Injury by design: A thematic networks and system dynamics analysis of work-related musculoskeletal disorders in tram drivers

Tram driving is a safety critical task where work-related musculoskeletal disorders (WRMSDs) and injuries are associated with interacting occupational design factors over time. These interactions then carry implications for workforce retention, public safety, workplace relations and supports. To better understand such interactions, this study used thematic networks and system dynamics (causal loop diagrams) analysis with the aim to unearth a global theme underscoring occurrence of WRMSDs, and describe the factors influencing the system dynamics of WRMSD occurrence in tram drivers. Building on earlier work focused on occupational participation, secondary analysis of driver interviews (n = 13) and driving observations (n = 11) produced thematic network and causal loop models of risk factors that highlighted an Injury by Design problem structure as a global theme. Research targeting organisational culture, human factors, and design standards is needed to minimise WRMSDs risk in tram drivers. •Work-related musculoskeletal disorders are increasingly occurring in tram drivers.•Tram driving tasks involve multiple factors that can increase injury risk.•Tram driving may predispose ‘Injury by Design’ over time.•Systems dynamics models can map interacting risk factors in complex systems.