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Hi All, I am currently setting up a manual handlling working group and have done the NEBOSH Manual Handling Risk Assessment course, and have been a heavy user of the MAC, RAPP and ART tools, but having started to read (in greater detail) ISO 11228 (parts 1, 2 and 3) I am faced with the NIOSH Liftng Equation. I am aware that NIOSH is the US equivalent of IOSH, but cannot find any equivalent formula that is obviously published by IOSH.
Does anyone else based in the UK use the NIOSH formula in/alonsgide their assessments or are you solely relying on the MAC, RAPP and ART tools etc? Thank you in advance for any response.
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Rank: Super forum user
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Unless you have US based operations why are you bothering with any NIOSH publication? Published calculations fail to include every variable aspect that is the person conducting the task at the time. Even where the US insurers have published tables for manual handling they work on presumption of humans being something they are not equal in stature, strength and stamina.
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 4 users thanked Roundtuit for this useful post.
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Rank: Super forum user
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Unless you have US based operations why are you bothering with any NIOSH publication? Published calculations fail to include every variable aspect that is the person conducting the task at the time. Even where the US insurers have published tables for manual handling they work on presumption of humans being something they are not equal in stature, strength and stamina.
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 4 users thanked Roundtuit for this useful post.
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Rank: New forum user
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Originally Posted by: Roundtuit  Unless you have US based operations why are you bothering with any NIOSH publication? Published calculations fail to include every variable aspect that is the person conducting the task at the time. Even where the US insurers have published tables for manual handling they work on presumption of humans being something they are not equal in stature, strength and stamina.
Hi Roundtuit, thanks for your response. Im not using it at this stage. It is only that I have come across it whilst loooking at ISO 11228-1,2 & 3 and wondered if anyone was using it or has any equivalent calculations from IOSH.
Since the OP was made, I have found details of a historic contact at the HSE in Egonomics/Manual handling and reached out to them. They have confirmed pretty much what you sais about whether I have USA based operations - which I dont. So I wont be using it at all. They have also confirmed that the HSE occasionaly check their MAC, RAPP an ART tools against the NIOSH equation for efficacy and found that their tools are as useful, if not more so.
thank you agaiin though, for responding
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Rank: Super forum user
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mmm...yes lots of us do use them but in a more tier approach. Used commonly by - Occupational hygienists
- Ergonomists (especially those with CIEHF memberships)
- Consultants doing more detailed MH assessments
- Those working in logistics, warehousing, manufacturing
- Companies with US ownership or global EHS systems
Why it is acceptable in the UK Because MHOR 1992 is goal-based, not prescriptive. HSE explicitly states that organisations may use any competent method, provided: - It is valid, reliable, and evidence-based
- It is applied by someone with competence
- The risks are suitably and sufficiently assessed
The NIOSH equation is academically solid, highly validated, and widely used internationally, so it meets this test. The limitations to be aware of are: - It is designed for two-handed lifts only
- Does not apply to one-handed, seated, pushing/pulling, carrying, or high-frequency twisting tasks
- Does not factor all psychosocial issues
- Does not automatically satisfy HSE if used alone
I myself use a tier approach: Tier 1 (Screening) - MAC / ART / RAPP
- TILE(O)
- HSE checklists
Tier 2 (Technical Analysis) When screening flags amber/red or borderline: - NIOSH Lifting Equation (two-handed lifting only)
- Snook & Ciriello / Liberty Mutual tables
- ISO 11228-1/-2/-3 calculations
Tier 3 (Complex/High-Risk Cases) - Biomechanical modelling
- Occupational health or physiotherapy review
- Ergonomist-led on-site task redesign
This is completely normal and defensible if challenged by HSE... HSE don't oppose NIOSH it just isn't thier first port of call, hence my tiered approach.
I hope this helps...
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 2 users thanked stevedm for this useful post.
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Originally Posted by: stevedm  - Those working in logistics, warehousing, manufacturing
Thanks Stevedm, we are in this arena. For the most part, all work is covered appropriatley by MAC tools, and occasioanlly we need RAPP, but ART is not really needed many tims.
I already have a tiered approach in and works well for the most part. But we still get the odd gripe from someone who just doesnt want to shift boxes for a living anymore despite being there for several years already. Cheers
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Rank: Super forum user
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Hi gkw Nothing to add on the technicalities but I think that it is important to realise that trying to compare NIOSH with IOSH is not really appropriate. To quote from the CDC website: The National Institute for Occupational Safety and Health (NIOSH) is the federal institute responsible for conducting research and making recommendations for the prevention of work-related injury and illness. NIOSH is part of the Centers for Disease Control and Prevention (CDC), in the Department of Health and Human Services (DHHS).
So, NIOSH is a federal body with some clout. In contrast, the "objects" set out in IOSH's Royal Charter indicate that its role is primarily that of a body representing OSH professionals. So, whilst IOSH might publish some guidance, anything that it does publish does not have much in the way of "authority" whereas for those working in places where e.g. OSHA Regulations set the benchmark, then what NIOSH has to say needs to be listened to.
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Rank: Super forum user
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NIOSH also set technical standards in the USA for health and safety equipment such as respirators. Nothing at all like IOSH which has no role in technical guidance or standards at all.
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 2 users thanked Kate for this useful post.
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Originally Posted by: Kate  NIOSH also set technical standards in the USA for health and safety equipment such as respirators. Nothing at all like IOSH which has no role in technical guidance or standards at all.
maybe IOSH should be?..
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Rank: Super forum user
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Morning Steve IOSH does not have the competencies in sufficient quantity to take on such a role. IOSH would need to fundamentally restructure to change the balance of its staffing from sales and marketing towards technical competence. Acccording to the latest IOSH Annual Report 239 staff (230 full time equivalents) on 31 March 2025. Of those I doubt even 10 could be counted as OSH professionals. Which means that unless they are going to contract out producing such authoritative guidance and be competing with those who might be producing similar for clients, then I can't see how they would resource such work. AND even if they were to do this, would they have enough internal resource to verify the adequacy of the materials produced? As example of how IOSH doesn't have the competence it has recently removed a claim that had been on a banner headline on the home page stating that 2,000 workers a day die as a result from "falls from height". Having questioned this number it appears that this claim wss based on a WHO fact sheet published in 2021 indicating that 684,000 people a year (so just under 1,900 a day) die from "falls". That this number was clearly not for workers was made clear in the WHO document which highlights that two of the most at-risk groups are the over 60s and CHILDREN. Many of these deaths will be from falls which are not "from height". Old people stumble, fall over and die, so do children. Unfortunate but it's been a risk of life for millennia. So, if they can't do fairly simple analysis of authoritative statistics would you trust them to take on a role similar to that done by NIOSH in the US?
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The nearest thing to NIOSH in the Uk is probably HSE laboratory at Buxton but that is a much smaller operation and subordinate to the HSE. NIOSH has an independent standing, and is separate from the enforcing body OHSA. The nearest thing to IOSH in the US is the American Society of Safety Professionals.
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