Musculoskeletal complaints are a series of aches in the tendons, muscles, and nerves due to activities with high repetition rates resulting in tissue damage and pain in the muscles. Musculoskeletal complaints are experienced by many female workers due to work demands. Job demands such as the obligation to use high heels when working. Jobs related to the use of high heels are sales promotion girl (SPG). This study uses a quantitative approach. This type of research is observational analytic with cross sectional design. The assessment of musculoskeletal complaints in this study used the Foot and Ankle Outcomes Score (FAOS) questionnaire. Based on the results of the Spearman test factors associated with musculoskeletal complaints on feet and ankles of SPG at Golden Market Jember include individual factors consisting of length of work (ρ = 0,000; r = 0.617; negative direction), BMI (ρ = 0.022; r = 0.314; unidirectional), and sports habits (ρ = 0.045; r = 0.617, opposite). The work factor is static position (ρ = 0,000; r = 0.530; opposite). Shoe characteristic variables consist of shoes type (ρ = 0.022; r = 0.313, opposite), duration of use (ρ = 0,000; r = 0.547; direction), high heels (ρ = 0,000; r = 0.855; direction), and suitability shoe size (ρ = 0,000; r = 0.584; unidirectional). Factors not related to musculoskeletal complaints on the feet and ankles are age (ρ = 0.027; r = 0.850; unidirectional).

A safety sign is a sign of equipment to provide protection for workers or visitors in the workplace. American National Standards Institute Z535 (ANSI Z535) is used as a basic guideline for installing safety signs in the workplace because it is more communicative by using global symbols to overcome language barriers. Occupational Safety Division of Manpower and Transmigration Departement, East Java Province (UPT Keselamatan Kerja Surabaya) is a workplace that has a risk of occupational accidents. The preliminary surveys in the area of the 3rd floor of the Division of Occupational Safety (UPT Keselamatan Kerja) Surabaya revealed that there were many sites with insufficient safety signboards. Many of the installed safety signs did not comply with ANZI Z535 standards. This study aimed to evaluate the installation of safety signs compared to the ANZI Z535 standard on the 3rd floor of UPT K2 Surabaya. This was an observational study examining the installation of safety signs. The data were obtained using the ANSI Z535 safety sign checklist. We found 2 out of 5 types of safety signs were in accordance with ANSI safety sign standards with a comparison percentage of more than 66%, such as the notice sign (67.85%) and safety condition sign (75%). Three other types of safety signs were in the unfavorable category with a percentage of less than 66%, such as danger sign (65.63%), warning sign (50%), and caution sign (46.88%). Some sites required additional safety signs, such as warning signs (at distillation site), caution signs (oven, stairs), notice signs (cylinder storage, elevator, chemical warehouse), and safety condition signs (stair, eyewash).