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MSD prevention: Let’s go back to basics
Presenters: Tammy Roberts (Principal Advisor Ergonomics)Alison Morris (Senior Advisor – IPaM)
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MSDs:What?Why?
Causes?
The
approach:
How to get
started?
The bigger
picture.
What else
is at play?
IPaM case
study: A
practical
approach
Resources
Today’s Session
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What are musculoskeletal disorders (MSDs)?
Injury to, or disease of the musculoskeletal system including muscles,
nerves, tendons, ligaments, joints, cartilage, or spinal discs.
Can occur suddenly, or over time.
Commonly known as sprains and strains.
(Work Health and Safety Regulation 2011, Schedule 19)
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Why focus on MSDs?
30% MSD reduction by 2022 (Australian WHS Strategy 2012-22)
MSDs = more than half of all serious claims in Queensland.
Workers compensation data: HMTs and slips trips and falls.
Improved productivity and business benefit.
MSDs can be complex.
Evidence base: mental stress and chronic disease risks.
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What does the legislation say?
PCBU must manage the risk of MSDs arising from Hazardous Manual Tasks. (WHS Reg Section 60)
Risk management must be applied. (WHS Reg Section 34-38)
Consult your workers. (WHS Act Section 47-48).
Refer to, and follow the Codes of Practice.
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Musculoskeletal disorder risk factors
MSDs
Mental
stress
Individual
factors
Physical
factors
at work
• Slips, trips and falls
• Hazardous Manual Tasks
• Work demands
• Poor support
• Low control
• Modifiable chronic
disease risk factors
• Age and gender
• Anthropometrics
Examples
Examples
Examples
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Main sources of the physical risks
Work area design and layout:
Plant, machinery, access, fittings, displays
Nature, size, weight and number of things handled:
Shape, slipperiness, unstable nature, tools used i.e. knives, saws, loads handled
Systems of work:
Pace of work, skill mix of the work team, resources to do the jobs
Environment:
Temperature, floor surfaces, lighting
(Hazardous manual tasks Code of Practice 2011)
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How do I get started?
Consult and engage
Data records and trends
Workplace observations
Risk assessment
Control risks
Ongoing review
1
2
3
4
5
6
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What is IPaM?
• Joint program between WHSQ and WorkCover Qld
• Over 1,000 Qld employers
• On-site assistance
• Hazards, safety and injury management systems, and safety climate assessment
• Targeted business improvement plan and ongoing support
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Typical approach taken in IPaM
Consult and engage
Data records and trends
Workplace observations
Risk assessment
Control risks
Ongoing review
1
2
3
4
5
6
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Health care and social assistance industry case study: IPaM program
Assisted 126 Employers in this industry to date.
Private hospitals, aged care, community care, not for profit organisations.
Strong focus on MSDs
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Case study example
• Residential care < 100 residents, 130 staff
• Nursing staff, allied health, kitchen, cleaners, maintenance laundry, administration staff.
• Average age is 52
• 90% female workforce
• High number of workers compensation claims – mostly MSDs (shoulder, back and knee)
• Increased absenteeism in previous 12 month
Initial consultation and data review
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Data gathering and workplace observations
Phase 2
A day in the life activity
Hazard assessment
Review of WHS systems
Focus groups/ worker survey
Physical, psychosocial and chronic disease
risk factors
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Risk assessment tools
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Sources of risk
Phase 2
Work, and systems of work
•Reaching and bending
•Handle bulk product and kitchen equipment
•Repetitive tasks
• Limited social contact
• Limited task rotation
•Unpredictable resident behaviour
•Poor maintenance
Physical work environment
•Access paths
• Floor surface
•Equipment
• Storage racking
•Bench heights
•Temperature
Worker
•Health risk factors
•Ageing
• Smoking
• Fitness levels
• Stress
•Work related
• Financial
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Approach to choosing risk controls
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Choosing the right controls
Phase 2
Work, and systems of work
• Systems controls
• KPIs
• Communication and consultation
• Work organisation
• Task rotation and increased social contact
• Training
Physical work environment
• Work area design
• Improved use of racking for bulk items
• Ventilation and fans
• Adjustable height trolley
• Repairs to damaged floor surface
• Equipment
Worker
• Health
• Kitchen facilities
• Smoke free workplace policy and quit support
• Incentive programs
• EAP program
• Superannuation and financial planning sessions
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Resources
www.worksafe.qld.gov.au
• E-Tools: PErforM and ManTRA (Hazardous Manual Tasks), Return on Investment, Heat Stress,
Noise
• Risk assessment tools
• Legislation including Code of Practice
• Principles of Good Work Design Handbook (Safe Work Australia)
• Injury Prevention and Management program
• Workplace Health Planning guide
• People at Work project and Work-related stress tip sheets
Call us on: 1300 362 128
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IPaM information