Upon reviewing the adopted version of Rule 17, Exhibit 5-Cumulative Trauma Conditions Medical Treatment Guidelines, the Division of Workers’ Compensation has identified two typographical errors that need to be corrected.  

First, the most recent prior revision was omitted from the cover page.  The cover page lists each past edition of the exhibit.  The most recent update did not include the previous edition which was being replaced.

The list of previous revisions should be as follows:
Adopted:  November 4, 1996	Effective:  December 30, 1996	
Revised:  January 8, 1998	Effective:  March 15, 1998	
Revised:  May 27, 2003	Effective:  July 30, 2003	
Revised: September 29, 2005	Effective:  January 1, 2006	
Revised: September 16, 2010	Effective: October 30, 2010	

Second, a table on page 26 was misaligned.  The table shows primary and secondary risk factors for cumulative trauma as a result of “awkward positions.”  Because of a formatting error, the secondary risk factor for elbow flexion is actually listed in the row for wrist flexion.  Likewise the secondary risk factor for a “supination/pronation” is listed in the row for elbow flexion.   

The proposed correction is on the following page.

These corrections address typographical and alignment errors and do not have substantive effect.  

d. 	Risk Factors Definitions Table
Category	As a Primary Risk Factor	Secondary Risk Factor 	
Force and Repetition/Duration	6 hrs. of: use of 2 pounds pinch force or 10 pounds hand force 3 times or more per minute.	3 hrs. of: use of 2 pounds pinch force or 10 pounds hand force 3 times or more per minute.	
	6 hrs. of: lifting 10 lbs > 60x per hour.	3 hrs. of: lifting 10 lbs > 60x per hour. 	
	6 hrs. of: use of hand held tools weighing 2 lbs or greater.	3 hrs. of: use of hand held tools weighing 2 lbs or greater.	
Awkward Posture and Repetition/Duration
	4 hrs. of: Wrist flexion > 45 degrees, extension > 30 degrees, or ulnar deviation > 20 degrees.		
	6 hrs. of: Elbow - flexion > 90 degrees. 	 3 hrs. of: Elbow - flexion > 90 degrees.	
	4 hrs. of: Supination/pronation with task cycles 30 seconds or less or posture is used for at least 50% of a task cycle.
	3 hrs. of: Supination/pronation of 45° with power grip or lifting.