Health and Safety Program Development: How to Include Musculoskeletal Disorder (MSD) Prevention

How to Include Musculoskeletal Disorder (MSD) Prevention 

Be aware of the legal requirements for workplace Health and Safety, which are outlined in Ontario’s Occupational Health and Safety Act (OHSA). MSD hazards must be treated the same as any other workplace hazard. This means they need to be: 

  • recognized and identified 
  • assessed 
  • eliminated or controlled 

A person who is convicted of an offence under the OHSA may be sentenced to: 

  • a fine of up to $100,000 for an individual and/or up to 12 months imprisonment 
  • a fine of up to $1,500,000 for a corporation

Get started by building a foundation for MSD prevention in your organization. 

Policy and Management Commitment

Requirements under the OHSAMSD Prevention Guideline Steps

A commitment to protecting workers’ health & safety based on OH&S. 

Workplaces with 6 or more workers are required to write, post and maintain the following: 

 

Step 1:

Management creates a MSD Prevention Policy as an important aspect of the organization’s strategy and commitment to protect the health, safety and wellbeing of workers, as well as improve productivity, quality and organizational performance.

Assign roles and responsibilities based on the Internal Responsibility System (IRS): 

  • Employer/Manager 
  • Supervisor 
  • Worker 
  • Health & Safety Representative (H&S Rep.) for >5 workers 
  • Joint Health & Safety Committee (JHSC) for >19 workers

Step 1:

Include the specific MSD prevention roles for workplace parties in the IRS.

Build MSD prevention activities into your Health and Safety Program

Plan

Requirements under the OHSAMSD Prevention Guideline Steps

Provide Training: 

Step 2:

Training by a competent person on MSD, MSD hazards and controls, and safe work practices for MSD prevention.

Worker Participation: ensure that workers feel comfortable to: 

  • Identify and report hazards 
  • Share concerns and suggestions 
  • Report workplace injuries and discomfort

Step 2:

Use MSD hazard sheets, discomfort surveys, injury tracking to help collect valuable information from workers.

Communicate: with all workplace parties 

  • Roles and responsibilities 
  • Process, activities and schedules 
  • Encourage open discussion to improve safety culture

Step 2 & Step 3:

Communicate MSD prevention roles, MSD Prevention Plan and Inspection Teams.

Establish a Process: review all jobs 

  • Allocate time and resources for Health & Safety activities, including monthly inspections and JHSC meetings (as applicable) 
  • Create goals, schedules and reasonable targets 
  • Develop plans for managing changes to the workplace

Step 3:

Create MSD Prevention Plan to outline the objectives, methods and expectations of MSD prevention activities.

Do 

Continuous Hazard Intervention (RACE Model)

Ongoing process to understand health and safety risks and control them to protect workers

Recognize Hazards

  • Observe workers and the work environment 
  • Conduct workplace inspection checklists, hazard checklists 
  • Collect worker feedback

Step 4:

Use Workplace Inspection Checklist, feedback surveys and MSD hazard checklists from the Resource Library.

Assess Hazards

  • Determine root cause of hazards 
  • Determine level of risk

Step 4:

Perform root cause analysis and prioritize hazards. A trained and experienced person performs in-depth MSD risk assessments.

Control Hazards 

  • Follow the hierarchy of controls 
  • Develop solutions to eliminate or control hazards 
  • Trial controls with worker feedback

Step 5:

Use examples from the hazard controls and feedback surveys.

Evaluate Controls

  • Implement feasible solutions and monitor effectiveness 
  • Measure impact of solutions 
  • Provide training on control measures

Step 6 & Step 7:

Use worker feedback survey

Identify training needs on an ongoing basis.

Check

Evaluate the Process 

  • Was there sufficient time and resources allocated? 
  • Did the Health & Safety activities achieve goals and targets?
  • Percentage of hazards eliminated and controlled

Step 8:

MSD hazards eliminated and controlled.

Act

Communicate with all workplace parties 

  • Acknowledge all parties involved in the process 
  • Share results of the process 
  • Report on successes and areas for improvement 
  • Encourage open discussion to improve safety culture

Step 9:

Document and communicate evaluation results and lessons learned.

Review the Program at least once a year 

  • Identify strengths, gaps, barriers and lessons learned 
  • Continuous improvement

Step 10:

Successes and failures should be reviewed to identify areas for improvement. Update policies and procedures accordingly.

© 2022 CRE-MSD. CRE-MSD receives funding through a grant provided by the Ontario Ministry of Labour, Immigration, Training and Skills Development (MLITSD). The views expressed are those of the authors and do not necessarily reflect those of the Province.

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Health and Safety Program Development and MSD (2 page PDF)