Prospective validity assessment of a friction prediction model based on tread outsole features of slip-resistant shoes.

Shoe outsole design strongly influences slip and fall risk. Certain tread features that can be readily measured have been shown to predict friction performance. This research aimed to replicate those findings and quantify their ability to predict slipping. Participants (n = 34) were exposed to a low friction oil-coated floor surface, while wearing slip-resistant shoes. The coefficient of friction (COF) of each shoe were predicted based on tread surface area, the presence of a bevel, and hardness. The COF was measured, and the slip outcome was determined. Predicted and measured COF were correlated, and measured COF was a sensitive predictor of slip outcome. The relationship of predicted COF on slip outcome was weaker than anticipated and was not statistically significant. This study partially confirmed the ability of previous regression equations to predict COF. However, the effect size was weaker than previously reported and predicted COF was not sensitive for predicting slips.

The Necessity for Improved Hand and Finger Protection in Mining.

Injuries associated with hands and fingers are highly prevalent in mining and identifying factors associated with these injuries are critical in developing prevention efforts. This study identifies nonfatal injury incidence rates, nature of injury, work activities, glove usage, and sources of hand and finger injuries in the U.S. mining industry, as reported to the Mine Safety and Health Administration (MSHA) from 2011 - 2017. Hand and finger injuries occur at a rate of 6.53 per 1000 full-time employees, which is nearly double the rate of the next highest affected body part, the back. Most of the hand and finger injuries were classified as cuts/lacerations/punctures (53%) followed by bone fractures/chips (26%). Materials handling and maintenance/repair were common activities at the time of the incident with miscellaneous metals (pipe, wire, guarding) and hand tools as the primary sources of hand and finger injury. Although the information on glove use was limited, leather gloves were most often worn when an injury occurred. When worn, gloves were found to contribute to 20% of the injuries, indicating their potential to protect the hands, but also potentially put the hands at risk. Further research is necessary to determine performance requirements for gloves used in mining operations, specifically those offering cut and puncture resistance.

A taxonomy of surface mining slip, trip, and fall hazards as a guide to research and practice.

Slips, trips, and falls (STFs) are the second leading cause of non-fatal injuries and can lead to fatal incidents in the mining industry. Hazard identification is an essential first step in remediating STF hazards and creating a safer work environment. Previous research has identified industry-specific risk factors for STFs, evaluated exposures to those risk factors, and developed taxonomies of the hazards for the construction and farming sectors. In comparison, ErgoMine-a mobile device application-based ergonomics audit tool-is the only systematic evaluation tool that covers STF hazards in the mining industry. However, ErgoMine was not specifically developed to address STF hazards. This paper describes the development of a taxonomy that helps identify STF hazards at surface mining sites and provides recommendations to address these hazards to inform future evaluation tools. The objective was to develop a taxonomy that was self-explanatory, observable, repeatable, and solution oriented. In addition to current regulations, standards and guidelines were used to develop the taxonomy to ensure the focus was beyond basic compliance. A detailed description of how the STF hazard taxonomy was created for walkways, stairways, and fixed ladders is provided, along with two specific applications of its use. The STF hazard taxonomy can be used to develop tools like checklists and ergonomics audits to identify and remediate slip, trip, and fall hazards at surface mining facilities, thereby improving worker safety.

Analysis of Fall-Related Imminent Danger Orders in the Metal/Nonmetal Mining Sector.

Within the metal/nonmetal mining sector, fall-related incidents account for a large proportion of fatal and non-fatal injuries. However, the events and contributing factors leading up to these incidents have not been fully investigated. To help provide a clearer picture of these factors, an analysis of imminent danger orders issued by the Mine Safety and Health Administration (MSHA) between 2010 and 2017 at both surface and underground metal/nonmetal mine sites revealed that most orders are associated with fall risks. Of these cases, 84% involved the workers not using fall protection, fall protection not being provided, or the improper use of fall protection. Fall risks for workers most frequently occurred when standing on mobile equipment, performing maintenance and repairs on plant equipment, or working near highwalls. In most cases, a single, basic, corrective action (e.g., using fall protection) would have allowed workers to perform the task safely. Overall, these findings suggest that a systematic approach is needed to identify, eliminate, and prevent imminent danger situations. Furthermore, to protect mineworkers from falls from height, frequently performed tasks requiring fall protection should be redesigned to eliminate the reliance on personal fall protection.

Effects of Metatarsal Work Boots on Gait During Level and Inclined Walking.

Footwear plays an important role in worker safety. Work boots with safety toes are often utilized at mine sites to protect workers from hazards. Increasingly, mining operations require metatarsal guards in addition to safety toe protection in boots. While these guards provide additional protection, the impact of metatarsal guards on gait are unknown. This study aimed to measure the effects of 4 safety work boots, steel toe, and steel toe with metatarsal protection in wader- and hiker-style boots, on level and inclined walking gait characteristics, during ascent and descent. A total of 10 participants completed this study. A motion capture system measured kinematics that allowed for the calculation of key gait parameters. Results indicated that gait parameters changed due to incline, similar to previous literature. Wader-style work boots reduced ankle range of motion when ascending an incline. Hip, knee, and ankle ranges of motion were also reduced during descent for this style of boot. Wader-style boots with metatarsal guards led to the smallest ankle range of motion when descending an inclined walkway. From these results, it is likely that boot style affects gait parameters and may impact a miner's risk for slips, trips, or falls.

Investigation of Machine-Mounted Area Lighting to Reduce Risk of Injury from Slips-Trips-Falls for Operators of Mobile Surface Mining Equipment.

Nonfatal injuries from slips, trips, and falls (STF) that occur at surface mines can result from inadequate lighting. Mobile equipment operators are among the occupations associated with the nonfatal incidents reported to the U.S. Mine Safety and Health Administration (MSHA). In addition, getting on/off the equipment (ingress/egress) frequently adds to the highest proportion of nonfatal incidents. Accordingly, researchers at the Pittsburgh Mining Research Division (PMRD), National Institute for Occupational Safety and Health (NIOSH) conducted a field study to investigate lighting on haul trucks and wheel loaders with regard to glare and illuminance levels recommended by the Illuminating Engineering Society (IES). The objective was to determine whether two light-emitting diode (LED) area luminaires-a Mr. Beams® (model MB390 Ultrabright) (area luminaire-1) and a NIOSH-developed Saturn (custom-designed for a mine roof bolter study) (area luminaire-2)-could complement a headlamp luminaire. Measured levels of visual tasks, with the headlamp alone and the area luminaires plus the headlamp, demonstrated that illuminance met or exceeded IES-recommended levels. Nevertheless, the area luminaires illuminated a much broader area, which is key to increasing hazard awareness. Discomfort and disability glare were lower with area luminaire-1 than with area luminaire-2. Differences in glare were more noticeable for newer models of haul trucks and loaders featuring updated ingress/egress system designs. This study demonstrates that commercially available luminaires, such as area luminaire-1, are capable of complementing headlamp lighting, and can thus improve a miner's ability to detect and avoid STF hazards.

Operators' views of mobile equipment ingress and egress safety.

A large proportion of non-fatal slips, trips, and falls (STFs) at surface mining facilities are associated with mobile equipment. Ingress and egress from mobile equipment can pose a fall risk to mobile equipment operators. The objective of this study was to determine mobile equipment operators' views of STF risks from mobile equipment, and to ascertain what factors, tasks, and conditions they perceive as contributing to these risks. A thematic analysis of 23 individual interviews and 2 group interviews was conducted, with 10 overarching themes identified from the transcripts. Mobile equipment operators indicated that being unable to see their feet or the ladder rungs during descent and the presence of contaminants on the ladders caused by normal operation make egress more dangerous than ingress. The flexible rails and high heights of the lower rungs identified over 40 years ago as issues for mobile equipment operators still pose a perceived STF risk. Further, the requirements of routine maintenance tasks such as oil and filter changes, greasing, and cleaning windows pose fall risks due to inadequate access and the need to carry supplies up and down equipment ladders. In addition to the mobile equipment, hazardous ground conditions and insufficient lighting were found to be key issues around the mobile equipment and in parking areas. The findings of this work indicate that mobile equipment operators feel at risk for STFs due to the design and condition of their equipment, and would like to see ladders replaced with safer stairways as the primary ingress/egress system.

Burden associated with nonfatal slip and fall injuries in the surface stone, sand, and gravel mining industry.

Slips, trips, and falls (STFs) pose a significant financial burden to employers and account for over 33% of the total nonfatal workers' compensation cost in the United States. Previous analyses documenting the burden of STF incidents in the mining industry have focused on occupational fatalities or STFs during equipment ingress, egress. There is limited information on the burden of nonfatal STF incidents in the mining industry and most of it is outdated. Hence, to increase awareness and highlight the importance of STFs in the mining industry, this analysis documents the burden associated with nonfatal STF incidents at surface stone, sand, and gravel (SSG) mines from 2008 through 2017. In this time frame, nonfatal STF incidents occurred at a rate of 62 per 10,000 full-time equivalent (FTE) employees per year. Pits had a higher prevalence of injuries, but plants had a higher incidence rate. In addition, nonfatal STF incidents at surface SSG mines led to approximately 23,800 total days lost per year with an estimated cost to the mining industry of $17.5 million per year. Assessed violations that are not related to reported injuries but are related to STF hazards identified during Mine Safety and Health Administration (MSHA) inspections cost the mining industry approximately $3 million per year from 2013 through 2017. Based on the data analyzed in this study, falls to the lower level pose a higher burden in terms of cost; however, falls to the same level have a higher number of incidents and incidence rate.

Emerging Ergonomics Issues and Opportunities in Mining.

Ergonomics is the scientific discipline that investigates the interactions between humans and systems to optimize both human and system performance for worker safety, health, and productivity. Ergonomics is frequently involved either in the design of emerging technologies or in strategies to alleviate unanticipated human performance problems with emerging technologies. This manuscript explores several such emerging issues and opportunities in the context of the mining sector. In mining, the equipment, tools, and procedures have changed considerably and continue to change. Body-worn technology provides a number of opportunities to advance the safety and health of miners, while teleoperation and autonomous mining equipment stand to benefit significantly from ergonomics applications in other sectors. This manuscript focuses on those issues and opportunities that can impact the safety and health of miners in the near term.

An analysis of injuries to front-end loader operators during ingress and egress.

Slips, trips, and falls from mobile mining equipment have been documented for decades. However, little research has been conducted to determine the events precipitating these incidents during ingress or egress. This study examined slips, trips, and falls sustained during ingress or egress from front-end loaders to determine the frequencies of factors that may contribute to injuries. Non-fatal injuries, when getting on or off of front-end wheel loaders specifically, were identified, coded, and analyzed from the Mine Safety and Health Administration's accidents, injuries, and illnesses database. Overall trends, events that precipitated the injury, injuries sustained, contributing factors, location of the individual, and equipment characteristics were analyzed. More incidents occurred during egress (63%); and egress is believed to be more hazardous than ingress. Foot slips were the most common event that precipitated the incident and the leading cause of these was contaminants on the equipment. Misstep, loss of footing, and step on/in related incidents were more common during egress and are likely due to the operator's reduced visibility when descending a ladder facing the equipment, limiting their ability to detect hazards. Egress also makes an operator less capable of avoiding unsafe ground conditions as indicated by the significant number of step on/in injuries occurring on the ground during egress. Most of the front-end loaders associated with the incidents were found to have bottom rungs with flexible rails, which may also increase fall risk during egress due to inconsistent rung heights and lengthy transition areas from the ground, through the flexible-railed rungs, to the rungs with rigid rails. Recommendations are provided to reduce the risk for slips, trips, and falls from mobile mining equipment.

Exploring respiratory protection practices for prominent hazards in healthcare settings.

The use of respiratory protection, an important component of personal protective equipment (PPE) in healthcare, is dependent on the hazard and environmental conditions in the workplace. This requires the employer and healthcare worker (HCW) to be knowledgeable about potential exposures and their respective protective measures. However, the use of respirators is inconsistent in healthcare settings, potentially putting HCWs at risk for illness or injury. To better understand respirator use, barriers, and influences, the National Institute for Occupational Safety and Health (NIOSH) Health and Safety Practices Survey of Healthcare Workers provided an opportunity to examine self-reported use of respirators and surgical masks for targeted hazards. The hazards of interest included aerosolized medications, antineoplastic drugs, chemical sterilants, high-level disinfectants, influenza-like illness (ILI), and surgical smoke. Of the 10,383 HCWs who reported respiratory protection behaviors, 1,904 (18%) reported wearing a respirator for at least one hazard. Hazard type, job duties, site characteristics, and organizational factors played a greater role in the likelihood of respirator use than individual factors. The proportion of respirator users was highest for aerosolized medications and lowest for chemical sterilants. Most respondents reported using a surgical mask for at least one of the hazards, with highest use for surgical smoke generated by electrosurgical techniques and ILI. The high proportion of respirator non-users who used surgical masks is concerning because HCWs may be using a surgical mask in situations that require a respirator, specifically for surgical smoke. Improved guidance on hazard recognition, risk evaluation, and appropriate respirator selection could potentially help HCWs better understand how to protect themselves at work.

Method for measuring wear on boot outsoles using a 3D laser scanner.

In the mining industry, slips and falls are the second leading cause of non-fatal injuries. Footwear is the primary defence against a slip; consequently, the condition of the footwear outsole is critical to maintaining slip resistance. Currently, there is no published method that can be used to determine when the outsole no longer affords adequate slip protection. Moreover, quantifying the condition of the outsole through the measurement of outsole features can be tedious. This article introduces a new method for the quantification of boot outsole wear. Using a handheld 3D scanner, boot scans can be taken quickly and the developed models used to measure outsole features. This method also accounts for the bending of the boot due to normal wear, which may otherwise introduce erroneous measures. When compared to measurements with a traditional handheld calliper, this new method offers more flexibility in terms of data collection, accounts for other types of boot transformations, and is more efficient to use over multiple measurement periods with no statistically significant differences in measurement.

Identification of Work-Related Musculoskeletal Disorders in Mining.

Work-related musculoskeletal disorder (WMSD) prevention measures have been studied in great depth throughout various industries. While the nature and causes of these disorders have been characterized in many industries, WMSDs occurring in the U.S. mining sector have not been characterized for several years. In this report, MSHA accident/injury/illness data from 2009 to 2013 were characterized to determine the most frequently reported WMSDs in the U.S. mining sector. WMSDs were most frequently reported in workers with less than 5 years or more than 20 years of mining experience. The number of days lost from work was the highest for shoulder and knee injuries and was found to increase with worker age. Underground and surface coal, surface stone and stone processing plants experienced the greatest number of WMSDs over the period studied. WMSDs were most commonly caused by an employee suffering from an overexertion, falls or being struck by an object while performing materials handling, maintenance and repair tasks, getting on or off equipment or machines, and walking or running. The injury trends presented should be used to help determine the focus of future WMSD prevention research in mining.

Analysis of physical demands during bulk bag closing and sealing.

Several tools are sold and recommended for closing and sealing flexible intermediate bulk containers (bulk bags) which are used to transport product that has been mined and processed. However, there is limited information on the risks, physical demands, or the benefits of using one tool over another. The purpose of this study was to evaluate the physical demands involved with two closing methods and several sealing tools in order to provide recommendations for selecting tools to reduce exposure to risk factors for work-related musculoskeletal disorders. In this study, twelve participants completed bag closing and sealing tasks using two different closing methods and eight sealing tools on two types of bulk bags. Physical demands and performance were evaluated using muscle activity, perceived exertion, subjective ratings of use, and time. Results indicate that using the "flowering" method to close bags required on average 32% less muscle activity, 30% less perceived exertion, 42% less time, and was preferred by participants compared to using the "snaking" method. For sealing, there was no single method significantly better across all measures; however, using a pneumatic cable tie gun consistently had the lowest muscle activity and perceived exertion ratings. The pneumatic cable tie gun did require approximately 33% more time to seal the bag compared to methods without a tool, but the amount of time to seal the bag was comparable to using other tools. Further, sealing a spout bulk bag required on average 13% less muscle activity, 18% less perceived exertion, 35% less time, and was preferred by participants compared to sealing a duffle bulk bag. The current results suggest that closing the spout bag using the flowering method and sealing the bag using the pneumatic cable tie gun that is installed with a tool balancer is ergonomically advantageous. Our findings can help organizations select methods and tools that pose the lowest physical demands when closing and sealing bulk bags.

Standardizing Handoff Communication: Content Analysis of 27 Handoff Mnemonics.

This study synthesizes information contained in 27 mnemonics to identify what information should be communicated during a handoff. Clustering and content analysis resulted in 12 primary information clusters that should be communicated. Given the large amount of information identified, it would be beneficial to use a structured handoff communication tool developed using a participatory approach. In addition, we recommend local standardization of information communicated during handoffs with variation across settings.

Identifying Challenges Associated With the Care Transition Workflow From Hospital to Skilled Home Health Care: Perspectives of Home Health Care Agency Providers.

Older adults discharged from the hospital to skilled home health care (SHHC) are at high risk for experiencing suboptimal transitions. Using the human factors approach of shadowing and contextual inquiry, we studied the workflow for transitioning older adults from the hospital to SHHC. We created a representative diagram of the hospital to SHHC transition workflow, we examined potential workflow variations, we categorized workflow challenges, and we identified artifacts developed to manage variations and challenges. We identified three overarching challenges to optimal care transitions-information access, coordination, and communication/teamwork. Future investigations could test whether redesigning the transition from hospital to SHHC, based on our findings, improves workflow and care quality.

A tool for rapid assessment of product usability and universal design: development and preliminary psychometric testing.

BACKGROUND: While there are many available tools and methods to evaluate product usability, few have been tested on user groups with disabilities and even fewer systematically consider universal design principles. OBJECTIVE: This paper describes the development and preliminary psychometric testing of the Rapid Assessment of Product Usability & Universal Design (RAPUUD), a 12-item user-report tool based on the seven principles of universal design. METHOD: A preliminary set of items was created to elicit ratings of diverse product characteristics (e.g., physical effort, cognitive effort, assistance required, safety). Data were gathered from 61 participants who rated the usability of products they use in their own environments. RESULTS: Each item elicited a full range of responses, with no apparent floor or ceiling effects. Collectively, the 12 items achieved a high internal consistency (Cronbach's α=0.80). The data indicate that the tool was sensitive to differences in functional abilities, as well as differences in product characteristics. The instrument was usable for a range of consumer products, though not all items were appropriate for each and every product. CONCLUSION: The results suggest that the instrument could become a pragmatic tool for designers to identify usability problems experienced by a diversity of user populations.

Vicarious perception of postural discomfort and exertion.

Perceived exertion and discomfort have been used extensively in ergonomics practice. Job incumbents typically rate their exertion on scales such as Borg's rated perceived effort (RPE) and their discomfort on scales such as Corlett and Bishop's body part discomfort scales (BPD). This study asks whether exertion and discomfort can be perceived by an external observer, i.e. is vicarious perception possible? Four participants (targets) performed 20 postural holding tasks selected from Ovako Working Posture Analysing System postures and gave RPE and BPD scores for each posture. Video clips of each target in each posture were shown to four expert ergonomists and 23 novices, who also gave RPE and BPD scores. Correlations between targets and observers scores were high, with significance exceeding p = 0.01. Observers were generally conservative, rating easy postures too high and difficult postures too low. All observers rated female targets higher than male targets. Female observers rated all targets higher then male observers. Vicarious perception of discomfort and exertion was possible, but there was not a one-to-one correspondence to ratings given by those experiencing the posture.