coiwrroF

lliO Highway 26, Midhurst, Ontario L9X 1N6

"^ Human Resources Tel: 705-726-93001 Toll Free: 866-893-9300

Policy Number: HRP 9.27

Policy Category: 9 - Health & Safety

Policy Title: Musculoskdetal Disorders (RffiîDs) Prevention

Effective Date: December 4,2023

Supercedes: April 17,2019

Application

This policy applies to alt employees in all classifications of employment and all contractors working at all locations
of the Corporation.

Policy Statement

Musculoskeletal Disorders (MSDs) are the number one type of work-related lost-time claim reported to the
Workplace Safety and Insurance Board (WSIB) in Ontario.

Musculoskeletal Disorders (MSDs):

• cause pain and suffering for thousands of Ontario workers every year, and
cost Ontario's workplaces hundreds of millions of dollars due to absenteeism and lost productivity.
i

Purpose !

The purpose of this policy is to ensure that all County ofSimcoe employees are educated about Musculoskeletat .

Disorder (MSDs) risk factors and prevention.

The County ofSimcoe is committed to providing a safe and healthy workplace, and will therefore have in place a
program to prevent Musculoskeletal Disorders.
The County of Simcoe is committed to:
Providing management, supervisors, and employees (including new hires) with MSDs awareness training
• Tracking of MSDs statistics
Identifying and assessing MSDs hazards
• Controlling MSDs hazards through the application of engineering, administrative and/or personal
protective equipment controls
Proactively integrating ergonomics principles into workplace design and work Techniques

Definitions

Muscutosketetal disorders (MSDs) are injuries and disorders affecting muscles, tendons, ligaments, joints and
nerves. They are sometimes called Repetitive Strain Injuries (RSI), Cumulative Trauma Disorders (CTD), or Sprains
and Strains.

MSDs may be caused or aggravated by various risk factors in the workplace, including the following:

Page 1 of 5
 Repetitive motions
Forceful exertions
Awkward postures
• Static postures
Contact stress
Vibration, etc.
MSDs symptoms generally include pain with or without movement; swelling and tenderness; reduced range of
motions; stiffness, tingling and/or numbness in nerve related injuries or disorders.

MSDs do not include musculoskeletal disorders that are the direct result of a sudden, single event involving an
external source, e.g., a fall or vehicle accident.

Purpose

The MSDs prevention policy has been developed to provide employees, managers, and supervisors with
information and advice on a recommended generic framework for preventing MSDs in the workplace.

Responsibilities

Employees are responsible to:

• participate in MSDs training

practice MSDs prevention strategies as per MSDs training

comply with safe work procedures established by their department or the County of Simcoe
correctly use the equipment provided by the employer, according to manufacturers' recommendations
report to their supervisor any unsafe acts, unsafe tasks, unsafe conditions or equipment problems that
create MSDs hazards
report any MSDs incidents to their supervisor and cooperate in the investigation process
• provide recommendations to their supervisor regarding MSDs prevention or control measures

Managers and Supervisors are responsible to:

communicate, promote and support the MSDs Prevention Policy
ensure that MSDs training, department-specific MSDs hazards/controls and safe work practices training
is provided to all employees, including new hires
complete an Incident Investigation for all reported workplace MSDs incidents or hazard reports, ensuring
that MSDs incident data is recorded appropriately in the Supervisor Incident Report Form to support
accu rate statistics
• encourage staff to report MSDs incidents and hazards
respond to reported MSDs incidents and hazards by taking immediate steps to investigate and control
MSDs hazards
conduct investigations when MSDs incidents occur and incorporate MSDs prevention strategies in the
investigation process
control MSDs hazards through engineering controls and/or administrative controls; elevate concerns to a
more senior level if control measures are not within the supervisor's ability to implement
develop safe work procedures to eliminate or reduce MSDs hazards

Joint Health and Safety Committee members are responsible to:

review departmental MSDs incident statistics to identify trends
look for MSDs hazards during monthly workplace inspections
make recommendations to control MSDs hazards
Procedure

Training:
MSDs Awareness and Prevention education will be included in orientation for new workers and refreshers
for existing staff
Education will include MSDs risk and control awareness
Department specific orientation shall include specific MSDs hazards, proper use of ergonomie equipment,
set up of workstations and work organization strategies

MSDs Reporting:

Managers and Supervisors to ensure positive reinforcement of workers reporting MSDs signs and
symptoms
Workers to use the Employee Incident Report Form, as defined in the Injury and Illness Reporting Policy,
toreport all MSDs incidents, injuries and hazards

Common MSDs Hazards and Recommended Solutions:

FORCE
Hazards Solutions
Llftlng/Lowerlng
Lifting from the floor Store materials off the floor
Overhead lifting Use lift/tilt devices
Lifting out of a bin Remove obstacles between worker
Lifting while reaching and load
Lifting heavy toads Split heavier toads to reduce risk
Keep lifts below the shoulders and
above the knees
Use a well-designed lifting device
Pushing/Pulling/Carrying
• Difficult pushing Use wetf-designed carts
Difficult puffing Use a powered pusher
• Carrying heavy loads • Use big wheels on carts/bins
• Use dollies/carts
Use powered pallet jack
Use conveyors to move materials

Gripping
• Difficult power gripping • Use good power grips
Difficult pinch gripping Use boxes with good handles
• Use tools/equipment with good hand
grips
• Use tool balancers for heavier hand
tools i
 POSTURE
Hazards Solutions
Back/Tnink Postures
Bending fomard Angle work surface up
Bending back'.'.'ard Adjust woik surface height
Bending to one side
Twisting
Arinf Shoulder Postures
Hands above shoulder Use long handle extensfons
Bbows/arms away from body t Use lift tables Aith turntables. on them
Arms behind tody Keep lifts betow shoulders and above
knees
t * Use adjustable height woE-k platforms
HanAVA-ist Postures
Bending the wrist down Seiect tools that promote good vsnst
Bending the wrist up postures and po'A'er grips
Bending wrist sideways * Choose tools that are nght for the
Working wth paîm facing up lask/working lieighî
Wofking 'Aith patm facing do'ATi
Head'Neck Postures
Neck bent foraard Raise task/equEpment to reduce
Neck bent backward fonivard neck bending
Neck bent to one side Race imp-ortant yisual displays
Neck turned to one side directly in front of user
* Provide head sets to reduce
side bending of neck
» Angled document holders/'work
surfaces improve neck postures
REPETITION
Hazards Solutions
Repetitive Haiid Use
Hand-intensNe manual ~«Use good Job rotafion schetnes
softing/packaging « S.'.ifct-i hands from time to time
Ke^-board use * Use weiî-designed po.'.'er tooEs
Repetitive hand tool use « Take breaks

Repetitive Awkward Posture

Repetitive reachin.g.Wting to shoulder Raise bins'use spring loaded inserts
height Use height adjustable tables/carts
Repetitive working and bending Use heiglit adjustable wotk platforms
Repetitive t<vis6ng and reaching Tilt work up to reduce reaching
Repetitive bending Use weMesigned document ho.lders
Repetitive Material HaiKllinn
Repetitive lifting and caring • Use wsii-designed hoisffof repetitive
Repetitive pusl-ting^puiling handling
« Use roller conveyors to reduce
repetitive iifting/handling
Mechanize repefitive material handlEng
where necessary
* Use specificaliy designed equipmeitt to
reduce repetitive handEincr/carr/iiiff
(jeneral Solutions for Different Repetitive Tasks
• Job rotation
• Frequent breaks
 s
OTHER l

Hazards Sotuttons
Contact Stress
Tool diggirç intofeîgsis/pata'tiand * Use tods vAh handles tiiat eîdend past
Sharp edges digging into wrists the pafm
• Seat pan digging into back of knees • Sefed equipment, taois with rounded
sharp edges digging into body ediges cr provide padding
t Provide good suppwt for foream^s
« Adjust chair so feet are flat on the floor
and there is space betn'een seat and
back of legs
Using Kiiee/Hand as Hanimer
Using knee as hammer * Use a rubber maliet instead of hand
Using hand as harrmner forhammeri^
* Use knee pads'padded gEcn'es
Use a mechanical de'fl'ce to repface
knee/hand hammering
Wbration
'•:
Hand-ann vibrsfiCTi • Use tooEs designed to reduce vibraticm
Whole body vibration Use anfi-'/ibraîion gloves

Education and Training

All new hires will receive MSDs Awareness and Prevention education at their online safety orientation training.

All County ofSimcoe employees will receive online MSDs Awareness and Prevention education every three
years.

Enforcement

It is the responsibility of the County ofSimcoe's management team to implement and maintain this policy.
 COtWTt'OF'T
S/MCOE^t POLICIES LONG TERM CARE
SERVICES ^

DIVISION: LTCSS Health and Safety Manual

POLICY SECTION: Policies and Programs EFFECTIVE DATE: December 2023
SUBJECT: Job Hazard Analysis
POLICY NUMBER: LTCSS HS-25 SUPERCEDES: March 2020

1. PURPOSE
Each department conducts an Area Job Hazards Analysis based on key tasks performed in that
area and identffies preventative safe work practiœs or conditions to promote employee health and
safety.
2. POLICY STATEMENT
The Occupational Health and Safety Committee shall identify and report hazards monthly or as
identified. Rectification to job hazards and safe practices are communicated on Health & Safety
board.

3. SCOPE
The Policies in this manual are a companion to the corporate Health and Safety Manual and apply
to the Long-Term Care and Seniors Services division
4. PROCEDURE
a) The Certified Joint Occupational Health and Safety Committee Members in collaboration with
the Department Managers and Home Administrator review key tasks in each area and identify
hazards and safe practices that are aimed at minimizing/eliminating these hazards based on
recommendations made from Joint Occupational Health and Committee.
b) The Job Hazard Analysis for each area is reviewed at a minimum annually to ensure all
potential hazards have been identified. The review and approval of the Job Hazard Analysis is
conducted by the Occupational Health and Safety Committee and minutes are recorded to
provide evidence of this review.
c) The Job Hazards and Safe Practiœs are communicated to employees responsible for
performing these tasks.
d) The Orientation Program trains new employees of job hazards and safe practiœs.
Supporting Documents
General Job Hazards for All Departments
Job_Hazard_Analysis - Dietary
Job Hazard Analysis - Housekeepinc]
JobJ-lazard Analysis - Laundry
Job Hazard Analysis - Maintenance
Job Hazard Analysis - Nyrsinci
Job Hazard Analysis - PSS
Job Hazard Analysis - Recreationist Seniors ServLces
Job Hazard Analysis -Nyrsina Seniors Services
LTC-015-B01 PAGE 1 OF 1
 County of Simcoe Main Line (705) 726-9300
COVftiTYOF ^ Long Term Care Toll Free (866) 893-9300 -^
SlMO)E^\ and Seniors Services
1110 Highway 26
Fax (705) 792-5743
simcoe.ca
1 siimcES

Midhurst, Ontario L9X 1N6

JOB HAZARD ANALYSIS - NURSING

Task Hazard Preventative Safe Work Practice or Condition

Maneuvering Strains Push - do not pull medication cart. Proper body mechanics when
Medication Cart bending to lower drawers. Be alert for obstacles and people.
Wheels of medication cart to be cleaned regularly.
Administration of Needle Stick Do not recap dirty needles. Do not force sharps into sharps
Injections, Injuries, Cuts container. If container is full, seal it so it is ready for pickup.
Opening Vials, Setup new container. Use alcohol wipe when breaking top off
Glucometer vials. Remove and dispose of Glucometer Lancet in a safe
Testing manner.
Hazardous Health hazard Ensure hazardous medications and waste biproducts are
Medications handled appropriately to prevent harmful health hazard to staff.
Refer to LTCSS Health and Safety Manual on the Safe Handling
of Hazardous Drugs for specific interventions
Activities of Daily Resident Ensure that you are familiar with individual Resident Care Plan
Living for Aggressions and potential for uncooperative behaviour and act accordingly.
Residents Eliminate cause of aggression if possible. Identify precipitating
factors and plan care accordingly. Approach Resident slowly and
calmly making eye contact. Speak in non-threatening, clear and
calm manner. Explain your actions. Consider the need for two
Staff to provide care. Do not place yourself in a vulnerable
position where a Resident can easily strike you. Always
communicate aggressive Residents to Supervisors and Co-
Workers. Utilize accepted strategies and educational knowledge.
Report to your supervisor unsafe resident interactions.
Transfem'ng Strains, Use good body mechanics and use of assistive devices such as
residents injuries, transfer sheets to move residents closer to you to prevent
overexertion overexertion. Mechanical lifts require 2 trained staff at all times
for safety of resident and staff. Assess resident abilities prior to
each transfer to determine abilities and what equipment may be
required. Inspect lifts and slings at time of use to ensure
equipment is in good working order.
Use of Strains, Trips Ensure that all mobility equipment is stored in a safe manner
Wheelchairs, when not in use (away from exits / only on one side of hall). Be
Geri-Chairs, aware of footrests protruding from wheelchairs. Walk and work
Walkers, Canes at appropriate speed. Be observant when moving chairs to avoid
contact with protruding objects or people. Secure brakes during
transferring.
Bathing / Bums, Trips, Wear nonslip footwear. Place Caution Wet Floor sign at entrance
Showering Strains to wet area. Cleanup spills promptly.
Residents

1
Revised: December 2023
 Task Hazard Preventative Safe Work Practice or Condition
Disinfecting Strains, Cuts, Ensure that appropriate chemicals are used. Follow WHMIS
Tubs, Showers, Skin Irritants, Regulations, PPE, following cleaning instructions. Ensure proper
Shower Chairs, Inhalation body mechanics are used. Be aware of surroundings. Remove
Commodes, any debris from wheelchairs and walkers as soon as possible.
Bedpans, Ensure wheels on equipment are moving freely. If wheels not
Wheelchairs moving freely, complete SRS for maintenance to repair.
Handling Soiled Injuries, Practice routine precautions at all times. No linen is to be placed
Linen Strains, on the floor. Only fill laundry bags half full. Wear appropriate
Infections PPE. Use proper body mechanics when removing soiled laundry
bags from cart. Use proper body mechanics and hand washing
techniques. Do not drag laundry bags on floor, use assigned cart
for moving laundry.
Making Beds Injuries, Ensure bedding is not draped on floor to cause tripping hazard.
Strains, Trips, Be aware of surroundings and equipment. Be cautious when
Overexertion lowering and raising bed rails. Raise bed to appropriate height,
if able. Use proper body mechanics.
Assisting Strains, Falls, Use good body mechanics when seating Residents at the table.
Residents with Bums Ensure occupied dining chairs can be easily moved up to the
Meals table. If not, report to Maintenance. Sit to feed Residents. Be
aware of feeding stools and feeding chairs - on wheels and will
move. Report to Maintenance if wheels not working right. Ensure
that stools are moved under the tables as soon as feeding is
done. Be aware that food is hot. Be alert to dietary
communication of food temperature. Ensure area is not
congested. Be organized.
Assisting Strains, Trips, Be familiar with individual Care Plans. Be consistent in approach.
Walking Injuries Check equipment prior to walking / standing (handrail,
Residents wheelchair, walker, cane). Be aware of surroundings. Time of
day for walking (Resident alert vs. tired). If sudden decrease in
steadiness or weight bearing, call for assistance and lower
Resident to floor slowly and safelyas
aspossitDle.
possible.
Fill Portable Bums, Use PPE as per MSDS. Stay with the oxygen container while it is
Oxygen Frostbite being filled. Use heavy work gloves. Ensure "Oxygen in Use"
Containers signs are up indicating rooms with oxygen containers.
Stocking and Slips, Trips, Ensure supplies are stored on shelves and that floors are kept
Retrieving falls, strains, clutter free. Store heavy objects on middle shelving to avoid
Supplies overexertion having to lift from the floor or from overhead. Report any shelving
issues through SRS for maintenance.

2
 County of Simcoe Main Line (705) 726-9300
cm'wriv Long Tenn Care To!) Free (866) 893-93ÎM) /<s
SlMCÔE^ and Sentors Services
1110 Highway 26
Fax {705) 792-5743
simcoe.ca
lïONOTBUIUW
,»ND*INKaM»tmB

Midhurst, Ontario L9X 1 N6

GENERAL JOB HAZARD ANALYSIS FOR ALL DEPARTMENTS

TASK HAZARD PREVENTATIVE SAFE WORK PRACTICE OR CONDITION

Miscellaneous All posted rules and procedures are to be foliowed. Hazard
Rules warning tags are to be removed only by the Designate.
Employees are to be fit for duty with full attention focused
on the job. Only authorized Employees are to operate
equipment after receiving proper orientation to the
equipment. Smoking Is not allowed within the Home. and
only at designated smokfng areas outside on the Home's
property. Equipment Is to be used and operated according
to Manufacturer's instruction.
Anything involving Exposure îo / Wear Personal Protective Equipment (PPE) as indicated by
(potential) Spreading the task. All Staff must use good hand washing techniques
Exposure to Bodily infections to prevent cross-contamlnatlon. Must adhere to Infection
Fluids Prevention and Control Policies, and addiîlonai precautions
specific to the organism isolated.
General Chemica! Training required annually for WHMIS. Staff must be
Exposure knowledgeable of MSDS, proper protective equipment to
be used when dealing with chemicals. Know the hazards
of chemicals prior to working with them. Ask questions
first. Employees should wash thoroughiy after handling
chemicals.
Emergency Know Fire Driiis and Evacuatfon Procedures. All Staff must
l
Procedure review Fire Manual and know its iocaîion. Know where the
j
!
fire alarms are located as well as the fire extinguishers.
Keep a!! aisles and fire exits dear. _J
Unsafe Report all unsafe conditions, accidents and illness to your
Conditions Supervisor / Manager immediately.
Chemical - PPE is to be worn to. prevent chemtcal sptash in eyes or on
Eyewash skin. Employees are aware where Eyewash Stations are
Stations located in case of an emergency. Attend WHMfS in-service
and familiarize yourself with the information given on the
MSDS sheets, if splash occurs refer to' MSDS for
procedure to follow for that chemical_
Using Electricai Shock All electrical equipment must be shut off before cleaning
Appliances equipment.
j Congested Work Trips Always keep work area as clear as possible to ensure
j Area necessary space is needed to carry out duty. Be aware of
l environment. l
J

Physical Hazard Organize your work. Keeping in mind all safety procedures
for job routine.
i
ï

i J
1
 TASK HAZARD PREVENTAT1VE SAFE WORK PRACTICE OR CONDITION
Humidity s Heat Fatigue, Ensure fans are turned on for air circulation. Wear jjght
Exhaustion, clothing. Drink iots of T'luids. Take your breaks. Eat a
Overexerîlon healthy lunch. Work at a steady pace. Refer to! Policy H&S
J-10 Hot Weather Work.
j Office Equipment - Repetitive Vary work tasks and positions. Ensure file cabinets are no.î
j Computer, Paper Motion injuries, overfilled and desks are clear of ciutter. Store scissors in
j Cutter, Wheeied Strains, Cuts drawers. Ensure wheels o.ri chairs are free of debris.
[ Chairs Fling
i Cabînets, Desk. s

Scissa.rs
1 Opening Pails and Strains, Cuts Use appropriate PPE and tool to open !ids. Request |
Containers âÊêÊ!3D^^JlêSê§ÊÊQLÊê.^^[ê^l?ÉavoiÉMlarË.ed9es-,,J
I Lifting Objects Strains, Stand with feet apart; knees bent slightly position your body j
!
Overexertion directly in front csf the bag to be handled. Lift evenly, j
î
l Request assistance of other Staff, as required. If other Staff j
Is busy, wait for assistance. Use proper body mechanics. |
l Lifting l Strains, Note type of transfer identified on Care Plan. Complete
j Transferring Overexertion inspection for mechanical lifts (see Policy H&S B-30-05). If
s
! Residents any concern regarding whether transfer identified is
unsuitable - dsseuss with Registered Staff so that It can be
reassessed. Request assistance of other Staff, as l
required. Use mechanical lift if any concern that Resident
l
may not support weight, if Resident required more than
one Staff for transfer, DO NOT attempt to do it alo'ne. if
other Staff is busy elsewhere, wait for assistance. Use
proper body niechanics.
Putt'ng Away Stock Trips, injuries, Use lift assists or team lift for heavy items. Carts to be
/ Supplies Away ilEness used to transport heavy / awkward items. Ensure stock is
rotated. Ail fioors myst be free from clutter: garbage and
recycling must be disposed of immediately. Hand washing
is. essentla! for Erffection Co'ntroi. j
Pouring Liquids Strains, Employees must only fill to a safe manageable level to
Chemical inhibit wrist strain. Do no't pc'ur from a high cilstance to
Exgosyre .PrevenLSBiashln9:.weaj'£PE.accordinS.to..[^.DS-.
I Wiping Spills Up Slips, Falls Be observanî for any .ilquid on floor and cEean up promptiy
I from Roor with appropriate equipment and PPE. Wear appropriate
i footwear. Use Caution Wet FEoor signs.
Transpcfftmg Overexertion, Always push ResidenEs. in wheelchairs and geri-chairs. Do
I Residents injuries not puii. Inform the Resident of your presence and what
^
you are abo'ut to do. Ensure Resident's feet are elevated ;;
onto footrests and hands are away from wheels. Be aware
of any activity In hailways.
Operating Paper Cuts, Strains Use proper body ?Tiechanics. Do not reach into the
i Shredder shredder whlie operating. Ensure shredded paper bag
doesn't become too fuit thereby blocking shredder.
j Operating Injuries, Bums Take care to avoid hot areas when attempting to remove
l Photocopier jammed paper. Keep cover closed to avoid eye strain. Use
proper body mechanics. Call for service if posted
Instructions for repairs do not work. Wear PPE as per
i
MSDS when changing toner.

2
 TASK HÀZÀIRD^ PRÉVÈNTAT1VE SAFE WORK PRACTICE OR CONDITION
j Handling Garbage Strains, Injuries, Employees must not Qverfill bags. Sharp materials are to
Infections be disposed of in biohazardous sharps containers (e.g.
needjes) or wrapped to prevent puncturing garbage bags.
Wear PPE when handling garbage. Transport full garbage
in cart to garbage area. Always use appropriate body and
lifting mechanics when emptying garbage. Always request
help if needed.
j Opening Boxes Cuts, Strains Take care and use oniy according to operating instructions
^ï{}Ê?U!§.[Oâ.sçl!lê2[§.5[.aÊlD9^!îï[ç§â:_l
rMovèmën'fof Carts" Strains ^^^^^^^^^^[Jl-^^j^^^^j^-^^^:^
and remove to help it move more easily. Carts can be big j
and awkward. Make sure halls are clear to push the cart to j
i avoid bumping into other carts, Staff or Residents. |
Request assistance if needed_
Security Possible Intruder Be alert for unknown persons in area. Keep all Staff
infQrmed of whereabouts when working on own. Buddy
system when performing security checks. Promptly report
magnetic fock faliure. Lock main exits at prescribed times.
Security Violent Person Staff to follow Code White procedure. Staff trained on
Genîie Persuasive Approach (GPÂ). Ca!i for help - 911 if
needed, if ab!e, remove self from situation and notify
Supervisor / Co-WorRer.

3
l

couvrrftf ^
IIIOHighway 26, Midhurst Oitcrio LSX 1N6
^ Human Resources Tel: 705-726-930D | Toll Free: 866-893-950D

Policy Number: HRP 9.33

Policy Category: 9 - Health & Safety

Policy Title: Safe Manual Materials Handling

Effective Date: December 11, 2023

Policy Statement

Manual materials handling, which includes the manual lifting, lowering, pushing, pulling or carrying of objects, isa
a common task in many workplaces and can lead to fatigue or injuries of the back, shoulders, neck, arms or other
body parts.

Many injuries that happen from manually handling items are musculoskeletal disorders (MSDs) that can result
from:
gradual and cumulative wear and tear on the body due to repetitive manual handling of materials or,
• a one-time exertion due to high forces (for example, lifting a heavy box) or awkward postures.
The County ofSimcoe is committed to ensuring staff safety in manual materials handling, body mechanics, and
the prevention of musculoskeletal injuries by educating staff on measures that will reduce the risks of MSDs
caused by unsafe manual materials handling.

Purpose

This policy has been developed to provide employees, managers, and supervisors with information and advice on
Safe Manual Materials Handling techniques that will result in preventing MSDs in the workplace.
Definition

Muscutoskeletal Disorders: MSDs are injuries and disorders affecting muscles, tendons, ligaments, joints and
nerves. They are sometimes called Repetitive Strain Injuries (RSI), Cumulative Trauma Disorders (CTD), or Sprains
and Strains.
MSDs may be caused or aggravated by various risk factors in the workplace, including the following:
Repetitive motions
Forceful exertions
Awkward postures
Static postures
Contact stress
Vibration, etc.
MSDs symptoms generally include pain with or without movement; swelling and tenderness; reduced range of
motions; stiffness, tingling and/or numbness in nerve related injuries or disorders.

Page 1 of 7
Responsibilities

Employees are responsible to:

review the safe manual materials handling policy

practice safe materials handling methods in accordance with this policy
comply with safe work procedures established by their department or the County of Simcoe
correctly use the equipment provided by the employer, according to manufacturers' recommendations
report to their supervisor any unsafe acts, unsafe tasks, unsafe conditions or equipment problems that
create hazards related to materials handling
report any incidents involving material handling to their supervisor, cooperate in the investigation process
and complete an online employee incident report
provide recommendations to their supervisors regarding safe materials handling or control measures

Managers and Supervisors are responsible to:

communicate, promote and support the safe materials handling policy
ensure that MSDs training, department-specific hazards/controls regarding safe materials handling, and
safe work procedures training is provided to all employees, including new hires
• complete an incident investigation and the online incident report form for incidents involving materials
handling, ensuring all incident data is populated to support accurate statistics
encourage staff to report incidents and hazards involving materials handling
respond to reported incidents and hazards involving materials handling by taking immediate steps to
investigate and control hazards involving materials handling
control materials handling hazards through engineering controls and/or administrative controls; elevate
concerns to a more senior level if control measures are not within the supervisor's ability to implement
• develop safe work procedures to eliminate or reduce materials handling hazards

Joint Health and Safety Committee members are responsible to:

review departmental incident statistics to identify trends
look for materials handling hazards during monthly workplace inspections
make recommendations to control materials handling hazards

Procedure

The amount of material handling in a task should be minimized by the way the job is engineered using ergonomie
principles. However, lifting and moving of materials is still a big part of some jobs. Training on proper lifting
procedures is key to prevent musculoskeletal disorders.

How you lift is important! Proper lifting reduces risk factors, particularly by minimizing awkward postures which
in turn reduces the amount of strain experienced by certain parts of the body. The body is capable of performing
heavy tasks without injury, if it is in neutral posture, if forces are reasonable, and if appropriate rest periods are
given to prevent fatigue.

The maximum acceptable amount of weight a worker can handle depends on the worker's build and fitness, the
height lifted from and to, the distance from the body, the frequency of lifting, and other factors.
General material handling precautions:
Inspect materials for surface hazards (slivers, jagged edges, slippery surfaces).
• Wipe off greasy or slippery surfaces before attempting to handle them.
Grasp the object with a firm grip.
Avoid gripping near catch or shear points.
 Keep hands away from the end of long objects (lumber, pipe) to prevent being pinched.
Use gloves, safety shoes, eye protection, and other personal protective equipment when appropriate.
• Store frequently lifted objects between knuckle and chest height.
Avoid lifting above shoulder height as much as possible.
• Push rather than pull.
•
Use mechanical assistance if the load is above the head or below the feet (moving dolly, small step stool,
portable carts, etc.)
• Ask for help if a load appears too heavy. Don't try to lift it.
Use mechanical lifting aids when possible (dolly, forklift, pallet jack, etc.)
Take extra care with awkwardly shaped objects, liquids, and contents that may shift.
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Lifting a toad

Two-handed lift:
?
Pos/t/bn/eeîcorrecf/y: Correct positioning of the feet provides an increase in balance. One foot should be
placed alongside the object to be lifted, and one behind it. Feet should be shoulder width apart and stable.
The rear foot will provide the upward power.
Straight back and bent knees: A straight back is not necessarily a vertical back. The spine should be in its
natural curvature, about a 15-degree angle from the hips. Knees should be unlocked and bent.
Straightening the knees will give rise to the lift.
Load close to the body: the closer the center of gravity of the load is to the body the smaller the force on
the lower back and arms will be. Keep elbows close to the body.
Correct grasp: A full palm grip will reduce muscle stress and decrease the possibility of the load slipping.
Gripping with the ends of the fingers increases the risk of muscle strain and slipping.
Chin in: Tucking the chin in and raising the top of the head straightens the entire spine and provides the
arms with a more efficient position for grasping.
^
 Body weight: Centre body weight over the feet. This position increases balance and provides a powerful
line of thrust.

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Assisted one handed lift (Golfer's lift):

This technique can be used when the worker is lifting something out of a container or off the floor.
One hand should be placed on a stable surface, while the person leans to grip the object.
Extend out the opposite leg and arm to create a counterbalance.
Push off with the non-lifting hand to raise the upper body, while bringing down the raised leg. Make sure
the back muscles are not doing the work.
The assisted one-hand lift should be used ONLY if the object to be lifted is not too heavy or awkward to be lifted
by one hand or there is no stable surface for support.

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As you lift, remember to:

Tighten your stomach muscles as the lift begins. Start a lift by pushing through the rear foot and continue
it with the straightening of the knees.
Use leg muscles to lift, the back should remain straight.
Lifting should be a smooth motion, do notjerk-lift as it increases the stress on the lower back.
• Never twist your body while lifting, instead pivot with your feet.
Keep your head up and keep the natural curve in your back.
When transferring loads laterally, shift your weight from one leg to another, keeping the curve in your
lower back and elbows close to the body.

Carrying a load

Get help if the object is too bulky or heavy to be handled by one person.
Inspect the route over which the load is to be carried. Plan a spot to set the load down and rest.
To change directions; lift the object to the carrying position and turn the entire body, including the feet.
Avoid twisting the body especially the back.
Carry the load close to the body, preferably resting against the trunk.
• Carry the load at its balance point.
To set down a load; set the edge of the load on a bench, table etc. Adjust hand position and push the
object until it is secure.

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Two-Handed Lift (waist height)

Team Lifting

When lifting is done by two or more people the load should be adjusted so it rides at the same level and the load
is distributed evenly. Team lifting and carrying should be synchronized, a team leader can help by calling out
commands ("lift", "walk", etc.).
Special Precautions
Check the weight of barrels and drums as it may change or shift constantly.
Take extra care with sheet metal and glass, as it can be sharp.
If the load contains hazardous material, take protective measures accordingly.
• Beware of 'floppy' loads like sacs or bags.

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Other ergonomie tips:

Avoid severe bending.

Keepyourworkinfrontof your body.
Avoid bending your torso backward.
Avoid twisting the torso and long reaches.
Hold hands in front of, and near to the body.
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Power Zone

The power zone for lifting is close to the body, between mid-thigh and mid-chest height. Comparable to the
strike zone in baseball, this zone is where your arms and back can lift the most with the least amount of effort.
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Excédent Safe Danger

Storage safe practices

Storage areas should be clearly defined.

Separate areas should be used for different items (for ease of identification).
Certain materials and substances should be segregated during storage; alternatively, purpose-built secure
storage (e.g., gas-bottle cages) may be required.
Areas should be kept dean and tidy and should be monthly inspected during JHSC inspections.
Appropriate warning signs should be displayed where necessary (e.g., where flammable materials are
stored).
• Storage areas should not be used for work activities.
Ensure shelves are secured to the wall or ground.

Stacking materials is an efficient way to use space. When stacking:

Each stack should be for one material only (not mixed).

A maximum stack height must be set (depending on the material's strength and stability).
• Stacks should be vertical (not leaning).
• Pallets should be used to keep materials off the ground as applicable.
Sufficient space must be allowed between stacks for safe movement.
Stacks must be protected from being struck.

Education and Training

All new hires will receive MSDs Awareness and Prevention education at their online safety orientation training
as well as they will receive this Safe Materials Handling policy for review.
All County of Simcoe employees will receive online MSDs Awareness and Prevention education and review this
Safe Materials Handling policy every three years.

Enforcement

It is the responsibility of the County of Simcoe's management team to implement and maintain this policy.
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K. Report any incidents, accidents and near misses to the Supervisor immediately and cooperate in the
Investigations as required.
L. At no time will staff assist with the transfer of residents in to and out of private vehicles on
Manor property.
Environmental Services shall:
A. Maintain mechanical lifting devices in proper working order by completing Monthly Preventative
Maintenance on each lift in use in the Homes.
B. Coordinate with the Lifting Device Manufacturer to complete the annual Lift Inspection on every lift in
use in the Home. l
Maintenance of Equipment by Staff
A. Battery Changing Procedures are followed as outlined in the procedures specific to each type of
equipment.
B. All Staff using the equipment is responsible for inspecting the slings and lifts prior to every use and
reporting wear and tear to the Director of Resident Care or Designate.
Training
Staff will receive training upon hire and annually thereafter on safe and correct use of equipment,
techniques and injury prevention.
Resident Assessments
A. Upon admission, Registered Nursing Staff completes and documents their assessment using the
Transfer and Lift Assessment on PointClickCare®to determine Resident handling technique as well
as repositioning techniques where necessary.

B. Each Resident must have completed assessment forms in their electronic chart.
C. Resident handling techniques will be identified on their Care Plan.

D. Where applicable, an alternate Resident handling logo may be posted and specifically labelled if a
Resident consistently changes in ability during the day or a different transfer is needed to perform
certain tasks.

E. The Resident's assessment will be evaluated on admission and as needed with change in status.
The Charge Nurse for the Home Area is responsible for the completion of the re-assessment.

F. Following reassessment the Registered Nursing Staff will document any changes in progress notes,
update the Care Plan.

G. The assigned Caregiver may choose to use a Resident handling technique that is below the assigned
technique using the Decision Ladder but cannot use a technique higher on the Decision Ladder
without an official reassessment being conducted. This decision can be made due to equipment
availability, Caregiver status, Resident status, space constraints, etc.
 Decision Ladder

Independent

Supervision
Can be Not with out
decided by formal
Caregiver. One-Person Manual Transfer (with or without aides) reassessment.

Two-Person Manual Transfer (with or without aides)

Sit/Stand Mechanical Lift

Total Mechanical Lift

Bariatric Residents
A. For residents deemed bariatric (weight >270-500 Ibs), bariatric equipment (lifts/slings) will be
designated for the resident's transfers.
B. Bariatric designation and equipment required will be documented on the care plan/Kardex to
guide staff on equipment required.
C. Assessment of other equipment required (i.e.: slider sheets) and # of staff required will be
conducted and care planned accordingly.
Exceptions to the Policy

A. Médical Emergencies: In the event of a medical emergency / code the Minimal Lift Program is not in
effect.

B. Fire / Evacuations: In the event of a fire / evacuation, the Minimal Lift Program is not in effect.
C. Rehabilitation: Due to the nature of Rehabilitative Care these Staff Members may work outside of the
policy only for the specific function of performing their duties. These Members include
Physiotherapists and Physiotherapy Assistants. When assisting a Caregiver with transfers that are
not specific to Rehabilitative Care these Membersare asked to work within the policy and procedures
provided.

D. In the event of a Pandemic within the Home (i.e.: COVID-19) where modifications are required to
support resident care, Direct Care staff will include: Home RN, RPN, PSW; Agency RN, RPN, PSW,
and Paramedics.

SUPPORTING DOCUMENTS
Minimal Lift Procedures
Competency Test f or Mechanical Lifts
Daily Mechanical Lift Inspections
Mechanical Lift Inventory form
Sling Integrity Inspection form
Job Hazard Analysis - Nursing
Corporate Musculoskeletal Injurv Prevention Policy
 Important Reminders and Updates to Minimal Lift and Transfer Policy

There MUST always be 2 trained staff for all mechanical lifts (total mechanical lift, sit to stand, tub chair
lift) from sling application to sling removal.

Slings are to be inspected prior to every use. Ensure you have the right size for the resident. Lay the sling
flat and ensure it is intact with no fraying or tears.
Lifts are to be inspected prior to each use and once on night shift. Staff document on POC for lift
inspection prior to use and sign off on a lift inspection form each night. Ensure the lift is fully
functioning. Base legs can open/close, lift arm maneuvers up/down, no unusual sounds while operating,
no cracks or sharp edges on frame, wheels in good working order, brakes are operational and all hand
controls are functional. Maintenance will conduct monthly preventative maintenance on all lifts.
Bariatric Residents
For residents deemed bariatric (weight >270-500 Ibs), bariatric equipment (lifts/slings) will be
designated for the resident's transfers.
Bariatric designation and equipment required will be documented on the care plan/Kardex to
guide staff on equipment required.
Assessment of other equipment required (i.e.: slider sheets) and # of staff required will be
conducted and care planned accordingly.

Slide Sheets
• Using slide sheet devices for in-bed movements has benefits not only for safety, but also for
residents' comfort, security and dignity
The risks of moving the full body weight of a dependent resident are well recognized. For
horizontal transfers and many in-bed movements, the provision of a friction-reducing slide sheet
may be a sound solution for reducing physical effort and improving patient comfort
Residents should be assessed to determine if they require a slide sheet. If they do require one,
they should be provided with a designated sheet.
 12/12/23.4:10PM Mail - Bath, Christina - Outlook

Safe Body Mechanics

Principles
l. Use a wide stance l
e

Make a wide base of support by moving your

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legs and feet apart, with your feet in the
direction of movement
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Plant both feet firmly on the ground

2. Keep the load close € l

Tuck your elbows against your trunk t

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Keep the weight you're moving close to the
middleof your body l

3. Bend your knees

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Keep your back long by iifting up from your t
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Activate your core by gently pulling your T»ite
at
belly button toward your spine
Squat or lunge by bending your knees and ^
using your large leg musdes

4. Face the load

Turn hips and shoulders so they face the ^d
load m
^
• To turn: turn with your feet instead of -t l
twisting at the waist ^ te-

Take our free eCourse

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