Promoting safety of underground machinery operators through participatory ergonomics and fuzzy model analysis to foster sustainable mining practices.

One of the most vital parameters to achieve sustainability in any field is encompassing the Occupational Health and Safety (OHS) of the workers. In mining industry where heavy earth moving machineries are largely employed, ergonomic hazards turn out to be significant OHS hazards causing Musculoskeletal Disorders (MSDs) in the operators. Nevertheless, the Indian mining industry lacks a comprehensive technique of OHS risk assessment, especially for ergonomic hazards that cause MSDs. This research appraises ergonomic hazards and develops Fuzzy Musculoskeletal-disorders Index (FMI) model to evaluate ergonomic-related MSDs. Work process and work tool ergonomic risk factors were identified through literature review and directives recommended by experts. Work posture was evaluated using RULA. The data-collecting approach was implemented using participatory ergonomic and design science principles. The FMI results show average MSDs score of 3.69, indicating high to extremely high risk. Surface plots show that combined work tool and work process was the most sensitive factors to MSDs risk compared to other two combinations. A two-sample t-test validated the FMI. The findings should help safety experts and managers develop effective OHS management plans and programmes for the sustainability of Indian mining industry.

A 16-Year Chronicle of Developing a Healthy Workplace Participatory Program for Total Worker Health® in the Connecticut Department of Correction: The Health Improvement through Employee Control (HITEC) Program.

Health Improvement Through Employee Control (HITEC) is a 16-year program directed toward the health of corrections personnel and developed through the application of the principles of Participatory Action Research (PAR) and participatory ergonomics. Its impetus has always been the adverse health status of the corrections workforce: early mortality, depression, obesity, and hypertension. The HITEC program trained small "Design Teams" (DTs) of front-line personnel in participatory methods for intervention design for health improvement and organizational change in line with the Total Worker Health® principles. Periodic surveys and physical testing were introduced for longitudinal assessments. Comparative interventions at comparable sites included DTs without a priori assignation, problem-focused kaizen effectiveness teams (KETs), and bargaining unit-centered DTs. DT resilience and the replacement of members who transferred facilities or retired was aided by novel cooperative administrative structures. DT-generated interventions included stress lounges, changes in critical event report writing, a joint program with trained inmates to improve air quality, and training in staff mental health and sleep behavior. A specialized peer-to-peer Health Mentoring Program (HMP) paired new officers with trained peers. Many interventions and program features were institutionalized, thus improving prospects for self-supporting program longevity. Participatory interventions designed and supported by the corrections workforce were found to be both feasible and exceptionally effective.

Participatory ergonomics: What works for whom and why? A realist review.

Participatory workplace interventions to improve workforce musculoskeletal health are infrequently analysed regarding why they work, for whom or under what circumstances. This review sought to identify intervention strategies which achieved genuine worker participation. In total, 3388 articles on participatory ergonomic (PE) interventions were screened; 23 were suitable to analyse within a realist framework identifying contexts, mechanisms of change, and outcomes. The interventions which succeeded in achieving worker participation were characterised by one or more of these contexts: workers' needs as a core starting point; a positive implementation climate; clear distribution of roles and responsibilities; allocation of sufficient resources; and managerial commitment to and involvement in occupational safety and health. Interventions that were organised and delivered in this way generated relevance, meaning, confidence, ownership and trust for the workers in an interrelated and multi-directional manner. With such information, PE interventions may be carried out more effectively and sustainably in the future.Practitioner summary: This review focuses on the question: which mechanisms support genuine worker participation, in what context and with which necessary resources, to reduce musculoskeletal disorders. Results emphasise the importance of starting with workers' needs, making the implementation climate egalitarian, clarifying the roles and responsibilities of all involved, and providing sufficient resources.Abbreviations: PE: participatory ergonomic(s); WMSD: Work-related musculoskeletal disorders; EU: European Union; MSD: Muskuloskeletal disorders; OSH: Occupational health and safety; C: context; M: mechanism; O: outcome; CMOCs: CMO configurations; NPT: Normalization process theory; OECD: The Organisation for Economic Co-operation and Development: EU-OSHA: European Occupational Safety and Health Agency.

A participatory ergonomics intervention to re-design work and improve the musculoskeletal health of paramedics: protocol for a cluster randomised controlled trial.

BACKGROUND: In this paper, we present the protocol for a cluster randomised controlled trial to evaluate the effectiveness and implementation of a participative risk management intervention to address work-related musculoskeletal disorders (WMSDs). The aims of the study include to evaluate the implementation process and the impact of the intervention on work related musculoskeletal pain and discomfort and exposure to physical and psychosocial hazards in paramedics over a 12-month period. METHODS: The intervention in this study is to implement A Participative Hazard Identification and Risk Management (APHIRM) toolkit in an ambulance service. Eighteen work groups containing eligible participants (registered paramedics) will be randomised into the intervention or wait-list control arm in one of three rolling recruitment periods. The APHIRM toolkit survey will be offered at baseline and 12 months later, to all current eligible participants in each work group allocated to the trial. The intervention work groups will receive the remainder of the APHIRM toolkit procedures. Identifying data about individual participants will not be collected in the survey, to protect participant privacy and encourage participation. Changes in primary (musculoskeletal pain and discomfort) and secondary (exposure to physical and psychosocial hazards at work) outcomes measured in the survey will be analysed comparing the baseline and follow up response of the cluster. A process evaluation is included to analyse the implementation and associated barriers or facilitators. DISCUSSION: This study is important in providing a comprehensive approach which focusses on both physical and psychosocial hazards using worker participation, to address WMSDs, a well-known and significant problem for ambulance services. The effectiveness of the intervention in work groups will be rigorously evaluated. If significant positive results are observed, the intervention may be adopted in ambulance services, both nationally and internationally. TRIAL REGISTRATION: ISRCTN77150219. Registered 21 November 2021.

The better work, better care framework: 7 strategies for sustainable healthcare system process improvement.

Healthcare systems are under pressure to control costs and improve performance. Efforts to apply improvement trends such as "Lean" and other industrial engineering approaches have led to degradation of the working environment for healthcare professionals. Research is increasingly demonstrating how poor working environments contribute to declines in care quality and has led to calls for a "quadruple aim" with a focus on the working environment alongside quality, cost, and patient experience factors. This paper contributes to the debate by using a "systems" perspective to propose seven strategies by which healthcare systems might be improved without compromising the working environment. This article presents a rationale for these strategies based on current organisational psychology and human factors research and how these strategies might be deployed in practice. The authors argue that better working conditions leads to better care for patients and presents a viable approach for both practitioners and researchers to pursue the "Better Work, Better Care" agenda.

Vocal ergonomics with sports coaches: Co-devised approaches to occupational voice.

BACKGROUND: Work-system participation and factors are associated with occupational vocal health for vocally reliant workers, such as sports coaches. However, there is limited use of systems approaches and worker collaboration to address occupational voice. OBJECTIVE: The current research aimed to cooperatively consider coaches' vocally reliant systems participation, including addressing vocal ergonomic factors that can create barriers for occupational vocal health and voice use. METHODS: Collaborative action inquiries explored vocal ergonomics with coaches (n = 24) from nine professional basketball teams. Across three basketball seasons, coaches and a subject matter expert identified what influenced coaches' voices and trialed approaches to optimize vocally reliant coaching participation. Nine action inquiry methods were used, including search conferences, ergonomic approaches to enhance systems participation, and focus groups. Multi-level analyses were also undertaken. RESULTS: Participants cooperatively generated, implemented, and evaluated different strategies. A cumulative total of 57 strategies were explored within teams (team mean = 6.33, SD = 3, range = 4-14). Cross-case analysis identified 25 different strategy types. Overall, participants appraised 31.58% (18/57) strategies as supportive (i.e., enhanced facilitators for voice), 61.40% (35/57) strategies as somewhat supportive (i.e., some enhanced facilitators and some ongoing barriers), and 7.02% (4/57) strategies as unsupportive (i.e., pervasive ongoing barriers not mitigated by strategies). Further, factors across coaches' work-systems continued to influence coaches' voices in dynamic and complex ways. CONCLUSIONS: Collaboration with coaches enriched vocal ergonomic approaches by providing novel, context-anchored insights. Collaboration should form 'part' of broader mechanisms to support coaches' voice use and vocal health at work.

Industry 4.0 design project based on exposure situations: A case study in aeronautics.

BACKGROUND: Industry 4.0 generates risks renewing stakes for design projects integrating work activities, as can be done in activity centred ergonomics and participatory ergonomics. OBJECTIVE: This article aims to show the contribution of using typical situations to define requirements for Industry 4.0 design projects from a case study supporting a design project for a plant of the future assembling additive metal manufacturing processes (SLM type) in aeronautics. METHOD: The method is based on construction of the approach, the identification of typical exposure or action situations (through video and measurement) on four different company sites, three collective confrontation interviews (using typical situations) similar to reflexive and constructive simulations, and the setting of requirements. RESULTS: Results highlights specific exposure situations during the work, which the collective confrontation interviews made it possible to understand, enabling to collectively debate organisational, technical or social determinants, in order to define requirements from the point of view of the work, within the framework of the design project. CONCLUSION: Discussion of exposure situation allows an initial framework to discuss way to implement the work differently as a first step to transform the current situations during the design process. The observation of the possible use of requirements in project management can then be carried out. This exploratory work makes it possible to observe the contribution of the use of typical exposure situations as a complement to typical action situations in order to specify exposure situations and identify transformation perspectives.

Structuring the simulation for participation during design: Designing integrated operations centers in the oil industry - A case study.

BACKGROUND: The need for participative approaches in design is a key concern for Ergonomics. There exists a vast array of philosophies and techniques which may come under the heading of participation, but several of these methods are indeed not really participatory in the real sense of the concept. OBJECTIVE: The aim of this study is to reveal the elements that allow an ergonomic simulation approach to be applied as a design process method centered on the work perspective and anchored on the participation concept. METHODS: This study is centered on the subsequent analysis of a case study: the design of an Onshore Collaborative Center (OCC), in the context of Integrated Operations (IO) of the oil industry. The simulation sessions were filmed and recorded, and a logbook of the progress of the design process was produced daily in order to preserve the memory of the case. RESULTS: The main result of the research highlights that simulation is a method capable of presenting work as an important factor in the transformation of the project, as well as in technical choices, in addition to opening space for different participants and their various perspectives. However, for it to be an effective method of participation, there is the need for a "back and forth" process between work analysis and simulation during the ergonomic simulation approach. CONCLUSION: This study showed which elements support the construction of ergonomic simulation as a method capable of structuring the participation in design process. For this, the simulation must be based on work analysis and articulate the knowledge of different actors for decision-making to allow for new developments while promoting the vision of work as an important decision variable in the design process.

'Just Right' job design: A conceptual framework for sustainable work in rail driving using the Goldilocks Work Paradigm.

Excessive physical demand at work has traditionally been connected with adverse health outcomes, but excessive sitting is now also being recognised as an occupational hazard and emerging work-related risk. Traditional preventive occupational health and ergonomics programs are useful but limited through reliance on individual behaviour change and time-diversion from productive work. A new 'Goldilocks Work Paradigm' aims to optimise health and productivity by using movements of productive tasks. Using rail driving as a specific case of a highly sedentary and inflexible working environment, we construct a conceptual framework for designing better jobs, arguing that a theoretical amalgamation of the new Goldilocks Work Paradigm with System Thinking, Participatory Ergonomics, and a Risk Management Framework, is needed, for establishing a unified, strategic approach-a 'just right' job design model. We extend this by outlining a practical process of designing better jobs with tools that can be used to achieve it.

Does participatory ergonomics reduce musculoskeletal pain in sonographers? A mixed methods study.

Introduction: Sonographers in the Western New South Wales Local Health District (WNSWLHD) reported a musculoskeletal pain prevalence rate of 95%. Participatory ergonomics, where workers are consulted about improving work conditions, was utilised to identify work-related musculoskeletal disorder (WMSD) risks and potential solutions. The aim of this study was to compare the prevalence of WMSD in a cohort of sonographers before and after implementation of ergonomic changes that were driven by recommendations from a participatory ergonomics approach. Methods: This observational mixed methods study analysed the impact of participatory ergonomic-driven interventions on changes on musculoskeletal pain in a cohort of sonographers employed within the WNSWLHD. A retrospective analysis of 10 sonographer WMSD pain surveys over five sites was completed, along with semi-structured interviews regarding which interventions were perceived as useful, which interventions were not implemented and any barriers to implementation. Results: Installation of patient monitors, use of ergonomic scanning techniques and job rotation were perceived as responsible for decreased musculoskeletal pain. Taking lunch breaks and microbreaks, use of antifatigue mats and having two sonographers perform mobile exams were not fully implemented. No interventions were perceived as responsible for increased pain. Conclusion: This small study provides preliminary evidence that a participatory ergonomics approach facilitated identification of occupation and site-specific risks for WMSD in the WNSWLHD, allowing implementation of ergonomic changes to be tailored to the workplace, resulting in a safer work environment for sonographers.

Using Participatory Ergonomics to Improve Health and Safety in Commercial Lobstering in the United States: 2 Case Studies.

The lobster-harvesting industry has a high occupational injury incidence compared to land-based industries. Participatory ergonomics methods were used to partner with lobstermen to develop and implement ergonomic improvements. The model included training in ergonomics principles, a forum for ergonomics discussions, and a sequence of meetings planned to focus on problem identification, intervention, evaluation, and dissemination of findings. One crew initiated 3 specific actions: the introduction of a conveyor belt to assist material handling at a local lobstering pier, the installation of a star block at the space for hauling traps onto the boat, and the initiation of a design process for improved mechanical assistance for hauling traps onto the boat. The other crew took action to reduce force and postural exposures by creating a short video intended to disseminate ergonomic ideas to other lobstermen. The influence of important cultural norms was observed for future research and development in the community.

Effectiveness of participatory ergonomic interventions on musculoskeletal disorders and work ability among young dental professionals: A cluster-randomized controlled trail.

OBJECTIVES: This study is to evaluate the efficacy of participatory ergonomic (PE) intervention on musculoskeletal disorders (MSDs) and work ability among young dental professionals in China. METHODS: A cluster randomized controlled trail was conducted during 2015-2016. Twenty-nine departments from five hospitals in the South of China were randomized into intervention (14 departments) and control (15 departments), with individuals of 125 and 138 dental professionals, respectively. Main participatory ergonomic interventions involved work posture, repetitive motions, tool usage, work break relaxation and work time re-arrangement with total 235 ergonomic changes in the trail. Individual ergonomic risk exposure was assessed by investigator's observation using quick exposure check (QEC). Work ability index (WAI) and MSDs were collected by questionnaires at baseline, and every 3 months during the 1-year follow-up. RESULTS: Follow-up rate was 91% and 96% for the intervention and control group, respectively. Significant reductions in ergonomic risk exposure and MSD prevalence on six anatomic sites were found in the PE group during the different follow-up stages. WAI scores improved by 1.1 (95% CI 0.43, 1.89) after the 9-month intervention. Compared to the control, the PE participants significantly reduced MSDs on neck (OR = 2.93, 95% CI: 1.25, 4.03) and wrists/hands (OR = 2.33, 95% CI: 1.08, 4.21), marginally increased WAI scores by 0.53 (95% CI: -0.02, 1.56) due to the interventions. CONCLUSION: PE intervention is effective in reducing ergonomic risk exposure and MSDs on neck and wrists/hands among young dental professionals. PE ought to be offered in the early dental career for preventing MSDs.

Efficacy of an ergonomics intervention for remote college students.

BACKGROUND: The COVID-19 pandemic caused a rapid adaptation of online education, requiring university students to complete their schoolwork remotely. There is a gap in the evidence-based literature regarding these novel home workstations and the potential to help students understand ergonomics and adjust their workstations. OBJECTIVES: We aimed to determine if a remote ergonomics intervention would encourage students to make improvements to their workstation and increase their knowledge of ergonomics. METHODS: Participants completed an ergonomics quiz, workstation evaluation, activity time log, and photographs of their workstation. There were three randomly assigned groups, the control group of 26 participants and the first and second intervention groups with 25 participants each. The first and second intervention groups received information sheets regarding proper workstations. The second intervention group was also required to participate in an ergonomics workshop. Six weeks after receiving the interventions, the control group and two intervention groups completed the materials once again. Eight participants from the control group, 12 from the information intervention group, and 14 from the participatory intervention group completed the study. RESULTS: One-way ANOVA tests between the three groups suggest there was no significant difference in ergonomic knowledge or changes made to workstations. However, the remote participatory ergonomics group increased their level of knowledge about ergonomics. CONCLUSIONS: An ergonomics intervention did not impact one group to change their workstation more than others in six weeks. Future studies on this topic should be conducted over a longer amount of time and with more participants to allow for more opportunities for behavior and workstation changes.

Assessing the effectiveness of an ergonomics intervention program with a participatory approach: ergonomics settlement in an Iranian steel industry.

PURPOSE: Work-related musculoskeletal disorders (WMSDs) are common occupational problems affecting the health and productivity of workers worldwide. Ergonomic intervention programs (EIPs) can play an effective role in preventing these disorders in the workplace. Assessing the effectiveness of an EIP is a challenge faced by both industries and researchers. This study was aimed at assessing the effectiveness of an EIP on human resources productivity (HRP), musculoskeletal disorders (MSDs), general health and occupational fatigue in a steel industry. METHODS: This study was conducted in a steel industry in Isfahan, Iran, between 2018 and 2021. To assess the effectiveness of the EIP with a participatory approach, training and redesign of workstations, the criteria of HRP, MSDs, general health and occupational fatigue were investigated before and after the intervention, using HRP Questionnaire, Nordic musculoskeletal questionnaire (NMQ), 28-item General Health Questionnaire (28-GHQ), Swedish Occupational Fatigue Inventory (SOFI-20) and Occupational Fatigue/Exhaustion Recovery (OFER-15) Questionnaire, as data collection tools, respectively. RESULTS: The implementation of EIP in the studied industry significantly led to an increase in HRP (p < 0.05). The prevalence of MSDs decreased significantly in most regions of the body after the interventions (p < 0.001). In addition, the program significantly improved general health (p < 0.001) and reduced occupational fatigue among employees (p < 0.001). CONCLUSIONS: The implementation of EIP was significantly effective in working conditions improvement. Therefore, implementing EIP with participatory approach, workforce training, as well as redesigning of workstations are recommended in industries.

Participatory ergonomics for the reduction of musculoskeletal exposure of maintenance workers.

Exposure to musculoskeletal disorders (MSDs) is a prevalent risk among those working in the maintenance of machinery and equipment for industry. Participatory ergonomics (PE) in the workplace embodies a solid strategy for the implementation of MSD prevention programs. This practical case describes a PE project implemented to improve MSD prevention strategies for the safety of maintenance workers. Experienced workers and maintenance workers employed in an Italian company for the industrial processing of wool have been actively involved in the risk assessment, in the proposal of improvement interventions and in the proposal of new preventive strategies. Ergonomic training and guidance helped the workers to have a proactive role in the prevention process. PE can help in the preventive management of critical activities of maintenance, through the empowerment of workers, the identification of targeted and feasible solutions and by using ergonomics as a basis for improving health and safety at work.

Evidence-Based Strategies for Improving Occupational Safety and Health Among Teleworkers During and After the Coronavirus Pandemic.

OBJECTIVE: To review practical, evidence-based strategies that may be implemented to promote teleworker safety, health, and well-being during and after the coronavirus pandemic of 2019 (COVID-19). BACKGROUND: The prevalence of telework has increased due to COVID-19. The upsurge brings with it challenges, including limited face-to-face interaction with colleagues and supervisors, reduced access to ergonomics information and resources, increased social isolation, and blurred role definitions, which may adversely affect teleworker safety, health, and well-being. METHOD: Evidence-based strategies for improving occupational safety, health, and well-being among teleworkers were synthesized in a narrative-based review to address common challenges associated with telework considering circumstances unique to the COVID-19 pandemic. RESULTS: Interventions aimed at increasing worker motivation to engage in safe and healthy behaviors via enhanced safety leadership, managing role boundaries to reduce occupational safety and health risks, and redesigning work to strengthen interpersonal interactions, interdependence, as well as workers' initiation have been supported in the literature. APPLICATION: This review provides practical guidance for group-level supervisors, occupational safety and health managers, and organizational leaders responsible for promoting health and safety among employees despite challenges associated with an increase in telework.

Improving working conditions in an Iranian hospital: a participatory ergonomics approach.

Objectives. The future workshop (FW), as a participatory ergonomics approach, is used to change the actual situation of a system into a preferable one. This study was conducted at a major hospital to identify ergonomic problems and provide appropriate solutions for improving working conditions using the FW technique. Methods. Twenty-five mid-level managers of the hospital participated in a 2-day FW. In the critique phase, the ergonomic problems were thoroughly discussed. After brainstorming followed by structuring and grouping of ideas, 75 ergonomic problems were identified and classified into four groups. Solutions and action plans were proposed to improve working conditions. Results. There were nine problems in the personnel-managerial group. Eighteen action plans were proposed to fix them. Stressful occupational factors were the worst problem in this group. Five problems were characterized in the physical space group and 10 action plans were presented. Seven problems were detected in the equipment group, for which 13 action plans were presented. In the welfare group, six problems and 12 action plans were presented. Conclusion. The results revealed that the FW was an appropriate method to find ergonomic bottlenecks in the hospital and a good basis for devising ergonomic interventions.

Outcomes of Participatory Ergonomics and Self-management in Commercial Clam Farmers with Chronic Low Back Pain: A Feasibility Study.

PURPOSE: Participatory ergonomics engages workers in the development of strategies to reduce workplace-related pain, offering a flexible and practical option to create individualized context-specific strategies. This paper describes the outcomes of a feasibility study using a participatory approach for self-management of low back pain in clam farmers. METHODS: A within-subject time-control design with repeated baseline and post-intervention assessment was used. After refining individual and team-based strategies, stakeholder interviews, and rapid prototyping, workers selected three strategies to use for 8 weeks. Frequency and ease of use for strategies are described. Pre-post paired t-tests were used for analysis of pain-related disability, difficulty and pain with work tasks, pain-related fear, self-efficacy, and coping. Analysis of improvements exceeding published and individual variability was calculated. RESULTS: Participants chose both team and individual strategies, most using strategies 5 days a week >50% of the time. Significant improvements in pain-related disability, pain during specific tasks, pain-related anxiety, and coping were seen after 8 weeks of implementing strategies. No changes in task difficulty, fear, self-efficacy and average resting pain were reported. Pain improvements > MDC95 were reported by 74% with 56-64% > personalized MDC95 for lifting tasks. CONCLUSIONS: Pain-related disability, work activity pain ratings and related pain anxiety and coping improved beyond individual variability in this feasibility study. Multiple strategies allowed workers to choose relevant self-management options. Introduction of work-related changes in the workplace, visual demonstration, review of team videos and reminders were helpful. Further studies of this approach are needed.

Multiple outcome interactions in healthcare systems: a participatory outcome mapping approach.

Outcomes, which are the result state or condition from a process or intervention, are essential elements of healthcare system design and an important indicator of performance. They are included in well-known system analysis frameworks such as the Systems Engineering Initiative for Patient Safety (SEIPS) and Cognitive Work Analysis (CWA). However, fewer practical approaches exist for understanding and communicating interactions among healthcare outcomes. This study applies a novel mapping method as a practical approach to collect, aggregate and visualise interrelations among multiple healthcare outcomes. Graphic facilitation mapping sessions with eleven healthcare providers and ten patients with chronic conditions were conducted. Participants created outcome interrelationship maps following a six-step process. Two outcome-based network visualisations were synthesised using network analysis. This outcome-based approach advances how we frame healthcare systems, focussing on accommodating multiple stakeholders' visions, understanding interrelations, and defining trade-offs. This practical approach may complement frameworks such as SEIPS and CWA. Practitioner summary: The presented outcome-based mapping approach can facilitate the understanding of outcomes as part of the interrelated healthcare system. The approach allows the discussion and integration of different stakeholders' outcome priorities to identify critical elements and better inform the development or adaptation of healthcare systems. Abbreviations: SEIPS: engineering initiative for patient safety; CWA: cognitive work analysis; HFE: human factors and ergonomics; AH: abstraction hierarchy; POTS: postural orthostatic tachycardia syndrome; DRM: design research methodology; FA2: forceAtlas2; HbA1c: glycated haemoglobin; NHS: National Health Service; UK: United Kingdom.

Improving healthy work culture measures using participatory ergonomic interventions.

Objectives. The productivity outcomes from proper implementation of participatory ergonomic interventions in industrial developing countries (IDCs) are important to have management support. However, the role of awareness promotion in engaged groups of intervention has been overlooked. This article explains the health effects of some ergonomic interventions including nutrition awareness, training and workstation redesign on the labor productivity indices of an industry using participatory ergonomics. Methods. The study design was a semi-experimental study. After the field study, the proper model of participatory ergonomics was presented to implement the interventions. The International Labour Organization (ILO) checkpoint, quick exposure check (QEC) checklist and Nordic questionnaire were applied to assess ergonomic risk factors. Labor productivity was measured using some indicators of health and production. Statistical tests including paired-sample t tests were performed for data analysis using SPSS version 22.0. Results. The ergonomic interventions with a focus on awareness promotion resulted in positive outcomes (p < 0.05) including a decrease of blood pressure (equally 3.1%), improvement in optimum monthly performance of labors, better QEC number and also time saving of about 18.93% in doing tasks. Conclusion. Awareness promotion and productivity outcomes were found to be important in management commitment and support to persuade participatory ergonomic interventions.