1. David D Wood, MSIE, CPE www.ErgoDave.com CPE LLC

2.  Definitions  Symptoms  Observations  Improvements (Get NEUTRAL; Take BREAKS)  General  Eyes, Neck, Shoulders, Wrists, Back, Legs/feet

3.  Fitting the task to the person  “An applied science concerned with designing and arranging things people use so that the people and things interact most efficiently and safely —called also biotechnology, human engineering, human factors” (Merriam- Webster’s)  Controlling fatigue

4.  Force  Posture  Repetition  Secondary  Cold  Vibration  Static positions  Impact/contact stress F R P Overall Ergo Risk R P

5.  Neck:  Back:  Shoulder:  Hand/forearm:  Legs: http://www.osha.gov/SLTC/etools/computerworkstations/

6. Wind screen Throttle Rocker Low seat pan Floor boards Highway bars Heel and toe shifters Back rest

7.  Increasing age  Previous injury  Tobacco use  Arthritis  Diabetes http://www.npr.org/2011/10/27/1417605 91/workplaces-feel-the-impact-of-obesity M. Hagberg, B.A. Silverstein, R.P. Wells, R. Smith, P. Carayon, H. Hendrick, M. Pe´russe, I. Kuorinka, L. Forcier (Eds.), Workrelated musculoskeletal disorders (WMSD): A handbook for prevention, Taylor and Francis, London, UK, 1995.

8. 1) Find discomfort area(s) 2) Observe (check for symptom/posture match) 3) Discuss improvement ideas

9.  “What’s bothering you?”  Symptom Survey  Self Assessment

10. DHHS (NIOSH) Publication Number 97-117 http://www.cdc.gov/niosh/docs /97-117/pdfs/97-117.pdf

11. http://www.orosha.org/ pdf/pubs/1863.pdf Select 10 to 20 questions From pages 38 to 43

12.  Observe the person working for 5 minutes  Write observations  Do any postures or actions match the symptoms?  List improvement ideas  Note current good things http://www.orosha.org/pdf/pubs/1863.pdf

13. Back supported Feet supported Hands on task Neck/shoulders neutral http://www.orosha.org /pdf/pubs/1863.pdf

14.  Get NEUTRAL  Neck/shoulders  Back  Wrists/forearms  Feet/legs  Take BREAKS  Frequency  Duration  Apps  Working  Stretch

15.  Eyes  20/20/20 rule  Cupping  Working  Standing/walking meetings  Visit someone instead IM/email  Stand during phone calls  Reminders  Smart phone apps  Lotus notes - Outlook  Kitchen timer  Buddy system http://www.nytimes.com/2001/03/08/technology/basics-ergonomic-programs-that-pester- users-to-take-those-breaks.html?pagewanted=all&src=pm http://www.theatlantic.com/business/archive/2012/08/the-case-for-vacation-why-science- says-breaks-are-good-for-productivity/260747/

16. http://en.wikipedia.org/wiki/List_of_repetitive_strain_injury_software

17. 1) Do the opposite 2) Slow and gentle 3) Stop and hold (15 to 30 seconds) 4) No pain http://www.mayoclinic.com/health/stretching/HQ01447 http://www.mayoclinic.com/health/stretching/SM00043

19.  Free (work methods)  Use larger font  Breaks  20/20/20 rule  Adjust distance to screen  Adjust back support  Wear a baseball cap  Adjust fan away from eyes  $ (equipment)  Anti-glare filters  Improve glasses  More screen space  Increase lighting  Decrease lighting  Read/dictation software

20.  Free (work methods)  Breaks  Adjust distance to screen  Center, adjust LCD height  Adjust back support  Bring elbows in  Use speaker phone  Use larger font  $ (equipment)  Head set  Monitor arm  Improve glasses  Read/dictation software

21.  Free (work methods)  Breaks  Adjust desk height  Adjust keyboard tray height  Adjust back support  Move mouse and keyboard in  Keep elbows in  $ (equipment)  Install keyboard tray  Headset  Read/dictation software

22.  Free (work methods)  Adjust back support  Breaks  Go for walks  Stand occasionally  Adjust distance to screen  $ (equipment)  Foot rest  Repair chair  Buy lumbar cushion  Buy better chair  Buy seat pan cushion http://www.hermanmiller.com/content/dam/hermanmiller/do cuments/user_information/Aeron_Chairs_adjustment_guide.pdf

23.  Free (work methods)  Breaks  Opposite hand mousing  Use quick keys  Ctrl-Z undo  Ctrl-X cut  Ctrl-Ccopy  Ctrl-Vpaste  $ (equipment)  Keyboard rest  Mouse rest  Ergo Keyboard  Ergo Mouse  Read/dictation software

24.  Free (work methods)  Breaks, go for walks  Adjust seat pan length  Adjust desk, tray height  Work standing occasionally  Don’t sit on feet  Clear out space under desk  $ (equipment)  Foot rest  Sit/stand work station  Keyboard ht adjusts 16+ inches  Monitor arm http://www.ergoweb.com/news/detail.cfm?id=2662 http://www.amazon.com/s/?ie=UTF8&keywords=sit+stand+keyb oard+tray&tag=googhydr-20&index=office- products&hvadid=29601228475&hvpos=1t2&hvexid=&hvnetw=s& hvrand=1378196400462493099&hvpone=&hvptwo=&hvqmt=b&ref =pd_sl_2lspjk1092_b

25. http://www.google.com/search?hl=en&site=imghp&tbm=isch&source=hp&biw=1600&bih=787& q=sit+stand+workstation&oq=sit+stand+&gs_l=img.3.0.0l7j0i24l3.2401.9100.0.11034.10.9.0.1.1.0.90.729.9.9.0...0.0...1ac.1.7.img.gfI2RvOGcQs

26.  Lower cost  2 boxes (emergency/temp)  LCD  Keyboard mouse  If adjustable tray already there  Raise desk 3 to 6 inches  Raise tray to stand  Lower to sit  If chair can have tall cylinder  Raise desk to elbow height  Get factory foot rest  Higher Cost  Extended range adjustable keyboard tray (and monitor arm)  Height adjustable desk

27.  Listen to understand WHAT symptoms/concerns exist  Look for postures to explain WHY symptoms might be occurring  Discuss HOW the person can change  Get NEUTRAL  Adjust current set-up, consider prudent equipment upgrades  Take BREAKS

28. David D Wood, MSIE, CPE www.ErgoDave.com CPE LLC

29. NIOSHhttp://www.cdc.gov/niosh/topics/ergonomics Cornellhttp://ergo.human.cornell.edu/cutools.html National OSHA Office Ergo guidehttp://www.osha.gov/SLTC/etools/computerworkstations/ Oregon OSHA Office ergo guidehttp://www.orosha.org/pdf/pubs/1863.pdf