Job Level Risk Assessment Using Task Level Strain Index Scores: A Pilot Study

This paper explores 2 methods of modifying the Strain Index (SI) to assess the ergonomic risk of multi-task jobs. Twenty-eight automotive jobs (15 cases and 13 controls) were studied. The first method is based on the maximum task SI score, and the second method is modeled on the NIOSH Composite Lifting Index (CLI) algorithm, named cumulative assessment of risk to the distal upper extremity (CARD). Significant odds ratios of 11 (CI 1.7-69) and 24 (CI 2.4-240) were obtained using the modified maximum task and CARD, respectively. This indicates that modification of the SI may be useful in determining the risk of distal upper extremity injury associated with a multi-task job.

Job Level Risk Assessment Using Task Level ACGIH Hand Activity Level TLV Scores: A Pilot Study

Existing upper extremity musculoskeletal disorder analytical tools are primarily intended for single or mono-task jobs. However, many jobs contain more than 1 task and some include job rotation. This case/control study investigates methods of modifying an existing tool, the American Conference of Governmental Industrial Hygienists (ACGIH) Hand Activity Level (HAL) Threshold Limit Value (TLV), to assess the upper extremity risk of multi-task jobs. Various methods of combining the task differences and ratios into a job level assessment were explored. Two methods returned significant odds ratios, (p < .05) of 18.0 (95% CI 1.8-172) and 12.0 (95% CI 1.2-120). These results indicate that a modified ACGIH HAL TLV may provide insight into the work-related risk of multi-task jobs. Further research is needed to optimize this process.

A standardized method for measuring the force required to join wire harnesses and sparkplugs

Understanding the forces required to insert a sparkplug wire (wire) onto a sparkplug (plug), independent of worker variation, is important for ergonomists, engineers, and designers. This paper describes a methodology for measuring the forces required to seat a wire onto a plug. A three-axis programmable mill was used to insert wires onto plugs mounted on a force transducer. Inflection points and slopes of the force-displacement curves were found to correspond to mechanical events as the plug and wire were joined. These events were further isolated by dissecting the wires to better understand the force contribution of each wire component. Liner superposition was then used to show that each of these force elements may be added to estimate the total force required to seat a wire onto a plug. This methodology may be used to quantify the effects of design choices, lubricants (wet and dry), and pre-working on axial insertion forces associated with sparkplugs and other insertions. This paper does not address worker abilities or variation, however, the methodology and equipment described may provide a foundation for the exploration of worker ability, variation and work techniques.

Investigation of flexible hose insertion forces and selected factors

Flexible hoses are widely used in automobiles. Understanding the force required to insert a hose, independent of worker variation, is important for engineers, designers and health professionals. Various parameters affect the insertion forces including the interference between the hose and flange. Also, it has been observed that workers often add motions during the insertion process, including rotation and oscillation. This paper describes the effects of these parameters on axial insertion forces. A programmable mill was used to isolate the effects of four variables on hose insertion force: fit, insertion speed, rotational velocity and oscillation magnitude. The results show that the magnitude of the interference of the 19 mm inside diameters (ID) heater hose and the flange, and the insertion technique affect the insertion forces; resulting in a range of insertion forces from 11.1+/-0.2 to 128.4+/-11.3N.

Development of a carpal tunnel syndrome screening method using structured interviews and vibrotactile testing

Carpal tunnel syndrome (CTS) is a debilitating and expensive health problem. An inexpensive screening method that would differentiate between people who do not have CTS and those that may have CTS would be useful. The screening methodology investigated here had two phases: a structured interview and provocative vibrotactile testing (VT). The control group (n = 36) was composed of asymptomatic college students and faculty, the case group was composed of patients currently visiting an occupational medicine clinic for symptoms consistent with CTS. The case group was subdivided into positive and negative for nerve conduction latency, NCL+ (n = 21) and NCL- (n = 13), respectively. Using a scored, structured interview, 33 of the controls and none of the symptomatic cases were identified as non-CTS. The results from the provocative flexion VT indicated that if the difference between the age corrected baseline and the threshold at 15 minutes is 15 microm or more, the subject was likely to be NCL+ (odds ratio 12.6, 95% CI 3.8 to 41.8). Further research may improve this screening methodology to not only determine whether or not a person has CTS, but also to determine the level of median nerve impingement or damage.

Evaluation and quantification of manual materials handling risk factors

This study investigated the ability of the Revised NIOSH Lifting Equation (RNLE) to measure the risk of low back injury as verified by employee health outcomes. In addition, several basic risk factors and combinations of risk factors presumed related to low back disorders were explored. The RNLE was modified to allow analysis of one-handed and two-handed, asymmetric lifts. Predictive performance was not changed. Simplifying the RNLE by removing several variables did not significantly reduce the RNLE's predictive performance. These modifications to the RNLE show promise for increasing both the usability and utility of the RNLE.

Comparison of ergonomic risk assessment outputs from Rapid Upper Limb Assessment and the Strain Index for tasks in automotive assembly plants

This paper compares the ergonomic risk assessment of a task for the upper extremities as determined by Rapid Upper Extremity Assessment (RULA) and the Strain Index (SI). The ergonomic risk to the upper extremities of 244 automotive assembly plant tasks were evaluated using RULA and SI. The outcomes of each tool were compared for each task. Results from this study provide practical insight into the methods used in each tool. This study compared only the ergonomic risk outputs from each tool; it does not pursue the question of which tool best predicts injury. The kappa score was 0.11, indicating little agreement between the outputs of the two tools. This is supported by the lack of monotonicity with a gamma score of 0.1. These results indicate that the risk assessment outcome of these two ergonomic assessment tools for the upper extremities do not agree.