This joint study, co-published by the ETUI, reviews the musculoskeletal disorders (MSDs) that workers in SMEs can face. MSDs are very much an agenda-topping issue, and are addressed in a practical and innovative way in Belgium, Spain and Italy through action-oriented risk assessments. A holistic, participatory and multidisciplinary approach is taken to assessing so-called biomechanical risks and work situations to produce practical solutions to the problems faced by workers and businesses. Profusely illustrated, the study puts forward practical options derived from the daily experience of working in the highly specific smaller firm environment.