To examine the consequences of failing to under take Manual Handling tasks correctly. OBJECTIVES To promote awareness of the benefits of correct

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Slide 2 To examine the consequences of failing to under take Manual Handling tasks correctly. OBJECTIVES To promote awareness of the benefits of correct Manual Handling. Slide 3 WATCH VIDEO DISCUSS ASPECTS OF VIDEO THEORY PRACTICAL DEMONSTRATION PRACTICAL TRAINING SUMMARY TEST COURSE OUT LINE Slide 4 Efficient Manual Handling involves the movement of a load utilizing the KINETIC METHOD. This involves the use of body and muscles in a relaxed and efficient way. 30% of all reported industrial injuries are Manual Handling related. There are 22,000 MANUAL HANDLING injuries each year in the U.K. alone. Average time off work 14 days. Besides back injuries there are also hernias, sprains and strains to the arms and legs. INTRODUCTION Slide 5 The spine consists of 33 cylinders of Bone called vertebrae. 7 - Cervical vertebrae - movable. 12 - Thoracic vertebrae - movable. 5 - Lumber vertebrae - movable. 5 - Sacrum verb - fused. 4 - Coccyx vertebrae - fused. Vertebrae become larger in the lower lumber region. STRUCTURE OF THE SPINE Slide 6 Vertebrae consist of the vertebral and posterior vertebral arch which surrounded the spinal canal. There are 22 interverebral discs which are located between the movable vertebrae in the spine. Each disc has two layers - A soft gel-like inner layer and a tough fibrous outer layer. When a load is applied to the spine the discs compress thus cushioning the vertebrae while transmitting load. When the trunk leans sideways, backwards or forwards there an immediate muscle activity to return and maintain its upright posture. The combined spine and trunk system is flexible but fully controlled. The discs may degenerate with aging e.g. The soft center hardens. Slide 7 Damage to Intervertebral discs The most common cause of back injury is caused by bending to lift a heavy load. The bending action compresses the front of the disc resulting in the disc protruding (slipped disc). A bent back action combined with a twisting action can result in a ruptured disc where the fibro-elastic layer is torn and the softer inside part escapes. Trapped nerves and sciatica. When you lift with a bent back the joints of the vertebrae are separated and the nerves can be trapped when the back is straightened. Disc movement puts pressure on the spinal cord this results in a condition called sciatica. LIFTING RELATED INJURIES Slide 8 Long term spinal abuse and/or progressive degeneration can mean that even a light lift can cause damage. Stretching a muscle beyond its normal range can cause a strain. Excessive exertion can weaken a joint and related ligaments and cause a sprain. Lifting awkwardly can weaken the abdominal muscles and cause a rupture or hernia. Conclusions. Unsatisfactory lifting practices will cause long term pain and disability. Slide 9 MANUAL HANDLING MECHANICS OF LIFTING Cantilever action. Cantilever action. The effect of bending to lift a load is similar to that of a cantilever. The effect of bending to lift a load is similar to that of a cantilever. A cantilever is similar to a beam clamed at one end in the horizontal position. A cantilever is similar to a beam clamed at one end in the horizontal position. The load exerted on the fixed (clamped) end depends on the weight and on the weights position on the beam, with its resulting lever action. The load exerted on the fixed (clamped) end depends on the weight and on the weights position on the beam, with its resulting lever action. SPINE HEAD ARMS CANTILEVER STRESS Slide 10 MANUAL HANDLING POSITION OF THE SPINE You should regard the lower lumber region as the fixed end of the beam. You should regard the lower lumber region as the fixed end of the beam. The force exerted on the lower lumber depends on the weight of the load and the distance of the load from the base of the spine. The force exerted on the lower lumber depends on the weight of the load and the distance of the load from the base of the spine. With the back straight and nearly vertical the horizontal distance is less therefore the force is small. With the back straight and nearly vertical the horizontal distance is less therefore the force is small. When the back is bent and out of vertical the horizontal distance is greater thus force on the lower lumber region is considerable greater. When the back is bent and out of vertical the horizontal distance is greater thus force on the lower lumber region is considerable greater. The main downward forces exerted on the spine are. The main downward forces exerted on the spine are. The weight of the trunk. The weight of the trunk. The weight of the load. The weight of the load. The weight of the head. The weight of the head. The greater the horizontal distance these are from the base of the spine then the greater is the load. The greater the horizontal distance these are from the base of the spine then the greater is the load. Slide 11 MANUAL HANDLING POSITION OF THE SPINE When you lift a 40 kg. load the force is nine times greater if the back is bent. 360 kg. When you lift a 40 kg. load the force is nine times greater if the back is bent. 360 kg. The main loading on the spine is borne by the vertebrae and discs of the lower lumber region. The main loading on the spine is borne by the vertebrae and discs of the lower lumber region. A bending action concentrates the load on a small area at the front of the discs. A bending action concentrates the load on a small area at the front of the discs. A sudden jerk at the start of the lift increases that load up to 10 times. 3600 kg. A sudden jerk at the start of the lift increases that load up to 10 times. 3600 kg. Slide 12 LEVER LOAD THE LEVER IS LONG THEREFORE THE LOAD IS GREATER MANUAL HANDLING Slide 13 LEVER LOAD THE LEVER IS SHORTER THEREFORE THE LOAD IS LESS Slide 14 MANUAL HANDLING PREPARATION FOR LIFTING Important checks Important checks - The load should be checked for accessibility, weight, center of gravity and any moving parts. Accessibility of load Accessibility of load - Assess the position of the load with respect to nearby obstruction. - Adopt a position where the load can be lifted correctly and carried forward without obstruction. - Shift movable obstructions and slide load from structural obstructions. - Position the load so that it can be lifted and carried straight forward without any twisting movement. Testing the weight Testing the weight - Assess the weight of the load by lifting one side of the load using the correct lifting technique. - If a component part is being used to lift the load check that it is secure. - If the load is too heavy; get help or use mechanical aid. Slide 15 MANUAL HANDLING PREPARATION FOR LIFTING Canter of gravity Canter of gravity - Assess the position of the center of gravity of the load and lift the load in a way which keeps the center of gravity central to and close to the body. Moving parts Moving parts - Check the load for any moving parts and do not use these as lifting points. - Use proper lifting handles if available or strong fixed points. Slide 16 MANUAL HANDLING CORRECT LIFTING POSITION Position of feet Position of feet - The feet should be close to the load approximately hip width apart. - The lead foot should be slightly forward beside the load. - The weight of the load acts vertically downward therefore if the feet are too close together the center of gravity is outside of the base and balance is hard to maintain - If the feet are too far away from the load a bent back will result and the center of gravity will be too far forward. Position of the knees Position of the knees -The knees should be bent not far to keep the body at the correct height. - The load is lifted by straightening the knees using the legs and thigh muscles. Slide 17 MANUAL HANDLING CORRECT LIFTING POSITION Position of the back Position of the back - The back should be kept as straight as possible but may be canted forward out of the vertical no more than an angle of about 15 to 20 deg. Position of the head and chin Position of the head and chin - The head should be raised by looking up and the chin pulled in. This helps lock the top of the spine thus keeping the back straight. Position of the arms Position of the arms - The arms should be kept as close to the body as possible. Correct grip Correct grip - The load should be grasped with the palms of the hands and the root of the fingers. - The hands should be diagonally opposed. Slide 18 MANUAL HANDLING 10 POINT LIFTING GUIDE Assess the weight of the load - get help if needed. Use mechanical aids provided. Assess the weight of the load - get help if needed. Use mechanical aids provided. Size up job - remove obstacles, note snags, ensure set down area is clear. Size up job - remove obstacles, note snags, ensure set down area is clear. Look for - splinters, projecting nails, wire and sharp edges, ware gloves. Look for - splinters, projecting nails, wire and sharp edges, ware gloves. Stand close to the object - feet 20 cm to 30 cm apart, one foot in advance of the other, in the direction of travel. Stand close to the object - feet 20 cm to 30 cm apart, one foot in advance of the other, in the direction of travel. Chin in - avoid moving head backward or forward. Chin in - avoid moving head backward or forward. Bend knees to a crouched position - keep back straight (not necessary vertical). Bend knees to a crouched position - keep back straight (not necessary vertical). Grip load at opposite corners with palm of hands and roots of the fingers, arms close to the body. Grip load at opposite corners with palm of hands and roots of the fingers, arms close to the body. Lift with thigh muscles, look up, straightened legs. Lift with thigh muscles, look up, straightened legs. Apply same principles to pushing, pulling, digging or shoveling. Apply same principles to pushing, pulling, digging or shoveling. Use the reverse procedure to set down load. Use the reverse procedure to set down load. Slide 19 Even a simple task can result in a serious injury if manual handling is not carried out correctly. Slide 20 Housekeeping is a part of manual handling. Poor housekeeping will result in increased manual handling hazards. Slide 21 You can get away with incorrect manual handling procedures many times in one day but eventually you will NOT get away with it and have an accident. Slide 22 Three handles, three people pulling them. Slide 23 A perfect example of one right way to pull slips and one wrong way. Slide 24 Planning and common sense being used for a manual handling job. What are four things these guys have done right? Slide 25 MANUAL HANDLING SUMMERY OBJECTIVES. OBJECTIVES. To promote awareness and the consequences of failing to use THE CORRECT LIFTING TECHNIQUES. To promote awareness and the consequences of failing to use THE CORRECT LIFTING TECHNIQUES. Mechanics of lifting. Mechanics of lifting. Correct lifting position. Correct lifting position. 10 Point guideline to MANUAL LIFTING. 10 Point guideline to MANUAL LIFTING. THERE IS NO MAGIC JUST FOLLOW THE 10 POINTS.