1. New Initiatives Musculoskeletal Disorders MSD

2. © Copyright 2006 Ontario Safety Association for Community & Healthcare. All rights reserved/tous droits réservés. Reproduction in whole or in part by any means without express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. 2 Name These Acronyms DVD MSN ULR OTC NYPD HIV TTC SUV VCR OMG GTG LOL OHSA TLV PC USB CBC MSD OSACH

3. © Copyright 2006 Ontario Safety Association for Community & Healthcare. All rights reserved/tous droits réservés. Reproduction in whole or in part by any means without express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. 3 Computer MSN – Microsoft Network PC – Personal Computer USB – Universal Serial Board Name These Acronyms Teenager OMG – Oh My God! LOL – Laugh out Loud GTG - Got to Go MSN – Microscoft Network Medical HIV – Human Immunodefici ency Virus OTC – Over the Counter MSD – Musculoskel etal Disorders Television Buffs NYPD – New York Police Department CBC – Canadian Broadcast Corporation DVD – Digital Video Disc VCR - Video Cassette Recorder

4. © Copyright 2006 Ontario Safety Association for Community & Healthcare. All rights reserved/tous droits réservés. Reproduction in whole or in part by any means without express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. 4 Points of Discussion Ministry of Labour Ergonomics Sub-committee Pains and Strains Campaign Occupational Health & Safety Council of Ontario Musculoskeletal Disorder Prevention Strategy

5. © Copyright 2006 Ontario Safety Association for Community & Healthcare. All rights reserved/tous droits réservés. Reproduction in whole or in part by any means without express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. 5 MSD Definition Musculoskeletal disorders (MSD) are injuries and disorders of the musculoskeletal system where exposure to various risk factors present in the workplace may have either contributed to the disorder's development, or aggravated a pre-existing condition.

6. © Copyright 2006 Ontario Safety Association for Community & Healthcare. All rights reserved/tous droits réservés. Reproduction in whole or in part by any means without express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. 6 MSD are injuries and disorders of the musculoskeletal system, which includes the muscles, tendons, tendon sheaths, nerves, bursa, blood vessels, joints and ligaments. Other terms include – sprains, strains, RSI, CTD, overuse syndrome, etc.

7. © Copyright 2006 Ontario Safety Association for Community & Healthcare. All rights reserved/tous droits réservés. Reproduction in whole or in part by any means without express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. 7 Risk Factors MSD have been related to various workplace risk factors, including, but not limited to: repetitive, forceful or prolonged exertions frequent or heavy lifting, pushing or pulling, or carrying of objects fixed or awkward work postures contact stress local or whole-body vibration cold temperatures work organization (e.g. work-recovery cycles, task variability, and work rate)

8. © Copyright 2006 Ontario Safety Association for Community & Healthcare. All rights reserved/tous droits réservés. Reproduction in whole or in part by any means without express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. 8 Scope of the MSD problem Nearly half of all lost time claims registered with the WSIB are related to MSD. 41% of all lost-time claims; 49% of all lost-time-claim-related lost-time days; and, 41% of all lost-time benefit claim costs. The percentage of lost-time MSD, compared to all other lost-time claims, has remained relatively stable in each of the past eight years. Direct costs due to lost-time MSD for the period 1996 to 2003 totalled more than an estimated $3 billion. The costs of non-lost-time MSD claims have not been included in the above statistics. Consequently, the magnitude of this problem continues to pose a threat, not only to the health and safety of Ontario workers, but also to the province's economic performance.

9. © Copyright 2006 Ontario Safety Association for Community & Healthcare. All rights reserved/tous droits réservés. Reproduction in whole or in part by any means without express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. 9 Type of Lost Time Injury OSACH Sector (Accident Year 2004) Data Source: EIW Injury Analysis by SWA Snapshot Period: November 2005

10. © Copyright 2006 Ontario Safety Association for Community & Healthcare. All rights reserved/tous droits réservés. Reproduction in whole or in part by any means without express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. 10

11. © Copyright 2006 Ontario Safety Association for Community & Healthcare. All rights reserved/tous droits réservés. Reproduction in whole or in part by any means without express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. 11

12. © Copyright 2006 Ontario Safety Association for Community & Healthcare. All rights reserved/tous droits réservés. Reproduction in whole or in part by any means without express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. 12

13. © Copyright 2006 Ontario Safety Association for Community & Healthcare. All rights reserved/tous droits réservés. Reproduction in whole or in part by any means without express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. 13 MoL Ergonomics Sub-committee Stemmed from the Manufacturing Action Group “Although the Sub-Committee focused on issues in manufacturing and more broadly, the industrial sector, the recommendations of the Sub-Committee are relevant to all sectors.” Focused on best practices, policies and enforcement Recommendations focus on education and outreach, research, enforcement and motivators

14. © Copyright 2006 Ontario Safety Association for Community & Healthcare. All rights reserved/tous droits réservés. Reproduction in whole or in part by any means without express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. 14 Summary Statement The application of ergonomics in the workplace is key to reducing the incidence of work-related MSD and is needed in all sectors, including industrial establishments, construction, mining, and health care. MSD requires a multi-faceted approach Identify risk factors early Senior management commitment essential Good business Integral in design of workplaces, equipment and jobs Integrated into disability management (return to work) Support the Occupational Health & Safety Council of Ontario’s MSD Prevention strategy

15. © Copyright 2006 Ontario Safety Association for Community & Healthcare. All rights reserved/tous droits réservés. Reproduction in whole or in part by any means without express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. 15 Findings Research and knowledge transfer Common definition of MSD Common classification of injuries Fund research that is “applied” and “pure”

16. © Copyright 2006 Ontario Safety Association for Community & Healthcare. All rights reserved/tous droits réservés. Reproduction in whole or in part by any means without express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. 16 Findings Education, outreach and best practices Expand level of awareness and knowledge of MSD Increase number of trained ergonomists in Ontario Integrate ergonomics into professional education programs (i.e. engineering, health care practitioners, skilled trades) Increase knowledge within workplaces Expansion of guidance information on purchasing, design, work processes Information available in a variety of formats

17. © Copyright 2006 Ontario Safety Association for Community & Healthcare. All rights reserved/tous droits réservés. Reproduction in whole or in part by any means without express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. 17 Findings Enforcement and Motivators Motivate good performers Identify poor ones Perhaps based on WSIB premiums, penalties, Increase level of knowledge of MoL inspectors Incorporate MSD prevention initiatives in targeting strategies Track MSD related orders in MoL data base

18. © Copyright 2006 Ontario Safety Association for Community & Healthcare. All rights reserved/tous droits réservés. Reproduction in whole or in part by any means without express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. 18 Findings Standards (Regulation) Supports integration of ergonomic principles into National and International Standards Inventory and evaluation of existing standards Ongoing discussion of Regulation – supplementary report mid Jan. 2006

19. © Copyright 2006 Ontario Safety Association for Community & Healthcare. All rights reserved/tous droits réservés. Reproduction in whole or in part by any means without express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. 19 Ministry of Labour Pains and Strains Campaign Announcement January 26, 2006 1996-2004 ergonomic related injuries cost approximately $12 billion Focus on industry and health care Immediate steps increase in raising employer and worker awareness of risk factors related to musculoskeletal injuries increased enforcement development of guidelines

20. © Copyright 2006 Ontario Safety Association for Community & Healthcare. All rights reserved/tous droits réservés. Reproduction in whole or in part by any means without express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. 20 OHSCO Strategy Components 1.MSD Prevention Guideline for Ontario 2.Sector specific MSD material 3.Increase knowledge and awareness of prevention system staff 4.Increase knowledge and awareness of employers 5.Integrate into existing programs 6.Develop a business case 7.Research 8.Safe Design 9.Evaluation

21. © Copyright 2006 Ontario Safety Association for Community & Healthcare. All rights reserved/tous droits réservés. Reproduction in whole or in part by any means without express written consent of Ontario Safety Association for Community & Healthcare is prohibited by law. 21 Think about MSD in your workplace! How are you identifying which tasks contain MSD risks (high force, awkward posture, repetition)? How are you controlling MSD risks? Are you training staff to recognize MSD symptoms? Are you encouraging staff to early report MSD symptoms?