Pineapple plantation workers are exposed to strenuous physical activities. This study aims to determine the prevalence
of musculoskeletal symptoms (MSS), analyse the body postural risks related to work tasks and identify relevant MSS risk factors
among pineapple plantation workers. This was a cross-sectional study performed at a pineapple plantation in Johor in 2016. MSS,
information on socio-demographic background and occupational history were collected via structured questionnaires. Identification
and risk assessment of ergonomic hazard and postural risk analysis were performed for a subset of workers. Data were entered into
statistical software and analyse according to relevant objectives. A total of 108 workers participated in this study. The prevalence
of MSS was 87.0% and was highest for the lower back (64.8%). In terms of ergonomic hazards, Harvesting were categorised as a
task with the highest risk. Harvesting was also the task with the highest postural risk. From the multivariate analysis, lower back
pain is mainly contributed by a working tenure of 10 to 25 years (Odds Ratio, OR: 3.90; 95% Confidence Interval, CI 1.05-14.4) and
more than 25 years (OR: 7.45 (95% CI 1.26 to 44.0). Workers who worked more than 7-hour daily have a higher risk for reporting
lower back pain. Pineapple plantation workers are exposed to excessive bending, twisting and carrying of heavy loads that may be
linked to MSS. Effective preventive strategies are required to address MSS in this population in order to minimize risk for subsequent
musculoskeletal disorders.