Musculoskeletal Injuries (MSIs)
The most common type of injury
Musculoskeletal injuries (MSIs) involve our muscles and skeleton. They can also affect tendons, ligaments, joints, nerves, and blood vessels. Some everyday names for MSIs are
- sprains and strains
- over-exertion
- soft tissue damage
- repetitive strain
Musculoskeletal injuries (MSIs) like sprains and strains are the most common workplace injuries in Nova Scotia. In 2024, 61% of time-loss claims were caused by MSIs.
What causes MSIs?
- Doing the same movement over and over again
- Lifting, carrying, pushing, or pulling heavy loads
- Standing or sitting in an awkward position for a long time
Take Action: Managing Workplace Injury Risk
As a supervisor or leader in your workplace, you play a critical role in keeping your people safe. Here are six steps you can take to reduce MSIs in your workplace:
1. Education and Awareness
Make sure every employee understands the risks in their workplace and knows the signs of an MSI. When people know what to watch for, they can speak up before a small problem becomes a serious injury. Ways to build awareness:
- Host lunch and learn sessions or toolbox talks
- Share posters and resources about MSIs
- Set up a small team focused on injury prevention
2. Find the Risks
Know where injuries are most likely to happen. Look at the jobs, tasks and work areas in your workplace. Find out which ones carry the highest risk of injury. Talk to your employees — they know their work best and can help you spot hazards.
Tools to help you:
- Risk Mapping – mark where injuries happen on a map of your workplace
- Inspection Checklists – walk through your workplace and note high-risk tasks
- Discomfort Surveys – connect with employees to uncover tasks causing discomfort
3. Assess Each Risk
Find out how serious each hazard is. Once you know where the risks are, take a closer look. Figure out which hazards are most likely to cause injury so you know where to act first. Include employees who do those tasks — their input makes the assessment more accurate.
4. Put Controls in Place
Take action to remove or reduce the danger. Work with your employees to find solutions that eliminate or reduce the hazards you’ve identified.
5. Train Your Team
Make sure everyone knows how to work safely. Once a new hazard control is in place, train your employees on how to use it.
6. Evaluate and Keep Improving
Safety doesn’t get a day off. Review your controls and your overall plan at least once a year. Look for what's working, what isn't and what new risks may have come up.
How to prevent MSIs
Follow these safety tips and information guides to improve MSI safety in your workplace
Checklists and tools to prevent injury
- Use this OHS Risk Mapping Tool Kit to identify and control potential sources of MSI injury in your workplace.
- Follow this Inspection checklist to find out which tasks have the highest risks.
- Use this Discomfort Survey to connect with employees and uncover tasks causing discomfort
- Get step-by-step instructions on how to build awareness, identify hazards, assess risks, implement controls and more in this MSI Prevention Guide
- Follow this Office Ergonomics Resource Guide to learn how your office space and desks can be improved.
Learn more about MSIs and how to prevent them

Check out our webinars to learn more:
- Employer Webinar: Making Ergonomics Stick | WCB NS
- Learn: Simple, effective tools that help supervisors and workers spot and reduce ergonomic hazards.
- Risk Mapping Webinar | WCB NS
- Learn: What is risk mapping and how it can help to identify, assess, and prioritize workplace hazards
- Prevention: The Value of Training - Beyond the Checklist | WCB NS
- Learn: A training framework using Plan-Do-Check-Act, hazard assessments, and safe work procedures
- Preventing Sprain and Strain Injuries in Your Workplace | WCB NS
- Learn: What a musculoskeletal injury (MSI) is and how to identify MSI hazards and risk factors
Related resources
Educate your workers
Download these posters and put them up around your workplace to remind workers of the safest way to work.
Pushing is better than pulling
Nose between toes, use your legs
Share these tip sheets to make work safer.