Measurement of slipperiness: fundamental concepts and definitions.

The main objective of this paper is to give an overview of basic concepts and definitions of terms related to the 'measurement of slipperiness' from the onset of a foot slide to a gradual loss of balance and a fall. Other unforeseen events prior to falls (e.g. tripping) are sparingly dealt with. The measurement of slipperiness may simply comprise an estimation of slipping hazard exposures that initiate the chain of events ultimately causing an injury. However, there is also a need to consider the human capacity to anticipate slipperiness and adapt to unsafe environments for avoiding a loss of balance and an injury. Biomechanical and human-centred measurements may be utilized for such an approach, including an evaluation of relevant safety criteria for slip/fall avoidance and procedures for validation of slip test devices. Mechanical slip testing approaches have been readily utilized to measure slipperiness in terms of friction or slip resistance but with conflicting outcomes. An improved understanding of the measurement of slipperiness paradigm seems to involve an integration of the methodologies used in several disciplines, among others, injury epidemiology, psychophysics, biomechanics, motor control, materials science and tribology.     

Human-centred approaches in slipperiness measurement.

A number of human-centred methodologies--subjective, objective, and combined--are used for slipperiness measurement. They comprise a variety of approaches from biomechanically-oriented experiments to psychophysical tests and subjective evaluations. The objective of this paper is to review some of the research done in the field, including such topics as awareness and perception of slipperiness, postural and balance control, rating scales for balance, adaptation to slippery conditions, measurement of unexpected movements, kinematics of slipping, and protective movements during falling. The role of human factors in slips and falls will be discussed. Strengths and weaknesses of human-centred approaches in relation to mechanical slip test methodologies are considered. Current friction-based criteria and thresholds for walking without slipping are reviewed for a number of work tasks. These include activities such as walking on a level or an inclined surface, running, stopping and jumping, as well as stair ascent and descent, manual exertion (pushing and pulling, load carrying, lifting) and particular concerns of the elderly and mobility disabled persons. Some future directions for slipperiness measurement and research in the field of slips and falls are outlined. Human-centred approaches for slipperiness measurement do have many applications. First, they are utilized to develop research hypotheses and models to predict workplace risks caused by slipping. Second, they are important alternatives to apparatus-based friction measurements and are used to validate such methodologies. Third, they are used as practical tools for evaluating and monitoring slip resistance properties of footwear, anti-skid devices and floor surfaces.     

Human-centred approaches in slipperiness measurement

A number of human—centred methodologies subjective, objective, and combined are used for slipperiness measurement. They comprise a variety of approaches from biomechanically-oriented experiments to psychophysical tests and subjective evaluations. The objective of this paper is to review some of the research done in the field, including such topics as awareness and perception of slipperiness, postural and balance control, rating scales for balance, adaptation to slippery conditions, measurement of unexpected movements, kinematics of slipping, and protective movements during falling. The role of human factors in slips and falls will be discussed. Strengths and weaknesses of human-centred approaches in relation to mechanical slip test methodologies are considered. Current friction-based criteria and thresholds for walking without slipping are reviewed for a number of work tasks. These include activities such as walking on a level or an inclined surface, running, stopping and jumping, as well as stair ascent and descent, manual exertion (pushing and pulling, load carrying, lifting) and particular concerns of the elderly and mobility disabled persons. Some future directions for slipperiness measurement and research in the field of slips and falls are outlined. Human-centred approaches for slipperiness measurement do have many applications. First, they are utilized to develop research hypotheses and models to predict workplace risks caused by slipping. Second, they are important alternatives to apparatus-based friction measurements and are used to validate such methodologies. Third, they are used as practical tools for evaluating and monitoring slip resistance properties of footwear, anti-skid devices and floor surfaces.     

Occupational slip, trip, and fall-related injuries--can the contribution of slipperiness be isolated?

To determine if the contribution of slipperiness to occupational slip, trip and fall (STF)-related injuries could be isolated from injury surveillance systems in the USA, the UK and Sweden, six governmental systems and one industrial system were consulted. The systems varied in their capture approaches and the degree of documentation of exposure to slipping. The burden of STF-related occupational injury ranged from 20 to 40% of disabling occupational injuries in the developed countries studied. The annual direct cost of fall-related occupational injuries in the USA alone was estimated to be approximately US$6 billion. Slipperiness or slipping were found to contribute to between 40 and 50% of fall-related injuries. Slipperiness was more often a factor in same level falls than in falls to lower levels. The evaluation of the burden of slipperiness was hampered by design limitations in many of the data systems utilized. The resolution of large-scale injury registries should be improved by collecting more detailed incident sequence information to better define the full scope and contribution of slipperiness to occupational STF-related injuries. Such improvements would facilitate the allocation of prevention resources towards reduction of first-event risk factors such as slipping.     

Occupational slip,trip, and fall-related injuries can the contribution of slipperiness be isolated?

To determine if the contribution of slipperiness to occupational slip, trip and fall (STF)-related injuries could be isolated from injury surveillance systems in the USA, the UK and Sweden, six governmental systems and one industrial system were consulted. The systems varied in their capture approaches and the degree of documentation of exposure to slipping. The burden of STF-related occupational injury ranged from 20 to 40% of disabling occupational injuries in the developed countries studied. The annual direct cost of fall-related occupational injuries in the USA alone was estimated to be approximately US$6 billion. Slipperiness or slipping were found to contribute to between 40 and 50% of fall-related injuries. Slipperiness was more often a factor in same level falls than in falls to lower levels. The evaluation of the burden of slipperiness was hampered by design limitations in many of the data systems utilized. The resolution of large-scale injury registries should be improved by collecting more detailed incident sequence information to better define the full scope and contribution of slipperiness to occupational STF-related injuries. Such improvements would facilitate the allocation of prevention resources towards reduction of first-event risk factors such as slipping.     

The use of a heel-mounted accelerometer as an adjunct measure of slip distance

A human-centered measure of floor slipperiness could be useful as an adjunct to conventional tribologic measures. This paper reports on the development and evaluation of a measure of slip distance based on variables derived from the signal of a heel-mounted accelerometer. Twenty-one participants walked on a laboratory runway under several surface slipperiness conditions at three walking speeds during a protocol designed to produce a wide range of slip distances at heel strike. Analysis of variance showed significant effects of slip distance (no-slip, micro-slip and slide), walking speed (1.52, 1.78 and 2.13 m/s) and their interactions on peak forward acceleration, peak vertical acceleration and deceleration time of the heel following heel strike in 704 trials. Regression analysis of slip distance and deceleration time showed the strongest relationship with R2=0.511. Large individual variation in the strength of this relationship was observed. The heel-mounted accelerometer may have utility as an adjunct measure in the evaluation of floor slipperiness, particularly for field applications where direct measurement may not be feasible.     

The role of surface roughness in the measurement of slipperiness.

Surface roughness has been shown to have substantial effects on the slip resistance between shoe heels and floor surfaces under various types of walking environments. This paper summarizes comprehensive views of the current understanding on the roles of surface roughness on the shoe and floor surfaces in the measurement of slipperiness and discusses promising directions for future research. Various techniques and instruments for surface roughness measurements and related roughness parameters are reviewed in depth. It is suggested that a stylus-type profilometer and a laser scanning confocal microscope are the preferred instruments for surface roughness measurements in the field and laboratory, respectively. The need for developing enhanced methods for reliably characterizing the slip resistance properties is highlighted. This could be based on the principal understanding of the nature of shoe and floor interface and surface analysis techniques for characterizing both surfaces of shoe and floor. Therefore, surface roughness on both shoe and floor surfaces should be measured and combined to arrive at the final assessment of slipperiness. While controversies around the friction measurement for slipperiness assessment still remain, surface roughness measurement may provide an objective alternative to overcoming the limitations of friction measurements.     

The role of surface roughness in the measurement of slipperiness

Surface roughness has been shown to have substantial effects on the slip resistance between shoe heels and floor surfaces under various types of walking environments. This paper summarizes comprehensive views of the current understanding on the roles of surface roughness on the shoe and floor surfaces in the measurement of slipperiness and discusses promising directions for future research. Various techniques and instruments for surface roughness measurements and related roughness parameters are reviewed in depth. It is suggested that a stylus-type profilometer and a laser scanning confocal microscope are the preferred instruments for surface roughness measurements in the field and laboratory, respectively. The need for developing enhanced methods for reliably characterizing the slip resistance properties is highlighted. This could be based on the principal understanding of the nature of shoe and floor interface and surface analysis techniques for characterizing both surfaces of shoe and floor. Therefore, surface roughness on both shoe and floor surfaces should be measured and combined to arrive at the final assessment of slipperiness. While controversies around the friction measurement for slipperiness assessment still remain, surface roughness measurement may provide an objective alternative to overcoming the limitations of friction measurements.     

Association of subjective ratings of slipperiness to heel displacement following contact with the floor

Falls precipitated by slipping are listed among the leading causes of occupational injuries. Several factors may influence the risk of slips and falls, including perception of surface conditions. The current research examined the relationship between perceptions of slipperiness and slip distance at heel strike. The investigation compared objective and subjective measures for 31 participants ranging in age from 19 to 67 years old. Subjective slipperiness ratings for several floor surface and walking velocity conditions were obtained. Small slips were not generally perceived, but a uniform slip distance threshold could not be identified due to the large variability in ratings. The Pearson correlation coefficient between slip distance and subjective ratings for slides (30-100mm) was r=-0.17. Results indicate that subjective ratings should be used cautiously as a measure of slipperiness, partially due to possible underestimation of slipperiness and the variability in perceptions.     

The influence of elderly vision degradation on subjective rating of floor slipperiness

This study investigated the influence of elderly vision degradation on subjective rating of floor slipperiness and the correlation between the subjective ratings and objective measures. Slips and falls are common causes of injures and fatalities in the elderly population. Many slips and falls may be attributed to environmental risks and misjudgment of floor slipperiness by vision degradation. Environmental risks are generally caused by a slippery floor. The coefficient of friction (COF) is one of the most commonly used indices to assess floor slipperiness. The measurements conducted in this study acquired the COF on four floors under three surface conditions (dry, sand‐covered, and wet). The results showed that the dry condition has the highest COF and the wet condition has the lowest. Thirty elderly persons and thirty younger persons were recruited for vision screening. The vision degradation in elders was significant, with most elders having eye diseases. The subjective ratings of floor slipperiness were recorded for these subjects. Although both age groups had a similar rating trend with the COF measures, the correlation between rating and COF for younger persons was significantly stronger than that for elders. The results also showed that the smooth floor and the sand‐covered condition both cause lower correlation coefficients between rating and COF for elders. The results could be used to reduce slip and fall accidents by elderly persons. © 2011 Wiley Periodicals, Inc.     

Assessing slipperiness in fast-food restaurants in the USA using friction variation, friction level and perception rating

Although friction variation is speculated to be a significant contributor to slip and fall incidents, it has not been related to a measurement of slipperiness in the literature. This field study investigated the relationship among multiple friction variations, friction levels and the perception ratings of slipperiness in six major working areas of 10 fast-food restaurants in the USA. The mean perception rating score for each working area was correlated with various friction reduction variables across all the restaurants in comparison with its correlation with the mean friction coefficient of each working area. The results indicated that the absolute and relative reductions in friction over the whole working area, among 12 friction reduction variables evaluated, could have a slightly better correlation with the perception rating score (r=0.34 and 0.37, respectively) than the mean friction coefficient of each working area (0.33). However, in friction measurements, more effort and time are needed to quantify friction variations than to obtain the mean friction coefficient. The results of the multiple regression model on the perception rating indicated that adding friction reduction variables into the regression model, in addition to the mean friction coefficient, did not make a significant impact on the outcomes. The results further indicated a statistically significant correlation between the mean friction coefficient and the maximum relative friction reduction over the whole area in each working area across all the restaurants evaluated (r=0.80). Despite a slightly lower correlation with perception rating than the friction variation, the mean friction coefficient of an area is still a reasonably good indicator of slipperiness.     

Predicting slips and falls considering required and available friction

This study investigated the relationship among measurements of friction, the biomechanics of gait, and actual slip and fall events. The goal was to develop a method for estimating the probability of slips and falls based on measurements of available friction and required friction. Five subjects wearing safety harnesses walked down a ramp at various angles with either a tile or carpeted surface under dry, wet or soapy conditions. Ramp angles of 0 degree, 10 degrees and 20 degrees were used to vary the shear and normal foot force requirements. The dynamic coefficient of friction (DCOF) of shoe, floor surface and contaminant interfaces was measured. Required friction was assessed by examining the foot forces during walking trials when no slips occurred. Slips with recoveries and slips resulting in falls were recorded and categorized using a force plate and high-speed video camera. These data were then incorporated into a logistic regression to model the probability of a slip or fall event occurring based on the difference between the COF required by the foot forces generated and the measured DCOF. The results showed that the number of slip and fall events increased as the difference between the required COF and the measured DCOF increased. The logistic regression model fit the data well, resulting in an estimate of the probability of a slip or fall event based on the difference between the measured and required friction. This type of model could be used in the future to evaluate slip resistance measurement devices under various environments and assist in the design of safer work environments.     

Fall risk assessment of construction workers based on biomechanical gait stability parameters using wearable insole pressure system

Falls on the same level are a leading cause of non-fatal injuries in the construction industry, and loss of balance events are the primarily contributory risk factors associated with workers’ fall injuries. Previous studies have indicated that changes in biomechanical gait stability parameters provide substantial safety gait metrics for assessing workers’ fall risks. However, scant research has been conducted on changes in biomechanical gait stability parameters based on foot plantar pressure patterns to assess workers’ fall risks. This research examined the changes in spatial foot regions and loss of balance events associated with biomechanical gait stability parameters based on foot plantar pressure patterns measured by wearable insole pressure system. To test the hypotheses of this study, ten asymptomatic participants conducted laboratory simulated loss of balance events which are often initiated by extrinsic fall risk factors. Our results found: (1) statistically significant differences in biomechanical gait stability parameters between spatial foot regions, especially with the peak pressure parameter; and (2) statistically significant differences in biomechanical gait stability parameters between loss of balance events when compared to normal gait (baseline), especially with the pressure-time integral parameter. Overall, the findings of this study not only provide useful safety gait metrics for early detection of specific spatial foot regions but also allow safety managers to understand the mechanism of loss of balance events in order to implement proactive fall-prevention strategies.     

The role of friction in the measurement of slipperiness,Part 1: Friction mechanisms and definition of test conditions

Friction has been widely used as a measure of slipperiness. However, controversies around friction measurements remain. The purposes of this paper are to summarize understanding about friction measurement related to slipperiness assessment of shoe and floor interface and to define test conditions based on biomechanical observations. In addition, friction mechanisms at shoe and floor interface on dry, liquid and solid contaminated, and on icy surfaces are discussed. It is concluded that static friction measurement, by the traditional use of a drag-type device, is only suitable for dry and clean surfaces, and dynamic and transition friction methods are needed to properly estimate the potential risk on contaminated surfaces. Furthermore, at least some of the conditions at the shoe/floor interface during actual slip accidents should be replicated as test conditions for friction measurements, such as sliding speed, contact pressure and normal force build-up rate.     

The role of friction in the measurement of slipperiness, Part 1: friction mechanisms and definition of test conditions.

Friction has been widely used as a measure of slipperiness. However, controversies around friction measurements remain. The purposes of this paper are to summarize understanding about friction measurement related to slipperiness assessment of shoe and floor interface and to define test conditions based on biomechanical observations. In addition, friction mechanisms at shoe and floor interface on dry, liquid and solid contaminated, and on icy surfaces are discussed. It is concluded that static friction measurement, by the traditional use of a drag-type device, is only suitable for dry and clean surfaces, and dynamic and transition friction methods are needed to properly estimate the potential risk on contaminated surfaces. Furthermore, at least some of the conditions at the shoe/floor interface during actual slip accidents should be replicated as test conditions for friction measurements, such as sliding speed, contact pressure and normal force build-up rate.     

Field evaluation of two commonly used slipmeters

A variety of slipmeters have been used to assess the slipperiness of floor surfaces. International standards for the operation of slipmeters describe the protocol for a single measurement. These standards usually do not cover some of the critical elements in safety assessment such as methods for the selection of measurement locations and the necessary number of repeated measurements at each location. Furthermore, most of the slipmeters were evaluated in laboratory settings with new floor surfaces and artificial contaminants. Two commonly used slipmeters, the Brungraber Mark II and the English XL, were evaluated at actual worksites in this experiment. Four floor tiles in each of four different work areas in the kitchens of 18 fast food restaurants were selected for repeated measurements with these two slipmeters. The results indicated that sanding of footwear materials has a significant effect on the outcomes of friction measurements, and the tile-to-tile variations in friction in the same areas of restaurants were also mostly statistically significant. Significant local variation in friction among tiles in the same area could potentially increase the chances of slip and fall incidents. Both slipmeters used in this experiment could potentially have problems in the areas with grease, such as grill and fryer areas, since the build-up of grease during repeated strikes could alter the outcome of friction measured.     

Coefficient of friction and subjective assessment of slippery work surfaces.

Research was conducted to determine how well subjects could distinguish between surfaces with different coefficient of friction (COF) values and to evaluate how well subjective ratings of slipperiness correlated with the actual COF values. Thirty-three ironworkers experienced in working and walking on steel surfaces and 23 university students inexperienced with these tasks participated in the study. Subjective slipperiness ratings for a variety of climbing and walking conditions were obtained from the subjects. It was found that subjects could identify differences in the slipperiness of four types of steel coatings tested in the study. There was a high correlation between the subjective ratings and the measured COF values. Subjects did not slip at a COF of 0.41 but did lose footing at a COF of 0.20.     

The effect of surface waviness on friction between Neolite and quarry tiles

Friction is widely used as an indicator of surface slipperiness in preventing accidents in slips and falls. Surface texture affects friction, but it is not clear which surface characteristics are better correlated with friction. Highly correlated surface characteristics could be used as potential interventions to prevent slip and fall accidents. The dynamic friction between quarry tiles and a commonly used sole testing material, Neolite, using three different mixtures of glycerol and water as contaminants at the interface was correlated with the surface parameters of the tile surfaces. The surface texture was quantified with various surface roughness and surface waviness parameters using three different cut-off lengths to filter the measured profiles for obtaining the profiles of either surface roughness or surface waviness. The correlation coefficients between the surface parameters and the measured friction were affected by the glycerol contents and cut-off lengths. Surface waviness parameters could potentially be better indicators of friction than commonly used surface roughness parameters, especially when they were measured with commonly used cut-off lengths or when the viscosity of the liquid contaminant was high.