Continuous Miner Operator Form

Postural Analyses of Coal Mining in Low Working Heights:

Effect of Working Height and Job Type

1. Subject Code ___________

2. Date ___________

3. Time ___________

4. Height (feet +inches) ___________ (meters) ______

5. Weight (lbs) ___________ (kilograms) ______

Body Mass Index (kg/m²) ______

6. Age (years) ___________

7. Time in job (years) ___________

8. Time in low seam mines (years) ___________

9. Type of knee pad used ___________

10. Side of Miner operation ___________

11. Side SCSR is worn on ___________

12. Side cap lamp battery is worn on ___________

13. Type of remote control ___________

14. Weight of control ___________

15. How control is worn ___________

16. Side ventilation/tubing is on ­­­­­­­­­­­­­­­­­­___________

17. Weight of mining belt (lbs) ___________ (kilograms) ______

Items worn on mining belt: ­­­­­­­­­­­­­­­_________________________________________________

________________________________________________________________________

Least physically demanding task that you perform on a daily basis: _________________ ________________________________________________________________________

Most physically demanding task that you perform on a daily basis:__________________ ________________________________________________________________________

Comments on knee pads used. _______________________________________________

________________________________________________________________________________________________________________________________________________

How often do you clean your knee pads? ______________________________________

How do you clean them? ___________________________________________________

Public reporting burden of this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintain the data needed, and completing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-XXXX).

Subjects will be asked the following questions by a NIOSH representative. This data will be used to determine whether or not an injury to the knee may have influenced the postures utilized by the subject.

Check all that apply:

____ Diagnosed knee injury:_________________________

____ Pain/Redness/Swelling in front of knee

____ Infection/ Hardening at the front of knee

____ Popping feeling in knee

____ Pain inside the knee

____ Catching/Locking of knee

____ Instability/Feeling like knee is going to give away

____ Knee stiffness after waking up

____ General knee weakness

Which two postures from the above chart (1-16) do you use most often?

1. _____

2. _____

Of these (a, b), what percentage of your day is spent in each posture?

1. _____ %

2. _____ %

Which posture causes the most discomfort? ____________

Explain: __________________________________________________________ __________________________________________________________________

Which posture causes the least discomfort? ____________

Explain: __________________________________________________________

__________________________________________________________________

Did the subject indicate that they used an obscure posture (posture not on list)?

If so, please describe.__________________________________________

____________________________________________________________

Frequent/ Obscure Posture

1. Describe any frequent or obscure posture. ­­­­­­­­­­­­­­­­­­­____________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________

Questions for operator:

1. Why did you choose that posture? ­­­__________________________________________

________________________________________________________________________________________________________________________________________________

2. Did your equipment play a role in your positioning? Y N

If yes, what aspects of your equipment played a role? ______________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

3. Do you feel fatigued or do you have any bodily discomfort? Y N

If yes, please describe this fatigue/discomfort _____________________________

__________________________________________________________________

____________________________________________________________________________________________________________________________________

Did this play a role in your positioning? If so, how? ________________________

__________________________________________________________________

____________________________________________________________________________________________________________________________________

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