3. Today’s Training Programme
Causes of Back Pain
Anatomy and Injury
Legislation and Risk Assessment
Correct Body Mechanics and Practical
Techniques
Video / DVD
Summary and Test
7. Manual Handling Operations
Regulations 1992 – amended 2002
Applies to:
Lifting, lowering, pulling or pushing
Inanimate loads – box or trolley
Animate – animal or person
8. Manual Handling Hazards
Lifting a load that is too heavy or cumbersome-
back injuries
Failing to use a proper lifting/moving technique-
back injuries (Twisting, Stooping, Reaching)
Failing to grip the load in safe manner-feet
injuries
Not wearing correct PPE-hand injuries
9. Areas of the Body Injured by
Manual Handling
Finger/Thumb 14%
Back 49%
Rest Of Torso 7%
Arm 10%
Hand/Wrist 9%
Legs
8%
Other 3%
Source: HSE
10. Why Are Back Problems
Increasing?
Two Key Reasons:
1. Our physical condition
2. Increased Medical Management
12. 5 Generic Reasons for Back
Pain
Poor posture
Lifting and handling incorrectly
Stress
Lifestyle
Can stem from a poor level of physical
fitness
13. 20 30 32 35 40 50 57 60
BackProblems
Age in Years
Back Problems Peak Between
the Ages of Thirty and Fifty
15. How Does My Back Work?
• 3 Natural curves
• 33 Vertebrae forming a flexible
column
• Cervical = 7
• Thoracic = 12
• Lumbar = 5
• Sacrum = 5
• Coccyx = 4
16.
17. • Ligaments – Hold the bones together and
add stability of the spine.
• Spinal Cord – Passes down through the
middle of the spinal canal. It is therefore
protected by the vertebrae.
• Spinal Nerves – Branch off at each level
of the vertebral column and carry nerve
impulses (sensory & motor).
• Intervertebral Disc – Separate the bones
and act as a shock absorbers. They allow
free movement.
20. Slipped/Prolapsed disc
A slipped disc/prolapsed disc
occurs when the annulus gradually
crack open allowing part or all the
nucleus to prolapsed or seep out at
the back of the disc close to the
spinal nerves of the spinal cord are.
This puts pressure on the nerves
causing severe pain
This is caused by adopting poor
posture e.g. Bending, stretching
twisting and overreaching
21. Sciatica
More commonly known as
a “trapped nerve”
Sciatic nerve is largest
nerve in body consisting
of 5 nerve roots.
Sciatic Nerve most likely
to be trapped as it leaves
the vertebrae as it passes
to the pelvis
Could be any of the 5
vertebrae of the
lumber spine
22. Sciatica
• Caused by a damaged disc
pressing on nerve root in lower
back
• Pain in rear or leg, worse when
sitting
• Burning/tingling down the leg
•Shooting pain that makes it
difficult to stand up
• Constant pain on one side of the
rear
24. Risk Factors for Yourselves
In a rush to do a task
Awkward / critical lifting
Cold
Uncontrolled situations
Inactivity - sitting
25. and …… YOUR LIFESTYLE
Stressful
lifestyle
Poor physical
fitness
Bad mattress
and pillow
26. Avoid
Does the object need to be moved?
Can the process be automated?
Consider mechanisation / handling aids.
Conveyor
Pallet truck
Electric or powered hoist
Lift truck
27. Assess
Does the task involve?
Holding loads away from the body
Twisting, stooping or reaching upwards
Long carrying distances
Strenuous pushing or pulling
Repetitive handling
Insufficient rest or recovery time
28. Reduce
To the lowest level “reasonably
practicable”
TIME v EFFORT v MONEY in proportion
to the benefits
Mechanical aids can reduce the risk
They can also improve productivity
29. Employees Duties
Safe systems of work
Proper use of equipment
Co-operation with employer
Inform employer of hazardous activities
Do not put others at risk
35. Task – reducing the injury
Can you?
Use a lifting aid?
Improve workplace layout?
Reduce amount of twisting & stooping?
Avoid lifting from floor to above shoulder
height
Reduce carrying distances?
Push rather than Pull
37. Individual – reducing the
injury
Can you:
Pay particular attention to those who have a
physical weakness
Take extra care of pregnant workers
Give your colleagues more info. Eg the range of
tasks they are likely to face
Provide more training
Get advice from Occupational health if needed
38. Load
Heavy?
Bulky or Unwieldy?
Difficult to Grasp?
Unstable or Contents
Likely to Shift?
Sharp – Rough – Hot
– Potentially
Damaging?
39. Load – reducing the injury
Can you make the load:
Lighter or less bulky
Easier to grasp
More stable
Less damaging to hold
If the load comes from elsewhere, have you
asked the employer to help – handles or
smaller packages
41. Environment – reducing the
injury
Can you:
Remove obstructions to free movement
Provide better flooring
Avoid steps & steep ramps
Prevent extremes of hot & cold
Wear less restrictive PPE
Improve lighting
Ensure PPE is correct for the task
46. Good Handling Technique for
Lifting
•Adopt a stable position
•Feet apart – 10 and 2 position
•Positioned either side of the load
•Maintain balance
47. Good Handling Technique for
Lifting
At the start of the lift –
•Slightly bend the back, hips and
knees
•Do not stoop!
•Grip the load with the hands – not
with just the fingers!
48. Good Handling Technique for
Lifting
•Keep the head up when handling
•Look ahead and not down at the
load
•Keep the load close to the body
•The heaviest side should be the
side nearest the body
49. Good Handling Technique for
Lifting
•Avoid twisting the back or
leaning sideways
•Keep shoulders level facing in
the same direction as the hips
•Turn by moving the feet
50. Good Handling Technique for
Lifting
Move smoothly
Do not jerk or snatch the load
This can be harder to control and can
increase the risk of injury
51. Good Lifting Technique
Put Down-Then Adjust
The exact reverse of
the lift
One foot forward 10
o’clock & 2 o’clock
Sink slowly down-
place the load
Position the load once
on the ground
52. Remember – Good Handling
Technique for Lifting
Do not lift or handle more than your
limit
There is a difference between what
you can lift and what can be safely
lifted
57. Twisting
Reduce guideline weights if:
The handler twists beyond 45 by 10%
The handler twists beyond 90 by 20%
58. Frequent Lifting
Infrequent operators = 30 operations per
hour
Once or twice per minute reduce by 30%
5 to 8 per minute reduce by 50%
More than 12 per minute reduce by 80%
59. If You Hurt Your Back
Report the incident to your line manager
as soon as possible
Seek medical advice if in acute pain or
symptoms last longer than 72 hours
Contact the Occupational Health
Department for advice