|Year : 2012 | Volume
| Issue : 1 | Page : 27-33
Establishing pre-employment vision standards for goldsmiths
R Monica, R Krishnakumar, PP Santanam
Department of Optometry, Elite School of Optometry, Unit of Medical Research Foundation, No. 8, G.S.T. Road, St. Thomas Mount, Chennai, Tamil Nadu, India
|Date of Web Publication||13-Aug-2012|
No. 8, G.S.T. Road, St. Thomas Mount,Chennai - 600 016
Source of Support: Vision Research Foundation, Conflict of Interest: None
Background: The process of jewellery making involves the goldsmiths working with tiny visual tasks at closer working distances, which demands high visual ability. Aim: To establish vision standards for Goldsmiths. Materials and Methods: Visual task analysis was carried out in different Goldsmith workstations. The minimal visual demands of the jobs were determined based on Grundy's nomogram. Depending on the importance of certain visual functions to perform the job, criteria for visual competency was laid down. Visual abilities of goldsmiths were evaluated in order to determine their visual capability status, based on the previously laid criteria. Job competency status of goldsmiths was determined based on the supervisors' grading with respect to the quality and quantity of work. Visual competency and job competency of goldsmiths were then compared in order to establish vision standards. Results: Visual task analysis was carried out in 91 workstations. The median of working distance, work area, critical size of the task, and illuminance were 23 cm (IQR: 20- 29), 514.5 Sq Cm (IQR: 183-746.5), and 536.5 lux (IQR: 170-536.5), respectively. Visual abilities of 113 goldsmiths were evaluated. 44.7% of goldsmiths were found to be visually competent. Job competency status of 30 goldsmiths was obtained, in which 18 (60%) were found to be highly job competent. Based on the visual demands, vision standard for jewellery makers was developed. Conclusion: The vision standards so obtained could be used as minimum visual requirements for the entry level Goldsmiths.
Keywords: Goldsmith, jewellery maker, job competency, vision standard, visual competency
|How to cite this article:|
Monica R, Krishnakumar R, Santanam P P. Establishing pre-employment vision standards for goldsmiths. Indian J Occup Environ Med 2012;16:27-33
|How to cite this URL:|
Monica R, Krishnakumar R, Santanam P P. Establishing pre-employment vision standards for goldsmiths. Indian J Occup Environ Med [serial online] 2012 [cited 2019 Apr 21];16:27-33. Available from: http://www.ijoem.com/text.asp?2012/16/1/27/99689
| Introduction|| |
Indian jewellery industry is dominated by the unorganized sectors, employing around two million people and contributing over 15% of the country's total exports.  Goldsmiths usually specialize in gold curing, rolling, wire making, sorting, setting, assembling, embossing, engraving and polishing gold.  Jewellers need a high degree of skill, precision, and attention to detail, similar to those engaged in electronics manufacturing and in watch repairing. , Job-related vision standards benefit both the employee and the employer. , To obtain the maximum efficiency of the worker without any strain, it will be advisable to set visual standards. To the best of the authors' knowledge, there was no such vision standard available applicable for the jewellery profession. Hence, this study was done to evolve vision standards specific to the people who are involved in jewellery making in India.
| Materials and Methods|| |
The study was approved by the institutional review board and was carried out from November 2010 to March 2011 within the standards of Helsinki Declaration of 1975. Major units in jewellery manufacturing at Coimbatore and Hosur were approached and the following information was collected after obtaining consent from the employers and the employees:
Visual Task Analysis (VTA) of Goldsmiths: A detailed description of each of their tasks were recorded using the visual task analysis guide (Appendix I) proposed by Grundy JW.  The minimum visual acuity required to perform the specific job was determined using the size of the critical detail and the working distances involved in performing the task using the nomogram (Appendix II) and the required near visual acuity was found using the conversion Table (Appendix III). Based on the observations, requirements of other visual functions were also determined.
Criteria for Visual Competency: Depending on the importance of certain visual functions to perform the job, criteria for visual competency was laid down. The visual functions were sub-divided into two categories, namely category (a) and (b), where (a) included all the functions required to perform a near task, namely, Best Corrected Visual Acuity (BCVA) for near (N4.5 or better), accommodative amplitudes ≥ Hofstetter's average age appropriate amplitude, presence of orthophoria for near, near point of convergence (≤ 6 cms) and stereopsis (40 arc seconds). Category (b) included visual functions like BCVA for distance (6/12 or better), presence of orthophoria for distance, good contrast sensitivity for edge detection and presence of normal colour vision.
Category (a) was considered twice more important than (b). Therefore, when each and every one of the visual function in category (a) and (b) were satisfied, a score of two and one was given respectively. Either failure to satisfy one visual function in category (a) or more than one visual function in category (b) was considered as visual incompetency.
Visual abilities of goldsmiths: Visual acuity for distance (LogMAR chart) and near, stereo acuity for near (Titmus Fly Test), contrast sensitivity for edge detection (Melbourne Edge Test), colour vision (Ishihara Test Plates), binocular vision assessments - cover test, near point of convergence and accommodative amplitudes, presence of refractive error and ocular health were assessed at their work place, in order to determine their visual capability.
Grading the job competency: Job competencies of goldsmiths were graded by their supervisors on a 10 point scale, where 1 denoted the lowest and 10 denoted the highest competency level. The grading was based on the quality and quantity of production.
Visual competency Vs Job competency: The grading of the job competency and visual competency was compared so as to see if those subjects who did not meet the visual competency criteria fell under job incompetent group and vice versa.
| Results|| |
Visual task analysis: VTA was done at different workstations (n=91), which involve the tasks namely, gold curing, rolling of gold, jewel sorting, jewel assembling, jewel setting, wire making, jewellery embossing, jewellery engraving, gold filing, ball making and gold enamelling and gem setting.
The median working distance was 23 (Inter Quartile Range (IQR) 20-29) cm. The size of the critical visual detail ranged from 0.3 to 3 mm with a median of 0.5 mm.
The median working area was 514.5 (IQR 183-746.5) sq cm. Direction of gaze while at work of 96.7% of the population was downward, 2.2% straight gaze and 1.1% with the combination of up and down gazes while 56% had side to side head movements. The frequency at which the gaze direction had been changed was found to be low among 98.9% of the population.
The median illumination used at their workplace was 358.5 (IQR 170-536.5) lux; 30.8% of the workstations had <200 lux of illumination and only 3.3% of the workstations had >1000 lux. Fluorescent lighting was used by majority and very few (n=2) used incandescent light source.
The frequency and percentage of the type of lighting used at the workplace is in [Table 1].
The tasks to be performed were stationery and did not involve any moving objects in any of the job types. Majority (84%) of the population's working posture was sitting position on the floor and working on a short Table and 2% were found to sit on a stool and work on machines.
Workplace hazards: Those working in the melting process, soldering and polishing of gold were exposed to nitric acid, sulphuric acid, cadmium, boric acid, and cyanide. Those working in machine cutting area were prone to foreign body injuries due to flying gold particles. Vapours from liquid petroleum gas, improper positioning and inappropriate use of light sources were observed to be sources of discomfort among the workers.
Visual Demands (Visual function requirements): The near and distance visual acuity requirement to perform the job for various work types are shown in [Table 2].
|Table 2: Requirement of distance and near visual acuity for each work type|
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- Roller of Gold, Jewel Sorter, Jewellery Embosser, Gold Filer, Gold Enameller/ Gem Setter
- Jewel Assembler, Jewel Setter, Wire Maker, Jewellery Engraver, Ball Maker
An average of 58 degrees of horizontal and 43 degrees of vertical visual field were found to be required for all the work types. Requirement of colour vision was only limited to those whose works involved identification/ matching of colours as in enamelling or gem setting. Special accuracy and care were required at all the stages, but was found to be specifically important in setting and assembling the jewel.
The motor components of vision, like near point of convergence, phoria status and accommodative amplitudes were found to be important in all job types as they were involved in working at closer distance for prolonged hours.
Visual abilities: Almost 60% of the population had at least one visual (31%) or ocular (24.9%) symptom. The frequency and percentage of the symptoms reported are given in [Table 3].
The summary of study findings on various visual abilities of Goldsmiths is given in [Table 4].
Based on their visual capabilities (i.e., the ability to satisfy the criteria which has been laid earlier), 44.7% were found to be visually competent and 55.3% to be visually incompetent.
Job Competency: 30 goldsmiths were graded by their supervisors for their competency in job on a 10 point scale. The grading ranged from 7 to 10. They were divided into two groups namely, job competent (40% - those having grade of 8.5 and below) and highly job competent (60% - those having grade of 9 and above).
Job competency Vs Visual competency: The relationship between the job competency and visual competency of 30 subjects is represented in [Table 5].
There was no significant association (P value = 0.645) found between the two groups of job and visual competency using Chi-square test.
| Discussion|| |
This is the first such study to the best of our knowledge, dealing with establishing vision standards for goldsmiths in India.
Visual demands: Jewellery makers, watch repairers and electronic manufacturers are classified as engaged in occupations having similar visual demands. Our study has shown that the minimum distance visual acuity required for efficient working as 6/12 and the expected near visual acuity for habitual working distance (23cm) to be N4, age appropriate accommodative amplitude requirement along with the other qualifying visual factors mentioned in previous literatures like convergence at closer distance, depth perception and colour discrimination in certain areas of work.  While comparing the visual demands placed by this job with that of watch repairers, it was found that Goldsmiths had higher visual acuity demand i.e. 6/12, N4 as compared to 6/60, N15.  Rest of the qualifying visual factors were found to be similar except for the requirement of colour vision in a few areas of jewellery making process.
Though certain job types were found to create lesser visual demand than others, the higher demand of visual acuity has to be considered at pre-placement while a combination of works like rolling, sorting, assembling, setting and wire making is to be carried out by a single person.
Considering the fact that the work deals with minute objects (median: 0.5 mm) at closer working distances (median: 23 cm) and they work for an average of ten hours per day, sustainability of accommodation and convergence must be given prime importance. Our study shows that almost 30% of the population did not have the expected (average) age appropriate amplitude of accommodation. For continuous and comfortable working at near, it is essential to keep half of the amplitude of accommodation as reserve and use the remaining (usable) accommodation to perform the task.  Since the mean working distance was 25cm, the accommodative demand for the job was found to be 4D. While prescribing addition for near, both the demands of the job and also the individual's amplitude of accommodation have to be taken into consideration. For example, if the accommodative amplitude of a 35 year old goldsmith was 5 D, then on keeping 2.5 D as reserve, only 2.5 D will be left to perform the task, which in turn will not be adequate enough to meet the demand of 4 D. So the difference between the demand and amplitude (apart from reserve) can be prescribed as compensatory plus lens for comfortable working. 
Binocular cues to depth are stereopsis and convergence. Depth perception can be affected by uncorrected refractive errors, uncompensated muscle balances, amblyopia, anisometropia and squint.  It has been shown that up to the age of 40 years, average stereo acuity of 40 arc secs was present and starts declining significantly after 50 years of age.  13.3% of them had less than 40 arc secs of stereo acuity. 62.8% of the population had receded near point of convergence (NPC greater than 6cm).  Out of those, who had receded NPC, 28.16% were symptomatic and 18.6% of them had exophoria for near. Studies have shown significant improvement in symptoms and clinical measures of near point of convergence by giving vision therapy for symptomatic convergence insufficiency. ,
4.4% (n=5) of the study population were found to have defective colour vision, but none of them were working in places where colour vision was a major requirement. Visual field was not found to be a major visual requirement as their area of work was confined.
Our study population consisted of only male subjects. There were only few subjects (5.4%) in the age group of > 45 years, suggesting that there is a general tendency among the jewellery makers to leave the work during their mid thirties and forties, which is way too early for a person's work life. Generally visual capacity deteriorates with age of the worker.  Visual acuity for example tends to deteriorate starting from mid thirties. Visual acuity is said to be significantly influenced by task size, contrast and viewer's visual performance, which is the ability of the eye to carry out the visual task with both speed and accuracy. Visual performance has been shown to be significantly influenced by the quantity and quality of lighting present at the work place.  The deterioration in visual functions makes it necessary to find ways to enhance it by providing appropriate correction and by improving their visual environment by means of good lighting. This emphasizes the need for vision care services which would allow workers to meet the minimum levels of standards. Since the presence of required distance visual acuity is not so prudent to perform the task, a low myope with a far point, which falls well within the required working distance range, can be considered for recruitment. Same holds for a hyperope having adequate accommodative reserve.
Lighting at workplace: According to Illuminating Engineering Society of North America (IESNA), American National Standard and Practice (ANSI) and International Labour Organisation the recommended illumination for jewellery manufacturing process are 2000 - 5000 lux,  3000 lux  and 1500 lux  respectively. In our study, we found the median illumination to be 358.5 lux and 95.7% were found to work under less than 1000 lux. It was also noticed that those working on a desk using localised lighting were found to work with relatively higher level of illumination (> 500 lux) compared to those working with machines like embossers. The use of localised illumination is recommended at places where levels of illumination of 1000 lux or greater is required. 
Discomfort was reported with the use of incandescent light. Since incandescent light produces lot of heat, it becomes an inappropriate choice for use as on the task lighting. Fluorescent lamps have the requirements of ideal light source such as good colour rendering property, higher luminous efficacy and longer lamp life.  They have a disadvantage of flicker production as the lamps age. Since our job of interest does not involve any moving object, this light source can be considered as an ideal one.
Therefore, it is necessary to provide appropriate and adequate lighting by increasing the level of general illumination and further adding localized illumination to it.
Working area, working position, direction and frequency of eye and head movement while at work was found to be interrelated. This study shows that those who worked on desk had relatively lesser working area, more frequent movement of eyes and not much of head movements while compared to those using machines, where frequent change in direction of gaze was involved. For working at a machine, a head turner can get along with a relatively narrow segment progressive lens, whereas a wide segment is essential for an eye mover working at desk.  These factors need to be taken into consideration while evaluating a person at pre-employment stage. For example, if a person is to be placed for working with machines, where more of head movement is involved, it has to be seen that the person is wearing the appropriate type of glasses, for in this case either a narrow segment in a bifocal or narrow corridor width in a progressive addition lens would be essential.
Workplace Hazards: The flying particles of gold arising during the process of machine cutting, pose a threat of foreign body injury in the eye. These should be controlled by placing either protection at source (a hood at machine) or by providing appropriate eye protective equipment like polycarbonate glasses with side shields.  Proper positioning of the light source should be given consideration so as to avoid 'discomfort glare'. Usually placement of light source above 45 o from the line of sight is suggested to avoid glare. 
Proper placement of fume outlets and use of protective glasses made of cellulose acetate should be considered at the places where polishing and cleaning of gold is done using sulphuric acid. Higher amount of exposure to sulphuric acid fumes can cause eye irritation.  Cadmium, popularly known as KDM, produces fumes when it is burnt to make the solder. It has been fairly replaced by Indium in almost every place for its advantage of being less harmful while giving the same effect to the jewellery.  These harmful chemicals need to be monitored in the environment according to their Threshold Limit Values 
Visual symptoms and disorders: The presence of visual symptoms and disorders, and the illumination levels under which the subjects worked in current study and in a study done by Untimanon et al, is compared in [Table 6]. 
Job competency Vs visual competency: The current study reported no significant association between the two groups of job and visual competency. Inspite of many people being visually incompetent, their job competency status did not project the same.
This could possibly be due to:
- Non-existence of proper job competency standards for the occupation. As the occupation is dominated by unorganised sectors, where standardization of job functions and setting up criterion are difficult, the possibility of obtaining a job competency standard is a challenging task. Another reason being non-automated, handmade process of manufacturing, where each design has its own unique style which cannot be time, quality or quantity rated.
- Grading of job competency was obtained from supervisors of only two workstations. Non-availability of supervisors in certain places is the reason behind the inability to obtain the grades for others. Even in the small organised sectors, there was no proper system to design or document job competency, leading to recall bias of the supervisor.
Absence of significant association between job and visual competency does not conclude that the vision standards thus obtained are inappropriate. Vision is one of the factors necessary in the make-up of the skilled worker. It has been shown that job performance can often be predicted, to some extent, on the basis of visual skills  High intelligence and experience often counterbalance the handicaps which arise from poor visual acuity. Such people should not be turned away from their jobs. For the selection of right man for each job, along with the mental and physical make-up of the individual, the required visual abilities should be the guide. Since the visual demands remain the same, whoever is going to be employed for the job, the findings of the study can be considered as a requirement at pre-employment stage for efficient working.
The study also emphasizes the need for periodic vision examination of the worker, as the minimum vision requirements of the job can be met with appropriate intervention.
In conclusion, this study shows best corrected visual acuity of 6/12, N4, binocular visual field of horizontally 53 degrees and vertically 43 degrees, physiological phoria, 40 arc secs of stereopsis for near, near point of convergence of 6 cms or less, average Hofstetter amplitude of accommodation and normal color vision to be the expected pre-employment vision standard for the goldsmith.
| Acknowledgement|| |
Mr. M. Shankar, Adjunct Faculty, Technical communication, Elite School of Optometry, for reviewing the manuscript.
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[Table 1], [Table 2], [Table 3], [Table 4], [Table 5], [Table 6]