U.S. Department of Labor
Lynn Martin, Secretary

Occupational Safety and Health Administration
Gerard F. Scannell, Assistant Secretary

1991 (Reprinted)
OSHA 3123

CONTENTS

INTRODUCTION

I. MANAGEMENT COMMITMENT AND EMPLOYEE INVOLVEMENT

A. Commitment by Top Management
B. Written Program
C. Employee Involvement
D. Regular Program Review and Evaluation

II. PROGRAM ELEMENTS
A. Worksite Analysis
B. Hazard Prevention and Control

1. Engineering Controls
2. Work Practice Controls
3. Personal Protective Equipment
4. Administrative Controls

C. Medical Management
D. Training and Education

1. General Training
2. Job-Specific Training
3. Training for Supervisors
4. Training for Managers
5. Training for Engineers and Maintenance Personnel

III. DETAILED GUIDANCE AND EXAMPLES
A. Recommended Worksite Analysis Program for Ergonomics

1. Information Sources
2. Screening Surveys
3. Ergonomic Job Hazard Analyses
4. Periodic Ergonomic Surveys

B. Hazard Prevention and Control: Examples of Engineering Controls for the Meat Industry

1. Work Station Design
2. Design of Work Methods
3. Tool Design and Handles
C. Medical Management Program for the Prevention and Treatment of Cumulative Trauma Disorders in Meatpacking Establishments
1. General
2. Trained and Available Health Care Providers
3. Periodic Workplace Walkthrough
4. Symptoms Survey
5. Compile a List of Light-Duty Jobs
6. Health Surveillance
7. Employee Training and Education
8. Encourage Early Reporting of Symptoms
9. Protocols for Health Care Providers
10. Evaluation, Treatment, and Followup of CTDs
11. Recordkeeping--OSHA Recordkeeping Forms
12. Monitor Trends

Exhibit 1 -- Symptoms Survey Checklist
Exhibit 2 -- Screening Tests
Exhibit 3 -- Upper Extremity Cumulative Trauma Disorders Algorithm

Selected Bibliography
Glossary
Questions and Answers
OSHA and BLS Regional Offices
OSHA Consultation Project Directory