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Musculoskeletal Disorders

What are MSDs?
MSDs are injuries that affect muscles, tendons, ligaments and nerves. Injuries can develop when the same muscles are used repetitively, or for a long time without adequate rest. This type of injury increases if the force exerted is high and/or the job requires aw awkward posture. Some examples of MSDs include back pain, carpal tunnel syndrome, tendonitis and tenosynovitis.

MSDs do not include musculoskeletal injuries or disorders that are the direct result of a traumatic event, such as a fall, being struck by or against an object, being caught in or on something, a vehicle collision, or workplace violence.

What the law says
Employers are required by law to take every reasonable precaution to protect workers from hazards, including those that may result in MSD injuries. The MSD prevention guideline, announced in February 2007, is clear about employers’ obligations. Numerous sections under the Occupational Health and Safety Act (OHSA) and regulations relate to MSD prevention and ergonomics.

How MSDs can affect your business
MSDs account for 43% of all work-related injuries, 43% of all lost-time claim costs, and 46% of all lost-time days. (Source: MOL: Prevention Workplace Pains and Strains! It’s time to take action!)

Between 2003 and 2007, MSD claims resulted in 2.5 million days off work. During this same period, Ontario employers paid more than $1 billion in direct and indirect costs related to MSDs. Indirect costs include overtime, equipment modifications, administration, retraining and lost productivity.

Employers can improve their bottom line and employee morale by fitting the work environment to the worker. Less strenuous tasks make it easier to train workers. Healthy workers, free from discomfort, are more efficient.

What you can do
Handle MSD risk factors the way you would any other workplace hazard: identify where workers could sustain an MSD injury and eliminate or control it. Make MSD prevention a key element of your workplace health and safety program. Apply ergonomic principles early in the design phase of a new process or task to save money.

Steps you can take:

  • Familiarize yourself with MSD hazards in your workplace
  • Perform your own audit
  • Establish controls to reduce worker exposure to MSD risk factors
  • Have a well-documented MSD program visibly in place
  • Implement MSD-specific strategies, tools and training
  • Train workers about the MSD risk factors in their job and in the workplace
  • Encourage workers to report MSD symptoms or concerns

Sector Specific Information

Public Services Health & Safety Association

Preventing MSDs can help workplaces to reduce costs, boost productivity, improve product and service quality and stimulate innovation. PSHSA can ensure that you take every reasonable precaution to protect workers against MSDs by integrating MSD prevention into your health and safety program. 

Learn about the MSD training we offer, download free MSD Fast Facts sheets, see some of our MSD products or contact our consultants for more information.

Workplace Safety North

WSN's staff includes experienced ergonomists who can help your workplace manage the hazards that lead to MSD injuries. WSN offers training programs, products, consulting services, and health and safety resources.

Workplace Safety & Prevention Services

Ergonomic improvements are often associated with improved productivity, quality and morale, greatly increasing your return on investment in health and safety. WSPS can assist you with implementing an ergonomics program. We also offer ergonomics training, consulting and assessments. Ergonomic specialists will work with you and your staff to identify the most effective ways to improve your employees’ work environments and implement ergonomic solutions.

WSPS provides a comprehensive portfolio of health and safety training and product solutions for the Manufacturing, Services and Agriculture sectors.

Articles

Are You Ready for the MOL MSD Blitz on Manual Material Handling?
Musculoskeletal disorders (MSDs) are injuries and disorders of the musculoskeletal system and can affect the muscles, nerves, tendons, ligaments, joints, cartilage, and/or spinal discs that may be caused or aggravated by various hazards in the workplace.
January 23, 2012
Advance notice: new CSA workplace ergonomics standard
A new CSA ergonomics standard scheduled for release in March will help workplaces reduce the risk of repetitive strain injuries by providing information and tools on identifying ergonomic hazards, assessing risks, and implementing a prevention and control program.
January 23, 2012
Halton Region: Redesigning Their Way to Injury Prevention
Healthcare workers have long been associated with a higher frequency and severity rate of musculoskeletal disorders/injuries (MSD/MSI). Workplace Safety & Insurance Board (WSIB) statistics stated that in 2010 the Healthcare sector reported 8,343 lost time injuries. Approximately 47% of all lost time claims reported in 2010 were due to MSD/MSIs.

Halton Region is looking to change those statistics, at least for its long-term care workers.
January 16, 2012
Ministry of Labour to Focus on MSDs in February
In February, the Ministry of Labour will conduct a month-long inspection blitz on Musculoskeletal Disorders (MSDs) in the workplace. The blitz will concentrate on manual material handling in the health care sectors.
January 16, 2012
MSDs: First MOL Blitz of 2012
In February, the Ministry of Labour will conduct a month-long inspection blitz on musculoskeletal disorders (MSDs). This MSD blitz, the ministry’s third, will concentrate on manual material handling, especially in the industrial, construction, mining, and health care sectors.
January 12, 2012
Achieving Safe Lifts and Transfers of Clients in the Community
Ensuring that a safe lift or transfer occurs in the home can be a challenging task for therapists.  It is often difficult to trial equipment quickly and efficiently as the environment may restrict what equipment or procedure can be used, and there may be a variety of caregivers that require training. 
January 10, 2012
MSDs: first MOL blitz of 2012
In February, the Ministry of Labour will conduct a month-long inspection blitz on musculoskeletal disorders (MSDs). This MSD blitz, the ministry’s third, will concentrate on manual material handling, especially in the industrial, construction, mining, and health care sectors.
December 13, 2011
Housekeeping injuries and the employee satisfaction factor
A bill working its way through California’s legislative process has brought public attention to a repetitive strain issue facing a key demographic in the hospitality industry: hotel and motel housekeepers. Although the issue may seem narrowly defined, the solution applies to all industry sectors.
November 18, 2011
Reusable bag guide: responding to a new hazard
Scanning and bagging groceries is such a commonplace activity that shoppers barely notice the process. But grocery retailers monitor it closely for its impact on customer service, employee well-being, and productivity. Recently, a new concern has arisen: potential health and safety implications of reusable bags.
November 18, 2011
Responding to Early Warning Signs Can Help Reduce MSDs

For many people in Ontario, job-related injuries such as back pains and joint strains are all too common. By being proactive about early warning signs and ensuring that potential hazards are reported and followed up on without delay, we can minimize the impact of these injuries and reduce their frequency and severity.

August 04, 2011
Specialized Services – Get the Expertise You Need
Are you looking for specialized assessments or audits in your workplace? PSHSA is launching a series of specialized services to assist employers with their injury prevention programs, including Ergonomic Assessment, Program Audits, Occupational/Industrial Hygiene and Emergency Services. We have a core group of specialized consultants available within each of our regional teams including 12 ergonomists available for consultants across the province.
August 03, 2011
Taking MSD prevention to the next step
The MSD Prevention Guideline for Ontario is now five years old. Ontario needs to evaluate its success and work out what to do next. On June 27, 2011, 100 people came together in Toronto to learn, discuss, and plan how to take Ontario's musculoskeletal disorder (MSD) strategy one step further. The focus of the discussion forum was on ways to reduce MSDs caused by manual materials handling.
July 28, 2011
Texting Trauma
Painful thumbs, a result of over-texting, playing video games and working the Wii, are turning up in physiotherapists’ offices and are also beginning to show up on disability claims, say experts.
December 13, 2010

Downloads

OHSCO MSD Prevention Guideline for Ontario (French)
The guideline, resource manual and toolboxes were developed in partnership with the members of OHSCO, which is comprised of the Ministry of Labour, the WSIB, the Institute for Work and Health and the health and safety associations.  The Centre of Research Expertise for the Prevention of Musculoskeletal Disorders (CRE-MSD) also assisted in the development.
663 KB pdf
OHSCO MSD Resource Manual for the MSD Prevention Guideline for Ontario (French)
This manual contains information on implementing the process described in the guideline, understanding and recognizing MSD hazards, assessing risk and controlling hazards.
1394 KB pdf
OHSCO MSD Prevention Toolbox A (French)
The MSD Prevention Toolbox provides basic and simple-to-use tools and worksheets to ehlp with your MSD prevention program.  The Toolbox is broken into three parts.  This is part A.
1824 KB pdf
OHSCO MSD Prevention Toolbox B (French)
The primary purpose of Toolbox B is to provide workplace parties with additional information and tools that they can use to enhance their current MSD prevention process and, if required, move beyond a simple MSD risk assessment.  In this toolbox you will find a tool to help you review your MSD prevention process, information on calculating the costs of MSDs, a sample MSD prevention policy / procedure, additional MSD hazard recognition tools, an MSD risk assessment checklist, and a tool to help you communicate the results of an MSD prevention project.
497 KB pdf
OHSCO MSD Prevention Toolbox C (French)
The primary purpose of Toolbox C is to provide workplace parties with additional information on in-depth MSD risk assessment methods.  The risk assessment methods described in this toolbox may be helpful if the simple risk assessment method described in the
381 KB pdf
OHSCO MSD Prevention Guideline for Ontario (English)
The guideline, resource manual and toolboxes were developed in partnership with the members of OHSCO, which is comprised of the Ministry of Labour, the WSIB, the Institute for Work and Health and the health and safety associations.  The Centre of Research Expertise for the Prevention of Musculoskeletal Disorders (CRE-MSD) also assisted in its development.

This guideline describes a recommended framework for MSD prevention.
771 KB pdf
OHSCO MSD Resource Manual for the MSD Prevention Guideline for Ontario (English)
This manual contains information on implementing the process described in the guideline, understanding and recognizing MSD hazards, assessing risk and controlling hazards.
1571 KB pdf
OHSCO MSD Prevention Toolbox A (English)
The MSD Prevention toolbox provides basic and simple-to-use tools and worksheets to help with your MSD prevention program.  The toolbox is broken into three parts; this is part A.
1789 KB pdf
OHSCO MSD Prevention Toolbox B (English)
The primary purpose of Toolbox B is to provide workplace parties with additional information and tools that they can use to enhance their current MSD prevention process and, if required, move beyond a simple MSD risk assessment.  In this toolbox you will find a tool to help you review your MSD prevention process, information on calculating the costs of MSDs, a sample MSD prevention policy / procedure, additional MSD hazard recognition tools, an MSD risk assessment checklist, and a tool to help you communicate the results of an MSD prevention project.
0 KB pdf
OHSCO MSD Prevention Toolbox C (English)
The primary purpose of Toolbox C is to provide workplace parties with additional informaiton on in-depth MSD risk assessment methods.  The risk assessment methods described in this toolbox may be helpful if the simple risk assessment method as described in the MSD Resource Manual has not identified with MSD hazards are of concern or how exposure can be controlled.
324 KB pdf
Working in the Service or Pick-Up Area
This guideline identifies the hazards associated with working in a restaurant service pick-up area.  It also provides safe work guidelines that will help you eliminate or reduce the risk.
252 KB pdf
Working as a Cashier
This guideline outlines the hazards associated with this type of work and provides advice on how to work safely to avoid risk of injury.
272 KB 
Working in the Dishwasher Area
This guideline outlines the hazards associated with working in a dishwashing area and provides guidance on safe work practices to help reduce or eliminate the risk.
920 KB pdf
Cooking and Baking
This guideline highlights the hazards associated with cooking and baking and provides safe work guidelines to help minimalize or eliminate the risk.
265 KB pdf
Preparing Foods with Knives
Knives are always hazardous; whether they are sharp or dull and whether they are in use or being stored.  This guideline provides advice on proper use and care of knives.
254 KB pdf
Preventing Musculoskeletal Disorders (MSDS)
This guideline will help you understand symptoms, risk factors, and common myths as well as offering some practical information on prevention strategies.
256 KB pdf
Discomfort Survey
An assessment survey to determine musculoskeletal disorders.
341 KB pdf
MSD Hazards Checklist
A checklist to assess the ergonomic risks of each job task.
215 KB pdf
MSD Risk Assessment
This document will help you determine if there is a high risk of injury once the potential risk of a musculoskeletal disorder has been identified.
1130 KB pdf
Loading Docks and Warehouses
There are many hazards associated with loading docks.  This guideline outlines these hazards and offers some safe work guidelines to eliminate or minimalize the risk.
278 KB pdf
Manual Materials Handling
Most workplaces have a manual materials handling operation.  Each handling task poses unique demands on the worker.  These tasks can be performed safely and easily by implementing and upholding proper policies and procedures.
271 KB pdf
Reusable Bag Guidelines
Scanning and bagging groceries is a key process and involves a large portion of employees in a grocery store.  Most of the musculoskeletal injuries result from the physical demands of scanning and bagging groceries.  Although environmentally responsible, reusable bags have contributed to a number of new concerns including sprains and strains for cashiers who are handling them.  Existing cash stations were not designed to accommodate the new bags which come in many shapes and sizes.  This guide explores current best practices and identifies possible solutions.
1030 KB pdf
Performing a Physical Demands Analysis (Instruction)
A physical demands analysis (PDA) is a systematic procedure to quantify and evaluate the physical, cognitive, and environmental demands of the essential and non-essential tasks of a job.  This is an instruction to help you with completing the physical demands analysis form.
242 KB pdf
Physical Demands Analysis (Fillable Form)
A physical deamnds analysis (PDA) is a systematic procedure to quantify and evaluate the physical, cognitive, and environmental demands of the essential and non-essential tasks of a job.

See "Physical Demands Analysis Instruction" for assistance to complete this form.
2044 KB pdf
Ergonomic Handbook for the Clothing Industry
Published by the Union of Needletrades, Industrial Textile Employees, the Institute for Work & Health, and the Occupational Health Clinics for Ontario Workers, Inc.

This book looks at conditions in the clothing industry to find out how wrist, shoulder, neck and back injuries can be prevented.
1497 KB pdf
Stocking
There are many hazards related to stocking.  This download will help you identify potential hazards and what to do to minimize or eliminate exposure to them.
261 KB pdf
Order Picking

Order picking can result in a variety of muscle and joint injuries and pains.  Other injuries, and even death, can result from falls and collisions with powered equipment.  Some order pickers may be exposed to hazardous chemicals.

257 KB pdf
How Much Can You Lift?
This handy reference describes the many factors that must be considered to avoid injuries due to lifting.
190 KB pdf
How Does My Back Work?
This fast fact describes how the back works, outlines rules for safe lifting, and considerations for pregnant workers.
204 KB pdf
Removing Parts with an Oxyacetylene Torch
Removing parts with an oxyacetylene torch puts you at risk from welding fumes, flames, and compressed gases, as well as from sharp edges in the parts and from having to work at an awkward posture.
270 KB pdf
Replacing Brake Drums, Shoes or Pads
Replacing brakes may expose you to dangerous chemicals, asbestos dust, sharp edges and musculoskeletal disorders.
279 KB pdf
Office Workstation Design
This document outlines how workstation layout, lighting and task design can affect the physical and visual demands on people who work with computers.
368 KB pdf
MSDs and Mobile Equipment
Musculoskeletal disorders are one of the most common injuries across Ontario. Equipment operators and their employers need to consider ways to elimiinate or control MSD hazards. This presentation was part of a mobile equipment symposium hosted by Workplace Safety North in November 2010.
1600 KB PDF
MSD Sample Policy
Companies should have a policy and program in place to prevent musculoskeletal disorders. This sample policy includes goals and objectives, roles of the workplace parties, key procedures, evaluation, and more.
150 KB PDF
Employee Discomfort Survey
MSDs are among the most common injuries in all sectors. This simple tool helps to assess job-related pain and discomfort.
100 KB PDF
Work, Warm-Up, Stretch and Flexibility Program

This stretching and flexibility program includes a guide to implementing the program in your workplace; posters illustrating and describing how to properly perform warm-up exercises before starting work as well as stress releasers that can be done during work; an employee handout illustrating and describing how to properly perform flexibility stretches at home.

692 KB ZIP
Working as a Sales Representative
Working as a sales representative can be a demanding and hectic position, where the risk of musculoskeletal injuries is increased.
219 KB 
Hotel Housekeeping

This guide provides things to keep in mind while working, but the employer's specific policies and procedures related to the job requirements should be reviewed with you by your supervisor/manager.

405 KB PDF
Building a Successful Client Handling Program

Provides background information on MSD injuries related to client handling, outlines the five elements of an effective client handling program, and lists available resources.

1400 KB PDF

Videos

Musculoskeletal Disorder Innovations in the Construction Sector

Centre of Research Expertise for the Prevention of Musculoskeletal Disorders (CRE-MSD) - Dr. Desre Kramer
Infrastructure Health & Safety Association (IHSA) – Enzo Garritano

How can you persuade employers and workers in the construction sector to adopt new ways of doing work that will reduce their musculoskeletal disorders (MSDs)?

June 10, 2011

Research

Research Exchange Series

The Research Exchange Series, which runs from October to May each year, is hosted by the Centre for Health & Safety Innovation.  It was developed as a way to bring key stakeholders together to increase knowledge transfer and exchange between the research community, Partners in Prevention, -  Health & Safety Ontario, Ministry of Labour, WSIB,  – and workplaces.

June 10, 2011