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Handling risks: engaging with employees to find practical solutionsOne size doesn’t fit all
Amanda DowsonRGN SPCPHN(OH) BA(Hons) CMIOSH
Specialist Practitioner in Occupational Health Nursing and Safety Management
Proper posture and core strength can prevent the majority of back pain
•Postural awareness
•Body mechanics
•Core Strength
•Employee engagement
•Risk assessment tools
Structure of the Back
What posture do you have?
Postural awareness
Core muscles support neutral posture
Impact on core
Balance of the body
Asymmetrical posture
Asymmetrical postures and feet
One style doesn’t fit all
Asymmetrical posture and structures
Asymmetrical posture
Asymmetrical posture and weight bearing
50% 50% 75% 25%
Finding and strengthening core muscles
Finding and strengthening core muscles
Finding and strengthening core muscles
Finding and strengthening core muscles
Finding and strengthening core muscles
Finding and strengthening core muscles
Finding and strengthening core muscles
Manual Handling hazards
Upper Limb hazards
Manual activities
Push / pull hazards
Lower limb hazards
Manual activities
Body awareness
Ergonomic principles:
• Static work and force
• Different but equally healthy and safe postures
• Largest appropriate muscle groups
• Mid-point range of movements
Power lift
MAC Risk Factors Colour Band(G,A,R or P)
After
Lift Carry Team LiftLoad weight and lift/carry frequency
Hand distance from the lower back
Vertical lift region
Trunk twisting/sideways bending. Asymmetrical trunk/load (carrying)
Postural constraints
Grip on load
Floor surface
Other environmental factors
Carry distance
Obstacles en route (carrying only)
Communication and co-ordination (team handling only)
Task Score
ART – Risk FactorBefore After
Left Arm Right Arm Left Arm Right Arm
Arm movements
Repetition
Force
Head/neck posture
Back posture
Arm posture
Wrist posture
Hand/finger grip
Breaks
Work pace
Other factors
Task score
Duration multiplier 0.75 0.75 0.25 0.25
Exposure Factor
Lower Limb – Risk Factors
Before After
Trunk posture
Legs
Knees
Activity
Force/load
Working on your feet
Work pace
Individual vulnerability
Psychological factors
Push Pull – Risk Factors Before After
Load –• Good hand holds• Stable and predictable• Clear vision around / over it• Wheels / castors suitable for load / for floor surface / easy to steer / not easily damaged
or defective / without brakes or difficult to stop / with planned inspection and maintenance regime
Individual – does the job:• Requires unusual capability• Create a hazard to those with health problem / pregnant / physical / learning difficulty• Call for special information / training
Task –• High initial force to get load moving / to keep load in motion• Sudden movements to start, stop or manoeuvre• Twisting / manoeuvring of load into position or around obstacles• One handed operations / Hands below waist or above shoulder height• Movement at high speed / over long distances • Repetitive pulling / pushing
Environment –• Constraints on body posture/positioning or confined spaces / narrow walkways• Surfaces or edges cause cuts / abrasions / burns• Rutted / damaged / slippery floors or ramps / slopes / uneven surfaces• Trapping / tripping hazards• Poor lighting conditions• Hot / cold / humid conditions• Strong air movements
Area of Work
Workplace Activity
ART MAC Push Pull Lower Limb
Review date
Paint Shop Shotblasting 01/12/2014
Manoeuvring Jobs
01/02/2015
Spray Painting 01/02/2015
Actuation Craning Valves onto Block
01/10/2017
Mounting and Connecting Instruments
01/10/2014
Risk assessments
Area of Work
Workplace Activity
ART MAC Push Pull Lower Limb
Review date
Paint Shop Shotblasting 01/12/2016
Manoeuvring Jobs
01/02/2017
Spray Painting 01/02/2017
Actuation Craning Valves onto Block
01/10/2019
Mounting and Connecting Instruments
01/10/2019
Risk assessments
Proper posture and core strength can prevent the majority of back pain
the rest of it comes down to good risk management