Lean manufacturing comes to China: a case study of its impact on workplace health and safety
Abstract
Lean manufacturing, which establishes small production "cells," or teams of workers, who complete an entire product from raw material processing through final assembly and shipment, increases health and safety hazards by mixing previously separated exposures to various chemicals (with possible additive and cumulative effects) and noise. The intensification of work leads to greater ergonomic and stress-related adverse health effects, as well as increased safety hazards. The standard industrial hygiene approach of anticipation, recognition, evaluation, and hazard control is applicable to lean operations. A focus on worker participation in identifying and solving problems is critical for reducing negative impacts. A key to worker safety in lean production operations is the development of informed, empowered, and active workers with the knowledge, skills, and opportunity to act in the workplace to eliminate or reduce hazards.
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Lean can increase workload.
“Lean implementers and researchers should be aware that Lean can increase workload, threaten autonomy, and bring about anxiety.”
From Lean Thinking in Emergency Departments: A Critical Review (2011) · cites this paper as [94]
Undesirable employee effects of Lean are well documented in the broader Lean literature.
“These undesirable employee effects are well documented in the broader Lean literature [32–39, 94–97] but may not show up in reports on Lean in health care either because of how Lean is implemented in health care or because studies in health care simply do not measure employee effects.”
From Lean Thinking in Emergency Departments: A Critical Review (2011) · cites this paper as [94]
Lean can bring about anxiety.
“Lean implementers and researchers should be aware that Lean can increase workload, threaten autonomy, and bring about anxiety.”
From Lean Thinking in Emergency Departments: A Critical Review (2011) · cites this paper as [94]
Lean can threaten autonomy.
“Lean implementers and researchers should be aware that Lean can increase workload, threaten autonomy, and bring about anxiety.”
From Lean Thinking in Emergency Departments: A Critical Review (2011) · cites this paper as [94]
Cites
Employee and union inputs into occupational health and safety measures in Chinese factories
Chen, M., & Chan, A. (2003) · Social Science & Medicine · doi:10.1016/s0277-9536(03)00315-0 · Cited by 41 · see citing works
Unger, J., & Chan, A. (2004) · The China Journal · doi:10.2307/4127882 · Cited by 38 · see citing works
O’Rourke, D., & Brown, G. D. (2003) · International Journal of Occupational and Environmental Health · doi:10.1179/oeh.2003.9.4.378 · Cited by 31 · see citing works
Self-citationChina's Factory Floors: An industrial Hygienist's View
Brown, G. D. (2003) · International Journal of Occupational and Environmental Health · doi:10.1179/oeh.2003.9.4.326 · Cited by 21 · see citing works
Self-citationDeveloping an Action-based Health and Safety Training Project in Southern China
Szudy, B., O’Rourke, D., & Brown, G. D. (2003) · International Journal of Occupational and Environmental Health · doi:10.1179/oeh.2003.9.4.357 · Cited by 17 · see citing works
Self-citationTaking Steps to Establish H&S Committees in China
Brown, G. (2003) · The Synergist · doi:10.3320/1.2928444 · Cited by 2 · see citing works
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Lean Thinking in Emergency Departments: A Critical Review
Holden, R. J. (2011) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2010.08.001 · Cited by 516 · see citing works
- Authors
- Brown, G. D., & O'rourke, D.
- ORCID
- Brown, Garrett D.
- Venue
- International Journal of Occupational and Environmental Health
- Publisher
- Informa UK Limited
- Published
- 2007-07
- Volume
- 13
- Issue
- 3
- Pages
- 249-257
- ISSN
- 1077-3525 (ISSN-L)
- 2049-3967
- OpenAlex
- W2069818041
- Cited by
- 98
- References
- 6
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 40 · 2020: 3 · 2019: 9 · 2018: 3 · 2017: 6 · 2016: 3 · 2015: 3 · 2014: 5 · 2013: 2 · 2012: 8
- FWCI
- 5.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Occupational and Environmental Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety Management
- Health Sciences › Health Professions › Radiological and Ultrasound Technology › Occupational Health and Safety Research
- Keywords
- lean manufacturing, workplace health and safety, manufacturing cells, chemical exposure, noise exposure, occupational stress, ergonomic hazards, employee participation, industrial hygiene, hazard control, employee empowerment, China
- MeSH terms
- China, Hot Temperature, Humans, Ergonomics, Industry, Noise, Radiation, Nonionizing, Safety, Shoes, Hazardous Substances, Occupational Health, Occupational Exposure, Workplace
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