Background: No specific guidelines or regulations are provided by the Mine Safety and Health Administration for the use of inclined grated metal walkways in mining plants. Mining and other companies may be using walkway materials that do not provide sufficient friction, contributing to slip and fall injuries.
Purpose: The purpose of this study was to determine if there are significant differences in the required friction for different grated metal walkways during walking in diverse conditions.
Methods: The normalized coefficients of friction were measured for 12 participants while walking up and down an instrumented walkway with different inclinations (0°, 5°, 10°, 15°, and 20°) and with and without the presence of a contaminant (glycerol). Self-reported slip events were recorded and the required coefficients of friction were calculated considering only the anterior/posterior components of the shear forces. Additionally, the available coefficients of friction for these walkway materials were measured at the 0° orientation using a tribometer, with and without the presence of the contaminant, using a boot heel as well as Neolite as the test feet.
Results: The number of slips increased when the inclination angle reached 10° and above. Of all materials tested, the diamond weave grating was found to have the best performance at all inclines and when contaminated or dry. A high number of slips occurred for the perforated grating and serrated bar grating at 20° when contaminated.
Conclusions: Results of this study suggest that the diamond weave grating provides significantly better friction compared to serrated bar and perforated gratings, especially at inclines greater than 10°.
Background: Ophthalmologists report a high prevalence of work-related musculoskeletal symptoms, particularly of the neck and shoulders. Improving the design of equipment used in the clinical environment may reduce exposures to physical risk factors (e.g., sustained muscular exertions and non-neutral postures) associated with neck and shoulder pain among ophthalmologists.
Purpose: To compare estimates of neck and shoulder muscle activity and upper arm posture during use of conventional and alternative examination equipment common in clinical ophthalmologic practice.
Methods: Fifteen ophthalmologists performed one mock clinical examination using conventional equipment and one mock clinical examination using alternative equipment with the potential to reduce exposure to sustained muscular exertions and non-neutral upper arm postures. The alternative equipment included a slit-lamp biomicroscope with inclined viewing oculars, adjustable elbow supports, and a wider table-top with more room for supporting the arms in comparison to the conventional slit-lamp biomicroscope. A wireless binocular indirect ophthalmoscope was also evaluated that had a more even weight distribution than the conventional design. Measurements of upper trapezius and anterior deltoid muscle activity, upper arm posture, and perceived usability were used to compare the conventional and alternative equipment.
Results: In comparison to the conventional slit lamp biomicroscope, the alternative slit lamp biomicroscope led to (i) 12% to 13% reductions in upper trapezius muscle activity levels, (ii) a 9% reduction in left anterior deltoid muscle activity levels, and (iii) a 15% reduction in the percentage of work time spent with the left upper arm elevated in positions greater than 60°. In addition, participants rated the comfort and adjustability of both the alternative slit lamp biomicroscope and binocular indirect ophthalmoscope more favorably than the conventional equipment.
Conclusions: The results suggest that the alternative slit-lamp biomicroscope may help to reduce overall muscular demands and non-neutral postures of the neck and shoulder region among ophthalmologists.

