DUTCH: A New Tool for Practitioners for Risk Assessment of Push and Pull Activities

Conference paper
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 820)


Pushing and pulling at work is an undervalued theme within occupational health policy. This is unjustified, because these activities are very common and potentially increase the risk of shoulder symptoms. Gaining insight into the possible health risks of specific push or pull activities at the workplace is a first step towards prevention of musculoskeletal symptoms. Existing instruments proved to be insufficiently suitable to give that insight in a simple way. This was the motivation for developing the Push and Pull Check (DUTCH). This method makes clear whether the push or pull activity is acceptable or not, which risk factors exist, and which measures can reduce the risk. This article describes the operation of the DUTCH, as well as the development of the tool.


Physical workload Pushing Pulling Risk assessment Prevention Shoulder Low back 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.TNOLeidenThe Netherlands
  2. 2.Department of Human Movement Sciences, Faculty of Behavioural and Movement SciencesVrije Universiteit, Amsterdam Movement SciencesAmsterdamThe Netherlands
  3. 3.Netherlands Center for Occupational Diseases, Coronel Institute of Occupational Health, Academic Medical Center (AMC)University of Amsterdam, Amsterdam Public Health Research InstituteAmsterdamThe Netherlands
  4. 4.vhp human performanceThe HagueThe Netherlands

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