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Ergonomics:
A work place realities in Pakistan

       Asim Zaheer1, Dr. Rameez Khalid
   Department of Industrial & Manufacturing Engineering,
      NED University of Engineering & Technology,
                     Karachi, Pakistan

          1
              corresponding author: asimzaheer@neduet.edu.pk
2



      Topics To be Discussed
I.   INTRODUCTION
II. CONTEXT
III. PROBLEM STATEMENT
IV. RESULTS
V. ERGONOMICS AWARENESS PROGRAM
VI. CONCLUSIONS

              Ergonomics: A work place realities
                  in Pakistan - Asim Zaheer
3



            I. INTRODUCTION
 What is Ergonomics?
 • Ergonomics, is derived from the Greek word
   ‘ergon’ which means work and ‘nomos’
   means law [1-3]
 • The Science of Work or the Study of Work

 • Designing the job to fit the worker

 • Improve the human well-being

 • Optimize overall system’s performance

                       Ergonomics: A work place realities
                           in Pakistan - Asim Zaheer
4


     I. INTRODUCTION(Cont..)
• Focus on worker
• Physical and psychological
  capabilities
• Keep an eye on human
  limitations
• Harmonious relationship
• Enhancement of productivity
  and efficiency [2]
                                This guy needs more
                                than a new chair!!!!
5


                  II. CONTEXT
 In Pakistan, knowledge of ergonomics is in its infancy
  • Ignorance among employer & employee

 Ergonomics include different scientific disciplines: [6, 7]
    Physiology          Biomechanics                    Psychology
    Anthropometry       Industrial hygiene Kinesiology

 Physical stresses and musculoskeletal disorders (MSDs)

 MSDs are also referred interchangeably as CTDs: [10, 11]
  • Repeated trauma, Repetitive Stress Injuries (RSIs) and
  • Occupational overexertion syndrome
                     Ergonomics: A work place realities
                         in Pakistan - Asim Zaheer
6


          II. CONTEXT(Cont..)
 According to Cohen [8], MSDs result in:
  • Delays, Absenteeism, Injuries, Illnesses
 Risk factors associated with MSDs are: [11, 12]
  •   Repetitive motion
  •   Force-full exertion
  •   Vibration
  •   Mechanical compression
  •   Awkward body postures
  •   High noise
  •   Low lighting
  •   Extreme temperatures
 Ergonomics reduce MSDs by more than 50% [9]
                   Ergonomics: A work place realities
                       in Pakistan - Asim Zaheer
7



          II. CONTEXT(Cont..)
 MSDs affect [4]                       Symptoms of MSDs:[11]
 •   Upper limb                             •     pain
 •   Neck                                   •     numbness
 •   Back                                   •     Tingling
 Work place common                         •     stiff joints
                                            •     difficulty in moving
 MSDs are CTS and
                                            •     muscle loss
 back injury [10]
                                            •     paralysis
 Prolong working hours                     •     Disorders

                    Ergonomics: A work place realities
                        in Pakistan - Asim Zaheer
8



         II. CONTEXT(Cont..)
 Two law enforcing agencies:
 • NIOSH (National Institute of
   Occupational Safety and
   Health)
 • OSHA (Occupational Safety
   and Health Administration)
 Human body is divided into
 three planes: [6,7,13]
 • Sagittal plane,
 • Coronal plane and
 • Transverse plane
                   Ergonomics: A work place realities
                       in Pakistan - Asim Zaheer
9


           II. CONTEXT(Cont..)
 Wrist movement classified as:
 •   Flexion
 •   Extension
 •   Radial
 •   Ulnar

 Hand movements are
  classified as:[13]
 •   Abduction
 •   Adduction
 •   Supination
 •   Pronation
10


Industrial Examples
11



        II. CONTEXT(Cont..)
 Job analysis tools:
  •   Strain Index (SI),
  •   Rapid Upper Limb Assessment (RULA)
  •   Rapid Entire Body Assessment (REBA)
  •   Ovako Work Assessment System (OWAS)
12


            II. CONTEXT(Cont..)
 Strain Index (SI):[14]
  •   Number (score)
  •   Upper extremity disorders.
  •   Tool to evaluate the job, not the worker
SI = (Intensity of Exertion Multiplier)
× (Duration of Exertion Multiplier)
× (Efforts per Minute Multiplier)
× (Posture Multiplier)
× (Speed of Work Multiplier)
× (Duration per Day Multiplier)
                    Ergonomics: A work place realities
                        in Pakistan - Asim Zaheer
13


           II. CONTEXT(Cont..)
 Rapid Upper Limb Assessment (RULA) [6, 17]
• Number (score)
• Upper limb disorders
        Wrist
        Forearms
        Elbows
        Shoulders
        Neck
        Trunk

 Rapid Entire Body Assessment (REBA) [18]
• Number (score)
• Entire body assessment
                     Ergonomics: A work place realities
                         in Pakistan - Asim Zaheer
14



   III. PROBLEM STATEMENT
 Manufacturing Industry of two wheelers
 OEM (Original Equipment Manufacturer) vendor
 for famous companies of auto-bikes in Pakistan
 Products include:
15


Selected Postures
16


III. PROBLEM STATEMENT(Cont..)

  Analysis Tools and Procedures:
  • Strain Index (SI)
  • Exclusively focused on wrist and hand
  • Recorded videos
  • Critical analysis of working postures
  • Gathered relevant data
  • Taken snaps

              Ergonomics: A work place realities
                  in Pakistan - Asim Zaheer
17


                     IV. RESULTS
 SI for Posture 1
  • Rating Criteria Table
  • Multiplier Table[14]
  • SI Calculation

                            S.NO.     SI Parameters       Rating   Multiplier
 Ergointelligence™
                              1     Intensity of effort     2          3
                              2     Percentage              3         1.5
 Other Postures                    duration
                              3     Effort per minute       2         1.0
                              4     Wrist Posture           3         1.5
                              5     Speed of work           4          1
                              6     Duration / day          3         0.75

                                              SI = 5.1
18


                     IV. RESULTS (Cont..)
                              SI FOR POSTURES
                                                  Action     Mean Incidence
Posture     Problems         SI      Risk Type
                                                  Needed       Rate [14]
          Wrist Flexion
           Abduction
                                                 Caution     77 injuries per 100
  1          Force           5.1     Some Risk
                                                 required     worker per year
          Neck flexion
           Hard grip
          Wrist Flexion
           Abduction
                                                 Caution     77 injuries per 100
  2        Grip force        6       Some Risk
                                                 required     worker per year
          Neck flexion
          Trunk flexion

          Wrist extension
           Abduction                             Immediate   77 injuries per 100
  3
              Force
                             27      Hazardous
                                                   action     worker per year
            Hard grip

          Wrist flexion
           Abduction
                                                 Immediate   77 injuries per 100
  4          Force          20.25    Hazardous
                                                   action     worker per year
          Neck flexion
          Trunk flexion
19


                  IV. RESULTS (Cont..)
                              SI FOR POSTURES
                                                                        Mean
                                                       Action
Posture      Problems           SI     Risk Type                   Incidence Rate
                                                       Needed
                                                                         [14]
            Wrist flexion                                           2 injuries per
  5          Excessive          2.6   Safe situation   No action   100 worker per
             reaching                                                    year
                                                                    2 injuries per
          Extreme bending                              Caution
  6                             4.5    Uncertain                   100 worker per
           Wrist flexion                               required
                                                                         year
          Wrist extension
                                                                   77 injuries per
              Force                                    Caution
  7                             6      Some Risk                   100 worker per
            Hard grip                                  required
                                                                        year
           Neck flexion
           Wrist flexion                                            2 injuries per
                                                       Caution
  8        Neck flexion         3      Uncertain                   100 worker per
                                                       required
          Trunk flexion                                                  year
                Wrist
          flexion/extension
                                                                   77 injuries per
              Upper arm                                Caution
  9                             6      Some Risk                   100 worker per
              abducted                                 required
                                                                        year
                Force
             Neck flexion
20


       V. ERGONOMICS
     AWARENESS PROGRAM

 Proposed Ergonomics Awareness program:
 • Phase 01: Analysis of work place
 • Phase 02: Prevention and control of Hazards
 • Phase 03: Personnel training and education
 • Phase 04: Medical Management



               Ergonomics: A work place realities
                   in Pakistan - Asim Zaheer
21

V. ERGONOMICS
   AWARENESS
   PROGRAM
     (Cont..)
22

V. ERGONOMICS
   AWARENESS
   PROGRAM
     (Cont..)
23



       VI. CONCLUSIONS
 Findings
 •   Realities in Pakistani Industry
 •   Strain Index (SI)
 •   Worker is at risk; Awkward postures
 •   Poor environment; Injury prone jobs
 Perspectives
 • Awareness program
 • RULA
 • REBA

              Ergonomics: A work place realities
                  in Pakistan - Asim Zaheer
24


Acknowledgment




  THANK YOU for your attention
                        Questions

     Contact: asimzaheer@neduet.edu.pk; +92 (0)321 2700850

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Ergonomics

  • 1. Ergonomics: A work place realities in Pakistan Asim Zaheer1, Dr. Rameez Khalid Department of Industrial & Manufacturing Engineering, NED University of Engineering & Technology, Karachi, Pakistan 1 corresponding author: asimzaheer@neduet.edu.pk
  • 2. 2 Topics To be Discussed I. INTRODUCTION II. CONTEXT III. PROBLEM STATEMENT IV. RESULTS V. ERGONOMICS AWARENESS PROGRAM VI. CONCLUSIONS Ergonomics: A work place realities in Pakistan - Asim Zaheer
  • 3. 3 I. INTRODUCTION  What is Ergonomics? • Ergonomics, is derived from the Greek word ‘ergon’ which means work and ‘nomos’ means law [1-3] • The Science of Work or the Study of Work • Designing the job to fit the worker • Improve the human well-being • Optimize overall system’s performance Ergonomics: A work place realities in Pakistan - Asim Zaheer
  • 4. 4 I. INTRODUCTION(Cont..) • Focus on worker • Physical and psychological capabilities • Keep an eye on human limitations • Harmonious relationship • Enhancement of productivity and efficiency [2] This guy needs more than a new chair!!!!
  • 5. 5 II. CONTEXT  In Pakistan, knowledge of ergonomics is in its infancy • Ignorance among employer & employee  Ergonomics include different scientific disciplines: [6, 7] Physiology Biomechanics Psychology Anthropometry Industrial hygiene Kinesiology  Physical stresses and musculoskeletal disorders (MSDs)  MSDs are also referred interchangeably as CTDs: [10, 11] • Repeated trauma, Repetitive Stress Injuries (RSIs) and • Occupational overexertion syndrome Ergonomics: A work place realities in Pakistan - Asim Zaheer
  • 6. 6 II. CONTEXT(Cont..)  According to Cohen [8], MSDs result in: • Delays, Absenteeism, Injuries, Illnesses  Risk factors associated with MSDs are: [11, 12] • Repetitive motion • Force-full exertion • Vibration • Mechanical compression • Awkward body postures • High noise • Low lighting • Extreme temperatures  Ergonomics reduce MSDs by more than 50% [9] Ergonomics: A work place realities in Pakistan - Asim Zaheer
  • 7. 7 II. CONTEXT(Cont..)  MSDs affect [4]  Symptoms of MSDs:[11] • Upper limb • pain • Neck • numbness • Back • Tingling  Work place common • stiff joints • difficulty in moving MSDs are CTS and • muscle loss back injury [10] • paralysis  Prolong working hours • Disorders Ergonomics: A work place realities in Pakistan - Asim Zaheer
  • 8. 8 II. CONTEXT(Cont..)  Two law enforcing agencies: • NIOSH (National Institute of Occupational Safety and Health) • OSHA (Occupational Safety and Health Administration)  Human body is divided into three planes: [6,7,13] • Sagittal plane, • Coronal plane and • Transverse plane Ergonomics: A work place realities in Pakistan - Asim Zaheer
  • 9. 9 II. CONTEXT(Cont..)  Wrist movement classified as: • Flexion • Extension • Radial • Ulnar  Hand movements are classified as:[13] • Abduction • Adduction • Supination • Pronation
  • 11. 11 II. CONTEXT(Cont..)  Job analysis tools: • Strain Index (SI), • Rapid Upper Limb Assessment (RULA) • Rapid Entire Body Assessment (REBA) • Ovako Work Assessment System (OWAS)
  • 12. 12 II. CONTEXT(Cont..)  Strain Index (SI):[14] • Number (score) • Upper extremity disorders. • Tool to evaluate the job, not the worker SI = (Intensity of Exertion Multiplier) × (Duration of Exertion Multiplier) × (Efforts per Minute Multiplier) × (Posture Multiplier) × (Speed of Work Multiplier) × (Duration per Day Multiplier) Ergonomics: A work place realities in Pakistan - Asim Zaheer
  • 13. 13 II. CONTEXT(Cont..)  Rapid Upper Limb Assessment (RULA) [6, 17] • Number (score) • Upper limb disorders  Wrist  Forearms  Elbows  Shoulders  Neck  Trunk  Rapid Entire Body Assessment (REBA) [18] • Number (score) • Entire body assessment Ergonomics: A work place realities in Pakistan - Asim Zaheer
  • 14. 14 III. PROBLEM STATEMENT  Manufacturing Industry of two wheelers  OEM (Original Equipment Manufacturer) vendor for famous companies of auto-bikes in Pakistan  Products include:
  • 16. 16 III. PROBLEM STATEMENT(Cont..)  Analysis Tools and Procedures: • Strain Index (SI) • Exclusively focused on wrist and hand • Recorded videos • Critical analysis of working postures • Gathered relevant data • Taken snaps Ergonomics: A work place realities in Pakistan - Asim Zaheer
  • 17. 17 IV. RESULTS  SI for Posture 1 • Rating Criteria Table • Multiplier Table[14] • SI Calculation S.NO. SI Parameters Rating Multiplier  Ergointelligence™ 1 Intensity of effort 2 3 2 Percentage 3 1.5  Other Postures duration 3 Effort per minute 2 1.0 4 Wrist Posture 3 1.5 5 Speed of work 4 1 6 Duration / day 3 0.75 SI = 5.1
  • 18. 18 IV. RESULTS (Cont..) SI FOR POSTURES Action Mean Incidence Posture Problems SI Risk Type Needed Rate [14] Wrist Flexion Abduction Caution 77 injuries per 100 1 Force 5.1 Some Risk required worker per year Neck flexion Hard grip Wrist Flexion Abduction Caution 77 injuries per 100 2 Grip force 6 Some Risk required worker per year Neck flexion Trunk flexion Wrist extension Abduction Immediate 77 injuries per 100 3 Force 27 Hazardous action worker per year Hard grip Wrist flexion Abduction Immediate 77 injuries per 100 4 Force 20.25 Hazardous action worker per year Neck flexion Trunk flexion
  • 19. 19 IV. RESULTS (Cont..) SI FOR POSTURES Mean Action Posture Problems SI Risk Type Incidence Rate Needed [14] Wrist flexion 2 injuries per 5 Excessive 2.6 Safe situation No action 100 worker per reaching year 2 injuries per Extreme bending Caution 6 4.5 Uncertain 100 worker per Wrist flexion required year Wrist extension 77 injuries per Force Caution 7 6 Some Risk 100 worker per Hard grip required year Neck flexion Wrist flexion 2 injuries per Caution 8 Neck flexion 3 Uncertain 100 worker per required Trunk flexion year Wrist flexion/extension 77 injuries per Upper arm Caution 9 6 Some Risk 100 worker per abducted required year Force Neck flexion
  • 20. 20 V. ERGONOMICS AWARENESS PROGRAM  Proposed Ergonomics Awareness program: • Phase 01: Analysis of work place • Phase 02: Prevention and control of Hazards • Phase 03: Personnel training and education • Phase 04: Medical Management Ergonomics: A work place realities in Pakistan - Asim Zaheer
  • 21. 21 V. ERGONOMICS AWARENESS PROGRAM (Cont..)
  • 22. 22 V. ERGONOMICS AWARENESS PROGRAM (Cont..)
  • 23. 23 VI. CONCLUSIONS  Findings • Realities in Pakistani Industry • Strain Index (SI) • Worker is at risk; Awkward postures • Poor environment; Injury prone jobs  Perspectives • Awareness program • RULA • REBA Ergonomics: A work place realities in Pakistan - Asim Zaheer
  • 24. 24 Acknowledgment THANK YOU for your attention Questions  Contact: asimzaheer@neduet.edu.pk; +92 (0)321 2700850

Editor's Notes

  1. Now a days, Industrial safety has become a huge concern in industries of Pakistan. Ergonomics can be defined simply as the study of work Ergonomics, designing the job to fit the worker, rather than physically forcing the worker’s body to fit the job. Its objective is to improve the human well-being and optimize overall system’s performance. Ergonomics is not a new science, although the term has become more common lately. The phrase was first coined in 1857
  2. The main focus of ergonomics is the ‘worker’, whether the situation is designing of work-place or issues relevant to everyday life. Ergonomics keeps an eye on the physical and psychological capabilities as well as the limitations of humans to evade unsafe, unhealthy or uncomfortable situations at the work place This helps to ensure a harmonious relationship between employer and employee, resulting in the enhancement of productivity and efficiency [2]
  3. knowledge from different scientific disciplines including physiology, biomechanics, psychology, anthropometry, industrial hygiene and kinesiology [6, 7] The art of fitting the task, work station, tools and equipment according to the physical abilities of a worker helps the employer to reduce the physical stress and the work related disorders known as musculoskeletal disorders (MSDs) MSDs include injuries to soft tissues, tendons, ligaments and nervous system. It affects bones, muscles and tissues which form the body joints [10], especially the arm and the back [8]. MSDs are also referred interchangeably as CTDs, repeated trauma, Repetitive Stress Injuries (RSIs) and occupational overexertion syndrome [10, 11].
  4. Mostly, MSDs affect the upper limb (arm, shoulder, elbow, wrist and hand), neck and the back that become worse by prolonged working [4]. The problems caused by MSDs are pain, numbness, tingling, stiff joints, difficulty in moving, muscle loss, paralysis and disorders that include Carpel Tunnel Syndrome (CTS), Tendinitis, Sciatica, Herniated disk and back pain [11]. Two common MSDs in the work place are Carpel Tunnel Syndrome (CTS) and back injury. Repetitive motion and high force are responsible for the CTS [10], which affect the wrist and hand by compressing the median nerve which passes through the carpel tunnel in the wrist [11]
  5. Sagittal plane (divide the body into right and left halves), Coronal plane (divides the body into front and back portion) and Transverse plane (divide the body into upper and lower parts)
  6. Rapid Upper Limb Assessment (RULA) On the work place, problems arise due to awkward postures, force and the nature of task and thus provide a reason for more exposed body parts than only wrist and hand. For this situation RULA may be employed, as it is a job analysis tool used to analyze the body segments such as Wrist, Forearms, Elbows, Shoulders and Neck. Like SI, RULA assessment provides a number (score) which provides the information to the analyst about the disorders only in the upper limb [6, 17]. Rapid Entire Body Assessment (REBA) Job analysis tool used to analyze the entire body. REBA assessment provides a number (score) after measuring respective parameters, provides the information to the analyst about the worker’s whole body condition, risk level and suggests how the action may be taken [18].
  7. This paper presents the conditions of an automobile industry that is involved in manufacturing various parts for two wheelers. Basically, the firm is an OEM (Original Equipment Manufacturer) vender for famous companies of auto-bikes in Pakistan. This industry has three facilities: press part unit, manufacturing/assembling unit and electro plating unit. Most of the products are manufactured in the manufacturing/assembling unit, and at the end, all the products are sent to plating unit for electroplating. There are altogether 200 workers excluding the management staff. For this study we have focused only on the Manufacturing Unit of this industry, where we studied the workers individually, interviewed them, recorded videos and took photos of their working postures. In the manufacturing unit many jobs were found having high severity risk factors, but to our astonishment none of the injuries has ever been reported to top management and only minor accidental records were found. In case, a worker feels discomfort, the worker is suggested to take some days off and if something serious happens, apart from some worker most have no right to claim any compensation because most of the workers are on daily wages and thus don’t have any legal contract with the company.
  8. There are various tools available for job analysis as presented in the previous section; we have selected Strain Index (SI) technique as a first step in job analysis to exclusively focus on wrist and hand postures. Table 4 shows the selected photos of different jobs performed at the manufacturing unit. After a critical analysis of the recorded videos and the gathered data, Strain Indices were calculated and as an example the calculation for posture 1 is presented next.
  9. Moore and Garg [14] have provided the tables for “rating criteria” and “multiplier”, which are used here to evaluate the SI for posture 1. First, the rating criteria (table-I in [14]) are selected for each multiplier along with the value of the corresponding multiplier (table-II in [14]). Table 1 has already provided a description of the six multipliers and the SI calculation using (1) for posture 1 is presented below (similarly the Strain Indices for all nine postures are shown in the table 5): Intensity of effort rating 2, multiplier of 3 Percentage duration of exertion rating 3, multiplier of 1.5 Effort per minute rating 2, multiplier of 1.0 Wrist Posture rating 3, multiplier of 1.5 Speed of work rating 4, multiplier of 1.0 rating 3, multiplier of 0.75 SI = 3 × 1.5 × 1.0 × 1.5 × 1.0 × 0.75 SI= 5.1 (means worker is at some risk and caution is needed to save the worker)
  10. Proposed ergonomics awareness program consists of the following four phases on the lines of OSHA , though the underlying details are extended keeping the Pakistani industrial context in mind: Phase 01: Analysis of work place Phase 02: Prevention and control of Hazards Phase 03: Personnel training and education Phase 04: Medical Management
  11. This paper highlighted the facts related to ergonomics in a manufacturing unit of a Pakistani automobile industry. In this facility workers are working in a poor environment with awkward postures of hand and wrist. The data collected at this facility, through signs and symptom survey forms, reveal that more than 50% problems lie in the upper extremity of a worker’s body. Strain Index (SI) was used to analyze this upper extremity (only hand and wrist). An ergonomics awareness program was proposed to enhance the workers’ knowledge and capability by improved learning about injury-prone jobs and postures involving the use of wrist and hand. In another paper we will provide the extensive analysis on those jobs in which whole body is involved using the postural analysis tools like Rapid Upper limb Assessment (RULA) and Rapid Entire Body Assessment (REBA). This paper proposes an ergonomics awareness program, if employed in its true spirit will surely increase workers’ morale, and will help enhance the communication and cooperation between the management and their employees for higher productivity and profitability.