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#1 Posted : 27 February 2008 10:25:00(UTC)
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Posted By Ian_P Apologies if this has been discussed before, but a search of the forums did not find anything similar.... I have heard a few reports recently from people reading articles stating that Manual Handling Training is a waste of time and has no beneficial effect. Has anyone read these articles? I'm guessing you probably have - I'm a bit dissapointed to be honest that this has passed under by safety radar!! I think is may be an Irish study and may have been posted in the Times. If anyone has any links to the articles / studies / past threads please could you forward them to me? Thanks in anticipation. Ian
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#2 Posted : 27 February 2008 10:34:00(UTC)
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Posted By Sharon This has be discussed here: http://www.iosh.co.uk/in...iew&forum=1&thread=33822
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#3 Posted : 27 February 2008 10:35:00(UTC)
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Posted By Chas I guess this is what you are referring to... http://news.bbc.co.uk/1/hi/health/7222611.stm I think that the HSE's view is that training does not prevent injury it only minimises the risk and that it is always better to avoid MHO if you want to prevent a MHO related injury. Hope this helps.
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#4 Posted : 27 February 2008 10:44:00(UTC)
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Posted By Kieran J Duignan Ian You've touched on an issue with far-reaching implications. It has not so much gone 'under' the safety radar but is under scrutiny in the control centre. The HSE is reportedly considering a research report from a group including medical, osteopathic, ergonomic and other expertise. The nub of the issue reportedly concerns difference in interpretations of vulnerability to musculo-skeletal disorders: just as with stress, each person has a fairly individual threshold of vulnerability. And, just as with stress, once an individual has suffered a disorder, an employer is then under notice of his/her vulnerability and has a well-defined responsibility to prevent a further injury. So, the root difficulty is not one that can be easily resolved as it has to do with the limits of modern medical and ergonomic knowledge. You can appreciate how this complicates matters in the course of litigation for an expert witness, for a claimant and a defendant and their lawyers, even before it gets near judges. This does NOT mean that 'training is a waste of time' but simply that preventative guidelines are less cut and dried than perhaps one might interpret from the HSE present Guidance on manual handling. In practice, you can do four things to make the best of the ambiguity. 1. Continue to provide training that explains the nature of the risks of injury so that each employee is informed about his/her vulnerability and liability and has been trained in preventative methods of back care. 2. Issue warnings of risk through notices, etc. 3. Watch out for HSE updating of its official guidance. 4. Keep studying court judgments on claims for personal injuries associated with manual handling and DSE usage
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#5 Posted : 27 February 2008 12:38:00(UTC)
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Posted By Paul J Ian_P The HSE report you need to read is here: http://www.hse.gov.uk/research/rrhtm/rr583.htm You don't need to read it all, just the executive summary. Here's a few highlights: "The results of the systematic review indicate that there is little evidence supporting the effectiveness of technique and educational based manual handling training. There was considerable evidence that principles learnt during training are not applied in the working environment..." "There was no evidence of the effectiveness of back schools for preventing low back pain." "There is little evidence that manual handling training, focusing on handling techniques, is effective in promoting safer working practices and reducing manual handling injuries in the workplace." Enjoy!
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#6 Posted : 27 February 2008 13:37:00(UTC)
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Posted By Merv Newman "There was considerable evidence that principles learnt during training are not applied in the working environment..." That I think is the essential point. People coming out of MH training need to put the new techniques into immediate practice and change away from their old MH ways. Without frequent reminders most will try the new ways a few times and then fall back into their old habits. But after the training there are very few reminders and little or no positive reinforcement for those who try to put the training into practice. But why are there no reminders and or recognition I hear you ask ? Mainly, I believe, because MH training is "reserved" for the workers. Managers and supervisors don't put themselves down for it: "Don't need it. Never lift anything heavier than a coffee cup do I ?" So they don't have a clear idea of what the new techniques entail and cannot correct continuing bad habits nor reinforce the good ones. So the old MH ways just carry on. My advice ? (you are now asking)(and I'm going to SHOUT a bit just to reinforce the message) ALL H&S TRAINING SHOULD START AT THE TOP ! The first group to be trained on any H&S matter should be senior management (the board if one exists) (surely the MD would just love to learn how to handle a fire extinguisher) Then it can cascade down through middle management, then supervision and, finally, the end-user. Only in this manner will the hierarchy acquire the knowledge required to help and assist the workforce in their understanding and application of the new material. Merv
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#7 Posted : 27 February 2008 14:04:00(UTC)
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Posted By Kieran J Duignan Merv has constructively highlighted what the Executive Summary only touches on. It states: Under the heading 'Project Aims': The project aimed to establish what constitutes effective manual handling training by reviewing the literature and by conducting a survey of current manual handling training practices in organisations. Under the heading 'Implications': 'There is evidence that training workers AND MANAGERS (capitals added) to assess risk and report problems is effective in reducing manual handling injuries. There is strong (note!) evidence that ergonomic interventions adopting a multidimensional approach involving participation of workers AND MANAGERS (capitals added), the tailoring of training to suit the person and specific task requirements, along with equipment or task design/redesign, are effective in reducing manual handling. The emphasis in training should be on changing attitudes and behaviour and promoting risk awareness among workers AND MANAGERS (capitals added).' Even if the HSE do later publish another report about different interpretations of causality of musculo-skeletal problems, the above guidance is likely to be viewed by courts as authoritative if the HSE incorporate it in its own Guidance documents in the L or HSG series.
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#8 Posted : 27 February 2008 14:55:00(UTC)
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Posted By mike morland Ian I posted the same title on 2/2/08 and was kindly referred to the HSE MAC (Manual handling Assessment Chart) which can be down loaded from hse.gov.uk and is designed to assist risk assessments in preventing MSD but does not comprise a full RA as it only covers lifting, carrying and team handling operations. Coincidentally, yesterday, I attended a local HSE seminar on their 'Better Backs Campaign' where the MAC tool was explained using case studies. Additionally, talks from an egonomist on ULD's and the benefits of early intervention highlighted by a qualified physiotherapist all helped to support that whilst MH training is important it shouldn't necessarily be relied on as 'job done'. Regards
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#9 Posted : 27 February 2008 15:14:00(UTC)
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Posted By Jim Walker I find it unsurprising that people subsequently do not use the techniques they have been taught. I've witnessed too many MH courses delivered by the cliche in a tweed jacket showing you how to lift a box of photocopier paper off the floor and onto a desk and sprouting on about TILE. I always start MH training by saying I ain't going to be doing that as its not real life.
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#10 Posted : 27 February 2008 20:45:00(UTC)
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Posted By GeoffB4 But the techniques are still valid Jim, and can be applied to all lifting. LITE allows delegates to be fully involved and to come up with a comprehensive selection of issues which allows appropriate/inappropriate control measures to be discussed for a variety of lifting tasks, and especially those specific to the delegate activities. I think it is unreasonable to discount any method of getting the point across - if the style & presentation works. You talk disparagingly about the tweed jacket types - a sweeping generalisation intended for what purpose? To dismiss others ways of lecturing says more, in my opinion, about the person doing the criticising than the target.
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#11 Posted : 28 February 2008 08:50:00(UTC)
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Posted By Glyn Atkinson Does anyone else also preach the principle of employee responsibility and self assessment of the task PRIOR to attempting any lifts, and seeking use of any mechanical aid prior to busting a gut? When training, I also try to get a point across about the many ways that the body can be affected, both short and long term, from poor manual handling techniques. Usefully, I have a true story to relate during training of a local docks stevedore and how an accident affected his life for ever. After ignoring training and just trying to get on with the job, he injured his back and will never work again - seems to get the effects part of my training across quite well !
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#12 Posted : 28 February 2008 09:05:00(UTC)
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Posted By Robert K Lewis Further evidence for me that training, no matter how good, does not equate to competence. The conclusions of the report for me suggest that few organisations actually evaluate and monitor the implementation of training post course. It is a far reaching message and the quicker organisations learn to manage the competencies of their employees the sooner the lessons of training will be applied at work. The A66 incident with the mobile lighting unit and the overhead power cables also demonstrates this fact with the organisation's belief that having trained the people were competent to do the task. Bob
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#13 Posted : 28 February 2008 12:06:00(UTC)
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Posted By Ian_P Thanks to everyone for your informative replies. Got the information, links and reports I needed. Faith in the forums restored! Safety Radar now recalibrated! Cheers, Ian P
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