“…MSDs, unlike accidents, can emerge from the normal operation of the production system and are caused by both physical factors, such as repetitive work or vibration, as well as psychosocial factors such as job autonomy or co-worker support (Bongers et al 1993, Hagberg et al 1995, Karasek et al 1998, National Research Council 2001. Case study research has illustrated how specific system design features, such as flow strategy, automation use and work organisation, can influence the operators' physical and psychosocial demands at work (Berggren and Rehder 1994, Engstro¨m et al 1995, Kadefors et al 1996, Melin et al 1999, Neumann et al 2002, Kihlberg et al 2005, Neumann et al 2006, Kazmierczak et al 2007). Thus the production system designer is determining injury risk for operators even at early decision points in the design process -choices that can be too expensive to correct in operational systems.…”