12 Aug 2016

Ergonomics Program Management

PKOSHA Course

Ergonomics Program Management
Ergonomics Program Management


Welcome!
Getting around
Ground rules
Introductions


Workshop goals:
1.  Understand that there is NO formal rule on ergonomics at this time.
2.  Identify the primary components of an effective ergonomics program.

© 2011 Steven J. Geigle.  All rights reserved.
This material, or any other material used to inform employers of compliance requirements of  OSHA standards through simplification of the regulations should not be considered a substitute for any provisions of the Occupational Safety and Health Act of 1970 or for any standards issued by OSHA.  The information in this publication is intended for training purposes only.
                   Form Groups
            Introductions - Get to know
                your NEIGHBOR!
                    Elect a group leader
           
                     Select a spokesperson
                             Recorders                




Ergonomics Program Management

What does a successful ergonomics program look like?
Experts, research literature, and corporate officials generally agree that effective ergonomics programs must have the following core set of elements to ensure that ergonomic hazards are identified and controlled to protect workers:

         Management commitment
         Employee involvement
         Identification of problem jobs
         Development of solutions (that is, controls) for problem jobs
         Training and education for employees
         Appropriate medical management
         Evaluation of the program

Although most ergonomics programs display each of these elements, there is often significant variety in how they are implemented.
This variety typically results from factors such as differences in:
         The facilities’ industries and product line,
         Corporate culture, and
         Experiences during the programs’ evolution.
The processes used to identify and control problem jobs in successful ergonomics programs were typically:
         Informal and simple
         Generally involved a lower level of effort
         Did not typically require significant investment or resources and did not drastically change the job or operation.



Successful ergonomics programs yield real long-term  benefits, including:
         Reductions in workers’ compensation costs associated with MSDs.
         Reductions in overall injuries and illnesses.
         Reductions in the number of days injured employees were out of work, however, the number of restricted workdays may increase as a result of an increased emphasis on bringing employees back to work.
         Improved worker morale, productivity, and product quality.
          


Seven Critical Components

         1.   Top Management Commitment
         2.    Labor & Management Accountability
         3.   Employee Involvement
         4.   Hazard Identification & Control
         5.   Incident/Accident Investigation
         6.   Education and Training
         7.  Periodic Evaluation


Element 1:  TOP MANAGEMENT COMMITMENT

Attributes of  “Proactive Ergonomics”
I. “Tough-caring” Safety Leadership
How does management demonstrate leadership  in ergonomics? 
What is the test for commitment?  
Time     Money                    Communications   



II.  Supportive cultural values
What must we do to assure employees feel comfortable reporting symptoms?
How does early reporting benefit the employee and the company?
II.  Diligent safety management
Who might be best suited to “work” the ergonomics program daily? 
Who might best monitor, evaluate and improve the program? 
IV.  Sound safety engineering
Why are engineering controls desired over work practice or administrative controls? 
Ergonomics Program Management


2.  Labor & Management Accountability

Five essential components of an effective accountability system
1.  Established formal standards of behavior and performance
2.  Resources provided to meet those standards
3.  An effective system of measurement
4.  Appropriate application of effective consequences
5.  Continual evaluation of the system
           
Ergonomics Program Management

Ergonomics Program Management


XYZ Incorporated Roles and Responsibilities
         Injured Employee 
         Supervisor 

         Occupational Health Nurse (OHN)

         Ergonomics Engineer

         Physician

3.  Employee Involvement
Ergonomic problems typically require a response that cuts across a number of organizational units.
Safety staff                           Health care providers                  Supervisors 
Managers                                         Engineering                                                  Maintenance         
Human resources                                                                                                   Specialists
How can each of these functions contribute to the success of an ergonomics program?
Why is it important for employers to encourage employees to report symptoms and signs of MSDs early?
What message does management send to employees when it sets up conflicting pressures between working safely and production?
Some of the ways in which employee involvement can be demonstrated include:
•  Creating committees or teams
•  Establishing a procedure to encourage prompt and accurate reporting
•  Undertaking campaigns to solicit employee reports
         Administering periodic surveys

4.  Hazard Identification & Control
Four elements in the ergonomics program support this element of the safety and health system.  Identifying risk factors, controlling risk factors, implementing control measures, and medical management
Identifying risk factors
What are some methods to gather information and analyze ergonomics hazards in your workplace?
Some signs of potential risk factors and problem jobs.
         OSHA Form 200 logs or workers compensation claims
         worker complaints
         frequent references to physical aches and pains
         at risk activities
Other sources that could alert employers to potential problems include the following:
         Trade publications, insurer newsletters, or references in popular literature indicating risks of MSDs
         Cases of MSDs found among competitors or in similar businesses
         Proposals for increasing line speed, retooling, or modifying jobs to increase individual worker output and overall productivity
Following up on Worker Reports
Criteria for an effective reporting system include:
         Identification of  at least one person to receive and respond to employee reports, and to take the action this standard requires.
         Prompt response to employee reports of MSD signs or symptoms. 
Screening for Risk Factors
         Walk-through observational surveys
         Interviews with workers and supervisors
         Checklist



Physical risk factors include:

         Awkward postures                        Forceful exertions
         Repetitive motions                         Duration of exposure
         Frequency of exposure    Contact stresses
         Vibration                              Other conditions

Ergonomics Program Management


Psychosocial Risk Factors 


If we believe we have little control over job demands, we may suffer from abnormal (negative) distress with accompanying ill health and possible irrational behaviors. Under distress, the probability of an accident increases greatly.
Research is examining work factors such as:
         Performance monitoring,
         Incentive pay systems, and
         Unreasonable production demands
What policies or expectations might cause distress in each of the three areas above?


                            Using a checklist

General Ergonomic Risk Analysis Checklist
         Manual Material Handling
         Physical Energy Demands
         Other Musculoskeletal Demands
         Computer Workstation
         Environment
         General Workplace
         Tools
         Gloves
         Administration
Setting Priorities
Priority for job analysis and intervention should be given to those jobs:
         in which most people are affected or in which work method changes are going to be taking place anyway.
         associated with worker complaints of fatigue and discomfort.
         where screening efforts suggest the presence of significant risk factors for musculoskeletal disorders.
Of the three criteria described above to prioritize the ergonomics job hazard analysis, which one do you believe is most important?

Medical Management
What effective MSD management looks like:

         Prompt response to employees with MSDs to prevent their condition from getting worse.
         Prompt determination whether temporary work restrictions or other measures are necessary.
         Prompt access to a health care professional (HCP) for evaluation, management and follow-up. 
         Prompt application of recommended HCP corrective actions to eliminate or reduce the risk factors that cause MSDs.


Employer responsibilities
The employer should create an environment that encourages early evaluation.
Employees should participate in the health care management process.
Health Care Provider Responsibilities
The health care provider can support the employer's ergonomics program by:
         Acquiring experience and training in the evaluation and treatment of MSDs
         Seeking information and review materials regarding employee job activities
         Ensuring employee privacy and confidentiality to the fullest extent permitted by law
         Evaluating symptomatic employees:

Controlling Risk Factors
Some important recommendations for controlling risk factors include:
         Ask employees in the problem job for recommendations.
         Identify, assess and implement feasible controls.
         Track your progress.
         Identify and evaluate MSD hazards.


Hierarchy of Hazard Control Strategies
         Engineering controls.   
         Management controls. 
         Interim Measures.
         Personal Protective Equipment (PPE). 
         What control measures might work to correct the hazard in the photo to the right?

Implementing Control Strategies
The process of implementing controls normally consists of:
         Trials or tests of the selected solutions
         Making modifications or revisions
         Full-scale implementation
         Follow up on evaluating control effectiveness
You can get more Ideas for effective ergonomic control measures from a variety of sources:
         Employees/work teams
         OSHA
         Trade associations
         Insurance companies
         Private consultants and vendors
         Networking with other safety professionals and visits to worksites
Roles and Responsibilities
         Injured Employee 
         Supervisor  
         Occupational Health Nurse (OHN) 
         Ergonomics Engineer 
         Physician

5.  Incident/Accident Analysis
Be ready when accidents happen
1.  Write a clear policy statement.
2.  Identify those authorized to notify outside agencies (fire, police, etc.)
3.  Designate those responsible to investigate accidents.
4.  Train all accident investigators.
5.  Establish timetables for conducting the investigation and taking corrective action.
6.  Identify those who will receive the report and take corrective action.
Why do we “investigate” accidents?
Why are some accident reports ineffective?
           Ergonomics Program Management
Ergonomics Program Management


XYZ Inc. Ergonomics Incident/Accident Analysis Plan
Ergonomics Program Management

6.  Education and Training
Education explains why…training shows how
         Education tells Why
         Training shows How
         Experience improves skills
         Accountability sustains behaviors
         What are some different methods for conducting ergonomics safety education and training?
         What does an effective ergonomics safety training program look like?
         “Safety training is worthless without accountability.”
What are the objectives of ergonomics education and training?
         Recognize workplace risk factors for MSDs.
         Understand general methods for controlling MSDs.
         Identify the signs and symptoms of MSDs.
         Be familiar with the company's health care procedures.
         Know the process to address and control risk factors.
         Know the the employee's role and accountabilities.
         Know the ways employees can actively participate.
         Know the procedures for reporting risk factors and MSDs.
How do we know ergonomics education and training is successful?
How do we make sure it’s successful?
Training in job analyses and control measures
         Demonstrate the way to do a job analysis.
         Select ways to implement and evaluate control measures
Training in problem solving
         Identify the departments, areas, and jobs with risk factors through a review of company reports, records, walk-through observations, and special surveys.
         Identify tools and techniques that can be used to conduct job analyses and serve as a basis for recommendations.
         Develop skills in team building, consensus development, and problem solving.
         Recommend ways to control ergonomic hazards based on job analyses and pooling ideas from employees, management, and other affected and interested parties.
         Special considerations and precautions
         Training objectives are not intended to have workers, supervisors, or managers diagnose or treat MSDs.
         Rather, the purpose is to instill an understanding of what type of health problems may be work related and when to refer employees for medical evaluation.
         What might be the result if employees are not involved in problem solving to eliminate or reduce ergonomic hazards related to their work?



7.  Periodic Evaluation
         Last and first phase of  planning cycle
         Assess, analyze, evaluate,both labor and management
         Use outside experts
         One of the safety committee’s primary responsibilities is to evaluate accountability.
         Establish procedures for change - an action plan
         Measure activity and results
         Make effective recommendations
Long-term indicators of the effectiveness of an ergonomics program can include:
         Reduction in the incidence rate of MSDs.
         Reduction in the severity rate of MSDs.
         Increase in productivity or the quality of products and services.
         Reduction in job turnover or absenteeism.
An effective evaluation team will: 
         Consult with employees in problem jobs to assess their views on the effectiveness of the program and to identify any significant deficiencies in the program;  
         Evaluate the elements of your program to ensure they are functioning properly; and 
         Evaluate the program to ensure it is eliminating or reducing MSD hazards.
 
What might be the likely cause if new ergonomic risk factors have been discovered during the follow-up evaluation?




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