Manual Handling by Adams Burt & Associates

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    Manual Handling

    An Introduction

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    Manual Handling

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    Course Content

    Statistics

    Definition

    Anatomy & InjuriesMechanics

    Law

    Risk AssessmentLifting Safely

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    Anyone Hurt?

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    Accident Statistics

    Largest cause of accidents at work

    37% Manual Handling

    19% Slips, Trips and Falls12% Other Causes

    20% Struck by an Object

    7% Falling from Height

    5% Machinery

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    Accident Statistics

    Interpreted another way - the overall figureof 37% means that:

    86000 people are absent daily

    26,500,000 working days are lost annually

    1000,000,000 is lost in production,sickness benefit and medical costs

    In terms of suffering each injury results in an

    average of 20 days off work

    some neverfully recover. Four out of five people suffer

    with back related problems at some time the

    risk is greater after the age of 30.

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    Definition of Manual Handling

    The transporting orsupporting of a load byhand or some other part of

    the body including thelifting, putting down,pushing, pulling, carrying,

    moving or intentionallydropping or throwing a load

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    Anatomy

    SpineThree main functions To protect the spinal cord

    To allow movement.

    To support the upper body

    Complex System

    Spinal Cord

    Nerves Ligaments

    Muscles & Tendons

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    AnatomySpine - Strong and Flexible Gentle S bend Move or lift in wrong way balance

    can be disturbed

    Problems contributory factors Poor physical condition

    Posture

    Lack of exercise Excess weight

    Illness

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    Vertebrae 33 bones the top 24 are

    separated by discs

    Each vertebrae has 4 jointswhich enables movement

    Vertebrae are largertowards the bottom of the

    spine

    Vertebrae

    Spinal CordDisc

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    AnatomyDiscs

    Act as shockabsorbers

    Firmly attached tovertebrae

    Poor blood supply

    Annulus stretchesand relaxes duringmovement.

    Disc

    Nucleus

    Annulus

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    AnatomyDiscs Repeated stresses

    can cause minutetears and bulging ofthe disk.

    Presses onadjacent nervesand ligamentspins & needles,pain, numbness

    Commonly called aslipped disc

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    Muscles

    Muscles are bundles of fibre which enablemovement

    Messages from the brain cause them tocontract and relax

    Connected by tendons and when musclescontract the bones are drawn closer together

    A damaged muscle is called a strain

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    Mechanics Balance point is through centre of body when

    standing

    A load held in front disturbs the balance - tension isgenerated in the back muscles to compensate

    Forms a lever effect

    Average person holding a 10kg load at arms lengthgenerates a counterbalancing tension up to 10times more to avoid falling over

    High or repetitive levels of tension in the back can

    cause damage

    called muscle strain

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    Mechanics

    Centre of Gravity

    Centre of Gravity

    Lever effect is reduced if load held closer to the body

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    Ligaments & Nerves

    Ligaments Strong fibrous tissue

    Small degree ofelasticity

    Stooped backposture can result inpermanentelongationweakness and pain

    Damaged if stretched

    too far and torncalled a sprain.

    Nerves Millions of fibres

    transmitting electricalimpulses

    Vertebrae enclose andprotect

    Nerves branch out fromthe spinal cord and passbetween vertebrae

    Irritated nerves can befelt right along therelength called sciatica

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    Manual Handling Regulations 1992

    Regulations provide a hierarchy of measuresEmployers must:

    Avoid manual handling where possible

    Assess any hazardous activities where manual handling

    cant be avoided

    If the assessment indicates a significant risk of injury a

    more specific assessment must be made

    Reduce the risk of injury as far as is reasonably

    practicable

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    Employees have duties too:

    Follow the laid down systems of work

    Make proper use of equipment provided

    Co-operate in H&S matters

    Advise your manager if you are unwell

    Not putting other people at risk

    Manual Handling Regulations 1992

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    Risk Assessment

    T Task

    I Individuals capabilities

    L LoadE Environment

    any other factors

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    The Task

    Holding loads awayfrom body

    Twisting

    Stooping

    Reaching upwardsLarge verticalmovements

    Long traveldistances

    Strenuous pushingand pulling

    Unpredictablemovement of load

    Repetitive handlingInsufficient rest orrecovery time

    Workrate imposed bythe process

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    Individual Capability

    Physical condition

    Illness

    Pregnancy

    Requires unusual capabilities

    Call for special information or training

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    The Load

    Heavy

    Bulky or unwieldy

    Difficult to graspUnstable/unpredictable

    Harmful ie sharp/hot

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    The Working Environment

    Constraints on posture eg lack of space

    Poor floors

    Variations in levelsHot/cold/rain/ice/humid conditions

    Strong air movement

    Poor lighting conditions

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    Other Factors

    and people!! High Stress

    Poor Diet

    Lack of exercise

    Rushing pressure of work

    Showing off

    Short cuts

    Is movement hindered by clothing or personalprotective clothing

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    Risk Assessment

    Identify the elements of significant riskDecide who might be harmed and how

    Evaluate risks/Control measures

    Record the findings of assessment

    Review/revise assessment

    T Task

    I Individuals capabilities

    L Load

    E Environment

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    Video

    Manual Handling The Facts

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    Lifting Safely

    Ultimate ObjectiveTo Relieve Fatigue & Strain

    Use correct handling techniques

    Ensure good visionChange position regularly

    Avoid over reaching or stretching

    Adjust work surface heights

    Relax where possible

    Use mechanical aids

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    Kinetic Lifting

    Summarised by:

    Plan the Route

    Assess the loadCorrect position of feet

    Straight back

    Correct gripLift smoothly

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    Kinetic Lifting

    Plan the Route

    Where is the load going

    Are there obstructions in the wayIs there somewhere to set it down

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    Kinetic Lifting

    One Person Lift

    Determine the weight

    Look for sharp edges

    See if weight is evenly distributed

    Keep heaviest side to body

    Decide how to hold the load

    If it is too heavy use a trolley or get assistance

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    Kinetic LiftingCorrect Positioning of Feet

    Comfortably apart

    One foot positioned in direction ofmovement

    Other foot where it can givemaximum thrust to the body

    To maintain good balance

    feet should never be too

    close together on the ground

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    Kinetic Lifting

    Straight BackLower the body byrelaxing the knees

    Keep your back

    straight (but notvertical)

    Keep load close tobody

    Keep chin in and headback

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    Kinetic Lifting

    LiftingIf lifting from ground makemaximum use of legs

    Keep back straight but

    inclined forwardAs lift proceeds and thelegs are straightened theback returns to vertical

    position

    Positioning of feet and bending of

    knees are the key factors in

    maintaining a straight back

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    Kinetic Lifting

    Correct GripTake a firm grip by usingthe palms of the handsand roots of fingers

    Taking weight on fingertips will create pressureat the end of fingers andcould strain muscles and

    tendons in the arms

    A full palm grip will reduce muscle

    stress to the arms and decrease the

    possibility of the load slipping

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    Kinetic Lifting

    Lifting Smoothly

    Thrust from back foot and straightening ofknees will move body forwards and upwards

    briefly off balanceImmediately countered by bringing the backfoot forward as if walking

    Lift now completed - forward movement

    results in smooth transition from lifting tocarrying

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    Kinetic LiftingCarrying the Load

    Make sure you can see where youare going

    Avoid twisting the body moveyour feet instead

    If you need to change your gripset the load down not whilstwalking

    Setting the Load DownUse the correct stance for liftingand set the load down gently

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    Kinetic Lifting

    Two Person LiftDecide who will becaller

    Assess the weight

    Correct positioning offeet

    Straight back

    Correct grip

    Lift together

    The caller co-ordinates the lift and ensures

    each lifter knows what to do and when

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    Kinetic Lifting - Summary

    Plan the route, the lift and the setdown point

    Position your feet - bent knees,straight back

    Firm grip, lift smoothly,

    Move the feet do not twist body

    Keep the load close to the body

    Put down smoothly then adjust for

    final position

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    Conclusion?