DUTCH: A new tool for practitioners for risk assessment of push and pull activities

Marjolein Douwes, Reinier Könemann, Marco Hoozemans, Paul Kuijer, Hetty Vermeulen

Research output: Chapter in Book/Report/Conference proceedingConference contributionAcademicpeer-review

1 Citation (Scopus)


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.
Original languageEnglish
Title of host publicationProceedings of the 20th Congress of the International Ergonomics Association (IEA 2018) - Volume III: Musculoskeletal Disorders
Subtitle of host publicationVolume III: Musculoskeletal Disorders
EditorsRiccardo Tartaglia, Sara Albolino, Thomas Alexander, Sebastiano Bagnara, Yushi Fujita
PublisherSpringer Verlag
Number of pages11
ISBN (Electronic)9783319960838
ISBN (Print)9783319960821
Publication statusPublished - 2019
Event20th Congress of the International Ergonomics Association, IEA 2018 - Florence, Italy
Duration: 26 Aug 201830 Aug 2018

Publication series

NameAdvances in Intelligent Systems and Computing


Conference20th Congress of the International Ergonomics Association, IEA 2018


  • Low back
  • Physical workload
  • Prevention
  • Pulling
  • Pushing
  • Risk assessment
  • Shoulder

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