THE IMPACT OF UNREPORTED OFFICE ERGONOMICS CLAIMS

Transcription

1 THE IMPACT OF UNREPORTED OFFICE ERGONOMICS CLAIMS W W W. C H I C A G O L A N D R I S K F O R U M. O R G GREATER RISK? 2 1

2 Office Ergo Refresher: Cubital Tunnel Syndrome 3 GREATER RISK? 4 2

3 TOPICS Why is office ergonomics discomfort often under-reported? Can workstation design eliminate office ergonomic risks? Why Low Risk In Office Ergonomics Is Misleading Getting ahead of the game: Capturing The Missing Link 5 Recommendations Work Sit to Stand Work Restrictions 6 3

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5 11/21/2018 THE IMPACT OF UNREPORTED OFFICE ERGONOMICS CLAIMS Why is office ergonomics discomfort often under-reported? LIKELIHOOD? SEVERITY? 10 5

6 ACCURACY? CONSISTENCY? 11 WHY DO WORKERS NOT REPORT DISCOMFORT? 12 6

7 In the past year, have you had discomfort caused by activities at work that lasted more than a week? YES NO 13 Please rate your discomfort level

8 DISCOMFORT TIMELINE Discomfort Chronic Pain 4 6 Legend Stress to body Recovery for body Intermittent Pain Soreness 1 Baseline 2 3 Time 5 New Baseline New Baseline 15 Risk / WC Claims / Loss Data Report WC Cases Lower Awareness Facilities Asset Standardization Report Furniture Needs Lower Awareness HR Medical Accommodation Report Serious Medical Lower Awareness Medical Doctors Notes Clinic Visits/Reports Medium Awareness IT/Software Risk/Algorithms Depends on User Input Medium Awareness Safety Early Reporting User Determination Higher Awareness 16 8

9 THE IMPACT OF UNREPORTED OFFICE ERGONOMICS CLAIMS Can workstation design eliminate office ergonomic risks? SIT-STAND WORKSTATIONS. Are they a solution to musculoskeletal stress? ASSP Professional Safety Journal Oct 2018 Page 75 Lin & Bao 2016 Background Electric sit stand height adjustable workstations provided to all 13 participants selected / only 4 selected from actual sit stand use EMG testing focused on shoulder & back muscles Maximal voluntary contraction (MVC) Purpose Quantify/validate sit stand benefits 18 9

10 SIT-STAND WORKSTATIONS. Are they a solution to musculoskeletal stress? ASSP Professional Safety Journal Oct 2018 Page 75 Lin & Bao SIT-STAND WORKSTATIONS. Are they a solution to musculoskeletal stress? ASSP Professional Safety Journal Oct 2018 Page 75 Lin & Bao 2016 Participant A Participant B 8X 1X 1X 2X 1X 1.24X 2X 1X Maximal voluntary contraction (MVC) Left Trapezius & Right Forearm Extensor Muscles 20 10

11 SIT-STAND WORKSTATIONS. Are they a solution to musculoskeletal stress? ASSP Professional Safety Journal Oct 2018 Page 75 Lin & Bao 2016 Participant C Participant D 1X 1X 2X 1X 3X 1X 2X 1X 21 SIT-STAND WORKSTATIONS. Are they a solution to musculoskeletal stress? ASSP Professional Safety Journal Oct 2018 Page 75 Lin & Bao 2016 CONCLUSION No consistent trend in the effect of posture on muscle static loading on the shoulder and upper body muscles 22 11

12 ANALYSIS OF SIT STAND REQUESTS CASES

13 SIT-STAND WORKSTATIONS. Are they a solution to musculoskeletal stress? ASSP Professional Safety Journal Oct 2018 Page 75 Lin & Bao 2016 CONSIDERATIONS 4 out of 13 utilization of sit stand desk (31%) Without training/instructions, sit stands can result in greater risk and discomfort due to improper desk height adjustments & postures Environmental, organizational, psychological issues involved (ex: open) Furniture adoption should be individualized, similar to medical treatments 25 THE IMPACT OF UNREPORTED OFFICE ERGONOMICS CLAIMS Why Low Risk In Office Ergonomics Is Misleading 13

14 27 ( Frequency x Duration ) Risk 28 14

15 ( Frequency x Duration ) Risk 29 Industrial Ergonomics Fatalities / Serious Injuries Office Ergonomics Sprains / Strains / Carpal Tunnel 30 15

16 31 Typically Documented Typically Undocumented Claims Fatality Lost Time Medical Treatment Near Miss Unsafe Behaviors / Hazards 32 16

17 THE IMPACT OF UNREPORTED OFFICE ERGONOMICS CLAIMS Getting ahead of the game: Capturing The Missing Link RISK CLAIM 34 17

18 RISK REPORT CLAIM 35 Please rate your discomfort level

19 Please rate your discomfort level 37 Please rate your discomfort level 38 19

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23 Establish a baseline 45 DISCOMFORT BASELINE New Hire / New Office Annual Refresher Via Ergo Requests Reports of Discomfort 46 23

24 DISCOMFORT BASELINE Self Reported Discomfort Levels Date Name Activity Min Max Comments 1/2/2018 Jane Doe Ergo Evaluation Assessment 6 8 Identification of Risk 2/4/2018 Jane Doe Follow Up Assessment 2 4 Reduction of Risk 3/6/2018 Mary Jane New Hire Self Assessment 2 4 Report of Pre-existing Risk 6/1/2018 Mary Jane Discomfort Self Assessment 4 6 Report of Increased Risk 6/4/2018 Mary Jane Ergo Evaluation Assessment 4 6 Confirmation of Risk 7/2/2018 John Smith Ergo Request Self Assessment 0 0 Report of No Risk 7/6/2018 John Smith Ergo Evaluation Assessment 2 6 Identification of Hidden Risk 47 Identify Trends 48 24

25 Example 1: 64 Evaluations 49 Example 2: 268 Evaluations 50 25

26 Example 2: 268 Evaluations 51 The Potential Impact Of Unreported Discomfort Request Reason By Eval Discomfort Status Yes No 50 0 via Discomfort via Doctor via Screening via Colleague via Curiosity 52 26

27 The Potential Impact Of Unreported Discomfort Did not report discomfort initially (118) Discomfort Evaluations (506) 23% 77% Reported discomfort initially (388) 53 Impact of Comprehensive Office Ergo Fewer Workers Compensation Claims Increased Employee Morale Reduction in Employee Gamification Reinforce Culture of Safety & Health 54 27

28 Director of Office Ergonomics, Chubb Global Risk Advisors 28