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[ "Therefore, store managers or other designated individuals should establish a procedure for receiving reports of injuries and responding to them appropriately. Early inter- vention is an effective method of handling potential injuries. Employees should report injuries early so that action can be taken to address any potential job-related issues. Medical treatment and possible work restrictions could be necessary, but attention should be paid to addressing root problems early to avoid more costly actions if injuries are left unaddressed (9, 10, 11).\n\nOSHA’s injury and illness recording and reporting regulation (29 CFR 1904) requires employers to keep records of work-related injuries and illnesses. These reports can help the retail grocery store identify problem areas and evaluate ergonomic efforts. Federal and state laws prohibit discriminating against employees who report a work-related injury or illness. 29 U.S.C. 660(c).\n\nnumber of protocols and checklists to assess\n\n(Continued on page 11)\n\n1 There are varying opinions regarding the maximum amount of weight an employee should lift. OSHA does not make a specific recommendation in these guidelines regarding this maximum amount but notes that employers should take into account such considerations as the employees’ physical abilities and the number of times a lift must occur. Industry groups such as the Grocery Manufactures of America and Food Marketing Institute encourage the use of containers or packages weighing 40 pounds or less. Another industry group, The International Mass Retail Association, suggests 50 pounds as a maximum weight for lifting.\n\n8\n\nGuidelines for Retail Grocery Stores\n\nFigure 1. Checklist for Identifying Potential Ergonomics Risk Factors by Workplace Activity\n\nIf the answer to any of the following questions is yes, the activity should be further reviewed.\n\nForce in Lifting\n\nDoes the lift involve pinching to hold the object? Is heavy lifting done with one hand? Are very heavy items lifted without the assistance of a mechanical device? Are heavy items lifted while bending over, reaching above shoulder height, or twisting? Are most items lifted rather than slid over the scanner?\n\nForce in Pushing, Pulling, Carrying\n\nAre dollies, pallet jacks, or other carts difficult to get started?" ]

[ "OSHA does not make a specific recommendation in these guidelines regarding this maximum amount but notes that employers should take into account such considerations as the employees’ physical abilities and the number of times a lift must occur.", "Industry groups such as the Grocery Manufactures of America and Food Marketing Institute encourage the use of containers or packages weighing 40 pounds or less.", "The International Mass Retail Association, suggests 50 pounds as a maximum weight for lifting." ]

[ "Second, King Kullen changed the design of their checkout stations and scanners. The changes included using a combined scanner and scale to reduce lifting and twisting arm motions, and locating the scanner directly in front of the cashier to reduce torso twisting. Finally, King Kullen worked to return injured employees to work as quickly as possible. Under their program, a nurse contacts injured employees within 48 hours of their injury and monitors their care until they return to work.\n\nOSHA is not providing specific solutions for every department of every grocery store, but the general recommendations should be useful. OSHA expects that a grocery store may need to implement a variety of solutions to address issues in different areas of the store. However, OSHA does not expect all of the solutions to be used in a single grocery store. The solutions are not intended to be an exhaustive list. Grocery store managers are encouraged to develop innovative ergonomic solutions that are appropriate to their workplace. These are only examples of ergonomic solutions which individual store managers should consider as a starting point. Managers are encouraged to look for other innovative methods that will meet their store’s needs.\n\nAccording to King Kullen, by putting these changes in place, they reduced MSD incidents from 21 in 1992 to 5 in 1996 (13).\n\n12\n\nGuidelines for Retail Grocery Stores\n\nLoss Control Savings 4% 5% 6% 7% 8% 9% 10% 11%\n\n1994\n\nS T O R E W I D E E R G O N O M I C S O L U T I O N S\n\n1993\n\nThis section describes storewide ergonomic principles on safe work practices employees can follow to reduce their risk of injury. Employers should train employees to use these techniques and design stores to make it easy to do so.\n\n1992\n\nPower Grips\n\nPower Lifts\n\nA power grip uses the muscles of the hand and forearm effectively, and is less stressful than a pinch grasp. Consequently, a one- or two-handed power grip should be used whenever possible.\n\nWhen the item to be grasped is too heavy or bulky to lift with a one-hand power grip, use the two-hand power grip." ]

[ "King Kullen changed the design of their checkout stations and scanners.", "According to King Kullen, by putting these changes in place, they reduced MSD incidents from 21 in 1992 to 5 in 1996 (13)." ]

[ "Icing\n\nthat is too thick will be difficult to squeeze through decorating bags. If icing is mixed in the bakery, add liquid to the recipe or warm the icing to obtain the correct consistency. If icing is purchased in buckets, store the buckets at room temperature or warm them before use – cold icing is thicker and hard to squeeze through decorating bags.\n\n(cid:3) Consider using cake decorating methods that\n\nrequire less use of manual frosting bags. Using an air brush or mechanical dispurser whenever possible can reduce the stress on workers’ hands.\n\n22\n\nGuidelines for Retail Grocery Stores\n\nM E A T & D E L I\n\nMany of these solutions may also be useful for the seafood and cheese departments.\n\n©\n\n(cid:3) Keep wheels on racks well maintained. Wheels that are in poor repair can be difficult to push. Racks with bad wheels should be removed from service until they can be repaired.\n\nIf overhead storage is necessary, use it for light items such as foam trays.\n\n(cid:3) Use a step stool to reach items on high shelves.\n\n(cid:3) Keep all grinders, cutters and other equipment sharp and in good repair. Dull or improperly working equipment requires more force to operate.\n\n(cid:3) Provide thermal gloves for use when handling\n\nfrozen items.\n\n(cid:3) Avoid continuous cutting or grinding. Whenever possible, break up these tasks with other, less strenuous tasks throughout the shift.\n\n(cid:3) Work with suppliers to get meat and other\n\nsupplies in lower weight boxes to reduce the weight manually handled.\n\n(cid:3) Keep large boxes and heavy items close to the body. This helps to reduce stress on the back.\n\n(cid:3) Position scales so that they can be used in the best work zone. Scales that are too high or too low for a worker can cause employees to work in awkward positions. If possible, make the scale table adjustable so that all workers can work in comfortable postures. Also, position the scale near the lowest part of the counter so that neither the worker nor the customer has to reach over tall deli cases for meat packages.\n\n(cid:3) Use a food processor to prepare ingredients for\n\nD E L I\n\nstuffing and other items." ]

[ "Icing\n\nthat is too thick will be difficult to squeeze through decorating bags. If icing is mixed in the bakery, add liquid to the recipe or warm the icing to obtain the correct consistency. If icing is purchased in buckets, store the buckets at room temperature or warm them before use – cold icing is thicker and hard to squeeze through decorating bags." ]

[ "U.S. Department of Labor\n\nwww.osha.gov\n\nGuidelines forRetail Grocery Stores\n\nOSHA 3192-05N 2004\n\nErgonomics\n\nfor the Prevention of\n\nMusculoskeletal Disorders\n\nU.S. Department of Labor\n\nGuidelines for Retail Grocery Stores\n\nErgonomics for the Prevention of Musculoskeletal Disorders\n\nU.S. Department of Labor\n\nElaine L. Chao, Secretary\n\nOccupational Safety and Health Administration\n\nJohn L. Henshaw, Assistant Secretary\n\nOSHA 3192-06N\n\n2004\n\nGuidelines for Retail Grocery Stores\n\n1\n\n2\n\nContents\n\nExecutive Summary\n\nIntroduction\n\nA Process for Protecting Workers\n\nProvide Management Support\n\nInvolve Employees\n\nIdentify Problems\n\nImplement Solutions\n\nAddress Reports of Injuries\n\nFigure 1. Checklist for Identifying Potential Ergonomics Risk Factors by Workplace Activity\n\nFigure 2. Checklist for Identifying Potential Job- Specific Ergonomics Concerns\n\nProvide Training\n\nEvaluate Progress\n\nImplementing Solutions\n\nStorewide Ergonomic Solutions\n\nFront End (Checkout, Bagging and Carryout)\n\nStocking\n\nBakery\n\nMeat and Deli\n\nProduce\n\nAdditional Sources of Information\n\nReferences\n\nGuidelines for Retail Grocery Stores\n\n3\n\n5\n\n7\n\n7\n\n7\n\n7\n\n8\n\n8\n\n9\n\n10\n\n11\n\n11\n\n12\n\n13\n\n17\n\n19\n\n21\n\n23\n\n25\n\n26\n\n27\n\nExecutive Summary\n\nOSHA’s Ergonomics for the Prevention of Musculoskeletal Disorders: Guidelines for Retail Grocery Stores provide practical recommenda- tions to help grocery store employers and employees reduce the number and severity of injuries in their workplaces. Many of the work- related injuries and illnesses experienced by grocery store workers are musculoskeletal disorders (MSDs), such as back injuries and sprains or strains that may develop from various factors, including lifting, repetitive motion disorders such as carpal tunnel syndrome, or injuries resulting from overexertion. MSDs may also be caused partly or wholly by factors outside of work.\n\nMore remains to be learned about the relationship between workplace activities and the development of MSDs." ]

[ "musculoskeletal disorders (MSDs), such as back injuries and sprains or strains", "repetitive motion disorders such as carpal tunnel syndrome" ]

[ "Are tool handles the right size (not too large or too small) for the worker?\n\n10\n\nGuidelines for Retail Grocery Stores\n\n(Continued from page 8)\n\nSometimes the muscle soreness employees experience when starting or returning to a job can be confused with symptoms of MSD injuries. In most cases muscle soreness from conditioning lasts only a few days. Temporary muscle soreness occurs most often with new employees or workers who are returning to a job after several weeks away. When the symptoms linger or gradually get worse, an MSD may be developing.\n\nout their responsibilities. These designated staff members will benefit from information and training that will allow them to:\n\nAppropriately use checklists and other tools to analyze tasks in the grocery store;\n\nAddress problems by selecting proper equipment and work practices;\n\nIdentify the potential benefits of specific workplace changes;\n\nProvide Training\n\nHelp other workers implement solutions; and\n\nTraining is critical for employers and\n\nemployees to safely use the solutions identified in these guidelines. Training should be provided in a manner and language that all employees can understand. There are many ways employers can integrate ergonomics training into regular workplace activities, such as new employee orientation or at staff, department, or shift meetings. There are also many sources of training materials, including OSHA, trade associations, and insurance companies. OSHA recommends training for grocery store employees that provides:\n\nKnowledge of the work tasks that may lead to pain or injury;\n\nUnderstanding of the proper tools and work practices for tasks that employees will be performing;\n\nThe ability to recognize MSDs and their early indications;\n\nThe advantages of addressing early indications of MSDs before serious injury has developed; and\n\nAwareness of the grocery store’s procedures for reporting work-related injuries and illnesses as required by OSHA’s injury and illness recording and reporting regulation (29 CFR 1904).\n\nOSHA also recommends that management\n\nand supervisory staff who coordinate and direct ergonomics efforts receive training to give them the knowledge to effectively carry\n\nAssess the effectiveness of ergonomics efforts.\n\nGrocery store employees will also benefit\n\nfrom refresher training to address new developments in the workplace and to reinforce knowledge acquired in the initial training.\n\nEvaluate Progress\n\nOSHA recommends that grocery stores evaluate the effectiveness of their ergonomic efforts and follow-up on unresolved problems." ]

[ "Sometimes the muscle soreness employees experience when starting or returning to a job can be confused with symptoms of MSD injuries. In most cases muscle soreness from conditioning lasts only a few days. Temporary muscle soreness occurs most often with new employees or workers who are returning to a job after several weeks away. When the symptoms linger or gradually get worse, an MSD may be developing." ]

[ "(cid:3) Upper level at shoulder height.\n\nLower level at about waist height.\n\nLower level at tip of fingers with hands held at the side.\n\nBest Work Zone\n\nBest Work Zone\n\nPreferred Work Zone\n\nPreferred Work Zone\n\n16\n\nGuidelines for Retail Grocery Stores\n\nF R O N T E N D\n\n(C H E C K O U T, B A G G I N G A N D C A R R Y O U T)\n\n(cid:3) Use a powered in-feed conveyor to help cashiers\n\nbring the items to their best work zone, rather than leaning and reaching to get items further up the conveyor.\n\n(cid:3) Provide footrests for cashiers. Alternately resting\n\nthe feet helps to reduce fatigue.\n\n(cid:3) Use a “sweeper” to move items on the conveyor\n\nwithin the checker’s reach.\n\nLocate commonly used items such as the cash drawer and printer within easy horizontal reach.\n\n(cid:3) Provide adequate toe space (at least 4 inches) at the bottom of the workstation. Toe space allows cashiers to move closer to the checkstand, decreasing reaching requirements.\n\n(cid:3) Place in-feed and take-away conveyor belts as close as possible to the cashier to minimize reaching.\n\n(cid:3) Use footrests and anti-fatigue mats in areas where workers stand for prolonged periods. Standing on anti-fatigue mats, as compared to bare floors, provides a noticeable improvement in comfort.\n\n(cid:3) Consider using checkstands designed with an adjustable sit/stand or lumbar support against which cashiers can lean.\n\n(cid:3) Remove, round-off, or pad sharp or hard edges with which the cashier may come into contact.\n\n(cid:3) Place the conveyor belt electronic eye close to the scanner, but allow sufficient area between the eye and the scanner to orient items and to ensure the belt does not push items into the scanning field.\n\n(cid:3) Perform work within the preferred work zone.\n\nGuidelines for Retail Grocery Stores\n\n17\n\n(cid:3) Consider using keyboards to enter the quantity of\n\nidentical products rather than scanning each individual item.\n\n(cid:3) Use keyboard to enter code if item fails to scan\n\nafter second attempt." ]

[ "(cid:3) Provide footrests for cashiers. Alternately resting", "(cid:3) Use footrests and anti-fatigue mats in areas where workers stand for prolonged periods. Standing on anti-fatigue mats, as compared to bare floors, provides a noticeable improvement in comfort." ]

[ "(cid:3) Use keyboard to enter code if item fails to scan\n\nafter second attempt.\n\n(cid:3) Set scanners and conveyors at the same height so that cashiers can slide items across rather than lift them.\n\n(cid:3) Establish a regular maintenance schedule for\n\nscanners; clean dirty plates and replace scratched ones.\n\n(cid:3) Use combined scales/scanners.\n\n(cid:3) Place keyboards on supports that adjust in height, horizontal distance and tilt to keep work within the preferred work zone.\n\n(cid:3) Use front facing checkstands to reduce twisting motions and extended reaches to the side.\n\n(cid:3) Provide an adjustable-height bag stand. In\n\nbagging areas, the tops of plastic bags should be just below conveyor height.\n\n(cid:3) To avoid extended reaches when loading bags into\n\ncarts, move carts closer to the employee.\n\n(cid:3) Use bags with handles. Handles make the bags\n\n(cid:3) Adjust the checkstand height to match the cashier’s\n\neasier and less stressful to carry.\n\nwaist height, or use a platform.\n\n(cid:3) Use carts to carry bags and groceries outside the\n\n(cid:3) Place cash register displays at or slightly below eye\n\nstore.\n\nlevel.\n\n(cid:3) Consider using powered-tugs when retrieving carts\n\n(cid:3) Use scan cards or scan guns for large or bulky items to eliminate the need to handle them.\n\nfrom the parking area. Powered tugs facilitate moving more carts with more efficiency and less effort.\n\n18\n\nGuidelines for Retail Grocery Stores\n\nS T O C K I N G\n\nE S E E H C\n\nE S E E H C\n\nE S E E H C\n\nE S E E H C\n\nE S E E H C\n\nE S E E H C\n\nE S E E H C\n\nE S E E H C\n\nE S E E H C\n\nE S E E H C\n\n(cid:3) Keep cases close to the body when lifting and carrying in order to reduce stress to the back.\n\n(cid:3) Use a step stool to reach items on the top of\n\npallets or on high shelves.\n\n(cid:3) Use thermal gloves when stocking frozen foods.\n\nCold temperatures can reduce circulation, causing stress on the hands." ]

[ "(cid:3) Keep cases close to the body when lifting and carrying in order to reduce stress to the back." ]

[ "Evaluate Progress\n\nOSHA recommends that grocery stores evaluate the effectiveness of their ergonomic efforts and follow-up on unresolved problems. Evaluation and follow-up help sustain continuous improvement in reducing injuries and illnesses, track the effectiveness of specific ergonomic solutions, identify new problems, and show areas where further attention is needed. Grocery managers can use the same methods they use to identify ergonomic concerns (such as OSHA 300 and 301 injury and illness information, workers’ compen- sation records, employee interviews, and observation of workplace conditions) to evaluate progress (10, 11). Employers can also keep a list of activities and improvements to track what has been accomplished and provide data on the effectiveness of the initiatives.\n\nHow often an employer evaluates the pro- gram will vary by the size and complexity of the facility. Management should revise the program in response to identified deficiencies and com- municate the results of the program evaluation and any program revisions to employees.\n\nGuidelines for Retail Grocery Stores\n\n11\n\nImplementing Solutions\n\nThe section on ergonomic solutions for grocery stores describes changes to equipment, work practices, and procedures that can address ergonomic risk factors, help control costs, and reduce employee turnover. These changes may also increase worker productivity and efficiency because they eliminate unnecessary movements and reduce heavy manual work. OSHA recommends employers use engineering and administrative techniques, where feasible, as the preferred method of dealing with ergonomic issues in retail grocery stores. The first solutions described are those that are applicable to all or most areas of the grocery store. Then, solutions for specific grocery store departments are presented, including:\n\nEmployers should pay particular attention to ergonomic issues when redesigning existing stores or designing new ones. At that time, major changes are easier to implement and ergonomic design elements can be incorpora- ted at little or no additional cost (12).\n\nKing Kullen Grocery Company reported that they initiated a three-fold approach to effectively manage checkout repetitive motion concerns. First, they initiated training for cashiers, store managers and management personnel. They focused training for checkers on awareness of repetitive motion issues, good work practices, and the value of early injury reporting.\n\nFront end (checkout, bagging and\n\ncarryout);\n\nStocking;\n\nBakery;\n\nMeat and deli department; and\n\nProduce department." ]

[ "How often an employer evaluates the pro- gram will vary by the size and complexity of the facility." ]

[ "(cid:3) Use carts to move heavy items; position carts alongside displays to minimize reaching and carrying.\n\nGuidelines for Retail Grocery Stores\n\n25\n\nAdditional Sources of Information\n\nThe following sources may be useful to those\n\nseeking further information about ergonomics and the prevention of work-related musculo- skeletal disorders in grocery stores.\n\nErgonomics for Very Small Business—Retail/ Wholesale (Poster); California Department of Industrial Relations. A poster with examples of safe ergonomic work practices for the very small retail and wholesale employer.\n\nWorking Smart in the Retail Environment Ergonomics Guide, Food Marketing Institute, (202) 452-8444. FMI offers (for a fee) several different guidelines and videos, including this document. This guide instructs cashiers and front line managers how to enhance safety, comfort and productivity. The guide also includes a Working Smart Quick Reference, which summarizes the general and specific techniques employees should use and avoid. (1996, 68 pages)\n\nIn addition, OSHA’s Training Institute in Arlington Heights, Illinois, offers courses on various safety and health topics, including ergonomics. Courses are also offered through Training Institute Education Centers located throughout the country. For a schedule of courses, contact the OSHA Training Institute, 2020 South Arlington Heights Road, Arlington Heights, Illinois, 60005, (847) 297-4810, or visit OSHA’s training resources webpage.\n\nThere are many states and territories that\n\nIn Search of Better Checkstands, United Food and Commercial Workers International Union. This document provides detailed information on checkstand design, particularly the advan- tages of grocery scanners that reduce the need for cashiers to grip and lift grocery items across the scanner.\n\noperate their own occupational safety and health programs under a plan approved by OSHA. Information is available on OSHA’s website on how to contact a state plan directly for information about specific state grocery store initiatives and compliance assistance, or different state standards that may apply to grocery stores.\n\nEasy Ergonomics, A Practical Approach for Improving the Workplace; California Department of Industrial Relations. This document is designed to provide general ergonomics advice and is not industry specific." ]

[ "(cid:3) Use carts to move heavy items; position carts alongside displays to minimize reaching and carrying." ]

[ "More remains to be learned about the relationship between workplace activities and the development of MSDs. However, OSHA believes that the experiences of many grocery stores provide a basis for taking action to better protect workers. As the understanding of these injuries develops and information and technol- ogy improve, the recommendations made in this document may be modified.\n\nGrocery stores that have implemented injury prevention efforts have said they have success- fully reduced work-related injuries and workers’ compensation costs. Many times, these efforts have reduced injuries and led to increased worker efficiency and lowered operating costs. For example, designing checkstands to reduce ergonomic risk factors such as twisting or ex- tended reaching can improve cashier effective- ness and productivity (1). The purpose of these voluntary guidelines is to build on the progress\n\nthat the grocery store industry has made in addressing causes of work-related injuries and illnesses.\n\nThese guidelines are intended only for retail\n\ngrocery stores and combined full-line super- market and discount merchandisers including warehouse retail establishments. The discussion is intended primarily for grocery store managers and store employees, but may also be useful for corporate managers or corporate safety professionals. OSHA did not develop these guidelines to address warehouses, convenience stores, or business operations that may be located within grocery stores, such as banks, post offices, or coffee shops. However, opera- tions in retail or distribution that involve similar tasks or operations as those addressed in these guidelines may find the information useful.\n\nThe information in these guidelines provides grocery stores with effective approaches, as well as useful references to be used when determining the need for ergonomic solutions. The recom- mendations and information presented here are intended as a general guideline and flexible framework to be adapted to the needs and resources of each individual store. OSHA recognizes that small employers, in particular, may not have the need for as comprehensive a program as would result from implementation of every action and strategy described in these guidelines. Additionally, OSHA realizes that small grocery stores may need assistance to im- plement an appropriate ergonomics program. That is why OSHA emphasizes the availability of its free consultation service for smaller employers.\n\nGuidelines for Retail Grocery Stores\n\n3\n\nThe heart of these guidelines is the description of various solutions that have been implemented by grocery stores." ]

[ "designing checkstands to reduce ergonomic risk factors such as twisting or ex- tended reaching can improve cashier effective- ness and productivity" ]

[ "of a single finger.\n\nJust because an employee develops an MSD does not mean it is work-related. As required by OSHA’s recordkeeping rule (29 CFR 1904), employers should consider an MSD to be work- related if an event or exposure in the work environment either caused or contributed to the MSD, or significantly aggravated a pre-existing MSD. For example, when an employee develops carpal tunnel syndrome, the employer needs to look at the hand and forearm activity required\n\nAt least one vendor has improved this concept by providing cases with spring-loaded backs. When a customer removes an item, the back pushes the remaining items to the front, keeping them within easy reach. The design makes it easier to stock cases by eliminating the need to reach to the back of the case. The stocker puts the first products in at the front of the shelf, then pushes it back to make room for more items (5).\n\nGuidelines for Retail Grocery Stores\n\n5\n\nPacking produce and other products in ice keeps them fresh and appealing. It also means handling ice – shoveling it, lifting it and shoveling it again. It’s heavy work and takes time.\n\nRecently a market devised a method to reduce the amount of time that it takes to put ice on products and that also cut the amount of handling in half. Originally an employee took a cart to the ice machine, scooped up enough ice to fill a cart, wheeled the cart to the display case, and finally scooped the ice from the cart into the display case.\n\nThe new machine allows gravity flow of ice and has space underneath for a cart containing four buckets. The ice falls into the buckets and fills them, eliminating half the shoveling. The buckets are convenient to handle and can be picked up to pour the ice into the display case, eliminating the rest of the need to shovel. The net result – less strenuous work, more time saved, and an attractive display (5).\n\nfor the job and the amount of time spent doing the activity. If an employee develops carpal tunnel syndrome, and his or her job requires frequent hand activity, or forceful or sustained awkward hand motions, then the problem may be work-related." ]

[ "Just because an employee develops an MSD does not mean it is work-related. As required by OSHA’s recordkeeping rule (29 CFR 1904), employers should consider an MSD to be work- related if an event or exposure in the work environment either caused or contributed to the MSD, or significantly aggravated a pre-existing MSD." ]

[ "If the job requires very little hand or arm activity then the disorder may not be work-related.\n\nActivities outside of the workplace that involve physical demands may also cause or contribute to MSDs. In addition, development of MSDs may be related to genetic causes, gender, age, and other factors. Finally, there is evidence that reports of MSDs may be linked to occupationally-related psychosocial factors including job dissatisfaction, monotonous work and limited job control (6). However, these guidelines address only physical factors in the workplace that are related to the development of MSDs.\n\nGrocery stores that have implemented injury prevention efforts focusing on musculoskeletal and ergonomic concerns have reported reduced work-related injuries and associated workers’ compensation costs. Fewer injuries can also improve morale, reduce employee turnover, encourage employees to stay longer and dis- courage senior employees from retiring early. Workplace changes based on ergonomic principles may also lead to increased pro- ductivity by eliminating unneeded motions, reducing fatigue and increasing worker effi- ciency. Healthier workers, better morale, and higher productivity can also contribute to better customer service.\n\nThese guidelines present recommendations for\n\nchanging equipment, workstation design, or work methods with the goal of reducing work- related MSDs. Many ergonomic changes result in increased efficiency by reducing the time needed to perform a task. Many grocery stores that have already instituted programs have reported reduced MSDs, reduced workers’ compensation costs, and improved efficiency.\n\n6\n\nGuidelines for Retail Grocery Stores\n\nA Process for Protecting Workers\n\nMany of the recommendations below are practices taken from workplace ergonomics and safety programs that grocery stores have developed and that OSHA observed while performing site visits at grocery stores. They are intended to provide a flexible framework that a grocery store manager can adapt to an individual store. In many grocery stores, ergonomics, other employee safety and health efforts, workers’ compensation, and risk management are integrated into a single pro- gram that is usually administered by the same staff. OSHA recommends that employers develop a process for systematically addressing ergonomics issues in their facilities, and incor- porate this process into an overall program to recognize and prevent occupational safety and health hazards." ]

[ "al factors in the workplace that are related to the development of MSD" ]

[ "OSHA recommends that grocery stores consider these solutions in the context of a systematic process that includes the elements described in the pages that follow. Such a process will make it more likely that the solutions implemented in a particular workplace are successful in reducing injuries and are cost effective.\n\nTo develop these guidelines, OSHA reviewed\n\nthe grocery store industry and conducted site visits to observe existing programs in action. In addition, the Agency reviewed available scientific information regarding work activities that may benefit from ergonomic improvements and specific solutions. OSHA also conducted one-on-one and group meetings with major stakeholder groups to gather the best available information on typical workplace activities and on practices, programs and processes that have been used successfully in the grocery store industry.\n\nexisting ergonomic practices and programs in\n\nThese guidelines are advisory in nature and informational in content. They are not a new standard or regulation and do not create any new OSHA duties. Under the OSH Act, the extent of an employer’s obligation to address ergonomic hazards is governed by the general duty clause. 29 U.S.C. 654(a)(1). An employer’s failure to implement the guidelines is not a violation, or evidence of a violation of the general duty clause. Furthermore, the fact that OSHA has developed this document is not evidence of an employer’s obligations under the general duty clause; the fact that a measure is recommended in this document but not adopted by an employer is not evidence of a violation of the general duty clause. In addition, the recommendations contained herein were developed with the idea that they could be adapted to the needs and resources of each individual place of employment. Thus, implementation of the guidelines may differ from site to site depending on the circumstances at each particular site.\n\n4\n\nGuidelines for Retail Grocery Stores\n\nIntroduction\n\nGrocery stores provide a vital service to the\n\nAmerican public, and are a major source of employment in the United States. In recent years, the efforts of grocery store managers and employees have resulted in fewer occupational injuries and illnesses. Even with these efforts, thousands of grocery store workers are still injured on the job each year (2).\n\nThe Liberty Mutual Insurance Company’s Workplace Safety Index shows the importance of ergonomic issues.\n\nThe Index lists overexertion, bodily reaction, and repetitive motion as three of the top ten causes of workplace injury." ]

[ "OSHA recommends that grocery stores consider these solutions in the context of a systematic process that includes the elements described in the pages that follow." ]

[ "It’s also important to change position frequently and stretch between tasks. This improves circulation and lessens fatigue.\n\nHead and Neck\n\nShoulders and Arms\n\n(cid:3) Avoid situations that require twisting the neck or bending it forward, backward or to the side.\n\n(cid:3) Keep the shoulders relaxed – not “shrugged-up” or “slumped-down.” (cid:3) Keep your elbows close to your body. (cid:3) Keep work at about elbow height.\n\nHands and Wrists\n\n(cid:3) Keep the hands straight\n\nand in line with the forearms – avoid twisting hands.\n\n(cid:3) Avoid working with wrists pressed against sharp or hard edges.\n\nBack\n\n(cid:3) Stand straight – avoid situations that require bending (forward or backward), leaning to the side or twisting.\n\n(cid:3) A sit/stand stool will allow for\n\nFeet and Legs\n\n(cid:3) Placing a foot on a\n\nfootrest or other support will promote comfort. (cid:3) Provide toe space to\n\nchanges in posture.\n\n(cid:3) For work performed while sitting, a back rest will help maintain proper posture.\n\nallow workers to stand closer to counters. This can reduce reaching. (cid:3) Good quality anti-fatigue mats reduce back and leg fatigue.\n\nThe Basics of Neutral Working Postures\n\nGuidelines for Retail Grocery Stores\n\n15\n\nSTOREWIDE ERGONOMIC SOLUTIONS\n\nBest and Preferred Work Zones\n\nPerforming work within the best and preferred work zones shown below facilitates productivity and comfort. Work is safest when lifting and reaching is performed in these zones. Working outside these work zones results in non-neutral postures that may increase the risk of injury. It is particularly important to perform heavy lifting tasks within the best work zone.\n\nBest Work Zone\n\nPreferred Work Zone\n\n(cid:3) As far forward as your wrist when you hold\n\n(cid:3) As far forward as your hand when you hold your\n\nyour arm slightly bent.\n\narm out straight.\n\n(cid:3) As wide as the shoulders.\n\n(cid:3) A foot on either side of the shoulders.\n\n(cid:3) Upper level at about heart height.\n\n(cid:3) Upper level at shoulder height.\n\nLower level at about waist height." ]

[ "change position frequently and stretch between tasks", "Good quality anti-fatigue mats reduce back and leg fatigue" ]

[ "(cid:3) Use a food processor to prepare ingredients for\n\nD E L I\n\nstuffing and other items.\n\n(cid:3) Arrange the wrapping station so that labels are within easy reach and workers do not have to twist or walk to get to them.\n\nC H E E S\n\nM\n\nE\n\nA\n\n(cid:3) Remove, round-off, or pad sharp or hard edges with which the worker may come into contact.\n\n(cid:3) Provide a small stool for employees to sit on when\n\n(cid:3) Mount controls of the roller bed close to the\n\nwrap station so that workers can reach it easily. If there are two wrap stations, there should be two sets of controls so that neither worker must pull or lug trays down the conveyor.\n\ncatching and traying meat from the grinder. Squatting and bending at the waist can lead to back and leg discomfort, especially when grinding for long periods of time.\n\n(cid:3) Align the roller bed and the wrap station so that employees can slide the trays rather than lift them to the station.\n\n(cid:3) Grind meat into a small lug and move it to a com- fortable work surface for traying. This prevents the awkward back posture that results from catching and traying the meat immediately as it leaves the grinder.\n\nGuidelines for Retail Grocery Stores\n\n23\n\n(cid:3) When using tongs select tongs with long handles to\n\nreach items in the front of the case.\n\n(cid:3) Whenever possible, incorporate adjustable work surfaces into the department. Examples include cutting tables, scales and deli slicers.\n\n(cid:3) Whenever possible, work from the long side of trays to\n\nreduce reaches and the resultant high stresses on the back.\n\nLook for cases and counters that allow workers to serve customers without excessive reaches.\n\nD E L I\n\n(cid:3) Avoid working with the hands/wrists held in a bent or\n\ntwisted position.\n\n(cid:3) Use anti-fatigue mats, footrests, and sit/stand stools where workers are required to stand for long periods of time.\n\nC H E E S E\n\nM\n\nE\n\nA\n\nT\n\n(cid:3) Keep knives sharp. Workers should be trained in the best knife sharpening methods." ]

[ "(cid:3) Arrange the wrapping station so that labels are within easy reach and workers do not have to twist or walk to get to them." ]

[ "Many grocery stores have taken actions such as those recommended in this document to help reduce exposures to ergonomic risk factors in their effort to reduce workplace injuries.\n\nThe three injury categories represented 43.8 percent of the total costs of serious workplace injuries in 2001.\n\nSome grocery store work can be physically demanding. Many grocery store workers handle thousands of items each day to stock shelves, check groceries, decorate bakery items, and prepare meat products. These tasks involve several ergonomic risk factors. The most important of these include force, repetition, awkward posture, and static postures (4).\n\nIn the grocery store industry, the presence of\n\nthese risk factors increases the potential for injuries and illnesses. In these guidelines, OSHA uses the term musculoskeletal disorders (MSDs) to refer to a variety of injuries and illnesses, including: (cid:1) Muscle strains and back injuries that occur\n\nfrom repeated use or overexertion;\n\nWhile the total number of serious workplace injuries declined between 1998 and 2001, the cost grew 13.5 percent, or 4 percent after adjusting for inflation (3).\n\nPutting merchandise in the front of a display case improves the appearance of merchandise. However, working in the back of a deep display case to face or stock merchandise can be awkward and uncom- fortable, especially when heavy items are involved.\n\nOne familiar solution to this problem is display cases that are stocked from the back. The product, such as cartons of milk, slides down an inclined shelf so that it’s always in front of the customer. It’s also easier for the employee stocking the shelf.\n\n(cid:1) Tendinitis; (cid:1) Carpal tunnel syndrome; (cid:1) Rotator cuff injuries (a shoulder problem); (cid:1) Epicondylitis (an elbow problem); and (cid:1) Trigger finger that occurs from repeated use\n\nRecently a market extended this concept to front- loaded cases. The solution was a dummy back for the case that was placed at the back of the shelf to limit the reach. Now the merchandise is at the front of the shelf, readily visible to the customer and within easy reach for the worker.\n\nof a single finger." ]

[ "force, repetition, awkward posture, and static postures" ]

[ "Workers should be trained in the best knife sharpening methods. Knife sharpening systems should be used regularly, and steels and mousetrap sharpeners should be used to keep knives sharp throughout the shift.\n\nLook for grinders that do not force the worker to bend over to catch meat or to reach too high to dump meat into the grinder.\n\nTry different knives to see if they are more comfortable to use. Some designs work well for specific cutting, trimming, or portioning tasks and should be considered “special purpose” tools.\n\n24\n\nGuidelines for Retail Grocery Stores\n\nP R O D U C E\n\n©\n\n(cid:3) Keep manual food processing equipment (knives, slicers, etc.) sharp and in good repair. Equipment that is dull or is not working properly may require excess force to operate.\n\n(cid:3) Position scales and wrap stations so that they can be used in the best work zone. Scales that are too high or too low for a worker can cause employees to work in awkward positions. If possible, make the scale and wrap station tables adjustable so that all workers can work in comfortable postures.\n\n(cid:3) Keep boxes, melons, bags of potatoes, or other heavy items close to the body when lifting and carrying. This helps to reduce stress on the back.\n\n(cid:3) Keep heavy items, such as watermelons, in shipping containers and use pallet jacks to move them.\n\n(cid:3) Use a lightweight shorthandled plastic shovel for ice. This tool is less stressful to the body than heavy shovels. A small shovel allows the worker to move more ice in less time than a hand scoop.\n\n(cid:3) Consider using refrigeration rather than ice to cool produce in order to eliminate the need to shovel ice.\n\n(cid:3) Place heavier or fast-moving items on shelves\n\nthat are in the best work zone.\n\n(cid:3) Use a portable ice case to transfer ice from the\n\nice machine to the produce displays.\n\n(cid:3) Use carts to move heavy items; position carts alongside displays to minimize reaching and carrying." ]

[ "(cid:3) Position scales and wrap stations so that they can be used in the best work zone. Scales that are too high or too low for a worker can cause employees to work in awkward positions. If possible, make the scale and wrap station tables adjustable so that all workers can work in comfortable postures." ]

[ "Cold temperatures can reduce circulation, causing stress on the hands. If pricing, use a glove with textured fingertips to wipe frost from frozen foods.\n\n(cid:3) Use a kneeler or stool when working at low\n\nshelves for long periods of time. This reduces stress on the knees and legs when squatting and kneeling.\n\n(cid:3) Rotate stocking tasks to avoid prolonged kneeling,\n\nsquatting, and overhead reaching.\n\n(cid:3) Use a cart to move items from the pallet to the\n\nshelving or case where they are stocked.\n\n(cid:3) Use knee pads when stocking low shelves for long periods of time. This reduces the stress on the knees and legs when kneeling.\n\n(cid:3) Keep cart wheels well maintained. Wheels that are in poor repair can be difficult to push. Racks or carts with bad wheels should be removed from service until they can be repaired.\n\nGuidelines for Retail Grocery Stores\n\n19\n\n(cid:3) Arrange shelves so that heavy items and fast-\n\nmoving items are stored within easy reach. This reduces the stress on the body caused by bending or reaching overhead.\n\n(cid:3) Use the correct safety cutter for the job. Be sure to supply a left-handed cutter if the employee is left-handed.\n\nIf a turntable is not used, place a flat piece of stainless steel over the end section of the roller bed preferably with a non-stick coating to allow cases to be turned easily. The metal surface should allow the cases to be pushed onto the roller bed easily.\n\n(cid:3) Keep safety cutters sharp. Using dull tools\n\nrequires more force. Replace cutter blades often.\n\n(cid:3) Report improperly stacked pallets to the supplier\n\nto reduce future problems.\n\n(cid:3) Ensure that the floor areas are level and free of debris and spills. Report any floor problems that need repair immediately.\n\n(cid:3) Use boxes or totes with hand holds, where suitable.\n\n(cid:3) Work with suppliers to get lower weight boxes to\n\nreduce the weight manually lifted. Industry groups such as the Grocery Manufacturers of America and Food Marketing Institute encourage all companies to use containers and packages that weigh 40 pounds or less (14)." ]

[ "(cid:3) Use a kneeler or stool when working at low", "(cid:3) Use knee pads when stocking low shelves for long periods of time. This reduces the stress on the knees and legs when kneeling." ]

[ "The larger the bag, the more force required to squeeze it.\n\n(cid:3) Have an adequate number of mixing bowls\n\navailable to reduce the need to transfer icing or batters that are mixed in the store to other containers.\n\n(cid:3) Use carts or rolling stands to move heavy items\n\nlike tubs of dough or bags of flour.\n\n(cid:3) Keep wheels on bakery carts well maintained.\n\n(cid:3) Use footrests and anti-fatigue mats in areas where workers stand for prolonged periods.\n\nWheels that are in poor repair can be difficult to push and should be removed from service until they can be repaired.\n\nThese recommendations are based on information from grocery stores. OSHA recognizes that other bakery operations may be different and that other solutions may be more appropriate for those operations.\n\nGuidelines for Retail Grocery Stores\n\n21\n\n(cid:3) Whenever possible, break up continuous activities such as cake decorating and dough handling with less strenuous tasks during the shift.\n\nB 4\n\n(cid:3) Whenever possible work from the long side of the donut glazing area to reduce reaches and forces on the back. Some glazing stations can be pulled out so that workers can work from the side.\n\n(cid:3) Use a short-handled scoop to put icing into\n\ndecorating bags. Shorter handles reduce the stress to the wrist.\n\n(cid:3) Use spatulas, spoons, and other utensils that fit the worker’s hand (not too wide or too narrow) and are not slippery.\n\n(cid:3) Work from the long side of baking pans to reduce\n\nreaches when handling dough.\n\n(cid:3) Use a step stool to reach items on high shelves.\n\n(cid:3) Use ambidextrous scoops which allow workers to\n\nuse either hand to dispense dough or batter.\n\n(cid:3) Use powered mixers whenever possible to mix\n\ncoloring into icing or purchase colored icing. This reduces the stress to workers’ hands and arms from manually mixing colors into icing.\n\nLook for cases and counter designs that allow the employee to hand customers their selections without high or long reaches.\n\n(cid:3) Ensure that the icing is of correct consistency. Icing\n\nthat is too thick will be difficult to squeeze through decorating bags." ]

[ "(cid:3) Work from the long side of baking pans to reduce", "reaches when handling dough." ]

[ "When reviewing the various jobs in the grocery store, pay particular attention to the risk factors listed below. Force – the amount of physical effort required to perform a task (such as heavy lifting1, pushing or pulling), handle mer- chandise, or maintain control of equipment or tools;\n\n(cid:1)\n\nwork activities. For example, Figures 1 and 2 contain checklists grocery stores may use to help identify ergonomic concerns. The check- lists include materials developed by the Food Marketing Institute (4) as well as materials developed by OSHA.\n\nImplement Solutions\n\nExamples of potential solutions for various\n\nconcerns are located in the Implementing Solutions section of these guidelines.\n\nRepetition – performing the same motion or series of motions continually or frequently for an extended period of time;\n\nAddress Reports of Injuries\n\nThe solutions recommended in these guide-\n\nAwkward and static postures – assuming positions that place stress on the body, such as prolonged or repetitive reaching above shoulder height, kneeling, squatting, leaning over a counter, using a knife with wrists bent, or twisting the torso while lifting (4); and\n\nContact stress – pressing the body or part of the body (such as the hand) against hard or sharp edges, or using the hand as a hammer.\n\nWhen there are several risk factors in a job, there can be a greater risk of injury. However, the presence of risk factors in a job does not necessarily mean that employees will develop an MSD. Whether certain work activities put an employee at risk of injury depends on the duration (how long), frequency (how often), and magnitude (how intense) of the employee’s exposure to the risk factors in the activity (6). For example, performing cashier work for an extended period of time without a break has been associated with increased hand and wrist problems (7) and could contribute to back and lower limb problems (8).\n\nThe grocery store industry has developed a\n\nlines are intended to address factors that are believed to be associated with MSDs in grocery stores. They are not a guarantee against any future injury occurring. Grocery stores rarely have on-site medical staff to care for injured or ill employees. Therefore, store managers or other designated individuals should establish a procedure for receiving reports of injuries and responding to them appropriately." ]

[ "Force – the amount of physical effort required to perform a task (such as heavy lifting1, pushing or pulling), handle mer- chandise, or maintain control of equipment or tools;", "Repetition – performing the same motion or series of motions continually or frequently for an extended period of time;", "Awkward and static postures – assuming positions that place stress on the body, such as prolonged or repetitive reaching above shoulder height, kneeling, squatting, leaning over a counter, using a knife with wrists bent, or twisting the torso while lifting (4); and", "Contact stress – pressing the body or part of the body (such as the hand) against hard or sharp edges, or using the hand as a hammer." ]

[ "Can the cashier work with items at about elbow height? Can the display be read without twisting? Are all edges smoothed or rounded so the cashier does not come into contact with sharp or hard edges? Are objects easily scanned the first time? Are objects scanned without twisting hand motions? Can cashiers scan heavy/bulky/awkward items without lifting them? Are the scale, conveyor, and horizontal scanner plates all the same height? Is the scanner plate clean and unscratched? Does the cashier have an anti-fatigue mat and/or footrest?\n\nBagging and Carry Out\n\nCan the bagger adjust the height of the bag stand? Are all edges smoothed or rounded so the bagger does not come into contact with sharp or hard edges? Do bags have handles? Can the bagger put bags into cart without leaning over the checkstand or twisting the back?\n\nProduce\n\nAre knives kept sharp? Are worktables, etc. positioned so that the work can be performed at about elbow height? Are carts used to move heavy items?\n\nAre step stools/ladders used to reach high shelves? Is stocking performed with minimal twisting or bending? Do totes and boxes have handles? Are gloves used for handling cold items? Are box cutter blades sharp? Are carts used to move heavy items? Are carts or pallet jacks used to keep lifts at waist height? Are lightweight pallets used? Are box weights within the lifting ability of employees?\n\nBakery\n\nAre counter heights and widths appropriate for employees? Are carts used to move heavy items? Are routine job tasks performed without holding hands/wrists in a bent or twisted position? Is work being performed at about elbow height?\n\nMeat and Deli Related Tasks\n\nAre knives kept sharp? Are counter heights and widths appropriate for employees? Are scales, grinders, slicers, etc. positioned so that the work can be performed at about elbow height? Are routine job tasks performed without holding hands/wrists in a bent or twisted position? Are box weights within the lifting ability of employees? Are tool handles the right size (not too large or too small) for the worker?" ]

[ "Can cashiers scan heavy/bulky/awkward items without lifting them?" ]

[ "A power grip can be described as wrapping all the fingers and the thumb around the object that is being gripped. It is sometimes described as making a fist around the object being gripped.\n\nPinch Grasps\n\nThe power grip can be used for many items, including bags, cans and small boxes.\n\nA pinch grasp should never be used when a power grip can be used instead. However, a pinch grasp is acceptable for small, light items (e.g., a pack of gum, etc.).\n\nGuidelines for Retail Grocery Stores\n\n13\n\nSTOREWIDE ERGONOMIC SOLUTIONS\n\nLifting Safety\n\nMost grocery store jobs involve some lifting. It is important that employers provide employees with help to lift heavy or bulky items. Whether a particular lift will require assistance depends on several factors, including the weight and size of the object, how frequently the object is lifted, how close the object is to the ground, how high it must be lifted, how far it must be carried and whether it has handles. Assistance can include a dolly or cart, or help from a co-worker. Employees should be trained in the use of appropriate lifting techniques for different sizes of objects as well as to when it is appropriate to seek assistance.\n\nWhen holding, lifting or carrying items\n\n(cid:3) Before lifting boxes and cases, check the weight so you can prepare to lift properly.\n\n(cid:3) Turn the body as a unit to avoid twisting at the waist.\n\n(cid:3) Keep the item close to your body.\n\n(cid:3) Keep your back straight.\n\n(cid:3) Use your leg muscles to do the lifting.\n\n(cid:3) Lift smoothly without jerking.\n\n(cid:3) Get close to where you want to set the item down.\n\n14\n\nGuidelines for Retail Grocery Stores\n\nSTOREWIDE ERGONOMIC SOLUTIONS\n\nRecommended Working Postures\n\nRecommended Working Postures describe body positions that are neutral and comfortable to use. Using postures other than those recommended will generally waste energy and motion as well as potentially raise the risk of injury. It’s also important to change position frequently and stretch between tasks. This improves circulation and lessens fatigue." ]

[ "Before lifting boxes and cases, check the weight so you can prepare to lift properly.", "Turn the body as a unit to avoid twisting at the waist.", "Keep the item close to your body.", "Keep your back straight.", "Use your leg muscles to do the lifting.", "Lift smoothly without jerking.", "Get close to where you want to set the item down." ]

[ "(cid:3) Use a powered hand jack or scissors-lift to raise\n\n(cid:3) Use carts with larger wheels so they are easier to push. Use carts with raised bottom shelves so the employee can maintain more neutral body position when lifting or placing cases.\n\nthe pallet to waist height. This prevents picking up cases with a bent back.\n\n(cid:3) Work with suppliers to obtain freight with pallet load\n\nheights that are within the reach of workers.\n\n(cid:3) Ensure that there is adequate room around carts\n\nand pallets for lifting tasks. Workers should be able to walk around the pallet or cart, rather than reaching or bending.\n\n(cid:3) Avoid congestion in grocery store aisles so\n\nemployees have adequate room to sort cases, open cases, mark merchandise, and stock shelves.\n\n(cid:3) Equip stockrooms and central processing areas\n\nwith roller bed conveyors and turntables to reduce lifting and carrying. Maintain turntables so they move easily and with little force required by the worker. Maintain rollers to reduce the pushing and pulling forces needed to handle cases.\n\n20\n\nGuidelines for Retail Grocery Stores\n\nB A K E R Y\n\n(cid:3) Position cake-decorating turntables so that\n\nthe cake is at about elbow height for a more comfortable working position. Adjustable height tables are one solution, but you can also put a riser under the turntable, use turntables with different heights, or put in platforms for shorter people to stand on.\n\n(cid:3) Make sure that there is toe-clearance under\n\ncounters and other work surfaces.\n\n(cid:3) Put buckets of icing and batter on risers (e.g., small stands or empty buckets) to raise them to the best work zone.\n\n(cid:3) Use smaller containers of flour, sugar,\n\nsalt and other supplies to reduce the weights that must be handled.\n\n(cid:3) When lifting keep large bags and containers of\n\ningredients close to the body to reduce stress on the back.\n\n(cid:3) Use small decorating bags whenever possible to reduce the stress on the worker’s hands. The larger the bag, the more force required to squeeze it." ]

[ "(cid:3) Use a powered hand jack or scissors-lift to raise", "the pallet to waist height. This prevents picking up cases with a bent back." ]

[ "Store and company management personnel\n\nshould consider the general steps discussed below when establishing and implementing an ergonomics program. It should be noted, however, that each store will have different needs and limitations that should be considered when identifying and correcting workplace problems. Different stores may implement different types of programs and activities and may assign different staff to accomplish the goals of the ergonomics program.\n\nAssign responsibilities (training, job analysis, etc.) to designated staff members to achieve those goals,\n\nEnsure that assigned responsibilities are fulfilled, and\n\nProvide appropriate resources.\n\nMeaningful efforts by management also\n\nimprove employee participation, which is another essential element for achieving success.\n\nInvolve Employees\n\nEmployees are a vital source of information about hazards in their workplace. Employees help identify hazards and solve problems. Their involvement can enhance job satis- faction, motivation, and acceptance of work- place changes. There are many different ways employers can involve employees in their ergonomics efforts, including the following:\n\nSubmit suggestions and concerns;\n\nIdentify and report tasks that are difficult to perform;\n\nDiscuss work methods;\n\nProvide input in the design of workstations, equipment, procedures and training;\n\nHelp evaluate equipment;\n\nProvide Management Support\n\nManagement support for reducing MSDs\n\nand communicating support to employees is very important. You have already demon- strated your interest in reducing MSDs by reading these voluntary guidelines. Manage- ment support improves the grocery store’s ability to maintain a sustained effort, allocate needed resources, and follow up on program implementation. OSHA recommends that employers:\n\nRespond to surveys and questionnaires;\n\nReport injuries as soon as they occur;\n\nParticipate fully in MSD case investigations; and\n\nParticipate in task groups with responsi- bility for ergonomics.\n\nIdentify Problems\n\nIt is important to periodically review your\n\nDevelop clear goals,\n\nExpress the company’s commitment to achieving them,\n\njob site and the activities of employees to identify possible ergonomic issues. This could include a review of OSHA 300 and 301 injury and illness information, workers’ compensa- tion records and employee reports of problems.\n\nGuidelines for Retail Grocery Stores\n\n7\n\nYou can also identify ergonomic issues by talking with employees and walking through the grocery store to observe employees performing their jobs." ]

[ "There are many different ways employers can involve employees in their ergonomics efforts, including the following:\n\nSubmit suggestions and concerns;\n\nIdentify and report tasks that are difficult to perform;\n\nDiscuss work methods;\n\nProvide input in the design of workstations, equipment, procedures and training;\n\nHelp evaluate equipment;" ]