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65:68261-68870 - Ergonomics Program; Final Rule

65:68261-68870 - Ergonomics Program; Final Rule

  • Information Date: 11/14/2000
  • Federal Register #: 65:68261-68870
  • Type: Final
  • Agency: OSHA
  • Subject: Ergonomics Program; Final Rule
  • CFR Title: 29
  • Abstract:


Part II





Department of Labor





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Occupational Safety and Health Administration



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29 CFR Part 1910



Ergonomics Program; Final Rule


[[Page 68262]]


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DEPARTMENT OF LABOR

Occupational Safety and Health Administration

29 CFR Part 1910

[Docket No. S-777]
RIN 1218-AB36

 
Ergonomics Program

AGENCY: Occupational Safety and Health Administration (OSHA), 
Department of Labor.

ACTION: Final rule.

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SUMMARY: The Occupational Safety and Health Administration is issuing a 
final Ergonomics Program standard (29 CFR 1910.900) to address the 
significant risk of employee exposure to ergonomic risk factors in jobs 
in general industry workplaces. Exposure to ergonomic risk factors on 
the job leads to musculoskeletal disorders (MSDs) of the upper 
extremities, back, and lower extremities. Every year, nearly 600,000 
MSDs that are serious enough to cause time off work are reported to the 
Bureau of Labor Statistics by general industry employers, and evidence 
suggests that an even larger number of non-lost worktime MSDs occur in 
these workplaces every year.
    The standard contains an ``action trigger,'' which identifies jobs 
with risk factors of sufficient magnitude, duration, or intensity to 
warrant further examination by the employer. This action trigger acts 
as a screen. When an employee reports an MSD, the employer must first 
determine whether the MSD is an MSD incident, defined by the standard 
as an MSD that results in days away from work, restricted work, medical 
treatment beyond first aid, or MSD symptoms or signs that persist for 7 
or more days. Once this determination is made, the employer must 
determine whether the employee's job has risk factors that meet the 
standard's action trigger. The risk factors addressed by this standard 
include repetition, awkward posture, force, vibration, and contact 
stress. If the risk factors in the employee's job do not exceed the 
action trigger, the employer does not need to implement an ergonomics 
program for that job.
    If an employee reports an MSD incident and the risk factors of that 
employee's job meet the action trigger, the employer must establish an 
ergonomics program for that job. The program must contain the following 
elements: hazard information and reporting, management leadership and 
employee participation, job hazard analysis and control, training, MSD 
management, and program evaluation. The standard provides the employer 
with several options for evaluating and controlling risk factors for 
jobs covered by the ergonomics program, and provides objective criteria 
for identifying MSD hazards in those jobs and determining when the 
controls implemented have achieved the required level of control.
    The final standard would affect approximately 6.1 million employers 
and 102 million employees in general industry workplaces, and employers 
in these workplaces would be required over the ten years following the 
promulgation of the standard to control approximately 18 million jobs 
with the potential to cause or contribute to covered MSDs. OSHA 
estimates that the final standard would prevent about 4.6 million work-
related MSDs over the next 10 years, have annual benefits of 
approximately $9.1 billion, and impose annual compliance costs of $4.5 
billion on employers. On a per-establishment basis, this equals 
approximately $700; annual costs per problem job fixed are estimated at 
$250.

DATES: This final rule becomes effective on January 16, 2001.
    Compliance. Start-up dates for specific provisions are set in 
paragraph (w) of Sec. 1910.900. However, affected parties do not have 
to comply with the information collection requirements in the final 
rule until the Department of Labor publishes in the Federal Register 
the control numbers assigned by the Office of Management and Budget 
(OMB). Publication of the control numbers notifies the public that OMB 
has approved these information collection requirements under the 
Paperwork Reduction Act of 1995.

ADDRESSES: In compliance with 28 U.S.C. 2112(a), the Agency designates 
the Associate Solicitor for Occupational Safety and Health, Office of 
the Solicitor, Room S-4004, U.S. Department of Labor, 200 Constitution 
Avenue, NW., Washington, DC 20210, as the recipient of petitions for 
review of the standard.

FOR FURTHER INFORMATION CONTACT: OSHA's Ergonomics Team at (202) 693-
2116, or visit the OSHA Homepage at www.osha.gov.

SUPPLEMENTARY INFORMATION:

Table of Contents

    The preamble and standard are organized as follows:

I. Introduction
II. Events Leading to the Standard
III. Pertinent Legal Authority
IV. Summary and Explanation
V. Health Effects
VI. Risk Assessment
VII. Significance of Risk
VIII. Summary of the Final Economic Analysis and Final Regulatory 
Flexibility Analysis
IX. Unfunded Mandates Analysis
X. Environmental Impact Statement
XI. Additional Statutory Issues
XII. Procedural Issues
XIII. Federalism
XIV. State Plan States
XV. OMB Review under the Paperwork Reduction Act of 1995
XVI. List of Subjects in 29 CFR Part 1910
XVII. The Final Ergonomics Program Standard

    References to documents, studies, and materials in the rulemaking 
record are found throughout the text of the preamble. Materials in the 
docket are identified by their Exhibit numbers, as follows: ``Ex. 26-
1'' means Exhibit 26-1 in Docket S-777. A list of the Exhibits and 
copies of the Exhibits are available in the OSHA Docket Office.

I. Introduction

A. Overview

    This preamble discusses the data and events that led OSHA to issue 
the final Ergonomics Program standard (Section II), and the Agency's 
legal authority for promulgating the rule (Section III). This 
discussion is followed by a detailed paragraph-by-paragraph summary and 
explanation of the final rule, including the Agency's reasons for 
including each provision and OSHA's responses to the many substantive 
issues that were raised in the proposal and during the rulemaking 
(Section IV).
    The summary and explanation of the standard is followed by a 
lengthy discussion of the evidence on the health effects that are 
associated with worker exposure to MSD hazards (Section V). The next 
section discusses the nature and degree of ergonomic-related risks 
confronting workers in general industry jobs (Section VI), and assesses 
the significance of those risks (Section VII). The preamble also 
contains a summary of the Final Economic and Final Regulatory 
Flexibility Analysis (Section VIII). Finally, the preamble describes 
the information collections associated with the final standard (Section 
XV).

B. The Need for an Ergonomics Program Standard

    Work-related musculoskeletal disorders (MSDs) currently account for 
one-third of all occupational injuries and illnesses reported to the 
Bureau of Labor Statistics (BLS) by employers every year. Although the 
number of MSDs reported to the BLS, like all occupational injuries and 
illnesses, has declined by more than 20% since 1992,

[[Page 68263]]

these disorders have been the largest single job-related injury and 
illness problem in the United States for the last decade, consistently 
accounting for 34% of all reported injuries and illnesses. In 1997, 
employers reported a total of 626,000 lost worktime MSDs to the BLS, 
and these disorders accounted for $1 of every $3 spent for workers' 
compensation in that year. This means that employers are annually 
paying more than $15 billion in workers' compensation costs for these 
disorders, and other expenses associated with work-related MSDs, such 
as the costs of training new workers, may increase this total to $45 
billion a year. Workers with severe MSDs often face permanent 
disability that prevents them from returning to their jobs or handling 
simple, everyday tasks like combing their hair, picking up a baby, or 
pushing a shopping cart. For example, workers who must undergo surgery 
for work-related carpal tunnel syndrome often lose 6 months or more of 
work.
    Thousands of companies have taken action to address and prevent 
these problems. OSHA estimates that 46 percent of all employees but 
only 16 percent of all workplaces in general industry are already 
protected by an ergonomics program, because their employers have 
voluntarily elected to implement an ergonomics program. (The difference 
in these percentages shows that many large companies, who employ the 
majority of the workforce, already have these programs, and that many 
smaller employers have not yet implemented them.) Based on its review 
of the evidence in the record as a whole, OSHA concludes that the final 
standard is needed to protect employees in general industry workplaces 
who are at significant risk of incurring a work-related musculoskeletal 
disorder but are not currently protected by an ergonomics program.

C. The Science Supporting the Standard

    A substantial body of scientific evidence supports OSHA's effort to 
provide workers with ergonomic protection (see the Health Effects, Risk 
Assessment, and Significance of Risk sections (Sections V, VI, and VII, 
respectively) of this preamble, below). This evidence strongly supports 
two basic conclusions: (1) There is a positive relationship between 
work-related musculoskeletal disorders and employee exposure to 
workplace risk factors, and (2) ergonomics programs and specific 
ergonomic interventions can substantially reduce the number and 
severity of these injuries.
    In 1998, the National Research Council/National Academy of Sciences 
found a clear relationship between musculoskeletal disorders and work 
and between ergonomic interventions and a decrease in the number and 
severity of such disorders. According to the Academy, ``Research 
clearly demonstrates that specific interventions can reduce the 
reported rate of musculoskeletal disorders for workers who perform 
high-risk tasks'' (Work-Related Musculoskeletal Disorders: The Research 
Base, ISBN 0-309-06327-2 (1998)). A scientific review of hundreds of 
peer-reviewed studies involving workers with MSDs by the National 
Institute for Occupational Safety and Health (NIOSH 1997) also supports 
this conclusion.
    The evidence, which is comprised of peer-reviewed epidemiological, 
biomechanical and pathophysiological studies as well as other published 
evidence, includes:

II. More than 2,000 articles on work-related MSDs and workplace risk 
factors;
II. A 1998 study by the National Research Council/National Academy of 
Sciences on work-related MSDs;

     A critical review by NIOSH of more than 600 
epidemiological studies addressing the effects of exposure to workplace 
risk factors (1997);
     A 1997 General Accounting Office report of companies with 
ergonomics programs;
I. Other evidence and analyses in the Health Effects section of the 
preamble to the final rule;
II. Hundreds of case studies from companies with successful ergonomics 
programs; and
I. Testimony and evidence submitted to the record by expert witnesses, 
workers, safety and health professionals, and others, which is 
discussed throughout the preamble to the final rule.

    Taken together, this evidence indicates that:
     High levels of exposure to ergonomic risk factors on the 
job lead to an increased incidence of work-related MSDs among exposed 
workers;
     Reducing exposure to physical risk factors on the job 
reduces the incidence and severity of work-related MSDs;
     Many work-related MSDs are preventable; and
     Ergonomics programs are demonstrably effective in reducing 
risk, decreasing exposure and protecting workers against work-related 
MSDs.
    As with any scientific field, research in ergonomics is ongoing. 
The National Academy of Sciences is currently undertaking another 
review of the science in order to expand on its 1998 study. OSHA has 
examined all of the research results in the record of this rulemaking 
in order to ensure that the final Ergonomics Program standard is based 
on the best available and most current evidence. Although more research 
is always desirable, OSHA finds that more than enough evidence already 
exists to demonstrate the need for a final standard. In the words of 
the American College of Occupational and Environmental Medicine, the 
world's largest occupational medical society, ``there is an adequate 
scientific foundation for OSHA to proceed * * * and, therefore, no 
reason for OSHA to delay the rulemaking process * * *.''

D. Information OSHA Is Providing To Help Employers Address Ergonomic 
Hazards

    Much literature and technical expertise on ergonomics already 
exists and is available to employers, both through OSHA and a variety 
of other sources. For example:
     Information is available from OSHA's ergonomics Web page, 
which can be accessed from OSHA's World Wide Web site at http://
www.osha.gov by scrolling down and clicking on ``Ergonomics'';
     Many publications, informational materials and training 
courses, which are available from OSHA through Regional Offices, OSHA-
sponsored educational centers, OSHA's state consultation programs for 
small businesses, and through the Web page;
     Publications on ergonomics programs, which are available 
from NIOSH at 1-800-35-NIOSH. NIOSH's Web page is also ``linked'' to 
OSHA's ergonomics Web page;
     OSHA's state consultation programs, which will provide 
free on-site consultation services to employers requesting help in 
implementing their ergonomics programs; and
     OSHA-developed compliance assistance materials, which are 
available as non-mandatory appendices to the standard, electronic 
compliance assistance training materials (e-cats) on specific tasks 
(e.g., lifting) or work environments (e.g., nursing homes). OSHA is 
also making several publications available on the web, such as the Easy 
Ergonomics Booklet, Fact Sheets, and so on. These materials can be 
obtained by accessing OSHA's Internet home page at www.OSHA.gov.

II. Events Leading to the Development of the Final Standard

    In this final standard, OSHA has relied on its own substantial 
experience with ergonomics programs, the

[[Page 68264]]

experience of private firms and insurance companies, and the results of 
research studies conducted during the last 30 years. Those experiences 
clearly show that: (1) Ergonomics programs are an effective way to 
reduce occupational MSDs; (2) ergonomics programs have consistently 
achieved that objective; (3) OSHA's standard is consistent with these 
programs; and (4) the standard is firmly grounded in the OSH Act and 
OSHA policies and experience. The primary lesson to be learned is that 
employers with effective, well-managed ergonomics programs achieve 
significant reductions in the severity and number of work-related MSDs 
that their employees experience. These programs also generally improve 
productivity and employee morale and reduce employee turnover and 
absenteeism (see Section VI of this preamble, and Chapters IV 
(Benefits) and V (Costs of Compliance) of OSHA's Final Economic 
Analysis (Ex. 28-1)).
    OSHA's long experience with ergonomics is apparent from the 
chronology below. As this table shows, the Agency has been actively 
involved in ergonomics for more than 20 years.

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------------------------------------------------------------------------
                       OSHA Ergonomics Chronology
------------------------------------------------------------------------
March 1979...................  OSHA hires its first ergonomist.
Early 1980s..................  OSHA begins discussing ergonomic
                                interventions with labor, trade
                                associations and professional
                                organizations. OSHA issues citations to
                                Hanes Knitwear and Samsonite for
                                ergonomic hazards.
August 1983..................  The OSHA Training Institute offers its
                                first course in ergonomics.
February 1986................  OSHA publishes ``Working Safely with
                                Video Display Terminals,'' its first
                                publication concerning ergonomics as it
                                applies to the use of computer
                                technology
May 1986.....................  OSHA begins a pilot program to reduce
                                back injuries through review of injury
                                records during inspections and
                                recommendations for job redesign using
                                NIOSH's Work Practices Guide for Manual
                                Lifting.
October 1986.................  The Agency publishes a Request for
                                Information on approaches to reduce back
                                injuries resulting from manual lifting.
                                (57 FR 34192)
November 1988................  OSHA/Iowa Beef Processors reach first
                                corporate-wide settlement to reduce
                                ergonomic hazards at 8 IBP locations
                                nationwide.
July 1990....................  OSHA/UAW/Ford corporate-wide settlement
                                agreement commits Ford to reduce
                                ergonomic hazards in 96 percent of its
                                plants through a model ergonomics
                                program.
August 1990..................  The Agency publishes ``Ergonomics Program
                                Management Guidelines for Meatpacking
                                Plants.''
Fall 1990....................  OSHA creates the Office of Ergonomics
                                Support and hires more ergonomists.
November 1990................  OSHA/UAW/GM sign agreement bringing
                                ergonomics programs to 138 GM plants
                                employing more than 300,000 workers.
                                Throughout the early 90s, OSHA signed 13
                                more corporate-wide settlement
                                agreements to bring ergonomics programs
                                to nearly half a million more workers.
July 1991....................  OSHA publishes ``Ergonomics: The Study of
                                Work,'' as part of a nationwide
                                education and outreach program to raise
                                awareness about ways to reduce
                                musculoskeletal disorders.
July 1991....................  More than 30 labor organizations petition
                                Secretary of Labor to issue an Emergency
                                Temporary Standard on ergonomics.
January 1992.................  OSHA begins a special emphasis inspection
                                program on ergonomic hazards in the
                                meatpacking industry.
April 1992...................  Secretary of Labor denies petition for an
                                Emergency Temporary Standard but commits
                                to moving forward with section 6 (b)
                                rulemaking.
August 1992..................  OSHA publishes an Advance Notice of
                                Proposed Rulemaking on ergonomics.
1993.........................  OSHA conducts a major survey of general
                                industry and construction employers to
                                obtain information on the extent of
                                ergonomics programs in industry and
                                other issues.
March 1995...................  OSHA begins a series of meetings with
                                stakeholders to discuss approaches to a
                                draft ergonomics standard.
January 1997.................  OSHA/NIOSH conference on successful
                                ergonomic programs held in Chicago.
April 1997...................  OSHA introduces the ergonomics web page
                                on the Internet.
February 1998................  OSHA begins a series of national
                                stakeholder meetings about the draft
                                ergonomics standard under development.
March 1998...................  OSHA releases a video entitled
                                ``Ergonomic Programs That Work.''
February 1, 1999.............  OSHA begins small business (Small
                                Business Regulatory Enforcement Fairness
                                Act (SBREFA) review of its draft
                                ergonomics rule, and makes draft
                                regulatory text available to the public.
March 1999...................  OSHA/NIOSH/Institute of Industrial
                                Engineers hold Applied Ergonomics
                                Conference in Houston
April 30, 1999...............  OSHA's Assistant Secretary receives the
                                SBREFA report on the draft ergonomics
                                program proposal, and the Agency begins
                                to address the concerns raised in that
                                report.
November 23, 1999............  OSHA publishes its proposed ergonomics
                                program standard.
March 2000...................  OSHA/NIOSH/Institute of Industrial
                                Engineers hold Applied Ergonomics
                                Conference in Los Angeles
March-May 2000...............  OSHA holds 9 weeks of public hearings and
                                receives 18,337 pages of testimony from
                                714 witnesses.
November 23, 1999 through      OSHA receives nearly 11,000 comments and
 August 10, 2000.               briefs consisting of nearly 50,000 pages
                                collectively, into the docket of the
                                ergonomics rulemaking.
October 27, 2000.............  The Occupational Safety and Health Review
                                Commission finds that manual lifting of
                                nursing home patients is a known and
                                recognized risk factor for lower back
                                pain.
------------------------------------------------------------------------

A. Regulatory and Voluntary Guidelines Activities

    In 1989, OSHA issued the Safety and Health Program Management 
Guidelines (54 FR 3904, Jan. 26, 1989), which are voluntary program 
management guidelines to assist employers in developing effective 
safety and health programs. These program management guidelines, which 
are based on the widely accepted safety and health principles of 
management commitment and employee involvement, worksite hazard 
analysis, hazard prevention and control, and employee training, also 
serve as the foundation for effective ergonomics programs. In August 
1990, OSHA issued the Ergonomics Program Management Guidelines for 
Meatpacking Plants (Ex. 2-13), which utilized the four program 
components from the safety and health management guidelines, 
supplemented by other ergonomics-specific program elements (e.g., 
medical management). The ergonomic guidelines were based on the best 
available scientific evidence, the best practices of successful 
companies with these programs, advice from the National Institute for 
Occupational Safety and Health (NIOSH), the scientific literature, and 
OSHA's experience with enforcement

[[Page 68265]]

actions. Many commenters in various industries have said that they have 
implemented their ergonomics programs primarily on the basis of the 
OSHA ergonomics guidelines (Exs. 3-50, 3-61, 3-95, 3-97, 3-113, 3-121, 
3-125), and there has been general agreement among stakeholders that 
these program elements should be included in any OSHA ergonomics 
standard (Exs. 3-27, 3-46, 3-51, 3-61, 3-89, 3-95, 3-113, 3-119, 3-160, 
3-184).
    OSHA also has encouraged other efforts to address the prevention of 
work-related musculoskeletal disorders. For example, OSHA has actively 
participated in the work of the ANSI Z-365 Committee, which was 
entrusted with the task of developing a consensus standard for the 
control of cumulative trauma disorders. The Agency also has sponsored 
and participated in more than 11 Ergonomics Best Practices conferences.
1. Petition for Emergency Temporary Standard
    On July 31, 1991, the United Food and Commercial Workers Union 
(UCFW), along with the AFL-CIO and 29 other labor organizations, 
petitioned OSHA to take immediate action to reduce the risk to 
employees of exposure to ergonomic hazards (Ex. 2-16). The petition 
requested that OSHA issue an emergency temporary standard (ETS) on 
``Ergonomic Hazards to Protect Workers from Work-Related 
Musculoskeletal Disorders (Cumulative Trauma Disorders)'' under section 
6(c) of the Act. The petitioners also requested, consistent with 
section 6(c), that OSHA promulgate, within 6 months of issuance of the 
ETS, a permanent standard to protect workers from cumulative trauma 
disorders in both general industry and construction.
    Based on the statutory constraints and legal requirements governing 
issuance of an ETS, OSHA calculated that the basis to support issuance 
of an ETS was not sufficient. Accordingly, on April 17, 1992, OSHA 
decided not to issue an ETS on ergonomic hazards (Ex. 2-29). OSHA 
agreed with the petitioners, however, that available information, 
including the Agency's experience and information in the ETS petition 
and supporting documents, supported the initiation of a rulemaking, 
under section 6(b)(5) of the Act, to address ergonomic hazards.
2. Advance Notice of Proposed Rulemaking
    At the time OSHA issued the Ergonomic Program Management Guidelines 
for Meatpacking Plants (Ex. 2-13), the Agency also indicated its 
intention to begin the rulemaking process by asking the public for 
information about musculoskeletal disorders (MSDs). The Agency 
indicated that this could be accomplished through a Request for 
Information (RFI) or an Advance Notice of Proposed Rulemaking (ANPR) 
consistent with the Administration's Regulatory Program. Subsequently, 
OSHA formally placed ergonomics rulemaking on the regulatory agenda 
(Ex. 2-17) and decided to issue an ANPR on this topic.
    In June 1991, OSHA sent a draft copy of the proposed ANPR questions 
for comment to 232 parties, including OSHA's advisory committees, labor 
organizations (including the petitioners), trade associations, 
occupational groups, and members of the ergonomics community (Ex. 2-
18). OSHA requested comments on what questions should be presented in 
the ANPR. OSHA received 47 comments from those parties. In addition, 
OSHA met with the Chemical Manufacturers Association, Organization 
Resources Counselors, Inc., the AFL-CIO and several of its member 
organizations. OSHA reviewed the comments and submissions received and 
incorporated relevant suggestions and comments into the ANPR.
    On August 3, 1992, OSHA published the ANPR in the Federal Register 
(57 FR 34192), requesting information for consideration in the 
development of an ergonomics standard. OSHA received 290 comments in 
response to the ANPR. Those comments have been carefully considered by 
the Agency in developing the final ergonomics program standard.
3. Outreach to Stakeholders
    In conjunction with the process of developing the proposed 
ergonomics rule, OSHA established various communication and outreach 
efforts. These efforts were initiated in response to requests by 
individuals who would be affected by the rule (stakeholders) that they 
be provided with the opportunity to present their concerns about an 
ergonomics rule and that they be kept apprized of the efforts OSHA was 
making in developing a proposed rule. For example, in March and April 
1994, OSHA held meetings with industry, labor, professional and 
research organizations covering general industry, construction, 
agriculture, healthcare, and the office environment. A list of those 
attending the meetings and a record of the meetings has been placed in 
the public record of this rulemaking (Ex. 26-1370).
    In March, 1995, OSHA provided a copy of an early draft proposed 
ergonomics rule and preamble to these same organizations. Thereafter, 
during April 1995, OSHA met again with these groups to discuss whether 
the draft proposed rule had accurately responded to the concerns raised 
earlier. A summary of the comments has been placed in the public record 
(Ex. 26-1370).
    During 1998, OSHA met with nearly 400 stakeholders to discuss ideas 
for a proposed standard. The first series of meetings was held in 
February in Washington, D.C. and focused on general issues, such as the 
scope of the standard and what elements of an ergonomics program should 
be included in a standard. The second series of meetings, held in July 
in Kansas City and Atlanta, focused on what elements and activities 
should be included in an ergonomics program standard. The third set of 
meetings was held in September in Washington, D.C. and emphasized 
revisions to the elements of the proposal based on previous stakeholder 
input. A summary of those meetings was placed on the OSHA web site and 
in the public docket (Ex. 26-1370). OSHA solicited input from its 
stakeholders again the next year, when it posted a working draft of its 
ergonomics standard after its release for Small Business Regulatory 
Enforcement Fairness Act (SBREFA) Panel review.
4. Small Business Regulatory Enforcement Fairness Act (SBREFA) Panel
    In accordance with SBREFA and to gain insight from employers with 
small businesses, OSHA, the Office of Management and Budget (OMB), and 
the Small Business Administration (SBA) created a Panel to review and 
comment on a working draft of the ergonomics program standard. As 
required by SBREFA, the Panel sought the advice and recommendations of 
potentially affected Small Entity Representatives (SERs). A total of 21 
SERs from a variety of industries participated in the effort. The 
working draft and supporting materials (a brief summary of a 
preliminary economic analysis, the risk assessment, and other 
materials) were sent to the SERs for their review. On March 24-26, 
1999, the Panel participated in a series of discussions with the SERs 
to answer questions and receive comments. The SERs also provided 
written comments, which served as the basis of the Panel's final report 
(Ex. 23). The final SBREFA Panel Report was submitted to the Assistant 
Secretary on April 30, 1999. The findings and recommendations made by 
the Panel are addressed in the proposed rule, preamble, and economic 
analysis (see the discussion in Section

[[Page 68266]]

VIII, Summary of the Final Economic Analysis and Regulatory Flexibility 
Analysis).
5. Issuance of Proposed Rule
    On November 23, 1999, OSHA published a proposed ergonomics program 
standard to address the significant risk of work-related 
musculoskeletal disorders (MSDs) confronting employees in various jobs 
in general industry workplaces (64 FR 65768). The proposed standard 
would have required general industry employers covered by the standard 
to establish an ergonomics program containing some or all of the 
elements typical of successful ergonomics programs: management 
leadership and employee participation, job hazard analysis and control, 
hazard information and reporting, training, MSD management, and program 
evaluation, depending on the types of jobs in their workplace and 
whether a musculoskeletal disorder covered by the standard had 
occurred. Employers whose employees perform manufacturing or manual 
handling jobs were required to implement a basic ergonomics program in 
those jobs.
    The basic program would have included the following elements: 
management leadership and employee participation, and hazard 
information and reporting. If an employee in a manufacturing or manual 
handling job experienced an OSHA-recordable MSD determined by the 
employer to be covered by the standard, the employer would have been 
required to implement a full ergonomics program for that job and all 
other jobs in that establishment involving the same physical work 
activities. The full program would have included, in addition to the 
elements in the basic program, a hazard analysis of the job; the 
implementation of engineering, work practice or administrative controls 
to eliminate or substantially reduce the hazards identified in that 
job; training the employees and their supervisors in that job; and 
providing MSD management, including where appropriate, temporary work 
restrictions and access to a health care provider or other professional 
if a covered MSD occurred. General industry employees in jobs other 
than manufacturing or manual handling who experienced a covered MSD 
determined by the employer to be covered by the standard also would 
have been required by the proposal to implement an ergonomics program 
for those jobs.
6. Solicitation of Public Comment on the Proposed Rule
    The notice of proposed rulemaking invited public comment on any 
aspects of the proposed ergonomics standard until the close of the 
comment period ending on February 1, 2000.
    After receiving a number of requests for an extension of the 
written comment period, OSHA published a Federal Register notice (65 FR 
4795) to extend the deadline for public, pre-hearing comments to March 
2, 2000 and to reschedule the informal public hearings in Washington, 
D.C. to begin March 13, 2000 and run through April 7, 2000. 
Subsequently, the Agency published a Federal Register notice (65 FR 
19702) to re-schedule and extend the hearings in Portland, OR by 2 
days, from April 24, 2000 through May 3, 2000. In addition, a final 
week of informal public hearings (65 FR 13254) was scheduled to take 
place in Washington, D.C. from May 8, 2000 through May 12, 2000.
    During the early stages of the public comment period, it was 
brought to OSHA's attention that the proposed ergonomics program 
standard published on November 23, 1999 (64 FR 65768) did not provide 
an analysis of the economic impacts of the rule on State and local 
governments, the United States Postal Service, or the railroads. To 
provide this additional information and analysis, OSHA published a 
supplement (65 FR 33263) to the Agency's Preliminary Economic Analysis 
and Initial Regulatory Flexibility Analysis (Ex. 28-1) of the economic 
impact of the Ergonomics Program Rule. OSHA also established pre-
hearing and post-hearing comment periods ending June 22, 2000 and 
August 10, 2000, respectively, to address the analysis of economic 
impacts in those three industries. An informal public hearing was held 
in Atlanta, GA on July 7, 2000, to provide an opportunity for witnesses 
to question the OSHA Panel on the supplemental analysis.
    Collectively, the public hearings concerning the proposed 
ergonomics program standard generated 18,337 pages of transcript based 
on testimony from 714 hearing witnesses, including those representing 
public entities, private industry, industry associations, labor unions 
and private individuals.
    More than 5,900 pre-hearing comments were filed in response to the 
proposed ergonomics program standard. A 45-day post-hearing comment 
period and a 45-day summary and brief period were established, with 
final briefs due to be postmarked no later than August 10, 2000. A 
total of 240 post hearing submissions were received. Collectively, a 
total of nearly 11,000 exhibits consisting of nearly 50,000 pages were 
submitted over the whole period.

B. Other OSHA Efforts In Ergonomics

    In 1996, OSHA developed a strategy to address ergonomics through a 
four-pronged program including training, education, and outreach 
activities; study and analysis of the work-related hazards that lead to 
MSDs; enforcement; and rulemaking.
1. Training, Education, and Outreach
    a. Training. The OSHA ergonomics web page has been an important 
part of the Agency's education and outreach effort. Other OSHA efforts 
in training, education and outreach include the following:
     Grants to train workers and employees about hazards and 
hazard abatement.
     Three training courses in ergonomics through the OSHA 
Training Institute available for OSHA compliance officers, one of which 
is open to the public;
     One day training for nursing home operators, at more than 
500 nursing homes in each of seven targeted states;
     Booklets on ergonomics, ergonomics programs, and computer 
workstations, such as ``Ergonomics Program Management Guidelines for 
Meatpacking Plants'' and ``Ergonomics: the Study of Work,'' both of 
which are available on OSHA's Website.
     Videotapes on ergonomics programs in general industry and 
specifically in nursing homes.
    OSHA has awarded almost $3 million for 25 grants addressing 
ergonomics, including lifting hazards in healthcare facilities and 
hazards in the red meat and poultry industries. These grants have 
enabled workers and employers to identify ergonomic hazards and 
implement workplace changes to abate these hazards.
    Some grant program highlights follow:

     The United Food and Commercial Workers International 
Union (UFCW) conducted joint labor-management ergonomics training at 
a meatpacking plant that resulted in a major effort at the plant to 
combat cumulative trauma disorders. The program was so successful 
that management asked the UFCW to conduct the ergonomics training 
and work with management at some of its other facilities.
     The University of California at Los Angeles (UCLA) and 
the Service Employees International Union (SEIU) both had grants for 
preventing lifting injuries in nursing homes. SEIU developed a 
training program that was used by UCLA to train nursing home workers 
in California. UCLA also worked with some national back injury 
prevention

[[Page 68267]]

programs. At least one of the nursing home chains has replicated the 
program in other states.
     Mercy Hospital in Des Moines, Iowa, had a grant to 
prevent lifting injuries in hospitals. It trained over 3,000 
hospital workers in Des Moines and surrounding counties. It had a 
goal of reducing lost work days by 15 percent. The goal was 
surpassed, and, six months after the training, none of those trained 
experienced a lost workday due to back injury.
     Hunter College in New York City trains ergonomics 
trainers for the United Paperworkers International Union. The 
trainers then return to their locals and conduct ergonomics training 
for union members. As a result of this training, changes are being 
made at some workplaces. Examples include purchasing new equipment 
that eliminates or reduces workers' need to bend or twist at the 
workstation, rotating workers every two hours with a ten-minute 
break before each rotation, and modifying workstations to reduce 
worker strain.

    b. Education and Outreach. To provide a forum to discuss ergonomic 
programs and to augment information in the literature with the 
experience of companies of different sizes and from a variety of 
industries, OSHA and NIOSH sponsored the first in a series of 
conferences that brought industry, labor, researchers, and consultants 
together to discuss what works in reducing MSDs. The 1997 OSHA and 
NIOSH conference was followed by 11 more regional conferences across 
the country. OSHA and NIOSH held the second national conference on 
ergonomics in March of 1999. More than 200 presentations were given at 
the conferences on how companies have successfully reduced MSDs. 
Presentations were made by personnel from large and small companies in 
many different industries.
    Other examples of successful ergonomics programs have come from 
OSHA's Voluntary Protection Program (VPP). The VPP program was 
established by OSHA to recognize employers whose organizations have 
exemplary workplace safety health programs. Several sites that have 
been accepted into VPP have excellent ergonomics programs.
    In addition to OSHA's enforcement efforts, the Agency's Ergonomics 
Program Management Guidelines for Meatpacking Plants (``Guidelines'') 
(Ex. 2-13) are viewed by many as essential to the implementation of 
successful workplace programs addressing ergonomic hazards. For 
example, in contrasting OSHA's proposal to the Guidelines, IBP Inc.'s 
Bob Wing acknowledged that the Guidelines had been successful (Ex. 30-
4046, p.1). Similarly, the American Meat Institute (``AMI''), the main 
representative for the U.S. meat industry, including 276 meat packers 
and processors, who operate 559 facilities, acknowledged that the 
industry worked with OSHA on the Guidelines, and has been using them 
for nearly ten years (Ex. 30-3677, p.1). The AMI notes that the 
Guidelines work and that the industry has made substantial progress in 
addressing ergonomic issues since development of the Guidelines (id. at 
1-4). The AMI recommended that the Guidelines be extended throughout 
general industry (id. at 4). The utility of OSHA's Guidelines also was 
hailed by the United Food and Commercial Workers' Union, which noted 
that upon publication of the Guidelines, industry began to respond both 
from the standpoint of technology as well as ergonomics programs (Ex. 
32-210-2, pp. 25-26). The success of the Guidelines led to their use 
and acceptance in other industries. The poultry industry appears to 
have secured substantial reductions in chronic MSDs from adherence to 
the principles in the document (Ex. 30-3375, p.1.).
2. Ergonomics Best Practices Conferences
    During the period from Sept. 17, 1997 through Sept. 29, 1999, OSHA 
and its Regional Education Centers co-sponsored 11 Ergonomics Best 
Practices Conferences. These Conferences were designed to provide good 
examples of practical and inexpensive ergonomics interventions 
implemented by local companies. The concept was that if OSHA and its 
Regional partners could initiate the development of a network of local 
employers, contractors, and educators to provide practical information 
to solve ergonomics problems, it would be assisting employers in 
providing a workplace for employees that would be ``free of recognized 
safety and health hazards.'' To date, attendance has exceeded 2,400 
participants, including employers, contractors, and employees. Finally, 
OSHA has made hundreds of outreach presentations to labor, trade 
associations, large and small businesses, and professional 
organizations during the development of the proposed rule.
3. Enforcement
    In the absence of a federal OSHA ergonomics standard, OSHA has 
addressed ergonomics in the workplace under the authority of section 
5(a)(1) of the OSHAct. This section is referred to as the General Duty 
Clause and requires employers to provide work and a work environment 
free from recognized hazards that are causing or are likely to cause 
death or serious physical harm.
    OSHA has successfully issued over 550 ergonomics citations under 
the General Duty Clause. In the majority of these cases, cited 
employers have recognized that the implementation of ergonomics 
programs is in their best interest and that of their employees. 
Examples of companies cited under the General Duty Clause for 
ergonomics hazards and which then realized a substantial reduction in 
injuries and illnesses after implementing ergonomics programs include: 
the Ford Motor Company, Empire Kosher Foods, Sysco Foods, and the 
Kennebec Nursing Home.
    Two cases have been decided so far by the Occupational Safety and 
Health Review Commission.
    In the first general duty clause case litigated by the Occupational 
Safety and Health Review Commission, Pepperidge Farm, the Review 
Commission recognized that excessive lifting and excessive repetitions 
were recognized ergonomic hazards that had caused and were likely to 
cause serious physical harm to employees whose work tasks required such 
activity. The Commission specifically noted that carpal tunnel syndrome 
and other soft tissue injuries found at the cited plant were caused by 
work tasks; the Commission relied principally on direct medical 
evidence, expert medical opinion, the incidence of injury, and the 
epidemiological studies and testimony in the record in reaching this 
finding. The Commission also agreed that an employer could be required 
to undertake a process-based, incremental approach to abating ergonomic 
hazards. The citations relating to the excessive lifting hazard were 
affirmed by the Commission, while those relating to the excessive 
repetitions were vacated based on a finding that the Secretary had 
failed to prove feasible means of abatement in addition to those found 
to have been undertaken by the company.
    In the second general duty clause case litigated by the Commission, 
Beverly Enterprises, the Commission held that the company's practices 
for lifting patients in its nursing homes exposed its nursing 
assistants to a serious recognized hazard. Beverly's nursing assistants 
suffered a disproportionate number of cases of lower back pain, which 
was often so severe that the employee would be off work for long 
periods of time, in some cases six months to over a year. The 
Commission found that manual lifting of nursing home residents is a 
known and recognized risk factor for lower back pain and that the 
company recognized the hazard.

[[Page 68268]]

    When serious physical harm cannot be documented in the work 
environment but hazards have been identified by OSHA, compliance 
officers both discuss the hazards with the employer during the closing 
conference of an inspection and write a letter to the employer. These 
letters are called ``Ergonomic Hazard Alert Letters.'' From fiscal year 
1997 through October 3, 2000, approximately 498 such letters have been 
sent to public and private sector employers under Section 20 of the OSH 
Act. These letters involve no penalty and are strictly consultative in 
nature; they reflect OSHA's responsibility to provide consultation on 
ergonomics to employers. Ergonomic Hazard Alert Letters have been sent 
to employers in approximately 50% of OSHA's ergonomic inspections.
    Since ergonomic solutions vary from one industry to another, OSHA 
has provided both general and industry-specific training to its 
compliance officers. Currently, the OSHA Training Institute (OTI) in 
Des Plaines, IL, offers three main ergonomic courses to OSHA compliance 
staff: Principles of Ergonomics Applied to Work-Related Musculoskeletal 
and Nerve Disorders (#225); Ergonomics Compliance (#325), an advanced 
ergonomics course; and Nursing Home Enforcement Training (#840). A 
fourth course, Healthcare (#336), has been in development and will be 
piloted on November 14, 2000 through November 17, 2000. That course 
will be designed to help OSHA compliance officers, as well as 
employers, to identify ergonomic and other hazards within healthcare 
facilities, with a specific emphasis on hospitals. Over 600 OSHA 
compliance staff members have been trained in these courses within the 
past three years alone. The courses typically cover three weeks of 
material.
    Currently, the Principles of Ergonomics Applied to Work-Related 
Musculoskeletal and Nerve Disorders course also is open to the public 
through OTI's 12 Regional Education Centers throughout the United 
States. Since that course has been available nationwide, public 
interest has been high, and the Education Centers have been scheduling 
courses on a regular basis to meet the constant demand. Although the 
new Healthcare Course is available currently only to OSHA compliance 
officers, after the pilot period ends it will be open to the public on 
a limited basis.
    In addition to education and training opportunities, OSHA has 
appointed one Regional Ergonomics Coordinator in each of OSHA's 10 
regional offices, and one Area Office Ergonomics Coordinator in each 
area office. These coordinators meet on a monthly basis to discuss 
recent inspections, case developments, and scientific literature on 
ergonomics; to share knowledge of ergonomic solutions; and to ensure 
that enforcement resources are provided to compliance staff for 
enforcement. A PhD level, professionally certified ergonomist serves as 
the National Ergonomics Enforcement Coordinator in OSHA's Directorate 
of Compliance Programs.
4. Corporate-Wide Settlement Agreements
    Among the companies that have been cited for MSD hazards, 13 
companies covering 198 facilities agreed to enter into corporate-wide 
settlement agreements with OSHA. These agreements were primarily in the 
meat processing and auto assembly industries, but there also were 
agreements with telecommunications, textile, grocery warehousing, and 
paper companies. As part of these settlement agreements, the companies 
agreed to develop ergonomics programs based on OSHA's Meatpacking 
Guidelines (Ex. 2-13) and to submit information on the progress of 
their programs.
    OSHA held a workshop in March 1999, in which 10 companies described 
their experience under their settlement agreement and with their 
ergonomics programs. All the companies that reported results to OSHA 
showed a substantially lower severity rate for MSDs since implementing 
their programs (Ex. 26-1420). In addition, most companies reported 
lower workers' compensation costs, as well as higher productivity and 
product quality. A report from the March 1999 workshop on corporate-
wide settlement agreements summarizing the results achieved by the 13 
companies involved has been placed in the docket (Ex. 26-1420). Only 5 
of the 13 companies consistently reported the number of MSD cases or 
MSD case rates. All five companies that reported data on MSD-related 
lost workday rates showed a significant decline in the number of lost 
workdays. None of the companies that reported severity statistics 
showed an increase in lost workdays as a result of the ergonomics 
program.
    Similarly, the success of OSHA enforcement coupled with settlements 
requiring comprehensive ergonomics programs was confirmed by the United 
Food and Commercial Workers International Union. The union recognized 
that ``* * * [t]he majority of our successful programs in the 
meatpacking and poultry industries were propelled by OSHA enforcement. 
Ergonomic settlement agreements and corporate-wide settlement 
agreements (CWSAs) * * * demonstrate industry recognition of the 
existence of MSD hazards and the elements of a program to prevent 
worker injuries arising from exposure to these hazards'' (Ex. 32-210-2, 
p. 5). The UFCW confirmed the efficacy of these agreements and 
resulting programs through a number of examples. One was that of IBP's 
Dakota City meatpacking plant that implemented a comprehensive program 
as a result of citations and subsequent settlement agreement. Cost 
savings attributed to the program ``* * * were realized in the 
following areas: [employee] turnover was down significantly * * *; 
[MSD] incidence dropped dramatically; surgeries fell; [and] workers' 
compensation costs were reduced significantly'' (id. at 9).

C. Summary

    As this review of OSHA's activities in the last 20 years shows, the 
Agency has considerable experience in addressing ergonomics issues. 
OSHA also has used all of the tools authorized by the Act--enforcement, 
consultation, training and education, compliance assistance, the 
Voluntary Protection Programs, and the issuance of voluntary 
guidelines--to encourage employers to address musculoskeletal 
disorders, the single largest occupational safety and health problem in 
the United States today. These efforts, and the voluntary efforts of 
employers and employees, have led to the recent 5-year decline in the 
number of reported lost workday ergonomics injuries. However, in 1997, 
there were still more than 626,000 lost workday MSD injuries and 
illnesses reported.
    Promulgation of an ergonomics program standard will add the only 
tool the Agency has so far not deployed against this hazard--a 
mandatory standard--to these other OSHA and employer-driven 
initiatives. Over the first 10 years of the standard's implementation, 
OSHA predicts that more than 3 million lost workday musculoskeletal 
disorders will be prevented in general industry. Ergonomics programs 
can lead directly to improved product quality by reducing errors and 
rejection rates. In an OSHA survey of more than 3,000 employers, 17 
percent with ergonomics programs reported that their programs had 
improved product quality. In addition, a large number of case studies 
reported in the literature describe quality improvements. Thus, in 
addition to better safety and health for workers, the standard will 
save employers money, improve product quality, and

[[Page 68269]]

reduce employee turnover and absenteeism.

Section III. Legal Authority

A. General Criteria for OSH Act Standards

    The purpose of the Occupational Safety and Health Act (``OSH Act'') 
is ``to assure so far as possible every working man and woman in the 
nation safe and healthful working conditions and to preserve our human 
resources.'' 29 U.S.C. 651(b). To further this goal, Congress 
authorized the Secretary of Labor to promulgate and enforce 
occupational safety and health standards. Section 6(b) of the OSH Act, 
29 U.S.C. 655(b) (authorizing promulgation of standards pursuant to 
notice and comment); 654(b) (requiring employers to comply with OSH Act 
standards). This standard is being issued pursuant to section 6(b).
    The OSH Act defines an ``occupational safety and health standard'' 
as ``a standard which requires conditions, or the adoption or use of 
one or more practices, means, methods, operations, or processes, 
reasonably necessary or appropriate to provide safe or healthful 
employment and places of employment.'' Section 3(8) of the Act, 29 
U.S.C. 652(8).
    A standard is ``reasonably necessary or appropriate'' within the 
meaning of section 3(8) if it (1) substantially reduces or eliminates a 
significant risk of material impairment to worker health, safety, or 
functional capacity; (2) is technologically and economically feasible 
to implement; (3) is cost effective; (4) is consistent with prior 
agency action or supported by a reasoned justification for departing 
from prior agency action; (5) is supported by substantial evidence; and 
(6) is at least as protective as any applicable national consensus 
standard. 58 FR 16612, 16614 (March 30, 1993). To fulfill the 
congressional purpose underlying the Act, all OSH Act standards must be 
highly protective. Id. at 16614-15.
    OSHA's determination that a particular level of risk is 
``significant'' is based largely on policy considerations. See 
Industrial Union Dep't, AFL-CIO v. Marshall, 448 U.S. 607, 656 n. 62 
(1980) (Benzene). The factors that enter into such a determination 
include the seriousness of the injuries or illnesses a standard will 
prevent, the likelihood that a particular employee will contract such 
an injury or illness, and the total number of employees affected. Where 
the standard seeks to prevent fatal illnesses and injuries, OSHA has 
generally considered an excess risk of 1 death per 1000 workers over a 
45-year working lifetime as clearly representing a significant risk. 
See Benzene, 448 U.S. at 646; UAW v. Pendergrass, 878 F.2d 389, 393 
(D.C. Cir. 1989) (Formaldehyde); Building & Constr. Trades Dep't v. 
Brock, 838 F.2d 1258, 1264 (D.C. Cir. 1988) (Asbestos). But nonfatal 
injuries and illnesses are often disabling and debilitating, and death 
is clearly not a precondition to a finding of significant risk of 
material impairment. See American Textile Mfrs. Inst. v. Donovan, 452 
U.S. 490, 506 n. 25 (1981) (Cotton Dust) (upholding OSHA's finding that 
cotton dust exposure at levels that caused chronic and irreversible 
pulmonary disease presented a significant risk to workers); AFL-CIO v. 
OSHA, 965 F.2d 962, 975 (11th Cir. 1992) (upholding OSHA's finding that 
``there is a level at which [sensory] irritation becomes so severe that 
employee health and job performance are seriously threatened.''); 
Formaldehyde, 878 F.2d at 396-399 (upholding OSHA's finding that 
exposure limit of 1 ppm would eliminate significant risk of sensory 
irritation due to formaldehyde exposure); United Steelworkers v. 
Marshall, 647 F.2d 1189, 1245-51 (D.C. Cir. 1980), cert. denied, 453 
U.S. 913 (1981) (Lead I) (upholding OSHA's determination that it was 
appropriate and necessary to lower lead exposures to reduce cases in 
which workers experience subclinical effects of lead exposure because 
such subclinical effects are precursors of serious, lead-related 
disease); Forging Indus. Ass'n v. Secretary of Labor, 773 F.2d 1436, 
1444-46 (4th Cir. 1985) (en banc) (Noise) (upholding OSHA's significant 
risk finding that a substantial percentage of workers exposed to 
existing workplace noise levels would suffer material noise-induced 
hearing loss). See also American Dental Ass'n v. Martin, 984 F.2d 823, 
826 (7th Cir.), cert. denied, 510 U.S. 859 (1993) (Bloodborne 
Pathogens) (noting that, in addition to causing death, AIDS and 
Hepatitis B cause protracted pain and disability).
    A standard is technologically feasible if the protective measures 
it requires already exist, can be brought into existence with available 
technology, or can be created with technology that can reasonably be 
expected to be developed. See Cotton Dust, 452 U.S. at 513; Lead I, 647 
F.2d at 1272; American Iron & Steel Inst. v. OSHA, 939 F.2d 975, 980 
(D.C. Cir. 1991) (Lead II).
    A standard is economically feasible if industry can absorb or pass 
on the costs of compliance without threatening the industry's long-term 
profitability or competitive structure. See Cotton Dust, 452 U.S. at 
530 n. 55; Lead I, 647 F.2d at 1272; Lead II, 939 F.2d at 980.
    A standard is cost effective if the protective measures it requires 
are the least costly of the available alternatives that achieve the 
same level of protection. Cotton Dust, 453 U.S. at 514 n. 32; UAW v. 
OSHA, 37 F.3d 665, 668 (D.C. Cir. 1994) (Lockout/Tagout II).
    Within the framework of these principles, OSHA has considerable 
discretion (``virtually unlimited discretion,'' in the words of the 
Lead I decision, 647 F.2d at 1230) in choosing the measures that are 
reasonably necessary or appropriate to reduce significant risk. A 
standard may address the hazards associated with an industry (e.g., 
logging, 29 CFR 1910.266), a kind of work (e.g., hazardous waste 
cleanup, 29 CFR 1910.120), a category of equipment (e.g., respirators, 
29 CFR 1910.134); an environmental area (e.g., confined spaces, 29 CFR 
1910.146), a lack of information (e.g., hazard communication, 29 CFR 
1910.1200), a class of harmful agents (e.g., bloodborne pathogens, 29 
CFR 1910.1030), or may require general measures reasonably necessary 
and appropriate for safety (e.g., safety and health programs for 
construction, 29 CFR 1926.20(b)). Depending on the nature of the safety 
and health issues, some standards require highly specific control 
measures. E.g., 29 CFR 1926.652 (excavations). Others require the 
employer to conduct a hazard assessment and establish measures meant to 
address the problems found. E.g., 29 CFR 1910.119 (process safety 
management). A typical standard for a toxic chemical will contain 
permissible exposure limits, a control hierarchy for reaching those 
limits, and provisions for assessing exposure, medical examinations, 
medical removal, and training. E.g., 29 CFR 1910.1025 (lead). Some 
toxic chemical standards also mandate specific work practices that must 
be used to control exposures. E.g., 29 CFR 1910.1029 (coke oven 
emissions); 29 CFR 1926.1101 (asbestos). Vaccination against Hepatitis 
B is one of the protective measures required by the bloodborne 
pathogens standard, 29 CFR 1910.1030. Medical removal protection 
benefits have been mandated when they are needed to encourage employees 
to participate in medical surveillance. 29 CFR 1910.1025 (lead); 29 CFR 
1910.1027 (cadmium); 29 CFR 1910.1048 (formaldehyde); 29 CFR 1910.1052 
(methylene chloride). Job hazard analysis and employee training are 
cornerstones of some OSHA standards. E.g., 29 CFR 1910.147 (lockout/
tagout).

[[Page 68270]]

    Section 6(b)(7) of the Act, 29 U.S.C. 665(b)(7), requires standards 
to include provisions warning employees of hazards, the means needed to 
protect themselves against those hazards, and, where appropriate, 
medical examinations or tests to determine whether the health of 
employees has been adversely affected:

    Any standard promulgated under this subsection shall prescribe 
the use of labels or other appropriate forms of warning as are 
necessary to insure that employees are apprised of all hazards to 
which they are exposed, relevant symptoms and appropriate emergency 
treatment, and proper conditions and precautions of safe use or 
exposure. Where appropriate, such standard shall also prescribe 
suitable protective equipment and control or technological 
procedures to be used in connection with such hazards and shall 
provide for monitoring or measuring employee exposure at such 
locations, and in such manner as may be necessary for the protection 
of employees. In addition, where appropriate, any such standard 
shall prescribe the type and frequency of medical examinations or 
other tests which shall be made available, by the employer or at his 
cost, to employees exposed to such hazards in order to most 
effectively determine whether the health of such employees is 
adversely affected by such exposure.

B. Section 6(b)(5)

    Standards dealing with ``toxic materials or harmful physical 
agents'' must, in addition to meeting the ``reasonably necessary or 
appropriate'' test of section 3(8), conform to section 6(b)(5) of the 
Act, 29 U.S.C. 655(b)(5). That section provides:

    The Secretary, in promulgating standards dealing with toxic 
materials or harmful physical agents under this subsection, shall 
set the standard which most adequately assures, to the extent 
feasible, on the basis of the best available evidence, that no 
employee will suffer material impairment of health or functional 
capacity even if such employee has regular exposure to the hazard 
dealt with by such standard for the period of his working life.

    The standards that are governed by section 6(b)(5) are sometimes 
referred to as ``health'' standards, while non-6(b)(5) standards are 
often referred to as ``safety'' standards. In enacting section 6(b)(5), 
Congress recognized ``that there were special problems in regulating 
health risks as opposed to safety risks. In the latter case, the risks 
are generally immediate or obvious, while in the former, the risks may 
not be evident until a worker has been exposed for long periods of time 
to particular substances. It was to ensure that the Secretary took 
account of these long-term risks that Congress enacted Sec. 6(b)(5).'' 
Benzene, 448 U.S. at 649 n. 54. According to its legislative sponsor, 
section 6(b)(5) is intended to require OSHA to take into account the 
potential that an employee may be exposed to the hazard for his entire 
working lifetime ``so that we can get at something which might not be 
toxic now, if he works in it a very short time, but if he works in it 
the rest of his life it might be very dangerous.'' (Remarks of Senator 
Dominick in colloquy with Senator Williams, Leg. Hist. at 503).
    Section 6(b)(5) directs OSHA to set the standard which will, to the 
extent feasible, protect employees from material impairment to their 
health even if they are exposed regularly to the toxic chemical or 
harmful physical agent for their entire working life. Section 6(b)(5) 
thus requires that any standard governed by that section must reduce 
significant risk to the lowest feasible level. See Cotton Dust, 452 
U.S. at 509. Safety standards, which are not governed by section 
6(b)(5), need not reduce significant risk to the lowest feasible level 
but must provide a high degree of employee protection to be consistent 
with the purpose of the Act. 58 FR at 16614-15. Safety standards may 
therefore ``deviate only modestly from the stringency required by 
Sec. 6(b)(5) for health standards.'' Lockout/Tagout II, 37 F.3d at 669.
    The most important consideration in construing the scope of section 
6(b)(5), as with any statutory provision, is the language of the 
statute itself. In many cases, it is obvious whether a hazard is a 
``toxic material'' or ``harmful physical agent'' subject to section 
6(b)(5). Other hazards are less clear cut. OSHA has looked to several 
factors in determining whether a standard fits within section 6(b)(5). 
These include: Is the hazard likely to cause harm promptly or after a 
short period of exposure, or does harm occur only after a lengthy 
period of exposure? Is the connection between exposure and harm 
apparent, or is it hidden and subtle? Is the harm coincident with 
exposure, or is there a latency period with harm frequently manifesting 
itself long after exposure has ended? See Benzene, 448 U.S. at 649 n. 
54; UAW v. OSHA, 938 F.2d 1310, 1313 (D.C. Cir. 1991) (Lockout/Tagout 
I); National Grain & Feed Ass'n v. OSHA, 866 F.2d 717, 733 (5th Cir. 
1989) (Grain Dust).
    Because the hazardous exposures regulated by this standard cannot 
be neatly categorized by the factors discussed above, whether this 
standard is governed by section 6(b)(5) poses difficult legal issues. 
Some commenters supported characterizing the rule as a section 6(b)(5) 
rule (Ex. 32-339-1 at p. 15 (AFL-CIO), while others opposed it. Ex. 32-
368-1 at p. 41-44 (National Coalition on Ergonomics); Ex. 32-206-1 at 
p. 32 (American Iron & Steel Institute); Ex. 22-337-1 at pp. 3-7 
(Integrated Waste Service Association); Ex. 30-1722 at pp. 33-35 
(Chamber of Commerce). For a variety of reasons, OSHA concludes that 
the standard is not subject to section 6(b)(5).
    First, the language of the statute itself suggests that this rule 
is not governed by section 6(b)(5). That provision applies to ``toxic 
materials or harmful physical agents.'' The ``toxic materials'' to 
which section 6(b)(5) refers include chemicals that are harmful if 
breathed and/or ingested, such as asbestos, lead, and mercury. S. Rep. 
No. 91-1282, 91st Cong., 2d Sess. at 2, reprinted in Committee Print, 
Legislative History of the Occupational Safety and Health Act of 1970, 
(Leg. Hist.) at 142. Ergonomic risk factors are clearly not a toxic 
material. The ``harmful physical agents'' to which Congress referred 
include laser radiation, ultrasonic energy, ionizing radiation, noise, 
and vibration. Id. at 142-43. Of the harmful physical agents mentioned 
by Congress, only vibration is a risk factor addressed by the 
ergonomics standard. The remaining risk factors addressed by this 
standard--force, repetition, awkward postures, and contact stress---are 
fundamentally dissimilar from the harmful physical agents discussed by 
Congress in that they relate to the position, movement, and loading on 
the tissues of a worker's body rather than an external agent acting on 
the body. See Pulaski v. California Occupational Safety & Health 
Standards Board, 90 Cal. Rptr. 2d 54, 66 (Cal. Ct. App. 1999) (``a 
repetitive motion injury is neither a `toxic material' nor a `harmful 
physical agent.' ''). Therefore, the language and legislative history 
of the Act indicate that the majority of the risk factors addressed by 
this rule are not the type of hazards Congress intended to regulate 
under section 6(b)(5).
    In addition, the hazards addressed by the rule differ from those 
addressed by section 6(b)(5). A lengthy period of exposure--years, 
decades, or a working lifetime--is not necessary to create a 
substantial risk of MSDs. As discussed below, both acute and chronic 
exposures to ergonomic risk factors can result in MSDs. And, although 
MSDs frequently develop gradually as a result of exposure over time, 
the period of time necessary can be days, weeks, or months, rather than 
the working lifetime referred to in the text of section 6(b)(5). 
Moreover, MSDs are unlike illnesses, such as cancer, damage to the 
reproductive system, and kidney failure, that can result from exposure 
to toxic chemicals and appear long after the

[[Page 68271]]

exposure ceased even though the exposure caused no overt symptoms while 
it was occurring. An employee who is beginning to suffer a work-related 
MSD will frequently recover fully after the exposure to ergonomic risk 
factors ceases. For that reason, the standard requires that an employee 
who develops a work-related MSD be restricted from participating in 
work activities or removed from exposure that will worsen the 
condition.
    The ability of employers and employees to generally recognize a 
cause-and-effect relationship between ergonomic risk factors and many 
MSDs also indicates that this final standard is a non-6(b)(5) rule. In 
recent years, as both employers and employees have become more aware of 
the connection between workplace risk factors and MSDs (see Tr. 5817-
19), employers have reported over 600,000 work-related MSDs that result 
in lost workdays each year (64 FR at 65931). Employees themselves are 
often able to recognize when MSDs result from exposure to risk factors 
in the workplace. As OSHA noted in the proposal: ``Many employers have 
told OSHA that talking with employees is a quick and easy way to find 
out what kind of problems are in the job. They said that talking with 
employees is often the best way to identify the causes of the problem 
and to identify the most cost-effective solutions to it.'' 64 FR at 
65805 (citing Ex. 26-1370). Testimony at the public hearing made the 
same point. Dr. Suzanne Rodgers, a physiologist with 32 years' 
experience in industrial ergonomics, testified that the companies she 
had worked with learn about ergonomic problems by having employees tell 
them when a problem exists. (Tr. 2144). Similarly, David Alexander, a 
certified professional ergonomist with more than 25 years experience, 
testified that encouraging employees to report early signs and symptoms 
of developing MSDs was a key feature of a successful ergonomics 
program. (Tr. 2145-46).
    Further, Congress provided for special treatment of health hazards 
in section 6(b)(5) because it recognized that employers had little 
incentive to control exposures to toxic chemicals and harmful physical 
agents when there is a long period between exposure to a hazard and the 
manifestation of an illness. ``In such instances a particular employer 
has no economic incentive to invest in current precautions, not even in 
the reduction of workmen's compensation costs, because he seldom will 
have to pay for the consequences of his own neglect.'' Leg. Hist. at 
144. However, in this respect too, the ergonomics standard is more like 
a typical safety standard than a health standard because many of the 
costs of such injuries in terms of workers' compensation claims and 
lost productivity are borne by employers as MSDs occur. Thus, the 
ergonomics standard does not implicate section 6(b)(5)'s concern about 
hazardous exposures that lead to illnesses after lengthy exposure and 
therefore require special attention because employers can defer or 
avoid the costs associated with such illnesses.
    Finally, the type of information on which this standard is based is 
far more characteristic of a safety standard than a section 6(b)(5) 
health standard. The risk assessment for this standard, as for a 
typical safety standard, is based on the number of injuries that have 
resulted from past exposures to the hazard being regulated and the 
percentage of those injuries that are preventable. By contrast, for a 
typical health standard, the risk assessment is based on mathematical 
projections to determine the significance of the risk at various levels 
of exposure. See, e.g., Formaldehyde, 878 F.2d at 392-96 (discussing 
OSHA's quantitative risk assessment for formaldehyde exposure). In the 
proposal, OSHA recognized that the risk assessment methodology for this 
standard was similar to that for a safety standard rather than a 
typical health standard:

    There is no need, in the case of musculoskeletal disorders, for 
OSHA to engage in risk modeling, low-dose extrapolation, or other 
techniques of projecting theoretical risk to identify the magnitude 
of the risk confronting workers exposed to ergonomic risk factors. 
The evidence of significant risk is apparent in the annual toll 
reported by the Bureau of Labor Statistics, the vast amount of 
medical and indemnity payments being made to injured workers and 
others every year * * * and the lost production to the U.S. economy 
imposed by these disorders.

64 FR at 65979.

    In the NPRM, OSHA preliminarily concluded that the proposed 
ergonomics standard was a section 6(b)(5) standard. The NPRM stated 
that MSDs are caused by chronic and not by short-term exposures. 64 FR 
at 66057. Some commenters contended that this statement was 
inconsistent with OSHA's proposed definition of MSD and the inclusion 
of ``traumatic'' injuries in its risk assessment. Ex. 22-337-1 at p. 7 
(Integrated Waste Service Association); Ex. 32-241-4 at pp. 197-99 
(Anheuser-Busch & United Parcel Service); Ex. 32-300-1 at pp. 15-16 
(Edison Electric Institute). The proposed definition of MSD included 
musculoskeletal disorders other than those caused by accidents and was 
intended to include, e.g., back injuries caused by lifting (for 
employees for whom manual handling is a core job element) without 
regard to whether the injury resulted from a particular exertion or the 
cumulative effect of numerous lifting exertions. As OSHA elsewhere 
explained:

    The pathogenesis of work-related MSDs can refer to either 
single, point-in-time injuries, associated with work tasks that 
result in activities in which tissue tolerance is acutely exceeded, 
or circumstances in which the performance of specific work tasks or 
combinations in which the performance of specific work tasks or 
combinations of tasks over a prolonged period of time result in 
small and repeated tissue damage.

64 FR at 65900.
    Moreover, the BLS injury and illness data on which OSHA based its 
proposed risk assessment (see 64 FR at 65931, Table VI-3) indicates 
that many of the injuries considered MSDs resulted from short-term 
rather than chronic exposures. OSHA has reexamined its reasoning in 
light of these comments and agrees that the acute-chronic distinction 
it drew in the proposal is inappropriate when describing MSDs and 
therefore does not afford a proper basis for classifying this rule as a 
section 6(b)(5) standard.
    As discussed in more detail in the risk assessment section, the 
injury and illness data reported by BLS categorizes each incident by 
type of injury or illness and the nature of the exposure event leading 
to the injury or illness (BLS 1992, Ex. 26-1372). Under the BLS data 
collection system, employers are instructed to report musculoskeletal 
injuries and illnesses under various codes, some of which represent 
musculoskeletal system and connective tissue diseases and disorders 
that result from repetitive activity and some of which represent other 
types of exposure events. The BLS category that accounts for most of 
the reported injuries and illnesses, 021, includes sprains, strains, 
and tears of muscles, joints, tendons, and ligaments. The category is 
described as representing traumatic injuries, which generally result 
from a single event or exposure. Ex. 26-1372 (BLS Occupational Injury 
and Illness Classification Manual).
    In its preliminary risk assessment, the agency closely examined the 
BLS data, excluded from its analysis injuries caused by accidents 
(i.e., slips, trips, falls, and being struck by objects), and included 
those codes that predominantly represented work-related MSDs, including 
021, that were reported under the exposure event categories

[[Page 68272]]

most closely representing ergonomic risk factors. 64 FR at 65928. The 
largest number of these injuries were classified under the exposure 
category for ``overexertion,'' which includes primarily lifting, 
lowering, pushing, pulling, and carrying. 64 FR at 65932. OSHA has 
followed this same approach in its final rule and in the supporting 
risk assessment, i.e., excluding musculoskeletal injuries due to 
accidents but including those resulting from ergonomic risk factors. In 
OSHA's view, when MSDs result from exposure to ergonomic risk factors, 
any distinction between acute and chronic exposures is unimportant. 
OSHA notes that the classification of these disorders as traumatic is 
in part a convention of the recordkeeping system. OSHA's general 
recordkeeping guidelines for back disorders instruct that because the 
specific event causing such a disorder cannot always be pinpointed, to 
keep recordkeeping determinations as simple and equitable as possible, 
all back disorders should be classified as (traumatic) injuries rather 
than (cumulative exposure) illnesses. BLS, Recordkeeping Guidelines for 
Occupational Injuries and Illnesses (April 1986), at p. 38. Similarly, 
OSHA's Ergonomics Program Management for Meatpacking Plants states that 
all back cases are to be classified as injuries even though some back 
conditions may be triggered by an instantaneous event and others 
develop as a result of repeated trauma. Ex. 32-210-2-2 at p. 14. 
Moreover, a number of experts testified in the hearings that a 
substantial part of the MSD injuries classified under the BLS system as 
traumatic in fact represent cumulative exposure. (Tr. 2175-77; 2236-44; 
5802-04). In short, even though an MSD may be classified as 
``traumatic'' in origin, it will often be the case that, while the 
onset of the injury was sudden, the cause was exposure to ergonomic 
risk factors over some period of time. However, it is neither necessary 
nor meaningful to limit the standard's reach to MSDs that only occur 
because of exposures that take place over some period of time. The 
purpose of this standard is to reduce the number and severity of MSDs 
by protecting workers against excessive exposure to ergonomic risk 
factors and MSD hazards, and for that purpose it is irrelevant whether 
those excessive exposures are ``acute'' or ``chronic.''
    On reflection, OSHA has determined that other considerations relied 
on in the NPRM are likewise unpersuasive. Although the standard 
protects against one risk factor--vibration--that qualifies as a 
``harmful physical agent,'' OSHA does not believe that factor alone 
makes this a section 6(b)(5) standard. The standard is not a 
``vibration'' standard but one that addresses the multifactorial causes 
of MSDs. The risk factors that are not ``harmful physical agents''--
force, repetition, awkward posture, and contact stress--together 
contribute substantially more to the vast majority of MSDs than does 
vibration.
    Similarly, that a provision in OSHA's standard governing access to 
employee exposure and medical records (29 CFR 1910.1020(c)(13)) defines 
``toxic substance or harmful physical agent'' as including ``repetitive 
motion'' does not establish that repetitive motion is a harmful 
physical agent within the meaning of section 6(b)(5). See Ex. 32-339-1 
at p. 15 (AFL-CIO). Whether repetitive motion is a harmful physical 
agent was not central to that rulemaking, which dealt with the access 
of employees and OSHA personnel to employee records and did not 
regulate particular hazards. In that rulemaking, interested parties had 
no reason to argue whether a standard that regulates repetitive motion 
is a section 6(b)(5) standard, and OSHA had no occasion to address that 
issue. Moreover, the records access rule was not issued under section 
6(b)(5) but under OSHA's general authority to issue standards (section 
6(b)) and regulations (section 8(g)). And it was upheld in court as a 
section 8(g) regulation rather than a section 6(b) standard. Louisiana 
Chem. Ass'n v. Bingham, 731 F.2d 280 (5th Cir. 1984), aff'g 550 F. 
Supp. 1136 (W.D. La. 1982). Therefore, the fact that the records access 
rule applies to repetitive motion cannot be regarded as establishing an 
OSHA policy that repetitive motion is a harmful physical agent for 
purposes of section 6(b)(5).

C. This Final Rule Does Not Regulate non-Workplace Activities

    Some commenters have pointed out that MSDs can result from personal 
activities as well as from workplace exposures. Ex. 32-368-1 at p. 40 
(National Coalition on Ergonomics); Ex. 32-241-4 at p. 49 (Anheuser-
Busch & United Parcel Service). They argue that OSHA is attempting 
through this rule to regulate the nonwork activities that may 
contribute to MSDs and that the rule is therefore outside OSHA's 
authority. However, the rule regulates only conditions or activities in 
workplaces, and OSHA clearly has the authority to issue the rule.
    Many adverse health conditions can be caused or aggravated by both 
work and nonwork exposures. For example, exposures to high noise levels 
both inside and outside the workplace can contribute to a worker's 
hearing loss. Nevertheless, OSHA has the authority to regulate harmful 
noise levels in the workplace as long as the workplace exposures create 
a significant risk of material impairment of health. Forging Indus. 
Ass'n v. Secretary of Labor, 773 F.2d 1436, 1442 (4th Cir. 1985) (en 
banc) (Noise).
    Noise dealt with a challenge to the Hearing Conservation Amendment 
to OSHA's occupational noise standard. That amendment establishes 
certain requirements that must be met to reduce the incidence of and/or 
prevent hearing impairment due to occupational noise exposure. Before 
issuing the amendment, OSHA found that 10-15% of workers exposed to 
noise levels below the permissible exposure limit (PEL) would suffer 
material hearing impairment. 773 F.2d at 1443. OSHA based this finding 
on a ``panoply of scientific reports and studies,'' including studies 
done by the National Institute for Occupational Safety and Health 
(NIOSH) and the Environmental Protection Agency (EPA). Id. OSHA also 
found that those employees who had suffered a hearing decrement of 10 
decibels in either ear faced a greater risk from continued exposure to 
high levels of workplace noise than workers whose hearing was 
unimpaired. Id. OSHA's Hearing Conservation Amendment provided hearing-
endangered workers with protection in the workplace in order to 
decrease the risk of hearing impairment.
    The Forging Industry Association (FIA) argued that ``because 
hearing loss may be sustained as a result of activities which take 
place outside the workplace--such as listening to loud music, age, or 
engaging in certain recreational activities--OSHA acted beyond its 
statutory authority by regulating non-occupational conditions or 
causes.'' Noise, 773 F.2d at 1442. The court found ``no merit'' in 
FIA's argument. The court ruled that OSHA properly relied on ``the 
extensive and thorough research of several scientific institutions in 
defining the problems related to industrially-caused hearing loss in 
designing its proposal.'' Id. at 1443. The court also stressed that 
OSHA excluded non-occupational hearing loss from the rule. Id. at 1444 
(``To be sure, some hearing loss occurs as a part of the aging process 
and can vary according to non-occupational noise to which employees are 
exposed. The amendment, however, is concerned with occupational noise--
a hazard of the workplace.''). The court ruled that the fact that non-
occupational hazards may contribute to hearing loss does not mean that 
OSHA should refrain from

[[Page 68273]]

regulating workplace conditions that are shown to cause such loss:

    The amendment provides that non-occupationally caused hearing 
loss be excluded from its regulation. See 29 CFR 1910.95(g)(8)(ii), 
1910.95(g)(10)(ii) (1984). Assuming, however, that some loss caused 
by aging or smaller amounts of noise sustained for shorter periods 
also aggravates the hearing loss incurred by an individual employed 
in a high noise-producing industry, that is scant reason to 
characterize the primary risk factor as non-occupational. Breathing 
automobile exhaust and general air pollution, for example, is 
damaging to lungs, whether healthy or not. The presence of unhealthy 
lungs in the workplace, however, hardly justifies failure to 
regulate noxious workplace fumes. Nor would there be logic to 
characterizing regulation of the fumes as non-occupational because 
the condition inflicted is aggravated by outside irritants.

Noise, 773 F.2d at 1444.
    Like the Hearing Conservation Amendment to the Noise standard, this 
final ergonomics rule regulates workplace hazards. As discussed in the 
health effects section of this preamble, this rule addresses only 
exposure to ergonomic risk factors that occurs in the workplace. The 
MSDs that trigger action under the rule must be work-related and they 
must have occurred in workers whose jobs place them at a heightened 
risk of incurring a MSD because they are exposed to risk factors at the 
levels in the Basic Screening Tool.
    A decision by the Occupational Safety and Health Review Commission 
supports OSHA's conclusion that the Act can properly address work-
related ergonomic hazards even though employees can also be exposed to 
such hazards outside the workplace. In Pepperidge Farm, Inc., 17 O.S.H. 
Cas. (BNA) 1993 (1997), the Commission held that where work was shown 
to be a substantial contributing factor to MSDs, the fact that non-work 
factors may also play a role did not preclude OSHA from requiring the 
employer to abate the workplace hazards. In that case, Pepperidge Farm 
contested a number of citations for ergonomic violations that OSHA had 
issued under section 5(a)(1) of the Act. In order to prove a section 
5(a)(1) violation, OSHA had to show that a condition or activity in the 
employer's workplace presents a ``hazard to employees.'' 17 O.S.H. Cas. 
(BNA) at 2009 (emphasis added). The company argued that section 5(a)(1) 
should not apply to MSD workplace hazards because, among other things, 
``non-workplace factors may cause or contribute to the illnesses at 
issue and that individuals differ in their susceptibility to potential 
causal factors.'' Id. at 2013. The Commission held that such factors 
should not ``ipso facto'' preclude the possibility of enforcement under 
section 5(a)(1). Id. The Commission also analyzed a significant amount 
of evidence that showed a causal relationship between MSDs and 
workplace hazards, including testimony from medical personnel who 
examined injured workers, epidemiological data, and injury incidence at 
a Pepperidge Farm plant. Id. at 2020-26. The Commission ultimately 
found that there was a causal connection:

    We therefore conclude that the Secretary has established on this 
record a causal connection between [MSDs] affecting the employees at 
Downington [a Pepperidge Farm plant] and their work on the biscuit 
lines. In doing so, we are mindful that many of these injuries may 
have had more than one causal factor and of the experts who contend 
that the specific cause of such injuries is, essentially, unknowable 
or presently unknown. As is the case with many occupational ills 
with multiple possible causes, employees are more or less 
susceptible to injury on the job because of the individual 
attributes and backgrounds they bring to the workplace. As with 
these other ills, the Secretary is not thus foreclosed from 
attempting to eliminate or significantly reduce the hazard by 
regulating what is shown to be a substantial contributing factor to 
the worker injuries.

17 O.S.H. Cas. (BNA) at 2029.

    The Commission's holding in Pepperidge Farm that the susceptibility 
of some employees to a particular ailment does not preclude OSHA from 
regulating workplace conditions or practices that cause or contribute 
to that type of ailment is supported by other cases. In the asbestos 
rulemaking, OSHA based its significant risk determination, in part, on 
epidemiologic studies that included workers who smoked and were 
therefore significantly more likely to contract cancer than those who 
did not. Asbestos, 838 F.2d at 1265. The court held that OSHA was 
justified in doing so. Smokers were not, the court said, ``so far 
beyond the pale as to require OSHA to ignore them in computing the 
risks of asbestos.'' Id. (emphasis added). See also Reich v. Arcadian 
Corp., 110 F.3d 1192, 1198 (5th Cir. 1997) (Congress intended Act's 
general duty clause to protect all employees, including those who are 
especially susceptible). Thus, workers who engage in activities outside 
the workplace that expose them to ergonomic risk do not thereby forfeit 
on-the-job protection against exposure to excessive ergonomic risk 
factors.

IV. Summary and Explanation

(a) What Is the Purpose of This Rule?

    The first paragraph of the final standard sets out the purpose of 
this ergonomics program standard. OSHA did not propose a purpose 
paragraph, and thus no comments on this topic were received. OSHA has 
decided to include a purpose statement in the final rule to clearly 
indicate the goal of the standard and to differentiate between those 
musculoskeletal disorders (MSDs) that are covered by the standard and 
those that are not. It clarifies that the standard's purpose is to 
reduce the number and severity of MSDs that are caused by occupational 
exposure to ergonomic risk factors (also called ``ergonomic 
stressors'') on the job.
    As discussed in more detail below, the disorders addressed by this 
rule include those of the muscles, nerves, tendons, ligaments, joints, 
cartilage, blood vessels, and spinal discs occurring in the neck, 
shoulder, forearm, wrist, hand, abdomen (hernias only), back, knee, 
ankle, and foot. They include conditions classified by the Bureau of 
Labor Statistics in its Annual Survey as illnesses (e.g., carpal tunnel 
syndrome) and as injuries (e.g., low back pain), because MSDs include 
many different disorders, affect many tissues and areas of the body, 
and may be described by a wide range of medical diagnoses.
    The terms used to describe this group of conditions have varied 
over time and geographic region. For example, in Australia, MSDs are 
often called ``Occupational Overuse Syndrome'' injuries. Other 
frequently used terms include ``repetitive stress injuries,'' 
``cumulative trauma disorders,'' and ``soft tissue injuries.'' In 
recent years, however, the term ``musculoskeletal disorders'' has 
gained widespread acceptance by the scientific community, and OSHA uses 
this term, or its abbreviation, MSD, throughout the regulatory text and 
supporting analyses.
    Paragraph (a) makes explicit that OSHA's ergonomics program 
standard does not apply to injuries or illnesses caused by motor 
vehicle accidents, slips, trips, falls, or similar accidents that 
result in traumatic injuries on the job. By ``other similar 
accidents,'' OSHA means, for example, caught in or caught between 
injuries or other accidents resulting in blunt trauma. (Throughout this 
notice, OSHA uses the terms ``work-related,'' ``caused by,'' 
``musculoskeletal disorders,'' ``risk factors,'' and ``exposure.'' For 
a detailed discussion of these terms, see the relevant sections of the 
Health Effects (Section V of the preamble), Summary and Explanation 
(Section XI), and Legal Authority (Section III) sections of this 
preamble.)
    As stated in paragraph (a), the purpose of this standard is to 
reduce the number and severity of MSDs caused by

[[Page 68274]]

workplace exposure to ergonomic risk factors, such as force, awkward 
postures, or repetition, either alone or in combination. The standard 
requires employers to implement an ergonomics program to address risk 
factors in jobs that pose an MSD hazard to the employees in those jobs. 
As discussed in detail in Section VI of the preamble, Risk Assessment, 
ergonomics programs have been shown to reduce the number and severity 
of MSDs in old and new facilities, in large and small workplaces, and 
in a wide variety of jobs ranging from computer use to solid waste 
handling, from assembly line operations to patient handling, and from 
beverage distribution to meat processing.
    Reducing the number and severity of MSDs in the workplace is the 
goal of successful ergonomics programs everywhere. As the more detailed 
discussions in this preamble and in the Agency's economic analysis will 
show, this goal cannot be achieved overnight, although positive results 
are generally observed soon after program implementation. One effect of 
a new ergonomics program, which at first glance may not appear to be a 
positive one, is that the number of MSDs and MSD signs and symptoms 
reported in the first months after the implementation of the program 
may actually increase. This initial increase in the number of MSD 
reports reflects the heightened awareness of ergonomics, the importance 
of early reporting, and the value of conservative treatment that 
routinely accompanies program implementation. In most workplaces, this 
increase is short-lived, generally lasting less than a year and almost 
never more than two years. The severity of the MSDs reported, however, 
generally decreases in the first few months after program initiation 
and declines steadily thereafter, before leveling off as the program 
matures. Thus, OSHA intends and expects the final rule to reduce the 
number and severity of MSDs in the workplaces covered by the standard 
over the first few years after the standard is fully in effect; OSHA is 
aware that the standard's purpose will not be fully achieved in the 
short run. When ergonomic programs mature, they continue to demonstrate 
ongoing reductions in the number of MSDs caused by workplace risk 
factors and in the severity of those MSDs that do occur.
    The standard's purpose paragraph also reflects OSHA's awareness 
that work-related MSDs will continue to occur in many workplaces even 
after implementation of an effective ergonomics program that complies 
fully with this final rule. The standard being issued today is thus not 
a ``zero-risk'' standard. It recognizes that substantially reducing the 
number and severity of these disorders is possible in most, if not all 
workplaces, although many establishments may not be able to eliminate 
MSDs completely. (For a discussion of OSHA's analysis of the standard's 
projected effectiveness, see the Risk Assessment section of the 
preamble (Section VI) and Chapter IV, Benefits, of the Final Economic 
and Regulatory Flexibility Analysis.)

Paragraph (b)--Does This Standard Apply To Me? (Scope and Application)

    Discussion of the scope and application of the final rule is 
divided into three parts. Part I discusses which employers and 
operations the standard covers. Part II explains the exclusions from 
coverage of the rule and OSHA's authority to limit the standard's 
coverage to general industry. Part III addresses other scope and 
application issues raised during the rulemaking.

Part I--Scope and Application of Standard to General Industry 
Employers

A. Scope of Coverage

    Paragraph (b) states that the standard applies to general industry 
employment, which means all employment except for railroads and 
employment covered by OSHA's agriculture, construction, and maritime 
standards. Unlike other OSHA general industry standards, however, this 
standard does not cover general industry work performed incidentally to 
or in support of construction, maritime, or agricultural employment or 
railroad operations. This means that functions such as office work, 
management and support services are not covered by the standard, and 
that, for example, a construction company office or a marine terminal 
cafeteria would not be covered. However, a construction company real 
estate division engaged in selling the finished properties would not be 
performing functions directly in support of the construction operations 
and would be within the scope of the standard.
    The final rule thus imposes coverage based on the business category 
in which the employer belongs, e.g., general industry as opposed to 
construction. This marks a departure from the Agency's past practice of 
imposing coverage based solely on the job that an employee is 
performing. The approach adopted in this standard, i.e., basing 
coverage on the industry classification of the employer, is appropriate 
here because of the unique nature of ergonomic problems and solutions. 
The requirement to implement an entire program when an MSD incident 
occurs in a job that meets the Action Trigger is more practical 
administratively if employers are required to take this broad approach.
    Moreover, the standard does not apply to jobs or operations that 
are normally covered exclusively by the construction, agriculture and 
maritime standards, even if those operations are performed in a general 
industry establishment or for a general industry employer. Thus a 
construction crew whose sole job is to build in-plant structures in a 
steel mill is engaged in construction and is not covered by this 
standard, even though the steel mill itself is a general industry 
operation. This is consistent with the operation of other OSHA 
standards.
    Although the proposal also applied only in general industry, its 
scope provision stated that coverage was further limited to general 
industry manufacturing jobs, manual handling jobs, and jobs with MSDs. 
Manufacturing jobs were defined as ``production jobs'' in which the 
activities of producing a product made up a ``significant amount'' of 
the employee's worktime. Manual handling jobs were those in which the 
employee performed ``forceful'' lifting (i.e., lifting or lowering, 
pushing or pulling, or carrying) and the forceful lifting tasks were a 
``core element'' of the employee's job. Jobs with MSDs were defined as 
jobs in which an OSHA recordable MSD occurred in a job in which the 
physical work activities and conditions were reasonably likely to cause 
that type of MSD, and the activities were a core element of the job or 
accounted for a significant amount of the employee's worktime (64 FR 
65779-82).
    The proposal explained that OSHA was focusing on general industry 
in this first ergonomics rulemaking because the problems in general 
industry are particularly severe and the solutions are well-understood 
(64 FR 65776). Some commenters agreed with the proposed rule's scope, 
and its emphasis on manufacturing and manual handling jobs (Exs. 31-3, 
31-71, 31-180, 31-252, 31-284, 32-300). More, however, argued either 
that the rule should not exempt construction, maritime and agricultural 
employment (Exs. 30-400, 30-1294, 31-14, 31-105, 31-143, 31-156, 31-
345, 31-352, 32-198-4, 32-210, 32-359-1, 32-461-1, 30-1294, 500-218), 
or that the rule should exempt even more industries or jobs (Exs. 30-
372, 30-494, 1-248, 31-280, 32-77-2, 32-78, 32-234, 30-2208, 30-3167, 
32-77-2, 601-X-1, Tr. 3126).

[[Page 68275]]

    Many of the commenters who believed that the scope of the proposed 
rule was too broad argued that it incorporated a ``one size fits all'' 
approach that was inappropriate for the wide variety of operations 
found in general industry (Ex. 30-494, see also Exs. 30-380, 30-372, 
30-531, 30-3167, Tr. 3126, 3332). Some of these commenters pointed out 
that there was great variation in MSD rates, prevalence of ergonomic 
risk factors, and levels of exposure to those risk factors across 
general industry (Exs. 30-541, 30-3167). Others pointed out that jobs 
differed greatly within and across industries, and claimed that OSHA 
did not have enough information about effective controls in all 
industries (Exs. 30-425, 30-3167, 32-77, 32-211-1, 32-2208). The focus 
of both these groups of comments was that OSHA did not have enough 
knowledge or evidence to find that the same approach to controlling 
ergonomic hazards would be appropriate in all of these disparate 
circumstances.
    A number of commenters suggested ways to limit the standard's 
scope. Some urged OSHA to focus the rule more narrowly on those jobs or 
industries with the highest MSD rates or those deemed to have high risk 
potential (Exs. 30-13, 30-425, 30-2208, 30-3167, 31-248, 31-280, 32-78, 
32-234, Tr. 2729-30). For example, Larry Leahy of Ruth Constant & 
Associates, a home health care service agency, questioned why OSHA was 
covering all of general industry when 60 percent of the MSDs occurred 
in industries representing a fairly small percentage of the national 
workforce (Ex. 30-611). Todd McCracken, of National Small Business 
United, argued:

    There is a need to focus on particular types of jobs . . . There 
are specific types of jobs in specific industries where MSDs are 
much more likely to occur (Tr. 2729-30).

    Similarly, Organization Resources Counselors, Inc. (ORC) 
recommended that the rule only cover high risk occupations or employers 
whose MSD incident rates were above the national background level (Ex. 
32-78; see also Tr. 10633-35). The Small Business Administration's 
Office of Advocacy suggested covering only manual handling jobs, which 
it claimed accounted for 78 percent of all MSDs (Ex. 601-X-1).
    As discussed in detail throughout this preamble, OSHA believes that 
the record supports coverage of all of general industry within the 
overall scope of the standard. The final standard does not, however, 
prescribe a one-size-fits-all solution for a wide range of problems in 
diverse jobs and industries. Even in those situations where significant 
ergonomic hazards exist, the commonality of the response required by 
this standard is to implement an ergonomics program. The specific focus 
of that program will be targeted to the particular hazards and 
conditions at each workplace. The control strategies for ergonomic 
hazards will be targeted even more specifically to the needs of each 
workplace. And the extent of each employer's compliance obligation will 
be determined by the extent of the problem at that employer's 
workplace. Thus the fact that the rule applies to a variety of hazards 
at differing workplaces does not in any way mean that the employers in 
all of those workplaces need to take the same actions.
    Work-related MSDs are widespread throughout general industry. They 
occur in every single sector within general industry, according to the 
Bureau of Labor Statistics (BLS). In 1996, according to BLS, there was 
no industry sector that did not report the occurrence of at least 
several hundred work-related MSDs, with a large number of industries 
reporting tens of thousands of work-related MSDs. Moreover, high 
concentrations of work-related MSDs are reported in a wide variety of 
occupations that are found throughout general industry establishments. 
BLS data for 1996 show that general industry truck drivers, laborers, 
and janitors, occupations found widely dispersed throughout general 
industry sectors, experienced more than 48,000, 38,000 and 15,000 lost 
workday (LWD) MSDs, respectively. (See Section VII (Risk Assessment) of 
this preamble.)
    Evidence submitted by rulemaking participants confirms the broad 
distribution of MSDs and MSD hazards throughout general industry. For 
example, the Service Employees International Union (SEIU) submitted 
evidence that union members working in a variety of health care 
settings (e.g., hospitals, nursing homes, private homes, pharmacies) 
have suffered MSDs (Ex. 32-311-1). These health care workers include 
registered nurses, licensed practical nurses, nurses' aides, orderlies, 
physical therapists, radiology technicians, housekeepers (maids and 
housemen), laundry workers, laundry machine operators, maintenance 
workers, kitchen and food preparation workers, central supply workers, 
and janitors and cleaners. In addition, SEIU said that other union 
members such as janitors and cleaners working in a variety of other 
industries, including hotels/motels, restaurants, offices have also 
experienced MSDs (Ex. 32-311-1).
    At the rulemaking hearing, many employees testified that they had 
suffered serious work-related MSDs. Occupations in which these 
employees were working when they became injured include:
     Nurse
     Home health care aide
     Nurses' aide
     Package delivery
     Package sorting
     Meatpacking and poultry processing
     Office clerical worker
     Internet publishing
     Machinists
     Sewing machine operator
     Truck driver
     Food warehousing and distribution
     Grocery store cashier
     Physical therapist
     Mail carrier
     Letter sorter
     Teacher
     Teachers' aide
     Auto assembly
     Molding and casting machine operator
     Reporter
     Grocery shelf stocker
     Sonographer
     Television film editor
     Electrical workers

(Exs. 30-4200, 32-185-3, 32-210-2, 32-198-3, 32-311, 500-218, Tr. 
4009-10, 4235, 4240, 4234, 6004, 6009, 6319, 6321-22, 6333, 7320-21, 
7335-37, 7341-42, 17950).

    Doctors and other health care professionals (HCPs) also testified 
that they had treated employees in many different jobs and industries 
for work-related MSDs (Exs. 37-12, 37-28, Tr. 14973, 15045-46, 16819, 
16829). Dr. Robert Harrison testified that, in his research and 
practice, he had diagnosed and treated over 1,000 patients with work-
related MSDs from a wide variety of industries and occupations, 
including (Ex. 37-12):
     Postal workers
     Materials handlers
     Computer operators
     Grocery checkout clerks
     Meat processors
     Assemblers
     Seamstresses
     Telephone operators
     Pipefitters
     Customer service agents
     Machine operators
     Automotive manufacturing workers
     Aircraft manufacturing workers
     Optical scanners
     Graphic artists
     Restaurant workers
     Bakers
     Plumbers
     Letter sorters

[[Page 68276]]

Dr. Robin Herbert, the medical co-director of the Mt. Sinai Center for 
Occupational and Environmental Medicine, testified that she had treated 
or supervised the treatment of more than 2,000 patients with upper 
extremity MSDs in the past 12 years:

    My patients have included journalists, computer graphic artists, 
health care workers, technicians for telephone companies, automobile 
manufacturing workers, cashiers, garment workers, meat wrappers, 
dental hygienists, secretaries, and chefs. Industries from which I 
have seen patients include publishing, journalism, entertainment, 
manufacturing, health care, transportation, and telecommunications 
(Ex. 37-28).

Dr. George Piligian, who also works at the Mount Sinai Center, 
testified about finding and treating MSDs in dancers, musicians, 
editors, secretaries, telephone operators, sewing machine operators and 
hospital workers (Tr. 7813-20).
    Similarly, insurance companies, employers and trade associations 
representing the following industries testified about the 
implementation of ergonomics interventions and programs because work-
related MSDs were occurring among workers in the following 
environments:
     Chemical manufacturing
     Pharmaceutical manufacturing
     Automotive manufacturing
     Automotive repair
     Boat manufacturing
     Textile manufacturing
     Clothing manufacturing
     Printing
     Dental
     Meatpacking
     Electric utility
     Hospitals
     Office workers
     Hotel/motel
     Emergency medical services
     Furniture manufacturing
     Oil and gas drilling
     Moving and storage
     Fabricare
     Nursing homes
     Telephone operation and installation
     Funeral and cemetery
     Insurance
     Solid waste removal and recycling
     Paint manufacturing
     Poultry processing
     Food warehousing and distribution
     Beverage delivery
     Assembly line
     Grocery store
     Retail clothing
     Foundry

(see, e.g., Tr. 3337-9, Tr. 5104, Tr. 8458-8480, Tr. 16553-57).

    Finally, several of the ergonomists who appeared as OSHA's expert 
witnesses, including David Alexander (Ex. 37-7), David Caple (Ex. 37-
20), Dennis Mitchell (Ex. 37-11), Maurice Oxenburgh (Ex. 37-24), 
Suzanne Rodgers (Ex. 37-25), and John Rosecrance (Ex. 37-26), testified 
that employers in the following different industries had hired them to 
help reduce the incidence of work-related MSDs among employees:
     Newspaper
     Luggage manufacturing
     Meatpacking
     Packaging
     Papermaking
     Plumbing supply
     Route sales and delivery
     Film products manufacturing
     Hospitals
     Heavy appliance manufacturing
     Automobile manufacturing and subassembly
     Furniture manufacturing
     Paper and pulp products
     Forest products
     Food service
     Clerical
     Electronics
     Clothing and textile manufacturing
     Baking
     Restaurant
     Home and office furniture manufacturing
     Hospitality--hotel/motel
     Fiber manufacturing
     Logistic and supply warehousing
     Telecommunication
     Textile and apparel manufacturing
     Metal forging and cast metals
     Electronics manufacturing
     Health care
     Petroleum
     Electrical manufacturing
     Airline freight handling
     Steel manufacturing
     Fishing
     Aircraft manufacturing
     Gas and electric utility
     Flooring products
     Computer and computer accessory manufacturing
     Plumbing fixtures manufacturing
     Food products manufacturing and processing
     Chemical manufacturing
     Printing
     Waste treatment
     Plastic manufacturing
     Clothing retail
     Power plants
     Research laboratories
     Transportation
     Printing
     Upholstery
     Rubber manufacturing
     Welding
     Mail sorting and delivery
     Transportation
     Electronics
     Medical products manufacturing
    All of this evidence supports OSHA's decision to provide the 
protections of this standard to all general industry employees. On the 
other hand, OSHA recognizes that there may be some general industry 
employers with few or no MSD hazards. Until an MSD is reported, the 
employer's obligation is limited to distributing the information in 
paragraph (d).

B. Application of Requirements

    Unlike the proposal, this final standard does not differentiate 
among general industry employers. Under the proposal, employers of 
employees engaged in manufacturing or manual handling would have been 
required to implement some elements of an ergonomics program whether or 
not their employees had suffered any MSDs. Other general industry 
employers would not have had to take any action until a ``covered MSD'' 
occurred, and a covered MSD was defined differently for them than for 
manufacturing and manual handling employers (64 FR 65782-84, 65791). In 
this final standard all general industry employers are required, as 
specified in paragraph (d), to provide basic information on ergonomics 
and the standard to their employees. The employer has no further 
obligation until the employee reports an MSD or the signs or symptoms 
of an MSD (see paragraph (e)).
    OSHA developed its bifurcated proposal because about 60 percent of 
all reported MSDs occurred in manufacturing and manual handling jobs, 
even though those jobs accounted for less than 30 percent of general 
industry employment. Although some commenters agreed that this might 
justify a focus on manufacturing and manual handling (Ex. 30-4837), 
very few expressed satisfaction with the proposed approach (Exs. 30-
400, 31-78, 32-198, 32-210, 32-461, 500-218, Tr. 3224). Many commenters 
said that manufacturing and manual handling jobs should not be singled 
out because MSD hazards were present and MSD rates were high in other 
jobs and industries (Exs. 30-626, 30-2208, 31-156, 500-218). For 
example, participants said that there were many MSD hazards and MSDs in 
``any job involving regular computer use,'' therefore, programming, 
journalism, data entry, system administration, accounting, analysis, 
and insurance jobs should have been included by name (Exs. 30-49, 30-
400, 31-3, 31-12, Tr. 2783, 2932). Likewise, other commenters argued 
that custodians and supermarket employees including cashiers, bakery 
personnel, baggers and

[[Page 68277]]

stockers should be treated on par with manufacturing and manual 
handling jobs because they involved the same hazards (Ex. 31-23, 32-
210; see also Exs. 30-400, 31-78, 32-198, 32-210, 32-461, 500-218, Tr. 
3224).
    Another group of commenters opposed requiring any employers to take 
any type of action before a work-related MSD is reported (Ex. 30-240, 
32-300, 30-542, 601-X-1) on the grounds that it was a ``waste of 
resources'' to require a basic program for employers with manufacturing 
and manual handling jobs that have no MSDs (Ex. 30-542). For example, 
one said:

    If an employer is in one of the targeted industries but has not 
had MSDs, why force the bureaucracy of program implementation upon 
him or her * * * (Ex. 30-240).

    And while some participants found the definitions of manufacturing 
and manual handling jobs adequate to identify whether a particular job 
was covered (Exs. 30-3934, 30-4837, 31-38, 31-36, 31-113, 31-173, 31-
205, 31-229, 31-347), most disagreed (Exs. 30-5, 30-46, 30-75, 30-293, 
30-1722, 30-3032, 30-3853, 31-4, 31-27, 31-92, 31-106, 31-125, 31-135, 
31-211, 31-245, 31-246, 32-78, 32-300, 32-337). Many said that the 
definitions, particularly the definition of manual handling jobs, were 
too vague (Exs. 30-137, 30-425, 30-1722, 30-3167, 31-77, 31-180, 31-
225, 31-227, 31-248, 31-260, 31-342, 32-78, 32-300, 32-337, Tr. 3255-
56). For example, one commenter said:

    The definitions of manufacturing and manual handling jobs 
covered by the standard are guaranteed to leave employers as much in 
the dark as they are now. What constitutes ``forceful'' manual 
handling? How much force must be involved to be covered? Should the 
strength capabilities of individual employees be considered? (Ex. 
31-211)

Others were concerned that the definitions were too broad and could 
include any job or ``almost every employer'' (Exs. 31-135, 31-180, 31-
342).
    Many participants told OSHA that they did not know what the terms 
used in the definitions (``forceful'' lifting, ``core element,'' and 
``significant amount'' of worktime) meant (Exs. 30-46, 30-293, 30-300, 
30-3032, 30-3853, 30-4837, 31-187, 31-202, 31-223, 31-260, 31-289, 32-
337, Tr. 3337). For example:

    How much is significant? 6 hours per 8-hr shift? 4 hours per 8-
hr. shift? 2 hours per 8-hr. shift? Or 2 2-hr. periods per 8-hr. 
shift? (Ex. 30-4837)

    Moreover, commenters did not find the examples of manufacturing and 
manual handling jobs to be of use:

    [T]he examples of jobs are not very helpful. A careless reader 
could conclude that the lists were exhaustive and, not seeing the 
jobs in this workplace named, decide he had to do nothing. A more 
thorough reader would note the disclaimer to the effect that ``* * * 
each job must be considered on the basis of its actual physical work 
condition * * *'' and correctly conclude that there is no standard 
against which to compare the actual physical work conditions'' (Ex. 
31-211).

    (See also Exs. 30-3032, 30-3853, 32-300.)

    OSHA is accounting for these concerns in this restructuring of the 
standard's scope and application provisions. This final rule applies to 
all general industry employers, but no employer is required to evaluate 
or implement control measures or MSD management until an MSD incident 
occurs in a job that involves exposure to risk factors at levels 
meeting those in the Basic Screening Tool in Table 1. The only 
obligation employers have until that point is to provide information 
about ergonomics and the standard to their employees. And, as explained 
in the discussion of paragraph (d) below, OSHA is providing that 
information in Appendices A and B and on its website.
    OSHA believes that these changes respond to most complaints about 
the scope and application provisions of the proposal. By eliminating 
the additional requirements for manufacturing and manual handling 
employment, OSHA is eliminating both the need to define those terms and 
much of the complexity and vagueness commenters found in the proposal. 
By limiting employers' obligations in establishments that have not 
experienced MSD incidents, OSHA is also taking account of the facts 
that not all manufacturing and manual handling jobs involve more 
significant ergonomic hazards than do other general industry jobs, and 
that some of those other jobs are also hazardous.
    The minimal burden in paragraph (d) for all general industry 
employers to disseminate information is necessary so that employees 
will know how and when to report MSDs. Given the importance of 
providing information at the earliest possible point and the minimal 
burden this requirement will impose, OSHA believes that it is 
appropriate to apply the initial requirement to all general industry 
employers. (The issue of the need for information is discussed in more 
detail below in the summary and explanation on paragraph (d)).

II. Industries/Employment/Operations Excluded From the Final Rule

    Like the proposal, the final standard does not cover construction, 
agriculture, and maritime employment. Although many participants agreed 
with this exclusion (Exs. 30-3032, 30-3752, 31-68, 31-160, 31-187, 31-
207, 31-219, 31-245, 31-252, 31-259, 32-300), a number favored 
expanding the scope of the rule to cover all industries regulated by 
OSHA (Exs. 30-400, 30-428, 30-1294, 32-210, 500-218, Tr. 2859, 3224, 
5592, 9080, 13445, 113745, 14002, 17362, 17652). Their arguments fell 
into three categories.
    First, many of these commenters pointed to the high number and rate 
of MSDs, especially back injuries, occurring in industries excluded 
from the proposed rule (Exs. 30-626, 30-2208, 31-156, 31-183, 31-225, 
500-218). The Mount Sinai Center for Occupational and Environmental 
Medicine Construction Hygiene and Ergonomics Program (CHEP) pointed out 
that, aside from the transportation industry, construction has the 
highest rate of back injury of any industry:

    Every year 1 in 100 construction workers will miss between 7 and 
30 days of work due to back injuries * * * At one surveyed worksite 
all wallcoverers who had worked 15 years or more in the trade had 
required surgery or medical intervention for problems including 
carpal tunnel syndrome, pain in the neck, shoulder and back, and 
knee problems (Ex. 31-183).

    Some commenters also favored expanding coverage because they said 
that employees in construction, agriculture and maritime are exposed to 
the same risk factors and MSD hazards as are employees in general 
industry (Exs. 30-626, 31-22, 31-183, 31-263, 31-303, 500-218). They 
said there was no reason to distinguish coverage by industries if the 
rule was also incorporating an MSD trigger because, as one put it, 
``[a]n injury is an injury, and I have no doubt there are always ways 
to handle these jobs just as safely as any others'' (Ex. 31-19).
    A number of commenters said that at least jobs in construction, 
agriculture and maritime that are essentially the same as in general 
industry, primarily manual handling jobs, should be added to the rule 
(Exs. 31-14, 31-19, 31-65, 31-98, 31-192, 31-219, 31-307, Tr. 2850-51). 
For example:

    Many jobs, especially manual handling jobs, have similar if not 
identical hazards to that of general industry. If an employee is 
performing lifting that requires excessive force it does not matter 
in which industry he is performing the lifting. The actions to 
reduce the risk of injury would be similar for each industry (Ex. 
31-307).

    See also (Ex. 31-19; 31-65).

    Another group of participants said that the record contains 
sufficient

[[Page 68278]]

evidence on the availability and effectiveness of ergonomic 
interventions to support expanding the rule to the construction, 
agriculture and maritime industries (Exs. 31-183, Tr. 2849-51, 7478-80, 
7482, 7485, 15761-71, 17540-41, 17561). Members of this group pointed 
to a number of articles and studies about effective controls in those 
industries, especially construction (Tr. 15761-71). For example, Nancy 
Clark, co-director of Mt. Sinai CHEP, said:

    Practical interventions are available for many identified risk 
factors. Many workers devise quick fix, homemade solutions to reduce 
the impact of musculoskeletal stress and promote self-preservation. 
They use team lifting, mechanized material handlers when available, 
floor padding for kneeling and standing on, stacking supplies to 
bring the work closer, and alternating work tasks or body position 
(Ex. 31-183)

Scott Schneider, director of occupational safety and health for the 
Laborers Health and Safety Fund of North America, testified:

    [T]here have been many tool manufacturers who have jumped on the 
ergonomic bandwagon and hired ergonomists to develop better and 
safer tool designs, from ergonomic hammers with more comfortable 
shock-absorbing handles to pliers with soil handles and spring 
returns to reduce the stress of opening them after each use. The use 
of portable power tools has increased dramatically in construction 
as batteries have gotten lighter and more powerful. Cordless screw 
guns have become commonplace in construction over the past few 
years, reducing the repetitive use of screwdrivers by hand and the 
force that had to be used. There are simple pieces of equipment, 
like drywall carrying handles, which I have here, and a mortar-pan 
stand to raise the height of the pan, which cost less than $50 and 
can make the work much easier. A D-handle attachment for a shovel, 
which I have here, costs less than $20, and has been shown to reduce 
awkward postures during shoveling. There are simple carts for moving 
glass or drywall, vibration-dampened jackhammers and equipment for 
moving them on and off of trucks. (Tr. 15762-63).

These commenters also pointed out that many of the controls used in 
general industry, such as manual handling aids, were applicable or 
readily adaptable to construction, agriculture and maritime industries 
(Ex. 31-183). Moreover, tool and equipment interventions are becoming 
more widely available ``as manufacturers are responding to the need for 
better ergonomically designed tools'' (Ex. 3-183; see also Tr. 15761-
62, 17561).
    Finally, several participants were concerned that OSHA's stated 
intent to promulgate an ergonomics standard for the excluded industries 
in the future would never come to fruition:

    OSHA's standard-setting history during the past 30 years raises 
serious doubt that workers excluded from this standard will ever 
have legal protection from MSD hazards. When OSHA has excluded 
workers from coverage under a promulgated standard, only in two 
cases has the Agency followed up to extend coverage to those 
workers--Hazard Communication and Construction. But those actions 
were as the result of a court decisions and order (hazard 
communication) * * * or legislative mandate by Congress (lead) (Ex. 
500-218, p. 132-33).

    These participants said that if OSHA does not cover construction, 
agriculture and maritime in the current rulemaking, the Agency should 
begin further rulemaking immediately and even establish a deadline for 
completing that project (Exs. 30-400, 30-576, 30-4837, 31-12, 31-263).
    OSHA is aware that there is significant evidence in the record 
indicating that work-related MSDs exist in operations and employment 
beyond general industry (Exs. 31-183, 500-218, Tr. 7475, 7484-85, 
17538-39). Indeed, the problem appears to exist in virtually every 
industry. Nonetheless, for several reasons OSHA believes its decisions 
to regulate MSD hazards through sequential rulemaking proceedings, and 
to limit the first proceeding to general industry, is appropriate and 
supported by the record.
    A primary basis for the Agency's decision to limit the scope of 
this rulemaking to general industry is that most of the available 
evidence and data relating to ergonomic interventions addresses general 
industry. For example, the vast majority of the studies reviewed in 
both the NIOSH and NAS reports pertained to general industry (Exs. 26-
1, 26-37). Similarly, the majority of case studies on the effectiveness 
of ergonomics programs and control interventions that OSHA had gathered 
focused on general industry (64 FR 65954-75). Although some 
participants submitted evidence on ergonomics programs and controls in 
the excluded industries, mostly in construction (Exs. 32-339-1-25, 32-
3888, 38-65, 38-66, 500-210), most of the available evidence continues 
to pertain to general industry jobs, operations and workplaces.
    If it included construction, agriculture and maritime within the 
scope of this rule, OSHA would have had to delay issuing the rule for 
general industry while it gathered and analyzed the necessary evidence. 
Because it is likely that the rule would have a significant impact on 
small employers in construction, agriculture and maritime, OSHA would 
also have had to convene a small business review panel pursuant to 
SBREFA. Further, in order to include construction, agriculture, and 
maritime in its final rule, OSHA, in the interest of fair notice, would 
have had to amend the ergonomics proposal or re-propose to include 
these industries and hold additional hearings. Expanding the rule to 
cover agriculture, construction and maritime would seriously delay 
addressing the urgent need for protection for general industry 
employees, who work in the jobs in which more than 90 percent of MSDs 
are reported.
    In addition, as the proposal pointed out, work conditions and 
factors present in agricultural, construction and maritime employment 
often differ from those in general industry. OSHA listed a number of 
aspects of construction work to illustrate this statement (64 FR 
65787):
     They consist primarily of jobs of short duration,
     Employees work under a variety of adverse environmental 
and workplace conditions (e.g., cold, heat, confined spaces, heights),
     At non-fixed workstations or non-fixed work sites,
     On multi-employer work sites,
     They involve the use of ``day laborers'' and other short-
term ``temporary workers,'
     Involve situations in which employees provide their own 
tools and equipment, and
     Involve employees who may be trained by unions or other 
outside certifying organiza