01_what/What%20is%20Ergonomics. Jessica Ellison, M.S., CPE, CSP, is a member of ASSE’s San html. Francisco Chapter and incoming chapter secretary. She is a IEA. (2011). Human factors and sustainable develop- principal consultant at Environmental and Occupational Risk ment. Retrieved May 13, 2011, from http://www.iea.cc/ Management, a consulting firm headquartered in San Jose, CA. browse.php?contID=hf_and_sustainable_dev. She holds an M.S. in Biomedical Engineering (Biomechanics) from the University of California-Davis and has extensive experi- MSNBC. (2007). Wal-Mart on track to cut truck fuel ence in analyzing and implementing effective solutions for office, use by 25%. Retrieved May 13, 2011, from http://www. laboratory and manufacturing environments. msnbc.msn.com/id/19810648/. Danny Nou is an Ergonomics Specialist for Environmental and National Ergonomics Conference and Exposition. Occupational Risk Management in Laguna Hills, CA. He was (2008). The role of ergonomics in green design and sus- a lead biomechanics researcher in the biomedical engineering tainability. Keynote speech delivered on Dec. 5, 2009. department at Hokkaido University. Nou holds B.S. and M.S National Public Radio. (2010). Outsourced call degrees in Biological Systems Engineering from the University of centers return, to U.S. homes. Retrieved March 1, California-Davis. The Future of EPS A SSE and the Ergonomics Practice Specialty (EPS) would like to thank the following mem- bers who have volunteered to serve on the advi- • embership M Development: Scott Valorose sory committee for 2011-12. We thank you all for •Nominations: Open your time and dedication to EPS and to the safety •Web: Open community. • pecialProjects: S •Administrator: Jeremy Harris Open •Assistant Administrator: David Brodie If you would like to •Publication Coordinator: Walt rostykus get more involved and •Awards Honors: Pam Perrich work with this great •Body of Knowledge: Cindy roth group of volunteers, •Conferences Seminars: Lawrence Schulze click here. Ben Amick 14 Interface www.asse.org
  • 15. obEsity By Winnie iP, Cpe The Growing Problem in Ergonomics: Obesity T he prevalence of obesity in the U.S. continues to climb, exceeding 30% in most gender and Figure 1 BMI Chart With age groups. Over the past decade, medical costs Classification Systems associated with obesity have also sky-rocketed and are now $147 billion annually, representing almost 10% of all medical spending (CDC, 2009). Much of these costs are due to the fact that obesity (defined as a body mass index (BMI) of greater than 30, CDC) is also a risk factor for a variety of chronic conditions, including diabetes, hypertension, heart disease and arthritis. So what does this mean from an ergonomist’s perspective? It means we cannot continue to ignore this issue and act like it is the “elephant in the room.” Ergonomics can actually have a positive impact on addressing issues that obese and bariatric individu- als may face in the workplace, in addition to the grow- ing number of injuries that healthcare providers face in terms of safe patient handling with a larger population. Body mass indEx (Bmi) BMI stems from the Quetelet Index, which was originally developed between 1830 and 1850 by Adolphe Quetelet, a Belgian mathematician/statistician. BMI is calculated using the individual’s body weight divided by the square of his or her height (unit of mea- sure kg/m2). BMI can also be determined using a BMI chart (Figure 1), which displays BMI as a function of Source: WHO, 2011 weight (horizontal axis) and height (vertical axis) using contour lines for different values of BMI or colors for prevalence of obesity less than 20% (CDC, 2009). different BMI categories. Thirty-three states had prevalence equal to or greater Several government and health organizations use than 25%; nine of these states (Alabama, Arkansas, BMI to classify individuals as “overweight” and Kentucky, Louisiana, Mississippi, Missouri, Oklahoma, “obese” in adult populations (CDC, National Institutes Tennessee and West Virginia) had a prevalence of obe- of Health, WHO). BMI categories can vary from coun- sity equal to or greater than 30% (CDC, 2009). Figure try to country; however, in 1998, the U.S. National 2 shows the shift in U.S. obesity prevalence from 1985 Institutes of Health aligned BMI categories with those to 2009. defined by the World Health Organization (WHO). The World Health Organization 2008 projections Bmi as an indicator For oBEsity: indicate that globally: a good mEasurE? •approximately 1.5 billion adults, over the age of 20, The popularity of using BMI as an indicator for obe- were overweight; sity stems from research conducted in the 1970s. Keys, •of these, more than 200 million men and nearly 300 et al. (1972) found BMI to be the “best proxy for body million women were obese; fat percentage among ratios of weight and height” •WHO further projects that by 2015, approximately and explicitly cited BMI as appropriate for popula- 2.3 billion adults will be overweight and more than 700 tion studies and inappropriate for individual diagnosis. million will be obese. However, due to the simplicity of the equation, BMI During the past two decades, there has been a has since become the “norm” to measure a person’s marked increase in obesity in the U.S. In 2009, “fatness” or “thinness” and has been widely adopted in only Colorado and the District of Columbia had a individual diagnoses. 15 Interface www.asse.org 2011
  • 16. Table 1 which is a clear indicator of obesity level. BMI Categories Sample Weights —It makes no allowance for the relative proportions of bone, BMI Range Weight of a 5 ft 11 in Person With muscle and fat in the body. Category (kg/m2) This BMI —A high BMI does not mean an individual is even overweight, Severely less than 16.0 Less than 118 lbs let alone obese. It could mean the underweight person is fit and healthy, with very Underweight from 16.0 to 18.5 Between 118 and 132 lbs little fat. Normal from 18.5 to 25 Between 130 and 178 lbs •Science Daily: “BMI Not Accurate Indicator of Body Fat, Overweight from 25 to 30 Between 180 and 214 lbs New Research Suggests” (2007) Obese Class I from 30 to 35 Between 210 and 249 lbs —Article based on research published in the official journal of Obese Class II from 35 to 40 Between 250 and 286 lbs the American College of Sports Obese Class III over 40 Over 290 lbs Medicine. —A research team from Source: WHO, 2011 Michigan State University and In more recent years, BMI has come under scru- Saginaw Valley State University tiny and is a controversial topic among researchers measured the BMI of more than 400 college students— and health care professionals. Sample articles and key some of whom were athletes and some not—and found points include: that in most cases, the student’s BMI did not accurately •CNN Health: “Can Neck Measure Indicate Body reflect his or her percentage of body fat. Fat Better Than BMI?” (2010) —BMI does not distinguish between body fat and The environment —Article based on research by muscle mass. Olubukola, et al. (2010) published may also have an in the journal Pediatrics. causEs consEquEncEs —A wide neck circumference impact on obesity. is associated with obesity-related oF oBEsity The primary cause of obesity and being overweight People interact with conditions, such as sleep apnea, is an imbalance between calories consumed and calo- diabetes and hypertension. Neck several different circumference has been explored ries expended (WHO, 2009).attributable to many fac- (2009), global increases are According to WHO environments. In in studies for potential obesity and tors, including: heart problems in adults. •a global shift in diet toward increased intake of the home, people —One of BMI’s shortcomings is energy-dense foods that are high in fat and sugars, but may choose to do that it “does not accurately define low in vitamins, minerals and other micronutrients; and central body fatness.” •a trend toward decreased physical activity due to activities that do —Studies have shown that the increasingly sedentary nature of many forms of not lead to caloric regionalthe midsection,collected a around adiposity, fat is often work, changing modes of transportation and increasing urbanization. expenditure, such good indicator for obesity-related The environment may also have an impact on obe- complications, including hyperten- sity. People interact with several different environ- as watching televi- sion, diabetes and heart disease. ments. In the home, people may choose to do activities sion and other sed- The correlation high neckregional that do not lead to caloric expenditure, such as watch- adiposity and a between circum- ing television and other sedentary behaviors. Schools entary behaviors. ference was found to be strong. also impact children; they dictate lunch menus and •National Public Radio: “Top 10 how much physical activity children get throughout the Reasons Why the BMI is Bogus” (2009.) day. The type of work that a person does may affect —Keith Devlin of Stanford University suggests any the amount of physical activity, for instance, sitting obesity findings based on BMI should be taken with a expends less than 720 calories over 8 hours, whereas grain of salt. heavy work, such as construction, can expend around —Quetelet said explicitly that it could not and 2,400 to 3,600 calories over 8 hours (Sanders, 1993). should not be used to indicate the level of fatness in an Finally, the community may affect people’s choices individual. about exercise and food. The availability of nutritious —There is no physiological reason to square a per- low-calorie food will influence the type of diet avail- son’s height in BMI. Moreover, it ignores waist size, able for an individual. 16 Interface www.asse.org 2011
  • 17. Genes may also play a role in obesity. Some scien- to 22%), shoulder adduction (~36 to 39%), trunk exten- tific evidence indicates that people may have a higher sion (22%) and trunk lateral flexion (~18 to 20%). risk of becoming obese based on their family history A person’s abdomen may also be an obstruction, (CDC, 2009). Many studies have been done on obese thereby limiting the reach distance at a work surface. populations and obese families. In general, these This could also influence working postures. Because of studies have shown that a sizable portion of weight the limited reach envelope, the individual may need to variation can be explained because of genetic factors. compensate with other parts of their body (e.g., shoul- Narrowing these factors is the current challenge for der abduction, trunk flexion). It is important to note researchers and scientists. that these limitations exist for both seated and standing People classified as overweight or obese face many workstations. health consequences. Scientists have produced the first direct evidence that fat accelerates aging. Valdes, et al. Physiology (2005) found that obesity (BMI 30) adds the equiva- Excess fat increases the oxygen requirements lent of nearly 9 years of age to a person’s body. This for any given task performed (Wood, et al., 2010). can begin to explain why obese children are develop- Therefore, there is a larger physiological deficit ing adult-onset Type 2 diabetes between ages 10 and for those who are overweight or obese. This may 19 (as opposed to age 45 which has been the norm). reduce the endurance time for this segment of work- Other health consequences include: ers. Fatigued workers may show increases in quality •coronary heart disease; defects or lower production rates. Resting heart rates •type 2 diabetes; are also higher for obese individuals, which can affect •certain cancers (endometrial, breast and colon); physical work capacity. It can also lead to adverse car- •hypertension; diac outcomes in the long run, such as heart disease. •dyslipidemia (high cholesterol, high triglycerides); •stroke; kEy workPlacE •liver and gallbladder disease; dEsign guidElinEs •sleep apnea and respiratory problems; We can take a proactive approach to address some •osteoarthritis; of the particular challenges obese workers face by •gynecological problems (abnormal menses, keeping in mind the following design guidelines: infertility). •Keep things close. For obese individuals, keeping Physiological EFFEcts oF things close (i.e., within arm’s reach) becomes even oBE Range of Motion (ROM) more important since excess body weight can increase Obesity depending on the level and distribution of the forces and loads placed on the spine. Design worksta- adipose tissue can affect range of motion (Park, et al., tions and processes to ensure that items are placed within 2010). Overweight and obese individuals do not have 16” from the edge of the work surface. If items must be as much flexibility in their hips or in their back. This placed further than the recommended 16”, minimize the means that obese individuals may have more trouble time spent in sustained postures at this distance. reaching objects. Park, et al. (2010) found significant •Keep it in the comfort zone. Obese individuals are differences between obese and non-obese groups; more prone to back and knee injuries from excess body decreased range of motion for shoulder extension (~20 weight so keeping all work tasks within the comfort Figure 2 U.S. Obesity Prevalence in 1985 Versus 2009 Source: CDC, 2009 17 Interface www.asse.org 2011