TECHNICAL ISO/TR
REPORT 23476
First edition
Ergonomics — Application of ISO
11226, the ISO 11228 series and ISO/
TR 12295 in the agricultural sector
PROOF/ÉPREUVE
Reference number
ISO/TR 23476:2021(E)
ISO 2021
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ISO/TR 23476:2021(E)
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ISO/TR 23476:2021(E)
Contents Page

Foreword ..........................................................................................................................................................................................................................................v

Introduction ................................................................................................................................................................................................................................vi

1 Scope ................................................................................................................................................................................................................................. 1

2 Normative references ...................................................................................................................................................................................... 1

3 Terms and definitions ..................................................................................................................................................................................... 1

4 General outline of work processes in an annual multi-task analysis in agriculture .....................2

4.1 General structure of a multi-task analysis....................................................................................................................... 2

4.2 Study of tasks distribution over the year and search for groups of workers who are

homogeneous in terms of risk exposure........................................................................................................................... 3

4.2.1 General...................................................................................................................................................................................... 3

4.2.2 Macrocycle duration ..................................................................................................................................................... 3

4.2.3 Phases and tasks identification ........................................................................................................................... 4

4.2.4 Identification of the different homogeneous groups ........................................................................ 6

5 First levels: pre-mapping of danger and discomfort through key questions and

quick assessment ................................................................................................................................................................................................. 8

5.1 Foreword ...................................................................................................................................................................................................... 8

5.2 The pre-mapping model ................................................................................................................................................................. 9

6 Analytical study of work processes in annual multi-task analysis: description of a

typical working day for each month and quantitative task distribution over the year ...........12

6.1 General ........................................................................................................................................................................................................12

6.2 Phase A – Description of a typical working day ......................................................................................................12

6.3 Phase B – Estimation of total number of hours worked every month of the year .....................13

6.4 Phase C – Assignment of tasks to a homogeneous group (or individual worker)

and calculation of proportional tasks duration in each individual month .......................................14

7 Annual multi-task risk assessment of biomechanical overload for the upper limbs ................16

7.1 General ........................................................................................................................................................................................................16

7.2 Phase A – Analysis of each individual task using the OCRA checklist to calculate

the intrinsic risk score and prepare the tasks basic risk evaluation for each crop ...................16

7.3 Phase B – Application of mathematical models and preliminary preparation of

“artificial working day” representative of the whole year and of every month of the

same year ..................................................................................................................................................................................................18

8 Annual multi-task risk assessment for working postures .....................................................................................23

8.1 The meaning of postural tolerance .....................................................................................................................................23

8.2 Analysing the tolerability of working postures for the spine when performing
manual lifting tasks, and for the upper limbs when performing repetitive

movements and manual lifting: specific International Standards ...........................................................24

8.3 Analysing spinal working postures without manual load lifting and lower limb

postures (primarily static) .......................................................................................................................................................24

8.4 The TACOS method: contents and criteria for back and lower limb posture analysis ...........25

8.5 Posture analysis of a multi-task job performed on a full-time or part-time basis

with yearly job rotation ................................................................................................................................................................26

9 Annual multi-task risk assessment of manual material handling (MMH) and carrying ........32

10 Annual multi-task risk assessment of pushing and pulling .................................................................................37

11 Manual material carrying (MMC) risk assessment ........................................................................................................40

12 Conclusions .............................................................................................................................................................................................................40

Annex A (informative) Initial identification and preliminary assessment (pre-mapping)

of potential risks: criteria and presentation of a specific simple tool that allows its

application ...............................................................................................................................................................................................................42

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ISO/TR 23476:2021(E)
Annex B (informative) Criteria and mathematical models for analysing exposure to
biomechanical overload in multitask jobs featuring complex macro-cycles (e.g.

weekly, monthly, annual turnover) .................................................................................................................................................78

Annex C (informative) Criteria to evaluate working postures of the spine and lower limbs

using the TACOS strategy in daily or other macro-cycle multi-task analysis: brief

presentation .......................................................................................................................................................................................................119

Bibliography .........................................................................................................................................................................................................................142

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ISO/TR 23476:2021(E)
Foreword

ISO (the International Organization for Standardization) is a worldwide federation of national standards

bodies (ISO member bodies). The work of preparing International Standards is normally carried out

through ISO technical committees. Each member body interested in a subject for which a technical

committee has been established has the right to be represented on that committee. International

organizations, governmental and non-governmental, in liaison with ISO, also take part in the work.

ISO collaborates closely with the International Electrotechnical Commission (IEC) on all matters of

electrotechnical standardization.

The procedures used to develop this document and those intended for its further maintenance are

described in the ISO/IEC Directives, Part 1. In particular, the different approval criteria needed for the

different types of ISO documents should be noted. This document was drafted in accordance with the

editorial rules of the ISO/IEC Directives, Part 2 (see www .iso .org/ directives).

Attention is drawn to the possibility that some of the elements of this document may be the subject of

patent rights. ISO shall not be held responsible for identifying any or all such patent rights. Details of

any patent rights identified during the development of the document will be in the Introduction and/or

on the ISO list of patent declarations received (see www .iso .org/ patents).

Any trade name used in this document is information given for the convenience of users and does not

constitute an endorsement.

For an explanation of the voluntary nature of standards, the meaning of ISO specific terms and

expressions related to conformity assessment, as well as information about ISO's adherence to the

World Trade Organization (WTO) principles in the Technical Barriers to Trade (TBT), see www .iso .org/

iso/ foreword .html.

This document was prepared by Technical Committee ISO/TC 159, Ergonomics, Subcommittee SC 3,

Anthropometry and biomechanics.

Any feedback or questions on this document should be directed to the user’s national standards body. A

complete listing of these bodies can be found at www .iso .org/ members .html.
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ISO/TR 23476:2021(E)
Introduction

Agriculture is by far the biggest working sector in the world. It is estimated that 2,6 billion people or

40 % of the world's population are farmers. Agriculture is one of the most hazardous sectors in both

the developing and the developed worlds. Work-related musculoskeletal disorders (WMSDs) are the

most common work-related diseases in farmers. In Europe more than 50 % of farmers report disorders

of their lower back or limbs related to their working conditions. WMSDs are caused mainly by manual

handling, heavy physical work, awkward postures and repetitive movements. Increasing attention is

being drawn to the application of practical actions in agricultural settings to help reduce work-related

accidents and illness and WMSDs in particular. ISO 11226, the ISO 11228 series and, more recently,

ISO/TR 12295 are useful for this specific scope.

Experiences in the application of these standards have been acquired in different parts of the world, but

rarely in agriculture. This document extends the scope and methods included in existing standards to

different agricultural contexts (e.g. smallholdings, industrialized farms) based on emerging application

experiences. Special attention is devoted to rendering this document accessible also to non-experts.

Reference is made to easily applicable, non-commercial online tools (simple tools in spreadsheets)

that may be useful for the purposes of this document, making possible the application of the criteria

provided here and therefore the real numerical estimate of the biomechanical overload risks.

The ISO 11228 series, ISO 11226 and ISO/TR 12295 establish ergonomic recommendations for

different manual handling tasks, repetitive movements and working postures. All their parts apply

to occupational and non-occupational activities. The standards provide information for designers,

employers, employees and others involved in work, job and product design, such as occupational health

and safety professionals.

ISO 11228 series consists of the following parts, under the general title Ergonomics — Manual handling:

— Part 1: Lifting and carrying;
— Part 2: Pushing and pulling;
— Part 3: Handling of low loads at high frequency.

ISO 11226 provides recommended limits for static working postures with no or minimal external force

exertion, while taking into account body angles and duration.

ISO/TR 12295 serves as an application guide of the ISO 11228 series and ISO 11226. It offers a simple

risk assessment methodology for small and medium enterprises and for non-professional active.

This document is intended to be used alongside ISO/TR 12295, ISO 11226 and the ISO 11228 series in

the agricultural sector, where the risk from biomechanical work overload from repetitive movements,

from manual handling of loads, from towing and pushing carts and awkward postures is universally

present.

In addition to having deeply used the standards previously mentioned, an extensive review of the

literature on methods for risk assessment of biomechanical overload applied in the agricultural setting

for the prevention of musculoskeletal disorders (MSDs) has been conducted, of which the most salient

data are reported.

Regarding crop production (not cattle), the assessment of biomechanical exposures at work results in

800 studies where 58 studies were selected on the basis of title and abstract. Only studies regarding

crop production and reporting on risk assessment of biomechanical exposures at work were included in

the analysis.

The design of the selected studies was mostly cross-sectional (70 %) and Asia was the world region

from where the majority of the studies came (41 %). In addition, 10 studies were carried out in South

America, 13 in North America (Canada and the USA), 10 in Europe and two in Africa. Most of the selected

studies were field studies (68 %); only 8 % were carried out in a laboratory and seven studies were

classified as surveys.
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ISO/TR 23476:2021(E)

Regarding the applied methods, 14 studies used direct measurements (e.g. electromyography,

accelerometer) and 12 studies used different types of questionnaires (self-compiled or filled in by an

Ergonomist).
[45]
Six studies used the RULA (Rapid Upper Limb Assessment) method.
[42]

OWAS (Ovako Working Posture Analysing System) was used as a risk assessment method in five

studies.
[21],[22]

The OCRA (Occupational Repetitive Actions ) checklist, the REBA (Rapid Entire Body Assessment)

[39] [29]

method and the QEC (Quick Exposure Check) method were used in nine studies (three studies).

Most of the applied methods are observational and attention is drawn to the problems related to their

reliability, especially when the movements are fast.

These studies represent a summary of the papers published in the last decade in the agriculture sector.

The available research has shown a lack of high-quality studies (generally using statistical “prospective”

studies) to evaluate the dose-response relationship between the level of biomechanical exposure at

work and the outcome (MSDs). It is necessary to consider in fact that, given the lack of results of clinical

studies in agriculture (due to the widespread difficulty in subjecting workers to health surveillance),

occupational exposure limits connected with the probability of generating MSDs in the agricultural

setting are not available.
[22]

The OCRA checklist method, in its multi-day cycle risk assessment version, is currently the only

risk assessment method available in literature capable of offering criteria and application experiences

to address multitask analysis (supported by a specific simple tool in the form of free download

spreadsheets for final risk calculation).
ISO/TR 12295 had already adopted this multitask method of exposure analysis.

Clinical evaluation of exposed workers, conducted in multitask studies in agriculture with the OCRA

method and with other methods, are still limited to few longitudinal studies due to great difficulty in

having case studies subjected to health control, as there are rarely fixed-term workers, but more often

seasonal workers, with high turnover, without regular work contracts and underpaid. For this reason,

the prospective studies are difficult and very rarely can be concluded.

After all, the development of a method capable of predicting the appearance of pathologies (real risk

assessment method) can be conquered only after years of use and improvement. The development of

a new TR which, offering evaluation solutions for biomechanical overload study in agriculture, can

stimulate many more valid epidemiological studies in the future, is therefore desirable. The concept of

doing nothing, while waiting for sufficient and perfect published methods, means not doing prevention.

The NIOSH itself, due to the formula for calculating the lifting index (LI), changed the maximum limit

value of its first formula several times over the years, through years of application experience. Recently

the NIOSH added the formula for calculating the variable lifting index (VLI) for the evaluation of

[20],[63]

manual lifting tasks of complex loads, with many different weights and geometries . The gained

experience in this type of analysis was introduced in ISO/TR 12295 and ISO 11228-1.

For the study of working postures it is important to point out the new TACOS (Timing Assessment

[24]

Computerized Strategy for posture) strategy, which adds to all the experience gained from the

RULA and REBA methods and from ISO 11226, a more adequate timing assessment (therefore not only

qualitative studies of work postures, but also studies of their real duration).

The mathematical criterion for the extension of the calculation of any risk factors for the study of

biomechanical overload, not only for the working day cycle but also for cycles different in duration (e.g.

annual cultivation cycles) was also discussed within a specifically activated writing group of experts

for the preparation of this document. The transition is indispensable for the extension of the evaluation

models already present in the specific International Standards (all used in this document) to the risk

evaluation in multitask exposition with annual turnover needed for risk studies in agriculture (see

Annex B).
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ISO/TR 23476:2021(E)

Any other risk assessment methods that include a multitask analysis procedure can adopt the criteria

here proposed, extending multitask annual exposure risk study, for instance to:
— repetitive movements (e.g. strain index, method present in ISO 11228-3);
— manual handling of loads (NIOSH formula in ISO 11228-1).
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TECHNICAL REPORT ISO/TR 23476:2021(E)
Ergonomics — Application of ISO 11226, the ISO 11228
series and ISO/TR 12295 in the agricultural sector
1 Scope

This document is intended to be used alongside ISO/TR 12295, ISO 11226 and the ISO 11228 series in

the agricultural sector. This document gives information on how existing standards can be used in a

global sector such as agriculture where, albeit with different characteristics, biomechanical overload is

a relevant aspect, WMSDs are common and specific preventive actions are needed.
The proposed project aims to:

1) define the user(s) and fields for its application (including non-experts in ergonomics);

2) provide examples of procedures for hazard identification, risk estimation or evaluation and risk

reduction in different agricultural settings, through:
— more synthetic procedural schemes (main test);

— more analytical explanations of the procedures, through mathematical models and application

examples, also with the use of specific free simple tools, in:
— Annex A (pre-mapping with ERGOCHECK);

— Annex B (evaluation of Multitask risk of biomechanical overload on typical agricultural

macro-cycles, considering upper limbs repetitive movements, manual lifting and carrying,

pushing-pulling);

— Annex C (study of awkward postures with criteria derived from the actual standards and

scientific literature as TACOS method).
2 Normative references
There are no normative references in this document.
3 Terms and definitions
No terms and definitions are listed in this document.

ISO and IEC maintain terminological databases for use in standardization at the following addresses:

— ISO Online browsing platform: available at https:// www .iso .org/ obp
— IEC Electropedia: available at http:// www .electropedia .org/
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ISO/TR 23476:2021(E)
4 General outline of work processes in an annual multi-task analysis in
agriculture
4.1 General structure of a multi-task analysis

Specifically, this document provides additional information to aid the user in the selection and use of

the appropriate standards. Depending upon whether specific risks are present, it is intended to help the

user to decide which standards to apply. It will include three levels of approach (Figure 1):

— First level: the “participatory approach” for pre-mapping of danger and discomfort provides all

users, particularly those who are not experts in ergonomics, with criteria and procedures to identify

situations in which they may apply the ISO 11228 series, ISO 11226 and ISO/TR 12295 in different

agricultural settings (key-enter and key-questions level). Only in the early analytical stage is the

opportunity offered to map, even if only using subjective data obtained by interviewing the workers

(through the identification of groups of workers, homogeneous for exposure to occupational risks),

all the occupational hazards and not just the risk of biomechanical overload.

— Second level: provides a “quick assessment method” (according to the criteria provided in

ISO/TR 12295) for easily recognizing activities that are “definitely acceptable or definitely critical”.

If an activity is “neither definitely acceptable nor definitely critical”, it is necessary to complete

a detailed risk-assessment as set out in the standards, continuing with the necessary subsequent

preventive actions.

— Third level: refer to detailed methods for risk assessment set out in the relevant standards when the

quick assessment method shows that the activity risk falls between the two exposure conditions

(definitely acceptable or definitely critical).

The above approaches and scopes are illustrated in the flowchart in Figure 1 and are described in the

main text of ISO/TR 12295.

At first the user is required to answer a short series of practical questions present in the first and second

level. It is emphasized that the quick-assessment method is best implemented using a participatory

approach involving workers in the enterprise (homogeneous groups of workers).

This involvement is deemed to be essential for effectively setting priorities for dealing with the different

hazard and risk conditions and, where necessary, identifying effective risk reduction measures.

In agriculture evaluation it can be possible to limit the study to the first and second levels, obtaining

sufficient data about occupational risk priorities.

The analytical risk assessment approach (third level) provides all users, especially those experienced

in ergonomics, or familiar with the ISO 11228 series, with details and criteria for applying the risk

assessment methods proposed in the original standards also to agriculture.

This analytical risk assessment approach is fully consistent with the methods proposed in the standards

and does not introduce any changes in the criteria (mathematical model) for risk calculations, defined in

the existing standards (as well expressed in ISO/TR 12295) but only adapts the proposed methodology

to the risk assessment in agriculture.

The proposed additional analyses aim to facilitate the use of the actual standards, making it possible to

Figure 1 — Different risk assessment levels according to ISO/TR 12295 for biomechanical

overload estimation

4.2 Study of tasks distribution over the year and search for groups of workers who are

homogeneous in terms of risk exposure
4.2.1 General

In a setting such as agriculture, before starting a risk analysis, it is necessary to define a set of

procedures and criteria for estimating risk in complex situations where workers perform multiple

tasks, variously distributed in qualitative and quantitative terms over the year (annual cycle).

The general risk evaluation process entails a certain number of steps, beginning with:

a) identification of the macrocycle of the many different tasks;

b) analysis of farming tasks to identify tasks performed within the period and obtain a qualitative

definition of the work during each month of the year;
c) identification of one or more homogeneous groups.
4.2.2 Macrocycle duration

Task rotation is when a worker alternates between two or more tasks during a certain period of time;

this situation occurs quite often in modern work organizations and, if properly designed, can represent

one of the most effective strategies for reducing the risk of biomechanical overload.

In special situations, such as in agriculture, where the worker has to perform a large number of tasks

and the tasks are distributed “asymmetrically” over the shift, risk assessments can become extremely

complex. This is why it is necessary to carry out a thorough preliminary study of how the work is

organized. At any rate, the risk analysis process involves different steps, listed further on.

The first step consists in defining the time required to complete the task rotation schedule; this is the

macro-cycle time, which may be daily, weekly, monthly or yearly.

The types of macrocycles durations are infinite, but if there are no simplification criteria that allow us

to estimate the risk, every risk assessment stops and nobody does anything (the excuse being that the

mission is impossible).

The modal macro-cycle periods appear to be, at least in the sectors of agriculture, building construction

and services, accurately representative of job cycles. In agriculture, task rotations are typically annual,

but one can use annual cycles even when multiple cycles of fewer months in each year are repeated

identically (e.g. multiple harvests per year of the same product). In the construction sector there

is generally a yearly cycle for large construction sites, but a monthly cycle (modal) is more frequent

in smaller-scale constructions and civil renovation projects. In other sectors (e.g. logistics for retail

chains, cleaning services, food preparation facilities), the most common rotation scenario is monthly,

while in yet other situations (e.g. supermarkets) tasks can be rotated on a weekly or, occasionally, a

monthly basis.

In summary, some practical suggestions are provided here for using the predefined macro-cycle

(weekly, monthly, yearly), thus certainly simplifying subsequent evaluations:

— If several identical sub-macro-cycles are repeated over the year, use the annual macro-cycle.

— If several identical sub-macro-cycles (e.g. week, fortnight) are repeated within the month and if the

following months are similarly repeated, use the monthly macro-cycle.

Whichever macro-cycle duration is chosen, the criteria and procedures for dealing with the

biomechanical overload risk analysis are the same. Given the extreme activity variability, the

recommendation is, however, to identify and evaluate representative modal scenarios.

4.2.3 Phases and tasks identification

It is not simple to identify farming tasks, which may be very numerous and performed by different

workers or groups of workers. At the outset, ther
...

ISO/PRF TR 23476

Ergonomics -- Application of ISO 11226, the ISO 11228 series and ISO/TR 12295 in the agricultural sector

Ergonomics -- Application of ISO 11226, the ISO 11228 series and ISO/TR 12295 in the agricultural sector

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Ergonomics -- Application of ISO 11226, the ISO 11228 series and ISO/TR 12295 in the agricultural sector

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