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Safety

Lifting Guidelines for Back Safety

Back injuries and discomfort are very common in the workplace. They occur from improper lifting,reaching, pushing, or pulling. Most often people hurt their backs because they underestimate a load and take on more than can be handled safely. Proper care of the back involves planning ahead, lifting correctly, and getting help for heavy or awkward loads.

Planning Ahead
Before moving a load it is important to plan both the load and the route. This allows you to evaluate hazards, limitations, route safety, and final placement. For the load, evaluate the weight,
shape, and material. Some items to check include:
     •The item or individual to be moved: Do you need special
       safety gear or special
gloves?
     •The load - are the size, shape, and weight within you  
       limits? Are there loose parts or
sharp edges?
     •Can you get a firm hand hold? Will you be able to see over            the load and maneuver it along the route?
     •Assistance - What kind of assistance will you need?
      Other  people or mechanical aids
like a dolly, cart, or
      specialized equipment determined by the type of load?

The route and placement site
The second part of planning ahead is checking the route you will take and the place where you will deposit the load. Many injuries and considerable property damage occur when unexpected problems are encountered during the move. Some points to consider are:
     •The route - Are there steps, tripping hazards, closed
      doors, or tight doorways or
passageways? Are there blind 
      corners or wet or slippery floors? What is the traffic
      situation? Include people, vehicles and other obstacles that
      you might encounter.

     •The drop-off point - Where will you place the load? Is
      there room for it? Is the site strong
enough to hold the 
      load? Will it block traffic or create a hazard when placed? 
      Is it the right
place to put the load or will it have to be
      moved again?

Design of the Back
The back is composed of small bones, called vertebrae, that are stacked on top of each other. Between them are fibrous discs that provide padding and cushion shocks. Nerves run down the center and muscles hold it all together. Because of its structure, the back is strongest in the upright position with the natural curve maintained. It is weakest when bent, extended, or twisted. That's why most back injuries occur when reaching upward or outward, or when twisting.The best way to protect the back is to remember to keep it in vertical alignment, straight up and down. When lifting with the back upright, the weight naturally distributes down the spine and to the legs. Reaching forward or twisting to lift something does the opposite: concentrates stress on one point and strains the muscles and discs.

Lifting Properly
Keeping the structure of the back in mind, all loads should be lifted with the back in the most natural, upright position. The load should be approached to avoid twisting while lifting and with the body over the load as much as possible.
     •Approach the load - Face the load so you won't have to
       lift and turn. This means point your feet in the direction you
       will be moving the load before lifting the load.
     •Grasp the load - Squat over the load with knees bent and
       the load between the legs as much as possible. The closer
       you keep the load to the body, the less stress it places on
       your back. Make certain you have a good grasp of the
       load with the whole hand. Wear gloves and check for
       pinch points and sharp edges. If you can't get a good hand
       hold, stop and reevaluate your move before lifting.
     •Carry the load - Lead with the feet as you carry the load
       Turn slowly with the legs, not the back. Change grips
       carefully and watch for obstructions that could bruise the 
       hands.
     •Place the load - Put down the load with the same care
       used to pick it up. Plan your approach to avoid twisting or
       reaching forward with the load in hand. Squat to put it
       down just as you did to pick it up.

Since most back injuries arise from underestimating the weight or awkwardness of the load. Make certain to get help whenever you think you might need it.

Special Situations
A number of other things must be considered when moving items or patients:
     •Team lifting - When more than one person is required to
       lift a load, designate one person to call the directions and
       the lifting steps so everyone will move at the same pace.
     •Stacking - Overlap and interlock rows and never stack
       above the crush height or above the height limits for the
       facility. Make certain the base is clean and level and can
       support the weight.
     •Drums - Use a lift truck with drum forks or a drum dolly to
      move drums. If moving individual empty drums, roll on the
      side not the rim and always work on the down side of the
      drum with the hands on the belly of the drum, not the rim.
     •Cylinders - Compressed gas cylinders are like bombs with
       very short fuses. The valve must be protected by a proper
       safety cap. Move individual cylinders with a special hand
       truck and walk cylinders only short distances to align
       them. They must be stored in designated areas and
       secured with safety chains or bars.
     •Mechanical aids - Often the best way to move loads is
      with a mechanical aid like a dolly, hand truck, or rolling
      cart. Choose the right aid for the job and inspect it before
      use. Place heaviest items on the bottom with the weight
      concentrated between the wheels. Keep hands away from
      the edges so they won t be scraped or crushed at
      doorways.

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