ergonomics 42 1999 1167-1178
TRANSCRIPT
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Job rotation as a factor in reducing physical workload at a
refuse collecting department
P. PAU L F . M . K UIJER*, BAR T VISSER and H AN C . G . K EMPER
ERGOcare, Faculty of Human Movement Sciences and Institute of Research
in Extramural Medicine (EMGO), Faculty of Medicine, Vrije Universiteit
Amsterdam, Van der Boechorststraat 9, 1081 BT Amsterdam, The Netherlands
Keywords: Job design; Job rotation; Physical workload; Refuse collecting;
Manual materials handling.
The eect of job rotation on the physical workload was investigated for male
employees working at a refuse collecting department. Before the introduction of
job rotation, an em plo yee worked as a stree t sw eeper, as a ref use colle ctor or as a
driver. After the introduction of job rotation, every employee was allowed to
alternate between two of the three possible jobs during the day, i.e. refuse
collecting /street sweeping, refuse collecting/driving or street sweeping/driving.Two non-rotation groups (i.e. refuse collectors and street sweepers) and two
rotation groups (i.e. refuse collectors/street sweepers and street sweepers/drivers)were mutually compared. The physical workload was determined by measuring
the perceived load, energetic load and postural load during a full working day.
Job rotation resulted in a signicant decrease of t he perceived load and energetic
load and a slight decrease of the postural load. The results indicate that the total
amount of work performed by means of job rotation resulted in an overall
reduced physical workload of the employees of the refuse collecting department.
1. Introduction
Manual materials handling is considered to be a major cause of musculoskeletal
disorders, sickness, disability and high costs (Badger 1981, Mital et al. 1993). A great
number of variables (and their interactions) inuences the risk of these health
hazards. Although there is a general agreement that variables such as the weight of
handled objects or the time during which the tasks are performed are of primary
importance, there is rarely an eort made to establish the relationship between
la bo rat ory a nd eld s tu di es c on ce rn in g p hys ic al w or klo ad a nd t he o ns et o f
musculoskeletal disorders. Therefore, in order to prevent the onset of musculoskeletal
disorders, it is probab ly most eective to try to aect several variables sim ultaneously.
Possible preventive measures can be divided into ve categories: (1) engineering
m o di cat io ns ( e.g. w or ks ta tio ns ), ( 2) o rg an iza tio n o f w o rk ( e. g. w o rk/restschedules), (3) personal protective equipment (e.g. clothing), (4) training (e.g. work
methods) and (5) adm inistrative con trol (e.g. em ployee selection). The starting point
of an ergonomics intervention, to reduce the risk of musculoskeletal disorders,
should always be to strive for a redesign of the workplace. There are, however, jobs
that do not have a specic workplace layout, e.g. refuse collecting. The redesign is
mainly limited by the w ay the refuse is collected. Recent studies show that the use of
mini-containers is less physically demand ing for the refuse collectors than the use of
*Author for correspondence.
ERGONOMICS, 1999, VOL . 42, N O. 9, 1167 1178
00140139/99 $12.00 1999 Taylor & Francis Ltd
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polythene bags (Frings-Dresen et al. 1995a, de Looze et al. 1995). U nfortunately, in
a historic city such as Amsterdam, the use of mini-containers is not possible for a
large part of the city due to architectural aesthetics and the number of inhabitants
per km2
. Therefore, to reduce the physical workload of collecting polythene bags, it
i s p ro ba bly m o st e e ct ive t o t ry t o c han ge t he o rg an iz at io n o f t he w or k b y
introducing job rotation. Job rotation can be dened as `regular, alternating betweendierent jobs within an organization on basis of a scheme or spontaneously on basis
of a personal appointment.
Although job rotation is often used to enhance the skills of employees and to
reduce monotony in daily work, it can also be used as a means to alternate between
dierent types of mechanical loads or to alternate between high and low energetic
loads of dierent jobs. Especially jobs with a dynamic type of work and great
dierences in muscular activities should be able to benet from this principle
(Jonsson 1998). Although job rotation is often advocated, only a few studies report
its possible eects. In a study on the physical workload of long-line bank shing,
Rodahl and Vokac (1977) found that the crew has resorted to their own job rotation
system. Although the study was not designed to evaluate the eect of job rotation, it
was concluded that contrary to general belief, bank shing need not be unsuitable
for older shermen, provided that an eective system for job rotation is provided.
Henderson (1992) developed a rotation scheme for poultry processing. Every job w as
rated on a scale ranging from low physical stress to unacceptably high physical
stress. These last jobs were not to be performed and were given a high priority for
ergonomic redesign. The guidelines for the job rotation scheme were that no back-to-back high stress positions were to be performed after each other and that each high-
stress job was preceded and followed by a low-stress job. Although no precise data
w ere a va il a ble, o bs er va tio ns i nd ic at ed t hat t he n um b er o f m u scu lo sk ele ta l
complaints had decreased. In a study on the design of check-out systems, Hinnen
et al. (1992) found that job rotation had a very benecial impact on the prevalence of
musculoskeletal disorders in cashier work with scanners.
The objective of this study is to investigate the eect of job rotation on the
physical workload of employees working at a refuse collecting department.
2. M ethod
2.1. Job rotation
Before the introduction of job rotation in a refuse collecting department, an employee
would start as a street sweeper, after a few years could become a refuse collector, and
could eventually become a driver of a dustcart or a sweeping machine. After the
introduction of job rotation, every employee was allowed to perform all three jobs.
Job rotation was introduced in the following manner. To reduce the physical
workload, rotation between jobs during the day was suggested. As most work was
performed in the m orning, employees rotated between jobs after the rst break in the
morning and after the lunch break. During the day, employees alternated between
two of the three possible rotation combinations, e.g. between refuse collecting and
street sweeping, between refuse collecting and driving a vehicle, or between street
sweeping and driving a vehicle.
2.2. Participants
T he s am p le in t his s tu dy c on sis ted o f m ale e mp lo ye es o f a r efu se c ollec ti ngdepartment. Sixteen employees voluntarily participated in this study. To increase
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the number of employees in each group, four of the six possible jobs were studied.
Eight employees worked according to a non-rotation scheme. The two most
physical demanding jobs were selected: four men worked as refuse collectors
(group RR) and four men worked as street sweepers (group SS). The other eight
employees worked according to a rotation scheme. The most and least physically
d em an d in g jo bs w ere s elec te d: fo u r m en w o rk ed a s r efu se c oll ec to rs/streets we ep ers ( gr ou p R S ) an d f ou r m e n w o rk ed a s s tre et s we ep er s/drivers (groupSD). Two employees of each group of four would start the day with one job; the
other two employees would start the day with the other job, e.g. two employees
would start the day with refuse collecting, then alternate to street sweeping and
nally nish the day with refuse collecting. The other two employees would start
the day with street sweeping, then alternate to refuse collecting and nally nish
the day with street sweeping.
The physical workload of the group of employees working according to a non-
rotation scheme was compared with that of the group working according to a
rotation scheme. The employees in each group were matched on age and did not
dier in height, body weight, sum of skinfolds, maximum oxygen uptake and
dierence between maximum heart rate and heart rate during rest. The dierent
variables were determined during a test in a laboratory (Kemper et al . 1990)
(table 1).
Table 1. Mean, standard deviation (SD) and range of age, height, body weight, sum of
skinfolds, maximum oxygen uptake (VO 2m ax ) and dierence between maximum h eart rate
and heart rate during rest (Hfm a x Hfr e s t ) of the refuse collectors (RR), street sweepers
(SS), refuse collectors/street sweepers (RS) and street sweepers /drivers (SD).
RR SS RS SD Signicance
Age (years)
SD
Range
34
6
29 42
34
7
28 42
33
6
26 40
35
15
26 58
ns
Height (m)
SD
Range
1.78
0.02
1.76 1.81
1.73
0.05
1.76 1.87
1.77
0.04
1.68 1.84
1.73
0.03
1.68 1.76
ns
Weight (kg)
SD
Range
75.5
4.2
72.1 81.6
76.3
13.7
63.7 91.6
76.9
8.0
66.0 85.4
70.9
7.6
65.8 82.0
ns
Skinfold (cm)
SDRange
10.9
1.69.7 13.2
9.2
3.84.3 12.6
16.7
6.210.7 22.0
8.3
3.75.7 13.6
ns
VO 2m ax (ml kg 1
mi n 1
)
SD
Range
44.0
4.0
40.0 49.2
44.2
9.2
36.4 54.3
42.3
9.3
31.5 52.4
49.6
11.4
38.0 59.7
ns
Hfm a xHfr e s t (beats min 1
)
SD
Range
109
13
98 127
107
19
89 123
116
20
93 134
107
17
87 123
ns
ns, Not signicant.
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2.3. Physical w orkload
The physical workload was determined by measuring the perceived load, energetic
load and postural load during a full working day.
Perceived load was dened as the mean rate of the perceived fatigue and the
mean rate of the perceived exertion during a w orking day. Every hour, the employee
rated the perceived fatigue (Borg and Borg 1987) and the perceived exertion(Meijman et al. 1986).
Energetic load was dened as the mean heart rate during the working day,
represented as a percentage of the heart rate reserve (A strand and Rodahl 1986).
This was done to prevent possible biases due to age dierences between employees.
The heart rate was continuously registered by means of a small computerized
recorder (Sporttester PE 3000; Polar Electro, Finland).
Postural load was dened as the time during which exion of the trunk was > 45 8
and elevation of one or two of the upper arm(s) was > 60 8. Only two variables and a
total of ve categories within variables were observed to increase the validity and
reliability of the observations of the posture (B eek et al. 1992, De Looze et al. 1994,
Frings-Dresen e t al . 1995b). The position of the trunk and the upper arms were
recorded by means of TRAC (Task Recording and Analysis on Computer) on a
multi-moment basis during the tasks of refuse collecting and street sweeping. TR AC
was originally developed at the Robens Institute of Health and Safety (Un iversity of
Surrey, Guildford, UK) (Ridd et al. 1989) and adapted by the Coronel Institute and
ERGOcare (Frings-Dresen and Kuijer 1995). Every 15 s, at an audible cue, an
observation was made and recorded on a pocket computer (Psion Organiser II;Psion, UK (Beek et al. 1992).
2.4. Confounding variables
Measurements were carried out during the normal daily routine of the employees,
thereby several confounding variables might inuence the results. For this reason, a
second observer performed a task analysis on a real-time basis. Possible confounding
variables, such as the duration of the tasks and the number of objects handled, were
registered by means of TRAC during each full working day. The following variablesand categories within variables were observed: task (e.g. refuse collecting, street
sweeping or pausing), activity (e.g. walking, sweeping or shovelling), load handled
(e.g. polythene bag, broom or shovel) and number of bags lifted per lift (e.g. 1, 2 or
5) (Frings-Dresen et al. 1995a).
2.5. Data analysis
Mean perceived load, mean energetic load and mean postural load were calculated
for each employee and consecutively for each group over a full working day. The
testing of a dierence between the groups regarding the physical workload and the
confounding variables was done by using an ANOVA and subsequently with a post-
ho c F -test. Testing of a dierence between two groups was performed with an
unpaired t-test.
The eect of the dierent confounding variables on the physical workload
w as t es ted w it h a s te pw is e m u lt ip le r eg ress io n a nal ys is. T he c on fo un din g
variables included in the stepwise multiple regression analysis are presented in
table 2.
Statistical analysis was performed with the software package StatView SE+ G(Abacus Inc.). p< 0.05 was considered statistically signicant.
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3. R es ult s
3.1. Physical workload
In table 3, the results of the four groups are summarized. Job rotation has an eect
on the perceived fatigue (RP F) and the perceived exertion (RP E) during the w orking
day (F= 7.48, d.f. = 3,12, p = 0.004; F= 9.3, d.f. = 3,12, p = 0.002). The group of
refuse collectors rate the perceived fatigue and the perceived exertion higher than the
other groups during a working day. The RPF and RPE of the other three groups donot dier signicantly during a working day.
Job rotation has an eect on the energetic load (F= 6.47, d.f. = 3,12, p = 0.008).
The heart rate reserve (% HRR) of the group of refuse collectors is signicantly
higher than that of the other groups during a working day, while % HRR of the
other three groups do not dier signicantly during a working day.
Job rotation has an eect on the time during which exion of the trunk is > 45 8
(F= 37.03, d.f. = 3,12; p = 0.0001) . F lexion o f the trun k o f > 45 8 occurs
signicantly more often for the group of refuse collectors than for the other threegroups. Flexion of the trunk of > 45 8 also occurs more often for the group of refuse
collectors/street sweepers than for the groups of street sweepers and street sweepers/drivers. The last two groups do not dier signicantly.
Job rotation has no eect on the time during which elevation of an upper arm is
> 60 8.
3.2. Confounding variables
Mean, standard deviation (SD) and range of the possible confounding variables of
the four groups are summarized in tables 4 and 5. The group of refuse collectors
perform the task `refuse collecting and the activity `carrying du ring a longer period
than the group of refuse collectors/street sweepers (t = 4.41, p = 0.002; t = 3.87,p = 0.004).
The group of refuse collectors lift m ore than twice the am ount of bags during a
w ork in g day t han the gr ou p of r efu se co llecto rs/s tr eet s we ep ers (t = 6.37,p< 0.001). Job rotation has no eect on the period during which street sweeping
takes place.
Jo b r ot at io n h as a n e e ct o n t he p er io d t hat e m plo ye es d riv e (F= 7.27,d.f. = 3,12, p = 0.005). The group of refuse collectors and the group of refuse
Table 2. Possible confounding variables included in the stepwise multiple regression analysis
to explain the physical workload.
Variables Categories within variables
Task (min) refuse collecting, street sweeping,
driving, pausing, non-working time,
other tasks, length of working day
Activities (min) carrying, sweeping
Objects handled total number of bags collected during
the day, number of bags collected
per min during refuse collecting
Workload during refuse
collecting and street sweeping
% VO 2m ax , % HRR
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collectors/street sweepers drive during a shorter period than the group of streetsweepers and the group of street sweepers/drivers.
Job rotation has an eect on the non-working time. The period performing non-
work-related tasks is less for the group working according to a non-rotation schemethan for the group working according to a rotation scheme (F= 3.66, d.f. = 3,12,
p = 0.047).
J ob r ot at io n a ls o h as a n e e ct o n t he l en gt h o f a w o rk in g d ay (F= 7.27,
d.f. = 3,12, p = 0.005). The working day of the group of refuse collectors is shorter
than of the other three groups. The other confounding variables to not dier
signicantly between the four groups.
3.3. Eect of confounding variables on physical workload
The results of the stepwise multiple regression analysis of the physical workload
during refuse collecting and street sweeping are presented in table 6.
The physical workload during refuse collecting can be explained by only a few
variables. The results show that the rated perceived fatigue and the rated perceived
exertion can be explained for respectively 91% (F= 58.5, p< 0.001) and 87%
(F= 40.3, p< 0.001) by the variable `time carrying bags. The energetic load during
refuse collecting can for 76% be explained by the variables `time trunk > 45 8, and
`length of the working day (F= 7.9, p< 0.05). Th e postural load of the trunk du ring
refuse collecting can for 81% be explained by the variable `number of bags handled(F= 58.5, p< 0.05).
Table 3. Mean, standard deviation (SD) and range of the rated perceived fatigue (RPF),
rated perceived exertion (RPE), percentage of `heart rate reserve (% HRR), time during
which exion of the trunk was > 45 8 and elevation of one or two of the upper arm(s) was
> 60 8 of the refuse collectors ( RR), street sweepers (SS), refuse collectors/street sweepers(RS) and street sweepers/drivers (SD) during a full working day.
RR SS RS SD Signicance
RPF
SD
Range
2.0
0.9
1.1 3.0
0.8
0.3
0.6 1.2
0.3
0.1
0.2 0.4
0.6
0.6
0.0 1.4
RR> SS,RS, SD
RPE
SD
Range
54.2
22.4
23.8 77.5
27.7
6.0
20.6 33.1
11.1
4.0
5.7 14.4
19.5
7.6
11.3 27.5
RR> SS, RS, SD
% HRR
SDRange
36.4
7.527.4 43.9
22.6
5.016.6 28.9
23.8
4.517.9 28.0
1.55
9.26.0 28.1
RR> SS, RS, SD
Trunk> 458 (min)
SD
Range
44.6
6.8
38.9 52.5
5.0
6.4
0.5 14.4
22.0
8.3
11.9 30.5
2.6
2.7
0.4 6.4
RR> SS, RS, SD
RS> SS, SD
Arm(s)> 608 (min)
SD
Range
9.5
3.7
5.0 12.8
24.4
6.8
19.6 34.3
14.4
9.2
5.1 25.9
16.4
7.5
8.8 25.8
ns
ns, Not signicant.
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Neither the stepwise multiple regression analysis o f the postural load of the arm /shoulder nor the stepwise multiple regression analysis of the physical workload
during street sweeping resulted in an unambiguous explanation.
4 . D iscu ssio n
4.1. Job rotation
The aim of the introduction of job rotation was to divide equally the physically
demanding work of refuse collecting among the employees during the day. The
results show that this target has not been fully accomplished. For instance, the total
number of bags collected by the non-rotation group is more than twice as much as
that of the group of refuse collectors/street sweepers. This result is probably no t dueto a lesser number of bags placed on the street during those days. A more plausible
explanation is the lack of ne tuning between the two groups of refuse collectors /
street sweepers. During the measurement period each day, only one employee wasob serve d. T he colle ag ue w ith w ho m h e rotates d uring the day w as n ot
Table 4. Mean, standard deviation (SD) and range of the possible confounding variables
used in the stepwise regression analysis of the perceived load, energetic load and postural
load.
RR SS RS SD Signicance
Refuse collecting
(min)
SD
Range
172.6
39.0
127.6 222.8
71.0
24.5
36.5 89.0
RR> RS
Street sweeping
(min)
SD
Range
153.2
38.3
111.9 204.2
88.6
52.6
36.6 155.6
99.2
34.3
68.5 140.6
ns
Driving (min)
SDRange
90.5
14.172.3 106.0
153.1
39.0121.6 207.1
75.8
39.034.9 125.5
177.7
44.8111.5 210.7
RR< SS SD
RS< SS SD
Pausing (min)
SD
Range
72.1
18.6
50.8 96.3
108.5
39.2
73.9 160.2
76.5
34.2
28.7 104.0
95.0
40.6
40.0 134.6
ns
Non-working
time (min)
SD
Range
10.6
10.8
1.2 22.1
41.6
52.7
11.2 120.1
113.3
78.2
58.1 228.6
85.6
20.0
63.1 102.6
RR< RS SD
Other tasks (min)
SD
Range
18.6
10.3
7.9 31.0
10.1
6.2
5.6 19.2
33.7
34.7
1.5 82.4
13.7
6.2
7.1 21.6
ns
Working day
(min)
SD
Range
364.5
18.6
341.6 381.3
466.4
8.3
459.7 478.0
459.0
13.0
440.3 470.2
471.3
10.4
456.8 479.7
RR< SS RS SD
ns, Not signicant.
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simultaneously observed. The standard deviation and the range of the variables
`non-working time and `total number of bags collected of the group of refuse
collectors/street sweepers compared with the group of refuse collectors indicate thatthe non-observed refuse collectors/street sweepers might have collected more bagsthan they should. This result hampers the d rawing of co nclusions. Despite this fact, a
f ew c om m en ts c an s till b e m ad e o n t he e e ct o f jo b r ot at io n o n t he p hy sic al
workload.
Refuse collecting is the m ost physically dem anding task due to the h igh energetic
and postural load. Job rotation seems to have no eect on the intensity w ith whichthis task is performed. The number of bags collected per minute, the percentage of
Table 5. Mean, standard deviation (SD) and range of the possible confounding variables
used in the stepwise regression analysis of the perceived load, energetic load and postural
load.
RR SS RS SD Signicance
Total number of
bags
SD
Range
1556
229
1256 1779
57 2
20 8
292 783
RR> RS
Number of bags
per min
SD
Range
9.2
1.2
7.5 10.3
8.0
0.6
7.4 8.8
ns
Carrying (min)
SDRange
85.4
22.060.2 113.6
37 .2
11.720.1 46.2
RR> RS
Sweeping (min)
SD
Range
97.6
21.9
76.4 128.2
58.3
35.4
25.4 107.4
56.8
18.4
40.8 77.7
ns
% VO2 m a x refuse
collecting
SD
Range
61.5
11.8
45.1 72.4
61 .0
13.5
47.8 78.2
ns
% VO2 m a xsweeping
SD
Range
41.5
13.8
30.3 57.0
38.4
8.5
30.8 57.0
35.6
13.6
20.4 51.0
ns
% HRR refuse
collecting
SD
Range
60.9
12.3
43.4 70.6
59 .3
14.2
43.4 75.4
ns
% HRR sweeping
SD
Range
41.3
20.7
17.6 68.0
37.0
6.1
30.3 43.7
33.0
11.8
17.5 45.4
ns
ns, Not signicant.
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the heart rate reserve and the percentage of the VO 2 m a x during refuse collecting donot dier between the group of refuse collectors and the group of refuse collectors /street sweepers. The time during which the bags are collected does dier between the
two groups. This is due to job rotation and the lesser number of bags collected by the
group of refuse collectors/street sweepers. Therefore, it is not surprising that thephysical workload is the highest in the group of refuse collectors.
However, one result is very remarkable and points out the positive eect of job
rotation on diminishing the physical workload. When comparing the physical
workload of the group of refuse collectors/street sweepers with the groups of streetsweepers and street sweepers/drivers, only the postural load of the trunk diers. Therated perceived fatigue, rated perceived exertion, energetic load and postural load of
the arm/shoulder do not dier between both groups. Two possible explanations canbe formulated.
First, the change in tasks led to dierent postures and activities and, therefore, to
a more heterogeneous physical workload. Lifting and throwing of bags is probably
more strenuous for the lower back than sweeping with a broom. On the other hand,
sweeping might be more strenuous for the shoulder and upper arm due to the
prolonged static workload. Furthermore, van Dieen and Oude Vrielink (1994)
showed that job rotation might change more than only the temporal aspects of work.
While not changing the (peak) intensity of the work, job rotation may have a positive
eect on the energy storage in the segments. Owing to the viscoelastic behaviour of
biological structures, van Dieen and Oude V rielink (1994) found a decrease in energy
storage up to 24% . Therefore, it is not unreasonable to assume that the sam e amou nt
of work performed while working according to a rotation scheme might result in an
overall lower physical workload of the employees com pared with the same amount
of work performed according to a non-rotation scheme. Moreover, the relationshipbetween work output and fatigue might not be linear but exponential (Kilbom 1995).
Table 6. Explained variance (r2
) of the perceived load, energetic load and postural load
during refuse collecting and street sweeping.
Refuse collecting Street sweeping
Variable r2
Variable r2
Rated perceived fatigue
(RPF)
carrying 0.91
Rated perceived exertion
(RPE)
carrying 0.87
Percentage heart rate
reserve (% HRR)
trunk> 458working day
0.76
Postural load of the trunk
(time trunk > 458 [min])
number of bags 0.81
Postural load of the
upper arms (time arm(s)
> 608 [min])
, No unambigu ou s explan atio n.
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Above a certain amount of work, fatigue rises more quickly. Therefore, job rotation
between more and less strenuous work might result in preventing the crossing of a
`fatigue threshold, the point where a more or less linear increase of the worktask /workload relationship starts to increase exponentially.
Secondly, job rotation results in a more com plete job. The em ployee is enabled to
perform a larger part in the process of refuse collecting. Several studies report thatthe perceived load depends on more than only the physical workload (Borg 1978).
Other relevant factors are `task aversion and `motivation. The enrichment of the
job mak es the jo b less mono to nous an d the refore might dec rease task aver si on an d
increase the motivation of the employee. This increase of intrinsic job satisfaction
probably results in a reduction of the perceived load.
4.2. Guidelines
Frings-Dresen et al . (1995c) have formulated guidelines for the physical workload
of refuse collectors in The Netherlands. The guidelines are based on the energetic
load and the assumption that an overall energetic load of < 30% VO 2m ax is
acceptable for an 8-h working day. The guidelines are formulated in terms of the
acceptable duration of the period of refuse collecting and the amount of collected
refuse. The most stringent limit is formulated for refuse collecting of polythene
bags in a city by refuse collectors > 39 years of age. The maximal acceptable
period of refuse collecting and the maximal acceptable amount of collected refuse
for 90% (P 10 limit) of the refuse collectors > 39 years of age are respectively
1.7 h and 4000 kg. The group working according to a rotation scheme does notexceed the P 1 0 limit. The mean period of refuse collecting and the mean amount
of collected refuse are respectively 1.2 h and 4004 kg (an average bag of refuse
weighs around 7 kg; Kemper et al . 1990). The group working according to a
non-rotation scheme does exceed the P 10 lim it. T he m ean p er io d o f refu se
collecting and the mean amount of collected refuse are respectively 2.8 h and
10892 kg.
Although these results suggest that no further action is required to reduce the
physical workload in the group working according to a rotation scheme, tworemarks have to be made. First of all, the guidelines by Frings-Dresen et al. (1995c)
ar e b as ed o n a n e ner ge tic cr ite ri on b eca us e th er e is n o g en era ll y a cc ep te d
biomechanical criterion for an 8-h working day. De Looze et al . (1995) quantied
the biomechanical load on the back during the lifting and throwing of polythene
b ag s. A ve ra ge p ea k c om p re ss ion fo rce s r an ge d f ro m 3 34 1 t o 5 17 9 N . Th ese
compression forces exceed the NIOSH criterion for lumbar disc compression of
3400 N (Waters et al . 1993). Therefore, manually collecting polythene bags in the
conventional way remains a risky activity.
Second, the energetic acceptable peak load of 50% VO 2 m a x for 1 h (Kemper et
al. 1990) is exceeded by both groups working according to a rotation and a non-
rotation scheme. In this study, the mean energetic load during refuse collecting in
both groups is about 60% VO 2 m a x fo r > 1 h. A further reduction of the physical
w or klo ad in A m s te rd am c an b e a ch ie ve d b y lo ok in g fo r n ew w ay s o f r efu s e
collecting, e.g. by applying the METRO-system (citizens drop their refuse in
dustbins on the street that have large depots underground. The refuse from the
depots is then removed mechanically b y special dustcarts). A nother possible solution
is improving the present way of working, e.g. by creating refuse collecting points inevery street to which citizens brings their polythene bags. By designing these
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collecting points in such a manner that the dustcart can approach them easily, and
by heightening the collecting points, the period during which bags are carried and
when exion of the trunk occurs might be reduced and thus reducing the energetic
and biomechanical workload.
AcknowledgementsTh is s tu dy w as s up po rt ed na nc ia lly b y t he m u nic ip ali ty o f A m s terd am , in
particular by the `de Pijp district.
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