This study identifies the strongest occupational risk factors and risk fact
or interactions in the development of indicators associated with cumulative
trauma disorders (CTD), Suggestions for minimizing the occurrence of indic
ators associated with onset of CTD are presented Five occupational risk fac
tors and six risk factor interactions were evaluated to determine their con
tribution to accepted indicators of the onset of CTD, including exertion di
scomfort, difficulty, and fatigue, Taguchi's level-analysis procedure was u
sed to design a 16-trial hammering experiment and to analyze the results. F
rom the hypothesized occupational risk factors, repetition was found to hav
e the strongest effect on the values of the physiological and subjective in
dicators of the onset of CTD.