Building and construction activities in the United States have historically been organized around the work of relatively separate crafts or trades. Presently, 19% of U.S. construc tion workers are represented by a trade union. Union membership for electricians, plumbers and pipefitters and sheet metal workers is higher than average at 38%, 31%, and 41%, respectively [CPWR 2002]. Plumbers, and pipefitters install piping or plumbing systems; sheet metal workers (mechanical trades) install heating, ventilation, and airconditioning (HVAC) systems. Electricians install electrical conduit and wiring, fixtures, controllers, and switches. Workers in these trades must complete a 4-5 year apprentice ship program. Although not much data exists, work-related musculoskeletal disorders (WMSDs) are a large problem for the mechanical and electrical trades. Approximately one-third of injuries and illnesses that resulted in at least 1 day away from work (DAW) for mechani cal and electrical workers, were due to WMSDs caused by job strain [plumbers/pipefit ters (40%), and HVAC system mechanics and sheet metal duct installers (31%), and electricians (34.9%)]. These data are from the U.S. Bureau of Labor Statistics' (BLS) 2000 Survey of Occupational Injuries and Illnesses (SOII) [BLS 2002a]. In Oregon, more than 50% of the workers' compensation (WC) claims for the mechanical and electrical trades in 2000 were for WMSDs caused by job strain (i.e., bodily reaction, overexertion, or repetitive motion) [OR DBCS 2002]. Rosecrance recently reported high prevalence rates (8.2%) for carpal tunnel syndrome (CTS) among apprentices working in the pipe, electrical, and sheet metal trades [2002a]. All Construction Work-Related Musculoskeletal Disorders (WMSDs) WMSDs are injuries or illnesses of the muscles, tendons, joints, and nerves that are caused or aggravated by work. Some examples of WMSDs are: inflamed tendons or joints, elbow muscle and tissue inflammation (tennis or golfer's elbow), herniated disc, rotator cuff syndrome, carpal tunnel syndrome (CTS), and back or neck strain. Workers with jobs that include some combination of physical force, repetitive motion, awkward or static body postures, contact stress, vibration, or extreme temperatures are at increased risk of developing WMSD [Bernard et al. 1997; NRC 2001]. These problems can occur suddenly (an acute injury), or over some period of time (a chronic illness). Personal fac tors that can increase the risk of developing a WMSD musculoskeletal disorder include diabetes, obesity, and poor physical condition. Code Event/Exposure Cases 2 MDAW 3 211 Bending, climbing, crawling, reaching, twisting 603 5 220 Overexertion, unspecified 260 3 221 Overexertion in lifting 1,860 10 222 Overexertion in pulling or pushing objects 396 12 223 Overexertion in holding, carrying, turning, or wielding objects 357 16 229 Overexertion, not elsewhere classified 172 34 232 Repetitive use of tools 103 30 Total 3,751 Source: BLS 2002a 1 The Standard Occupational Classification system is "used by all Federal stati...