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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
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Proper posture and core strength can prevent the majority of back pain
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•Postural awareness
•Body mechanics
•Core Strength
•Employee engagement
•Risk assessment tools
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Structure of the Back
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What posture do you have?
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Postural awareness
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Core muscles support neutral posture
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Impact on core
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Balance of the body
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Asymmetrical posture
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Asymmetrical postures and feet
One style doesn’t fit all
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Asymmetrical posture and structures
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Asymmetrical posture
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Asymmetrical posture and weight bearing
50% 50% 75% 25%
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Finding and strengthening core muscles
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Finding and strengthening core muscles
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Finding and strengthening core muscles
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Finding and strengthening core muscles
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Finding and strengthening core muscles
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Finding and strengthening core muscles
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Finding and strengthening core muscles
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Manual Handling hazards
Upper Limb hazards
Manual activities
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Push / pull hazards
Lower limb hazards
Manual activities
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Body awareness
Ergonomic principles:
• Static work and force
• Different but equally healthy and safe postures
• Largest appropriate muscle groups
• Mid-point range of movements
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Power lift
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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
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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
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Lower Limb – Risk Factors
Before After
Trunk posture
Legs
Knees
Activity
Force/load
Working on your feet
Work pace
Individual vulnerability
Psychological factors
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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
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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
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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
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Proper posture and core strength can prevent the majority of back pain
the rest of it comes down to good risk management