Safe Lifting/Back Safety Training Presented by Rita Gagnon Occupational Health Outreach Coordinator Benefis Health Systems 406-731-8328 Risk Factors Involved with Manual Handling Tasks: • • • • Bending at Trunk Excessive Exertion or force Twisting the trunk Reaching out Functions of The Spine • Providing support • Protection of cord (information super hi-way) • Providing Flexibility (flexion, extension side and rotation) Anatomy of spine • Vertebral bodies, (cervical, thoracic, lumbar) • Discs (provide cushion & flexion) • Core Muscles • Erector Spinae (extend the back attached behind the spine) enable us to stand and lift objects • Abdominals (flex spine located in front of body) for bending forward and arching lower back. When weak increases the curve of the lumbar spine • Obliques attached to sides of spine for rotation Causes of Back Pain • Poor Posture • Poor Physical Condition • Tension & Stress • Impact Trauma • Repetitive Trauma • Incorrect lifting Forces to Spine with Incorrect lift Planning Ahead Ask yourself these Questions First!! • How are do I have to carry this load? • Is the path clear of clutter, cords, slippery areas, overhangs, stairs, curbs, uneven surfaces? • Will I encounter closed doors? Ask someone to hold it open or place a wedge under to keep it open. • Once it is lifted will it block my view? • Can the load be broken down into smaller parts? • Would gloves improve my grip or protect my hands? • Will this load need to be moved again? If so, place it on a platform, table or hoist device. • Do I have enough room to turn my feet instead of twisting my hips or shoulders? • Can I lift this load safely or is it a two-person lift? Test the weight by lifting one of the corners. If it is too heavy or awkward STOP! Ask for help or use mechanical lift or hand truck. Reducing the Risks Keep it close and Keep the curves! • The closer a load is kept to your power zone the easier it is to keep the natural curves of your back. When the spine is in the natural curves the vertebra, discs, ligaments and muscles are in their strongest and most supportive position Staggered Stance • Lifting with the feet close together and in line with each other makes it more difficult for you to use your legs to help with the lift. • Staggering your stance encourages the legs to become involved and reduces the demands on your back. Simply stepping toward a load with a staggered stance moves the center of gravity closer to the lad and minimizes the demands of the lift. • If you feel your weight shifting forward onto your forward leg you have successfully transferred this weight demand from your back to your stronger legs. • Grip ** front knee, high hand, far corner, ** back knee, low hand, near corner Feet First • Feet First • Moving your feet first gets you closer to the load and reduces the amount you have to reach. The farther you reach the more you have to lift your upper body as well as the load. Moving your feet first also helps reduce the risk of twisting while you lift. Team Lifting • If the weight shape or size of an object makes the job too much for one person, ask for help. • Ideally, workers should be of approximately the same size for team lifting • One individual needs to be responsible for control of the action to ensure proper coordination. If one worker lifts too soon, shifts the load or lowers it improperly, either they or the person working with them may be injured. • Walk out of step 1 2 Two Persons and Long Load 3 5 4 Use Mechanical lifts whenever possible. • The best way to avoid a back injury is to reduce the number of lifts you have to perform. Hand trucks, push carts and forklifts are great engineering controls that reduce your exposure to lifting hazards. • What devices are available in your workplace to reduce your exposure to lifting hazards? Minimize Stressors of Carrying • Keep the weight of the load acceptable • Keep load as close to body as possible • Use both hands in a power grip (rather than a pinch grip) to hold the load • Width (side-to-side) The width of the load should be about as wide as the person’s torso. • Height of the load The height of the load should allow the handler a clear view of the travel path. • Distance over which the load is carried Carrying distances should be minimized. • Frequency with which the task takes place Attempt to decrease frequency and bundle tasks. • The easiest way of carrying a load like a crate or a box is holding it by the front corners, • The arms straight, at hip height, so that it does not interfere with the movements of lower limbs. • Loads to be carried to the side of the body (suitcases, grocery bags, brief cases, etc.) should be equipped with suitable top mounted handles, “should be as slim as possible and should clear the ground when the carriers’ arm hangs by their side.”