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😷Environmental and Occupational Health

Ergonomic Risk Factors

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Why This Matters

Ergonomic risk factors are the physical stressors in work environments that lead to musculoskeletal disorders (MSDs)—the most common type of workplace injury and a major focus of occupational health regulation. You're being tested on your ability to identify these risk factors, explain how they cause tissue damage, and recommend evidence-based interventions. This connects directly to broader course concepts like the hierarchy of controls, dose-response relationships, and the interplay between work design and human physiology.

Don't just memorize a list of risk factors—understand the biomechanical mechanisms behind each one. Exams often ask you to analyze a workplace scenario and identify multiple risk factors operating together, or to compare why two different jobs produce similar injuries through different pathways. Know what cumulative trauma means, how tissue tolerance works, and why some interventions target the source while others target the worker.


Mechanical Loading Factors

These risk factors involve physical forces acting on body tissues. When mechanical stress exceeds tissue tolerance—or when moderate stress is applied repeatedly without adequate recovery—injury occurs.

Repetitive Motions

  • Cumulative microtrauma—repeated movements cause small amounts of tissue damage that accumulate faster than the body can repair
  • High-risk conditions include cycle times under 30 seconds, performing the same motion thousands of times per shift, and insufficient recovery periods
  • Associated MSDs include tendinitis, tenosynovitis, and carpal tunnel syndrome—frequently tested examples of cumulative trauma disorders

Forceful Exertions

  • Peak force demands—lifting, pushing, pulling, or gripping tasks that approach or exceed muscle capacity increase acute injury risk
  • NIOSH Lifting Equation provides a framework for calculating recommended weight limits based on task variables like horizontal distance and lifting frequency
  • Intervention hierarchy prioritizes mechanical assists and job redesign over worker training, though proper lifting technique remains a secondary control

Contact Stress

  • Localized pressure on soft tissues compresses nerves and blood vessels, disrupting circulation and nerve conduction
  • Common sources include tool handles pressing into the palm, desk edges compressing the forearm, and kneeling on hard surfaces
  • Nerve entrapment syndromes like carpal tunnel can result from sustained contact stress combined with other risk factors

Compare: Repetitive motions vs. forceful exertions—both cause MSDs through mechanical loading, but repetition damages tissue through cumulative microtrauma while force causes damage through acute overload. FRQs often present jobs with both factors and ask you to prioritize interventions.


Postural Strain Factors

These factors involve body positions that place tissues at mechanical disadvantage. Joints have optimal operating ranges; working outside these ranges increases internal forces and accelerates fatigue.

Awkward Postures

  • Deviation from neutral—positions involving significant bending, twisting, reaching overhead, or wrist deviation increase stress on muscles, tendons, and joints
  • Shoulder abduction above 60 degrees and trunk flexion beyond 20 degrees are commonly cited thresholds for elevated risk
  • Job redesign to bring work into the "strike zone" (between shoulder and knee height, within arm's reach) is the preferred engineering control

Static Postures

  • Sustained muscle contraction—holding any position requires continuous muscle activation, which restricts blood flow and causes metabolic waste accumulation
  • Postural fixity in the neck and shoulders is especially problematic for computer workers, leading to tension neck syndrome and upper back pain
  • Microbreaks and postural variation are key interventions—even small movements restore circulation and allow tissue recovery

Prolonged Sitting or Standing

  • Circulatory compromise—extended sitting reduces venous return and is associated with cardiovascular disease risk; prolonged standing causes blood pooling and increases varicose vein risk
  • Spinal loading patterns differ between positions—sitting increases disc pressure while standing increases facet joint loading
  • Sit-stand workstations allow postural alternation, distributing mechanical stress across different tissue structures

Compare: Awkward postures vs. static postures—awkward postures stress tissues through mechanical disadvantage, while static postures cause damage through sustained loading without recovery. A worker frozen in a bent position experiences both simultaneously.


Environmental Exposure Factors

These risk factors involve physical agents in the work environment that affect tissue function or worker capacity. They often interact with mechanical factors to amplify injury risk.

Vibration Exposure

  • Segmental vibration from power tools damages blood vessels and nerves in the hands, causing Hand-Arm Vibration Syndrome (HAVS)—characterized by white finger, numbness, and reduced grip strength
  • Whole-body vibration from vehicles or platforms affects the spine and is associated with accelerated disc degeneration
  • Exposure limits are based on vibration magnitude and duration; anti-vibration gloves and tool selection are common controls

Extreme Temperatures

  • Cold exposure reduces tissue flexibility and blood flow, increasing vulnerability to mechanical injury and slowing healing
  • Heat stress causes fatigue, reduced concentration, and physiological strain that can compound physical demands
  • Thermal comfort affects muscle function—cold muscles are stiffer and more injury-prone during forceful or repetitive tasks

Compare: Vibration exposure vs. contact stress—both can cause nerve and vascular damage to the hands, but vibration acts through mechanical oscillation of tissues while contact stress works through sustained compression. HAVS is specifically a vibration-induced condition.


Workstation Design Factors

These factors represent the built environment's fit to the worker. Poor design creates or amplifies other risk factors; good design eliminates hazards at the source.

Poor Workstation Design

  • Anthropometric mismatch—when furniture, equipment, and work surfaces don't accommodate the user's body dimensions, workers adopt compensatory postures
  • Reach requirements beyond comfortable zones force awkward postures; work surfaces at wrong heights require sustained shoulder elevation or trunk flexion
  • Adjustability is the key design principle—workstations should accommodate the 5th to 95th percentile of the user population

Inadequate Lighting

  • Visual strain from insufficient, excessive, or poorly positioned lighting causes eye fatigue, headaches, and neck strain from postural compensation
  • Glare and shadows force workers into awkward positions to see their work, creating secondary ergonomic risks
  • Task lighting matched to visual demands reduces both direct visual strain and postural strain from leaning or squinting

Compare: Poor workstation design vs. inadequate lighting—both are environmental factors that create other risk factors rather than directly damaging tissue. Fixing these upstream issues often eliminates multiple downstream problems, making them high-value intervention targets.


Quick Reference Table

ConceptBest Examples
Cumulative trauma mechanismRepetitive motions, static postures
Acute overload mechanismForceful exertions
Postural strainAwkward postures, static postures, prolonged sitting/standing
Neurovascular compromiseContact stress, vibration exposure, cold exposure
Environmental amplifiersExtreme temperatures, inadequate lighting
Upstream design factorsPoor workstation design, inadequate lighting
Hand/wrist specific risksRepetitive motions, vibration, contact stress, forceful gripping
Back injury risksForceful exertions, awkward postures, prolonged sitting, whole-body vibration

Self-Check Questions

  1. Which two risk factors both cause tissue damage through sustained loading without adequate recovery, and how do their mechanisms differ?

  2. A warehouse worker develops low back pain after six months on the job. Identify three ergonomic risk factors that could contribute to this outcome and explain the mechanism for each.

  3. Compare and contrast contact stress and vibration exposure as causes of hand and wrist disorders. What intervention strategies would address each?

  4. Why are poor workstation design and inadequate lighting considered "upstream" risk factors? How does addressing them differ from addressing factors like repetitive motion?

  5. An FRQ describes an assembly line worker performing the same 20-second task cycle for 8 hours, using a vibrating tool while standing at a fixed workstation. Identify all applicable risk factors and prioritize interventions using the hierarchy of controls.