Pain, tingling or numbness Fingers or toes turning white Shooting or stabbing pains Swelling or inflammation Stiffness or difficulty moving Burning sensation Pain during the night Numbness or a burning sensation in the hand. Reduced grip strength in the hand. Swelling or stiffness in the joints. Pain in wrists, forearms, elbows, neck, or back. Reduced range of motion in the shoulder, neck, or back. Dry, itchy, or sore eyes. Blurred or double vision. Aching or tingling. Cramping. Others factors that contribute to MSD 1. Stress Many work tasks and cycles are repetitive in nature, and are frequently controlled by hourly or daily production targets and work processes can lead to stress. Stress when combined with other risks factors such high force and awkward postures, can contribute to the formation of MSD. A job is considered highly repetitive if the cycle time is 30 seconds or less. Control methods to consider: Engineering Controls – Eliminating excessive force and awkward posture requirements will reduce worker fatigue and allow high repetition tasks to be performed without a significant increase in MSD risk for most workers. Work Practice Controls – Providing safe & effective procedures for completing work tasks can reduce MSD risk. In addition, workers should be trained on proper work technique and encouraged to accept their responsibilities for MSD prevention. Job Rotation – Job task enlargement is a way to reduce duration, frequency and severity of MSD risk factors. Workers can rotate between workstations and tasks to avoid prolonged periods of performing a single task, thereby reducing fatigue that can lead to MSD. 2. Peer pressure The nature of the culture itself may encourage over-exertion. Workers may feel pressure from peer and supervisor to push beyond unreasonable limits. There are work pressure and works schedule which may also encourage over-exertion. 3. Boredom Boredom is a serious problem that can be associated to reduction of performance, dissatisfaction and accidents. Job rotation can have a positive effects. Rotation between different workers means they have sufficient skills and knowledge to carry out the different assigned tasks. If workers do not have suitable training to develop the activities, the organization must provide adequate training.