Return to work (RTW) for workers with musculoskeletal disorders (MSDs) due to work-related injury is often a long rehabilitation process, which Young et al (2005) divided into four main phases: off-work, work re-entry, maintenance and advancement. The end of each RTW phase marks the achievement of important milestones. These are, respectively, (1) the ability to attempt work re-entry, (2) the ability to perform satisfactorily in pre-injury or alternative duties, (3) the ability to maintain employment and (4) the ability to advance in one's career (Young et al 2005). There are several issues at the different phases that need to be addressed, specific to the level of functioning of the worker, such as personal factors of volition, habituation and skill /occupational performance (Baron and Littleton 1999, Kielhofner 2008). However, evaluation of the individual's abilities at each level requires the use of measurements that are valid and reliable, and also sensitive to change over time. While such instruments are available in countries such as North America, the United Kingdom and Australia, the Occupational Self Assessment (OSA), one of the Model of Human Occupation (Kielhofner 2008) assessments, has not been validated for use in Asian countries such as India and Malaysia.