Not all musculoskeletal disorders (MSDs) are job-related. MSDs can and do develop outside the jobsite. OSHA requires that when an injury occurs without a precipitating event, the employer must make a good faith effort to determine whether work contributed to the injury. Even though there are no special criteria for determining if an MSD case is job-related, establishing the job-relatedness of a specific case may include:
- Taking a careful history of the patient and the illness,
- Conducting a thorough medical examination,
- Reviewing the job requirements for any musculoskeletal hazards, and
- Characterizing factors on and off the job that may have caused or contributed to the MSD.