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Z365 Checklist

The document is an ANSI checklist for evaluating ergonomic issues that may contribute to upper extremity cumulative trauma disorders (CTDs). The checklist contains criteria for analyzing various body parts and motions to identify potential ergonomic issues. It provides trigger scores to indicate when further control strategies may be needed based on the sum of identified issues for each body part or motion. The user is instructed to score tasks across rows based on criteria like extreme postures, repetition rates, forces, and total duration, and compare the totals to the trigger scores.

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Omar Roa
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644 views

Z365 Checklist

The document is an ANSI checklist for evaluating ergonomic issues that may contribute to upper extremity cumulative trauma disorders (CTDs). The checklist contains criteria for analyzing various body parts and motions to identify potential ergonomic issues. It provides trigger scores to indicate when further control strategies may be needed based on the sum of identified issues for each body part or motion. The user is instructed to score tasks across rows based on criteria like extreme postures, repetition rates, forces, and total duration, and compare the totals to the trigger scores.

Uploaded by

Omar Roa
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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ANSI Z-365 CHECKLIST Introduction The American National Standards Institute (ANSI) has published a draft document establishing

ergonomic guidelines for the control of upper extremity CTDs (ANSI Z-365 draft, 1993). Included in the guidelines is the checklist that appears in the following pages. Relevant features of the checklist are given below: The checklist is limited to analysis of ergonomic issues impacting the upper extremities. The checklist would be appropriate for the evaluation of office work environments, and many "assembly" or "processing" line work environments. The checklist requires fairly intensive analysis on the part of the user. To determine many of the criteria set forth in the checklist, it is anticipated that videotape analysis of jobs will be required. The checklist establishes "trigger scores" based on the body part and motion. For example, if the sum of ergonomic issues identified for shoulder flexion is equal to or greater than 6, it indicates the presence of an ergonomic situation warranting implementation of some control strategy, independent of injuries/illness in the job being analyzed. Instructions: Across each row, score the task you are evaluating for each of the relevant items. Add the scores across the row and compare them to the trigger score in the right-hand column. If the total is equal to or greater than the trigger score, there is a potential ergonomic issues related to that part of the body.

ANSI CHECKLIST

PART OF BODY

MOTION

EXTREME POSTURE (DEG.)

VELOCITY

REPETITION RATE (#/HR) MOTIONS OR EXERTIONS

TOTAL TASK DURATION

FORCE

SCORE (trigger score shown in parens) (>= 6)

Shoulder

Flexion

0 - 45 45 - 90 > 90 Extension 0 - 45 45 - 90 > 90

(0) (1) (2) (1) (0) (1) (2)

Static (1) Slow (0) Moderate (1) Rapid (2) Static (1) Slow (0) Moderate (1) Rapid (2) Static (1) Slow (0) Moderate (1) Rapid (2) Static (1) Slow (0) Moderate (1) Rapid (2)

< 90 (0) 90 - 150 (1) > 150 (2) < 90 (0) 90 - 150 (1) > 150 (2)

< 1 Hr (0) 1 - 4 Hr (1) (1) > 4 H (2) < 1 Hr (0) 1 - 4 Hr (1) (1) > 4 H (2) < 1 Hr (0) 1 - 4 Hr (1) (1) > 4 H (2)

None (0) Support Body Part (1) Apply Force (2) None (0) Support Body Part (1) Apply Force (2) Forceful Exertion? No(0) Yes(1)

Abduction

(>= 6)

Forearm

Rotation Pronation Supination

Neutral (0) Partial (1) Fully or Almost Fully (2)

(>= 5)

Wrist

FlexionExtension and/or UlnaRadial Deviation

Neutral (0) Partial (1) Partial w/straight fingers (2) Partial-Biplaner (2) Beyond half the range (2) of motion Tool Grip or Contact Stress in Palm or Wrist? No (0) Yes (1) None Power Pinch (0) (1) (2)

< 900 (0) 900 - 1800 (1) > 1800 (2)

< 1 Hr (0) 1 - 4 Hr (1) (1) > 4 H (2)

Forceful Exertion? No(0) Yes(1)

(>= 6)

Hand Interface

Direct Pressure on Median Nerve Grasp

Infrequent (1) Frequent (2) Static (1) Dynamic (0) < 900 (0) 900 - 1800 (1) > 1800 (2) < 15,000 (0) 15,000 - 18,000 (1) > 18,000 (2) < 1,000 (0) 1,000 - 2,000 (1) > 2,000 (2)

< 1 Hr (0) 1 - 4 Hr (1) (1) > 4 H (2) < 1 Hr (0) 1 - 4 Hr (1) (1) > 4 H (2) < 1 Hr (0) 1 - 4 Hr (1) (1) > 4 H (2) < 1 Hr (0) 1 - 4 Hr (1) (1) > 4 H (2)

Forceful Exertion? No(0) Yes(1)

(>= 4)

Forceful Exertion? No(0) Yes(1)

(>= 4)

Fingers

Key Strokes

Two Hands(0) One Hand (1)

Forceful Exertion? No(0) Yes(1)

(>= 4)

Single Finger Trigger Action? No (0) Yes (1) Neck Flexion/ Extension/ Rotation Flexion < 20(0) Flexion >= 20(1) Extension (2) Rotation >= 45 (1) Flex > 20 & Rot > 45 (2) Static (1) Slow (0) Moderate (1) Rapid (2)

Forceful Exertion? No(0) Yes(1)

(>= 3)

< 120 (0) 120 - 180 (1) > 180 (2)

< 1 Hr (0) 1 - 4 Hr (1) (1) > 4 H (2)

(>= 4)

ANSI CHECKLIST, cont.

HAZARD CONDITIO N Segmental Vibration

CONDITION

POWER SOURCE

TOTAL DAILY EXPOSURE >= 1 HR? No (0) Yes (1) >= 2 HR? No (0) Yes (1)

EXHAUST

AMBIENT TEMPERATURE (T)

SCORE

Are Vibrating Power Tools Used? No (0) Yes (1)

If Tool Is Pneumatic:

Directed at the Hand? No (0) Yes (1)

T >= 45 DEG 32 DEG < T < 45 DEG T <= 32 DEG T >= 45 DEG 32 DEG < T < 45 DEG T <= 32 DEG

(0) (1) (2) (0) (1) (2)

(>= 3)

If Tool is Electric or Gasoline Powered:

(>= 3)

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