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Peay UNITED STATES DEPARTMENT OF THE INTERIOR 'p^ / h '' ^ t-h, . ^MMMi 'Y lt»^); Information Circular 8948 Back Injuries Proceedings: Bureau of Mines Technology Transfer Symposia, Pittsburgh, PA, August 9, 1983, and Reno, NV, August 15, 1983 Compiled by James M. Peay UNITED STATES DEPARTMENT OF THE INTERIOR James G. Watt, Secretary BUREAU OF MINES Robert C. Horton, Director c\'0 %^ ^1^ This publication has been cataloged as follows: Bureau of Mines T echnology Transfer Sympos ia (1983 : Pittsburgh, PA, and Reno, N V) Back inj uries. (Bureau oi Mines in ormation circu ar ; 8948) Includes bibliograpl ical references . Supt. of Docs, no.: 28.27:8948. 1. Mine accidents Clongrcsscs. I. Peay, circular (United States. -Congresses. 2. James M. 11. Tit Bureau of Mines) ; Back- e. Ill 8948. -Wounds . Series: and injuries- Information TN295.U4 fTNSll] 622s [622' .8] 83-600258 CONTENTS Page Abs tract 1 Introduction 2 Materials Handling Methods and Problems in Underground Coal Mines , by Richard L. Unger and Daniel J. Connelly 3 Activities and Objects Most Commonly Associated With Underground Coal Miners' Back Injuries, by Robert H. Peters 23 Analysis of Coal Mining Back Injury Statistics, by Terrence J. Stobbe and Ralph W. Plummer 32 Two Back Risks in Mining: Lifting and Pushing and Pulling, by Robert 0. Andres 41 Field Testing of Workers Involved in Material Handling, by BCarl H. E. Kroemer.. 47 Lifting Capacity Determination, by M. M. Ayoub, J. L. Selan, W. Karwowski, and H. P. R. Rao 54 Job Design for Manual Material Handling Tasks, by M. M. Ayoub, J. L. Selan, and H. P. R. Rao 64 Back Injuries and Maintenance Material Handling in Low-Seam Coal Mines , by Ernest J. Conway and William W. Elliott 74 Training Procedures to Reduce Low Back Injuries , by Nancy C. Selby 81 A Manual Materials Handling (MMH) Training Program for the Mining Industry, by Daniel J. Connelly 88 Mechanization of Materials Handling Tasks , by Richard L. Unger 102 BACK INJURIES Proceedings: Bureau of Mines Technology Transfer Symposia, Pittsburgh, PA, August 9, 1983, and Reno, NV, August 15, 1983 Compiled by James M, Peay ABSTRACT These proceedings consist of papers presented at two Bureau of Mines Technology Transfer symposia on reducing back injuries in the mining in- dustry. The sjnnposia were held in August 1983 and covered a wide range of topics related to a more fundamental understanding of factors that lead to back, injuries and approaches for reducing the frequency and severity of such injuries. 'Supervisory engineering psychologist, Pittsburgh Research Center, Bureau of Mines, Pittsburgh, PA. INTRODUCTION Back injuries constitute the largest single category of lost-time accidents in the mining industry. U.S. Department of Labor [Health and Safety Analysis Center (HSAC)] data for 1981 indicates there were 37,017 accidents in the mining in- dustry of which approximately 25 pet or roughly 9,254 incidents involved back in- juries. Back injuries of the most severe nature, i.e., strains, sprains, and dis- located disks accounted for 5,458 inci- dents or approximately 15 pet of all min- ing injuries. In addition, this category of injury accounts for more lost workdays than any other single type of injury. For exam- ple, 40 pet of the lost-time back inju- ries incurred by underground coal miners during 1981 resulted in the miner missing more than 4 weeks of work. When the num- ber of lost workdays per back injury in- cident is compared with other types of mining injuries, statistics indicate that on the average, those workers experi- encing back injuries are off the job ap- proximately 6 days longer. Thus, back injuries not only constitute the single largest category of mining injuries, but also lead in degree of severity as re- flected in lost workdays. Back injuries, therefore, represent not only a tremendous economic cost to coal companies, to miners and their families, and to society, they also represent a tremendous amount of human suffering. Data and expert optinion are in agreement that intensified efforts and new ap- proaches to reducing back injuries are called for. As pointed out by Robert H. Peters' paper in these proceedings, there are many good reasons to believe that the mining environmental conditions and cur- rent work procedures, which involve con- siderable manual materials handling tasks, pose relatively unique barriers to preventing back injuries. Compared with most other types of industrial settings, many mines, especially underground opera- tions, require considerable manual lift- ing of heavy materials. Also, compared with most other types of industrial set- tings, many underground coal mines have less than desirable illumination, are wetter, and have constricted work spaces. Illumination and water problems can re- sult in back injuries caused by slipping on wet or muddy surfaces or by tripping over things that cannot be easily seen. The thickness of many mineral seams also prevents miners from performing work while standing erect, forcing miners to perform heavy work while in stooped or kneeling positions, thus placing signifi- cantly more stress on their backs than other industrial workers who can perform lifting activites while standing erect. Training miners to cope with existing work conditions has been the traditional approach to reducing back injuries, how- ever this method has many deficiencies, as reflected in the continuing high fre- quency and severity rates. While im- proved training should be continued, newly developed selection procedures and extensive job redesign based on bio- mechanical and ergonomic studies appear to offer the greatest potential for fu- ture positive impact. Many of the papers contained in these proceedings, there- fore, focus on assessment and selection of workers who are most capable of per- forming heavy lifting tasks and on analy- sis and design of mining jobs to elimi- nate many hazards that eventually lead to back injuries. MATERIALS HANDLING METHODS AND PROBLEMS IN UNDERGROUND COAL MINES By Richard L. Ungerl and Daniel J. Connelly2 ABSTRACT Materials handling accidents are the leading cause of nonfatal injuries in underground coal mines in the United States. The Bureau of Mines has spon- sored research into the problems asso- ciated with materials handling in underground coal mines. This paper pro- vides descriptions of the methods, exam- ples of activities, flow paths of materi- als, problem areas, and accident analyses of materials handling operations reported in Bureau of Mines research studies. INTRODUCTION Annually, materials handling is the leading accident classification in under- ground coal mines in the United States. In 1980, materials handling accidents accounted for 34% of the 15,075 nonfatal days-lost accidents in underground coal mines. In order to identify the various fac- tors that characterize the materials handling problem, several analyses are necessary. Bureau of Mines sponsored research projects3 have provided a better understanding of materials handling acci- dents in underground coal mines. The information reported in this paper is a result of those research efforts. The descriptions of materials handling meth- ods, flow patterns, commonly handled ma- terials, problems of mine environment and personnel, and accident analyses that are presented define the hazards associated with materials handling in underground coal mines. BREAKDOWN OF THE OPERATING ENVIRONMENT Manual handling of materials in an un- derground coal mine can be described as the performance of actions on items in various operating environments. The operating environments can be described by the associated mine activities, loca- tion, space limitations, and usage. A practical division of the operating en- vironments has been defined by handling ^Civil engineer. ^Safety specialist. Both authors are Pittsburgh Research Mines, Pittsburgh, PA. ■^Diaz, R. A., and A. tem for Handling Supplies in Underground Coal Mines ongoing BuMines contract H0188049; for inf., contact G. R. Bock- osh, TPO, Pittsburgh Res. Center, Pitts- burgh, PA. Foote, A. L. , and J. S. Schaefer. Mine Materials Handling Vehicle (MMHV) (contract H0242015 MBAssociates) . Bu- Mines OFR 59-80, 1978', 308 pp.; NTIS PB 80-178890. employed by the Center, Bureau of D. Chitaley. Sys- functions which describe the general pur- pose of the activities. 4 These handling functions are 1. Production end use . 5 This function relates to the handling of items during their end use at the working face. Some work activity examples are Erecting temporary curtains for ventilation. Rock dusting. Roof bolting. Erecting roof timbers. ^First work cited in footnote 3. ^The end use handling associated with section move, mine maintenance, and equipment maintenance is included in the respective functions. End use handling associated with the production handling function is classified as a separate function. 2. Production supply . This function relates to the handling of materials from the surface yard to locations near the working face. It excludes the end use handling. Work activities in this func- tion are directly related to production. Some examples of work activities are Transporting rock-dust bags. Transporting roof bolts. Transporting timbers. 3. Section move. This function re- lates to the handling of materials from the surface yard to the section being moved. It also includes the handling during the process of moving a mining section. Some examples of work activi- ties are Moving haulage belts. Replenishing transformer oil, hydraulic oil. 5. Mine maintenance. This function relates to handling of materials from the surface yard to the point of end use for mine maintenance. It also includes final handling during scheduled and unscheduled mine maintenance. Mine main- tenance activities include the mainte- nance of roof, floor, ventilation, path- ways, rail track, and the like. It excludes equipment maintenance activi- ties, but includes those activities on equipment which form part of the mine installation. Some examples of work activities are Erecting stoppings for ventilation. Setting props and crossbars for roof support. Tearing up and re-laying rails. Transporting cables. Moving air lines, compressors. Longwall face supports. 4. Equipment maintenance . This func- tion relates to the handling of materials from the surface yard to the point of use. It also includes final handling ac- tivities during maintenance of mine equipment. Some examples of work activi- ties are Extracting motors from continuous miners. Replacing of extinguisher canisters. Laying rail. Upgrading track. Table 1 gives examples of materials associated with various handling func- tions for further understanding of the work activities associated with each function. Each of the handling functions can be categorized by the type of ma- terials handled, the usage frequency, and the flow path. The flow path indi- cates the path followed by the materi- als in reaching the end use. The flow paths and the typical materials moved in each of the handling functions are de- scribed in appendix A. The handling functions will be used later to analyze the accidents associated with materials handling. TABLE 1. - Examples of materials handled in various handling functions l Materials handled Handling functions ^ Roof and rib support items: Roof bolts, roof Production end use, production supply bolt plates, expansion heads, half headers, timbers, steel beams, hydraulic jacks, crib materials, cement, sand. Fire protection items: Rock dust, extin- guisher cannister, foam tank. mine maintenance. All handling functions. Coal handling equipment items: Belting, jacks, conveyor parts, rollers. Production end use, production sup- stands. ply> equipment maintenance, section move. Shuttle cars, face equipment Equipment maintenance, section move. Vehicle maintenance items: Tires, cans of hydraulic oil, grease, and brake fluid, motors, handtools and power tools, welding equipment. Air supply items: Air lines, compressors, hoses, line fittings. Water supply items: Hoses, pipes, pumps, line fittings. Production supply, equipment maintenance. All handling functions. Production end use, production sup- ply, section move, mine maintenance. Ventilation items: Tubing, brattice, motors, All handling functions, brackets, hardware. Power supply items: Wire and cable spools, motors, transformers, cans of transformer oil, J hooks, motors, meters, power units, trailing units, trailing cables and con- nectors, breaker and switching panels. Do. Personnel support items: Food and water Production end use, production sup- containers, toilets, first aid kits, ply» section move. handtools. 'Based on classifications in a study of 27 mines reported in the second work of footnote 3. ^The end use handling associated with section move, mine maintenance, and equipment maintenance is included in the respective functions. End use handling associated with production handling function is classified as a separate function. CURRENT PRACTICES IN MATERIALS HANDLING OPERATIONS Many methods exist for handling materi- als among underground coal mines. More- over, different methods may be used for different materials within the same mine. Each mine, however, seems to have an es- tablished set of procedures for handling production, mine maintenance and equip- ment maintenance materials, and for ad- vancing or retreating a section. HANDLING OF PRODUCTION AND MINE MAINTENANCE SUPPLIES In terms of tasks and worker activi- ties, production supply and mine mainte- nance are closely related. For this rea- son the discussion of these functions has been combined. Production and mine maintenance materi- als are nearly always handled by a set of routine procedures. A typical cycle of events in this materials handling process could include the following: Transferring materials from commercial carriers to a surface storage area, and loading them on supply trips in their ex- isting packaged form to be transported to the section. Breaking the bindings of materials in packaged form and transferring individual items or small bundles of items from the supply trip to the section storage area. Transferring the materials from the section storage area to an area near the working face. Transporting the individual items for their end use. received roof bolts in packages of 10 with a number of packages strapped to a pallet. Forklifts, cherrypickers, front-end loaders, and cranes are sometimes used to help unload and stack the materials in the surface storage area, but all mines studied used some degree of manual hand- ling at the surface. Some materials are loaded in their packaged form, though it is more common to have individual items or small bundles loaded manually into the vehicle for the trip into the mine. Some mines perform bulk handling of rock dust and oil. In these cases, the surface yard will have bulk storage facilities for these items after they have been re- ceived from the supplier. Rock dust may be pneumatically transferred into a rock- dust bin from a truck or railroad car. Hydraulic oil is pumped into a bulk tank, or the mine may have an "oil house" where it cleans, empties, and fills containers to be transported to the section. Typically, section supervisors will generate lists of their supply needs. A surface crew will take the list from each section and assemble a supply trip. In some mines, the supply function is a scheduled effort that tries to anticipate production and mine maintenance needs rather than responding to demand. The supply trip will deliver a scheduled amount of supplies in accordance to the linear advance expected from the section. In large mines , it is common for the sup- ply trips to be loaded on the first shift and hauled into the mine on the third. The supply logistics are less formal for the smaller mines of one or two sections. A general discussion of production and mine maintenance handling methods follows. Handling on the Surface Materials usually arrive at the mine by truck or railroad. Most often they are packaged on pallets or in strapped bundles. It was noted that some mines Transport to the Section The methods of transporting supplies to the section change with the items to be handled. Solid supplies, such as roof bolts, posts, blocks, and crossbars, are transported as individual items or pal- lets by means of mine cars or rubber- tired vehicles. Large volume liquid and granular supplies, such as rock dust. hydraulic oil, and water, are put into containers and transported on vehicles or handled in bulk. form. There are several types of solid items with different weights and sizes involved in the production and mine maintenance supply function. Table 2 outlines a typ- ical list of items and average use per day per section. battery-powered vehicles, scoops, and/or tractor-trailer combinations. 2. Rail haulage with a track laid in a section heading as far as the tailpiece using railcars pulled by a motor. 3. Rail haulage with track not extend- ed into the section and transferring di- rectly to battery-powered vehicles. TABLE 2. - Description and usage of typical supply items Supply Weight, Av. lb use 2- to 12-foot plates, roof bolts , and shells .......... 4- 12 50 123 Rock dust sacks............. 75 2- by 6-in to 6- by 8-in, 1- to 16-ft lengths of timber. boards, and headers 8-270 61 16- by 8- by 4- or 6-in 8 topping blocks 27- 65 52 8- to 13-ft header steel.... 10- 16 25 Bit: Continuous miner. ......... <1 <1 40 18 Roof drill 16 5— gal oil container. ........ 1 5 4- to 10-in diam, 3- to 15- ft round timber posts 34-320 15 1- to 6-ft crib block 20- 60 12 Mortar mix sacks. ........... 90 60 3 75-ft brattice roll <1 'Based on yearly supply 2 7 mines reported in the footnote 3. consumption of second work of A major difference in transport to the section involves the use of area storage. A few mines use intermediate storage lo- cations, each of which serves several working sections. This method requires a transfer from the supply trip to stacks, usually along the rib of the supply en- try, and then another transfer to a vehi- cle for haulage into the section. Most mines transport directly from sur- face storage to the section without an intermediate storage area. There are four methods of transport in conmion use 4. Rail haulage with track not extend- ed to the section using rubber-tired or railcars until the end of the track and then converting to rubber-tired haulage by battery-powered tractors. 5. Another method, though not in com- mon use, is to reverse the conveyor belt to handle materials; this requires manual handling at the loading and unloading point. Many methods exist for handling bulk materials, such as rock dust and hydraul- ic oil. In the case of rock dust, the need to handle bagged rock dust has been practically eliminated by the use of one of the following bulk transportation methods: 1. Rock dust is pneumatically piped into a rock-dust car at the section. In smaller mines, it is piped directly to the face. 2. Rock dust is fed by gravity through a borehole or through a casing suspended from an air shaft into a rock dust car and then hauled to the section. 3. Rock dust is unloaded from a bin into a rock dust car at the surface. Two methods of handling bulk oil in- clude having it flow by gravity from an oil tank at the surface into an inter- mediate storage area, or using 55-gal drums transported by supply vehicle to the section. Handling in the Section 1. Rubber-tired haulage in drift mines where the distance from surface to section is short (less than 1 mile) using Once the railcar or other supply vehi- cle has arrived in the section two or three crosscuts from the working face. items are usually unloaded and stacked. In some mines, the vehicles are parked at the section and the materials are used directly. If the supply vehicle is left in the section, there is less handling of mate- rials; however, mines vary in their will- ingness to leave cars in the section for two reasons. First, leaving the car takes up room and makes switching diffi- cult, and second, more supply cars are required. Haulage of supplies from section stor- age to end use is accomplished several ways Manual carrying. be found in section storage locations. These locations vary from a small under- ground shop with an overhead hoist to storage stacks in a crosscut along a sup- ply route. Some frequently used items such as shuttle car wheels and hydraulic hoses, can often be found in section storage. When a machine component is needed, it is generally transported by the quickest means possible to minimize downtime. Problems are frequently encountered owing to the weight of the item (sometimes over 2,000 lb). These materials are usually handled with a combination of manual handling and mechanical devices such as a machine-mounted winch, come-along, or jack. Battery-powered vehicles such as scoops, tractors, and personal carriers. Face equipment, such as roof bolters, shuttle cars, and rock dusts. When oil is transported in bulk to the section, the usual procedure is to fill 5-gal containers and carry them to final use. HANDLING OF EQUIPMENT MAINTENANCE MATERIALS The handling of equipment maintenance materials usually follows very undefined paths. Some components are kept in sur- face storage, but more likely they will HANDLING OF SECTION MOVE SUPPLIES The advance of the section calls for the addition of conveyor sections, elec- trical cable, and track, plus the trans- port of equipment, such as a tailpiece, belt feeder, or power boxes. While these materials usually follow the conventional supply route, their size and weight re- quire special handling. This is accom- plished using a combination of manual handling and powered equipment. For longwall sections, specially de- signed lift-transporting devices have been developed to handle roof supports which present a problem owing to their weight (10,000-lb range) and distances they must be moved. MINE ENVIRONMENT AND MATERIALS HANDLING METHODS There are many environmental factors that have an effect on a mine materials handling method. These include Mine size. Portal; drift, slope, shaft. Mining method; continuous, conven- tional, longwall. Coal haulage; belt, rail. Seam height. Stage of development; advance, retreat, rooms. The size of the mine plays a role in determining the equipment available for materials handling. Some mines are small enough to use battery-powered scoops or tractors to haul materials from the sur- face to the section. Large mines are more likely to use forklifts and cranes for surface handling because they have higher utilization of such equipment. The type of portal effects the diffi- culty of transporting the materials into and out of the mine. Transportation into a drift mine is usually the easiest since a locomotive can often run in and out of the mine. At slope mines, it is common practice to lower the supply trip into the mine using a hoist. The shaft mine poses the most problems since a train of cars cannot be transported into the mine. In some cases, they can be lowered one car at a time by hoist; or where cars cannot be hoisted, materials must be doubly handled. The mining method has the largest ef- fect on the types of materials that are handled. Conventional mining involves essentially the same materials handling methods as continuous mining except for the special requirements for handling ex- plosives. However, longwall mining has radically different requirements. Mate- rials, such as roof bolts, rock dust, and stopping blocks, are used only on a lim- ited basis for development. The descrip- tion for handling equipment maintenance materials and section move could serve as the general pattern for longwall sec- tions, except that in longwall mining the section move is a massive operation. The method of coal haulage does not appear to have a large impact on handling methods because track is generally laid for personnel and supply movement even in mines with belt haulage. Probably the largest factor influencing the movement of materials is the scheduling problems encountered between supply trips and coal haulage on the main line track Seam height has a large impact from several aspects. A high-seam mine opera- tion is better able to lay track up to a section because it is not faced with the costs of cutting roof or bottom to pro- vide height clearance. In low mines, problems are encountered when loading supplies in and out of supply cars be- cause of limited clearance between the sides of the car and the roof. This same problem makes it impossible to use avail- able overhead lifting devices. Another problem results because manual lifting and carrying must be done while bending over, which is extremely strenuous to the back. The stage of mine development has an impact mainly on the materials used. Material usage changes significantly between advance and retreat mining. For instance, in retreat mining, more timber is used and new stoppings will not be erected. The major problem with retreat mining is associated with recovery of materials. As the section retreats, materials such as conveyor sections, track, water pipe and electrical cable, must be pulled out of the section and stored. PROBLEM AREAS IN THE PRESENT MATERIALS HANDLING SYSTEMS IN UNDERGROUND COAL MINES Interviews with mine operators and equipment manufacturers have indicated a general awareness of materials handling problem areas such as accidents, supply function, labor costs, and production de- lays due to maintenance and production supply system breakdowns. 6 The produc- tion materials handling function supports most other activities in the mine and is affected by its interaction with other operations. Daily supply items such as roof bolts, timber bolts, and concrete "First work cited in footnote 3. blocks, are needed at various locations at different times. The movement of mine maintenance and equipment maintenance materials, such as replacement motors, are vital to keeping production going. Section move, though not as common an oc- currence, poses special hazards owing to the size and weight of the items being handled. Meeting these needs requires the movement and handling of materials by most mine personnel. Their activities are based on the quantities of items 10 required, times when they are needed, physical characteristics of the items, transfers between transport equipment and storage, availability of transport and other handling equipment, communications systems among the supply personnel, in- formation exchange between the supply personnel and other miners, and the pre- dictability of supply needs at various locations underground. The following sections discuss problems related to the above factors. PERFORMANCE OF HAZARDOUS MANUAL ACTIONS Manual handling of items is very common in underground coal mines. Typically, materials are loaded and unloaded from vehicles, placed in storage, carried, or simply held unsupported. Such manual handling occurs in support of mine opera- tions such as production, mine mainte- nance, equipment maintenance, and section move. Manual actions directly associ- ated with accidents can be grouped as follows: Stationary actions (transfer) Lifting or lowering without support (supply item is supported manually). Pushing or pulling with support (sup- ply item is on floor or surface of a vehicle) . Holding without support (supply item is held manually). Walking actions (transport) Carrying without support (supply item is held manually). Pushing or pulling with support (sup- ply item is on floor, skid, or on surface of a vehicle). End use actions All actions connected with the final application of supply items and not sep- arately classified as stationary or walk- ing actions. ACCIDENT ANALYSIS OF HANDLING FUNCTIONS AND ACTIONS Accident data used were obtained in a study of 27 mines representative of the coal mining industry profile. 7 These data were taken from mine accident rec- ords for 1973. In the 27 mines sampled, a total of 269 materials handling accidents took place. A total of 771 days were lost because of these accidents. The total hours worked were 10.356 million and total coal pro- duction was 15.121 million tons. Acci- dent data were analyzed for the handling functions and actions defined earlier. Accident frequencies, days lost, and severity were calculated for various handling functions and actions and are presented in appendix B.8 The following paragraphs highlight the findings of this analysis. The reported accident data were ana- lyzed for frequency and severity with reference to manual actions and han- dling functions. The following signifi- cant observations resulted from the analysis: The production supply and mine mainte- nance functions are highly hazardous sup- ply environments. They account for accidents. 60% of the They account for 76% of the days lost. Accident severity (6.26) is the high- est in the mine maintenance function. Accident severity (3.25) is also high in the production supply function. Stationary manual actions in the pro- duction supply and mine maintenance func- tions are the largest contributors to the total accidents. 8 Second work cited in footnote 3. See appendix B for definitions of fre- quency, days lost, and severity. 11 Lifting and lowering without support is a highly hazardous manual action in ma- terials handling. It accounts for 59% of all accidents and 54% of days lost. Manual carrying without support is a hazardous action with high accident se- verity (4.11). INEFFICIENT UTILIZATION OF SUPPLY LABOR In general, supply-related personnel are underutilized in that their produc- tive time is less than half of the work- ing shift. Considerable time is spent in traveling to and from work, areas, wait- ing, returning empties, and the like. In some mines, a large fraction of the time is lost owing to early quitting, late starting, and traffic conflicts. Some identifiable factors related to this problem include Performance standards have not been developed, therefore, staffing and sched- uling or performance control is based al- most entirely on experience and guess- work. Staffing of the supply function is based on past history, experience, and anticipation of peak loads, which results in overstaf f ing. For some items the usage quantity, place, and time are predetermined. Yet a large number enter the mine on an as- and when-needed basis. The lag time between a supply requisition by the section or mine supervisor from the surface yard and the actual delivery of the item encour- ages the supervisor to overstock supplies in advance. Very few supply scheduling plans exist. In general, predetermined routing of items to the working section does not ex- ist and is rarely followed when it does. This creates hazards and makes supervi- sion difficult. Communications between personnel han- dling material is difficult because of noise and poor visibility. Good information exchange between the section and mine supervisor and the sup- ply crew do not normally exist. PERSONNEL PROBLEMS Several personnel problems were iden- tified as reducing the efficiency of materials handling operations, as well as increasing the possibility of an injury in the performance of manual handling tasks. Job bidding in union mines gives the workers an opportunity for higher wages and job advancement. This generally re- sults in junior, more inexperienced per- sonnel staffing the supply function or doing other manual labor. Stretching physical limits and capabil- ities in manual handling of materials often result in injuries to personnel with inadequate physical capability in an effort to meet job requirements. Very little formal safety training is obtained by supply personnel because most of the training is "on the job." Also, there is little training given on tech- niques for manual handling of materials in an underground environment. WEIGHT OF SUPPLY ITEMS Table 2 outlines the size and weight ranges and average daily section usage of some common supply items. Many supply items such as rails, timber, headers, stopping blocks, crib blocks, bags of rock dust or mortar mix, and the like, are of considerable weight. The manual handling of such supply items in a low roof, poor footing environment increases the probability of accidents and handling time, even though they are usually handled by more than one person per item. In general, very few attempts have been made at weight reduction of supply items. A known exception is the recent use of fiberglass beams by some mines. These beams are considerably lighter than timber. 12 Figures B-5 and B-6 of appendix B give frequencies and severities for accidents occurring while handling supply items of various weight groups. The accident data indicate the following: Most of the accidents occur while han- dling supply items in the 1- to 100-lb weight group. Typical supply items in this weight group are roof bolts, short timber, 5-gal oil containers, rock dust or mortar mix bags, belts, and stopping block. The 1- to 100-lb weight group accounts for the majority of days lost. Accident severity is very high for the 200- to 500-lb weight groups taken together. Typical supply items in this weight group are electric motors, equipment com- ponents, haulage rails, PVC and steel pipes, pumps, timber, and large oil drums. HAZARDOUS ENVIRONMENTAL CONDITIONS The underground mine environment is considerably more hazardous and difficult to work in as coii^)ared to most surface environments. Such conditions not only increase the probabilities of accidents, but also reduce the rate of manual work. Some examples of hazardous handling oper- ations due to the environment are as follows: Bending or Sitting on folded legs is common in mlp.es of low roof height. Holding without support, lifting, or car- rying weight under such conditions can result in back injuries. This cumbersome position causes worker fatigue and increases the potential for dropping loads. Poor maintenance of the mine bottom re- sults in slippery and uneven footing. Manual handling actions performed under such conditions increase the potential for accidents. SUMMARY Materials handling accidents have been identified as a significant problem area in underground coal mines. Bureau of Mines research has provided a better un- derstanding of the numerous factors con- tributing to materials handling problems. In this paper, descriptions and exam- ples of current materials handling meth- ods and problems in underground coal mines have been presented, as reported in Bureau of Mines research studies. Mate- rials handling activities have been de- fined by the various mining operations which describe their general purpose. These materials handling functions are: Production End Use, Production Supply, Section Move, Equipment Maintenance, and Mine Maintenance. A survey of a representative sample of underground coal mines^ has resulted in a description of the methods, practices, flow paths, and items typical of materi- als handling activities. In addition, several specific problem areas associ- ated with materials handling in under- ground coal mines , such as manual hand- ling actions accidents, inefficient use of labor, and hazardous environmental conditions, have been discussed. In sum- mary, this paper has provided an over- view of the methods and problems of ma- terials handling in underground coal mines. ^Second work cited in footnote 3. 13 APPENDIX A.— FLOW PATHS AND MATERIALS FOR VARIOUS MATERIALS HANDLING FUNCTIONS Figures A-1 through A-5 illustrate flow each figure. The flow paths also show paths of materials in various operating locations at which manual transfer, environments defined by the handling transport, and end use actions are per- f unctions. Only the major items of the formed on the materials, handling function have been listed in 14 APPENDIX B. —ACCIDENT ANALYSIS Accident data collected in a study of 27 mines has been analyzed in this ap- pendix. Accident frequencies, severity, and days lost have been calculated for various handling functions, manual haz- ardous actions, and weight groups of items. Figures B-1 through B-6 illus- trate the results of these analyses. In the following sections, accidents are further discussed in terms of various handling functions. Some definitions used in these discussions include: Frequency — The number of accidents for a particular handling function. Severity — Frequency divided by the num- ber of days lost for a particular hand- ling function. Days lost — Actual days lost from work. PRODUCTION SUPPLY AND MINE MAINTENANCE FUNCTIONS of the accidents in this handling func- tion. (Refer to table B-1.) Stationary actions account for 77% of the accidents in this function, while walking actions relate to 23%. Cable handling poses a handling problem different from the other materials used in this function. At intersections, the cable has to be lifted and hung from a hook anchored to a roof bolt. It also has to be pulled in advance of tramming equipment to prevent damage by tramming over the cable. The production end use function accounts for 30% (out of 269) accidents, but only 5% of the total 771 days lost. The accident severity is con- siderably lower than other functions, 1.17 days lost per accident, TABLE B-1. - Number of accidents classified by manual actions in the production end use function Since most of the materials used and manual actions are similar for these functions and since their activities are closely related, the accident data for these two functions have been combined. Sixty percent (160 out of 269) of all manual handling accidents take place in the production supply and mine mainte- nance functions. The number of days lost owing to accidents in these two functions together account for 76% (588 out of 771 days lost). The severity of accidents in the mine maintenance function is the highest, 6.26 days lost per accident. The severity in the production supply function is also high, 3.15 days lost per accident. Weight, lb Accidents Item Sta- Walk- tionary ing 6- by 6-in by 5- to 8-ft (closed) roof jack 50- 70 3 4 6- by 8-in by 10- to 14-ft crossbar 160-225 5 6-in-diam by 5- to 8-ft round posts. 48- 76 3 2 2- to 3-in-diam trailing cable... 15- 10 4 Other items NAp 8 1 Total NAp 23 7 NAp Not applicable. 1Per foot. SECTION MOVE FUNCTION Most of the accidents in these func- tions are related to stationary actions (38% of 269). Walking actions account for the next largest number of accidents in these functions (18% of 269). PRODUCTION END USE FUNCTION Roof jacks, crossbars, round posts, and trailing cables account for the majority A major move of a production unit from one section to another is infrequent, oc- curring from one to three times per year. Most of the handling actions and materi- als are similar to other functions. A number of manual handling actions are in- volved during the section move operation. Handling of rail, belt, and belt rollers cause the majority of accidents in this function (table B-2). In some mines. 15 TABLE B-2. - Number of accidents classified by manual actions for some materials in the section move function Item Common usage Weight, lb Accidents Stationary Walking 40- to 85-lb rail, 20- to 39- ft length. Belt roller, 4-in-diam by 36- in length to 6-in-diam by 42-in length. Belt, 36- and 42-in width.... Rail tie, 8 by 6 by 72 in.... Belt chain, 8 by 9 by 52 in. . Coal, supply haulage.. Return (bottom) idler. Coal haulage Support for rail Carrying (top) idler.. 266-1,100 40- 50 NA 90- 100 20- 25 9 4 4 1 1 6 1 1 Total NAp NAp 19 8 NA Not available. NAp Not applicable. rails are manually rolled off a supply car and then manually dragged into place, which is a hazardous practice. In other mines, the rail is attached by a chain to a scoop, battery tractor, or the like, and is pulled out of the supply car and then pulled into place by the transport vehicle. This handling practice, too, is considered hazardous. Section move accounts for 13% (out of 269) accidents, with 7% (out of 771) days lost. EQUIPMENT MAINTENANCE FUNCTION This function accounts for the next largest number of accidents, 16% (out of 269) and days lost, 12% (out of 771), as compared with production supply and mine maintenance functions. Stationary ac- tions performed during removal and re- placement of heavy equipment parts, such as motors, rubber tires on haulage vehi- cles, and the like, account for most of the accidents in this function. Most of the items in this function are in the 50- to 200-lb range and are usu- ally handled by one to four miners. Another major source of accidents is the manual handling of 5-gal cans of hydraul- ic oil, tool boxes, and welding gas bot- tles. Generally, tool boxes weigh up to 100 lb and require two miners to lift or carry them. Table B-3 gives the accident frequen- cies for various materials and hazardous manual actions for the equipment mainte- nance function. TABLE B-3. - Number of accidents classi- fied by manual actions for some mate- rials in the equipment maintenance function Accidents Sta- tionary Walk- ing Face equipment components. Repair supplies (oil cans, wire reels, etc.) Repair supplies (tool- boxes, gas bottles Shuttle car components.... Other equipment components Belt conveyor components.. 7 5 5 7 7 4 2 4 3 Total. 35 9 16 Surface storage Belt Belt entry move up KX Track entry Track move up Area storage Section storage DOO Production working place KEY D Manual transfer O Manual transport O End use handling Major materials ranked by usage frequency •Roof bolts, plates, and shells . Bits -continuous miner • Wedges . Bits- roof drill • Rock dust sacks • Timber- round posts • Timber- boards and headers . Crib block • Header, steel . Brattice cloth FIGURE A-l. - Production supply function flow path with materials used. 17 Surface storage Belt Belt entry move up K>0 Track entry Track move up Area DO-O storage Section storage Production working place DtCIOOO o Equipment maintenance J^ KEY D Manual transfer o Manual transport O End use handling Major materials ranked by usage frequency • Wedges • Rock dust sack • Timber - boards and headers • Stopping blocks • Timber-round posts •Crib block • Mortar mix sack • Pipe-PVC and steel FIGURE A-2. - Mine maintenance function flow path with materials used. 18 Belt Belt entry move up Surface storage o KH Track entry Track move up Area storage Section storage Production working place KXTD O Equipment maintenance KEY D Manual transfer o Manual transport O End use handling Major materials ranked by usage frequency • Roof jack, portable • Trailing cable • Wire FIGURE A-3. - Production end use function flow path with materials used. 19 Surface storage Belt Belt entry move up hO< Track entry "-"''^-^'"'^' Track move up Area storage Section storage Production working place brK>^3 Equipment maintenance fS^Jf^^lw^^ Xh-'X^ii&fi'.-.-i KEY D Manual transfer O Manual transport O End use handling Major materials ranked by usage frequency • Lubricant containers • Equipment components • Bottles, welding gas • Tool boxes FIGURE A-4. - Equipment maintenance function flow path with materials used. 20 Surface storage JJW^V*-'!.-:'^;'.' ?A;-?-..''r ^'i'via Belt Belt entry move up Area storage Section storage Production working place Equipment maintenance KEY D Manual transfer o Manual transport O End use handling Major materials ranked by usage frequency •Conveyor belt 'Belt support stand • Carrying idlers • Haulage roil • Return idler 'Timber FIGURE A-5. - Section move function flow path with materials used. 21 140 130 120 110 100 CO z 90 UJ o o 80 (J < li. 70 133 (50%) Total number of accidents = 269 44 { 16%) 27(10%) 30(11%) n 35 (13%)- i>-? X-> ^^V FIGURE B-1, - Accident frequencies for different handling functions. 6.^6 (169) 7 t KEY Totol number of accidents ■ 269 Total average seventy- 2.87 Total days lost "771 - Figures in ( ) ore days lost / / _ / _ J./ 5 ^ (419) ' s - 2.07 (91) 7\ 1.17 / (35) ^ . 71 ^ 1.63 (57 1 ^ / / ^ / / / / / / 6th Total nunnber of accidents = 269 Carrying without support 56(21%) Holding without support 1 1 (4%) Pushing or pulling with support 9 (3%) Stationary ( transfer) 178 (66%) A Pushing or pulling with support 17 (6%) End use action in all modes 18 (7%) I A. Walking (transport) 73 (27%) All end use 18 (7%) FIGURE B-3. - Accident frequencies for differ- ent hazardous manual actions. Stationary (transfer) (484) 2.61 Walking (transport) (264) 3.62 All end use (43) 2.39 FIGURE B-4, - Accident severity for various man- ual hazardous actions. 22 q: lij > LiJ LU O O O < 5.4 (156) F S.2 (273) F (256) .es (17) /I M KEY Total days lost = 771 Total accidents=269 Severity = 2.9 days lost per accident Figures in ( ) = total doys lost 3.4 (41) 17 2.6 (21) A .A .68 (7) F (0) (0) ^.^-/^o%o^o%o%^o o- o- MATERIAL WEIGHT GROUPS, lb FIGURE B-5. - Accident frequencies for various manual handling accidents in materials weight groups. 1 10 100 90 80 Z liJ a 70 () o ttO < u. o 50 tr LJ 40 m - 86 F 30 20 10 97 The weight group is only an indication of the physical characteristics of the materials. It should not be confused with the desirable load capacity of any potential equipment. 20 12 \V\\A^,^\7\ ^ r> C^ o>' r>' o> ^\' v°^ ^°^ >,Q^ ^Q ^ ^ ^^ MATERIAL WEIGHT GROUPS, lb FIGURE B-6. - Accident severity for manual han- dling accidents in various materials weight groups. 23 ACTIVITIES AND OBJECTS MOST COMMONLY ASSOCIATED WITH UNDERGROUND COAL MINERS' BACK INJURIES By Robert H. Peters 1 ABSTRACT Recent national statistics on factors associated with underground coal miners' back injuries are presented. Particular attention is given to describing combin- ations of events and conditions that account for over 1 pet of these back, in- juries. Most of the statistics present- ed in this paper are derived from Mine Safety and Health Administration's (MSHA) records of injury data and short narra- tive accounts of injuries. It is con- cluded that since there are such a vari- ety of factors that contribute to back injuries, significant improvements can be realized only through a broad, multi- faceted approach to prevention. INTRODUCTION There is reason to believe that the en- vironmental conditions that exist in many underground coal mines pose relatively unique barriers to the prevention of back injuries. Compared with most other types of industrial settings, many underground coal mines are not as well illuminated, are wetter, and have more restricted work spaces. The problems of illumination and water can result in back injuries caused by slipping on wet or muddy surfaces or tripping over things that could not be seen clearly. Coal seams that prevent miners from standing erect contribute to the occurrence of back injuries because miners who must stand, walk, lift, and carry things in a stooped position place significantly more stress on their backs than those who can perform these activi- ties while standing erect. Back injuries are unquestionably the most common type of injury suffered by miners. A few statistics based on injury data reported to MSHA help to portray the significance of the problem. Table 1 presents the total reported in- juries and overall incidence rates and severity measures associated with back injuries suffered by U.S. coal miners while working underground for each year ^Research psychologist, Pittsburgh Re- search Center, Bureau of Mines, Pitts- burgh, PA. from 1978 to 1981. No trends are appar- ent in the figures for total injuries and incidence rates. The total number of re- ported back injuries over this 4-yr peri- od range from 2,654 to 3,779, and do not appear to be declining. The overall in- cidence rates over this 4-yr period range from 2.74 to 3.39, and also do not appear to be declining. The overall severity rates over this 4-yr period range from 102 to 141, and definitely portray a trend of increasing severity. It should be noted that not all back injuries (especially the "minor" ones) are reported to MSHA. Therefore, it is very likely that, in reality, the numbers and incidence rates associated with back injuries are higher than those portrayed in table 1. TABLE 1. - Number, incidence rate, and severity of back injuries suffered by coal miners while working underground Year Number Incidence rate ' Severity^ 1978 1979 1980 1981 2,654 3,617 3,779 3,007 2.74 3.14 3.39 3.00 102 114 136 141 'incidence rate is the number of back injuries per 200,000 worker-hours. ^Severity is the number of lost work- days per 200,000 worker-hours. 24 Table 2 breaks down the total number of accidents that occurred inside under- ground coal mines during 1981 according to MSHA's categorization scheme for clas- sification of accidents. MSHA's accident classification scheme attempts to iden- tify the circumstances that contributed most directly to the resulting accident. The first column of numbers in table 2 indicates that handling material accounts for a much greater percentage of total injuries than any other single class. As shown in the last column of table 2, in- juries to the back (as opposed to other parts of the body) account for almost half (42.7 pet) of the injuries associ- ated with handling material. Within classes containing relatively large num- bers of injuries, the back is generally associated with more injuries than any other part of the body. Altogether, back injuries account for 23 pet of all in- juries reported to have occurred inside underground coal mines during 1981. In terms of the number of workdays missed before the injured miner is able to return to work, back injuries are a relatively severe type of injury. Twenty-six percent of the lost-time back injuries that occurred inside underground coal mines during 1981 resulted in the miner missing more than 4 weeks of work. The average number of workdays missed after miners injured their backs was ap- proximately 7 days longer than the aver- age number for all nonfatal injuries (39 versus 32 days). Altogether, 31 pet of all workdays lost to nonfatal work- related injuries were attributed to in- juries of the back. TABLE 2. - Injuries suffered by underground coal miners during 1981, broken down by accident classification and showing the percent of back injuries in each class Accident classification Percentage that are back injuries Electrical (current producing) Entrapment Exploding vessels under pressure Explosives and breaking agents Falling or sliding rock or material.. Fall of face or rib Fall of roof Fire Handling material Nonpowered hand tools Nonpowered haulage ' Powered haulage ' Hoisting' Explosion of gas or dust Inundation Machinery (includes power tools and mining machines )' Slip or fall of person Stepping or kneeling on object Striking or bumping^ Other Total and percentage 1.6 11.5 12.9 3.9 3.2 42.7 10.8 31.0 16.3 6.3 .1 7.6 21.4 10.5 10.5 28.7 23.0 'Accidents caused by the motion of the o ^Excludes accidents that occurred while handtools, or operating and/or riding mach bject. handling material, using inery or haulage. 25 In total, these injuries represent only a tremendous economic cost to coal com- panies, to miners and their families, and to society; they represent a tremendous amount of human suffering. It is obvious that there is a great need to find better ways to prevent back injuries to under- ground coal miners. The success of those who search for better ways to prevent back injuries to underground coal miners is, in part, de- pendent upon the accuracy of their under- standing of the causes of back injuries. This paper attempts to add to what is currently known about the causes of back injuries to underground coal miners. The general approach employed was to review data from reports on an extensive number of back injuries recently suffered by un- derground coal miners, to identify the basic types of accidents causing these injuries, and to search for events and conditions that are commonly associated with them. The first section describes how the data were obtained, the types of injuries that were included, and the types of analyses that were performed. The second section presents the results of data analyses and a few speculations concerning how various types of accidents might be prevented. The third section summarizes the findings. THE SOURCE OF DATA AND METHODS OF ANALYSIS The types of injuries included in the statistics presented in the remainder of this paper are those in which a coal min- er suffered a ruptured disk or a strain or sprain of his or her back while work- ing at an underground location. The data are derived from reports that the opera- tors of U.S. coal mines sent to MSHA con- cerning injuries their employees suffered while at work during 1981. Employers are required by 30 CFR 50.2 to report to MSHA all injuries that cause an employee to miss one or more days of work. However, if the injury did not require the em- ployee to miss work, and meets certain other conditions (as defined in 30 CFR 50.2), the employer is not required to report it to MSHA. Therefore, it should be noted that the statistics are based on reports of both lost-time and no-lost- time injuries, but that employers are not required to report certain types of no- lost-time injuries. After the injury report is received by MSHA's Health and Safety Analysis Center, much of the information on it is trans- formed into code numbers that correspond to predetermined categories. For exam- ple, there are a list of codes for de- scribing the types of acitivity miners were performing at the time they were in- jured. These code numbers are then en- tered into a computer file. Using a com- puterized retrieval system, information from this file can be selectively re- trieved and various types of statistics can be calculated. The primary goal of this paper is to use this information to identify the types of activities, objects, and condi- tions most frequently associated with the 2,492 reported cases of an underground coal miner suffering a back sprain or strain during 1981. The first step to- ward this goal was to determine which categories for describing the type of accident were used most frequently. Ninety-seven percent of these injuries are categorized as one of three basic types of accidents: overexertion in at- tempting to move objects, falls to the ground, and jolts to the occupants of ve- hicles. In order to get a clearer pic- ture of the circumstances that often lead to each of these three types of acci- dents, the injuries within each major category were further broken down. De- pending upon which is more conducive to understanding the factors that may have contributed to the accident, the second level of breakdowns were based upon either the type of activity the miner was performing or the type of object that caused or contributed to the injury. Next, sets of descriptions of each acci- dent were retrieved for each group of in- juries that, on the basis of the second 26 level breakdown, accounted for more than 1 pet of the total, i.e. , more than 24 Injuries. These verbal accounts, called narratives, generally consist of one or two sentences describing what the miner was doing at or shortly before the time back pain was noticed. Included in the previously mentioned injury reports that mine operators file are written descriptions of how the acci- dent occurred. These narratives are also put into a computer file from which they can be selectively sorted into groups and retrieved. As mentioned earlier, sets of narratives were generated for each group of injuries accounting for more than 1 pet of the total. Each of these groups of narratives was reviewed and a tally was kept of the types of activities, actions, environ- mental conditions, etc., that appear to have contributed to each miner's back in- jury. Conclusions based on these tallys are presented as each type of back injury accident is discussed. However, for a variety of reasons, these conclusions should be interpreted cautiously, as rough approximations to understanding what actually happened. In some cases, the injured miner or the individual who wrote the narrative may not have used the most accurate and descriptive language to convey what happened. For example, one narrative states that, "the miner hurt his back while moving cable," which does not indicate whether the miner was lift- ing, pulling, or hanging a cable. For- tunately, most narratives are more pre- cise in the language they use. It is recognized that in some cases, especially those involving back pain ow- ing to overexertion, it may be impossible for miners to pinpoint the event that caused their backs to hurt. The miner's back may have begun to hurt gradually over a period of time that he or she was performing a variety of activities, all of which contributed to overexertion of the back muscles. Although the narra- tives may be somewhat ambiguous and con- tain some error, they significantly im- prove one's ability to understand how miners commonly injure their backs. PRESENTATION OF THE DATA AND ITS IMPLICATIONS This section presents a detailed dis- cussion of each of the three major cate- gories of accidents. Each major type of accident is further broken down into sub- sets that possess some type of common element, such as similarities in the type of activity the victim was performing, the type of object with which the victim was working, or the type of bodily move- ment the miner was attempting at the time of the injury. As indicated in table 3, more back injuries were attributed to overexertion than to any other category for describing the type of accident. Although 79 pet were classified as in- juries because of overexertion, signifi- cant numbers were also classified as falls (11 pet) and jolts (7 pet). TABLE 3. - Back injuries suffered by underground coal miners during 1981 by accident type Accident type Number of injuries Percentage Overexertion Falls 1,958 263 183 88 79 11 Jolts 7 Other 3 Total 2,492 100 OVEREXERTION IN MOVING OBJECTS Table 4 breaks down back injuries owing to overexertion by the types of objects miners were attempting to move. The most common types of objects being moved at 27 the time of a back injury were electric cables, broken rock and coal, timbers and posts, metal objects (not elsewhere classified), belt conveyors, wooden ob- jects (not elsewhere classified), steel rails, bagged material systems, jacks, mining machines, roof bolts, oil contain- ers, cement blocks, buckets and cans, metal covers and guards, pry bars, mo- tors, wheels, and boxes. As table 4 in- dicates, the movement of each of these categories of objects accounts for at least 1 pet of the total and, together, they account for 83 pet of all back in- juries due to overexertion. TABLE 4. - Overexertion back injuries suffered by underground coal miners during 1981, by the type of objects associated with the injury Type of object Number of injuries Percent- age Electric cables Broken rock and coal Timbers and posts... Metal objects' Belt conveyor systems ............ 233 231 198 156 99 82 82 82 61 49 49 48 47 46 43 33 33 32 30 324 11.9 11.8 10.1 8.0 5.1 Wood objects^ Steel rails 4.2 4.2 Bagged materials.... Jacks ............... 4.2 3.1 Mining machines Roof bolts Oil containers Cement blocks Buckets and cans.... Metal covers and guards ............. 2.5 2.5 2.5 2.4 2.3 2.1 Pry bars ............ 1.7 Motors 1.7 Wheels 1.6 Boxes ............... 1.5 Other 16.6 Total 1,958 100.0 'Does not include metal objects such as rails, roof bolts, jacks, motors, etc., that are listed in other categories. ^Does not include timbers, posts, caps, and headers. Electric Cables . Based upon MSHA's categorization scheme, the movement of electric cables was associated with more back injuries due to overexertion than the movement of any other type of object. Forty-two percent of the narratives for these accidents indicate that the miner was pulling on a cable, 17 pet indicate that the miner was lifting a cable, and 11 pet indicate that the miner was hang- ing or lowering a cable. The remaining narratives use less specific terms to de- scribe the miner's actions (e.g., moving or handling cable) or describe relatively unique types of accidents. Broken Rock and Coal. The second most coEimon category of object associated with overexertion injuries was broken rock and coal. The movement of rock and coal accounted for almost as many overexer- tion injuries as cables (11.9 versus 11.8 pet). Approximately half of the narratives attribute the injury to shoveling and a quarter of the narratives attribute the injury to the manual lifting of broken rock and coal. The remaining narratives attribute the injury to other types of movement such as the dragging, rolling, or pulling of rocks. Timbers and Posts . The third most com- mon category of objects associated with overexertion injuries consisted of tim- bers, posts, caps, and headers. The nar- ratives refer to timbers and posts much more frequently than caps and headers. The types of movements most often men- tioned in the narratives are lifting, 37 pet; loading and unloading, 16 pet; and throwing, 10 pet. The remaining narra- tives generally use less specific terms to describe the miner's actions such as setting, moving, or handling timber. The narratives usually describe back injuries due to throwing as "twist" of the back, suggesting that the injury occurs because miners often twist their body instead of pivoting on their foot when throwing timbers. Metal Objects (not elsewhere classi- fied). A review of the narratives indi- cates that there is no one specific type of metal object that accounts for a sig- nificant portion of the injuries in this category. The types of items mentioned include pipes, wire, coupling hitches, 28 ramps, and roof bolt augers. The types of movements most often mentioned in the narratives are lifting, 52 pet; loading and unloading, 10 pet; carrying, 10 pet. Belt Conve yor Systems . A review of the narratives indicates that the movement of each of three elements of belt conveyor systems was associated with roughly a quarter of the overexertion back injuries in this category. One of these elements is the belt structure. Narratives men- tioning belt structures usually state that miners were lifting, unloading, or carrying them when their backs were in- jured. A second element is rollers. Narratives mentioning rollers usually state that miners were lifting or chang- ing them when their backs were injured. The third element is the belt itself. Narratives mentioning belts usually state that miners were pulling, lifting, or loading belt material. Wooden Objects (not elsewhere classi- fied) . The types of items most often mentioned in the narratives for this cat- egory are crib blocks, boards, crossbars, planks, and props. Other than crib blocks, which account for almost half, no one specific type of wooden object is as- sociated with a significant portion of this category of injuries. Most narra- tives indicate that these injuries oc- curred as the object was being lifted. Steel Rails . About half of the narra- tives for this category of injuries indi- cate that the injury occurred while lift- ing rails. Most of the remaining inju- ries are attributed to loading, pulling, or pushing on rails. These accidents usually occur during the installation of rails as tracks or as roof supports. Bagged Materials . The narratives re- veal that three-quarters of the bags be- ing moved when the injury occurred con- tained rock dust, and that the others contained tools, cement mix, powder, and sand. Almost all the narratives state that the miner's back was injured while lifting or loading bags. A few narra- tives give the weight of the bag(s) that had been lifted when the injury occurred. Those which do, indicate that the rock dust bags weighed 50 lb, and that the bags of other materials were heavier, up to 100 lb each. Jacks . Most narratives for this cate- gory state that miners were lifting a jack when their backs were injured. How- ever, several narratives state that the miner was using a jack to remount de- railed vehicles when the back injury occurred. Mining Machines . This category of back injuries includes those suffered during the operation, maintenance, or repair of underground mining machines, but does not include injuries suffered while lifting motors or while riding or operating ve- hicles. The narratives indicate that approximately half of these injuries were associated with roof bolting machines. Several injuries are also attributed to lifting rock dust machines. Roof Bolts, About half of the narra- tives indicate that the back injury was received while the miner was unloading or lifting roof bolts. About one-third state that the miner was injured while attempting to bend a roof bolt. Oil Containers. Most narratives for this category of back injuries state that the injury occurred as barrels of oil were being lifted or loaded onto equip- ment. Several injuries occurred while oil was being poured into machinery and while miners were attempting to upright a barrel that was lying on its side. Cement Blocks. About half of the narratives for this category of back injuries indicate that the injury oc- curred as cement blocks were being lifted and/or carried. Roughly a quarter of the narratives state that the injury oc- curred while blocks were being loaded or unloaded. Buckets and Cans. Most narratives for this category of back injuries indicate that the injury occurred during the movement of buckets or cans of oil, grease, or water. Many narratives state that the bucket or can being moved was the 5-gal size. 29 Metal Covers and Guards . Most narra- tives for this category of back injuries reveal that the injury occurred during the removal or installation of the metal guards, covers, and canopies on under- ground powered equipment. The narratives also suggest that several of the back in- juries in this category occurred as bat- tery lids were being lifted. prolonged periods of time without rest. Shoveling can place unusually great stress on the back. Therefore, indi- viduals with a history of back problems should be especially careful not to over- exert themselves while shoveling. The data also suggest that miners should be discouraged from trying to throw objects as heavy and cumbersome as timbers. Pry Bars . Almost all narratives for this category of back injuries indicate that the miner was using a pry bar or crowbar to pry or lift on parts of machines or equipment. A small number attribute the injury to prying down loose top. Motors. The narratives for this cate- gory of back injuries generally state that the injury was received while at- tempting to lift an underground mining machine's motor. Wheels . Most narratives for this cate- gory of back injuries reveal that the in- jury occurred when tires were being load- ed or unloaded, or when a tire was being lifted onto a vehicle's wheel unit. Boxes . One and one-half percent of the overexertion back injuries were attrib- uted to the movement of boxes. The types of boxes mentioned most frequently in the narratives are toolboxes, dust boxes, and boxes of cutting bits for the continuous miner or bolter. IMPLICATIONS FOR PREVENTION The data suggest that there is an espe- cially great need to (1) improve upon present methods and equipment for manual- ly handling power cables, broken rock and coal, and timbers and posts in under- ground coal mines, or (2) find ways to lessen the amount of human (as opposed to mechanical) effort that must be devoted to handling these materials. The data also suggest that there is a need to prevent miners from using shovels in ways that are likely to place too much stress on the back. Miners should be discour- aged from using shovels to lift ob- jects that are too big, or shoveling for Potter2 presents tables of data con- cerning the recommended maximums for the amount of weight that should be lifted, pushed, or pulled by individuals accord- ing to their age and sex. He goes on to list the common weights of many of the objects that must be manually moved in underground coal mines, and points out that many of these objects exceed the recommended limits for most types of individuals. On the basis of these data. Potter suggests that several types of mining supplies and materials should be manufactured and packaged in smaller quantities. FALLING TO THE GROUND The second type of accident that ac- counts for a significant portion of min- ers' back injuries is falling to the ground. In 1981, 10.6 pet of the back injuries suffered by underground coal miners were the result of falling to the ground. Back injuries due to falls were further broken down by the activity the miner was performing at the time of the fall. The activities mentioned most fre- quently are walking, 26 pet, and handling supplies, 24 pet. Several miners also injured their backs while getting on or off equipment, handling timber, and mov- ing cable. However, in terms of the por- tion of total back injuries, the number associated with these last three activi- ties is relatively insignificant. There- fore, only falls associated with walking or handling supplies will be discussed. 2potter, H. H. Back In juries--Causes and Cures. Pres. at Fall Meeting, See. Min. Eng. , AIME, Denver, CO, Nov. 18, 1981, 10 pp.; available for consultation at MSHA's Division of Coal Mine Safety and Health, Denver, CO. 30 Walking . A review of the narratives for back, injuries associated with falls while walking reveals that most such ac- cidents were the result of slipping on mud or a wet surface. Other phases fre- quently used to describe the cause of falls are "stepping in a hole," and "tripping over" things on the ground. Handling Supplies . A review of nar- ratives for back injuries associated with falls while handling supplies reveals that such accidents were most frequent- ly the result of slipping on a wet or muddy surface while carrying something, or slipping while trying to pull on something. that they cause operators to strike their heads on the canopy above them. It would be possible to prevent some of these ac- cidents by doing the following: keeping the floor of the mine more level; cau- tioning shuttlecar operators to slow down for rough spots; increasing illumination of the mine floor, or providing some type of warning that signifies the presence of rough spots; putting cushions in the seat and on the canopy above the opera- tor; and requiring the use of seatbelts. It should be noted that these suggested solutions are by no means an exhaustive list, and that it may not yet be econom- ically feasible to implement some of them. Possible ways to prevent such accidents include keeping work areas as dry as pos- sible, keeping walking surfaces as level as possible and free of obstacles, im- proving illumination along walkways, and using boots with tread designs that pre- vent slipping on wet surfaces. JOLTS The third major type of accident re- sulting in back injuries consists of jolts to the occupants of underground ve- hicles. In 1981, 7.3 pet of the back in- juries suffered by underground coal min- ers were the result of the miner's body striking against a relatively stationary object. These injuries were further broken down by the activity being per- formed at the time of the accident. It was found that 28 pet of the victims of this category of accidents were operating a shuttle car, and 21 pet were riding in a mantrip or Jeep. Operating Shuttle Cars . A review of narratives for back injuries to the oper- ators of shuttle cars reveals that such injuries were almost always due to the operator being jolted when the shuttle car ran over a bump, hole, or rough spot in the mine floor. Some narratives de- scribe these jolts as being so severe Riding in Underground Transportation Vehicles . Back injuries suffered by the occupants of underground transportation vehicles were usually caused by one of two types of mishaps. The first type of mishap is that, like shuttle car opera- tors, miners received back injuries from being jolted when their vehicle ran over uneven places in the mine floor or in the tracks on which certain types of vehicles run. The second type of mishap, which caused as many back injuries as the first, was the collision of vehicles. Such collisions result in sudden jolts to the vehicle's occupants, sometimes caus- ing them to experience back pain. Many of the measures suggested for preventing back injuries to shuttle car operators would also be applicable to the operation of underground transportation vehicles. The following measures might also reduce the number of vehicle-related back inju- ries: encouraging miners to keep the roadways free of parked vehicles and other obstructions; encouraging vehicle operators to be more attentive to possi- ble obstructions in the roadway; and en- suring that vehicles, their brakes, and the track on which they run are properly maintained. Consideration might also be given to the use of better shock absorb- ing devices on these vehicles. 31 SUMMARY AND CONCLUSIONS A review of recent data on back, inju- ries suffered by underground coal miners suggests that many factors contribute to their occurrence. The action most fre- quently associated with these injuries is overexertion in lifting things. The types of things being lifted that are most frequently associated with back in- juries are cables, broken rock and coal, and timbers and posts. Another common form of overexertion causing back inju- ries is pulling on things. The object that causes the majority of back injuries due to pulling is power cables. Another activity associated with many back inju- ries due to overexertion is the shoveling of broken rock and coal. Although most back injuries are due to overexertion, a significant number of them are due to falls and jolts. The in- juries due to falls are typically the re- sult of slipping on a wet or muddy sur- face, or tripping over something while handling materials or while simply walk- ing. The injuries due to jolts are typi- cally the result of running over uneven places in the mine floor while riding in shuttle cars or underground transporta- tion vehicles. Another common type of mishap causing back injuries to the occu- pants of underground transportation ve- hicles is the collision of their vehicle into another vehicle. The fact that there are so many factors that contribute to underground miners' back injuries suggests that there are a variety of actions that could be taken to reduce back injuries, but that no one approach will be a panacea. The fact that most back injuries are the result of overexertion in the manual movement of things suggests that back injuries could be reduced most significantly by changing the way these things are moved, or elimi- nating the need to move some of them. Thus, although it is very important that more attention be devoted to the preven- tion of falls and jolts, there is an ex- tremely great need to devote more atten- tion to the prevention of overexertion injuries. 32 ANALYSIS OF COAL MINING BACK INJURY STATISTICS By Terrence J. Stobbel and Ralph W. Plummer2 ABSTRACT Injury and illness in industry are at best complex problems. One of the big- gest of these problems is the overexer- tion injury. This is commonly character- ized as a strain or sprain injury. In its most severe form, it occurs to the back and necessitates disk surgery. This study collected and analyzed ex- isting data of job-related overexertion injury data for coal miners employed by a major coal company during the years 1977- 82. The purpose of this analysis was to determine the magnitude of overexertion injuries, to determine the severity of the injuries, and to identify specific activities that account for large numbers of back injuries. INTRODUCTION The desire to control injury and ill- ness in coal mining is motivated by hu- manitarian and economic factors. The need to reduce pain and suffering not on- ly to the injured persons, but to their families and associates as well, is obvi- ous. The economic basis is perhaps less clear. The injured miner often loses a significant portion of his or her income while off the job. The employer pays the medical and indemnity costs of workmen's compensation, along with an equivalent amount in hidden costs, such as retrain- ing, administrative functions, etc. Coal mining is recognized as being one of the most hazardous industries. The high de- gree of hazard is reflected in the asso- ciated workmen's compensation costs. In West Virginia, underground coal mining has a base rate for compensation which is second only to high-rise structural steel work. The base rate, which is almost 20 pet of payroll dollars, is more than twice the third place job activity — working in a sawmill. The base rate is adjusted up or down based on individual company experience and, as a result, some coal companies pay compensation premiums that are equal to three-fourths of pay- roll dollars. ^President, S&P Associates, Morgantown, WV. ^Vice president, S&P Associates, Mor- gantown, WV. Reduction of these costs is dependent on understanding their causes. One well- known cause is the overexertion injury. This type of injury ranges from strain and sprain to the more severe back injury that requires surgery. Nationally, these injuries account for 30 to 40 pet of all reported injuries, and at least as high a percentage of the compensation costs. Back injuries are a subset of these inju- ries, which account for about 20 pet of all reported injuries. The situation in coal mining is similar but worse. Accident statistics for West Virginia show that in 1979 back injuries accounted for 23 pet of all injuries. MSHA3 reported that, in 1980, back inju- ries accounted for 26 pet of all coal mining injuries. The associated compen- sation costs are estimated to be 30 to 40 pet of the total compensation costs (for the company in this study). Having iden- tified the source of a significant por- tion of the coii^)ensation costs, we must look to understanding the cause of over- exertion and back injuries. In trying to understand the causes of these injuries, it is instrumental to -^Potter, H. H. Lack of Mechaniza- tion in Some Coal Mine Tasks. Mine Safe- ty and Health Magazine, Dec-Jan. 1982, pp. 8-13. 33 look first to general industry where most of the back injury related research has been. This research has shown that the major causes of back injury are mate- rials handling, slip-trip, and push-pull. Within these categories, materials han- dling predominates, and it is considered to be such a major problem that NIOSH has published a lengthy Work Practices Guide for Manual Lifting4 that summarizes what is currently known about the problem as well as providing control recommenda- tions. In essence, the guide reports that people who lift too much too often experience back and overexertion inju- ries. The guide then proposes a method for estimating relatively safe weights to lift under ideal lifting conditions. Looking now at coal mining, it is again found that the situation is similar but worse. Materials handling is a major ac- tivity in the mines, and in most mines it is increasing in frequency as the rate of mining coal increases. 5 Loads handled are equal to or heavier than those han- dled in general industry. Typical "man- handled" loads are shown in table 1. The work practice guide emphasizes that its recommendations apply to ideal lift- ing conditions. However, lifting condi- tions in coal mining are far from ideal. Loads are bulky and do not have handles, and furthermore, floor conditions vary from dry and uneven to wet, muddy, and slippery. TABLE 1. - Weights of materials commonly handled in coal mines Materials lb Roof bolts: 5/8 in by 6 ft, bundle of 10 55 5/8 in by 10 ft, bundle of 10 90 Crossbar, oak, 4 by 6 in by 16 ft... 129 Round post, oak, 6-in diam by 6 ft.. 57 Concrete block, 8 by 8 by 16 62 Cement, 1 bag 80 Rock dust, 1 bag 50 Rail, 30 lb, 30-ft length 300 ^. S. Department of Health and Human Services. Work Practices Guide for Man- ual Lifting. NIOSH Pub. 81-122, 1981, 183 pp.; NTIS PB 82-178-948. ^Work cited in footnote 3. With respect to the above, the Bureau of Mines sponsored this study of coal mining back injuries. To the extent pos- sible, this description includes such factors as job, task, materials handled, mine height, time of year, repeated inju- ries to the same miner, and exposure hours. The results of this study are aimed at reducing back injuries in coal mining. This will be accomplished by applying the result of this study to (1) identifying specific jobs with high back injury fre- quency rates based on hours of exposure (work); (2) conducting job safety and physical stress anslyses of these jobs to isolate specific tasks or work procedures that increase the risk of back injury; (3) isolating tools, supplies, equipment, etc. , that act as causes or agents in a significant number of back injury scenar- ios; and (4) redesigning or modifying the tasks, work procedures, tools, supplies, or equipment that significantly increase back injuries. METHODOLOGY The purpose of this research was to develop a set of statistics that would describe the back injury problem in coal mining in sufficient detail so that future research directions could be identified. Two sources of data were available: the MSHA's Health and Safety Analysis Center (HSAC) data base and in- dividual company accident-injury records. Each data base had advantages to its use. HSAC records covered all of the mining industry, thus a larger data base was available. They were, however, based on a single reporting form, and their ac- curacy suffered to the extent that dif- ferent companies and mines use different titles to describe the same job or activ- ity or the same title to describe differ- ent jobs and activities. Individual com- pany records were limited in that a much smaller data base was available, but they were superior because considerable back- ground information was available beyond the HSAC reporting form. In addition, a comprehensive review of a large coal pro- ducer's back injury statistics was not available in the literature. 34 In view of the above, individual com- pany statistics were used. Contact was made with a large coal producer and after some discussion it was agreed that the analysis would be mutually beneficial. Access was provided to all of the com- pany's accident records. This included the company's internal first injury re- port, the HSAC form, the company's inter- nal statistical report, and miscellaneous data that found their way into individual accident files. All of these data were reviewed for the 6-yr period 1977-82, during which a total of 974 back injuries were reported. Correct interpretation of the data required frequent contact with company personnel in a number of areas including the medical department, safety department (corporate and field) , mine supervision, industrial relations, com- pensation, and industrial engineering. The review of the accident data pro- vided an excellent description of the nature, source, and frequency of back, injuries, but without exposure data, it was difficult to interpret. Exposure data were collected with the additional help of the company's industrial engi- neering group. As expected, collection and interpretation of both exposure and accident data were difficult since there were numerous mine-to-mine inconsisten- cies in the titles placed on jobs and activities. These inconsistencies were identifiable only with the help of com- pany personnel. The actual data collection process in- volved reading all of the information contained in each accident file and cod- ing it for later analyzing using a sta- tistical analysis system (SAS). The fol- lowing is a partial list of the data collected. Bureau of Mines identification. Primary cause. Secondary cause. Agent of injury. Sex of injured miner. Total mining experience. Permanent job classification. Date injury occurred. Time of day injury occurred. Date injury reported. Job being performed when injury occurred. Total experience in job being performed when injured. Part of body injured. The unique feature of this data set is the inclusion of the primary and second- ary causes of the injury, as well as the agent of injury. Partial lists of these variables are provided in the following tabulations. Primary cause: Lifting-twisting Jumping from vehicle. Tripped Slipped Pulling Fell Shoveling Stumbled Carrying Pushing Hit canopy Prying Hit bump (vehicle) Twisting Hit rough road Pulling down (vehicle) Hit by object Bend over and/or Handling supplies lifting. Striking head Secondary cause ; Crib block Supply car Swinging pick Walking Landed on seat Unbalanced load 35 Secondary cause — Continued: Lifted over head Slipped Timber Roof bolter Absence of guard Fell against post Wet area Blasting Operating motor Climbing ladder Twisted body Slipped on a rock Climbing railroad Fan house car. Agent category : Steel rope Plank Stone falls Bag of rock dust Trolley wire Railroad ties Concrete blocks Chunk of coal Hit canopy Culvert pipe Pry bar Straighten up Shoveling Drill unit Hit roof bolt Post Air jack Stepped in hole Jarred Using a wrench Primary cause ; Lifting-twisting Carrying Tripped Pushing Slipped Hit canopy Pulling Prying Fell Hit bump (vehicle) Shoveling Twisting Stumbled Pulling down Primary cause — Continued: Hit rough road Hit by object (vehicle). Bend over and/or Handling supplies lifting. Jumping from Striking head vehicle. Secondary cause : Crib block Supply car Swinging pick Walking Landed on seat Unbalanced load Lifting over head Slipped Timber Roof bolter Absence of guard Fell against post Wet area Blasting Operator motor Climbing ladder Twisted body Slipped on a rock Climbing railroad Fan house car. Agent category ; Steel rope Bag of rock dust Plank Trolley wire Stone falls Railroad ties Concrete blocks Chunk of coal Hit canopy Culvert pipe Pry bar Straighten up Shoveling Drill unit Hit roof bolt Post Air jack Stepped in hole Jarred Using a wrench 36 Use of this multiple coding scheme allowed the subsequent analysis to go beyond the usual analysis which reveals that X people were injured lifting, Y pulling, etc. ; G people were handling timbers, H bags, etc. Instead it was possible to identify the number injured by lifting by each agent category. Fur- thermore, this approach permitted the identification of those situations in which the person was lifting a timber and slipped. Clearly, it is not known whether it was the lift or the slip that caused the injury, but the fact that they were lifting a heavy object when they slipped certainly contributed to the injury. The slip would probably not have occurred without the force dy- namics that lifting places on the body, and the injury may not have occurred without the sudden body movement owing to the slip. In most conventional data analyses, this would be coded simply as a lift or a slip and the joint cause would be lost. In addition to developing the descrip- tive statistics, the effects of mine height, the contribution of back injury repeaters to the overall problem, and the often repeated argument that people take advantage of the back injury to get a few days off during hunting season were stud- ied. Mine height was provided by indus- trial engineering and grouped into four categories. Where meaningful, the data were statistically analyzed to determine which conditions were significant. There is one element not included in this discussion — cost data. At the time of writing, this information was still being prepared by the compensation de- partment. When received and analyzed this will make a valuable addition to this study. RESULTS The comprehensive review of 6 yr of back injury data results in a massive amount of data. It is not practical to describe all of it in a single paper. Rather, this paper will present the re- sults of selected analyses. The report- ing order will be to report the mixed-job statistics first, followed by in-depth analyses of selected jobs. The preva- lence of back injuries in coal mining was discussed in the introduction. From a control standpoint, the more interesting question is who suffers these injuries. When the question is discussed with min- ing management, it becomes clear that a mystique has developed about back inju- ries within which the persons concerned have developed their own theories of causation, often without supporting data. Common examples which were suggested fre- quently included 1. They lift the wrong way. 2. They try to lift too much. 3. There is always a rash of them when the miners want a few days off. 4. It is the same miners who get hurt over and over again. The data analyzed herein do not address the first two issues, so all that can be done is to point out that there is no single best way to lift. The "lifting method is dependent on the nature of the load and environmental circumstances sur- rounding the lift, "6 With respect to the size of the lift, it is true that miners often lift too much — but who is responsi- ble? Who designs the jobs, specifies the weights of supplies, and determines the work pace? Furthermore, how is an indi- vidual miner supposed to know how much he or she can lift? There were data available in this study to address issues 3 and 4. The use of a back injury to selectively obtain extra time off is supposedly one with some fre- quency. In the mystique, hunting season is the prime time for convenient back in- juries. To evaluate the issue, contact was made with the Natural Resources De- partments of the States in which injuries were reported to identify the dates of hunting season during the years studied. The mean number of back injuries that oc- curred during hunting season was com- puted and compared year by year to the ^Work cited in footnote 4. 37 in table 2, show mystique is wrong. mean number of back injuries occurring on any other day of the year. The week pre- ceding hunting season was included with the hunting data. The results, presented that the conventional The statistical anal- ysis demonstrates that there are fewer back injuries per day just before and during hunting season, than during the rest of the year. TABLE 2. - Comparison of back injury rate (BIR) preceding and during hunting season with the BIR during the rest of the year frequency rate for mining jobs with high back injury frequencies. The frequency provides a relative comparison of the magnitude of the problem per job, while the frequency rate indicates the likeli- hood of getting hurt on a given job by adjusting the frequency for exposure hours. As expected, those jobs requiring considerable manual materials handling are the jobs with the highest rates. The possible exception to this is the shuttle car operator. TABLE 4. - Comparison of frequency and frequency rates for coal mining jobs BIR — hunting. . . . BIR — nonhunting. Mean 0.312 .418 Variance 0.223 .488 NOTE. — T-test calculated = 2.262. T- test tabular value = 1.645 for a = 0.05. Issue 4, back injury repeaters, also proved to be more mystique than fact. Table 3 presents the number of injuries per miner during the 6-yr period. Re- peated back injuries, at least during the time period studied, were infrequent. The data were examined further to see if there was a pattern to the timing of injuries in the repeater, and none was found. The distribution of job titles among the repeaters was consistent with that of the overall study. TABLE 3. - Frequency of back injuries per miner during the 6-yr period 1977-82 Number of miners Injuries 10,000 882 1 40 2 4 3 The next section of the report ad- dresses the questions of which jobs have a high frequency of back injuries and what causes them (doing what) . Ta- ble 4 presents the injury frequency and Frequency, Frequency Job title number of rate per injuries thousand h Laborer. .......... 158 41 37.05 Trackman-helper. . . 29.42 Brattice worker. . . 18 18.30 Shuttle car operator. ........ 95 129 15.74 Mechanic-helper. . . 13.22 Continuous miner operator-helper. . 54 10.73 Roof bolter-helper 67 10.29 In addition to looking at jobs, this study reviewed causes (activities at the time of injury), and agents (things han- dled or producing the injury). Table 5 presents an overview of the cause of injury. Clearly, materials handling- related injuries dominate the list. The materials handling category includes lifting of all forms (carrying, twisting, bending, single- and two-person lift, etc.). Table 6 presents an overview of the agent handled at the time of injury. In this case, no one category stands out. Handling supplies such as bagged or drummed materials and concrete blocks is the most frequent, but back injuries due to riding in vehicles, handling timbers, planks and posts, and cable handling are close behind. The data presented in table 6 are consistent with the high fre- quency of materials handling-related in- juries found in table 5. 38 TABLE 5. - High-frequency causes of back injury in coal mining Causes Frequency Lifting^ 158 Lift-twist' 107 Slip-trip 107 Push-pull 93 Bend lift' 41 Hit by object 41 Working 24 Unload ' 19 Operating machine 18 ' Several causes were combined to form materials handling. TABLE 6. - High-frequency agents of back injury in coal mining Agents Frequency Handling general supplies 101 Planks, timbers 91 Riding in vehicle 90 Cables 84 Railroad related 69 Tools 57 Shovel, wheelbarrow 52 The data in tables 5 and 6 can be broken down further by investigating the relationship between cause and agent. Table 7 provides a frequency distribu- tion for agents associated with materi- als handling. Table 8 provides agents for slip-trip, and table 9 for push-pull. Each cause of injury has its own dominant agents. TABLE 7. - Frequency distribution for agents of materials handling' injuries TABLE 8. - Frequency distribution for agents of slip-trip' injuries Agent Frequency Floor conditions 69 Tools and equipment 13 Railroad related 12 Supplies 7 Stairs 5 Planks and timbers 4 ' Primary cause of 138 back injuries. TABLE 9. - Frequency distribution for agents of push-pull' injuries Agent Frequency Agent Frequency Cable 35 Building supplies 12 Tools and equipment 12 Wheelbarrow 10 Hose 6 Steelrope 4 'Primary cause of 93 back injuries. The preceding discussion has analyzed the overall back injury data for a ma- jor coal company. The balance of this section will provide examples of the analysis of job-related injury data by analyzing two of the jobs in detail. In essence, this means breaking down the cause and agent data for two jobs: laborer and shuttle car operator. Of the mining jobs, the laborer job had both the highest frequency and frequency rate. Table 10 shows the frequency dis- tribution of causes of back injury for laborers. The laborer's job consists of setting posts and timbers, laying and retrieving rails, unloading supplies, shoveling, general cleaning activities, etc. Planks and timbers 70 Tools and equipment (timber jacks, 21) 69 Supplies 48 Railroad ties-bars 42 Shovel-rocks 41 Cables 38 Bagged materials 28 Drums -cans 18 Wheelbarrow 11 Belts-belt drive 11 ' Primary cause of 428 back injuries. TABLE 10. - Causes of laborer back injuries (Total cases, 158; frequency rate, 37.05) Cause Slip-trip Riding in vehicle.. Materials handling. Push-pull pet 39 As would be expected, more than half of the Injuries are the result of materials handling or push-pull activities. Anoth- er 18 pet are due to slips-trips, but when these are analyzed further, a third of them involve materials handling. The remaining injuries are split between shoveling and riding in vehicles. Shov- eling is to some extent a variation of materials handling, but having 12 pet of laborer's back injuries associated with riding in vehicles raises some serious questions about mine vehicle design. A more detailed breakdown of laborer in- juries is provided in table 11 by materi- als handling, slip-trip, and riding in vehicle. TABLE 11. - Analysis of activity at time of laborer injury the balance of the injuries. Again, al- most one-third of the slip-trip injuries involved materials handling. The high percentage of vehicle-related injuries is perhaps not surprising for a vehicle op- erator, but it again suggests problems within vehicle design, particularly as it relates to occupant safety. When com- pared with the estimated job exposure, the high frequency of materials handling injuries raises a question about the re- lation among the shuttle car operator's seat design, the constant forward flexed posture and vibration exposure, and a predisposition to lifting injuries. TABLE 12. - Causes of shuttle car operator back injuries (Total cases, 95; frequency rate, 15.74) Activity Frequency | pcF MATERIALS HANDLING Timber, plank, railroad ties 18 12 11 11 4 20 24 Shovel Rair bars 16 14 Supplies, bagged materi- als, concrete blocks.... Cable 14 5 Other 26 SLIP-TRIP Floor conditions... Materials handling. Using tools Others 48 34 11 7 RIDING IN VEHICLE Floor conditions ......... 6 6 5 2 32 Collision 32 Hit object 26 Derail 10 A similar analysis is provided for the shuttle car operator (tables 12-13). This job was selected because of its con- trast to the laborer. In theory, this job involves considerably less materials handling and, in fact, industrial engi- neering estimated that only 15 to 20 pet of the job is materials handling (com- pared with 40 to 45 pet for laborer) . In spite of this, when push-pull is added to strict materials handling, 53 pet of the back injuries are accounted for. Riding in vehicles accounts for 29 pet, with slip/trip and shoveling accounting for Cause Slip-trip Riding in vehicle. , Materials handling. Push-pull Shoveling pet 11 29 46 9 5 TABLE 13. - Analysis of shuttle car operator activity at time of injury Activity Frequency | pet MATERIALS HANDLING (INCLUDES PUSH-PULL AND SHOVELING) Timbers , Cables , Bagged materials, Supplies , Shoveling , Wheelbarrow , Timber j acks Other 10 10 7 6 5 5 2 12 18 18 12 11 9 9 4 21 RIDING IN VEHICLE Floor condition. Collision Other 20 5 3 71 18 11 SLIP-TRIP Floor condition. . . . Materials handling. Other 50 30 20 A final issue of interest is the effect of mine height. Table 14 presents a com- parison of the frequency rates associated with the four mine height categories used in this study. The higher ranges were 40 selected based upon ease of categoriza- tion from the company's records. The data should be interpreted with caution since four or less mines are represented in each of the first three categories. The data in the first three categories were pooled to determine whether there TABLE 14. - Comparison of back injury frequency rates by mine seam height for one company Mine seam height, in Frequency rate <48 7.51 48 to 60 10.87 60 to 78 4.90 >78 16.61 CONCLUSIONS AND This paper has provided an overview of a rather massive data collection effort designed to probe the circumstances sur- rounding back injuries in coal mining. A short paper could not do more than sum- marize the subject and introduce one method for analyzing the problem. It be- gan by evaluating some of the convention- al wisdom and opinions about back inju- ries in coal mining, and established that for this company, the wisdom was in con- flict with the facts. The problems that lead to back injuries are complex, and hese results clearly suggest that the fi- rst steps in solving the problem will have to be thorough, quantitative analy- ses of the situation and not, as has of- ten been done, a reliance on conventional wisdom and opinion. We cannot ever do away with back injuries, but by system- atically analyzing the problem, and con- trolling what is done, how it is done, and who does it, it should be possible to achieve a significant reduction in the back injury rate. The overall pattern of back injuries was analyzed, and it pointed to a number of conditions as being the source of the problem. The primary source was, as ex- pected, materials handling. This is con- sistent with similar analyses performed in general industry. Additional indepth analyses conducted on specific jobs also identified materials handling as a major problem, but these also highlighted vehicle-related injuries, often the re- sult of hitting bumps in the haulageway. appeared to be differences between mines in which miners work standing (>78 in) and those which preclude standing (table 15). The rates suggest that standing is more hazardous, but with only three data points to compare, the differences were nonsignificant. TABLE 15. - Comparison of back injury frequency rates in mines greater than and less than 78 in for one company Year Mine height, in <78 >78 1980 6.5 3.4 6.2 20.2 1981 13.7 1982 8.3 Average 5.4 14.2 RECOMMENDATIONS as being a significant cause. Identifi- cation of materials handling as a problem is not a new insight. MSHA's Hershel Potter stated it was a problem years ago. What is new in this research is the po- tential for a job-by-job breakdown of the pattern of back injuries to determine what approach may work on each job. The other new feature of this effort will be that of tying together the costs and in- juries so that both frequent and costly injuries can be examined. The next step in this process will be application of these data to the jobs studied to find practical ways of modifying either job or agent to reduce the risk of injury. Identifying vehicle riding as a major source of back injury suggests a number of promising research directions. At this point, the cause appears to be a combination of forward flexed posture, continual vibration exposure, and occa- sional severe jarring which combined to create the injuries. In addition, it ap- pears they form a predisposition to lift- ing injuries. Much of this relates di- rectly to vehicle design and, as such, is a problem that management can control. The analyses reported here will be ex- panded for use in working with company engineers, supervisors, and miners to de- crease the injury frequency rate. Future reports will provide a description of one or more innovations that have resulted in the decrease of back injuries among coal miners. 41 TWO BACK RISKS IN MINING: LIFTING AND PUSHING AND PULLING By Robert 0. Andres 1 INTRODUCTION Mining has long had the onus of being one of the most hazardous occupations for the workers involved. The nature of the work, is quite physical, and many of the accidents are unpredictable owing to falling roofs or materials. There were about 40,000 disabling injuries in 1974 for the mining and quarrying industries (11) ,2 and out of 41 industries reporting to the National Safety Council, under- ground coal mining had the highest fre- quency rate and severity rate (35.44 dis- abling injuries and 5,154 days lost per 1,000,000 employee-hours, respectively). However, not all of these injuries are due to falls of mine roofs; slips and falls on the same level and materials handling showed up as causes of injury also in mining (14). Broken down on the basis of part of the body injured, from 33 to 42 pet of the injuries reported (from underground to open-pit mining) were to the trunk. Between 33 and 44 pet of the total injuries were strains and sprains due to overexertion. These find- ings for the mining industry echo the statistics for the workplace in general, where 27 pet of all injuries occurred to the trunk, resulting in 38 pet of the to- tal workmen's compensation in 1974 (11). Recent research has been concentrating on the risks of back injury during manual materials handling, and also during dy- namic pushing-pulling. Some of this re- search and its methodologies will be de- scribed briefly, and example applications to the mining industry will be presented. BIOMECHANICS OF THE LOW BACK Epidemiological studies have shown that the low back is a structural weak link in the musculoskeletal system. Approximate- ly 80 pet of back injuries occur in the L4-L5 or Lj-S^ region of the spine (,1) • A large body of evidence indicates that many of these back injuries result from excessive compressive forces on the L5~S, disk (_2, 9-10). Cadaver studies have shown that compressive forces in excess of 1,500 lb result in L^-S , disk verte- brae failures in cadavers of males 40 yr old or younger (_6, 13). This load level decreases with age, and females have an even lower tolerance. Low-back pain ''Assistant research scientist. Center for Ergonomics, University of Michigan, Ann Arbor, MI. ^Underlined numbers in parentheses re- fer to items in the list of references at the end of this paper. incidents have been shown to increase with predicted compressive forces on the L5-S , disk (_5) , so the biomechanics of the low-back region will be examined in more detail. Figure 1 is a free body diagram of the torso showing the different forces that contribute to the compressive force on the L5-S , disk. Only the abdominal force exerted on the diaphragm counteracts the forces due to the upper body mass, the load in the hands, and the forces of the trunk extensor muscles (erector spinas). Static analysis of this situation solves for the L5SO, compressive force; this static model has been applied to load handling by several researchers (^~^. ]_) • Given the body posture, the weight of the load in the hands, and the position of the hands, these models can predict the compressive force on the L5-S ^ disk. 42 NIOSH WORK PRACTICES GUIDE One culmination of the biomechanical approach to studying low-back injuries was the development of the "Work. Prac- tices Guide for Manual Lifting" by NIOSH ( 13 ) in 1981. This document combines epidemiological, biomechanical, physio- logical, and psychophysical research re- sults to make recommendations about lift- ing. This amalgamated approach does not pretend to be the final word on lifting techniques; in fact, the major recommen- dation is that much more research in all of these areas is necessary, but there are several interesting analyses that can and should be applied to jobs as stressful as those found in the mining industry. Two different lifting limits have been defined in the guide: The maximal per- missible limit (MPL) above which load the lift is so hazardous that only a few people could perform it safely, and the action limit (AL) above which weaker in- dividuals are at risk, but most people can safely perform the lift. When ex- ceeded, the MPL dictates that job re- design must be performed, whereas exceed- ing the AL requires aggressive selection and training procedures to protect those at risk. Figure 2 shows the maximum weight that can be lifted (in a sym- metric, sagittal plane, two-handed lift) infrequently (once every 5 min) from floor-to-knuckle height as a function of the horizontal location of the load. The criteria that defined the MPL include (1) epidemiology, musculoskeletal injury and severity rates increase in populations performing work above this level; (2) biomechanics, conditions above the MPL result in L^-S ^ compressive forces above 1,400 lb, which is not tolerable to most workers; (3) physiology, metabolic rates would exceed 5.0 kcal/min for most indi- viduals above the MPL; and (4) psycho- physics, only 25 pet of male and less than 1 pet of female workers have the muscle strength to work above the MPL. These same criteria, applied for the AL, show (1) only a moderate increase in in- jury and severity rates, (2) a 770-lb compressive force on the L5~S ^ disk, which can be tolerated by most young, healthy workers, (3) metabolic rates ex- ceeding 3.5 kcal/min for most people working above the AL, and (4) 99 pet of men and over 75 pet of women could lift loads described by the AL. The following algebraic formula was de- rived to calculate the AL: Al(lb) = 90(6/H)(1-0.01|V-30|)(0.7+3/D(1-F/Fmax) where H = horizontal location forward of midpoint between ankles at lift origin, or inches, V = vertical location at lift origin, inches, D = vertical travel distance between lift origin and destination, inches, F = average lift frequency, lifts per minutes, F^^^^ = maximum frequency which can be sustained (table I), then MPL = 3 (AL). See reference 13 for the limits of application to a mining situation will be these variables. With this brief in- presented, troduction to the guide, an example EXAMPLE APPLICATION Figure 3 schematically represents a situation where a miner lifts rock, or coal from the mine floor to a waiting 43 cart. Assuming this takes place fre- quently throughout an 8-hr shift, Fn^^^=12 (table 1). If the lift is performed once per minute (F=l), the results for just the vertical portion of the lift are AL(lb) = 40(6/18)(l-0.004|7.6-75|)(0.7+7.5/20)(l-l/12) = 40(0. 333)(1.26)(1.075)(0. 917) = 16.54 lb MPL = 50 lb TABLE 1. - Maximum sustained lifting frequency Period, h Average vertical location, in >30, standing <30, stooped 1 18 15 15 8 12 Therefore, any load material smaller than 16 lb should not overly stress any worker, whereas loads between 16 to 50 lb should only be handled by stronger workers with care, and loads above 50 lb should not be lifted. The control mea- sure in this situation would be breaking the rock up into pieces smaller than 16 lb. If this lift were performed up to five times a minute, the AL would be 10 lb while the MPL would be 30 lb. Although few actual tasks are as simple to analyze as this one, this type of analysis is obviously quite easy to per- form as a first attempt to control job stresses. CART PUSHING AND PULLING In some mining operations the mined material is loaded on carts, sometimes on rails, which are then manully manuevered. This situation can lead not only to mus- culoskeletal strains or sprains, but also to slips or falls owing to inadequate co- efficient of friction parameters at the shoe-floor interface. A biodynamic model has been developed i8) that predicts the risk of low back injury and the risk of foot slip. This model is not restricted to static push-pull tasks, but only oper- ates in the sagittal plane. The inputs to the computer model are subject an- thropometry, body joint motion data, cart handle height, and the forces exerted by the hands on the cart handles. Figure 4 is an illustration of the lab- oratory equipment used to gather the mod- el inputs. The model then calculates the reactive forces and moments at each joint, the L^-S^ compressive load, and the required coefficient of friction to prevent foot slip. Although this model is still being refined and validated in the laboratory, it will be applied exten- sively in the field. Example predictions from the model are shown in figures 5 and 6. Figure 5 illustrates the predicted Lg-S^ compressive forces for an example push-pull situation, while figure 6 is an example of predicted coefficient of fric- tion requirements at the shoe-floor in- terface during a push. Field data taken with portable force measuring handles and high-speed movies will be run through the biodynamic model to obtain output similar to figures 5 and 6. From this analysis the following rec- ommendations can be made: (1) The maxi- mum allowable hand forces, which relate to cart loading and resistance; (2) the required coefficient of friction, which relates to the shoe and floor materials, shoe tread design, floor surface prepara- tion, and floor maintenance; (3) cart handle placement to minimize back injury risk (this changes for pushing versus pulling); and (4) the required strength of the worker performing the task. Al- though this model is still being refined, it represents another tool that should be used to analyze the stresses of physical work. 44 SUMMARY AND CONCLUSIONS There are several recently developed analytical tools available for study- ing working situations, such as mining, that have high musculoskeletal injury rates and severity rates. Only two tech- niques of predicting overexertion inju- ries to the low back have been discussed in this paper, along with some example applications to mining. As research pro- gresses in ergonomics, more use must be made of its results by the industries that can benefit most from its applica- tions; hence, a unique possibility for cooperation among academia, management, and labor exists and should be pursued. REFERENCES 1. Armstrong, J. R. Lumbar Disk Le- sions. Williams and Wilkins, Baltimore, MD, 1965, pp. 230-239. 2. Chaffin, D. B. A Computerized Bio- mechanical Model: Development of and Use in Studying Gross Body Actions. J. Bio- mechanics, V. 2, Oct. 1969, pp. 429-441. 3. . On the Validity of Biome- chanical Models of the Low Back for Weight Lifting Analysis. Pres. at the Winter Ann. Meeting of ASME, Houston, TX, Nov. 30-Dec. 4, 1975; available upon re- quest from R. 0. Andres, Univ. MI, Ann Arbor, MI. 8. Lee, K. S. Biomechanical Modelling of Cart Pushing and Pulling. Ph.D. Dis- sertation in Industrial and Operations Engineering, Univ. MI, Ann Arbor, MI, 1982. 9. Martin, J. B., and D. B. Chaffin. Biomechanical Computerized Simulation of Human Strength in Sagittal-Plane Activities. AIEE Trans., v. 4, 1972, pp. 19-28. 10. Morris, J. M. , D. B. Lucas, and B. Bresler. Role of the Trunk in Stabil- ity of the Spine. J. Bone Joint Surg. , V. 43A, 1961, pp. 327-351. 4. Chaffin, D. B., and W. H. Baker. Biomechanical Model for Analysis of Sym- metric Sagittal Plane Lifting. AIIE Trans., v. 2, Mar. 1970, pp. 16-27. 5. Chaffin, D. B., and K. S. Park. A Longitudinal Study of Low Back Pain as Associated With Occupational Lifting Fac- tors. AM. Ind. Hyg. Assoc. J., v. 34, 1973, pp. 513-525. 6. Evans, F. G. , and H. R. Lissner. Biomechanical Studies on the Lumbar Spine and Pelvis. J. Bone Joint Surg. , v. 41A, 1959, pp. 218-290. 7. Garg, A., and D. B. Chaffin. A Bi- omechanical Computerized Simulation of Human Strength. AIIE Trans., v. 7, 1975, pp. 1-15. 11. National Safety Council Accident Facts. Chicago, IL, 1975, pp. 23-37. 12. Sonada, T. Studies on the Com- pression, Tension, and Torsion Strength of the Human Vertebral Column. J. Kyoto Prefect Med. Univ., v. 71, 1962, pp. 659- 702. 13. U.S. Department of Health and Hu- man Services Work Practices Guide for Manual Lifting. NIOSH Pub. 81-122, 1981, 183 pp.; NTIS: PB 82-178-948. 14. U.S. Mine Enforcement and Safety Administration. Injury Experience in the Nonmetallic Mineral Industries (Except Stone and Coal), 1970-71. MESA IR 1014, 1975, 106 pp. 45 'abdomen-. e — *-, FmuscI ■compression-TY /pg^g^' Center of gravity of body weight (BW) above lumbosacral joint Push or pul force Handle attached to 3-axis load FIGURE 1. . Free body diagram of the torso, showing variables used to calculate the c sive force at Lj-S ,. ompres- 200 150- _i 100- X a UJ 5 10 20 30 40 HORIZONTAL LOCATION OF LOAD, In FIGURE 2, - Maximum weight versus horizontal location for infrequent lifts from floor-to-knuckle height (13), KEY V = 3in H = I8in D = 20in F = I lift per minute FIGURE 3, - Schematic representation of miner lifting material onto a cart. 46 Amplifier FIGURE 4, - Laboratory setup used to collect data for the biodynamic push-pull model. en Q < o _l LLl > CO (n UJ a: a. O o ,000 500 KEY A= Push V, 32 In • = Pull V, 32 in 20 40 60 80 HAND FORCES, lb 100 120 FIGURE 5. - Predicted L5-S, compressive forces (8). 20 40 60 80 100 120 140 160 180 200 TIME DURING STEP CYCLE, ms FIGURE 6. - Predicted required coefficient of fric- tion for one foot at the shoe-floor interface during a pushing task. 47 FIELD TESTING OF WORKERS INVOLVED IN MATERIAL HANDLING By Karl H. E. Kroemer' INTRODUCTION Many industrial jobs require the worker to manipulate objects, position loads, and perform other physical activities that are usually understood as "lifting." The physical efforts involved in lifting often overload the physical capability of the people performing them, leading to very large numbers of job-related inju- ries and to very high costs in terms of lost time, compensation payments, and re- training of new personnel. Thus, indus- try is trying to either select people ac- cording to their strength, to train them so that they are able to perform stress- ful jobs, or to limit the loads to be moved by workers so that they will not be overstressed. For screening, reliable and valid tests are needed that assess the capability of an individual to manip- ulate loads. Relatedly, job requirements must be known regarding the type and mag- nitude of loads to be manipulated. Both tasks are interrelated because job re- quirements should match the operator's capability to perform the jobs, and vice verse. Sponsored and coordinated by NIOSH, several researchers cooperated to deter- mine the conditions that would either constitute safe or hazardous lifting re- quirements. A summary of the research and recommendations derived from it were published in the 1981 NIOSH "Work Prac- tices Guide for Manual Lifting" (10).^ The guide utilizes weight to be lifted as the primary descriptor of the job re- quirements, but modifies this criterion by including the start and end points of the path of the lift, and by the frequen- cy of lifting. These job requirements then, ideally, are matched to capabili- ties of the operators, or vice versa. Operator capabilities can be established using physiological, psychophysical, and biomechanical response variables. Among biomechanical test procedures, until re- cently only static tests were at hand. While well established and tested, these procedures obviously do not represent the dynamic requirements of industrial lift- ing, where work is usually performed with body and object in motion. Psychophysical testing of a subject's dynamic capability for lifting was pre- viously developed in the laboratories of Liberty Mutual Insurance Co. and at Texas Tech University. NIOSH sponsored research for the development of an industrial dynamic testing technique at Virginia Polytechnic Institute and State University. This work resulted in a new testing procedure and technique, called LIFTEST. This dynamic technique promises to be more reliable than static strength testing and appears to be more indicative of a person's actual lifting capability. FITTING THE WORKER TO THE JOB VERSUS FITTING THE JOB TO THE WORKER Manual material handlings produces the single largest percentage of compensable work injury in U.S. industry, constitut- ing today one-fourth to one-third of all ^Director, Ergonomics Research Insti- tute, Inc., Blacksburg, VA. ^Underlined numbers in parentheses re- fer to items in the list of references at the end of this paper. injuries. The cost to U.S. business is estimated" between $4 and $20 billion an- nually (_9, 10). Suffering of the injured and of their families cannot be expressed in dollar figures. -^This is often called lifting, although in its strict sense lifting refers exclu- sively to elevating an object from a low- er level to a higher one. 48 The following three major avenues exist to reduce the frequency and severity of these injuries: 1. Screening of workers for their physical abilities to perform material handling. 2. Training of workers to perform material handling in a manner that avoids accidents. 3. Designing work task and work equip- ment so that workers will not be strained excessively by materials handling. This presentation concentrates on screening of workers for their physical capabilities to handle material at work without overexertion. After standard medical examinations were found ineffective for screening, more recently static muscular strength tests have been advocated (10). These assess isometric muscular strength of the human in discrete "frozen" body posi- tions, primarily by measuring leg force, back force, and arm force (2). In com- paring these scores via a biomechanical model of the human body with job require- ments, or injury data in general, it was found that isometrically "stronger" work- ers have fewer and/or less severe inju- ries than isometrically "weaker" workers (iO). The effectiveness of a screening tech- nique depends, to a large degree, on its ability to mimic the actual work require- ments that may overexert human capabili- ties. Static strength testing suffers in particular from the fact that it is done with the worker being immobile while ac- tual material handling usually involves motion. Because of the apparent deficiency in the validity of static testing, NIOSH sponsored research (under contract 210- 79-0041) to develop a dynamic technique to test individual capability for lift- ing. This work resulted in a testing procedure, called LIFTEST, that was found to be highly reliable, as well as quick and simple to administer, in laboratory experiments (6^). While LIFTEST is ap- parently much more similar to actual material handling than static strength testing, its validity and effectiveness in screening workers for their capability to perform material handling tasks with- out injuries has yet to be assessed in a systematic manner. INDIVIDUAL CAPABILITIES SHOULD EXCEED JOB DEMANDS The premise of physical screening tech- niques is that human bodily capabilities will be measured and compared with re- lated job requirements; the more tested capabilities exceed job demands, the "safer" the person-job match. In mate- rial handling, many of the critical in- juries are related to the musculoskeletal system, particularly to the L5-S , region of the spinal column. As the guide for manual lifting indicates, there is an epidemiological relationship between in- dividual "strength" (as measured physio- logically, biomechanically , or psycho- physically) and job demands, with strong- er persons being less susceptible to injuries than their weaker cohorts. Even other injuries related to materials han- dling such as lesions, abrasions, etc., show correspondence with the strength criterion (10). ASSESSMENT OF INDIVIDUAL LIFT CAPABILITY Current static biomechanical models of the human performing material handling include anthropometry, isometric muscle force (or torque) capabilities, the abil- ity to withstand compression forces in the lower part of the lumbar spine, body posture descriptors, and work require- ments (J_). Unfortunately, the key in- gredient, isometric muscle strength capa- bility, is somewhat unrealistic because lifting and other material handling ac- tivities are performed with body and 49 load in motion and not in a static "fro- zen" condition. This discrepancy between static measurements and dynamic job re- quirements may explain why correlations between static strength and job perform- ance capabilities are usually unsatisfac- tory for predictive-preventive purposes, being in the neighborhood of only 0.5 a). Researchers at the University of Michi- gan and at Texas Tech University devel- oped static muscle strength tests and re- lated their outcomes with incidences of physical overexertion in industries re- quiring material handling O, 8^). Both groups found that isometrically weaker persons suffered from a larger number of overexertion injuries than stronger sub- jects. However, some of the static strength tests showed practically no relationships to the probabilities of overexertion injuries. For example, of nine isometric strength tests applied by Keyserling (_5 ) , only four showed signifi- cant relations to the occurrences of mus- culoskeletal problems. LIFTEST Recognizing the problems of "unrealis- tic" static testing, NIOSH sponsored work to develop a dynamic testing procedure suitable for field application. This work was performed over a period of 2-yr, and resulted in the new technique called LIFTEST (6^). LIFTEST equipment consists essentially of a carriage that a person moves up and down within vertical guardrails. Varia- ble weights are attached to the rear part of the carriage in such a manner that the subject is unable to see them. The per- son grasps the handles protruding from the carriage near floor height and lifts them, with carriage and weights attached, to her or his individual overhead reach height. Using a suitable sequence, the maximum weight that the individual can lift to overhead reach is determined within 2 or 3 min. In test-retest relia- bility experiments performed in the lab- oratory, 39 subjects could lift, on the average, 59.3 lb to overhead reach, with a standard deviation of 22.7 lb. This range indicates that the strength capa- bilities of the subjects employed were rather different. However, the subjects, whether weak or strong, showed a con- sistent low intra-individual variabil- ity of their individual scores in repeat- ed tests. The average coefficient of variation was only 3.5 pet, compared with 13 pet in isometric strength tests (6). In rather similar "Factor X" tests with almost 600 subjects, male and fe- male, the U.S. Air Force also found that such dynamic lift tests are much more reliable (i.e. , less variable in repeat- ed tests) than isometric muscle strength measurements. 4 Relatedly, isokinetic (i.e., constant speed) strength testing also showed relatively low correlations with isometric muscle strength testing (4^). This strongly supports the notion that the dynamic LIFTEST can be used re- liably to assess lift capability. What was not measured (and not intended to be measured) in the NIOSH-sponsored labor- atory research was the validity of the test, that is, its relationship to actual lifting performance in industry. While having obvious "face-validity," the prac- tical effectiveness of the LIFTEST pro- cedure needs to be established in field tests. Interestingly enough, the U.S. Air Force used simulated "actual" lift tasks to validate their dynamic "Factor X" testing. The correlation between lift test results, and actual lift performance was about 0.9.5 a correlation of 0.75 between isokinetic and actual lifting capability has been reported (4^) . These results strongly support the expectation that the LIFTEST procedure will be an ef- ficient predictor of lifting capability on the job. According to the premise discussed above, the ratio "strength available to strength required" would indicate the '^McDaniel, J. W. Personal Communica- tion, Jan. 24, 1983. ^See footnote 4. 50 probability of an overexertion injury; a high ratio would make this probabil- ity small, a ratio close to unity would indicate a high probability. Used as a screening technique, one would avoid placing persons with a low ratio in jobs requiring such strength exertion, or reduce job requirements by administra- tive or engineering intervention. Per- sons with a high ratio could be employed in jobs requiring manual material han- dling with little danger of overexertion injuries. ASSESSMENT OF JOB LIFTING REQUIREMENTS The NIOSH guide provides a standardized procedure to assess the job requirements involved in material lifting tasks. The guide ( 10 , p. 124) establishes three major categories of hazards in material handling. They are divided by the so- called "action limit" and the "maximum permissible limit." Below the action limit, no hazard to the individual is ex- pected that would require engineering or administrative interaction. A "gray" zone exists between the action lim- it and the maximum permissible limit where suitable intervention methods are needed. These might mean worker screening-selection methods, and/or might involve engineering measures to reduce the worker's lift effort. Requirements above the maximum permissible limit are unacceptable. The guide sets the maximum permissible limit numerically to be three times larg- er than the action limit. It appears reasonable to divide this zone between action and maximum permissible limits in- to two zones by doubling the action limit values. Hence, work requirements that fall below the doubled action limit would be less hazardous than those conditions falling between twice the action limit and maximum permissible limit values. Using such subdivision, one can cate- gorize job demands in the following four areas: below action limit, between single- and double-action limit, between double-action limit and maximum permissi- ble limit, and above maximum permissible limit. According to the guide ( 10 , p. 126) , the following job variables primarily determine the job requirements: the ini- tial starting point of the load, the end point of the lifting path, and the frequency of lifts per time unit per- formed. The individual contributions of these variables are expressed by an alge- braic formula in the guide ( 10 , p. 126). Start and end point are described by the height above the floor upon which the worker stands, and by the vertical dis- tance away from the body of the worker. The frequency of lift is compared with a maximum frequency deemed suitable. The numerical values for these parameters are inserted into the formula given in the guide. Furthermore, the guide describes a measurement technique to determine the actual lift requirements at any given workplace. COMPARING WORKER CAPABILITIES TO JOB REQUIREMENTS Whereas the NIOSH guide provides a standard approach to establish job re- quirements, the LIFTEST procedure pro- vides an equally convenient method to de- termine related physical capabilities of the worker. The LIFTEST regimen provides for a minimum load of 25 lb, and a maxi- mum load of 100 lb to be employed for the establishment of overhead capability scores. With test weight increments of 5 lbs used, 18 different lift scores can be obtained, ranging from below 25 lb, at 25 lb increasing in steps of 5 lb to 100 lb, to exceeding 100 lb. (The 5-lb increment values can be combined to larger units, such as 10 lb, in order number of lift capability convenient. ) to reduce the assessments as In summary, the guide provides a stan- dardized procedure to assess lift re- quirements imposed by the job. LIFTEST provides a reliable procedure to assess dynamic individual lift capabilities. 51 LIFTEST PROCEDURE FIELD STUDIES The general aim of a field study being organized by the author is to assess the effectiveness of the LIFTEST procedure as a screening technique for reducing sever- ity and frequency of overexertion inju- ries resulting from manual material move- ment, particularly lifting. The specific aims of this study are 2. Monitor overexertion and other re- lated injury events of these workers over a 3-yr period. 3. Determine needed. job lift strains, 4. Compare injury statistics with per- formance in LIFTESTs. 1. Measure individual lifting capabil- ities, via the LIFTEST procedure, approx- imately 15,000 workers doing material handling. 5. Assess the effectiveness of the LIFTEST procedure as a screening tech- nique based on the results of aims 1 through 4. METHODS Several large industries in Virginia, North Carolina, and Tennessee have con- sented to participate in this study. Others are invited to participate. The currently participating industries employ about 50,000 hourly paid persons. Of these workers, approximately 30 pet have jobs that include material handling. If these 15,000 workers have a related accident-injury rate during the 3-yr re- search period of approximately 10 pet (5, 10), approximately 1,500 cases would be present. Even if a dropout rate of one-third (which would be very high in- deed) existed in the subject population, approximately 1,000 cases present in the study would constitute a solid statisti- cal basis. In order to establish the effectivenss of the LIFTEST procedure, the following steps will be taken: 1 . Measure individual lifting capabil- ities of approximately 15,000 workers involved in material handling . The co- operating industries will identify, in- ternally, in accordance with existing management-labor practices and agree- ments, jobs with material handling re- quirements and the persons either incum- bent in the jobs, being transferred to them, or to be hired for them. These persons will be measured, usually in con- junction with a routine physical examina- tion, in their LIFTEST performance by the companies' medical staff. In order to ensure uniformness and consistency in the application of the LIFTEST procedure, the initial equipment setup and training of the staff applying the tests will be pro- vided by the author and his team. Test results will become part of the medical record kept by the industries in accordance with their existing safeguard- ing practices. 2. Monitor over exe rtion and other re- lated injuries of workers over a 3-yr period. Participating industries will monitor injuries related to material han- dling according to the industry-estab- lished practices. This assures that ano- nymity and privacy of the worker rec- ords remain intact, such as they would be without this investigation. 3. Determine job lift requirements. The author and his team will, in coopera- tion with industry personnel, and in ac- cordance with local management-labor practices, determine the actual lifting requirements of jobs that have a poten- tial for, or a record of, lifting-related overexertions. This will be done accord- ing to reference 10. The assessment of job requirements will be independent from the person actually occupying the job. Hence, personal rec- ords of the worker will not be provided to the investigators but will remain in custody of the industry. 52 4. Compare Injury statistics with LIFTEST performance . The participating companies will compare accident severity and frequency, according to ANSI and OSHA standards, with performance on LIFTEST. Where the accident circumstances are not obvious, the industry will cooperate with the investigators in the determination of job requirements prevailing at the injury time (step 3). With the four categories of NIOSH-def ined job requirements and 18 LIFTEST procedure-performance steps, in- cidents can be recorded on a 4 by 18 matrix. (If required, the NIOSH job re- quirement categories can be further sub- divided and/or the number of LIFTEST performance score categories be reduced, as described above.). Only anonymous information regarding incidence and test performance will be received by the investigators. Establish effectiveness of the LIFTEST procedure as a screening tech- nique . Based on the data collected in steps 1 through 4, correlations between LIFTEST performance and injuries will be established. In a first step, LIFTEST performance will be compared with injury severity and frequency, following common practice in industrial and injury statis- tics. In this case, the actual job re- quirements are not considered in detail. As a second step, detailed comparison of job requirements with LIFTEST performance will be done, based on the results of the specific job requirement assessments. This will identify correlations between general and specific job requirements (such as lift frequency, initial position of the load, final position of the load, etc.) and LIFTEST performance. STATISTICS The statistical procedures are simple and straightforward, using the industry- common ANSI Z16 technique. This facili- tates the cooperation with industry. and Oj = observed number of inci- dents in category i, i=l, 2, 3, ...m. As in previous experiments (_5) , the following chi-square formula to test the significance of differences between inci- dent rates and test performance will also be used. The values of Ej are computed with the following equation: E, =|t^«r. (2) 2 = ? (Ej - Qj)^ Xm-1 i=l E, (1) where Xm-1 = test statistic with (m-1) degree of freedom, m = number of LIFTEST score categories being compared. where H| = hours of exposure in category i, H^ = total hours of exposure across all categories, or 0^ = total number of observed incidents across all categories. Ej = expected number of inci- dents in category i, based on exposure, CONCLUSION 53 While the basic solution is to design jobs to fit the worker, training and, in particular, selection of individuals for safe material handling are also indispen- sable. Regarding screening, the testing should be "realistic," that is, represent actual job demands. Dynamic tests appear to be more suitable than static muscle strength testing. Procedures to develop and apply such dynamic testing are at hand. REFERENCES 1. Ayoub, M. M. , A. Mital, S. S. Asfour, and N. J. Bethea. Review, Evalu- ation, and Comparison of Models for Pre- dicting Lifting Capacity. Human Factors, v. 22, No. 3, 1980, pp. 257-269. 2. Chaffin, D. B. Functional Assess- ment for Heavy Physical Labor. Occupa- tional Health and Safety, v. 50, No. 1, 1981, pp. 24, 27, 32, 64. 3. Chaffin, D. B. , G. D. Herrin, W. M. Keyserling, and J. A. Foulke. Pre- Employment Strength Testing in Selecting Workers for Materials Handling Jobs. DHEW Rept. 77-163, 188 pp.; NTIS PB- 298-677. 4. Kamon, E., D. Kiser, and J. L. Pytel. Dynamic and Static Lifting Capac- ity and Muscular Strength of Steelmill Workers. Am. Ind. Hyg. Assoc. J. , v. 43, No. 11, 1982, pp. 853-857. 5. Keyserling, W. M. , G. D. Herrin, D. B. Chaffin, T. J. Armstrong, and M. L. Foss. Establishing an Industrial Strength Testing Program. Am. Ind. Hyg. Assoc. J., V. 41, No. 10, 1980, pp. 730- 736. 6. Kroemer, K. H. E. Development of "LIFTEST," A Dynamic Technique to Assess the Individual Capability to Lift Materi- al. Final Report, NIOSH contract 210- 79-0041. Ergonomics Laboratory, VA Poly- technic Inst, and State Univ. , Febru- ary 26, 1982, available upon request from K. H. E. Kroemer, Ergonomics Research In- stitute, Blacksburg, VA. 7. Mital, A., and M. M. Ayoub. Model- ing of Isometric Strength and Lifting Capacity. Human Factors, v. 22, No. 3, 1980, pp. 285-290. 8. Mital, A., M. M. Ayoub, S. S. Asfour, and J. J. Bethea. Relationship Between Lifting Capacity and Injury in Occupations Requiring Lifting. Paper in Proceedings, Annual Meeting of the Human Factors Society (Detroit, MI, Oct. 16-19, 1978). Santa Monica, CA, pp. 469-473. 9. Nordby, E. J. Epidemiology and Diagnosis in Low Back Injury. Occupa- tional Health and Safety, v. 50, No. 1, 1981, pp. 38-42. 10. U.S. Department of Health and Hu- man Services. Work Practices Guide for Manual Lifting. NIOSH Pub. 81-122, 183 pp.; NTIS PB 82-178-948. 54 LIFTING CAPACITY DETERMINATION By M. M. Ayoub.l J. L. Selan,2 w. Karwowski,3 and H. P. R. Rao4 ABSTRACT Given the large number of tasks in the mining industry that require manual mate- rials handling (MMH) and the enormous costs associated with musculoskeletal in- juries resulting from MMH, job design and employee placement procedures for MMH tasks in the mining industry would be beneficial. A major step in establishing these procedures is the determination of the lifting capacity of the individual or population performing a given lifting task. The three primary approaches used to determine lifting capacity are the bi- omechanical approach, the physiological approach, and the psychophysical ap- proach. This paper proposes the use of the psychophysical approach to determine lifting capacity owing to the fact that it attempts to combine the biomechanical and physiological stresses present in all lifting tasks under a measure of per- ceived stress. A mathematical, fuzzy- sets-based model of lifting capacity is presented that demonstrates that the com- bining of acceptability measure for psy- chophysical stress. Advantages of the fuzzy-sets-based model and examples of its use are given. INTRODUCTION Manual materials handling (MMH) activi- ties, and in particular manual lifting, are recognized as a major hazard to the safety and health of industrial workers (17)5 and a majorcost to industry (10). Recent evidence ( 19 ) supports the notion that numerous tasks in the mining indus- try involve manual lifting, and as such could be helped by improved job design and employee placement procedures in or- der that job demands can be controlled to stay within individual capacities. A major step in the establishment of such procedures is the determination of the lifting capacity of the individual or population performing these jobs. It has been noted by Karwowski ( 11 ) that no OSHA regulations exist regarding the maximum acceptable weight of lift; this being due in part to the fact that existing recoimnendations are based on different methodological approaches assessing dif- ferent categories of stresses in MMH ac- tivities. The three primary approaches to determine lifting capacity are (1) the biomechanical approach, (2) the physio- logical approach, and (3) the psychophys- ical approach. BIOMECHANICAL APPROACH In general, biomechanics determines what a person can physically do. Bio- mechanical models attempt to establish the physical stresses imposed on the musculoskeletal system during a lifting action; these stresses serve as the ^Horn professor of industrial and bio- medical engineering, Texas Tech Univer- sity, Department of Industrial Engineer- ing, Lubbock, TX. ^Research associate, Texas Tech Univer- sity, Department of Industrial Engineer- ing, Lubbock, TX. criteria upon which capacity of lift is based. These physical stresses in- clude reaction forces and torques on var- ious joints of the body (4^) and compres- sive and shear forces on the lower back ■^Assistant professor, Iowa State Uni- versity, Ames, lA. "^Research associate, Texas Tech Univer- sity, Department of Industrial Engineer- ing, Lubbock, TX. ^Underlined numbers in parentheses re- fer to items in the list of references at the end of this paper. 55 _5-^). The low back, in particular the L4-L5 and L5-S, disks of the lower back, is especially considered as a basis for load lifting limits owing to the exces- sively high forces produced on the low back when lifting O, _18, 22^) and the large number of back injuries arising from manual lifting. The ultimate goal of the biomechanical approach is to set limits on these physi- cal stresses imposed during lifting and then determine the load-lifting capacity based on these limits. Towards this goal, both static and dynamic models of lifting capacity have been developed based on the biomechanical approach. Static biomechanical models, such as those developed by Chaff in ( 4_) , assume that the lifting action is performed slowly and smoothly such that forces due to the acceleration can be neglected. Dynamic models, such as those developed by Fischer (7), El-Bassoussi (6), Ayoub O), and Muth ( 16 , pp. 96-109), provide data for analyses in the form of time- displacement relationships of the body segments (kinematic analysis) and the forces and torques involved in the motion (kinetic analysis). Figure 1, based on the dynamic biome- chanical model developed by El-Bassoussi (6) and Ayoub (3), presents lifting ca- pacity guidelines developed using the biomechanical approach. The figure shows three different lifting regions based on compression on the spine. Weights of lift producing con^ressive forces of less than 1,100 lb are considered acceptable (i.e., minimal risk of injury to worker). Lifting tasks producing compressive forces of 1,540 lb or more are considered hazardous and should be redesigned. The region between these two values falls un- der the area of administrative control. As is also indicated in the figure, if the center of gravity (CG) of a load from the spine is 20 in, an acceptable weight of load would be 25 lb, and a weight of load of 69 lb or more would produce ex- cessive compressive forces on the spine. The constant compression lines were de- veloped using the concept of a biomechan- ical equivalent (22) in the form of BE = H (w). where BE = biomechanical equivalent, pound-inch, H = horizontal distance of the CG of the load from the spine, inches. and W = weight of the load, pounds. The model allows the calculation of the compressive and shearing forces on the Lc-S^ disk during the time course of a lifting movement in the sagittal plane from floor to a 2.5-ft height. The out- put of the model include the reactive forces and torques at several joints in- volved in the motion. PHYSIOLOGICAL APPROACH The physiological approach may use sev- eral criteria, such as oxygen consump- tion, heart rate, pulmonary ventilation volume, or percent of physical work ca- pacity, as indices of heaviness of work performed. Generally, the criterion used is the energy expenditure while lifting loads. Oxygen consumption is generally mea- sured to estimate the energy expenditure required by a lifting task. The measure- ment of the physiological demands can al- so be related to an individual's maximum aerobic capacity in order to determine what percent of that capacity a given lifting task requires. As with the biomechanical approach, the goal of the physiological approach is to develop limits using metabolic energy ex- penditure criteria and then determine lifting capacity based on the chosen cri- teria limits. Several prediction models of metabolic energy expenditure for lift- ing tasks have been developed (4^, 8^-^). Based on the physiological approach, it has been concluded that, for a young male, the 8-h average metabolic rate should not exceed 5 kcal/min or 33 pet of 56 the individual's maximum aerobic capac- ity, and heart rate should not exceed 110 to 115 beats per minute (20). Figure 2, based on the model reported by Garg ( 11 ) , shows the effect of frequency of lift (lifts per minute) and lifting technique on the weight of load that can be lifted to maintain an energy expenditure of 5 kcal/min. PSYCHOPHYSICAL APPROACH The third method employed to determine lifting capacity is the psychophysical approach. Psychophysics deals with the relationship between human sensations and their physical stimuli; this relationship best being described by a power function (21). The use of psychophysics in lift- ing tasks requires the subject to adjust the weight of load according to his or her own perception of effort such that the lifting task does not result in over- exertion or excessive fatigue. The final weight decided upon by the subject repre- sents the maximum acceptable weight of lift for the given job conditions (fre- quency of lift, height of lift, container size, etc.). Several lifting capacity prediction models using the psychophysical approach have been developed (13-15). The major limitation with these models has been that they are applicable to only one or two lifting ranges and only one frequency of lift. Ayoub (2) developed lifting capacity prediction models that were more flexible than the previously developed models in that six ranges of lift and different work paces were accommodated by the model. Table 1 presents the lifting capacity norms for male and female indus- trial workers developed by Ayoub (2). Figure 3 presents capacity norms adjusted for load size and frequency of lift de- veloped by the senior author. The capac- ity norms are given by the formula LC = rv X a X b, where LC = capacity of lift, pounds, rv = reference value at one lift per minute, a = percent multiplier for frequency, and b = percent multiplier for load size TABLE 1. - Distribution of maximum weights of lift acceptable to male and female industrial workers' (corrected for one lift per minute and load size of 18 in), pounds Range of lift Sex Mean SD Percent of population 95 75 50 25 5 Floor to knuckle Male... Female. 61.17 37.12 16.87 6.76 33.43 26.00 49.62 32.50 61.17 37.12 72.71 41.73 88.90 48.20 Floor to shoulder Male... 51.12 12.11 31.29 42.91 51.21 59.50 71.13 Female. 31.08 6.54 20.32 26.60 31.08 35.56 41.83 Floor to reach Male. . . Female. 49.12 28.14 11.20 5.41 30.69 19.24 41.45 24.41 49.12 28.14 56.79 31.84 67.54 37.04 Knuckle to shoulder Male... 57.75 14.67 33.33 47.42 57.47 67.52 81.60 Female. 31.97 6.55 21.19 27.48 31.97 36.45 42.74 Knuckle to reach Male. . . Female. 53.54 26.22 10.70 4.86 35.93 18.22 46.21 22.89 53.54 26.22 60.87 29.55 71.14 34.21 Shoulder to reach. ......... Male. . . Female. 43.62 25.78 10.45 4.17 26.43 18.92 36.46 22.92 42.62 25.78 50.77 28.63 60.81 32.64 SD Standard deviation. 'As suminp a normal distrit- Kitlon. 57 COMPARISON OF THE THREE APPROACHES It is the assertion of this paper that the psychophysical approach is the appro- priate single approach to use to deter- mine lifting capacity. The problem with the use of the biomechanical approach or the physiological approach alone is that both biomechanical and physiological stresses are usually present in almost all lifting tasks. Using the aforemen- tioned physiologically based guidelines proposed by Snook (20) , it is intuitively obvious that an individual could stay within the recommended physiological lim- its by lifting a very heavy load at a low frequency of lift. However, such a pro- cedure would violate lifting capacity recommendations based on biomechanical criteria. Conversely, lifting capacity models based solely on biomechanical cri- teria are wholly inadequate in dealing with the effects of repetitive lifting on the cumulative physical stresses imposed on the body. The discrepancies encountered by the use of biomechanical or physiological criteria alone in the determination of lifting capacity become evident when com- paring the lifting guidelines presented in figure 1 (using the biomechanical ap- proach) and the lifting guidelines pre- sented in figure 2 (using the physiologi- cal approach). Although attempting to make comparisons between these two ap- proaches is difficult, the aforementioned problems associated with using only a biomechanical or physiological criterion can be made more evident. For example, a weight of load of 88.2 lb is acceptable at low frequencies of lift using the physiological approach, whereas this same weight of load significantly exceeds the acceptable lifting region recommended when using the biomechanical approach. In fact, in situations where the horizon- tal distance of the center of gravity of the load from the spine exceeds approxi- mately 12 in, a weight of load of 88.2 lb is considered hazardous based on the bio- mechanical criteria. In general MMH recommendations based on biomechanical models suggest lifting light loads at higher frequencies of lift, whereas physiological models sug- gest the lifting of heavier loads at a reduced frequency of lift. Also, it is often assumed by researcher in the area of MMH that only biomechanical criteria need to be considered if the frequency of lift is low, and only physiological cri- teria need to be considered for higher frequencies of lift. This could be a dangerous oversimplification. Lifting is a task of a complex nature such that it cannot be fully explained using only physiological or biomechani- cal criteria. Both physiological and biomechanical stresses, among others, are present in every lifting task and, as such, the need exists for a means of determining lifting capacity that can accommodate both of these everpresent stresses. The virtue of the psycho- physical approach is that it attempts to combine the stresses, including the bio- mechanical and physiological stresses present in the lifting task under a mea- sure of perceived stress. COMBINED STRESS VERSUS PSYCHOPHYSICAL STRESS The psychophysical approach is based on the assumption that the biomechanical and physiological stresses are integrated or combined under the measure of perceived stress. No theoretical method has exist- ed in the past for combining the biome- chanical and physiological stresses to determine their relationship with the psycholphysical stress. However, a re- cent model of lifting capacity developed and reported by Karwowski (11-12) has provided a means by which the relation- ship between the combined effects of bio- mechanical and physiological stresses and the perceived stress determined psycho- physically can be explained. Karwowski ( 11 ) hypothesized that a combination of the acceptability of bio- mechanical and physiological stresses 58 imposed during manual lifting leads to an overall measure of the lifting task ac- ceptability, expressed by the acceptabil- ity of the psychophysical stress. Toward the testing of this hypothesis, Karwowski utilized a fuzzy sets theory [for a thor- ough explanation of the concept and fun- damentals of fuzzy sets theory refer to Zadeh (23)]. Karwowski (11) developed a fuzzy set model from which an acceptability measure for biomechanical stress and an accepta- bility measure for physiological stress could be integrated into a measure of combined stress. Following this, mathe- matical procedures stemming from fuzzy sets theory were used to determine the relationship between the maximum accepta- ble weight of lift from the psychophysi- cal and combined standpoints. Based on these mathematical procedures, Karwowski (11) concluded that the maximum accepta- ble weight of lift based on a psychophys- ical criterion appears to be the result of the integration of the biomechanical and physiological stresses imposed by the lifting task. Figure 4 shows the relationship between the acceptability measures of the com- bined stress versus the acceptability measures of the psychophysical stress. The combined stress is determined by tak- ing the algebraic product of the accepta- bility measures of the biomechanical and physiological stress. The acceptability measure is determined using membership functions developed by Karwowski (11) for the biomechanical, physiological, and psychophysical stress. The degree of membership can be any value ranging from to 1 , with representing nonmembership in a set, and 1 indicating total member- ship in the set. The stresses given a value of 1 (i.e., are totally acceptable in terms of stress imposed) .were selected based on past research in the areas of acceptable biomechanical, physiological, and psychophysical stresses. For exam- ple, the membership function for the ac- ceptability of the psychophysical stress was based on the lifting capacity norms presented in figure 1. One of the advantages presented by the fuzzy-sets-based model is that it allows for the determination of lifting capaci- ty, and consequently allows for the de- sign of a lifting task, without the ne- cessity of performing any psychophysical experiments. By determining the accepta- bility measure of the biomechanical and physiological stresses imposed on the in- dividual while lifting a specified weight of load and then combining these two stresses into a single category, the lev- el of psychophysical stress that is like- ly to occur for this particular lifting task can be assessed. In addition, pre- dictive models already exist whereby the physiological and biomechanical stresses can be determined without extensive ex- perimentation. Oxygen consumption can be predicted using equations such as those developed by Garg (9) or Asfour (J^) . Bi- omechanical stresses can be predicted us- ing a dynamic biomechanical model such as the one developed by El-Bassoussi (6^). Using an example from Karwowski (11), consider a task in which an individual lifts 75 lb from floor to knuckle height at a frequency of three lifts per minutes using a squat lifting technique (i.e., back straight, bent at knees). Given these task conditions, oxygen consumption would be approximately 0.886 L/min and ] the biomechanical stress imposed would be 1,690 lb, with the acceptability measures for the physiological and biomechanical stress based on the fuzzy sets model be- ing 0.7929 and 0.5233, respectively. The membership functions for the biomechani- cal and physiological stress from which the acceptability measures were deter- mined are given in figures 5 and 6, re- spectively. The combined stress is then determined to be 0.4150 (by taking the algebraic product of the acceptability measures of the biomechanical and physio- logical stress). The hypothetical capac- ity norm can then be determined by multi- plying the 75 lb by the acceptability measure for the combined stress. Based on this product , it can be concluded that a weight of load of 31.13 lb would repre- sent a totally acceptable weight for the given task. 59 To further illustrate the relationship between the acceptability measures for the combined stress and the psychophysi- cal stress, the psychophysical stress calculated by the fuzzy sets model was 0.4552. As can be seen in figure 7, the capacity norm based on the psychophysical methodology is 34.14 lb. The difference between this norm and the hypothetical capacity norm derived from the combined stress is 3.01 lb (9.13 pet). This rep- resents more evidence that the psycho- physical stress is a combination of the physiological and biomechanical stresses imposed on the individual while lifting. SUMMARY Figure 8 presents a model of lifting performance that summarizes the proposals made in this paper. First, the ultimate goal and purpose of lifting capacity de- termination is to stay within individual capacity when designing total job demand. By accomplishing this , the percentage of the population able to perform the task increases and the injuries associated with people exceeding or approaching their physical capabilities diminishes. Second, in order to match individual ca- pacity with total job demand, the lifting capacity of workers must be determined. This paper hopefully has proposed that the psychophysically determined lifting capacity should be used as the basis for job design and placement of workers. REFERENCES 1. Asfour, S. S. Energy Cost Predict- ing Models for Manual Lifting and Lower- ing Tasks. Ph.D. Dissertation, Texas Tech University, Lubbock, TX, 1980. 2. Ayoub, M. M. , N. J. Bethea, S. Deivanayagam, S. S. Asfour, and M. Sherif. Determination and Modeling of Lifting Capacity. Final Rept. HEW (NIOSH) grant No. 5R010H-00545-02, Sep- tember 1978; available upon request from M. M. Ayoub, Texas Tech Univ., Lubbock, TX. 3. Ayoub, M. M. , and M. M. El- Bassoussi. Dynamic Biomechanical Model for Sagittal Lifting Activities. Paper in Proceedings of the 6th Congress of In- ternational Ergonomics Association, 1976, pp. 355-359. Medical Publishers, Inc., Chicago, IL, 1975, Chapter 19. 6. El-Bassoussi, M. M. A Biomechani- cal Dynamic Model for Lifting in the Sagittal Plane. Ph.D. Dissertation, Tex- as Tech University, Lubbock, TX, 1974; available upon request from M. M. Ayoub, Texas Tech Univ., Lubbock, TX. 7. Fisher, B. 0. Analysis of Spinal Stresses during Lifting. Unpublished M.S. Thesis, The University of Michigan, Ann Arbor, MI, 1967; available upon re- quest from M. M. Ayoub, Texas Tech Univ., Lubbock, TX. 8. Frederik, Manual Lifting, dling, V. 14, No, W. S. Human Energy in Modern Materials Han- 3, 1959, pp. 74-76. 4. Chaffin, D. B. The Development of a Prediction Model for Metabolic Energy Expended During Arm Activities. Unpub- lished Ph.D. Dissertation, University of Michigan, 1967; available upon request from M. M. Ayoub, Texas Tech Univ., Lub- bock, TX. 5. Chaffin, D. B. Manual Materials Handling and Low Back Pain. Occupational Medicine, Principles and Practical Ap- plications. Ed. by C. Zenz Year Book 9. Garg, A. A Metabolic Prediction Model for Manual Materials Handling Jobs. Unpublished Ph.D. Dissertation, The Uni- versity of Michigan, Ann Arbor, MI, 1976; available upon request from M. M. Ayoub, Texas Tech Univ., Lubbock, TX. 10. Goldberg, H. M. Diagnosis and Management of Low Back Pain. J. of Occu- pational Health and Safety, v. 49, No. 6, June 1980. 60 11. Karwowski, W. A Fuzzy Sets Based Model on the Interaction Between Stresses Involved in Manual Lifting Tasks. Unpub- lished Ph.D. Dissertation, Texas Tech University, Lubbock, TX, 1982; available upon request from M. M. Ayoub, Texas Tech Univ. , Lubbock, TX. 12. Karwowski, W. , and M. M. Ayoub. Fuzzy Approach in Psychophysical Modeling of Human Operator-Manual Lifting System. Unpublished article, January 1983; avail- able upon request from M. M. Ayoub, Texas Tech Univ., Lubbock, TX. 13. Knipfer, R. E. Predictive Models for the Maximum Acceptable Weight of Lift. Ph.D. Dissertation, Texas Tech University, Lubbock, TX, 1974. 14. McConville, J. T. , and H. T. E. A. Hertzberg. A Study of One Hand Lifting: Final Report. Wright-Patterson AFB, OH, Aerospace Med. Res. Lab., Tech. Rept. AMRL-TR-66-17, May 1966. 15. McDaniel, J. W. Prediction of Ac- ceptable Lift Capability. Ph.D. Disser- tation, Texas Tech University, Lubbock, TX, 1972. 16. Muth, M. B., M. M. Ayoub, and W. A. Gruver. A Nonlinear Programming Model for the Design and Evaluation of Lifting Tasks. Chapter in Safety in Manuals Materials Handling, ed. by Colin G. Drury, NIOSH, Pub. 78-185, 1978, 219 pp.; NTIS PB-297-660. 17. National Safety Council. Accident Facts. Chicago, IL. , 1981. 18. Park, K. S., and D. B. Chaffin. A Biomechanical Evaluation of Two Methods of Manual Load Lifting. Trans. AIIE, V. 6, 1974, pp. 105-113. 19. Selan, J., M. M. Ayoub, and H. P. R. Rao. Manual Materials Handling in the Mining Industry. Unpublished re- port; available upon request from M. M. Ayoub, Texas Tech Univ. , Lubbock, TX. 20. Snook, S. H. , and C. H. Irvine. Maximum Acceptable Weight of Lift. Am. Ind. Hyg. Assoc. J., v. 28, No. 4, 1967, pp. 322-329. 21. Stevens, S. S. Psychophysics: Introduction to Its Perceptual, Neural, and Social Prospects. Wiley, 1975. 22. Tichauer, E. R. A Pilot Study of the Biomechanics of Lifting in Simulated Industrial Work Situations. J, Safety Res., V. 3, No. 3, 1971, pp. 98-115. 23. Zadeh, L. A. Fuzzy Sets. In- formation and Control, v. 8, June 1965, pp. 338-353. 61 HORIZONTAL DISTANCE OF CENTER OF GRAVITY OF LOAD FROM SPINE, in FIGURE 1. . Maximum weight versus horizon- tal distance from spine based on 1,100 lb and 1,540 lb of compression on spine, respectively. C 0> a. 8 >- < ) 2 ^ LU Z) 6 cjr LU QC 5 Ll_ 4 3 2 Straight back, _ bent knee (floor to 2. 5 ft) I 30 60 90 WEIGHT OF THE LOAD, lb FIGURE 2. = Effect of lifting technique and fre- quency of lift on weight of load that can be lifted to maintain metabolic energy expenditure of 5 kcal/min. 62 BOX SIZE, in 18 19 20 21 22 23 24 25 26 27 28 29 0.1 0.2 03 0.4 0.5 0.6 0.7 0.8 0.9 I 2 4 FREQUENCY, lift per minute FIGURE 3. - Lifting capacity norms for males (floor-to-knuckle height). 8 10 12 a UJ 0.9 z m .8 S o o .7 U-y) Oy) 6 >^ I-? ^^ .5 m ^ .4 Q. U O .3 O < .2 I I I I I I I I I I I I I I I R= 1.0 / - „c • •••• * ^* • • ■ I ■ I . I . I . I . I 1.0 2 0.4 0.6 0.8 I.O ACCEPTABILITY OF PSYCHOPHYSICAL STRESS FIGURE 4, - Acceptability of the combined bio- mechanical and physiological stress versus the acceptability of the psychophysical stress. if) < UJ >• .5 - CD < I- Q. UJ O O < 1 Lifts per minute 1-12 3-3 2-9 4-0.1 1 1 1 440 880 1,320 1,760 2,200 COMPRESSIVE FORCE, lb FIGURE 5. - Membership function for biome- chanical stress. 63 1.0 UJ ir ZD cn < UJ t .5 - CD < I- Q. UJ O O < \ 0.7929 \ >^ Frequency ^v =9,12 - Frequency ^s^ = 0.1,3 \^ 1 0.886 L/min 1 1 0.5 I 1.5 2 OXYGEN CONSUMPTION, L/min FIGURE 6. - Membership function for physio- logical stress. 20 30 40 50 60 70 80 90 WEIGHT OF LOAD, lb FIGURE 7, - Membership function of psycho- physical stress. Operator capacity Operator characteristics Task characteristics Environmental characteristics Biomechanical demands Physiological demands Psychological demands Comparison Percent accommodated Total demand Psychophysical demand FIGURE 8. - A model of lifting performance. 64 JOB DESIGN FOR MANUAL MATERIAL HANDLING TASKS By M. M. Ayoub,1 J. L. Selan,2 and H. P. R. Rao3 ABSTRACT A procedure for job design of and em- ployee placement into manual material handling (MMH) tasks based on job demand and employee capacity is discussed. The first step involves an extensive analysis of selected jobs in terms of injury data (nature of injury, number of lost work- days, etc.) and lifting requirements of the job (weight, frequency, range of lift, etc.). The measure of job stress to be used is a job severity index (JSI). The JSI is the ratio of the job demand to the capacity of the person or population working under the job conditions, ex- pressed as the time frequency weighted average of the maximum weight required by each task divided by the smallest lifting capacity given the lifting task condi- tions. The JSI provides a means to mea- sure job severity and to define the rela- tionship between this measure and an ac- ceptable measure of injury potential. Procedures for job design and employee placement based on the JSI are discussed and examples are given. INTRODUCTION A large number of work injuries in the industrial arena arise either direct- ly or indirectly from the handling and/ or mishandling of materials. National Safety Council (8^)'* statistics indicate that 27 pet of all industrial injuries were associated with MMH; this percentage equaled 590,000 injuries with a total cost of approximately $10.4 billion. More important, the number of MMH-related injuries continues to increase (670,000 injuries in 1980 based on National Safety Council estimates) despite improved medi- cal care, increased automation in indus- try, and more extensive use of preemploy- ment examinations. More imposing than the increase in the number of work injuries is the in- crease in the cost of these injuries. The economic costs associated with MMH- related injuries include medical costs, lost worktime, insurance-related costs, loss of material and property damage, lost wages, training cost of a new worker, and administration costs. The 'Horn professor of industrial and bio- medical engineering. ^Research associate. ■^Research associate. Texas Tech University, Department of Industrial E^ngineering, Lubbock, TX. relationship between these costs and back injuries over a 33-yr span (1957-90, pro- jected) is exponential as shown in figure 1 [based on National Safety Council esti- mates; from Aghazadeh (J_) ] . The alarming rate of increase in the cost of back in- juries has also been reported by Snook (11). During the 1938-65 period, the number of compensable back injuries in- creased by 11.4 pet while the average cost per back injury increased by approx- imately 400 pet. The mining industry contains several jobs in which MMH activities, in particu- lar manual lifting, constitute a major component of the job (10) . A listing of some of these jobs is given below. Jackleg drilling Stoper drilling Tmbering Steel set construction Concrete construction '^Underlined numbers in parentheses re- fer to items in the list of references at the end of this paper. 65 Gunite and shotcreting Rock dusting Loading powder bags Ventilation and pipe installation Track installation and maintenance Given this prevalence of MMH activities in the mining industry, it would not be surprising to find a large number of in- juries including back injuries among min- ers. It has been reported (_8) that in Pennsylvania 4.8 pet of all con^)ensable back injuries were from miners. A study presently being conducted for the Bureau of Mines (5) also indicates indirectly the presence of worker injuries in the mining industry. As part of the ongoing study (5), isometric strength tests are being conducted on miners, provided at the time of the test, the miner is not suffering from a back injury of any kind. Over 10 pet of all miners in the study have reported back injuries (although it has not been determined in the study whether the injuries were directly work related). It has been noted in another recent study conducted for the Bureau of Mines (2), that the heavy lifting demands and awkward postures imposed in low- coal mining (seam height <48 in) may re- sult in an increased probability of back injuries. Nordby {9) reported that, out of 8 mil- lion low-back problems that occurred in 1974, 200,000 required surgical treat- ment. Because of the severity, fre- quency, and cost of MMH-related injuries, procedures for job design of and employee placement into MMH tasks need to be seriously considered, properly developed, and applied. Such procedures should be based on job demands and worker capacity, and need to be validated in the work environment. The means to determine worker capacity has been discussed else- where (6), therefore, only a brief sum- mary will be presented here. The variables affecting lifting capac- ity fall into three general categories: worker, task, and environmental. Worker variables include such factors as body weight, sex, age, training, etc. Task variables include frequency of lift, range of lift, load size, and others. Some significant environmental variables include heat stress, floor stability, traction, etc. There are three different bases for determining lifting capacity. These are the biomechanical basis, the physiological basis, and the psychophysi- cal basis. For the biomechanical basis, estimates are made of the stresses im- posed on the musculoskeletal system while lifting. Limits for these stresses are established from which the capacity or loads to be lifted can then be estimated. Similarly, the physiological basis sets upper limits based on metabolic or car- diovascular criteria (e.g., percent of physical work capacity) and then deter- mines lifting capacity as some percentage of the physiological indice(s). As noted by Ayoub (^) , the problem with using either the biomechanical or physio- logical approach is that both stresses are present in any lifting activity. The third basis, psychophysical, attempts to combine the biomechanical and physiologi- cal stresses under a measure of perceived stress on the part of the individual. The measure of lifting capacity used in conjunction with psychophysical methods is the "maximum acceptable" or "maximum safe weight of lift," defined as the max- imum weight an individual feels he or she could lift repeatedly without undue stress or overtiring. The purpose of this paper is to propose the use of the JSI developed by Ayoub (_3) as a means to define the relationship be- tween an acceptable measure of injury po- tential and a measure of job severity. Also, this paper proposes the use of the procedures outlined by Ayoub (3^) , based on the work done with the JSI, for job design of and employee placement into MMH tasks based on job parameters and employ- ee capacity. The JSI will be defined in the following section, and in the final section the job design-employee placement procedures based on the JSI will be discussed. 66 THE JOB SEVERITY INDEX DEVELOPMENT The JSI conceptually is the ratio of a measure of job demand to a measure of the capacity of the person or population per- forming the job under the job conditions. A large JSI represents a relatively stressful job. The job demands are determined using a detailed job description procedure. The initial step in the job description pro- cedure is to determine the average length of the work week, the average length of the workday or shift, the number of shifts per day, and a general written description of the job. This information is primarily used to determine the aver- age job exposure time of the employees. The next step is to describe each job in terms of actual weight of lift, fre- quency of lift, load size, and range of lift. Because many jobs display a lack of constant parameters (e.g., several frequencies of lift are required), each job is divided into a number of component tasks such that each task can be de- scribed with constant or near constant parameters. Thus, each job is described as a series of lifting tasks described in terms of frequency of lift, range of lift, etc. Range of lift is defined in terms of lift initiation level and lift termina- tion level. The load size or dimension is defined in terms of inches along a line perpendicular to the frontal plane of the body of the person doing the lift- ing. Lifting frequency is defined as the average number of lifts per minute re- quired by the particular task. The JSI is designed specifically for those jobs requiring lifting as a sub- stantial portion of the job. As such, MMH activities, such as carrying, push- ing, or pulling, are excluded from analysis. However, the job description procedure can be applied to lowering tasks (which were found by Ayoub (3) to occur in significant amounts in most jobs requiring lifting). The measure of lifting capacity used by the JSI is the maximum acceptable weight of lift determined based on psychophysi- cal data. As noted, maximum acceptable weight of lift is defined as the maximum weight an individual feels he or she can lift repeatedly without undue stress or overtiring. Ayoub (3) developed a set of mathematical models to predict the maxi- mum acceptable weight of lift based on various conditions of lifting frequency, load size, and range with a few strength measurements. These are presented in table developed for each ranges of lift: of lift, coupled and anthropometric regression models 1. One model was of the following Floor to knuckle (F-K) Floor to shoulder (F-S) Floor to full reach (F-R) Knuckle to shoulder (K-S) Knuckle to full reach (K-R) Shoulder to full reach (S-R) These models have R2 values of between 0.85 and 0.877. It should be noted that these equations predict the sum of the maximum acceptable weight of lift plus body weight. The sex code is for males and 1 for females. The weight code is if body weight is below the median and 1 if body weight is above the median for the male or female population. The median body weights for females and males are 138 and 170 lb, respectively. All strength variables are in pounds, age is in years, endurance in minutes, and anthropometric variables are in centimeters. 67 TABLE 1. - Prediction models for maximum acceptable weight of lift plus body weight for both males and females Lifting Constant Sex Weight Arm Age Shoulder Back Abdomin- Dynamic range term code code strength height strength al depth endurance F-K -72.165 -28.334 24.243 0.143 -0.553 1.225 0.056 4.914 1.757 F-S -145.412 -16.165 11.928 .185 -.597 1.438 .077 6.472 2.608 F-R -41.267 -19.453 16.176 .210 -.892 .759 .068 6.220 1.426 K-S -55.160 -18.542 11.700 .265 -.606 .768 .105 6.290 1.415 K-R -79.193 -18.917 17.273 .297 -.499 .092 .018 5.154 2.120 S-R -37.439 -19.584 20.352 .096 -.592 .886 .099 4.731 1.090 F-K F-S Flo Flo or to knuckle, or to shoulder. F-R Floor to full reach. K-S Knuckle to shoulder. K-R Knuckle to full reach. S-R Shoulder to full reach. As noted, the JSI is a function of the ratio of job demands to worker capacity. Specifically, the JSI is the time and frequency weighted average of the maximum weight required by each task divided by the smallest capacity of those associated with lifting ranges required by each task. The JSI is stated algebraically as follows: Dayst = total days per week for job. Hours I = exposure hours per day for . group i, Hours^ = number of hours per day that a job is performed, F: = lifting frequency for task j, n JSI = E Hours j Hours-|- = 1 Days j Days -I- £ix"^ j = 1 CAPj where n = number of sub-task groups , F, = WTj total lifting frequency for group i, maximum weight of lift re- quired by task j , mj = number of task in group i. Days I = exposure days per week for group i, and CAPj the smallest applicable maxi- mum acceptable weight of lift adjusted for frequency of lift and load size. FIELD VALIDATION Field validation of the JSI was con- ducted by Ayoub in 1978 and 1982 {2-^). The purpose of both studies was to at- tempt to define the relationship between MMH injury and the JSI. In general, the methodology employed in both studies was to evaluate the stress levels of indus- trial subjects working in different lift- ing jobs and relate the JSI to the injury rates experienced by the same group of subjects. The first step in the field study phase was the selection of jobs for analysis. Selection was based on the extent that the job involved MMH and specifically lifting (e.g., a MMH job involving push- ing would be excluded). Taking the 1978 and 1982 studies O-M together, a total of 101 jobs involving 385 male and 68 fe- male industrial workers from 2 private companies and governmental agencies were used in the field validation. The selected jobs were analyzed in terms of lifting requirements of the job (procedure and parameters used were dis- cussed earlier) and in terms of injury data. Information collected describing injuries included injury type, injury cause (lifting or nonlif ting) , number of days lost, medical expenses, wages paid 68 during lost workdays, worker's compensa- tion paid, and extraordinary expenses. Injury type elassif ieations are given below. Type 1. Musculoskeletal injuries to the back. Type 2. Musculoskeletal injuries to other body parts. Type 3. Surface tissue injuries due to impact. Type 4. Other surface tissue injuries. Type 5. Miscellaneous injuries. Individual JSI each industrial JSI values were JSI values great or less than 0.7 equal to or les 1.5 and equal t greater than 2.2 exposure times group were then 's were calculated for subject. The resulting grouped into four ranges: er than 0.00 and equal to 5, greater than 0.75 and s than 1.5, greater than o or less than 2.25, and 5. The injury data and for the subjects in each compiled and summed. Figure 2 shows the relationship between JSI and the number of back injuries sus- tained per 100 full-time-equivalent (FTE) employees (equal to 200,000 exposure hours) for the 1978 and 1982 studies O- h) combined. Figure 3 shows the rela- tionship between JSI and the number of disabling (one or more lost days) back injuries sustained per 100 FTE employees for the combined studies. Figure 4 shows the relationship between JSI and the severity (number of days lost per disab- ling back injury) of disabling back inju- ries. Figure 5 shows the relationship between JSI and total direct injury ex- pense (defined as the sum of medical ex- penses, wages paid during lost workdays, and worker's compensation) using data from the 1982 study (M« For most of the parameters, substantial increases oc- curred at JSI levels equal to or greater than 1.5, and for a number of parameters (most notably severity of disabling back injuries) there occurred another substan- tial increase at JSI levels of 2.25 or above. Also determined was a stress measure for each of the 101 jobs selected for analysis. Following determination of the stress measure, each job was placed into one of the three following categories: Jobs that overstressed less than or equal to 5 pet of the sample population, jobs that overstressed more than 5 pet but less than 75 pet of the sample popula- tion, and jobs that overstressed more than 75 pet of the sample population. That proportion of the sample population for each job with JSI values greater than 1.5 was defined as the percentage over- stressed for the job. Table 2 shows the injury and cost sta- tistics calculated for each job stress category for the 1978 and 1982 studies (3-4), respectively. As percentage over- stressed increased, both injury rates and costs increased. TABLE 2. - Number of back injuries, number of disabling back injuries, days lost per disabling back injury, and total expenses observed in various job stress categories (Per 100 full-time-equivalent employees (200,000 exposure hours) caused by lifting) Population overstressed, ' pet Back Disab- ling Days lost Total expense Population overstressed, ' pet Back Disab- ling Days lost Total expense 1978 DATA, 63 JOBS 1982 DATA, 38 JOBS <5 5.33 5.59 12.04 5.44 1.93 8.76 2.3 9.5 14.1 NA NA NA <5 4.18 16.79 23.84 12.60 17.03 15.6 13.4 NA <5, <75 >75 75, <75 >75 $35,092 $36,337 NA Not available. 'Defined as that proportion of the sample population for each job with JSI values greater than 1.5. 69 SIGNIFICANCE OF JOB SEVERITY INDEX The JSI can be used as a tool for job design and employee placement using the relationship between JSI injury frequency and/or job severity. For job design, the following procedure can be followed: Step 1. Describe the job as a series of tasks, each having a weight distribu- tion, average frequency, and ranges of lift. Step 2. Select an acceptable injury frequency based on company policy. Step 2. Determine the JSI for the per- son if placed at a given job using the JSI equation. Step 3. Use this JSI to determine the expected injury frequency rate if placed on that job. Table 3 can again be referenced. Step 4. Make the screening and place- ment decision based upon the acceptabil- ity of the injury frequency rate deter- mined in step 3. Step 3. Select the population for which the job is to be designed (for ex- ample, 95 pet of the population, females, etc.). Step 4. Using step 2, determine the corresponding JSI from the available data. (Such data have been collected by Ayoub {3), see table 3.) Step 5. For each task (a) select the smallest of the predicted lifting capaci- ties using the appropriate equation from table 1 (e.g. , if a task requires three lifting ranges, select the smallest ca- pacity of the three) and (b) calculate the maximum design weight of lift for a task using the JSI equation. Step 6. If for a given task, the re- quired weight of lift is above the maxi- mum designed weight of lift, the job should be redesigned in terms of required range of lift, frequency of lift, etc. To use the JSI for employee placement, the following procedure should be followed: Step 1. Collect the information and make the measurements necessary to pre- dict the individual's lifting capacity for each of the six lifting ranges us- ing the predictive models given in ta- ble 1. As noted, this information in- cludes sex, weight, age, arm strength, shoulder height, back strength, abdominal depth, and dynamic endurance. TABLE 3. - Expected frequency of total injuries ' as a function of JSI (_3) , warehousing industry Frequency expected^ 28. ...r JSI . .0489 .1244 .1998 .2752 .3506 .4261 .5015 .5769 .6523 .7277 Frequency expected^ 50 60 70 80 90 JSI 0.8032 30.... 1.1803 32. ... 1.5574 34.... 1.9345 36.... 2.3116 38.... 100 120 150 200 232 2.6888 40. ... 3.4430 42.. .. 4.5754 44.... 6.4599 46.... 7.6449 48 'Sum tions. 2per of 1 100 the 5 inju full-time ry type classifica- -equivalent employees (200,000 exposure hours). The JSI has been successfully utilized in a number of industrial settings. As an example of the practical application of the JSI, Liles (_7) performed an analy- sis of selected jobs involving MMH for Western Electric Corp. The analysis re- sults for each job were presented in a three-part summary and are presented in tables 4 through 6. Table 4 presents the job information necessary for the JSI calculations. Table 5 gives the JSI's of a large representative population of peo- ple working in MMH activities. This por- tion of the analysis results was conduct- ed under the assumption that the large 70 TABLE 4. - Job description information for job 99 (7) Task 1: Maximum weight lb.. 50 Lifting frequency 1.0000 Maximum box size... ft.. 5 Load center of gravity: Initial 9 Terminal 15 Load height, in: Initial 12-22 Terminal 25-35 Task: Hours 8 Days 5 Task 2: Maximum weight lb.. 30 Lifting frequency 1. 0000 Maximum box size... ft.. 2 Load center of gravity: Initial 8 Terminal 8 Load height, in: Initial 25-35 Terminal 30-40 Task: Hours 8 Days 5 TABLE 5. - Statistics for representative population assumed to be working in job 99 (7) Population percentile JSI Male Female Task 1 95 50 5 95 50 5 3.70 1.27 .84 2.22 .76 .50 50.00 Task 2 2.61 1.29 30.00 1.56 .78 TABLE 6. - Actual JSI values for persons working in job 99 (7) Subject Female. Male. . . JSI 2.1021 .8787 size of the assumed population would pro- vide a better indicator of the JSI than the small group of people actually work- ing on the jobs. Finally, table 6 pre- sents the JSI values for the people actu- ally working at the particular job. In comparing the data presented in tables 5 and 6, it should be noted that the JSI values for the representative population of MMH workers (table 5) are significantly larger than for the actual population working in job 99. This would imply that an employee placement proce- dure of at least a subliminal level is being carried out. Unfortunately for industry, this nonf ormalized method of employee placement is generally of a hit- or-miss nature, and the misses in indus- try often surface as injured workers. The use of a formalized, empirically based employee placement procedure (rath- er than, for example, the supervisor de- ciding a worker looks strong enough to perform the job) such as the JSI could potentially reduce the number of injuries caused by the wrong worker being placed on the wrong job. Acceptable and unacceptable weights of lift as determined through use of the JSI can be compared with lifting guidelines predicted using other procedures. Figure 6 compares the limits for a floor- to-knuckle lift at various lifting fre- quencies obtained using the JSI and using the protocol recommended in the NIOSH guide ( 12 ) for manual lifting. The maxi- mum permissible limit (MPL) and action limit (AL) lines generated using the NIOSH equations correspond roughly with the 2.25 and 1.125 JSI lines, respective- ly, in that lifting tasks above 2.25 or the MPL fall in the unacceptable range (i.e., require engineering controls), tasks below 1.125 or the AL represent a nominal safety risk, and tasks falling between the criterion limits (1.125-2.25, AL-MPL) require administrative control. It is apparent that the AL and, to a lesser extent, the MPL are more conserva- tive than the corresponding JSI lines; this being particularly true for higher frequencies of lift. SUMMARY 71 It can be said that the ratio of job demand to the capacity of the worker does affect the frequency and severity of in- juries incurred during MMH activities. Use of the JSI provides a means to con- trol these injuries through redesign of demand tasks and/or (as a last resort) better placement of workers. Because of the presence of MMH activities in the mining industry, the JSI has the poten- tial to reduce the frequency and severity of MMH-related injuries in this indus- trial area. REFERENCES 1. Aghazadeh, F. Simulated Dynamic Lifting Strength Models for Manual Lift- ing. Unpublished Ph.D. Dissertation, Texas Tech. University, Lubbock, TX, 1982; available upon request from M. M. Ayoub, Texas Tech Univ., Lubbock, TX. 2. Ayoub, M. M. , N. J. Bethea, M. Bobo, C. L. Burford, K. Caddel, K. Intaranont, S. Morrissey, and J. Selan. Biomechanics in Low Coal Mines contract H0387022; for inf., contact S. J. Mor- risey, Pittsburgh Res. Center, Pitts- burgh, PA. 3. Ayoub, M. M. , N. J. Bethea, S. Deivanayagam, S. S. Asfour, G. M. Bakken, D. Liles, A. Mital, and M. Sherif. De- termination and Modeling of Lifting Ca- pacity. Final Rept. NIOSH, grant 5R010H- 00545-02, September 1978; available upon request from M. M. Ayoub, Texas Tech. Univ. , Lubbock, TX. 4. Ayoub, M. M. , D. Liles, S. S. As- four, G. M. Bakken, A. Mital, and J. Selan. Effects of Task Variables on Lifting Capacity. Final Rept. NIOSH grant 5R010H00798-04, August 1982; same as ref. 3. 5. Ayoub, M. M. , J. L. Selan, C. L. Burford, H. P. R. Rao, K. Intaranont, M. Bobo, K. Caddel, and J. L. Smith. Bio- mechanical and Work Physiology Study in Underground Mining Excluding Low Coal. Ongoing BuMines contract J0308058; for inf., contact J. M. Peay, Pittsburgh Res. Center, Pittsburgh, PA. 6. Ayoub, M. M. , J. L. Selan, W. Kar- wowski, and H. P. R. Rao. Lifting Capac- ity Determination. See preceding paper in this proceedings. 7. Liles, D. Analysis of Selected Materials Handling Activities for Western Electric. Report to company, 1981; available from M. M. Ayoub, Texas Tech. Univ., Lubbock, TX. 8. National Safety Council. Accident Facts. Chicago, IL, 1978. 9. Nordby, E. J. Epidemiology and Diagnosis in Low Back Injury. J. Occupa- tional Health and Safety, v. 50, No. 1, 1981. 10. Selan, J. L. , M. M. Ayoub, and H. P. R. Rao. Manual Materials Handling in the Mining Industry. Unpublished re- port; available upon request from M. M. Ayoub, Texas Tech. Univ., Lubbock, TX. 11. Snook, S. H., and V. M. Ciriello. Low Back Pain Industry. Am. Soc. Safety Eng. J., V. 17, No. 4, 1972, pp. 17-23. 12. U.S. Department of Health and Hu- man Services. Work Practices Guide for Manual Lifting. NIOSH, Pub. 81-122, 1981, 183 pp.; NTIS PB 82-178-948. 72 I960 1970 1980 1990 YEAR FIGURE 1. - Cost of trunk injuries over time (1). (T O X LU cr CO O a. X UJ o o o" o CvJ cr UJ a. 20 10 ra i .*-■' A- i a"^ .>^^ i .'V^ .^^ T? JSI RANGE FIGURE 2. - The incidence of back injuries caused by lifting versus JSI. 73 ir I 20 •^ LlI o tr < 3 m t/> o o a _1 1^ <8 '-' C\i QL uj q: QQ UJ => CO a: 3 I 5 10 5 - 1 1 n / - .^ .^ ^^ 'p 0.- \- JSI RANGE FIGURb 3. - The incidence of disabling back injuries caused by lifting versus JSI, JSI RANGE FIGURE 4. - The severity of disabling back injuries caused by lifting versus JSL JSI RANGE FIGURE 5. - The total expense of back injur- ies caused by lifting versus JSI. 125 I 1 1 1 1 1 1 1 I r Maximum permissible " limit I 2345 6789 LIFTS PER MINUTE FIGURE 6. - Comparison of lifting guides based on JSI versus NIOSH (12) lifting guidelines. 74 BACK INJURIES AND MAINTENANCE MATERIAL HANDLING IN LOW-SEAM COAL MINES By Ernest J. Conway' and William W. Elliott2 INTRODUCTION Accidents associated with the handling of materials and supplies have tradition- ally accounted for a large percentage of all industrial lost-time injuries. The National Safety Council reports that this accident category is responsible for at least 25 pet of all industrial accidents. In the mining industry, an even higher percentage of materials handling injuries are noted. As table 1 suggests, these statistics are relatively consistent across various types of mining opera- tions. Somewhat higher percentages, how- ever, are noted for underground coal mines and for metal processing plants. TABLE 1. - Materials handling injuries by industry by work location, January- March 1982' Coal mines: Underground Surface Preparation plant.. Metal mines: Underground Surface Mills Total or percent. 'Mine Injuries an ly , January-March, ment of Labor, Mine Administration. Handling Lost time injuries injuries Total pet 1,115 3,211 34.7 175 628 28.0 68 233 29.0 93 337 27.5 51 150 34.0 71 193 36.7 1,573 4,752 33.1 d Worktime Quarter- 1982, U.S. Depart- Safety and Health ^Vice president. Canyon Research Corp., Westlake Village, CA. ^Fire systems engineer, Santa Barbara Research Center, Subsidiary of Hughes Aircraft Co., Santa Barbara, CA. Table 2 summarizes manual materials handling injuries in 26 mines at several points in the mine supply cycle. It is noted that the largest single source of injury involves the movement of supplies and components from the surface to the point of use in the mine. This function, however, may involve handling of the same material two, three, or more times prior to reaching the point of use. The second largest category, which accounts for approximately 26 pet of all injuries, occurs during the actual use of the mate- rials in mine maintenance or equipment repair activities. These are the acci- dents to be discussed in this paper. For purposes of the following discussion, materials handling shall be defined as the lifting, pushing, pulling, or shovel- ing of materials or components used dur- ing equipment maintenance or during mine maintenance activities. TABLE 2. - Analysis of in-mine material handling injuries for 26 mines Injuries , Handling mode pet On-section manual handling of equipment and or supplies during production shift 11.2 Supply movement from surface to point of use 49.5 Section move: Movement be- tween working sections 13.0 Equipment maintenance: During maintenance shift 16.3 Mine maintenance and handling on maintenance shift 10.0 Total 100.0 75 ACCIDENT REPORT ANALYSIS In an effort to define the magnitude of the materials handling injury problem in underground coal mines, an analysis was performed of over 75,000 accident reports collected and reported in the Mine Safety and Health Administration Health and Safety Analysis Center (HSAC) data base for a 3-yr period. 3 This review resulted in the identification of 15,416 cases that reportedly involved materials han- dling activities. These materials han- dling accident reports were then sorted into the following four categories: 1. Part of body injured 2. Type of accident. 3. Source of injury 4. Nature of injury Table 3 summarizes the 15,416 injury reports by part of body affected. It is observed that over 39 pet of these re- ported injuries involved the middle and lower back. This category represents a larger percentage of materials of han- dling injuries than the next six elements combined. Table 3 also summarizes the same 15,416 cases by type of accident. It is noted that the largest single accident category is overexertion while lifting. This fre- quently involves the lifting of a com- ponent (e.g., a shuttle car drive motor) or mine supplies (e.g., rock dust bags, etc. ) from the ground prior to use. Likewise, it is noted that overexertion pulling accounts for another 20.6 pet of the total injuries. Combined, overexer- tion type accidents account for more than half of all the injuries. ■^Ongoing BuMines contract HO1 13018; for info. , contact R. L. Unger, Pittsburgh Res. Center, Pittsburgh, PA. TABLE 3. - Ranking of underground mine maintenance material handling injuries Rank Element PART OF BODY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 NAp 1 2 3 4 5 6 7 8 9 10 11 NAp NAp Not NEC Not Back Finger Hand Foot Hips Knee Shoulders Eyes Multiple parts. Wrist , Neck , Chest , Leg, NEC , Arm, NEC , Abdomen , Head, NEC , Toes , Ankle , Other , ACCIDENT TYPE Overexert, lift.... Falling object Overexert, NEC Caught , NEC Overexert, pull.... Struck by, NEC Stationary object.. Caught , moving and stationary. Flying object Rolling object Overexert, wield... Other applicable, elsewhere classified. pet 39.7 18.3 4.9 4.8 4.0 3.6 3.1 2.8 1.8 1.5 1.5 1,4 1.4 1.3 1.3 1.0 1.0 1.0 <1.0 31.0 14.3 13.1 8.8 7.5 6.7 6.5 3.3 2.6 1.2 1.2 <1.0 When the materials handling accidents are sorted on the basis of the source of injury, an interesting distribution is observed (table 4). As table 4 suggests, a broad spectrum of components and mate- rials are involved in the maintenance- related handling injuries. As will be discussed later, many of these elements 76 would probably not have resulted in in- juries if they were handled on the sur- face instead of in the mine. This type of distribution suggests that what is handled may not be as important as where and how it is handled. TABLE 4. - Underground maintenance handling injuries summarized by source of injury Rank 9.. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. Element Metal, NEC Timber posts, cap Broken rock, ore... Electrical conduit Steel rail Belt conveyor Metal components........ Cement products Wood items, NEC Jacks Rock bolts Bags Barrels , drum Chains , ropes Underground mine machine Miscellaneous, NEC Containers , NEC Cribbing Container, NEC Blocking Pumps, fans, NEC pet 13.8 12.8 8.9 7.2 4.6 3.6 3.5 2.9 2.5 2.5 2.4 2.3 2.1 1.9 1.9 1.8 1.6 1.6 1.6 1.4 1.3 NEC Not elsewhere classified. Perhaps the most revealing summary is presented in table 5. This table summa- rizes the underground materials handling injuries on the basis of the number of days lost. Not only do back injuries ac- count for the largest percentage of the injuries, but they account for an even larger percentage of days lost from work. This suggests that back injuries are somewhat more serious than other types of injuries. In an effort to identify the specific task being performed by the miner at the time of the maintenance handling in- jury, a second series of analyses were performed for the narrative description of 5,376 HSAC cases. These cases in- volved only in-mine equipment or mine maintenance tasks. These accidents were sorted into the following categories: 1. Lifting or lowering 2. Carrying 3. Maneuvering 4. Other activity TABLE 5. - Summary of 1978-80 underground coal mine material handling accidents, HSAC data Part of Injuries Injuries involving body Total pet days lost injured Total pet Head Neck Shoulders Arms Wrists. . . Hands .... Fingers. . Trunk. . . . Back Hips Legs Feet and toes. . . . Other. ... 889 230 474 451 226 752 2,813 589 6,119 617 1,079 880 291 5.8 1.5 3.1 2.9 1.5 4.9 18.3 3.8 39.7 4.0 7.0 5.7 1.8 487 201 400 335 165 512 1,673 494 5,606 400 920 736 253 4.0 1.6 3.3 2.7 1.4 4.2 13.7 4.1 46.0 3.3 7.6 6.0 2.1 Total.. 15,410 100.0 12,182 100.0 Table 6 identifies the miner's activity and the items being handled at the time of the accident for equipment maintenance tasks. It is pointed out that lifting and lowering of components accounted for the majority of all the days lost. It is also noted that oil drums and grease cans , machine parts and tools are the most frequently involved items. Table 6 also summarizes the miner's ac- tivity at the time of the accident by the material handled during mine maintenance activities. It is observed that lifting- lowering of track rails and timbers are involved with the largest number of days lost from work. This can be anticipated since rails and timbers have relatively high unit weights and are awkward to han- dle. Unfortunately, track laying and timber handling is traditionally accom- plished manually using only a few simple handtools. 77 TABLE 6. - 1978-80 underground coal mine material accidents, summarized by activity and item being handled Activity Item DURING EQUIPMENT MAINTENANCE ACCIDENTS Lifting-lowering. Do Other activity... Lifting-lowering, Do Do Do Maneuvering. . . . . , Carrying Dropping Carrying Other activity.., Do , Maneuvering , Other activity.., Carrying , Other activity... Oil drum, grease can, hydraulic oil. Machine part, tool do , Pump, motor, gearbox, wheel unit..., Cover plate, X-P cover , Tire Toolbox Machine part, tool Oil drum, grease can, hydraulic oil. Machine part , tool Pump, motor, gearbox, wheel unit..., Tire Oil drum, grease can, hydraulic oil. Pump, motor, gearbox, wheel unit.... Cover plate, X-P cover Machine part , tool Pump, motor, gearbox, wheel unit.... DURING MINE MAINTENANCE ACCIDENTS Lifting-lowering. Do Do Other activity... Maneuvering Lifting-lowering. Other activity... Do Lifting-lowering. Dropping Carrying Do Other activity... Dropping Do Lifting-lowering. Track, rail Timber, cribbing, ties. Crossbar, header Timber, cribbing, ties. Track rail Other Track rail Crossbar, header Stopping block , Track rail , Other , Timber, cribbing, ties. Stopping block , Timber, cribbing, ties. Stopping block , Rock dust, cement bag. , Days lost 3,629 2,249 2,182 1,749 1,639 1,127 1,070 692 559 537 490 434 349 334 314 301 289 1,828 1,355 783 643 487 425 388 372 327 319 236 224 211 150 149 148 The above analysis has pointed out that 2. About 40 pet of these injuries in- volve the middle or lower back. 3. Over 30 pet of the injuries result- ed from overexertion while lifting or lowering objects. 1. A majority of the in-mine injuries involve materials handling activities and account for about 34 pet of all lost-time injuries. CONTRIBUTING FACTOR IDENTIFICATION in procedures can minimize the associated risk to mine personnel. This is particu- larly important for lower seam height mines which tend to have more severe Through examination of these accident data, it is possible to identify factors contributing to these injuries. By look- ing at some of the biomechanical limita- tions of the human body, it is possible to identify areas where mechanization of materials handling tasks and/or changes material handling related back injuries. 4 ^Work cited in footnote 3. 78 Why are there relatively higher numbers and more severe back injuries in lower seam mines? There are several factors involved. The most important one, how- ever, is the fact that the spine is de- signed to carry a maximum load when the miner is standing in an erect, upright position. In fact, the cervical, thora- cic, and lumbar curves in the spine are designed to center the load being lift- ed (including the body weight of the individual) between the ball and the heel of the foot. In the fully erect po- sition, the human spine typically can safely handle up to 100 pet of the per- sons 's body weight for short periods of t ime . 5 When the spine is in other than the full erect position, however, the load that it can safely handle decreases sharply. This is the result of — 1. The load not being evenly distrib- uted across the vertebra and the inter- vertebral disk. 2. The muscles being strained simply supporting the weight of the upper torso, arms, and head. 3. The ligaments and tendons being strained supporting the upper body weight and guiding the body's motion. More specifically, when the miner is bending forward (as in a 48- to 60-in seam height), the muscles of the back and stomach, which are normally used to main- tain balance, must now support the weight of the head, upper torso, and arms from a biomechanically disadvantaged position. This amounts to a substantial amount of weight if you consider that 2. The average arm up to the shoulder weighs 12 to 15 lbs. 3. The upper torso minus the head, neck, and arms weighs 70 to 90 lb. The back and stomach muscles of the typical 190-lb miner are supporting some- what over 100 lb of "dead" upper body weight when he or she leans forward ap- proximately 45°. This moment of force must be borne by the lower spine and typ- ically acts on the lumbrosacral joint. This simply means that the body itself (spine, muscles, and ligaments) is in- capable of handling as much nonbody weight as when the person is standing in a full upright position. In an improper work position, a load weighing only 30 lb combined with the weight of the upper body components may produce a torque on the lower spine exceeding 300 in* lb. The latter is the lifting equivalent of quite a severe lifting task. Hence, depending upon the miner's build and physical con- dition, from 50 to 90 pet of the back's muscle strength may be used just to sup- port the upper body weight. This sug- gests that a person can only safely lift considerably less than 50 pet of the weight that could be lifted in a normal erect position. This percentage is re- duced even further if 1. The miner is sitting on his or her knees or buttocks, thus eliminating the shock-abosorbing effects of the knees and ankles. 2. The lifting task requires movement of the object from one side of the body to the other with the feet or knees (e.g., in a kneeling position) in a fixed position. 1. The average head (without the neck) weighs 20 to 30 lb. 3. The lifting task requires the transporting of the center of mass away from the body. -'U.S. Department of Health and Human Services. Work Practices Guide for Man- ual Lifting. NIOSH Pub. 81-122, 1981, 183 pp.; PB 82-178-948. 4. The size of the object moves the center of mass of the person-object away from the body's own natural center of gravity. 79 Research has shown that a majority of the low-back injuries actually occur upon release of a heavy load rather than at the moment it is picked up. The reason for this is that when a load is lifted the stress induced to the human body is distributed over time (e.g., 0.75 to 1.50 sec). When the same load is released, separation may take place in as little as 40 sec or one-twentieth of the time re- quired to place the load on the spine. This results from 1. Extreme stress induced by muscle action required to reestablish the body's center of balance. 2. Sharply increased musculoskeletal loading on the vertebra while attempting to regain balance. To make matters worse, the closer the miner's body is to the floor (i.e., stooped forward 90°), the greater the musculoskeletal stress. As table 7 illustrates, many of the materials handling tasks performed during mine or equipment maintenance involve the lifting or handling of items that exceed safe lifting weights for persons not in a full upright position. TABLE 7. - Weight of frequently handled components I Unit weight, lb | Frequency | Description Tools EQUIPMENT MAINTENANCE Major component replacement. Component replacement Minor component replacement. Lubrication and servicing. . , Move workers' tool , Repair by welding Change tire Repair electrical cable Access permissible enclosure. 200-2,000 50- 5- 5- 50- 50- 200 50 50 200 200 50- 200 1- 5 50- 200 Monthly Weekly. Daily.. . . .do. . Monthly Daily.. Weekly. Daily. . . . .do. . Jacks , come-alongs . Handtools. Do. Pails, 5-gal cans. Toolbox. Cutting and welding equipment. Jack. Handtools. Do. MINE MAINTENANCE Set props and crossbars. • 200- 500 to 20 per day. Saw , axe . Bui. Id s topping walls ••••••••••••••• 50- 100 2 per day. Monthly. . . Axe. Build ventilation doors 5- 50 Handtools Build cribs •••• • 50- 100-1 100 ,000 Daily Monthly. . . Axe. Install track ••••••••••••• Handtools, sledge- hammer, pry bars. Build overcasts •••••••••••••••••••• 200- 500 Semiannual Handtools, axe. sledgehammer, pry bars. Tn t? t" fl 1 1 wp tPT* ninp^ DiiTnns .••>>•>>> 50- 100 Weekly. . . . Semiannual Handtools. Install electrical power boxes 200- 500 Come-alongs , hand- tools, scoop. RopIc Hitcit hflpic pntries- .....>•••••• 50- 5- 100 50 Daily . . .do None. Clean up rib trash, rock falls. Shovel, scoop. etc. Build plank roadways through wet 50- 100 Semiannual Scoop. areas. 80 SUMMARY What are the implications of these findings for materials handling in lower seam mines? First, with this understand- ing of the material handling tasks that must be performed and the limitations of the human spine, innovative approaches to the materials handling problem can be sought. As reported in another paper in this proceedings , the Bureau of Mines is currently developing a number of innova- tive handling devices. Secondly, improved materials handling procedures and practices need to be de- veloped. The straight-back lifting tech- nique is simply not effective in mines where the miner cannot stand upright. Research is needed to find an alterna- tive approach. Likewise, procedures that better utilize the tools and equipment found in the mine environment to do the materials handling need to be identified, thereby eliminating stress on the miner's back. Third, equipment used in mines needs to be designed so that it can be properly and safely maintained in the restrictive mine environment. The size and weight of supplies and materials used in mine main- tenance needs to be reduced to ensure that they can be "safely" handled by the miner. Finally, every miner must understand the limitations of the human back and he or she must take the precautions neces- sary to prevent injury. 81 TRAINING PROCEDURES TO REDUCE LOW BACK INJURIES By Nancy C. Selby ' ABSTRACT Many back, injuries can be avoided, as can chronic back pain. However, individ- uals need to have enough information to be able to understand how to protect themselves. Safety information must be presented in a manner that is relative to individuals' environment and educational level. Since most back injuries do not occur on the job, first aid and home activities must be included in training programs. Lifting instructions are only a small part of total effective injury prevention; proper sitting, standing, pushing, pulling, and turning procedures must also be included. The blue collar worker can and will take responsibility for his or her own back care with proper training. INTRODUCTION Second only to the common cold, back injuries and back pain are the most fre- quent problem in the work force in the United States. Over 75 pet of the popu- lation suffers from back pain at some point in time. Back pain interferes with worklife and social habits. In 1980, it accounted for 93 million lost-time days, as well as $5 billion in medical costs and $12 billion in legal and insurance fees (11).2 These figures have risen in the past 2 yrs. Back injuries may ac- count for only 25 pet of all injuries, but cost over 65 pet of the dollars spent. Back pain and back injuries have become one of the most expensive health problems in the mining industry just like every other industry in the United States. Unfortunately, knowing that "everybody has it" does not alleviate the discomfort or the frustration that accom- panies back pain. DISCUSSION Back injuries are frustrating because they are so difficult to identify, diag- nose, and treat. Differentiation between a "real" injury and a "supposed" injury is challenging to the medical community as well as to industry. It is not the kind of injury that can be casted and be healed in a certain length of time (_8 ) . Back injuries become a problem of balance sheets and productivity versus worker's compensation premiums and lost-time days. In the underground coal mining indus- try, an average of 2,500 back injuries per year occurred between 1977 and 1981. If the average cost of a back injury is $5,000, a yearly expenditure could be ^Director, Spine Education Center, Dal- las, TX. ^Underlined numbers in parentheses re- fer to items in the list of references at the end of this paper. over $12 million. Of course, not all back injuries cost $5,000, but some cost much more (12). This figure does not in- clude those individuals who undergo sur- gery or have long-term problems. Since back injuries are a fact of life, a safety director or personnel manager with safety-related duties becomes an in- tegral part of the team that tries to oversee the problems. Unfortunately, that individual is usually consumed with paperwork and has neither the time nor budget to initiate an effective program. So he or she turns the entire dilemma over to the supervisors. Supervisors may be very knowledgeable about mines and mining, techniques and equipment, but they rarely have experience in safety and injury prevention. Yet, they are the people who are made ultimately responsi- ble for every back injury on the job. There is no way they can stop the back 82 pain problem unless they have adequate training and management's support ( 15 ) . It is not unusual for a typical safety program to allocate 0.04 pet of an entire budget to safety, which translates to $50,000 if the company has a yearly oper- ating budget of $130 million (_3 ) . It is definitely time to modify the present system. Back injuries alone represent a costly liability. Training techniques must also be modified to stimulate the individuals who are doing the work. We must remember that all of us are much more highly educated and exposed through the television media than we once were. The American worker expects and should receive training that is relevant to his or her situation. The concept of educating individuals to be responsible for their own health care has surfaced in recent years. Extensive studies have determined that education has been the key factor in helping hemo- philiacs and diabetics control their diseases successfully (13). People with back pain have not had much information available to them, so they have been un- able to control their problems. Back ed- ucation and "back school" began in Sweden in 1970. In a triple blind study, there was substantial evidence indicating that education returned patients to work soon- er than regular physical therapy modali- ties (_1_) . Also, recurring absence from work was reduced. The group incurring back injuries are those individuals who are doing the ac- tual labor, not the supervisors. There- fore, it is important that the workers be trained using appropriate techniques and materials. Supervisor participation and management support is essential for ef- fective results. If given applicable in- formation, miners will be able to take responsibility for their own back care. The program content found to be most effective is a comprehensive one that consists of information that incorporates several topics as they relate to the person working in a mine and their poten- tial back problems. People cannot be expected to take care of their back unless they have some un- derstanding of anatomy {8). We have a spine for two reasons; one is for sup- port. The other function of the spine is to protect the spinal cord. We have a number of anatomical parts that affect the way we feel, but the most common long-term injury involves the disks. Disks rest between the 24 verte- brae in our backs. Disks are the shock absorbers of our bodies, just like we have shock absorbers in our cars. An ef- fective training program will use analo- gies that are easily understood. For ex- ample, disks look a lot like a jelly doughnut; crusty on the outside with jel- ly on the inside. And everyone under- stands what happens if a jelly doughnut is crushed; it leaks, just like a disk does when it is crushed. Unfortunately, when a disk herniates, that jelly may in- terfere with the nerves and cause pain and neurological deficits that will lead to surgery. A ruptured or herniated disk is the most common reason for back surgery. If we are interested in avoiding disk herniation, it is necessary to understand disk pressure. Different body positions put more or less pressure on the low back area; extensive studies from Sweden have demonstrated this. For example, a person who stands with knees locked, bent for- ward, will put 200 lb of pressure on the low back area (fig. 1). An individual who sits incorrectly will do the same thing. However, if we can reeducate that person to sit with arms and back support- ed and knees higher than hips, we can cut that disk pressure in half. When lift- ing, a person who holds material a fore- arm's length away from his or her body will put 10 times more pressure on the low back than if that same object is held close. Fortunately we can put ourselves in positions that are comfortable as well as beneficial. Lying on your back with your feet on a stool puts only 25 lb of pressure on the low back (fig. 2). For this reason, it is called the resting position (7). 83 Pressure on the back is directly re- lated to body mechanics (6). Body me- chanics is not just lifting. It is sit- ting, standing, bending, stooping, reach- ing, and turning, as well as lifting. In employee training, a giant inadequacy has been the neglect to educate the worker about job-related situations other than lifting. For example, there are two tribes in the world that have no incidence of back pain: One is in Mexico, and one is in Africa. Apparently, they do not have back pain because they do not spend much time sitting. Everyone in this country spends a great deal of time sitting, whether at their job or at home watching television, and that is contributing to the back pain problem (11). We know that absorption of informa- tion is directly related to understand- ing the subject matter presented ( 10 , 14). Obviously then, a back injury pre- vention program for miners should uti- lize visuals of miners in their job situation. Sitting with knees higher than hips takes pressure off the back in situations that require sitting. Getting close to the worksite and working straight ahead takes pressure off the low back area. Getting down to the level of the work is as important as staying close when reach- ing. However, miners have a difficult problem because they are forced to stay in that position for long periods of time (12) . Protecting their backs may con- tribute to knee problems. Standing with knees locked may not cause a back injury, but it can give you a very tired back by the end of the day. It is recommended that a person who stands all day put one foot slightly in front of the other with knees slight- ly bent. This gives the individual a wider base of support so that the back is not as likely to be stressed. If a piece of equipment is available, putting one foot up will take even more pres- sure off the back. Bars have railings for back comfort while standing and drinking. Ergonomics plays an important role in back injury prevention (6^) . Look for simple modifications to install to make employees more comfortable. Other body mechanics techniques that should be discussed are pushing, pull- ing, lifting, and pivoting. Pushing is usually more desirable than pulling. An accident that occurs with frequency is pulling with feet parallel — an individual using only his or her back — and a mechan- ical device close by. Lifting, like other jobs, can be done in several ways. The person handling ma- terial should be as close as possible to the object. This is the most important concept. Lifting can be accomplished by putting one knee down or squatting. It is important that the legs be used for leverage, not the back (fig. 3). Not everyone can lift the same way. People and material come in different sizes and should be handled accordingly. These different options should be demonstrated, discussed, and practiced at the time of training. Learning to pivot rather than twist is particularly helpful. Employees need to know how to modify their body mechanics and why. It is important that employees understand the benefits of using good body mechanics and the disadvantages if they do not. With this knowledge, they can think about a job, their back, and the best way to avoid pressure when performing that job (8). Utilizing mechanical de- vices whenever possible will also dimin- ish injuries. Injuries occur at home, too, and be- cause of our system, they may become a Monday morning worker's compensation ac- cident. Therefore, it is important for the miners to be able to transfer these new techniques to a home situation. Even shaving and brushing teeth can cause back pain. An alternative is to bend the knees into the sink or put a foot up in the cabinet. Doing yard work incorrect- ly can cause back pain; driving long distances in the car can, too. Most Americans drive with the seat too far away with knees dropped below hip level. 84 Moving the seat forward a notch may alle- viate the problem. An inexpensive back support can be created by rolling up a towel. There are also two-person jobs at home, and it is important that safe tech- niques be practiced off the job. Considering that the majority of the population has back pain some time in their life, it is sensible to give every- one a workable first aid treatment for back pain. Most people suffer from back pain that involves muscle spasm. The most effective treatment found is ice massage, stretching, and the use of as- pirin. Muscles that are tight and tense are in spasm. Ice massage will numb the area and allow the knees to be brought up toward the chest to stretch those muscles out to their normal limits (4, 9). Mus- cles only have the capability to contract by themselves. If you have ever experi- enced a cramp in the foot in the middle of the night, you know you have to walk on it or rub it. Muscles in the back are like that. They have to be stretched to their normal limits. The use of ice will allow that to occur. Aspirin is a superb anti-inflammatory and will help control pain. Men and women who have ulcers or bleed- ing problems should not take aspirin, but most people can take aspirin several times a day as long as they drink plenty of fluids. Directions should be included with the general information given to the employees at training. It has been determined that for every day a person is immobile, it takes 4 days to rehabilitate that individual to normal function. Therefore, mobility is impor- tant. Light duty will prevent the em- ployee from behavioral changes. Fur- thermore, a person who is at bedrest for several weeks becomes weak and is very likely to have an injury the first day on the job since theri muscle tone is poor. Maintenance of muscle strength is very critical when the worker must return to a job situation (8). Although the majority of the injured miners reported in the underground coal mining statistics re- turned to the job in 3 weeks or less, it is important to consider the rapidity of the deterioration of strength if a miner has been in bed for several days. Physi- cal fitness affects the occurrence of back injuries, so the injured employees should be given instructions in strength- ening and stretching exercises and should be encouraged to do these before return- ing to work (2). It follows, therefore, that the person who is in poor physical condition may have weight and posture problems and could be a candidate for an injury. Stress may also affect the back, causing muscles to tighten which may lead to mus- cle spasm. A physical fitness program may diminish many of these problems. In November 1982, two psychologists from North Texas State University con- ducted a study involving eight industries and approximately 1,500 employees. One hour of back injury prevention education was provided to the employees of these industries. The programs were given in small groups at the jobsites and were customized for the specific industry and their needs. Companies participating in the evaluation were representative of both light and heavy industry. Both safety directors and participants were asked to respond. The employee response was a random sampling. The results were as follows: Safety directors report a 40-pct reduction in lost-time days the year following the presentation with a decrease in medical insurance expenses in three of the companies. There was an in- crease in numbers of reported injuries, but those participating in the program reported fewer injuries. The partici- pants reported an 86-pct decrease in lost-time days and a 63-pct reduction in injuries. Lawlis and Hennig (_5) reasoned that the reported increase in back inju- ries was primarily due to the changes of management's perception of back injuries and the employees' willingness to report early injury and accept early treatment. The large reduction in lost time would support that premise. Although each program was customized, all employees received the same format of information. Followup material included posters that were placed in common areas 85 and reminder cards placed in paychecks 6 months following the program. A short refresher course was offered 1 yr follow- ing the initial presentation. CONCLUSIONS Back injuries are a major health prob- lem in the United States, but can be pre- vented and controlled through education and training if the material is designed for the person on the job. It must be informative, interesting, fast-moving, and relative. Body mechanics concepts must be emphasized in different ways so the individual can adopt the positions that work best for his or her situation both at work and at home (14) . Use of the first aid treatment should be encour- aged at the first sign of back strain. Light-duty programs should be initiated to keep the individual mobile and in touch with his peers and management. Practical demonstration is important, but actual participation in sitting, stand- ing, lifting, and pivoting procedures is essential. The trainer must be well- prepared before the employee can be ex- pected to retain the information present- ed. Followup is a mandatory part of any safety program. If employees are given appropriate information, they can and will take responsibility for their own back health care (13). REFERENCES 1. Bergquist-Ullman, M. , and U. Lars- son. Acute Low Back Pain in Industry. Acta Orthopaedic Scandinavia, Suppl. 170, 1977, pp. 1-117. 2. Cady, L. D. Strength and Fit- ness and Subsequent Back Injuries in Firefighters. J. of Occupational Med., V. 21, 1979, pp. 269-273. 3. Carroll, B. J. An effective Safe- ty Program Without Top Managment Sup- port. Professional Safety, July 1982, pp. 20-24. 4. Grant, R. E. Massage With Ice in the Treatment of Painful Conditions of the Musculoskeletal System. Phys. Med. Rehab., v. 45, 1964, pp. 223-238. 5. Lawlis, G. F. , and E. G. Hennig, Jr. An Evaluation of Individualized Edu- cational Services for the Prevention of Industrial Back Injuries Unpublished Pro- gram Evaluation for Spine Education Cen- ter, Dallas, TX, November 1982; available upon request from N. C. Selby, Spine Ed. Center, Dallas, TX. 6. Manuele, F. A. Work Practices Guide for Manual Lifting. National Safe- ty News, October 1982. 7. Nachemson, A. L. Low Back Pain — Its Etiology and Treatment. Clinical Medicine, 1971, pp. 18-23. 8. Selby, D. K. Conservative Care of Nonspecific Low Back Pain. Orthopedic Clinics of North America, v. 13, No. 3, July 1982, pp. 427-437. 9. Showman, J. , and L. T. Wedlick. The Use of Cold Instead of Heat for the Relief of Muscle Spasm. Med. J. of Aus- tralia, V. 2, 1964, pp. 612-614. 10. This, L. Results-Oriented Train- ing Design. Training and Dev. J. , June 1980, pp. 14-22. 11. Time (Chicago). That Aching Back. July 14, 1980, pp. 30-34. 12. U.S. Mine Safety and Health Admin- istration. Injury Experience in Coal Mining, 1978-1981. MSHA IR's 1112, 1122, 1133, 1138. 13. White, A. H. Conservative Care — California. The Challenge of the Lumbar Spine, Conference Proceedings, Dallas, TX, Dec. 10-12, 1981. 14. Zemke, R. , and S. Zemke. 30 Things We Know for Sure About Adult Learning. Training/HRD, June 1981, pp. 45-52. 15. Zenger, J. The Painful Turnabout in Training. Training and Dev. J., De- cember 1980, pp. 36-49. 86 200 / FIGURE 1. - This position will put 200 lb of pressure on the back. 87 FIGURE 2. - Position showing only 25 lb of pressure on the low bock. \ I- ■ "^ FIGURE 3. - Legs should be used for leverage, not the back 88 A MANUAL MATERIALS HANDLING (MMH) TRAINING PROGRAM FOR THE MINING INDUSTRY By Daniel J. Connelly 1 ABSTRACT Back injuries have been a continuous and increasing problem in the mining industry. Accident statistics reveal that most back, injuries occur during man- ual materials handling activities. Vari- ous methods have been attempted to con- trol these accidents. Training in safe materials handling is one approach that has been used over the years. This paper provides a number of general recommenda- tions and specific examples to assist training personnel in the mining industry to develop a manual materials handling training course to reduce back injuries. INTRODUCTION Back injuries have been a continuous and increasing problem in the mining industry (table 1). In coal mining, for example, approximately 20 pet of all injuries are back injuries. Consequent- ly, a significant percentage of the total nonfatal lost workdays are due to back injuries (table 2). Likewise, the costs of back injuries to the mining industry are significant. A review of accident statistics show the majority of back injuries reported by the mining industry are the result of ma- terials handling accidents (table 3). The accident classification, handling materials, is defined as an accident re- ^ Safety specialist, Pittsburgh Research Center, Bureau of Mines, Pittsburgh, PA. lated to handling packaged or loose ma- terial while lifting, pulling, pushing, or shoveling (10). 2 Miners involved in materials handling activities, whether underground or on the surface, are exposed to a number of potential accident situations. Many fac- tors contribute to the hazards of ma- terials handling. The major components are the worker, the task, the materials handled, and the work environment. If materials are not handled properly, the result can be a lost-time injury, most likely occurring to the back. ^Underlined numbers in parentheses re- fer to items in the list of references at the end of this paper. TABLE 1. - Total injuries, back injuries, and percentage of back injuries at coal, metal, and nonmetal mines in the United States, 1978-80 (10-12) Coal mines: Total Injuries Back Injuries Back injuries pet, Metal mines: Total injuries Back Injuries Back injuries pet, Nonmetal mines: Total injuries , Back injuries Back injuries pet. 1978 20,203 3,762 18.6 8,713 1,247 14.3 3,844 664 17.3 1979 23,677 4,948 2.9 9,619 1,428 14.8 3,497 608 17.4 1980 22,723 5,111 22.5 8,028 1,246 15.5 3,066 607 19.8 1981 18,821 4,119 21.9 7,570 1,153 15.2 2,697 461 17.1 TABLE 2. - Total nonfatal lost workdays, nonfatal lost workdays due to back injuries and percentage at coal, metal and nonmetal mines in the United States 1978-80 (1-3) 89 1978 1979 1980 1981 Coal mines: Total NFDL , NFDL-back injuries , Back injuries pet, Metal mines: Total NFDL NFDL-back injuries Back injuries pet, Nonmetal mines: Total NFDL NFDL-back injuries Back injuries pet NFDL Nonfatal days lost. 494,464 113,817 23.0 148,034 21,481 14.5 78,146 11,667 14.9 662,704 155,583 23.5 187,092 27,428 14.7 75,053 15,557 20.7 662,911 193,806 29.2 179,081 40,932 22.9 58,363 11,699 20.0 616,342 176,065 28.6 149,510 25,049 16.8 58, ,218 10,521 18.1 TABLE 3. - Total back injuries, materials handling' back injuries, and percentage at coal, metal, and nonmetal mines in the United States 1978-80 (10-12) Coal mines: Back injuries Materials handling back injuries Back injuries pet. Metal mines: Back injuries Materials handling back injuries Back injuries ..pet. Nonmetal mines: Back injuries Materials handling back injuries Back injuries pet. 1978 3,762 2,139 56.9 1,247 636 51.0 664 380 57.2 1979 4,948 2,932 59.3 1,428 749 52.5 608 386 63.5 1980 5,111 3,008 58.9 1,246 654 52.5 607 375 61.8 1981 4,119 2,427 58.9 1,153 597 51.8 461 271 58.8 'Handling materials accidents are defined as accidents related to handling packaged or loose material while lifting, pulling, pushing, or shoveling. In addition to back injuries, there are other types of injuries associated with materials handling accidents. These other injuries, such as bruises and cuts of the fingers and hands , account for a minor percentage of the total costs of injuries arising from materials handling. 90 WHAT CAN BE DONE? In many mining companies, frustrations over the seemingly insoluble back injury and materials handling problems create attitudes that further aggravate the problems. Several positive steps can be taken to control the hazards. Tradition- ally, the prevention of back injuries has been attempted by 1. Careful selection and placement of workers. 2. Training in safe lifting. 3. Designing the job to fit the worker (Z). Training for manual materials handling in the mining industry is the main topic of this paper. Training in safe handling methods alone will not solve the back in- jury problem. The problems of back inju- ries and materials handling are multidi- mensional in nature. Training is only one approach that should be used in com- bination with other control methods, such as job redesign, and worker selection and placement (1). TRAINING TO CHANGE BEHAVIOR The ultimate objective of any training program is to change behavior of people. That is, to cause them to do their jobs effectively and correctly (i.e., safely). However, there are many factors that in- fluence human behavior on the job. Be- havioral change can be insensitive to training if other factors (i.e., environ- mental, managerial, physiological, so- cial, etc.) predominate in determining the way people are behaving (6). There- fore, training can be identified as one of many variables to consider and control to achieve behavioral change. TRAINING TO REDUCE BACK INJURIES Training for the purpose of reduc- ing back injuries has been conducted throughout industry for many years. Even though, few in-depth studies have been made to determine the effectiveness of lifting and materials handling training (8^, p. 176). The importance of training in manual materials handling (MMH) , however, has been generally accepted, and is likely to continue. What is needed is a clear def- inition of what the training should be and how it should be taught. The only general criteria would appear to be that training should involve the worker ac- tively in the learning process and iden- tify specific techniques and hazards of MMH tasks (8, p. 199). A MODEL MANUAL MATERIALS HANDLING TRAINING COURSE The National Institute for Occupa- tional Safety and Health (NIOSH) pub- lication, "Work Practices Guide for Manual Lifting," provides recommenda- tions regarding the training of work- ers who perform MMH tasks (_9, pp. 99- 101). These recommendations form the basis for a model MMH training course. The aims of safety training in MMH should be to — 1. Make the miners aware of the dan- gers in MMH. 2. Show miners how to avoid unneces- sary stress. 3. Teach miners individually to be aware of what they can handle safely. The following items should be covered in the training course: materials han- 1 . The risks in manual dling. Based upon the materials commonly handled and the accident history of the mine. 91 2. The basic principles of manual m at- erials handling . The basic physics of MMH, the body as a system of levers, and the work needed to shift loads. 3. The effects of MMH. The basic anatomy of the back, muscles, and joints, and the effect of lifting on the body. 4. Individual awareness of the body's strengths and weaknesses . Teach miners how to judge the weights they can handle safely, and where their body strengths and weaknesses lie. 5. How to avoid accidents . Teach min- ers how to recognize and avoid the physi- cal factors that might contribute to an accident, for example. g. Is the floor clean, dry, and nonsllp? h. Is the area clear where the load will be set down? 6. Handling skill : Emphasize the ac- tual materials handled at the mine. Pro- vide instruction on the following general points: a. How to prepare for materials handling tasks. b. How to recognize what loads can be handled safely. c. How to keep the load close to the body when lifting. a. Is the load free to move and not stuck? d. How to lift without twisting or bending sideways b. Is it a weight that can be safely handled by one person? c. Are lifting aids available? e. How to use the legs to get close to the load and to make use of the body weight and the kinetic energy of the body and load. d. Does the load have handles to grasp or can they be provided? f. How to develop timing for smooth and easy lifting. e. Is protective clothing needed? f . Is the work area clear of obstruction? 7. Handling aids: Demonstrate the handling aids available for materials handling tasks, and encourage their use. DETERMINING MATERIALS HANDLING TRAINING NEEDS The basic steps of training in general apply equally well to the training of miners for materials handling tasks. In order to develop an effective training program, identify and define the materi- als handling problems and then establish procedures to control those problems. Information necessary to evaluate ma- terials handling Includes accident rec- ords, mine conditions, and discussions with mine personnel. An accident analy- sis will Identify problem areas, in terms of the who, what, where, how, and why (individuals, tasks, materials handled, causes, and so forth). This information will provide a good idea of what areas or topics need to be emphasized during training (_3 ) . In addition to the basic Information about accidents, obtain specific details concerning mine policies, procedures, equipment and supplies, and responsibili- ties of the miners. Obtaining this in- formation will require talking to the mine personnel most familiar with the day-to-day operation of the mine, the section supervisors. Questions should cover the problems and hazards of materi- als handling activities at the mine or sections of the mine. 92 HAZARDS OF MATERIALS HANDLING IN THE MINING INDUSTRY Accident analyses of materials handling accidents have identified several poten- tially hazardous tasks (_5 ) . Most of these accidents involve the act of manu- ally handling materials, specifically, lifting and lowering, pushing and pull- ing, carrying, and shoveling. Although these accidents provide an indication of the general hazards of materials han- dling, training should concern specific tasks and materials associated with the problem areas. Understandably, the underground mine environment is more hazardous and more difficult to work in than most surface environments. Underground conditions increase the potential for accidents. For example, poor maintenance of the mine floor results in slippery and uneven footing which contributes to accidents. Bending or sitting on folded legs is com- mon in mines of low roof height. Lifting or carrying materials under such condi- tions can result in back injuries (4). In addition, the weight of materials han- dled sometimes exceeds the physical capa- bility of the miner and this can result in injury. It is for these reasons that training in materials handling should include discussions of the work environ- ment and the physical limitations of the workers. TRAINING METHODS Lecturing requires that the instructor talks and the miners listen. While this method can be effective for a short per- iod of time, it should not be the only method used. A short lecture on the ba- sic structure of the back, for example, should be combined with slides or films and class discussion. A discussion al- lows for class participation. Asking a few questions helps to focus on the top- ics you want to cover. The following ex- amples are questions that can be used for discussion: 1. What are the most common injuries and accidents in the mining industry and at your mine? 2. What are the most common materials handling accidents? 3. Where in your mine are materials handling accidents occurring? And to whom? 4 . How can prevented? these accidents be Demonstration is the best teaching method to use to show how something is done. The classes should be small enough that safe materials handling methods can be demonstrated, preferably at the worksite. The materials or objects known to be associated with materials handling accidents and back injuries (such as trailing cables, oil drums, roof bolts, timbers, rock dust bags, etc.), should be used in actual demonstrations. Mine supervisors should be actively in- volved in developing and conducting the training course. It does little good to train miners in safe handling methods if the methods are not used during materials handling tasks on the job. Therefore, observing day-to-day job performance and correcting unsafe acts are essential responsibilities of the mine supervisors. COURSE OBJECTIVES The purpose of the course should be to instruct miners in the safe methods of materials handling. After completion of the course, the miners should be able to identify the following: The basic anatomy of the back. General safety rules. Safe lifting method. Safe carrying method. Safe shoveling method. 93 The miners should be given a test to demonstrate they have learned the mate- rial. The test method should provide evidence, either by doing or by listing the safe methods, that the miners have learned what you want them to do. COURSE MATERIALS The following illustrations provide ex- amples of course materials for training in materials handling. the training course. Figure 3 shows the personal protective equipment that should be worn (2). A brief lecture on the basic anatomy of the back can be used to teach the effects of materials handling on the body. Figure 1 shows the structure of the back (2). The NIOSH publication, "Work Practices Guide for Manual Lift- ing," provides reference material that can be helpful (9). Discussions of personal experiences with back pain can assist in "selling" the need for the training. Examples of materials handling accidents at your mine "bring home" the point that the potential for injury is real. Analysis of your mine's accident history can reveal the problem areas that need to be emphasized. Figure '2 illustrates typical examples of materials handling accidents. Strains, bruises, cuts, or other inju- ries may result from handling materials. Personal protection equipment and reasons for wearing them should be covered during Lifting and lowering materials are the most common materials handling tasks per- formed in the mines. Figure 4 provides examples of safe lifting methods. The lifting tasks selected for your training course should include the materials most often handled at your mine. Accident statistics show that handling electrical cable is a leading cause of back injuries and materials handling ac- cidents in mining. Many of these acci- dents result from the miner pulling on the cable rather than lifting. Figure 5 provides instruction on the safe handling of cable. Shoveling coal and rock account for a large number of back injuries in mining. Therefore, instruction provided on the safe method for shoveling materials is needed as shown in figure 6 (2^) . The main point to stress is to avoid twisting the back while shoveling. GENERAL MATERIALS HANDLING SAFETY RULES There are a number of general safety rules that apply to materials handling. One of the most important is to plan ahead. Determine where the material will be placed before moving it. If carrying materials a long distance, plan rest stops to prevent fatigue. If the materi- al required to be moved is too heavy. then get help or use a mechanical device, such as a hoist, wheelbarrow, front-end loader, or forklift. The miner should also be instructed to become aware of the surrounding environment, obstacles in the pathways, and wet or muddy floor surfaces. SUMMARY Back injuries have been identified as a significant problem area in the mining industry. Accident statistics have shown that most back injuries occur during ma- terials handling activities. Training in safe materials handling methods is one approach for control of back injuries. A number of general recommendations and specific examples have been presented to assist training personnel in the mining industry to develop a manual materials handling training course to reduce back injuries. It is hoped that some prac- tical suggestions have been made and will be used where needed in the mining industry. 94 REFERENCES 1. Ayoub, M. M. Control of Man- ual Lifting Hazards: I. Training in Safe Handling. J. of Occupational Med. , V. 24, No. 8, August 1982, pp. 573-577. 7. Snook, S. H. , R. A. Campanelli, and J. W. Hart. Three Preventive Ap- proaches to Low Back Injury. Profession- al Safety, July 1978, pp. 34-38. 2. Bituminous Coal Operations Associa- tion and National Coal Association. Ma- terials Handling (SLIDE/TAPE Training Program). Produced by National Photo- graphic Laboratories, Inc., Houston, TX, 1981. 3. Christopherson, K. I., C. H. Cover, and M. J. Klishis. How To Tailor Train- ing Material To Fit Your Mine. BuMines contract J0188069; for inf., contact W. J. Wiehagen, Pittsburgh Res. Center, Pittsburgh, PA. 8. U.S. Department of Health, Educa- tion and Welfare NIOSH Report on Interna- tional Sjnnposium: Safety in Manual Mate- rials Handling (State Univ. NY at Buffa- lo, July 18-20, 1976). Pub. as Safety in Materials Handling, ed. by C. G. Drury, NIOSH Pub. 78-185, 219 pp.; NTIS PB- 297-660. 9. U.S. Department of Health and Hu- man Services. Work Practices Guide for Manual Lifting. NIOSH Pub. 81-122, 1981, 183 pp.; NTIS PB 82-178-948. 4. Diaz, R. A., and A. D. Chitaley. System For Handling Supplies in Under- ground Coal Mines. BuMines contract H0188049; for inf., contact G. R. Bock- osh, Pittsburgh, Res. Center. 5. Foote, A. L. , and J. S. Schaefer. Mine Materials Handling Vehicle (MMHV) contract H0242015, MB Associates). Bu- Mines OFR 59-80, 1978, 308 pp.; NTIS PB 80-178890. 6. Nertney, R. J., and J. R. Buys. Training as Related to Behavioral Change. ERDA-76-45-6, SSDC-6, June 1976, 9 pp.; available from System Safety Development Center, Idaho Falls, ID. 10. U.S. Mine Safety and Health Admin- istration. Injury Experience in Coal Mining, 1978-1981, MSHA IR's 1112, 1122, 1133, 1138. 11. . Injury Experience in Me- tallic Mineral Mining, 1978-1981. MSHA IR's 1116, 1126, 1137, 1142 12. Injury Experience in Non- metallic Mineral Mining (except stone and coal), 1978-1981. MSHA IR's 1114, 1124, 1135, 1140. 95 Your back is a "complex System" It includes : THE SPINE 33 bones (vertebrae). The upper 24 are separated by disks that act as cushions. NERVES 31 pairs branching out from the spinal cord, sending information to the brain and orders to the muscles. MUSCLES 400 of them producing motion in all directions, they are attached to the bone by about 1,000 tendons. THE SPINAL CORD A half-inch thick "cable" of nerves, about 18-inches long, controls all activities below neck level. FIGURE 1. - Basic anatomy of the back. 96 ^-^^^ FIGURE 2. - Examples of materials handling accidents. 97 METATARSAL SHOES Injuries to the feet are common and painful. They most frequently occur when materials that are being carried slip or when they fall be- cause they are stacked improperly. Metatarsal shoes are recommended because they protect your entire foot — the toes, the arch, and the top. HARD HATS It is easy to bump your head against overhead obstacles or stacked supplies while working in congested, dark surroundings. Hard hats are essential for your protection and should be worn at all times whether you're working outside or inside the mine. SAFETY GLASSES Your eyes should be protected from cool dust, rock dust and other particles that can cause severe irritations. Safety glasses make sure such damaging abrasives do not enter your eyes. LEATHER GLOVES When handling materials and supplies, it is im- portant to maintain a firm grip. Leather gloves help you to do this, as well as protecting your hands from cuts, burns, and blisters that could become infected. RUBBER BOOTS Since you will be working around high voltage trolley wires and wet, muddy areas it may be necessary to wear rubber boots to avoid any electrical shock. Rubber boots also help you maintain a firm foothold. LEG BANDS Securing your pants legs is an essential part of your safety. Leg bands is one way of doing this. You should wear them at all times to a- void tripping and getting caught on moving pieces of equipment. FIGURE 3. - Personal protective equipment. 98 As you approach the load determine its weight, size and shape. Consider your physical ability. Bend the knees and get a firm grasp on the object. Do not twist or turn until the object is in carrying position. Stand close to the object with feet 8 to 12 inches apart for good bal- ance. D Using both leg and back muscles lift the load straight up. Keep the ob- ject close to the body. Rotate body by turning your feet and make sure path of travel is clear. To set the object down, use leg and back muscles and lower the object by bending the knees. FIGURE 4. = Safe lifting. the fic 99 B First, stand close to the belt and establish firm footing. Then get the items to the side of the belt by pulling gradually, without sudden jerky movements. Lift the items off the belt, keeping your back as straight as possible and holding the load close to your body. Remember not to twist your back when unloading materials, as this miner is doing. Instead, reposition your feet, and turn your body. First, be sure to wipe off any dirt or grease before reaching for the ob- ject you are going to lift. B . Then, stand close to the object and get a firm foothold. Straddle the load sonnewhat and squat down, bending at the knees not at the back. Incorrect d. Hold the object securely so your grasp does not slip. E . Finally.. ..slowly straighten to an up- right stance, keeping your back in a vertical position. E. Then bend your knees to lower the load. FIGURE 4. - Safe lifting. -Continued, B, From a belt; C, an irregular shaped object. 100 FIGURE 5. - Handling cable. 101 Always shovel in the direction the belt is moving . This way, you avoid catching the shovel in the belt and keep from getting hit with the handle. Avoid twisting your back. Turn your feet and your entire body so your back is not strained. FIGURE 6. - Example of safe shoveling. 102 MECHANIZATION OF MATERIALS HANDLING TASKS By Richard L. Unger"! ABSTRACT The Bureau of Mines is sponsoring re- materials handling activities are dis- cussed. A daily supply handling system is presented, as well as several concepts to reduce manual handling requirements during equipment and mine maintenance. search aimed at reducing the manual ef- fort required to transport or transfer materials used in underground coal mines. Specifically, production supply, mine maintenance, and equipment maintenance INTRODUCTION In the mid-1970' s, the Bureau of Mines sponsored studies to determine the types and causes of materials handling injuries in underground coal mines. One result of this work was the determination that ap- proximately one-half of all materials handling accidents occur in the produc- tion supply function (fig. 1). Produc- tion supply refers to the handling of daily supply items from the surface to locations near the working face in sup- port of production activities. Examples of this type of handling include trans- porting rock dust bags, roof bolts, and timbers. It was also found that the com- bination of equipment and mine mainte- nance functions accounted for approxi- mately one-quarter of the materials han- dling accidents. Some examples of these functions include extracting motors from continuous miners, hanging cable. changing tires, and The Bureau initiated two research proj- ects to reduce the need for manual han- dling of items through a systems approach involving mechanization of supply han- dling. The first project, begun in 1978, was to develop a system for handling daily supplies in underground coal mines, directed primarily toward the production supply function. The second project was to develop a vehicle for mine and equip- ment maintenance activities. These two Bureau research projects were aimed at 75 pet of the materials handling accidents in underground coal mines. This paper describes the methods and results to date of these two projects. A SYSTEMS APPROACH TO HANDLING DAILY SUPPLIES The surest way to reduce materials han- dling injuries is to reduce or eliminate the need for manual handling. This is the purpose of the Bureau's daily supply handling system. Studies conducted at a Pennsylvania coal mine over a 2-yr span indicate that production times could be increased by at least 3 pet and supply handling injuries reduced by as much as 7 3 pet if a supply system based on pal- letization and mechanical handling were to be implemented. Such a system has been developed and is outlined below. ^Civil engineer, Pittsburgh Research Center, Bureau of Mines, Pittsburgh, PA. PALLETIZATION Daily supplies would be palletized on the surface and moved as unit loads throughout the mine. As much as possi- ble, pallets of supplies as delivered by vendors would be moved to the section. The supplies moved to the section would be based on the estimated needs for that day. This should eliminate delay or lost production time owing to lack of materi- als or waste due to oversupply. Large items, such as timbers or rail, would be left on dedicated supply cars or trailers off the haulageway. These items are then off-loaded as needed. Empty pallets. railcars, and trailers are returned to the surface on the return supply trip. PERMISSIBLE FORKLIFT Once the supply trip brings the pallets to the section, a method is required for off-loading and delivering them to the face as they are needed. After consider- ing many alternatives, the Bureau chose the idea of a permissible, battery- powered forklift, with a winch and forks, for handling pallets and long narrow items such as timbers. An additional benefit would be using the forklift as a hoist to assist in equipment maintenance by reversing the forks. Figure 2 gives the forklift's specifications while fig- ures 3 through 7 present its layout. 2 The forklift offers compactness, maneuv- erability and ease of materials handling underground. Forklifts are commonly used to handle supplies in the surface yard, however, the underground applications have usually been limited to high-seam mines that allow permissible diesel ve- hicles. This appears to be due to the unavailability of suitable forklift ve- hicles for use in the lower seams. Elec- tric cable forklifts are available for underground use; but the cable restricts reach and maneuverability, thereby limit- ing its suitability for the section han- dling operations needed for this system^ (fig. 8). 103 The forklift's task would be to unload the supply trip and move the pallets to the section storage area. As supplies are needed at the face, the forklift would deliver them pallet by pallet up to their point of use. The forklift's small size would enable it to manuever around most equipment in the entry, such as a roof bolter. Rails, timber, and pipe are carried by a special sling attachment on the side of the forklift directly to the usage point (fig. 7). The forklift's operation gen- erally requires two people: the operator and a helper who spots loads and directs pallet movement. When not being used to handle supplies , the forklift has uses in equipment and mine maintenance activities. By revers- ing the forks, a hydraulically powered hoist is created that can remove or posi- tion heavy motors or lift timber to sup- port the roof. It should be pointed out, however, that the main function of the forklift is supply handling. This dif- fers from other vehicles sometimes used to handle supplies, such as a scoop. Often, when a scoop is needed to handle supplies, it is being used for its pri- mary task of coal cleanup. The supplies must then be moved by other means, usual- ly by hand. TEST RESULTS The daily supply handling system was tested at the Safety Research Coal Mine located at the Pittsburgh (PA) Research Center. Overall, the system worked well, with the need for manual handling of items reduced to the initial loading of the pallets and final use. However, there were problems , such as Pallet design. Some wooden pallets could not withstand the rugged under- ground conditions, and broke apart after a short time in use. ^Diaz, R. A., and A. D. Chitaley. Sys- tem for Handling Supplies in Underground Coal Mines. BuMines contract H0188049; for inf., contact G. R. Bockosh, Pitts- burgh Res. Center, Pittsburgh, PA. A few lightweight-design steel pallets were tested and proved to be much stur- dier. More testing is needed in this area. The permissible forklift, though work- ing well for a prototype, has a few defi- ciencies that need to be corrected. These include the need for increased traction in soft ground, greater overall battery life and speed, and more precise handling. The Bureau is considering a second prototype to correct these prob- lems. An alternative solution would be for the mining industry or equipment man- ufacturer to apply their expertise in this area. -^Work cited in footnote 2. 104 The palletization-f orklif t method of handling daily supplies in underground coal mines shows great promise for re- ducing manual materials handling. The results should be a reduction in materi- als handling injuries, more efficient distribution of supplies, as well as sav- ings in daily supply handling labor. MECHANICAL DEVICES FOR MINE MAINTENANCE AND EQUIPMENT MAINTNENACE As stated earlier, production sup- ply, mine maintenance, and equipment maintenance accounted for approximately 75 pet of materials handling accidents reported in Bureau's studies. The Bu- reau's work into a system for handling daily production supplies resulted in a palletization-f orklif t scheme. This section discusses the Bureau's project to reduce mine maintenance and equipment maintenance accidents. The initial intent of this project was to design and develop a universal mainte- nance and materials handling vehicle. This approach has been tried before by the Bureau with poor results. 4 In a sense, the permissible forklift for the daily supply handling system is another attempt at an underground materials han- dling vehicle. However, there are two main differences between the forklift and the vehicle proposed for this project. 1. The forklift has one major task; transporting pallets. A maintenance ma- terials handling vehicle, on the other hand, should be adaptable to individual tasks and be able to transport and posi- tion a variety of single items into all areas of the mine. This requires a ver- satile vehicle with several lifting and carrying attachments. 2. The forklift is intended to carry large volumes of items on a daily basis. A maintenance materials handling vehicle would be used only in specific situa- tions, and therefore with less frequency. This would make the vehicle harder to justify in terms of cost. ^Foote, A^ L. , and j! si Schaefer. Mine Minerals Handling Vehicle (MMHV) (contract H0242015, MB Associates). Bu- Mines OFR 59-80, 1978, 308 pp.; NTIS PB 80-178890. Based on the above reasons, it was de- cided that a series of simple, relatively inexpensive materials handling devices would be more readily accepted by mining industry. Each device would be tested in work situations at cooperating mines. The results of the tests, as well as plans and guidelines on fabrication, would be made available to the industry. The hope is that individual mining com- panies can be made aware of how mechani- zation of mine and equipment maintenance tasks can be both inexpensive and helpful in reducing their materials handling problems. Eight materials handling device-tool concepts were generated, based on acci- dent statistics, interviews with mine op- erators and underground mine visits. This lift was then reduced, due to budget constraints, to what was felt to be the five most useful devices. These devices are briefly described below. 5 Lifting Boom (fig. 9) . One of the ma- jor needs identified was for a simple boom device that could be used to lift and transport components weighing up to 1 ton and to lower them safely to the ground. The boom would mount on the front of a small scoop when the bucket was removed, and would have a hydraulic winch with 100 ft of cable. A device was built on this concept and is now in one of the demonstration mines for testing. All comments from the mine thus far have been favorable. ^Conway, E. J., and W. W. Elliot. Mine Maintenance Material Handling Vehicle: Investigative Study and Concept Develop- ment, BuMines contract H0 113018; for inf., contact E. A. Ayres, Pittsburgh Res. Center, Pittsburgh, PA. 105 Mine Jack-Wheel Changer (fig. 10) . Another concept is for a floor type jack that could be used to lift a component, transport it over short distances, and maneuver it into position for installa- tion. Typical tasks would be aligning and lifting a drive motor under the fen- der of a shuttle car, or changing wheels weighing up to 1,000 lb on shuttle cars, cutters, etc. Mud Truck (fig. 12) . This device is designed for use in low-seam mines. It is equipped with high flotation tires to permit one person to pull it through soft bottoms. The steerable front tires and articulation joint provide even load dis- tribution with maximum maneuverability. It can be used for transporting toolbox- es, parts, and supplies to wherever they are needed. The lift capability is derived from a hydraulic jack mechanism. The jack head tilts and rotates to allow more flexibil- ity in placing the load. The ballon tires make movement easier over the mine floor, and the long handle provides lev- erage by which to maneuver the load up, down, or sideways as required. Cable Puller (fig. 11) . This device is a capstan powered by either a hydraulic or electrical source, and pulls a rope attached to a mining vehicle trailing ca- ble. The pull rate can be controlled by the tension held by the laborer. The capstan can pull trailing cable and water hose out of an entry when preparing to move across the section or pull any cable on a conventional mining section. Pivot Crane (fig. 13) . This portable winch crane is an adaptation of devices commonly used on vehicles above ground. The crane mounts in a socket strategical- ly located on any machine and can be stored at the section shop when not in use. Its uses include major component replacement in the 100- to 2,000-lb cate- gory or any lifting task adjacent to a machine. All of these devices can be fabricated at the mine or in a small shop. Most can be modified to fit the needs of a partic- ular mine. For instance, a chain winch can be substituted for the hydraulic winch in the lifting boom, at a substan- tial cost saving. DISCUSSION It is hoped that the mining industry will incorporate the ideas the Bureau is presently pursuing in relation to reduc- ing materials handling accidents. Though every mine is unique, with its own par- ticular materials handling problems, the ideas presented in this paper are adapta- ble to any mine in one form or another. It is up to the mine operator to make sure that avoidable materials handling accidents are eliminated by providing the most efficient methods of supply distri- bution as well as reasonable amounts of mechanization of materials handling tasks. 106 140 130 120 110 100 (O z 90 UJ o o 80 o < li. 70 133 (50%) 'a 'a 44 ( 16%) 27(10%) 171 30(11%) ^ 35(13%)- i r ^^v FIGURE 1. - AccicJent frequenciesfordifferent handling functions. Permissibility MSHA and Pennsylvania approved for work-face Type Battery powered skid steer Drive 4 wheels driven by two hydraulic motors Payload 3- by 3-ft pallets typical at maximum 1,500 lb Timber 16 ft by 7 by Sin, quantity 3 to 5 Speed 1.3 mph moximum Ronge 2 h continuous duty Dimensions Height 56- in over canopy Width 61 in Length 12 ft, 4 in Ground clearance 7, 9, or II in Forks 31 -in long by 38 travel Empty weight 7,470 lb Auxiliary Power winch 3,000-lb copacify equipment l/4-in-diam wire rope, 120ft Timber carrying hooks Reversible forks Sheove and hook attachment for crane use of forks FIGURE 2. - The underground supply handling forklift specifications. 56-in, 3- post canopy Hydraulic pump l5-hp,dc motor Starter Hydraulic tank Telescopic mast 126-v, 200- Ah battery 31-in forks by 38-in travel, lO-in lift without raising mast am control joystick Forklift controls Light switch box -Power winch, dog clutch, and control lever 7-in or 9-in ground clearance -6:50 by 10 pneumatic tires FIGURE 3. - Perspective schematic-underground supply handling forklift. 107 Joystick tram control-) p Panic stop bar e extinguisher l5-hp,dc motor Battery 3l-in by 38-in travel, side shift carriage forklift Hydraulic tank 6:50 by 10 tires- FIGURE 4. - Top view schematic — underground supply handling forl0^ > . » • • > *>> C\~ .1' q*. * . ^°%. c^~ . » • ' *k ** ;♦ «.^ ^^°v^ ■^ *"^* <* y ..••,. 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