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Copyright 2000 The Washington Post  
The Washington Post

November 11, 2000, Saturday, Final Edition

SECTION: A SECTION; Pg. A01

LENGTH: 1555 words

HEADLINE: U.S. to Issue Repetitive Stress Rule; Business, OSHA Dispute Cost of Workplace Changes

BYLINE: Cindy Skrzycki , Washington Post Staff Writer

BODY:


The Clinton administration is expected to issue a final rule Monday requiring virtually all the nation's employers to create programs to protect workers from the repetitive strains and pain of the workplace.

The sweeping new standard, eight years in the making, is the most costly ever to come out of the Occupational Safety and Health Administration. It will cover some 6 million workplaces and more than 100 million workers in nearly every line of business.

The rule is so bitterly opposed by many industry groups that a congressional move to block its unveiling torpedoed a year-end budget agreement with the White House two weeks ago, forcing the lame-duck session of Congress. Lawyers for trade associations said they will sue to overturn the rule as soon as it is published.

The final rule--a copy of which was obtained by The Washington Post--mandates that the science of ergonomics be brought to the workplace, requiring employers to better fit jobs to the physical limitations of their workers. OSHA officials said their goal is to cut in half over the next decade the 600,000 repetitive stress injuries that result in lost work time each year.

The hospital, restaurant, grocery, and trucking and courier industries will need to make the most changes in the workplace, OSHA predicted. The rule also targets the millions of workers who sit in front of a computer screen all day, typing and using a mouse.

Possible solutions include changing the height of a manufacturing line to prevent workers from constant reaching or giving new keyboards or furniture to provide support for workers who type all day.

"We have recognized that musculoskeletal disorders are a significant part of the injuries and illness in America," said Charles Jeffress, the assistant secretary of Labor who heads OSHA. "We have needed a better tool to address this. These injuries have declined, but they still remain a third of all workplace injuries."

OSHA said there are 1.8 million musculoskeletal disorders reported annually, including carpal tunnel syndrome and tendinitis--which affect women the most--as well as sciatica and low back pain. The agency estimates there actually are twice as many injuries, but half aren't reported because workers fear losing pay or their jobs.

"Science is clear that the more you repeat a motion, the more likely you are to get hurt--though the number of repetitions for each person may be different," Jeffress said.

Beginning next October, employers will have to inform their workers about these kinds of workplace ailments and also how they can report them. Employees who have a work-related injury would have to receive medical attention, and time off with pay. And the employer would have to work at eliminating or lessening the hazard that caused the problem.

Employer groups say they are ready to challenge the rule. "I can't wait to be in court. This is a wonderful target," said Baruch Fellner, a partner with Gibson, Dunn and Crutcher who represents a coalition of business groups opposing it. "This standard would not pass Jay Leno's yuck test."

Stephen Bokat, vice president and general counsel for the U.S. Chamber of Commerce, said, "It exceeds their [OSHA officials'] statutory authority, it's unconstitutionally vague and there is no scientific basis for the standard."

Some business interests believe that if George W. Bush is elected president, Congress might invalidate the final rule, using the Congressional Review Act for the first time. Congress would be less likely to prevail in invalidating the rule if Al Gore wins the presidency.

The cost to employers, according to the agency's calculations, will be $ 4.5 billion annually. That includes an average of about $ 250 to fix each workstation. But the agency said the adjustments will save employers $ 9.1 billion annually because of a reduction in cases of long-term disabilities and lost productivity.

Business interests counter that the cost of altering the workplace, paying benefits to workers who are injured, and setting up ergonomics programs will be anywhere from $ 18 billion to $ 125.6 billion a year.

Robb MacKie, vice president of government relations for the American Bakers Association, for example, estimated that the rule would cost baking companies $ 116 million a year. Firms would have to pay up to $ 50,000 each for equipment to automate baking lines so sections can be raised or lowered to meet the height of employees, he said.

The idea of having employers implement ergonomics programs dates to the early 1980s. The Clinton administration finally proposed a rule last November and then heard voluminous testimony on the scientific issues involved. It also spent four years fighting business-inspired congressional attempts to delay it.

Business groups have argued that a rule is unnecessary because repetitive stress injuries are declining. They point to Bureau of Labor Statistics reports that cases of carpal tunnel syndrome and tendinitis have decreased annually since 1994.

Corporate lobbyists note that about one in four workplaces already has some kind of ergonomics program in place, providing workers with adjustments to their workstations, engineering changes in how jobs are designed and limiting the time a worker spends on one job.

OSHA and unionized labor said the decline also may be attributable to enforcement actions the government took since the 1980s against the meatpacking, poultry and auto industries. Some of those companies now have model ergonomic programs.

Jeffress said there has been a decline in all workplace injuries, but that is not reason enough to drop the initiative. "We have learned there is a point where regulation is required to get everyone on the same playing field," he said.

OSHA did make changes in the final rule in response to business criticisms that the proposed rule was too broad and too vague. Just how many hours scanning groceries cause a problem? How many pounds are too many for workers in a warehouse to lift? And if a worker does have aches and pains, how do you prove they are work-related?

"The biggest beef we have is the absolute inability [on the part of business] to discern what part of any injury is attributable to work and non-work factors," said Patrick Cleary, vice president of human resources policy for the National Association of Manufacturers. "If you have tennis elbow only from playing tennis and something at work aggravates it, the employer is on the hook. It's the blurring of the line between workplace and non-workplace that worries us most."

OSHA apparently attempted to respond to those concerns by offering guidance to employers on how to evaluate complaints. The agency also trimmed the amount of time companies would have to pay workers with ergonomic injuries from six months to 90 days.

Employers now would be able pay for the time off using any combination of leave and insurance disability payments, a provision that wasn't in the proposed rule. The final rule also includes guidelines that lets employers know when they made enough progress to meet OSHA requirements. And companies would have up to four years to implement programs, instead of three as was originally proposed.

But OSHA also changed the proposal to provide immediate coverage to more workers. The rule won't yet cover about 5 million workers in the agriculture, construction and maritime industries.

Unions support the rule, but wanted a stronger version that would have required employers with hazardous working conditions to institute ergonomic programs even before an injury was reported.

"After a 10-year struggle, it's an important action to protect workers that is long overdue," said Peg Seminario, director of safety and health for the AFL-CIO.





Rule Would Take Into Account a Firm's Pattern of Injuries



Though almost every business would be covered by OSHA's final ergonomics rule, some employers would likely have to do little more than inform their workers of the new standard. Those with an existing ergonomics program could use it to reduce problem jobs. Others, who identify a single injured worker, could do a "quick fix" within 90 days and not have to implement a far-reaching program.

But if there are two reports of injuries in the same job category within 18 months, the full requirements of the rule are triggered. Determining whether the injury is work related then requires a two-step procedure.

First, employers would use an OSHA "screening tool" to see if the job routinely exposes workers to too much repetition, force or awkward postures. For example, risk factors would be using a keyboard or mouse for more than four hours in a workday, lifting more than 55 pounds 10 times a day or kneeling or squatting for more than two hours a day.

If a job falls into one of those categories, the employer must do a more complicated analysis of the hazards. If certain risk factors still exist, the company must implement a full ergonomics program, including participation by management and worker, training and reducing hazards in that workplace.

Injured employees must be given access to a health-care professional and receive 90 percent of their pay for at least 90 days if they can't work. Workers put on light duty get 100 percent of pay.



LOAD-DATE: November 17, 2000




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