Risk scoring systems are useful for practitioners and individuals to assess the likelihood of development of a health condition of interest based on relevant risk factors. Applications of risk scores have ranged from heart disease, such as the well-known Framingham Heart Study, to cancer, diabetes, dementia, to hip and osteoporotic fracture risk. Statistical models, such as the Cox proportional hazard regression model, can be used to estimate relative and absolute risk. Conversion of risk estimates to a point system can provide reasonable estimates of risk by using a simplified scoring metric which also highlights factors which contribute more to the risk, relative to other characteristics. In this project we develop a point system for risk of workplace injury from carpal tunnel syndrome in an occupational cohort of manufacturing industry workers. The methodological efforts to assess Cox model assumptions are also assessed and discussed.