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cautionzone

cautionzone

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Published by: fairus on Apr 23, 2009
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02/01/2013

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Appendix (A)
Ergonomic Survey Tools

The caution zone checklist can be used as a screening tool for typical work activities. Typical work
activities are those that are a regular and foreseeable part of the job and occur on more than one day per
week, and more frequently than one week per year. The checklist determines if a typical work activity has
ergonomic stressors present for sufficient duration. A work activity is considered a \u2018caution zone\u2019 if one or
more boxes are checked in the checklist below.

A work activity that is found to be a \u201ccaution zone job\u201d should be evaluated further using the Follow -up
check list (of this appendix) or the JR/PD found in appendix B of OPNAVINST 5100.23F, Chapter 23.
Jobs not found to be \u2018caution zone jobs\u2019 should be periodically reevaluated to determine if changes in the
work environment have created new ergonomic stressors.
Job Position Evaluated:
Date:
No. of employees
in these jobs?
Employee Name
Reviewer Name
Caution Zone Checklist
Source: Washington State Department of Labor and Industries (WISHA)

Use one sheet for each position evaluated.
Movements or postures that are a regular and foreseeable
part of the job, occurring more than one day per week, and
more frequently than one week per year.

If done in this job
position the box
Awkward Posture
Comments/Observations
1.Working with the hand(s)

above the head, or the elbow(s) above the shoulders more than 2 hours total per day.

!
2.Working with the neck or

back bent more than 30
degrees (without support and
without the ability to vary
posture) more than 2 hours
total per day.

!
3.Squatting more than 2
hours total per day.
!
4.Kneeling more than 2 hours
total per day.
!
High Hand Force
Comments/Observations
5.Pinching an unsupported

object(s) weighing 2 or more
pounds per hand, or pinching
with a force of 4 or more
pounds per hand, more than 2
hours per day (comparable to
pinching half a ream of paper).

!
6.Gripping an unsupported

objects(s) weighing 10 or more
pounds per hand, or gripping
with a force of 10 or more
pounds per hand, more than 2
hours total per day (comparable
to clamping light duty
automotive jumper cables onto
a battery).

!
Highly Repetitive Motion
Comments/Observations
7.Repeating the same motion

with the neck, shoulders,
elbows, wrists, or hands
(excluding keying activities)
with little or no variation every
few seconds, more than 2
hours total per day.

!
8. Performing intensive keying
more than 4 hours total per
day.
!
Repeated Impact
Comments/Observations
9.Using the hand (heel/base

of palm) or knee as a hammer
more than 10 times per hour,
more than 2 hours total per
day.

!
Heavy, Frequent or Awkward Lifting(A simple scale can be
used to determine the weight of materials)
Comments/Observations
10. Lifting object weighing

more than 75 pounds once per
day or more than 55 pounds
more than 10 times per day.

!
11. Lifting objects weighing

more than 10 pounds if done
more than twice per minute,
more than 2 hours total per
day.

!
12. Lifting objects weighing

more than 25 pounds above the
shoulders, below the knees or
at arms length more than 25
times per day.

!

Moderate to High
Hand- Arm
Vibration

(Closely estimate or
obtain the vibration
value of the tool in use)

Comments/Observations
13. Using impact wrenches,

carpet strippers, chain saws,
percussive tools (jack
hammers, scalers, riveting or
chipping hammers) or other
tools that typically have high
vibration levels, more than 30
minutes total per day.

!
14.Using grinders, sanders,

jigsaws or other hand tools that
typically have moderate
vibration levels more than 2
hours total per day.

!

For each \u201ccaution zone job" identified, find any physical risk factors that apply using the Follow- up checklist. Reading across the page, determine if all of the conditions are present in the work activities. If they are, a WMSD hazard exists and must be reduced below the hazard level or to the degree technologically and economically feasible

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