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Prevent these injuries..A 2d <2   3f3f___PPT10i.8:+D=' = @B +" (  %   xY0e0e?Rectangle 2p   YAbout this presentation  ~   xZ0e0e?Rectangle 3p  2By the end of this presentation, you ll be able to: Spot back injuries waiting to happen. Find ways to reduce these at-risk behaviors and prevent injury.44@ -f@ -4f @ @` 3f3f___PPT10i.+D=' = @B +"  0(  P   x\0e0e?Rectangle 2p   BBack injuries  a serious impact" " "J   x]0e0e?Rectangle 3pP b >6___PPT9 8One in five workplace injuries is a back injury. One in four workers comp claims involves a back injury.j@ nj j @` 3f3f___PPT10i.9P]+D=' = @B +" umPU(  5   ~_0e0e?Rectangle 1026p   c!Why is your back so injury-prone?" " "   ~0e0e?Rectangle 1027p b >6___PPT9 `The way it s structured. The way it s (mis)used.1@ n1 1 @` 3f3f___PPT10i.,w+D=' = @B +" }up](  >   x@0e0e?Rectangle 2p   r.Why do even good workers suffer back injuries?/ / /   x`0e0e?Rectangle 3p@b >6___PPT9 ]Haste. Unexpected situations. Lack of knowledge. Just working harder or faster than is safe. &^@ n]$ ^ @` 3f3f___PPT10i.W|+D=' = @B +" | d(   5   x`v0e0e?Rectangle 2p   i'The seven main causes of back injuries( ( (   x0e0e?Rectangle 3p`pf B:___PPT9 oLifting Carrying/holding loads Lowering/placing loads Moving loads on wheels or skids Twisting Reaching Fallingp@ op ph @` 3f3f___PPT10i.2+D=' = @B +"r aY$A(  $+ $  x0e0e?Rectangle 2p   _Back injury cause #1: Lifting   $  x0e0e?Rectangle 3p  Key mistakes that lead to lifting injuries include: Lifting manually when there s a machine that could do the job. Lifting an overly heavy load alone. Lifting when you have an existing back injury.24@ @ 4 @ @` 3f3f___PPT10i.,w+D=' = @B +"Z IA()(  (7 (  x`0e0e?Rectangle 2p   k)Back injury cause #1: Lifting (continued)* * * (  x 0e0e?Rectangle 3p  hMore lifting mistakes: Failing to prepare before you lift. Failing to wear the proper gear and clothing.2@ R@ R i@ @` 3f3f___PPT10i.;+D=' = @B +" ,(  ,7 ,  x0e0e?Rectangle 2p   k)Back injury cause #1: Lifting (continued)* * *  ,  ~`0e0e?Rectangle 6pp  ;Proper Lifting Technique: Stand close to the load, with feet shoulder-width apart and firmly on the floor. Bend at the hips and knees and squat close to the load. Keep your back straight. Grip the load firmly with your hands, not just your fingers. Bring the load close to your body, with your weight centered over your feet. Stand slowly with your back straight and let your legs push up. Focus on using the abdominal and leg muscles.<P P@ <  @` 3f3f___PPT10i.P0R-+D=' = @B +"c  RJ02(  0, 0  x0e0e?Rectangle 2p   `Back injury cause #2: Carrying   0  x0e0e?Rectangle 3pp  rKey mistakes that lead to injury when carrying: Failing to plan your route. Holding the load away from your body. <0@ C@ 0A s@ @` 3f3f___PPT10i.Qv+D=' = @B +" # ph04P(  4, 4  xb0e0e?Rectangle 2p@   `Back injury cause #3: Lowering   4  x b0e0e?Rectangle 3p  Key mistakes that lead to injury when lowering a load: Being in a hurry to dump the load. Trying to heave the load into place with a single motion. 27@ ^@ 7^ h@ @` 3f3f___PPT10i.`6X+D=' = @B +" -  P8(  8- 8  x@b0e0e?Rectangle 2p   aBack injury cause #4: Pulling  } 8  x`b0e0e?Rectangle 3ppz VN___PPT90( SA key mistake that leads to injury when moving loads on wheels or skids: Pulling instead of pushing. If you find yourself pulling, ask yourself what you need to avoid doing so.VI@ @ nL@ IL HM@` 3f3f___PPT10i.k+D=' = @B +"r  aYp<A(  <- <  xb0e0e?Rectangle 2p   aBack injury cause #5: Twisting    <  xb0e0e?Rectangle 3p  A key mistake that leads to injury when maneuvering the body: Twisting the torso instead of turning the entire body by moving the feet. 4>@ K@ >"K @ @` 3f3f___PPT10i.ȷ0 ;+D=' = @B +"  ~@f(  @, @  x b0e0e?Rectangle 2p   `Back injury cause #6: Reaching   @  x@b0e0e?Rectangle 3p@  .A key mistake that leads to injury when accessing tools or materials: Reaching for something when you could have moved your entire body toward it instead.FH@ U@ (FU @ @` 3f3f___PPT10i.g+D=' = @B +" Dp(  D3 D  x`b0e0e?Rectangle 2p   gBack injury cause #7: Falls   D  x@b0e0e?Rectangle 3p0  1Key mistakes that lead to injury from falling: Neglect of ladder or stairway precautions. Failure to check work areas for hazards. Not preplanning fall protection practices.8/P ZP Z/ @ @` 3f3f___PPT10i.ȷ0 ;+D=' = @B +"R A9H!(  H; H  xb0e0e?Rectangle 2p   o#Physical fitness and back injuries$ # $ H  x0e0e?Rectangle 3pb >6___PPT9 *Regular exercise  especially using the abdominal muscles  helps prevent back strains. Good posture avoids putting unnecessary pressure on the back.@ n   @` 3f3f___PPT10i.ȷ0 ;+D=' = @B +"I 80L(  L" L  x`b0e0e?Rectangle 2p   VRepeat back injuries   L  x`c0e0e?Rectangle 3p b >6___PPT9 <More than half of workers comp claims involving back injuries are due to re-injury. Workers with back injuries should be eased back into the swing of things.@ n  @` 3f3f___PPT10i.i +D=' = @B +" Pl(  P6 P  x@bc0e0e?Rectangle 2p   j(Being realistic about your back strength) ) ) P  x0e0e?Rectangle 3p b >6___PPT9 |Nobody is getting any younger. Other environmental factors can make you more vulnerable to back injury than you used to be. }@ n} } @` 3f3f___PPT10i. 73 +D=' = @B +", +#0T (  T0 T  xdc0e0e?Rectangle 2p   d"First aid for back injury victims# # # T  x`fc0e0e?Rectangle 3pb >6___PPT9  Assume a neck injury with any serious back injury. Wait for emergency personnel to arrive. Leave the patient in the position found. Move someone only if you think there is a clear and direct danger to their life. Call 911 and activate the in-house emergency team.4 @ n22  @` 3f3fy___PPT10Y+D=' = @B +" PX(  X X  xgc0e0e?Rectangle 2p   ISummary  } X  xhc0e0e?Rectangle 3pb >6___PPT9 kBack injuries are most often caused by lifting. Safety-proof your lifting through proper preparation and technique. Physical conditioning reduces the chance of back injury. Make back safety personal by speaking up about your own practices and those of others.@ n2  @` 3f3f___PPT10i.ȷab+D=' = @B +"    ` (  ` ` Nc?Rectangle 7_   n* C    `  r0e0e\?Rectangle 2    `  ~jc0e0e\?Rectangle 3    (zSupervisors: This presentation contains 20 slides. If you have, say, an hour to give it, you ll need to change slides every 3 minutes or so in order to get through the presentation and have time for questions. The slides contain six real-life stories of injuries due to poor back safety practices. If you want to relate these stories and the at-risk practices, you ll have to move more rapidly through some of the other slides. NOTE TO TRAINER: As instructors, we can have a tremendous impact on workers attitudes about safety. We can also help them develop an understanding of the language used in safety. We can redefine our organization s safety culture by the way we teach safety. We can also influence workers to take personal responsibility for safety. We can motivate them to always set the right example  to walk the safety talk. Business 21 s Safety Training Series strives to inspire everyone to take safety personally and act accordingly. l` 2 MU;   3380___PPT10.    d (  d d N jc?Rectangle 7_   n* C    d  r0e0e\?Rectangle 2    d  ~c0e0e\?Rectangle 3    *~Employees respond better when they understand not only what they re supposed to do, but also when, how, and especially why. Throughout the supervisor s notes accompanying this presentation, we ll provide you with anecdotes of experiences to make safety personal and inspire self-accountability for safety. Feel free to pause the presentation at any time to go into these real-life stories and reinforce your point. NOTE TO TRAINER: Take time to know your audience. Have class members share their names and give a personal story about safety. Do they know someone who suffers from back pain? What events contributed to this injury? Was it acute or chronic? Also, ask them what helps them listen and become involved with a safety training program. Some of the best lessons we instructors learn come when we listen to our students. j@@ (7<' @  3380___PPT10.0Oy  + # @h (  h h N c?Rectangle 7_   n* C    h  r0e0e\?Rectangle 2     h  ~@c0e0e\?Rectangle 3    NHundreds of thousands of workers every year suffer back injuries related to their employment. The Bureau of Labor Statistics reported 282,000 back injuries in 2004, but that was only in private industry. The figure also covers only cases where someone missed a day or more of work, and it doesn t include companies with 10 employees and fewer. So the overall injury total is certainly far higher. A reasonable estimate is that each year, one worker out of every 300 in the labor force can expect to miss days of work due to a back injury. And although back injuries reported by the BLS have been falling steadily for 15 years, the back is still the most frequently injured part of the body  by a long shot. In 2004, there were 32 back injuries for every 10,000 workers, compared with 12 finger injuries and 11 knee injuries. A back injury s impact is usually limited to nagging problems or disability. But because the spine is the body s main nerve pathway, a back injury can on occasion lead to paralysis or death.@    3380___PPT10.ND%Og "   `l (  l l Nc?Rectangle 7_   n* C    l  r0e0e\?Rectangle 2    l  ~c0e0e\?Rectangle 3    You may use high-powered machines at work, but don t forget the complex machine that runs from your tailbone to your head  your back. The back is just as delicate as it is complex. Your spine  which is what we usually mean when we talk about the back  consists of an intricate series of curves, at the neck, chest, and lower back levels. (Physiologists call these parts the cervical, thoracic, and lumbar/sacral spine, respectively.) Correct posture when carrying out the many activities you do at work  bending, twisting, lifting, etc.  helps keep these curves in their proper alignment. But if you do these things from the wrong position  as far too many workers do  you risk damaging the disks that make up the spinal column, or the muscles around it. Remember we said that most back injuries are caused by lifting. As it happens, wrong lifting technique and posture are hardest on the lower back. That s why four-fifths of lifting injuries involve that part of the back. P Z   3380___PPT10.`; G?p'(  p p N`c?Rectangle 7_   n* C    p  r0e0e\?Rectangle 2   0 p  ~ 1d0e0e\?Rectangle 3    jNobody wants to hurt his or her back. Most of us have had at least twinges in our backs, and we know how debilitating back pain can be. But even conscientious workers may experience back pain at work as a result of going about tasks too fast, encountering situations with hidden dangers, or not knowing how to go about a task in a back-safe way. NOTE TO TRAINER: This would be a particularly good time to have a member or members of the class tell how they or someone they know may have suffered a back injury in the past. The context here is  good workers, and people may be more open about sharing such stories in that context.<w@ Z  w  3380___PPT10.p!= t(  t t N2d?Rectangle 7_   n* C    t  r0e0e\?Rectangle 2    t  ~ 4d0e0e\?Rectangle 3    lWhile workers hurt their backs in a number of ways, lifting is by far the most common. According to the BLS, 173,400 of the 282,000 back injuries in 2004 were caused by overexertion while lifting. That s about 62%. Other estimates blame lifting for three-quarters of all back injuries at work. Whatever the exact figure, it s clear how important it is for workers to learn to lift properly  and to know when they shouldn t lift at all.@    3380___PPT10.` 7 =5x(  x x N :d?Rectangle 7_   n* C    x  r0e0e\?Rectangle 2   & x  ~1d0e0e\?Rectangle 3 p   ` Z The best way to avoid injuring your back in a lift is& don t lift! We re serious. You may be called upon to transport a load that you can t lift safely by yourself. Don t be a hero! Heroes end up wounded, and you aren t doing anybody any good then. You can use one of two simple tests to determine whether a load is too heavy for manual handling by one person: Lift one corner slightly to test the weight. Use the  big toe test  if you can t easily move an item by pushing it with your toe, get help. Help can be either a co-worker or a material handling aid like a hand truck, dolly, or forklift. A safety technique that some companies use is to have each worker choose a  lifting buddy of about the same height. Pairing off with a co-worker of the same height means the weight will be more evenly distributed  which means less chance of the load shifting and hurting somebody. Now let s look at what can happen when a worker tries to lift a load that s too heavy or unwieldy. REAL-LIFE EXAMPLE Bill was a temporary worker hired to help a company move to a new office. As he lifted a desk from the moving van, it slipped  he wasn t wearing gloves  and fell on him. Bill went sprawling, wrenching his back. The low back injury he suffered kept him out of work for two months. What did Bill do wrong? Correct answer: This was a case where Bill needed help. The desk was both heavy and awkward. Instead of asking for assistance from one of his co-workers, Bill went it alone. And that was a mistake. (Charles v. Opti Staffing Group, Alaska Workers Compensation Board) j P P4 P         $    .  3380___PPT10.`{ :   | (  | | N6d?Rectangle 7_   n* C    |  r0e0e\?Rectangle 2    |  ~7d0e0e\?Rectangle 3    If you ve determined it s safe to lift a load by yourself, make sure you re ready. This means doing a little stretching and bending to get your muscles and tendons loose, especially if the task falls early in the day/shift. (More work-related injuries happen in the morning than in the afternoon, and muscle strains are one reason.) NOTE TO TRAINER: Ask the class if anyone makes the time to exercise. Besides stretching, everyone needs to strengthen the flexor muscles. Flexor muscles involved in lifting include the hamstring muscles and the abdominals. These muscles are not as strong unless you do exercises to develop them. Another essential piece of preparation is wearing the right clothing. Wear sturdy shoes with nonskid soles, put on gloves to provide grip, and don t get caught in clothing you could trip over  baggy jeans and the like.2V@ N V  3380___PPT10.6@  (    N@5d?Rectangle 7_   n* C      r0e0e\?Rectangle 2       ~`  Using proper technique when lifting can greatly reduce the chances of injury. But even proper lifting technique is not perfect if the load is too heavy. If at any stage of the lift your back begins to strain or hurt, lower the load the same way you lifted it, and get help. NOTE TO TRAINER: Using a light empty box, demonstrate what you should NOT do when lifting (i.e. bending at the hips, reaching, twisting, etc.). Then have a member of the class demonstrate proper lifting technique. Here s what can happen when you don t use the proper lifting techniques. REAL-LIFE EXAMPLE: Evelyn was a housekeeper at a luxury hotel. During one shift she had to clean a room where the previous guests had spilled champagne all over the mattress. Knowing the mattress would have to be cleaned, Evelyn grabbed it. Although she knew the right way to lift a mattress, this time she was in a hurry and she didn t bend at the knees as she lifted. Instead she wrestled it off the bed while bending at the waist. As soon as she had the mattress off the bed and resting against the wall, Evelyn knew she d made a mistake. Her back was killing her. She ended up missing six months of work. What did Evelyn do wrong? Correct answer: Evelyn lifted with her back, not her legs. (Kiker v. Sheraton Colorado Springs Hotel, Colorado Industrial Claim Appeals Office)|A@     Q   . * *  A  3380___PPT10.TPM !    (    N=d?Rectangle 7_   n* C      r0e0e\?Rectangle 2      ~Q0e0e\?Rectangle 3    It s no good to execute an ergonomically perfect lift if afterwards you hurt your back while carrying the load. The first thing you can do to avoid this happens before you start the lift  that is, planning your route. Make sure the path you intend to take to the load s destination is unobstructed, and will remain so. If necessary, warn co-workers ahead of time that you ll be coming through. Check underfoot for loose objects or debris that could cause you to slip while carrying. As you carry, keep the load waist high and close to your body  don t lift it to your shoulders like Atlas  and make sure you have a good grip. Make sure, too, that you can see where you re going. If the load is so big that you can t, carefully put it down and reassess the situation. Walk steadily but slowly, and stoop along the way to rest if you need to.M@ M M  3380___PPT10.AP; @(    Nc?Rectangle 7_   n* C      r0e0e\?Rectangle 2      ~S0e0e\?Rectangle 3 0   When you reach your destination, you need to finish what you started safely. This means lowering the load slowly with your knees bent, the reverse of your original lift. If you re putting the load on a shelf or other elevated surface, don t try to heave it into place with one motion. Overextending your back while doing so can cause an injury. Instead, put the load down on the edge of the unloading surface, and slide it back to where it should be.P P2   3380___PPT10.=9 e]`E(    NY?Rectangle 7_   n* C      r0e0e\?Rectangle 2   N   ~@X0e0e\?Rectangle 3 0   If you re moving something on a hand truck, cart, dolly, or wheeled bin, push the load, don t pull it. Pushing puts less strain on the back. If you find yourself having to pull a heavy load, stop and ask why. Should you go get a cart, or a helper? In the following case, the worker didn t do either. REAL-LIFE EXAMPLE #1 Annie was a janitorial/maintenance person at a college. When moving trash cans, she had access to a cart on which she would place up to six of the big cans, then roll them to a dumpster. One day she was surprised to see three large plastic bags of trash sitting in the corner of the gym. This chore wasn t on her to-do list for the day. Turned out one of the college departments had had a party the previous evening and had generated all this debris. Not having her cart nearby, Annie decided to move the bags by herself. She dragged them one by one out of the gym and out back to the dumpster, then went on with her other tasks. The next day, Annie woke up with such a sore back she needed help getting out of bed. When Annie got to the doctor, she was diagnosed with a herniated spinal disk. The cause? Dragging the heavy trash bags. The result? Annie was unable to work for more than 18 months, and the college s workers comp policy was on the hook for more than $40,000 in disability benefits. What did Annie do wrong? Correct answer: Simple. She didn t take the time to go get her cart, which she always pushed. Instead, she pulled the trash bags and injured her back. (Davis v. Drake University, Iowa Workers Compensation Commissioner) Let s look at another example. In this case, the worker used a wheeled conveyance, but improperly. REAL-LIFE EXAMPLE #2 Marshall worked for a manufacturer of home appliances. One of his duties was to move parts around the factory to the points where they would be assembled into finished units. As he pushed a rack of clothes washer doors across the factory floor, the rack kept jerking to a stop. It looked to Marshall as if one of the wheels wasn t turning properly  maybe it needed lubrication. Marshall didn t have time to go looking for an oil can, so he went around to the other end of the rack and started pulling it. A few hours later, his back started to hurt, and he ended up with a herniated disk. The pain got so bad that Marshall was no longer able to do his job, and was permanently disabled. What did Marshall do wrong? Correct answer: He should have had somebody look at the rack before he continued. The right solution was definitely not to pull instead of push it. (Nelson v. Electrolux Home Products, Iowa Workers Compensation Commissioner) J  P,$* J   3380___PPT10.S1 (    N@[?Rectangle 7_   n* C      r0e0e\?Rectangle 2       ~U0e0e\?Rectangle 3 0   B Earlier, we talked about the mechanism of the spine and how its series of curves can be disrupted by certain movements. Twisting is one of those movements. Most of us have developed the habit of twisting our upper body when we want to access something off to the side, rather than turning the whole body. You may be able to get away with twisting when you re not burdened  it s never a great idea, though  when you re carrying a load you should never, never twist. Instead, get in the habit of moving your feet so that your entire body turns. Here s what can happen when you twist rather than turn. REAL-LIFE EXAMPLE Shelley delivered parts to the customers of an electric supply house. She would have to unload items weighing upwards of 50 pounds, as many as 20-25 times a day. On one delivery, Shelley was hefting a 75-pound transformer out of the back of her truck, and twisted her torso to put it down on the ground. A flash of pain seared through her back as she did so. It turned out that Shelley had both pulled muscles and aggravated a spinal condition she d had since age 16. The injury put her on the shelf for almost two years, and her employer was socked with a hefty workers comp bill. What did Shelley do wrong? Correct answer: She should have turned her body to put the transformer down. Instead, she twisted her upper body, damaging her spine. (Smith v. O Reilly Automotive, Arkansas Division of Workers Compensation) r@ Z  G   y  +     3380___PPT10. 4?> (    N W?Rectangle 7_   n* C      r0e0e\?Rectangle 2      ~Z0e0e\?Rectangle 3    This point applies not only to lifting, but also to workplace ergonomics in general. Extending the upper body while reaching for distant items, especially when done habitually over a long period, can harm the back. Sometimes the harm is gradual, and is noticed only with a  straw that breaks the camel s back  a big stretch that ends in a twinge. Work stations should be arranged so that anything that s needed is within easy reach. If items can t be placed in easy reach, get in the habit of moving your entire body to get them, not just your upper body and/or arms and hands.F@ (F F  3380___PPT10.Pu5 A9!(    N?Rectangle 7_   n* C      r0e0e\?Rectangle 2   *   ~V0e0e\?Rectangle 3     d  Falls are a subject unto themselves that should be covered in a separate training session. But we d be remiss if we didn t talk about falls briefly here as a major cause of back injuries. A fall on the back or buttocks can jar the spine and injure the vertebrae or the disks. And a fall is often accompanied by an uncontrolled twisting movement, which can wrench the back. Let s repeat here some of the keys to avoiding falls in the workplace: Mop up leaks and spills promptly. Keep walkways clear of stray objects. Report and/or fix damaged flooring. Mark and/or block floor openings like pits, manholes and ladderways. Fix burned-out or inadequate lighting. Use fall protection when climbing on equipment. Here s an account of a fall that had harsh consequences for the victim s back. REAL-LIFE EXAMPLE Mark operated heavy equipment for the county road department. One afternoon, he drove a truck to the quarry to load up on gravel. Before putting gravel into the bed, he climbed up on the back of the truck to make sure it was empty. As he climbed, he lost his grip and fell back about four feet to the ground. He landed on his feet, but the unexpected jarring  he didn t have time to brace himself before hitting the ground  injured his lower back. He needed surgery and had to do light duty once he was able to return to work, months later. What did Mark do wrong? Correct answer: He should have checked the truck bed before getting to the quarry, preferably someplace where he could get up above the bed without a risky climb. (Blaisdell v. Linn County, Iowa Workers Compensation Commissioner)  P P P  "     *  P  3380___PPT10. 43 WO7(    N^?Rectangle 7_   n* C      r0e0e\?Rectangle 2   @    ~0e0e\?Rectangle 3 @   z  Physically fit employees suffer fewer on-the-job injuries. This is true across the board, but nowhere more than for back injuries. You don t have to be an Olympic athlete to maintain a decent level of fitness. Walking, swimming or cycling are three types of exercise that help strengthen both the abdominal muscles  a sagging abdomen pulls on the spine  and those of the back itself. Flexor muscles, which include the hamstring and abdominal muscles, need to be focused on. By strengthening these areas people can perform their work safely. In addition to regular off-the-job exercise, it s a good idea to start the working day with a set of warm-up exercises, especially if your job includes any manual tasks. Moderate exercises like jumping jacks and stretches will prepare the body for physically demanding work, and make back strains less likely. Posture is another important point in avoiding back injury. A permanently slumped posture puts unnecessary strain on those delicate curves in the spine. To improve posture, imagine that you re being lifted by your head as you sit, stand, or walk. NOTE TO TRAINER: This would be a good time to have a fitness instructor demonstrate back-strengthening exercises. An actual physical demonstration will add to the impact of your discussion. It can also be valuable to have a chiropractor come in to speak on exercise in relation to the spine.Pu@ Q     f  u  3380___PPT10. 4I (    N ?Rectangle 7_   n* C      r0e0e\?Rectangle 2      ~0e0e\?Rectangle 3    vOnce the back has been injured, it s vulnerable to re-injury. That s why when workers return from a back injury, they need to be careful. Here are some of the things workers can do: Alternate sitting and standing positions often, if possible. Modify approaches to routine tasks. An example would be rearranging the workstation so the worker doesn t have to reach or twist. Take short, frequent breaks to give muscles time to rest. If the returning worker isn t up to working a full shift right away, supervisors can consider letting him or her work part-time at first.4@ @ @ < <  3380___PPT10..;q?  (    N ?Rectangle 7_   n* C      r0e0e\?Rectangle 2      ~0e0e\?Rectangle 3 @   Workers who do manual tasks should be encouraged to reassess their physical abilities from time to time. Many developments can make a worker vulnerable to back injury who previously wasn t. Among them: Aging Weight gain Illness Injuries to other body parts, especially the legs. NOTE TO TRAINER: This is a good time to ask individual class members for accounts of how such factors as age, weight, or injury have changed the way they approach lifting or carrying. Also consider asking workers who have suffered back injuries what strategies they use to avoid repeat injury.P@ Q@ '@  B  3380___PPT10.`8   @y (    N?Rectangle 7_   n* C      r0e0e\?Rectangle 2       ~0e0e\?Rectangle 3 @   4 If you re around when a coworker injures their neck or back, bear in mind the consequences of a back injury. Any significant force affecting the head, neck or back has the potential to injure the spine. Injury to the spinal cord can result in serious, even life-threatening conditions such as paralysis or interrupted breathing. Call 911 and implement your emergency plan. The qualified staff member can assist in care to include first aid, stabilization and basic life support until helps arrives. Unless you are trained leave the patient in the position found. Unless you think it is absolutely necessary, avoid moving an ill or injured patient. In a life-or-death situation where you absolutely must move the person, drag him by his clothing onto a blanket. Then pull the blanket to a safe place. If no blanket, sheet, pad or other item is available, resort to an  extreme drag, where you pull the patient to safety by grasping his forearms. Take time to discuss a plan of action. Again, we could hurt someone for the rest of their life. Take personal responsibility to be aware of your company s life safety plan. NOTE TO TRAINER: All personnel should be updated on the latest CPR/First Aid skills. Review the company s emergency plan and identify the trained in-house response team. FK Z$ Z Zo   3380___PPT10. q" B:`"(    N?Rectangle 7_   n* C      r0e0e\?Rectangle 2   +   ~`0e0e\?Rectangle 3    eFew back injuries are fatal. But most back injuries are nagging ones that can last for months, years, or even a lifetime. Avoid these debilitating injuries by staying in physical shape, avoiding manual lifting where possible, using proper lifting technique and watching out for other causes of back injury like twisting, reaching, pulling and falls. NOTE TO TRAINER: You may want to end with a discussion of appropriate ways of making back safety personal. How can each worker set a good example for his or her colleagues? How can each worker tactfully and effectively remind colleagues who may not be using proper lifting techniques? We all need to be comfortable to accept feedback. We can all make a difference by actively caring about each other. 2@ _   3380___PPT10.)Vri]*UqE!޾Iob;Fb !S*|1ABLg[elGW6!h-Oh+'0 hp  Slide 1Louis GreensteinProfile Sue Kerns512Microsoft PowerPoint@P] @x`+@4+݈DGg  pp  pA 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   1On-screen Show (4:3)J VerdanaArial WingdingsFranklin Gothic Demi WebdingsProfile 1_Profile Back SafetyAbout this presentation"Back injuries a serious impact"Why is your back so injury-prone?/Why do even good workers suffer back injuries?(The seven main causes of back injuriesBack injury cause #1: Lifting*Back injury cause #1: Lifting (continued)*Back injury cause #1: Lifting (continued)Back injury cause #2: CarryingBack injury cause #3: LoweringBack injury cause #4: Pulling Back injury cause #5: TwistingBack injury cause #6: ReachingBack injury cause #7: Falls$Physical fitness and back injuriesRepeat back injuries)Being realistic about your back strength#First aid for back injury victimsSummary  Fonts UsedTheme Slide Titles!_ Sue KernsSue Kerns  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      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