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Safety and health at work is everyone’s concern. It’s good for you. It’s good for business.
Healthy Workplaces Campaign 2020-22
LIGHTEN THE LOAD
Preventing musculoskeletal disorders (MSDs) through
worker participation
2
www.healthy-workplaces.eu
Legal duties
What is active participation
Methods and tools
Practical examples
Success factors and basics for small
businesses
Overview
3
www.healthy-workplaces.eu
Legal duties to consult and active
worker participation
4
www.healthy-workplaces.eu
 Employers must:
• inform and consult workers and their representatives
• allow workers and their representatives to take part in discussions on
all questions relating to safety and health at work
 National laws and/or practices set specific requirements – and
may include additional obligations
4
Legal duties to consult on safety and health
5
www.healthy-workplaces.eu
Active participation goes beyond consultation
Managers and workers working together to prevent risks
Workers who do the jobs are involved in both determining the MSD risk
factors and decisions on measures to solve the problems
However, managers and employers have primary responsibility
for carrying out risk assessments
5
Active worker participation
6
www.healthy-workplaces.eu
 Effective and open dialogue
 Joint problem solving and decision making
 Listening and acting on what is said
 Participation in spotting hazards, assessing risks and devising
solutions
 Participation in implementing solutions, evaluating solutions and
promoting safe working conditions
 Workers fully cooperating with employers
 Putting in place arrangements so these can happen in practice
6
Worker participation means:
7
www.healthy-workplaces.eu
Identifying the most appropriate solutions because workers and their
representatives:
•Know how the job is done and how it affects them
•Know the barriers
•Have ideas for change
•Will be the ones to apply change in practice
Resulting in:
•Lower accident rates
•Cost-effective solutions
•Greater awareness and control of workplace risks
•Greater motivation and commitment
7
Benefits of worker participation
8
www.healthy-workplaces.eu
Methods and Tools
9
www.healthy-workplaces.eu
Some methods and tools
 Comprehensive participatory ergonomics programmes covering the whole
risk assessment process
 Workshops, tool box talks
 Brainstorming for innovative solutions
 Techniques to support discussions such as
•Body mapping and hazard mapping
•Taking and discussing photos (‘photo safaris’)
 Questionnaires for initial hazard identification or evaluation of results and
suggestion schemes
 Methods and tools can be combined in various ways and adapted to the
needs and context of the workplace
10
www.healthy-workplaces.eu
Photo safaris
 Workers take photos of risky tasks, situations, equipment etc.
•Over a 2 week period each person takes 2-3 photos with mobile phone
of something they think is risky or causes them pain
 Each person prints and displays their photos – e.g. on a notice board -
with a short explanation
 Photos are discussed in a group to look for causes and discuss solutions
•Photos can be grouped according to theme
•Photos of possible solutions can also be taken
 Photos can also be used to assess and discuss work hazards at weekly
meetings in an on-going way
11
www.healthy-workplaces.eu
Brainstorming for action
 Everyone proposes ideas that can then be tested and prioritised for
action
 Example of structuring a session:
•Ask workers to suggest actions targeting workplace layout, equipment,
work organisation, psychosocial factors etc.
−The ideas are discussed and written down, for example, on a flip chart.
−To facilitate creativeness, participants are instructed not to consider any
barriers
•Consider as a group what actions are needed for each
•As an aid, provide participants with a list of tips for managing risk
factors and examples of solutions (e.g. from a prevention guide)
12
www.healthy-workplaces.eu
Body mapping
Aches and pains
Stress symptoms
Front Back
 Workers pool information on health problems
 Uses a body map showing front and back view
 Using coloured pens/stickers workers mark on the
map where they suffer pain while working
 In a group workers discuss
•the patterns that emerged
•the possible causes and ideas for solutions
13
www.healthy-workplaces.eu
Hazard mapping
Red – Work design/
ergonomics
Blue – Physical
hazards
Black - Psychosocial
Green – Chemical
Brown - Biological
 On a plan of the workplace or a map drawn by workers, groups of workers mark work
hazards
 The facilitator leads a discussion on the hazards, their causes and ideas for solutions
STORAGE
WALK-IN
FREEZER
WAITING STAFF FOOD COLLECTION
Stress Fast-paced work
Chopping Chopping
Chopping
Chopping
Awkward
posture
Awkward
posture
Lifting
Lifting Cold
Cold
Cold
14
www.healthy-workplaces.eu
Conversation starters: Use a scenario and a set of questions
to start a group discussion about a topic
 Your work involves a lot of time sitting
and you don't take many breaks
 You have noticed that at work you
have started to get aches and pains in
your neck and shoulders
 Stretching would help, but you feel
embarrassed to walk around and
stretch at work
 What opportunities do you have to
introduce exercise into your working
day?
 How could your workplace encourage
you to be more active?
 How can the way tasks are planned
and carried out be changed to
combine sitting, standing and moving
options as much as possible?
Example: prolonged sitting
Scenario Discussion questions
15
www.healthy-workplaces.eu
Practical examples and success factors
16
www.healthy-workplaces.eu
Example: Training hotel service workers as prevention
coordinators to work with colleagues
 Volunteers from the hotel’s cleaners and linen and catering staff were trained as
prevention coordinators and trained about MSDs and basic risk assessment
 Bringing their own experience of work tasks, the coordinators looked at problematic
day-to-day activities to find practical solutions using observation and discussion with
co-workers
 Staff surveys and other communication methods were also used with all the workers
 External suppliers and their workers were also involved
 Solutions included:
• a re-designed trolley
• raising hotel beds
17
www.healthy-workplaces.eu
Example: Workshops with childcare workers to
reduce musculoskeletal disorders
 3 workshops were carried out with all workers using participatory ergonomics
methods
 The workshops followed a systematic approach covering identification and
analysis of work-related risks, solution generation, prioritisation and
implementation
 Key elements of the approach were the workers’ prioritisation of the most
important child-caring tasks and the focus on integration of solutions with
these tasks
 Solutions included:
•Helping the children to become more independent
•Changed work routines
•Purchase of low-cost equipment to raise work heights
18
www.healthy-workplaces.eu
Example: Involving workers to prevent manual handling
risks in a PVC plant (1)
 Loading 3-metre long planks into containers and moving those
caused MSD risks due to manual handling. A robotic system
reduced the manual handling risks but introduced new safety risks
 Collaborative work teams investigated the risks, supervised by the
safety committee and the external regional health insurance fund
 This resulted in adaptations to the machines and putting the
loading containers on wheeled trolleys
 Workers were involved in developing and the testing trolleys
19
www.healthy-workplaces.eu
Example: Involving workers to prevent manual handling
risks in a PVC plant (2)
 Changes were made gradually, looking at different options and
amending those that proved unsuccessful
 The process was supported by a commitment from the plant director to
continuous improvements in working conditions, such as delegation of
responsibility to teams and a suggestion scheme
 The management used the successful experience to continue with
more worker participation activities
20
www.healthy-workplaces.eu
Success factors and basics for
small businesses
21
www.healthy-workplaces.eu
Success factors for worker participation in MSD prevention
from EU-OSHA research include:
 Managerial commitment to MSD prevention and worker participation
•Allocation of sufficient time and budgetary resources
 Worker participation in all phases of the intervention
•Identification and inclusion of all workers concerned
 Clear roles and responsibilities
 Competences - in MSDs, risk assessment, the participatory method, the
role of working groups and its members
 Adapting and combining methods and tools to fit the workplace context
 Effective communication at all stages
 Implementation and follow-up in practice
22
www.healthy-workplaces.eu
Success factors for choosing and implementing
prevention measures
 Brainstorm ideas and options with workers
•Avoids overlooking a less obvious option
 Involve:
•workers directly affected, supervisors, maintenance, safety personal,
etc.
•other workers whose work may also be affected by changes, e.g.
working in other areas of a production line process
 Involve workers in:
•reviewing and deciding which solutions to select for implementation
•deciding the action plan for implementation
•piloting prevention measures
 Train workers and supervisors in the use of the new measures
23
www.healthy-workplaces.eu
The basics for small businesses
 Involving workers need not be complicated, e.g. simple dialogues or workshops
 Small organisations have closer social relations, speaking with workers daily. They
should:
 Listen to workers’ concerns related to MSDs
 Organise meetings for problem identification and solutions generation
 Identify the most important suggestions
 Allocate responsibility for implementation
 Test and refine solutions
 Embed changes in daily operations and check that they are applied in practice
 Seek advice when necessary
 Keep workers fully informed and involved at all stages - through daily contact and
other communication means
24
www.healthy-workplaces.eu
EU-OSHA resources include:
 Worker participation in the prevention of musculoskeletal risks at
work (report)
 Preventing musculoskeletal disorders (MSDs) through active worker
participation: good practice tips (information sheet)
 OSHwiki article - Carrying out participatory ergonomics
 Worker participation in occupational safety and health — A practical guide
 Body and hazard mapping in the prevention of musculoskeletal disorders
(MSDs)
 Hazard mapping and MSDs
 Conversation starters for workplace discussions about musculoskeletal
disorders
25
www.healthy-workplaces.eu
Join us and lighten the load!
Find out more on the campaign website:
healthy-workplaces.eu
Subscribe to our campaign newsletter:
https://healthy-workplaces.eu/en/healthy-workplaces-newsletter
Keep up to date with activities and events through social media:
#EUhealthyworkplaces

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Preventing musculoskeletal disorders (MSDs) through worker participation

  • 1. Safety and health at work is everyone’s concern. It’s good for you. It’s good for business. Healthy Workplaces Campaign 2020-22 LIGHTEN THE LOAD Preventing musculoskeletal disorders (MSDs) through worker participation
  • 2. 2 www.healthy-workplaces.eu Legal duties What is active participation Methods and tools Practical examples Success factors and basics for small businesses Overview
  • 3. 3 www.healthy-workplaces.eu Legal duties to consult and active worker participation
  • 4. 4 www.healthy-workplaces.eu  Employers must: • inform and consult workers and their representatives • allow workers and their representatives to take part in discussions on all questions relating to safety and health at work  National laws and/or practices set specific requirements – and may include additional obligations 4 Legal duties to consult on safety and health
  • 5. 5 www.healthy-workplaces.eu Active participation goes beyond consultation Managers and workers working together to prevent risks Workers who do the jobs are involved in both determining the MSD risk factors and decisions on measures to solve the problems However, managers and employers have primary responsibility for carrying out risk assessments 5 Active worker participation
  • 6. 6 www.healthy-workplaces.eu  Effective and open dialogue  Joint problem solving and decision making  Listening and acting on what is said  Participation in spotting hazards, assessing risks and devising solutions  Participation in implementing solutions, evaluating solutions and promoting safe working conditions  Workers fully cooperating with employers  Putting in place arrangements so these can happen in practice 6 Worker participation means:
  • 7. 7 www.healthy-workplaces.eu Identifying the most appropriate solutions because workers and their representatives: •Know how the job is done and how it affects them •Know the barriers •Have ideas for change •Will be the ones to apply change in practice Resulting in: •Lower accident rates •Cost-effective solutions •Greater awareness and control of workplace risks •Greater motivation and commitment 7 Benefits of worker participation
  • 9. 9 www.healthy-workplaces.eu Some methods and tools  Comprehensive participatory ergonomics programmes covering the whole risk assessment process  Workshops, tool box talks  Brainstorming for innovative solutions  Techniques to support discussions such as •Body mapping and hazard mapping •Taking and discussing photos (‘photo safaris’)  Questionnaires for initial hazard identification or evaluation of results and suggestion schemes  Methods and tools can be combined in various ways and adapted to the needs and context of the workplace
  • 10. 10 www.healthy-workplaces.eu Photo safaris  Workers take photos of risky tasks, situations, equipment etc. •Over a 2 week period each person takes 2-3 photos with mobile phone of something they think is risky or causes them pain  Each person prints and displays their photos – e.g. on a notice board - with a short explanation  Photos are discussed in a group to look for causes and discuss solutions •Photos can be grouped according to theme •Photos of possible solutions can also be taken  Photos can also be used to assess and discuss work hazards at weekly meetings in an on-going way
  • 11. 11 www.healthy-workplaces.eu Brainstorming for action  Everyone proposes ideas that can then be tested and prioritised for action  Example of structuring a session: •Ask workers to suggest actions targeting workplace layout, equipment, work organisation, psychosocial factors etc. −The ideas are discussed and written down, for example, on a flip chart. −To facilitate creativeness, participants are instructed not to consider any barriers •Consider as a group what actions are needed for each •As an aid, provide participants with a list of tips for managing risk factors and examples of solutions (e.g. from a prevention guide)
  • 12. 12 www.healthy-workplaces.eu Body mapping Aches and pains Stress symptoms Front Back  Workers pool information on health problems  Uses a body map showing front and back view  Using coloured pens/stickers workers mark on the map where they suffer pain while working  In a group workers discuss •the patterns that emerged •the possible causes and ideas for solutions
  • 13. 13 www.healthy-workplaces.eu Hazard mapping Red – Work design/ ergonomics Blue – Physical hazards Black - Psychosocial Green – Chemical Brown - Biological  On a plan of the workplace or a map drawn by workers, groups of workers mark work hazards  The facilitator leads a discussion on the hazards, their causes and ideas for solutions STORAGE WALK-IN FREEZER WAITING STAFF FOOD COLLECTION Stress Fast-paced work Chopping Chopping Chopping Chopping Awkward posture Awkward posture Lifting Lifting Cold Cold Cold
  • 14. 14 www.healthy-workplaces.eu Conversation starters: Use a scenario and a set of questions to start a group discussion about a topic  Your work involves a lot of time sitting and you don't take many breaks  You have noticed that at work you have started to get aches and pains in your neck and shoulders  Stretching would help, but you feel embarrassed to walk around and stretch at work  What opportunities do you have to introduce exercise into your working day?  How could your workplace encourage you to be more active?  How can the way tasks are planned and carried out be changed to combine sitting, standing and moving options as much as possible? Example: prolonged sitting Scenario Discussion questions
  • 16. 16 www.healthy-workplaces.eu Example: Training hotel service workers as prevention coordinators to work with colleagues  Volunteers from the hotel’s cleaners and linen and catering staff were trained as prevention coordinators and trained about MSDs and basic risk assessment  Bringing their own experience of work tasks, the coordinators looked at problematic day-to-day activities to find practical solutions using observation and discussion with co-workers  Staff surveys and other communication methods were also used with all the workers  External suppliers and their workers were also involved  Solutions included: • a re-designed trolley • raising hotel beds
  • 17. 17 www.healthy-workplaces.eu Example: Workshops with childcare workers to reduce musculoskeletal disorders  3 workshops were carried out with all workers using participatory ergonomics methods  The workshops followed a systematic approach covering identification and analysis of work-related risks, solution generation, prioritisation and implementation  Key elements of the approach were the workers’ prioritisation of the most important child-caring tasks and the focus on integration of solutions with these tasks  Solutions included: •Helping the children to become more independent •Changed work routines •Purchase of low-cost equipment to raise work heights
  • 18. 18 www.healthy-workplaces.eu Example: Involving workers to prevent manual handling risks in a PVC plant (1)  Loading 3-metre long planks into containers and moving those caused MSD risks due to manual handling. A robotic system reduced the manual handling risks but introduced new safety risks  Collaborative work teams investigated the risks, supervised by the safety committee and the external regional health insurance fund  This resulted in adaptations to the machines and putting the loading containers on wheeled trolleys  Workers were involved in developing and the testing trolleys
  • 19. 19 www.healthy-workplaces.eu Example: Involving workers to prevent manual handling risks in a PVC plant (2)  Changes were made gradually, looking at different options and amending those that proved unsuccessful  The process was supported by a commitment from the plant director to continuous improvements in working conditions, such as delegation of responsibility to teams and a suggestion scheme  The management used the successful experience to continue with more worker participation activities
  • 21. 21 www.healthy-workplaces.eu Success factors for worker participation in MSD prevention from EU-OSHA research include:  Managerial commitment to MSD prevention and worker participation •Allocation of sufficient time and budgetary resources  Worker participation in all phases of the intervention •Identification and inclusion of all workers concerned  Clear roles and responsibilities  Competences - in MSDs, risk assessment, the participatory method, the role of working groups and its members  Adapting and combining methods and tools to fit the workplace context  Effective communication at all stages  Implementation and follow-up in practice
  • 22. 22 www.healthy-workplaces.eu Success factors for choosing and implementing prevention measures  Brainstorm ideas and options with workers •Avoids overlooking a less obvious option  Involve: •workers directly affected, supervisors, maintenance, safety personal, etc. •other workers whose work may also be affected by changes, e.g. working in other areas of a production line process  Involve workers in: •reviewing and deciding which solutions to select for implementation •deciding the action plan for implementation •piloting prevention measures  Train workers and supervisors in the use of the new measures
  • 23. 23 www.healthy-workplaces.eu The basics for small businesses  Involving workers need not be complicated, e.g. simple dialogues or workshops  Small organisations have closer social relations, speaking with workers daily. They should:  Listen to workers’ concerns related to MSDs  Organise meetings for problem identification and solutions generation  Identify the most important suggestions  Allocate responsibility for implementation  Test and refine solutions  Embed changes in daily operations and check that they are applied in practice  Seek advice when necessary  Keep workers fully informed and involved at all stages - through daily contact and other communication means
  • 24. 24 www.healthy-workplaces.eu EU-OSHA resources include:  Worker participation in the prevention of musculoskeletal risks at work (report)  Preventing musculoskeletal disorders (MSDs) through active worker participation: good practice tips (information sheet)  OSHwiki article - Carrying out participatory ergonomics  Worker participation in occupational safety and health — A practical guide  Body and hazard mapping in the prevention of musculoskeletal disorders (MSDs)  Hazard mapping and MSDs  Conversation starters for workplace discussions about musculoskeletal disorders
  • 25. 25 www.healthy-workplaces.eu Join us and lighten the load! Find out more on the campaign website: healthy-workplaces.eu Subscribe to our campaign newsletter: https://healthy-workplaces.eu/en/healthy-workplaces-newsletter Keep up to date with activities and events through social media: #EUhealthyworkplaces

Editor's Notes

  1. This PPT is aimed mainly at employers. It is based on the following report and information sheet: EU-OSHA – European Agency for Safety and Health at Work. Worker participation in the prevention of musculoskeletal risks at work (report) https://osha.europa.eu/en/publications/worker-participation-prevention-musculoskeletal-risks-work) EU-OSHA – European Agency for Safety and Health at Work. Preventing musculoskeletal disorders (MSDs) through active worker participation: good practice tips (information sheet) https://osha.europa.eu/en/publications/preventing-musculoskeletal-disorders-msds-through-active-worker-participation
  2. The OSH Framework directive: https://osha.europa.eu/en/legislation/directives/the-osh-framework-directive/1
  3. EU-OSHA – European Agency for Safety and Health at Work. Body and hazard mapping in the prevention of musculoskeletal disorders (MSDs) https://osha.europa.eu/en/publications/body-and-hazard-mapping-prevention-musculoskeletal-disorders-msds EU-OSHA – European Agency for Safety and Health at Work. Body mapping for MSDs - using individual body maps https://oshwiki.eu/wiki/Body_mapping_for_MSDs_-_using_individual_body_maps
  4. EU-OSHA – European Agency for Safety and Health at Work. Body and hazard mapping in the prevention of musculoskeletal disorders (MSDs) https://osha.europa.eu/en/publications/body-and-hazard-mapping-prevention-musculoskeletal-disorders-msds EU-OSHA – European Agency for Safety and Health at Work. Hazard mapping and MSDs https://oshwiki.eu/wiki/Hazard_mapping_and_MSDs
  5. EU-OSHA – European Agency for Safety and Health at Work. Conversation starters for workplace discussions about musculoskeletal disorders https://osha.europa.eu/en/publications/conversation-starters-workplace-discussions-about-musculoskeletal-disorders/view EU-OSHA – European Agency for Safety and Health at Work. Napo in the workplace https://www.napofilm.net/en/learning-with-napo/napo-in-the-workplace?search=&page=1
  6. Worker participation in the prevention of musculoskeletal risks at work https://osha.europa.eu/en/publications/worker-participation-prevention-musculoskeletal-risks-work  Preventing musculoskeletal disorders (MSDs) through active worker participation: good practice tips (information sheet), https://osha.europa.eu/en/publications/preventing-musculoskeletal-disorders-msds-through-active-worker-participation OSHwiki article, Carrying out participatory ergonomics https://oshwiki.eu/wiki/Carrying_out_participatory_ergonomics Worker participation in occupational safety and health — A practical guide (https://osha.europa.eu/en/publications/worker-participation-occupational-safety-and-health-practical-guide/view Body and hazard mapping in the prevention of musculoskeletal disorders (MSDs) https://osha.europa.eu/en/publications/body-and-hazard-mapping-prevention-musculoskeletal-disorders-msds/view Hazard mapping and MSDs https://oshwiki.eu/wiki/Hazard_mapping_and_MSDs Conversation starters for workplace discussions about musculoskeletal disorders https://osha.europa.eu/en/publications/conversation-starters-workplace-discussions-about-musculoskeletal-disorders/view
  7. © European Agency for Safety and Health at Work, 2020 Reproduction is authorised provided the source is acknowledged. For any use or reproduction of photos or other material that is not under the copyright of EU-OSHA, permission must be sought directly from the copyright holders.