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Pages 5-30

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From page 5...
... 52.1 Commercial Driving Affects Driver Health Addressing health and wellness concerns for commercial drivers is challenging, in part, because of the varied work environments in which commercial drivers operate. Some drivers may do daily deliveries of goods, while other drivers do short-haul or long-haul (over-the-road)
From page 6...
... vehicle." Under Subpart E, Paragraph 391.41, Physical Qualifications and Examinations, specifies physical qualifications for drivers as follows*
From page 7...
... in the Federal Register (November 16, 2006, issue, Volume 71, No. 221 pages 66723–66748)
From page 8...
... lifting and awkward posture movements while handling furniture and other items handled in moving and storage work. Studies of drivers loading and unloading cargo (Krueger and Van Hemel 2001)
From page 9...
... Figures on the use of alcohol and alcohol abuse also are not well-known in either the trucking or bus/motorcoach industries. Many drivers do not understand the impact a variety of other chemical substances have on health and driving performance.
From page 10...
... not using insulin, had an increased crash risk of 1.68 (i.e., 68% increased risk) compared with healthy CDL holders.
From page 11...
... models should be collected and evaluated. There is also a need to develop an audiometric database for truck drivers, and presumably for bus and motorcoach drivers, and to continue assessment of the validity and in-practice application of the forced-whisper test, as well as to continue evaluation of active noise control systems (Maguire 2003, 2005)
From page 12...
... engineering to modify the hue and intensity of traffic lights help persons with red deficiency. Decina and Breton point out that the color requirement does not exclude red-green color defective drivers because the standard does not provide adequate instruction on requirements for color vision testing.
From page 13...
... to "health concerns" per se. However, readers interested in worker fatigue as it relates to health issues might want to review a recent occupational medicine article by Ricci et al.
From page 14...
... (Evans)
From page 15...
... in the form of physical exercise, to reduce the risk of many diseases, including cardiovascular and heart disease, hypertension, osteoporosis, diabetes, and breast and colon cancer, as well as reducing the risk of psychological illness such as depression, anxiety, and stress (Harig et al. 1995; Barko and Vaitkus 2000; McArdle et al.
From page 16...
... low back pain in this WHO report seems to have been data quoted from Bovenzi and Betta (1994)
From page 17...
... perspective. Goetzel indicated that when one couples individual health concerns with organizational stressors such as downsizing, lackluster senior management, poorly communicated policies, and an environment without clear purpose, the potential for productivity losses can be pronounced.
From page 18...
... In CTBSSP Synthesis 1, Knipling, Hickman and Bergoffen (2003) cited National Institute of Mental Health (NIMH)
From page 19...
... Reference (1987) , Roberts and York characterized amphetamines as bringing about an elevation in blood pressure; however, the warnings include onset of increasing restlessness, dizziness, euphoria, and headaches as side effects, and statements that amphetamine use may impair the ability of a person to engage in potentially hazardous activities such as operating machinery or vehicles.
From page 20...
... prediction. Such functional impairments are not specific to a medical condition (i.e., visual deficits can result from more than one disease)
From page 21...
... are shown in Table 1. Measurement tools used to assess each cognitive ability are also indicated in this table.
From page 22...
... a commercial vehicle. In efforts to update current standards it is likely that the "forced-whisper" test methodology should be phased out of use, testing of commercial drivers should probably be done at a wider range of frequencies than are currently prescribed (up to 4,000 Hz)
From page 23...
... and "how-to" tips was produced by the editorial team from Wellness Program Management Advisor, a popular monthly news briefing for workplace wellness professionals. 2.8.3 Transportation Industry Employee Wellness Programs Roberts and York compiled a list of wellness programs in the trucking industry.
From page 24...
... Motor Carrier #3 was a refrigerated carrier, with a large national operation and with 2,100 drivers and a staff of 300 operations and support staff personnel. Driver turnover rates reportedly exceeded 200%.
From page 25...
... costs at $4,026 per employee per year -- three-fourths of the cost of premiums. Employees were estimated to pay an average of $1,401 more in costs in 2002 than in 2001 (SHRM 2002)
From page 26...
... Davis reported the Daimler Chrysler/UAW wellness program realized a savings of $4.2 million among bargaining union employees who participated from 1999 to 2001. The program, piloted in 1985, had approximately 44,000 employees participate from 1985 to 2004.
From page 27...
... Institute, in 2001, 44% of employers offered DM for chronic medical conditions, up from 14% in 1995 (Atkinson 2001, 2002)
From page 28...
... Association for Fitness in Business 1992) and from them, extracted, adapted, and outlined the following fundamental elements for a successful company-sponsored employee health and wellness program: Fundamental Health and Wellness Program Elements • Commitment from senior management is important (highest level, CEO if possible)
From page 29...
... relations, and labor relations. Fragmented, department-specific strategies attempt to manage individual and organizational risks although oftentimes these risks are common to several functions simultaneously within the organization and might be better managed through cooperative or integrated activities.
From page 30...
... • Rejuvenating: improving one's physical self through exercise, maintaining regular exercise and movement activities to preserve one's health, and to remain physically fit. Sample exercises drivers can do are described.

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