Health Safety Richard Sharman Jan10

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Health Safety Richard Sharman Jan10 Powered By Docstoc
					                NHS Cambridgeshire
               Health & Safety Training

         Richard Sharman CMIOSH
         (ASP Safety Manager)
         To provide health and safety training
         to all staff to comply with legal and
         Department of Health requirements
Jan 10                                           1
         • Why health and safety is important
         • Legal obligation of all staff
         • Accident, and incident reporting
         • Occupational Health
         • Back care inc. moving and handling,
         computer work stations and slips and trips
         • Any questions

Jan 10                                                2
Why take Health and Safety seriously?

         • Legal
         • Moral

         • Financial
Jan 10                              3
         • Health and Safety at Work etc Act 1974
         • Management of Health & Safety at Work Regulations 1999

     Moral     - Duty of care to neighbours
     You are expected to take reasonable care to avoid acts
     or omissions which are likely to injure your neighbour

         • Positive: - less accidents / ill health less associated costs
         • Negative:- cost of lost time, claims, fines

Jan 10                                                                     4
     Employer Responsibilities
         • Ensure health and safety of staff, patients, visitors
           and anyone else.
         • Consult with staff and/or representatives on health
           and safety risks and measures to reduce risk
         • Provide information, instruction, training and
         • Safe plant and machinery and safe systems of
         • Provide adequate welfare facilities

Jan 10
         Ref. Health and Safety at Work etc Act 1974               5
         Employee legal duties

         • Take reasonable care for your own health and safety
         and that of others who may be affected
         • Co-operate with your employer on health & safety.
         • Correctly use work items provided by your employer,
         in accordance with training and instruction.
         • Not interfering with or misusing anything provided for
         your health, safety and welfare.

         Ref. Health and Safety at Work etc Act 1974
Jan 10                                                              6
         Health & Safety Policy
         • Legal requirement

         • Details the responsibilities and arrangements with
         regard to Health & Safety

         Risk assessments
         • Legal requirement for the employer to ensure
         risk assessments are undertaken
         • A careful examination of what could cause harm to
         people and considering what you can put in place to
         prevent it happening.
Jan 10                                                          7
         Accident and Incident Reporting

         • Legal requirement – RIDDOR 1995
         • Incidents recorded on on-line DATIX system
         • All staff have a responsibility to report
         • Trend analysis reduces future loss.

Jan 10                                                  8
         First Aid
         • Trained first aiders

         • First aid kits in kitchens

         • All accidents must be recorded on an
         incident form

Jan 10                                            9
         Occupational Health looks at the:

          Impact of work on Health of the individual

          Impact of Health of the individual on their
           ability to work

Jan 10                                                   10
            This is achieved through
          Pre-employment Health assessment
          Post employment Health plan
          Health surveillance/Health screening
          Sickness absence management and
          Manager/self referral
          Access confidential counselling service
          Comprehensive immunisation programme
          Policy and legislation advice
Jan 10                                               11
         Moving and Handling Training
          and Back Care Awareness

             Training for all staff

            • Static Load Handlers
               • Computer User

Jan 10                                  12
             What is manual handling?

    ‘Any transporting or supporting of a load (including the
    lifting, putting down, pushing, pulling, carrying or
    moving thereof) by hand or by bodily force’.

•   HSE Definition 2008,

Jan 10                                                    13
         Musculoskeletal Disorders
         • A group of painful disorders that affect muscles,
           joints, ligaments, tendons and nerves.

         It would include:
         • Repetitive strain injuries
         • Overstrain injuries
         • Tendonitis
         • Neck and Back pain

Jan 10                                                         14
                        Back Pain
         • Back pain is a symptom of stress or damage
         • Acute episodes of back pain although
           unpleasant usually get better quickly
         • Four out of every five adults will experience
           back pain at some stage in their life.
         • It affects both sexes and all ages from
           children to elderly people

Jan 10                                                     15
                     The Facts
     • 1 million people in Great Britain are affected by
       musculoskeletal disorders a year

     • Cost to society of £5.7 Billion

     • In Health Services manual handling injuries
       account for 40% of absence from work

     • Over 5000 manual handling injuries reported
       each year which occur in Health Services

Jan 10                                                     16
                   Human Cost
• Pain and suffering

• Medication & Therapy costs

• Decrease in earnings

• Restrictions on normal daily routines

• Effect on family and friends

Jan 10                                    17
         What can contribute?
         •   Improper lifting
         •   Sudden, strenuous physical effort
         •   Accident, sports injury or fall
         •   Sleeping position and/or pillow
         •   Bending forward too long
         •   Carrying heavy objects
         •   Stress and muscle tension
         •   Lack of muscle tone
         •   Weight
Jan 10                                           18
         24 Hour Awareness – Watch
                 Your Back!

Jan 10                               19
•     Sit with bottom close to backrest.
•     Lumbar support properly adjusted.
•     Shoulders close to backrest.
•     Adjust seat height to highest comfortable position.

• Adjust seat tilt so that you can easily press pedals to
• Adjust seat length adjuster so thighs are in contact
  with seat.
• Side bolsters positioned close to upper torso.
• Upper edge of headrest aligned with top of head.

Jan 10                                                      20
               The Structure of the Back

  • 24 small bones
  • Shock absorbing discs
    (intervertebral discs)
  • Ligaments
  • Tendons
  • Spinal Cord
  • Nerves
  • Muscles
Jan 10                                     21
                 Disc Mechanics
  • Stress of everyday
    movements is
    transferred to the discs
  • Act as shock absorbers
  • Allow movement of
  • Prevents the vertebrae
    from grinding

Jan 10                            22
Practice time – Keep the Spine in Line

• Find a space
• Stand with feet in a stable position
• Whilst maintaining flexibility, gently
  bend knees and flex hips
• Lower to a comfortable position
  maintaining the natural curves of your
Jan 10                                     23
           Pressure in Disc (in kg) for Woman,
                     1,68 m & 63 kg

                     0 kg          10 kg     30 kg
          0°          24          36         56

         30°          124         168        252

         60°          176         237        351

         90°          179         243        366

(Chaffin and Anderson)
Jan 10                                               24


Jan 10              25
  Manual Handling Regulations
  • Avoid hazardous manual handling tasks
  • Assess any hazardous manual handling
    which cannot be avoided
  • Reduce the risk of injury to the lowest level
    reasonably practicable.
  • Review the assessment if there has been a
    significant change.
     Find out who your local risk assessor is!
Jan 10                                              26
Manual Handling Risk Assessment
         E NVIRONMENT you work in
         L OAD you are moving
         I NDIVIDUAL'S capabilities
         T ASK at hand
         E QUIPMENT needs

Jan 10                                27
  The Principles of Good Manual Handling

    Don’t lift more than you   Ensure a good hold on the load
    can easily manage

Jan 10                                                          28
                  Team Lifting
         Steady            Ensure
                           • One person is in
                           • Plan the lift
                           • Good
                           • Work within your

Jan 10                                          29
                   •   Good lumbar support
                   •   Adequate leg room
                   •   Horizontal forearms
                   •   Minimal deviation of wrists
                   •   Comfortable head position
                   •   Space in front of keyboard
                   •   Screen glare/reflection free
                   •   Characters readable
                   •   Adequate lighting
                   •   Feet supported
                   •   Desk exercises

         Take Regular Breaks

Jan 10                                                31
                        Slips, trips and falls
54% of major injuries in healthcare come from slips or
trips and in 2007/8 cost society £72.4 million, many of
these injuries result in broken bones!


                                      Slip and trip

                                                                 & obstacles

Jan 10                                                                               32
                                   Slips, trips and falls
    • Be aware hazards with associated with loose finishes, holes and cracks, worn
       carpets /rugs and mats, etc.

    • To enable you to see obstructions, potentially slippery areas etc, so you can
       work safely.
    • Report lights that require replacement, repair or cleaning before levels become
       too low to work safely

    • Make sure floor is clean and dry, clean up spillages immediately. Dispose of
      waste materials appropriately

    • Obstructions and objects left lying around can easily go unnoticed and cause a
      trip. Keep your work areas tidy

Further information may be found at

Jan 10                                                                                     33
                                            Slips, trips and falls
 Falls from height remain the most common kind of workplace fatality.

 • In Health & Social Care
 – 2007/2008 data – 1 fatality and 201 RIDDOR accidents related to falls from heights

 • Working at Height Regulations 2005
                  Consider from :- Employee perspective
                                   Service user perspective

 • Primary care trust fined £10,000 after patient falls 4 metres from window
 Dated 29 October 2009

Jan 10                                                                                  34
                     In summary…
         • Why health and safety is important
         • Legal obligation of all staff
         • Accident, and incident reporting
         • Occupational Health
         • Back care inc. moving and handling, slips
         and trips and computer work stations

Jan 10                                                 35
         Safety is an attitude, not an after thought?

                        Near Miss

               Accidents at work affects you at home

Jan 10                                                  36

Jan 10                    37

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