- The final rule appears to require neither a medical diagnosis nor a causal assessment to link musculoskeletal disorders to workplace jobs.
- The standard fails to specify the criteria for making a determination of a musculoskeletal disorder, failing to define the signs, symptoms, and diagnostic testing data needed to support a diagnosis.
The 12,000-member American Association of Occupational Health Nurses voiced these concerns:
- Many workers, in industries such as construction, are left unprotected.
- The standard fails to adopt a preventive approach, with most requirements kicking in only after an employee experiences an injury, or persistent signs or symptoms.
- The course of medical treatment recommended by health care professionals for injured workers is not specified.
- The 45-day compliance deadline for training individuals responsible for setting up an ergo program once a job meets the “action trigger” will be very difficult to meet for some employers.
The American College of Occupational and Environmental Medicine, with more than 7,000 member physicians, has dropped its support of OSHA’s ergonomics standard, citing these problems: