Contribution of ergonomics to occupational, safety and health.

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Contribution of ergonomics to occupational, safety and health. 2nd Canary Island Conference on Prevention of Occupational Risks Rik Op De Beeck

Prevent Institute for Occupational Safety and Health at Work,Brussels, Belgium (www.prevent.be) PreventLux (www.preventlux.lu) Prevent Academy (link with different universities)

Contribution of Ergonomics to OSH 1. What is ergonomics? 2. Ergonomics related to: 2.1. MSD 2.2. Fatigue 2.3. Accidents 2.4. Company Performance 3. New challenges for ergonomics in the changing world of work 4. Conclusions

1. What is Ergonomics? Ergonomics comes from the Greek words: Ergon = work Nomos = law, science Science of work

Ergonomics? Ergonomics is about the fit between people and their job

Ergonomics (human factors) relation between human beings, their work and their work-life environment better design of work systems, taken into account the human physical and psychological abilities, limitations and needs better design in order to optimize human wellbeing and overall system performance.

Ergonomics different domains 1) Physical ergonomics : human anatomical, anthropometric, physiological and biomechanical characteristics 2) Cognitive ergonomics: mental processes, such as perception, memory, reasoning, and motor response 3) Organizational ergonomics : optimization of socio-technical systems, including their: organizational structures, policies, processes.

Ergonomics in an historical perspective First tools: witness of ergonomic design to survive, to reduce fatigue and pain, human creativity

Ergonomics in an historical perspective 15 Century: L.Da Vinci: abilities and limitations of people as the basis of good design...

Ergonomics in an historical perspective World War II... Royal Air Force (UK): Importance of good design to avoid human errors of pilots.. 1949 Ergonomics Research Society

Ergonomics approach Better design of jobs, work places, equipment, tools, organisation, - global and hollistic approach : consider the whole system - multidisciplinary team - participation of everybody involved in the work system

2.1. Ergonomics related to MSD Main work related problems in Western countries: Musculoskeletal system (MSD) > 30 % Mental health stress > 30%

Self-reported work related problems. 13 European Survey on Working Conditions (ESWC, by European Foundation for the Improvement of Living and Working Conditions) Does your work affect your health in terms of...? Symptom % Backache 24.7 Muscular pain in shoulders, neck and/or upper, lower limbs 22.8 Fatigue 22.6 Stress 22.3 Headaches 15.5 Irritability 10.5 Injuries 9.7 Sleeping problems 8.7 Anxiety 7.8 Eyesight problems 7.8 Hearing problems 7.2 Skin problems 6.6 Stomach ache 5.8 Breathing difficulties 4.8 Allergies 4.0 Heart disease 2.4 Other 1.6

Self-reported work related problems. 4th ESWC (2005): backache (±25%) muscular pain (± 23%) fatigue (±22%) are the most often reported symptoms by workers within the EU (31 MS) 60 million workers > Symptom % Backache 24.7 Muscular pain in shoulders, neck and/ or upper, lower limbs 22.8 Fatigue 22.6 Stress 22.3 Headaches 15.5 Irritability 10.5 Injuries 9.7 Sleeping problems 8.7 Anxiety 7.8 Eyesight problems 7.8 Hearing problems 7.2 Skin problems 6.6 Stomach ache 5.8 Breathing difficulties 4.8 Allergies 4.0 Heart disease 2.4 14 Other 1.6

Causes? Risk factors? 15 Multifactorial problem: mixture of personal (genetic and behavioural) and work related factors Work-related risk factors: Physical (biomechanical) risk factors: Manual handling of loads Forced/prolonged/awkward body positions (posture) Tasks involving increased effort or force Repetitive work Exposure to vibrations Psychosocial risk factors: Psychological: time pressure, job insecurity, poor promotion prospects, Social: isolation, lack of social support from coworkers or supervisors, etc.

Ergonomic risk factors Psychosocial factors Duration Repetition MSD Posture Environment: vibrations, climate, lighting, noise Force

Trends Self-reported WRMSDs: ESWC 2000 2005 Increase in Estonia, Greece, Ireland, Latvia, Lithuania, Poland, Slovenia Status quo in Hungary Decrease in other Member States Recognised WRMSDs: EODS 2000 2005 17 Increase of musculoskeletal diseases and neurological diseases (carpal tunnel syndrome) Differences between Member States

Why do something about it?

Human aspect Reducing health problem Increasing comfort and job satisfaction Increasing quality of life

Economic aspects Direct costs: Insurance Compensation Medical costs Administrative costs 20 (ANACT, 2005) Indirect costs: Hiring and training of new employees Negative social climat Losing the best people Reduced productivity levels Effects on quality of work Legal fines / claims

Cost Cost due to WRULDs 0.5-2% of GNP (European Agency for Safety and Health at Work, 1999) Netherlands (Min SZW, 2005) : total yearly cost due to RSI 2.1 billion euros Sickness absence 962 million euros Productivity loss 808 million euros Germany (BAuA) : productivity loss due to WRMSD 0.4-0.6% of GNP in 2002-2004 21

Legal aspect Obligation to assess occupational health risks and to avoid or reduce them Manual Handling Directive Visual Display Unit Directive Legal penalty / fine / claim (in some of EU MS a company can be closed based on ergonomic RA )

Ergonomic prevention principles Avoid manual handling Automation and mechanisation

Ergonomic prevention principles Anthropometric design & lay out of the work place

Ergonomic prevention principles Work organisation: job rotation job enlargement job enrichment shift / breaks / recuperation time team work (+on the job training)

2.2. Ergonomics related to fatigue Fatigue Mental Fatigue General Fatigue Cardiovascular Load Energy Consumption Local Muscular Fatigue Static load

2.2. Ergonomics related to fatigue Fatigue Ergonomics: -Heart Rate Measurements, -EMG, -Subjective Rating & Questionnaires to study the work load and the fatigue

2.2. Ergonomics related to the prevention of fatigue Fatigue Complaints, health problems, less quality of life More human errors that can lead to accidents Negative impact on performance and quality

2.3. Ergonomic related to accidents Accidents related to poor and inadequate relationship between operators and their task, machine, equipment, work organisation,.. Foto BGIA

2.3. Ergonomic related to the prevention of accidents Abilities and limitations of the human computer: - information detection / perception / selection - interpretation / decision making / use of human memory - action

Taxonomy of Human Error Unintended Action Basic Errors Slip Attentional Failures Unsafe Acts Lapse Memory Failures (Reason, 1999) Intended Action Mistake Violation Rule - Based Knowledge - Based Mistakes Routine Violations Exceptional Violations Sabotage

human errors possible impact -Accidents with severe injuries, fatalities or serious material dammage - Environmental catastrophes - Business impact by losing people and material / installation (continuity) - Loss of image and local reputation

Ergonomic design: reduction of human errors Ergonomics: avoid or reduce probability of human errors: -design human-machine interface (displays controls) -adapted work environment -ergonomic lay out & presentation of information -correct communication -adapted work organisation -training & support

2.4. Ergonomics can contribute to general company performance. - Reduce discomfort and increase work satisfaction, motivation, productivity and quality of work - Reduce absenteeism - Reduce human errors with less accidents and mistakes in production or quality as a consequence - Better cooporation between employer and workers (participative ergonomics)

3. New challenges for ergonomics in the changing world of work Work organisation changes due to competition/ market, increase productivity by doing more with less people, change in working hours/ workload Who is doing the job? Subcontracting, temporary work, self employment and outsourcing increases www.prevent.be

Challenges Restructuring is daily business (economic crisis) Globalisation www.prevent.be

Challenges Changing workforce: -ageing: capacity? -immigration : new cultures, other languages www.prevent.be

Challenges New technologies occur everywhere in the production process and in the way we communicate www.prevent.be

More technology Technology may fail human errors can occur www.prevent.be

Office environment - More complex tasks / dead lines - New software - Long working hours - Lack of space Foto BGIA

We don t move anymore

Communication changes - mobile telephone (call, messages) - e-mail - Tele / video conferences Always and everywhere www.prevent.be

Work Life Balance Foto BGIA

Take breaks and stretch!

Conclusions Ergonomics contributes to health and safety Ergonomics contributes to company performance Challenges are:- new work organisation - globalisation, restructuring - changing work force - new technology - office environment / lack of movement - new way of communication in a virtual world

Conclusions Work Life Balance : a matter of culture (ethics) Need for Simple Legislation covering all risk factors (not only manual handling, VDU work stations, Vibrations).. Also repetitive movements, static and awkward postures Implementation of ergonomics in Small & Medium Enterprises is still a challenge

Conclusions Need for reliable statistics (harmonisation of recording and monitoring?) Accident approach, not focused on the one who pulled the trigger (human error) but on the errors in the design of the system Train and provide tools for Labour Inspectorates to stimulate enterprises to improve their ergonomic status

Conclusions Extention of ergonomics and safety culture in education, in family and at work: experience has shown that, achieving significant improvements in workplace safety and health, is not only a matter of technology but of more of culture Instead of prevention of MSD we have to go to the next ergonomic maturity step, which can be promoting of Musculo Skeletal Health : related to work health promotion lack of movement = emerging risk!!!

Conclusion Ergonomics is investing in your company and investing in your human capital!