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Manual Handling Manual Handling Operations Regulations 1992 ...

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Health and Safety<br />

Executive<br />

Guidance<br />

Employees especially at risk<br />

202 Particular consideration should be given to employees who:<br />

(a)<br />

(b)<br />

(c)<br />

(d)<br />

are or have recently been pregnant; or<br />

are known to have a history of back, knee or hip trouble, hernia or other<br />

health problems which could affect their manual handling capability; or<br />

have previously had a manual handling injury; or<br />

are young workers.<br />

203 Clearly an individual’s state of health, fitness and strength can significantly<br />

affect their ability to perform a task safely. But even though these characteristics<br />

vary enormously, studies have not shown any close correlation between any of<br />

them and injury incidence. There is, therefore, insufficient evidence for reliable<br />

selection of individuals for safe manual handling on the basis of such criteria. It is<br />

recognised, however, that there is often a degree of self-selection for work that is<br />

physically demanding.<br />

204 It is also recognised that motivation and self-confidence in the ability to handle<br />

loads are important factors in reducing the risk of injury. These are linked with<br />

fitness and familiarity. Unaccustomed exertion – whether in a new task or on return<br />

from holiday or sickness absence – can carry a significant risk of injury and requires<br />

particular care.<br />

205 Allowance should be made for pregnancy where the employer could<br />

reasonably be expected to be aware of it, ie where the pregnancy is visibly<br />

apparent or the employee has informed her employer that she is pregnant. <strong>Manual</strong><br />

handling has significant implications for the health of the pregnant worker (and<br />

the foetus), particularly if combined with long periods of standing and/or walking.<br />

Hormonal changes during pregnancy can affect the ligaments and joints increasing<br />

the risk of injury during the last three months. As pregnancy progresses it also<br />

becomes more difficult to achieve and maintain good postures and this further<br />

reduces manual handling capability. Particular care should also be taken for women<br />

who may handle loads during the three months following a return to work after<br />

childbirth (further advice is contained in HSG122 New and expectant mothers at<br />

work).<br />

206 When an employee informs her employer that she is pregnant, the risks<br />

to the health and safety of the worker and her unborn child must be assessed<br />

in accordance with the duties under the Management <strong>Regulations</strong>. A useful<br />

way to ensure compliance and make certain that workers can continue to work<br />

safely during pregnancy is to have a well-defined plan on how to respond when<br />

pregnancy is confirmed. Such a plan may include:<br />

4(3)(e)<br />

(a)<br />

(b)<br />

(c)<br />

(d)<br />

(e)<br />

re-assessment of the handling task (positioning of the load and feet, frequency<br />

of lifting) to consider what improvements might be made;<br />

training in recognising ways in which the work may be altered to help with<br />

changes in posture and physical capability, including the timing and frequency<br />

of rest periods;<br />

consideration of job-sharing, relocation or suspension on full pay where the<br />

risk cannot be reduced by a change to the working conditions;<br />

liaison with the GP to confirm that the pregnant worker is capable of<br />

performing work duties; and<br />

careful monitoring of the employees returning to work following childbirth to<br />

assess the need for changes to work organisation.<br />

<strong>Manual</strong> handling Page 47 of 90

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