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Scoop Operator

ICR 200909-0920-014 · OMB 0920-0829 · Object 13823101.

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Document Metadata

Record metadata
application/msword
Scoop Operator
jni3
Writer
2009-05-29
2026-09-19
complete

Extracted Text


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 height mines (years) 	___________
    9. Type of Knee pad used		___________
    10. Side SCSR is worn on                        ___________
    11. Side cap lamp battery is worn on       ___________
    12. 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? ___________________________________________________
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





Please check all tasks that you perform on a daily basis

______   Scoop faces
______   Load and unload supplies
______   Rock dust
______   Building stoppings
______   Advancing power load center
______   Hanging cable
______   Hanging curtain
______   Extending tubing
______   Other (please explain) __________________________________
      _____________________________________________________

Task:_____________________________________________
How many hours do you spend performing this task on a daily basis? ____

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

What percentage of your time is spent in each posture (a, b)?
    a) _____ %                       	b) _____ %

Did the subject indicate that they used an obscure posture (posture not on list)?
 If so, please describe.__________________________________________
____________________________________________________________




Task:_____________________________________________
How many hours do you spend performing this task on a daily basis? ____

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

What percentage of your time is spent in each posture (a, b)?
    a) _____ %                       	b) _____ %

Did the subject indicate that they used an obscure posture (posture not on list)?
 If so, please describe.__________________________________________
____________________________________________________________




Task:_____________________________________________
How many hours do you spend performing this task on a daily basis? ____

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

What percentage of your time is spent in each posture (a, b)?
    a) _____ %                    	 b) _____ %

Did the subject indicate that they used an obscure posture (posture not on list)?
 If so, please describe.__________________________________________
____________________________________________________________
 Task:_____________________________________________
How many hours do you spend performing this task on a daily basis? ____

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

What percentage of your time is spent in each posture (a, b)?
    a) _____ %                       	b) _____ %

Did the subject indicate that they used an obscure posture (posture not on list)?
 If so, please describe.__________________________________________
____________________________________________________________




Task:_____________________________________________
How many hours do you spend performing this task on a daily basis? ____

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

What percentage of your time is spent in each posture (a, b)?
    a) _____ %                       	b) _____ %

Did the subject indicate that they used an obscure posture (posture not on list)?
 If so, please describe.__________________________________________
____________________________________________________________




Task:_____________________________________________
How many hours do you spend performing this task on a daily basis? ____

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

What percentage of your time is spent in each posture (a, b)?
    a) _____ %                    	 b) _____ %

Did the subject indicate that they used an obscure posture (posture not on list)?
 If so, please describe.__________________________________________
____________________________________________________________