Slide Presentation - Georgia Tech OSHA Consultation Program
Download
Report
Transcript Slide Presentation - Georgia Tech OSHA Consultation Program
Define and Measure
Problem
Overview of the Basic Approaches to the
Recognition, Measurement, and Control of
Work-related Musculoskeletal Disorders
Revised 3/06
1
Organization of the Rule
Subpart A - Purpose
Subpart B - Scope
Subpart C - Forms and recording criteria
Subpart D - Other requirements
Subpart E - Reporting to the government
Subpart F - Transition
Subpart G - Definitions
2
Recording Criteria
Subpart C - Recordkeeping Forms and
Recording Criteria
1904.4
Recording criteria
1904.5 Work-relatedness
1904.6 New case
1904.7 General recording criteria
1904.8 Needlesticks and sharps
1904.9 Medical removal
1904.10 Hearing loss
1904.11 Tuberculosis
1904.29 Forms
3
1904.4 – Recording Criteria
Covered employers must record each
fatality, injury or illness that:
is
work-related, and
is a new case, and
meets one or more of the criteria contained
in sections 1904.7 through 1904.11.
4
1904.29 - Forms
OSHA Form 300, Log of Work-Related
Injuries and Illnesses
OSHA Form 300A, Summary of WorkRelated Injuries and Illnesses
OSHA Form 301, Injury and Illness
Incident Report
5
6
Incidence Rates
Formula for calculation
N
Rate per 100
full time workers
=
x 200,000
Hours worked
7
Injury Analysis
Frequency (Total Recordable Case Rate)
Severity (DART Rate)
Upper Extremity WMSDs
Tendon Disorders
Tendonitis
Tenosynovitis
Lateral
Epicondylitis
Medial Epicondylitis
Ganglion Cysts
Nerve Disorders
Nerve
entrapments
Carpel Tunnel Syndrome
Neurovascular Disorder
Hand
Arm Vibration Syndrome
Thoracic Outlet Syndrome
Location of Upper Extremity Disorders
Overview of Symptoms
Ganglion Cyst
Synovial sheath swells and holds fluid
Often seen in the wrist as a bump
Epicondylitis (lateral and medial)
Unsheathed tendons become irritated
Pain that extends from elbow through forearm
Overview of Symptoms
Tenosynovitis
Swelling of the synovial sheath
Pain and swelling
Tendonitis
Tendon becomes inflamed
Pain, swelling, weakness, tenderness
Overview of Symptoms
Nerve entrapments
Carpel
tunnel syndrome
Swelling of the tendons in the wrist area that place
pressure on the median nerve
Symptoms include pain, numbness, and tingling of
the hand (thumb and first 3 digits)
Overview of Symptoms
Neurovascular disorders
Thoracic
Outlet Syndrome
Compression of the nerves and blood vessels of
the neck and shoulder
Symptoms like CTS extending up the arm
Hand
Arm Vibration Syndrome
Disorder of the small vessels and nerves of the
fingers and hand
Results from vibrating hand tools
Localized blanching at the fingertips with
numbness on exposure to cold or vibration
Back Pain
2nd leading ailment that affects the 25–50
age group
Back injuries account for ~ 20% of all
workplace injuries and illnesses
Costs $20-50 billion a year
The Spinal Column
•7 cervical vertebrae
•12 thoracic vertebrae
•5 lumbar vertebrae
•5 sacral vertebrae
•4 coccygeal vertebrae
The Basics
Two Basic Structures
1.
Vertebrae
2.
Discs
Injuries of the Back
Pinched nerves
Static
postures, improper posture
Acute trauma
Pulled Muscles
Heavy
lifting
Improper lifting technique
Symptoms of Back Pain
Pain (dull, consistent and sharp)
Numbness
Tingling
Aching
What if I do not have MSDs
www.bls.gov
A Proactive Problem-Solving Approach
1. Look for Clues
2. Prioritize Job Improvements
3. Make Improvements
4. Follow-Up
Body Part Discomfort Map
Body Part Discomfort Map
Body Part Discomfort Map
Look for Clues – Observe Work Activities
o
o
Physical Work Risk Factors
o
Lifting/forceful movements, awkward postures, whole body vibration
o
Unnecessary handling of materials
Symptomatic Worker Behaviors
o
Fatigue, discomfort, ‘pain behaviors’, etc.
o
Increased absenteeism, turnover rates or complaints and reduced
morale
o
Workplace Design Issues
o
Are workers modifying tools, equipment, or workstations on their
own?
o
o
Malfunctioning equipment
Productivity Issues
o
Production bottlenecks, reduced level of quality, missed deadlines,
increase in waste/scrap, etc.
Look for Clues – Use Assessment
Tools
o
o
Checklists
o
General Ergonomics Evaluations
o
Risk Factor / Activity Specific
Task Analyses
Early Detection Program