Handling risks: : engaging with employees to find practical solutions One size doesn’t fit all Amanda Dowson RGN 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 activities Manual Handling hazards Upper Limb hazards
Manual activities Lower limb hazards Push / pull hazards
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 After (G,A,R or P) Lift Carry Team Lift Load 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
Before After ART – Risk Factor 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 Before After Factors 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 •
Risk assessments Area of Workplace ART MAC Push Pull Lower Review Work Activity Limb date Paint Shop Shotblasting 01/12/2014 Manoeuvring 01/02/2015 Jobs Spray Painting 01/02/2015 Actuation Craning Valves 01/10/2017 onto Block Mounting and 01/10/2014 Connecting Instruments
Risk assessments Area of Workplace ART MAC Push Pull Lower Review Work Activity Limb date Paint Shop Shotblasting 01/12/2016 Manoeuvring 01/02/2017 Jobs Spray Painting 01/02/2017 Actuation Craning Valves 01/10/2019 onto Block Mounting and 01/10/2019 Connecting Instruments
Proper posture and core strength can prevent the majority of back pain the rest of it comes down to good risk management
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