The Ontario MSD Prevention Guideline and Toolboxes developed by the Ontario Health and Safety system were originally developed under the auspices of

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2 The Ontario MSD Prevention Guideline and Toolboxes developed by the Ontario Health and Safety system were originally developed under the auspices of the Occupational Safety and Health Council of Ontario (OSHCO) in It was overdue for review Building on this previous work, CRE-MSD is leading a project to develop a new Ontario Prevention Guide

3 1. Evaluate the current Guideline, determine workplaces needs for prevention and synthesize best practices with respect to MSD prevention; 2. Develop the new prevention guide content and selected draft materials; 3. Test the content of the new guide and materials with workplaces; 4. Prepare final content for guideline and sample material 5. Website Development Phase 1: Templates, navigation 6. Website Development Phase 2: Development of graphic resources, population of the website with content developed and user testing

4 Scan of MSD Resources Key informant Interview Presentations and meetings with stakeholders begin Phase 1 Website Development Guideline as a Living Document Project Starts Feb 2016 MOL SSOP Nov Webinar Guideline Public Release October 1st Review: Barriers and Facilitators for MSD Prevention Micro Businesses: MSD Hazards and Controls and Ergonomics Capacity CRE-MSD stakeholder web survey Stakeholder Workshop June 17 Release of Quick Start Guide Phase 2 Website Development Trial Guideline website for stakeholder feedback (Late summer)

5 1. Environmental scan 2. Multiple meetings with multiple stakeholders, 3. CRE-MSD web survey focussed on small and micro businesses 1 4. Interviews with small and micro businesses with SSOP 5. Interviews with key stakeholders 6. Feedback from a CRE-MSD workshop in June Literature reviews 8. We wrote new academic reviews on: Barriers to Ergonomics Change, Major Low Back MSD Risk Factors and Micro and Small Businesses and MSD 1 We also incorporated the findings of the web survey administered by the Health and Safety System (EIPAC) on the needs of business to make ergonomics changes.

6 1. Small businesses are a major underserviced community. 2. There is a need for separate approaches for small/ micro, smaller and larger businesses. 3. MSD prevention should be better integrated into business processes using common language and processes. 4. Participation of workers is very important, especially for MSD. 5. Current standards (CSA, ISO) are too complex and do not have an implementation focus. These are accessible only to the largest organizations. 6. Teachable moments for MSD prevention could be valuable: workplace inspections, MSD incident investigations, choosing controls and training etc.

7 Three Guideline Versions Quick Start Guideline BASIC Guideline COMPREHENSIVE Guideline

8 Three Versions: Quick Start Guideline QUICK START Guideline The QUICK START (previously called INTRODUCTORY) Guideline was created for micro and very small businesses Tested in micro businesses Very well received and modified based upon feedback Key MSD workplace hazards

9 Format: Modeled upon a tool box talk created and tested by CPWR* Tool box-talk/ mini-poster tested successfully in micro businesses Seven posters developed User Testing (Round 3) LOGO *Center for Construction Research and Training (CPWhttp://

10 LOGO LOGO

11 LOGO LOGO

12 Quick Start Guide: Enclosing folder for posters LOGO LOGO Hard copy version: Folder (four sides) describing MSD, why do something, how to use posters, simple process, next steps and where to get help 12

13 Quick Start Guide: User Testing (Round 3) Also, a poster for the lunch room fridge or Health and Safety board (11 x 17 ) LOGO 13

14 Three Versions: BASIC & COMPREHENSIVE Quick Start Guideline BASIC Guideline COMPREHENSIVE Guideline

15 PDCA Matches current [best] practice Matches recent Provincial national and international approaches and CSA Standards Scalable Consistent with Participatory Ergonomics MSD Prevention for Small Businesses PLAN Identify high loads on the body and determine remedies DO CHECK ACT Implement necessary control actions to reduce identified loading Ensure that you addressed issues effectively and monitor your health and safety Review your program and identify opportunities for improvement CSA Z1000 CSA Z1004 OHSAS ISO 45001:2016

16 Two parallel processes; BASIC and COMPREHENSIVE

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18 MSD hazard ID and risk assessment: Tool Picker Input: Level of assessment needed, type of work Output: Tools available, description, data requirements, links to free and other versions and pdf copies when available

19 Scan of MSD Resources Key informant Interview Presentations and meetings with stakeholders begin Phase 1 Website Development Guideline as a Living Document Project Starts Feb 2016 MOL SSOP Nov Webinar Guideline Public Release October 1st Review: Barriers and Facilitators for MSD Prevention Micro Businesses: MSD Hazards and Controls and Ergonomics Capacity CRE-MSD web survey Stakeholder Workshop June 17 Release of Quick Start Guide 2018 Phase 2 Website Development Trial Guideline website for stakeholder feedback (Late summer)

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30 Times and activities where a bit of new information could dramatically improve the effectiveness of MSD prevention Could be transferred by: interview (role playing), video, audio, text or pptx/pdf

31 1. Worker reports MSD/pain /discomfort to supervisor/owner Worker reports. What to do next? 2. Give a tool box/ safety talk on MSD What is a tool box / safety talk? Using the (7) Posters. Importance of dialogue 3. Adding MSD hazards to a walkthough workplace Inspection Which checklist? Next steps 4. Incident investigation for MSD Issues to look for? 5 Why, Fishbone diagram. 5. How to perform MSD Hazard Identification Choosing a Checklist or other method? Hazard sheet for Introductory? 6. PDA, PDD, Task analysis: PDA, PDD. Whole job-all tasks. Needed to Prevent MSD and RTW. 7.Choice of controls for MSD Engineering vs Admin vs PPE. Short vs Long term. Caution on Job Rotation 8.Dealing with MSD in the JHSC Proactive and reactive. Overview of workplace hazards. Use of injury data. 9.Making the case for MSD Prevention Legal. Better for workers. Reduced costs of injury or compensation. Business case. 10.Including MSD in other H&S activities Discussion about MSD and integration with other hazards and benefits of integration. Standards. PDCA. 11.MSD Prevention and 6Sigma/tools How can an ergonomist bring value to a 6 Sigma team?

32 Feedback requested on website/guideline name Feedback requested on teachable moments for successful MSD prevention. Success stories. Please send us your stories. 1. Draft basic and comprehensive guidelines for public review (May 2018) 2. User trial of Quick Start Guide in small businesses in conjunction with the MOL SSOP (June 2018). 3. Continued development of resources: shared by all guideline versions 4. Continued development of the Guideline website 5. Trial Guideline website available for stakeholder feedback (Late summer 2018) 6. Website Roll-out, October 1 st In conjunction with Global Ergonomics month and a CRE-MSD Special conference in Toronto

33 The many workplace stakeholders who have contributed their time, knowledge and experiences to the project The Prevention Division, Ontario Ministry of Labour for funding to support the development of the MSD Prevention Guideline and a dedicated website CRE-MSD receives funding through a grant provide by the Ontario Ministry of Labour. The views expressed are those of the authors and do not necessarily reflect those of the Province. Richard Wells wells@uwaterloo.ca Amin Yazdani ayazdani@uwaterloo.ca