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Introduction
Workers in the building
and construction industry have a high risk for the occurrence of musculoskeletal
disorders. Scaffolders are among the workers within this branch of industry
with the highest risks. Prevalences of complaints of lower back, upper and
lower extremities are high among scaffolders. In particular, complaints
of the shoulder and wrist are more often reported than among most other
construction workers.
During the principal tasks of scaffolders, i.e. erecting and taking down
scaffolds, manual materials handling is one of the most dominant activities.
It is widely accepted that the relatively high prevalences of musculoskeletal
disorders in this profession can partly be attributed to the high exposures
to manual lifting, lowering and carrying of heavy materials. In reducing
exposure to manual handling of materials it can be helpful to apply guidelines
for manual materials handling. However, scaffolders handle many different
materials, mostly without but sometimes with the help of aids, and in largely
varying circumstances. In particular, differences in type and weight of
scaffolding-poles and -boards result in tremendous variance in the handled
loads. Furthermore, numerous other materials are repeatedly handled, ranging
from baseplates and standards, guard rails and toe boards up to different
ties to securely fix the whole scaffold structure. Hence, variance in the
handled loads and other sources of variation in the job hampers straightforward
application of guidelines. The aim of this study was to explore an optimum
measurement strategy for the application of manual materials handling guidelines
in scaffolding.
Methods
Self-administered checklists
were used to apply the 1991 NIOSH lifting equation and the guidelines for
carrying, pushing and pulling as described by Mital and colleagues. For
each different manual handling situation all items of the checklist had
to be completed. The first measurement strategy aimed at teams of workers
and resulted in application of guidelines for 26 scaffolders (4 teams of
3 workers, 7 teams of 2 workers). Each team was observed for a couple of
hours and required measurements were performed. The frequency of each manual
handling situation was assessed during the observation period and derived
for a full working day using team productivity data. In the second measurement
strategy another 61 scaffolders were systematically observed using OWAS.
Each worker was observed during two periods of 30 min, and every 30 s his
task, activity, handled load, and working posture was registered.
Results
Table
1 illustrates
that on average 32 checklists were obtained for each of 26 scaffolders,
resulting in a total of 833 checklists. The number of checklists per worker
ranged from 12 to 71. By far the majority of the checklists concerned application
of the 1991 NIOSH lifting guideline (the mean number of checklists for lifting
was 22), while for pushing and pulling hardly ever more than one checklist
was necessary. For carrying the large variation in the number of checklists
is noteworthy; for one worker no checklist had to be filled out while for
another 39 were necessary.
Table
1. Mean, standard deviation (SD) and range of the number of checklists
completed to obtain information needed to apply guidelines for manual
materials handling (n=26).
|
|
Mean
|
(SD)
|
Range
|
| Lifting |
22.00
|
(7.84)
|
8-37
|
| Carrying |
8.85
|
(8.03)
|
0-39
|
| Pushing
|
1.00
|
(1.17)
|
0-4
|
| Pulling |
0.19
|
(0.40)
|
0-1
|
|
Total
|
32.04
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(12.50)
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12-71
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The systematic observations
among 61 scaffolders revealed that 36% of the time was spent on lifting
and 9% on carrying, while pushing and pulling were hardly observed (together
only 0.4%).
The checklist strategy
enabled proper application of guidelines for many individual material
handling activities. However, exposure to these activities over the working
day is difficult to estimate in non-repetitive work such as scaffolding.
Even the use of productivity data did not solve this problem completely.
Systematic observation, on the other hand, gave fair insight into daily
exposure of the average worker, but hardly any of the information needed
to apply guidelines for manual materials handling was obtained. To advance
insight into the optimum approach, the strategy using checklists and productivity
data and the approach using systematic observations will be combined in
further analyses. The use of task and activity duration's from systematic
observations as complementary data for the application of guidelines by
the checklist approach will be explored. At this stage, however, it can
already be concluded that a simple application of guidelines for manual
materials handling is difficult among scaffolders due to the large variation
in their work.
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