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aek Injuries fng U.S. Department of Labor Bureau of Labor Statistics August 1982 Bulletin 2144 industry and science Back Injuries ^sseeiated With Lifting U.S. Department of Labor Raymond J. Donovan, Secretary Bureau of Labor Statistics Janet L. Norwood, Commissioner August 1982 Bulletin 2144 For sale by the Superintendent of Documents, U.S. Government Printing Office Washington, D.C. 20402 - Price $3,50 Preface This bulletin summarizes the results of a survey of workers in blue-collar occupations who injured their backs while lifting, placing, lowering, carrying, or hold ing objects. The findings of this survey, which was con ducted by the Bureau of Labor Statistics during 1980, will assist the Occupational Safety and Health Admin istration (OSHA) in developing safety standards, com pliance strategy, and training programs for reducing work-related injuries. The survey was conducted by the Bureau’s Office of Occupational Safety and Health Statistics, William Mead, Acting Assistant Commissioner, in cooperation with 22 States: Arizona, Arkansas, California, Colorado, Delaware, Hawaii, Idaho, Indiana, Iowa, Kentucky, Maine, Massachusetts, Michigan, Missouri, Montana, Nebraska, Ohio, Tennessee, Utah, Virginia, Washing ton, and Wisconsin. The BLS regional offices coordi nated State operations. The Offices of Compliance, Standards Development, Statistical Studies and Analysis, and Training of OSHA and the Office of Safety Research of the National Institute for Occupa tional Safety and Health contributed to the planning and development of the survey. Lyn Pearson developed the computer programs, and Maryrose Cline-Buso and Debera Solis, under the supervision of Helen McDonald, planned the survey and edited the question ill naires. Herbert Schaffer prepared the bulletin. The user should exercise caution in extrapolating sur vey data to population estimates because of limitations of the survey. The data were not intended to be statis tically representative of the population studied. States participating in data collection may not represent the country as a whole; reporting requirements for workers’ compensation reports, which are the source for select ing injuries for study, vary among States; and the 2-month collection period is not intended to represent the entire year. Because of the exclusion of white-col lar and service workers, industries dominated by these occupations are underrepresented. However, the data represent injured workers in selected occupations in the States surveyed during the period studied and are, there fore, valid for identifying injury patterns on a relative basis. For analytical purposes, the incidence of back inju ries associated with lifting was not generated nor can it be inferred from the data because information on hours of work are not available. See appendix A for scope and methodology of the survey. Material in this publication is in the public domain and may, with appropriate credit, be reproduced with out permission. Page Summary.................................................................................. 1 Tables: Back injuries associated with lifting, selected States, November-December 1980: 1. Industry............................................................................................................... 2 2. Source of injury.................................................................................................... 3 3. Age of w o rk er...................................................................................................... 4 4. Sex of worker........................................................................................................ 4 5. Selected occupations.................................... 5 6. Description of injury................... 7 7. Body position at time of in ju ry .................................... ..................................... 8 8. Workers’ activity.................................................................................................. 9 9. Description of object lifted................. 10 10. Work experience and train in g ..............................................................................12 11. History and care of back problems ...................................................................... 14 12. Weight and height of worker ................................................................................14 13. Preemployment screening .................................................................................... 15 14. Estimated lost workdays........................................................................................16 Appendixes: A. Survey explanatory n o te ....................................................................................... 17 B. Participating State agencies....................................................................................18 C. Survey questionnaire............................................................................................. 19 v Back Injuries Associated with Lifting Summary off Survey Results Injuries to the back are one of the more common and costly types of work-related injuries. Based on estimates derived from the Bureau of Labor Statistics’ Annual Survey of Injuries and Illnesses and the Supplementary Data System, about 1 million workers suffered back in juries in 1980, accounting for almost 1 out of every 5 injuries and illnesses in the workplace. In eight States which provided information on workers’ compensation indemnity payments, almost one-fourth of the expendi tures were for claims involving back injuries. This survey focused on back injuries sustained by workers in blue-collar jobs while lifting, placing, car rying, holding, or lowering objects. Of the approxi mately 900 workers responding to the survey question naire, more than three-fourths indicated that they were lifting at the time they injured their backs. Four-fifths of the workers studied were in craft, operative, and la borer occupations, equally divided among these. Truck drivers and other transport equipment operatives ac counted for about one-tenth of the workers. Almost three-fourths were from 20 to 44 years old, and onethird were concentrated in the 25-34 year age group. Manufacturers employed about two-fifths of the workers studied in selected occupations, who were, for the most part, widely dispersed among the component industries. Retail, wholesale, transportation, and con struction firms each accounted for from 10 to 15 per cent of the workers within the scope of the survey. Weight of the object was cited by the injured workers more frequently than any other factor contributing to back injuries associated with lifting. More than one-half of the workers studied reported lifting objects weigh ing at least 60 pounds and about three-tenths, 100 or more pounds. Moreover, about three-fourths of the workers indicated that they had lifted without any as sistance. Focusing on workers lifting alone, the follow ing tabulation shows that seven-tenths were injured while lifting objects weighing at least the same as the heaviest weight normally lifted on the job, and almost one-half of these workers were lifting objects heavier than they normally lift. Weight lifted at time o f injury compared to heaviest weight normally lifted Percent o f workers lifting without assistance L igh ter................................................................... S am e....................................................................... H eavier................................................................... 29 36 34 T o ta l................................................................... 100 A related contributing factor frequently cited was the bulkiness of the object. Boxes and containers were iden tified as the source of injury in 43 percent of the cases studied, metal objects in 18 percent, and wood objects in 7 percent. Workers described most of the objects as hard or rigid in construction, of which 42 percent were square or rectangular; 24 percent, cylindrical; 17 per cent, flat; and the remaining shapes, mixed. Size of the objects varied widely. Material-handling equipment to lift and transport the objects was, reportedly, not available in 61 percent of the cases studied. Even where workers had access to such equipment, 58 percent found it impractical to use. Next to weight, the injured workers claimed that body movement contributed to their injury. Bending followed by twisting and turning, frequently in combi nation, were the more commonly cited movements. Tracing the lifting-placing patterns, about one-half of the workers reported lifting from floor level and most of the remaining workers, from no higher than the waist. Placement of the object varied widely. Nearly onefourth set it down about waist high; about three-tenths placed the object on the floor or no higher than knee high; and almost one-fifth placed it at least chest high. More than one-fifth of the workers dropped the object before completing the pattern because of back pains. The amount of time and distance required to lift and place the object was relatively short. Two-thirds of the workers reported that they held or carried the object less than 1 minute. Nearly one-half claimed that they did not move the object any distance, and more than one-fourth carried the object less than 5 feet. Another important contributing factor identified by the workers studied was the large number of lifts made during the day of the injury. Yet, about one-fifth of the 1 strations, film, or as part of on-the-job training. Of those workers who indicated that they received such infor mation, more than one-half reported exposure during the year, and about one-third, within the last 6 months. Fewer than one-fifth of these workers felt that this in formation would have been useful for preventing their back injury. After the injury, relatively few of the workers studied reported any change in company train ing related to safe lifting techniques. workers felt back pains when they made their initial lift, and another one-fifth made fewer than five lifts. Moreover, as indicated below, well over one-half of the workers reported making fewer lifts prior to being injured than they normally made in a day. Number o f lifts prior to injury compared to number o f lifts normally made in a day Percent o f workers Less........................................................................ Sam e..................................................................... M o r e ..................................................................... 56 28 15 T o t a l........................................................................... Thirty-five percent of the workers who were sur veyed indicated that medical examinations were part of the screening process for hiring job applicants. Sixteen percent were requested to provide medical histories, and 6 percent were required to take a lower back X-ray. Seventeen percent were of the opinion that strength was a consideration in performing their work. Seventy percent reported that they had not followed any exer cise program to minimize injuries to the back. 100 Other, but less significant factors cited, were confined workspace, recent exposure to abnormal strenuous ac tivity, underestimate of object’s weight, poor lifting technique, change in usual lifting position, and previous back problem. Forty-eight percent of the workers re ported a history of back problems. The survey revealed that about one-half of the workers received information on proper lifting techni ques, primarily on how to lift to avoid injury and, to a much lesser extent, on how to use lifting equipment. Information was disseminated in the form of posters or written handouts, as well as through lectures, demon The vast majority of the back injuries were, report edly, diagnosed as a muscle strain or sprain. About three-tenths of the workers surveyed lost from 1 to 5 workdays and a similar proportion lost from 6 to 15 workdays. Those losing time averaged 14 days away from work. More than two-fifths of the workers who had returned to work were given light duties. Table 1. Industry: Back injuries associated with lifting, selected States, November-December 1980 Industry Workers Percent Total ............................................................................................... 906 100 Agriculture, forestry, and fishing......................................................... Mining 1 ................................................................................................ Construction ......................................................................................... Manufacturing ...................................................................................... Transportation and public utilities ...................................................... Wholesale trade................................................................................... Retail trade........................................................................................... Finance, insurance, and real estate ................................................... Services............................................................................................... Other industries, not elsewhere classified......................................... 26 1 139 378 94 103 90 10 53 12 3 (2) 15 42 10 11 10 1 6 1 1 Limited to oil and gas extraction. 2 Less than 0.5 percent. NOTE: Due to rounding, percentages may not add to 100. See appendix A for occu pations and types of injuries included in the survey. SOURCE: State workers’ compensation reports. 2 Table 2. Source of injury: Back injuries associated with lifting, selected States, November-December 1980 Workers Source of injury Total .............................................................................................. Bodily motion ...................................................................................... Boxes, barrels, containers................................................................... Bottles, jugs, flasks ...................................................................... Reels, rolls.................................................................................... Tanks, b in s ................................................................................... Containers, not elsewhere classified ........................................... Buildings and structures..................................................................... Food products..................................................................................... Hand tools, not powered...................................................................... Heating equipment (nonelectric), not elsewhere classified .............. Hoisting apparatus............................................................................... Machines ............................................................................................. Metal item s.......................................................................................... Metal items, unspecified............................................................... Beams, bars .................................................................................. Pipe ............................................................................................... Metal items, not elsewhere classified.......................................... Mineral items, nonmetallic, not elsewhere classified ........................ Paper and pulp ................................................................................... Plants, trees, vegetation..................................................................... Plastic items, not elsewhere classified ............................................. Pumps and prime movers ................................................................... Scrap, debris, waste materials, not elsewhere classified ................. Textile items, not elsewhere classified............................................... Vehicles ............................................................................................... Wood ite m s......................................................................................... Wood items, unspecified .............................................................. Logs............................................................................................... Lumber.......................................................................................... Skids, pallets................................................................................. Wood items, not elsewhere classified......................................... Working surfaces................................................................................. Miscellaneous, not elsewhere classified ............................................ Nonclassifiable.................................................................................... Less than 0.5 percent. NOTE: Due to rounding, percentages may not add to 100. See appendix A for occu pations and types of injuries included in the Percent 906 100 1 5 4 389 4 34 194 4 20 23 14 96 13 4 1 2 2 20 10 47 5 12 9 5 7 2 20 5 160 15 20 12 5 14 94 16 3 6 4 10 2 1 22 60 6 6 21 14 13 4 14 35 6 o 1 0 43 O 4 21 (') 2 3 2 11 1 ft ft (') ft 2 1 5 1 1 1 1 1 ft 2 1 18 2 2 1 1 2 10 2 f) 1 (’) 1 ft ft 2 7 1 1 2 2 1 0 2 4 1 survey. SOURCE: State workers’ compensation reports. 3 Table 3. Age of worker: Back injuries associated with lifting, selected States, November-December 1980 Age Workers Percent Total .............................................................................................. 906 100 15 years or less................................................................................... 16—19 years....................................................................................... 20—24 years....................................................................................... 25—34 years....................................................................................... 35—44 years....................................................................................... 45—54 years....................................................................................... 55—64 years....................................................................................... 65 years or m ore................................................................................. Not available....................................................................................... 1 41 186 303 179 96 73 3 24 (’) 5 21 33 20 11 8 (') 3 1 Less than 0.5 percent. NOTE: Due to rounding, percentages may not add to 100. See appendix A for occupations and types of injuries included in the survey. SOURCE: State workers’ compensation reports, Table 4. Sex of worker: Back injuries associated with lifting, selected States, November-December 1980 Workers Sex Percent Total .............................................................................................. 906 100 Men ...................................................................................................... Women................................................................................................. 777 129 86 14 NOTE: See appendix A for occupations and types of injuries included in the survey. SOURCE: State workers’ compensation reports. 4 Table 5. Selected occupations: Back injuries associated with lifting, selected States, November-December 1980 Workers Occupation Stock clerks and storekeepers.................................................... Flfirtrin pnwnr linn and cahle installers and repairers ............... Excavating, grading, and road machine operators, 906 100 38 20 18 4 2 2 246 3 1 1 13 4 16 4 1 1 15 1 27 (’) O 0 1 0 2 o 0 0 2 (1) Opticians, lens grinders, polishers ............................................... Painters, construction and maintenance ..................................... Pattern and model makers, excluding paper.............................. Plumbers and pipefitters............................................................... Printing press operators ............................................................... Printing press apprentices............................................................ Roofers and slaters...................................................................... Sheetmetal workers and tinsmiths............................................... Stationary engineers .................................................................... Structural metal workers............................................................... Telephone installers and repairers............................................... Telephone line installers and repairers ....................................... Tool-and-die makers .................................................................... Tool-and-die maker apprentices.................................................. Upholsterers................................................................................. Specified craft apprentices, not elsewhere classified ................ Craft and kindred workers, not elsewhere classified.................. 4 27 3 5 1 2 16 2 63 3 1 14 1 1 12 2 1 2 19 7 1 5 3 1 2 1 8 4 1 4 13 3 5 1 2 1 1 1 3 3 Operatives, excluding tra n s p o rt..................................................... Asbestos and insulation workers................................................. Assemolers................................................................................... Blasters......................................................................................... Checkers, examiners, inspectors; manufacturing ...................... Clothing ironers and pressers...................................................... Cutting operatives, not elsewhere classified .............................. Dressmakers, excluding factory................................................... Drywall installers and lathers....................................................... 246 1 25 1 10 1 7 1 6 Furniture and wood finishers ....................................................... Aircraft mechanics..................................................................... Heavy equipment mechanics.................................................... Household appliance and accessory installers and mechanics Office machine repairers............................................................ Radio and television repairers.................................................. Miscellaneous mechanics and repairers................................... Mechanics and repairers, not specified.................................... Millers; grain, flour, fe e d ............................................................... See footnotes at end of table. 5 ‘ Percent 0 3 0 1 (1) (') 2 0 7 o 0 2 0 0 1 0 o (') 2 1 o 1 o o (’) 0 1 0 (1) 0 1 (’) 1 0 0 (1) (1) 0 (1) o 27 (1) 3 (') 1 (') 1 0 1 Table 5. Selected occupations: Back injuries associated with lifting, selected States, November-December 1980—Continued Workers Occupation Percent Operatives, excluding transport—Continued Sewers and stitchers .................................................................... Shoemaking machine operatives ................................................. Welders and flame cutters........................................................... Winding operatives, not elsewhere classified.............................. Machine operatives, miscellaneous specified.............................. Machine operatives, not specified................................................ Miscellaneous operatives ............................................................. Operatives, not specified.............................................................. 3 1 4 3 5 4 2 2 4 20 4 1 1 3 3 2 6 1 1 1 1 15 1 33 7 33 33 Transport equipment operatives..................................................... Bus drivers..................................................................................... Delivery and route workers.......................................................... Forklift and tow motor operatives ................................................ Truck drivers ................................................................................. 102 1 23 8 70 11 (’) 3 1 8 Laborers, excluding fa rm ................................................................. Construction laborers, excluding carpenter helpers ................... Freight, material handlers............................................................. Garbage collectors....................................................................... Gardeners and groundskeepers, excluding farm ........................ Timber cutting and logging workers............................................. Stock handlers..................................................... ........................ Vehicle and equipment cleaners.................................................. Warehouse laborers, not elsewhere classified............................ Miscellaneous laborers................................................................. Laborers, not specified................................................................. 246 31 48 7 11 2 14 1 37 62 33 27 3 5 1 1 0 2 0 4 7 4 Farm laborers and farm laborer supervisors................................ 16 2 Nonclassifiable................................................................................... 12 1 Filers, polishers, sanders, buffers ............................................... Furnace tenders, smelters, and pourers; m etal......................... Garage workers and gas station attendants .............................. Laundry and dry cleaning operatives, not elsewhere classified .. Meat cutters and butchers, excluding manufacturing................. Meat cutters and butchers, manufacturing ................................. Meat wrappers, retail trad e .......................................................... Metal platers ................................................................................. Mixing operatives.......................................................................... Packers and wrappers, excluding retail....................................... Painters, manufactured articles ................................................ . Photographic process workers .................................................... Drill press operatives ................................................................... Grinding machine operatives ....................................................... Lathe and milling machine operatives......................................... Precision machine operatives, not elsewhere classified............ Punch and stamping press operatives ........................................ Riveters and fasteners.................................................................. 1 Less than 0.5 percent. NOTE: Due to rounding, percentages may not add to 100. See appendix A for occu pations and types of injuries included in the 0 0 0 0 1 0 o 0 (’) 2 0 (’) (’) 0 0 0 1 0 0 0 0 2 (’) 4 1 4 4 survey. SOURCE: State workers’ compensation reports. Table 6. Description of injury: Back injuries associated with lifting, selected States, November-December 1980 Workers Item Percent Indicate the nature of your back injury. Total 1............................................................................................ 906 (1) Muscle strain/sprain ........................................................................... Dislocated or herniated disc (slipped disc)........................................ Dislocated vertebrae........................................................................... Misaligned vertebrae (subluxation)..................................................... Inflammation of joint ........................................................................... Pinched nerve..................................................................................... O th e r................................................................................................... 799 84 52 88 57 162 13 88 9 6 10 6 18 1 Total .............................................................................................. 906 100 Yes—first felt pain as I was lifting/holding the o b je ct...................... No—felt pain shortly after lifting/holding........................................... No—felt pain several hours later ....................................................... No—felt pain next d a y........................................................................ O th e r................................................................................................... 580 206 56 56 8 64 23 6 6 1 Total 1............................................................................................ 871 O Object too heavy................................................................................. Object too bulky .................................................................................. Small confined workspace .................................................................. Had been doing a lot of lifting that d a y ............................................. Had lifted heavy object earlier that d a y ............................................. Body movement or motion contributed to injury............................... Underestimated weight of object before lifting.................................. Changed usual lifting position............................................................. Previous back problems..................................................................... Poor physical condition....................................................................... Poor or careless lifting techniques..................................................... Attempted to lift or place object while walking or running ............... O th e r.................................................................................................... Don’t know .......................................................................................... 313 205 136 192 74 296 123 105 111 13 83 19 46 63 36 24 16 22 8 34 14 12 13 1 10 2 5 7 Did you first feel the pain in your back while you were lifting/holding the object that caused your injury? Which items do you feel contributed to your injury? 1 Because more than one response is pos sible, the sum of the responses and percent ages may not equal the total. Percentages are calculated by dividing each response by the total number of persons who answered the question. NOTE: Due to rounding, percentages may not add to 100. See appendix A for occu pations and types of injuries included in the survey. Because incomplete questionnaires were used, the total number of responses may vary by question. SOURCE: Survey questionnaire. 7 Table 7. Body position 1 at time of injury: Back injuries associated with lifting, selected States, W©w®mb@r-B@c©mb@r 1980 Workers Item Percent If you felt pain as you were lifting/holding, indicate the position closest to that of your arms, back, and legs at the moment of injury. \ Position of arms Total .............................................................................................. 553 100 Extended dow n.................................................................................... Bent at elbow...................................................................................... Extended out at shoulder.................................................................... Extended over head............................................................................ O th e r.................................................................................................... Don’t kn o w .......................................................................................... 254 181 72 32 10 4 46 33 13 6 2 1 Total .............................................................................................. 572 100 Straight................................................................................................. Slightly bent......................................................................................... Very b e n t............................................................................................. O th e r.................................................................................................... Don’t kn o w .......................................................................................... 87 334 142 7 2 15 58 25 1 O T o ta l.............................................................................................. 569 100 Straight................................................................................................. Slightly bent......................................................................................... Squatting.............................................................................................. O ther.................................................................................................... Don’t kn o w .......................................................................................... 155 313 83 8 10 27 55 15 1 2 Total .............................................................................................. 566 100 Less than 12 inches a p a rt.................................................................. 12 or more inches apart...................................................................... Don’t kn o w .......................................................................................... 162 249 155 29 44 27 Position of back Position of legs How far apart were your feet at the moment of injury? 1 See appendix C for pictures of body positions used in questionnaire. 2 Less than 0.5 percent. NOTE: Due to rounding, percentages may not add to 100. See appendix A for occu pations and types of injuries included in the survey. Because incomplete questionnaires were used, the total number of responses may vary by question. SOURCE: Survey questionnaire. 8 Table 8. Workers’ activity: Back injuries associated with lifting, selected States, Wovember-December 1980 Workers Item Percent What were you doing when you injured your back? 903 C) 133 13 96 692 107 145 65 39 14 3 9 15 1 11 77 12 16 7 4 2 (2) 1 Total 1............................................................................................ 894 0 Bending................................................................................................ Climbing............................................................................................... Sitting ................................................................................................... Slipping, tripping, or falling.................................................................. Squatting.............................................................................................. Standing............................................................................................... Stretching ............................................................................................ Suddenly changing body position ...................................................... 505 16 3 9 107 243 141 159 299 72 7 16 56 2 o 1 12 27 16 18 33 8 1 2 Total 1............................................................................................ 870 (') Yes—lifting more objects than normal ............................................... Yes—lifting heavier objects than normal ........................................... Yes—involved in strenuous outside activity (sports, work at home, etc.)........................................................................................ N o ........................................................................................................ 60 42 7 5 14 769 2 88 Total 1............................................................................................ Catching/throwing ............................................................................... Lifting.................................................................................................... Lowering object .................................................................................. Placing object...................................................................................... Pulling................................................................................................... Pushing ................................................................................................ Shoveling.................................................................... ........................ O th e r.................................................................................................... What movements were you making when you injured your back? Walking or running .............................................................................. Other .................................................................................................... Don’t kn o w .......................................................................................... Within 48 hours before your injury, was your activity at work or at home more strenuous than normal? 1 Because more than one response is pos sible, the sum of the responses and percent ages may not equal the total. Percentages are calculated by dividing each response by the total number of persons who answered the question. 2 Less than 0.5 percent. NOTE: Due to rounding, percentages may not add to 100. See appendix A for occu pations and types of injuries included in the survey. Because incomplete questionnaires were used, the total number of responses may vary by question. SOURCE: Survey questionnaire. 9 Table 9. Description of object lifted1: States, November-December 1980 Back injuries associated with lifting, selected Workers Item Percent Describe the specific object you were handling when you injured your back.2 784 100 295 169 119 123 38 22 15 16 41 26 5 6 5 3 1 1 826 100 40 123 158 91 105 257 52 5 15 19 11 13 31 6 Total .............................................................................................. 824 100 No 3 ...................................................................................................... Yes ....................................................................................................... 199 625 24 76 Total .............................................................................................. 833 100 Did not carry object any distance...................................................... Carried object less than 5 fe e t........................................................... Carried object 5 to 20 fe e t............................................................... Carried object more than 20 fe e t....................................................... O th e r.................................................................................................... Don’t know .......................................................................................... 388 234 130 70 3 8 47 28 16 8 O 1 Total .............................................................................................. 818 100 Less than 1 minute ............................................................................. 1 to 2 minutes...................................................................................... 2 minutes or m ore............................................................................... Don’t kn o w .......................................................................................... 537 145 87 49 66 18 11 6 Total .............................................................................................. Rigid Square or rectangular................................................................... Cylinder......................................................................................... Flat .............................................................................................. Other ............................................................................................. Flexible Square or rectangular.................................................................. Cylinder......................................................................................... Flat .............................................................................................. O th e r............................................................................................. What was the approximate weight of the object? Less than 20 pounds.......................................................................... 20 to 40 pounds .................................................................................. 40 to 60 pounds .................................................................................. 60 to 80 pounds .................................................................................. 80 to 100 pounds................................................................................ 100 or more pounds ........................................................................... Were you holding the object by yourself? How far did you carry the object? How long were you holding or carrying the object? See footnotes at end of table. 10 Table 9. Description of object lifte d 1: Back injuries associated with lifting, selected States, Movember-December 1980—Continued Item Workers Percent What level was the object on before you attempted to lift it? Total Floor level....... Ankle height.... Knee height..... Waist height .... Chest height.... Shoulder height Head height..... Over head....... O th e r............... 820 100 427 72 104 137 36 12 7 17 52 9 13 17 4 8 1 1 2 1 799 100 176 21 135 43 67 184 22 23 66 8 38 5 Where did you put the object? Total ...................................... Dropped object when felt pain ...... Dropped object before feeling pain Floor level....................................... Ankle height................................... Knee height.................................... Waist height ................................... Chest height................................... Shoulder height.............................. Head height.................................... Over head....................................... O th e r.............................................. 3 17 5 8 10 1 38 21 5 3 Total ..................................................................... 810 100 N o ................................................................................ Yes .............................................................................. 209 601 26 74 708 100 434 61 61 9 17 Was that where you intended to put the object? Was lifting/moving equipment available to help you move the object? If available, why wasn’t it used? Total ............................................................................................. Equipment not available.............................................. Equipment available but not used because: Did not think it was necessary............................... It was not practical to u s e ...................................... It was in bad condition or not working................... It takes too long ...................................................... Injury occurred while using lifting/moving equipment O th e r............................................................................ Don’t know if lifting/moving equipment was available 121 11 12 2 2 6 2 2 Total 784 100 None.......... 1 to 4 ......... 5 to 9 ......... 10 to 24 ..... 25 to 49 ..... 50 to 99 ..... 100 or more 145 155 90 20 11 73 69 150 13 9 9 19 16 41 12 About how many objects had you lifted before you were injured? 102 4 Less than 0.5 percent. NOTE: Due to rounding, percentages may not add to 100. See appendix A for occupa tions and types of injuries included in the survey. Because incomplete questionnaires were used, the total number of responses may vary by question. SOURCE: Survey questionnaire. 1 Limited to workers able to identify the specific object they handled at the time of injury. 2 The worker’s written description was classified according to the object’s shape and flexibility. 3 Includes those who were assisted by coworker(s) or who were handling objects partially supported by other means. 18 11 Table 10. Work experience and training: Back injuries associated with lifting, selected States, November-December 1980 Item Workers Percent How often do you normally lift in your job? Total .............................................................................................. 860 100 Seldom (less than 5 times a day)...................................................... 5 to 9 times a d a y ............................................................................... 10 to 24 times a day........................................................................... 25 to 49 times a day........................................................................... 50 to 99 times a day........................................................................... 100 or more times a d a y .................................................................... 129 78 146 126 111 270 15 9 17 15 13 31 Total .............................................................................................. 866 100 Less than 20 pounds.......................................................................... 20 to 40 pounds .................................................................................. 40 to 60 pounds .................................................................................. 60 to 80 pounds .................................................................................. 80 to 100 pounds................................................................................ 100 or more pounds ........................................................................... Seldom lift objects............................................................................... Don’t kn o w .......................................................................................... 30 106 148 132 165 120 129 36 3 12 17 15 19 14 15 4 Total .............................................................................................. 856 100 N o ......................................................................................................... Yes ....................................................................................................... Seldom lift objects............................................................................... 209 518 129 24 61 15 Total 1............................................................................................ 836 (') How to lift to avoid injury.................................................................... Use of equipment to lift/move loads (e.g., forklift, pulley, crane/hoist, rope, lever, hand cart, dolly)....................................... Use of wrist or knee braces, work shoes, work gloves.................... Combine lifting with rest breaks or light ta sks.................................. Maximum weight I should lif t .............................................................. Benefit of exercise to avoid back injury............................................. O th e r.................................................................................................... No information on lifting/moving provided......................................... 364 44 111 58 32 52 47 3 430 13 7 4 6 6 (2) 51 Total 1............................................................................................ 346 0 Supervisor............................................................................................ Safety representative.......................................................................... Co-worker ............................................................................................ Union representative........................................................................... O th e r.................................................................................................... 203 77 56 18 51 59 22 16 5 15 What is the weight of the heaviest object you normally lift in your job without the help of a co-worker or lifting equipment? Is your lifting work usually spread evenly throughout your work hours? What information were you given on proper lifting/moving procedures before your injury? Who provided the information on lifting/moving procedures? See footnotes at end of table. 12 Table 10. Work experience and training: Back injuries associated with lifting, selected States, November-December 1980—Continued Item Workers Percent How was the information on lifting/moving procedures provided? Total 1............................................................................................ 380 (1) Lecture................................................................................................. Demonstration..................................................................................... Film ....................................................................................................... Written material or posters.................................................................. On the job ........................................................................................... O th e r.................................................................................................... 122 94 80 181 132 3 32 25 21 48 35 1 Total .............................................................................................. 382 100 Less than 6 months a g o ...................................... .............................. 6 months to 1 year a go...................................................................... 1 to 2 years a g o .................................................................................. 2 or more years a g o ........................................................................... Don't kn o w .......................................................................................... 128 81 37 60 76 34 21 10 16 20 Total .............................................................................................. 381 100 N o ........................................................................................................ Yes ...................................................................................................... Don’t kn o w .......................................................................................... 190 71 120 50 19 31 Total 1............................................................................................ 851 0 Conducted training on how to lift/m ove............................................. Provided lifting/moving equipment (e.g., pulley, dolly, e tc .)............. Required use of lifting/moving equipment......................................... Provided exercise program (classes), equipment or facilities........... Mixed lighter work with lifting ............................................................. Reduced maximum weights to be lifte d ............................................. Other action ........................................................................................ Employer took no action .................................................................... Don’t know .......................................................................................... 48 16 18 3 26 41 28 337 361 6 2 2 (2) 3 5 3 40 42 When was the last time you received information on how to lift/move? Do you feel you would have prevented your back injury by using this information? What actions, if any, did your employer take after your injury to prevent back injuries from happening to others? 1 Because more than one response is pos sible, the sum of the responses and percent ages may not equal the total. Percentages are calculated by dividing each response by the total number of persons who answered the question. 2 Less than 0.5 percent. NOTE: Due to rounding, percentages may not add to 100. See appendix A for occu pations and types of injuries included in the survey. Because incomplete questionnaires were used, the total number of responses may vary by question. SOURCE: Survey questionnaire. 13 Table 11. History and care of back problems: Back injuries associated with lifting, selected States, November-December 1980 Item Workers Percent 881 100 57 6 364 460 41 52 Total .............................................................................................. 890 100 N o ......................................................................................................... Yes—regularly...................................................................................... Yes—sometimes.................................................................................. 626 76 188 70 9 21 Have you ever had any back problems before this injury? Total .............................................................................................. Yes—had previous back problem(s) but did not obtain medical or chiropractic treatment .................................................................. Yes—had back problems which were treated by a physician or chiropractor................................................................................... N o ......................................................................................................... Did you do situps or other exercises which strengthen your stomach before your injury? NOTE: Due to rounding, percentages may not add to 100. See appendix A for occupations and types of injuries included in the survey. Because incomplete questionnaires were used, the total number of responses may vary by question. SOURCE: Survey questionnaire. Table 12. Weight and height of worker: Back injuries associated with lifting, selected States, NovemberDecember 1980 Height Weight Total 5’5” or less 57” 5’6” 5’8” 5’9” 5’10” 5*11” 6’ 6’1” 6'3” or more 6’2” Men T otal............................... Less than 140 pounds ......... 140—149 pounds ................ 150—159 pounds ................ 160—169 pounds ................ 170—179 pounds ................ 180—189 pounds ................ 190—199 pounds ................ 200—209 pounds ................ 210—219 pounds ................ 220—229 pounds ................ 230 pounds or m ore............ 762 49 60 86 129 119 100 75 44 36 19 45 Total Women T otal............................... Less than 110 pounds......... 110—119 pounds ................ 120—129 pounds ................ 130—139 pounds ................ 140—149 pounds ................ 150—159 pounds ................ 160—169 pounds ................ 170—179 pounds ................ 180—189 pounds ................ 190—199 pounds ................ 200 pounds or m ore............ 124 8 13 20 21 17 9 12 5 8 2 9 46 18 7 7 8 2 1 0 1 1 1 “ 5’ or less 8 3 1 2 1 1 - 44 39 4 11 6 10 7 0 1 0 0 10 9 5 7 4 2 5 2 - - 10 8 10 16 16 13 9 1 3 0 - 5’1” 87 5’2” 5’3” 4 13 1 1 1 1 - _ 3 3 3 2 1 0 - 5’4” 9 2 5 2 3 4 0 1 0 1 _ 2 1 0 4 1 0 1 - - - ” _ 1 1 14 3 8 17 27 18 14 9 2 2 4 1 5’5” 19 - 105 4 8 13 20 10 12 7 3 5 2 3 1 - NOTE: See appendix A for occupations and types of injuries included in the survey. Because incomplete questionnaires 87 94 109 58 53 40 _ _ - _ _ 5 7 15 20 18 13 7 2 2 5 4 14 11 18 20 9 8 13 4 8 - - - 2 10 12 8 10 5 5 1 5 5 3 4 10 9 7 4 2 9 2 8 2 3 8 1 3 13 5’6” 14 57” 5’8” 5’10” or more 5’9” 23 18 7 6 3 _ _ _ 1 1 5 3 2 1 0 3 0 2 - 1 2 0 0 1 0 1 0 1 _ _ _ 0 0 0 1 1 0 0 1 1 1 - - 3 1 1 2 2 2 0 1 1 6 4 1 1 4 2 2 0 2 0 2 2 1 1 0 1 0 0 were used, the total number of responses may vary by question, SOURCE: Survey questionnaire. Table 13. Pre-employment screening: Back injuries associated with lifting, selected States, November-December 1980 Workers Percent Total 1............................................................................................ 875 (1) Take a medical exam ......................................................................... Have a lower back X-ray.................................................................... Provide a medical history................................................................... Take strength or lifting tests, e.g., do situps, lift weights, etc........... O th e r................................................................................................... None of the above.............................................................................. 304 52 136 5 4 520 35 6 16 1 (2) 59 Total .............................................................................................. 869 100 N o ........................................................................................................ Yes ...................................................................................................... Don’t kn o w .......................................................................................... 474 144 251 55 17 29 Item When you applied for your job were you required to: Was your strength a consideration in the job tasks you were given? 1 Because more than one response is possible, the sum of the responses and percentages may not equal the total. Percentages are calculated by dividing each response by the total number of persons who answered the question. 2 Less than 0.5 percent. NOTE: Due to rounding, percentages may not add to 100. See appendix A for occupations and types of injuries included in the survey. Because incomplete questionnaires were used, the total number of responses may vary by question. SOURCE: Survey questionnaire. 15 Table 14. Estimated lost workdays: Back injuries associated with lifting, selected States, November-December 1980 Percent Workers Item How many workdays did you (or do you expect to) lose due to your injury? (NOTE: Do not count the day of injury, days on light-duty work, normal days o ff or holidays.) Total ' ............................................................................................ 868 100 No time lo s t.............. ........................................................................... 1 to 5 workdays lost ........................................................................... 6 to 10 workdays lo s t......................................................................... 11 to 15 workdays lo s t....................................................................... 16 to 20 workdays lo s t....................................................................... 21 to 25 workdays lo s t....................................................................... 26 to 30 workdays lo s t....................................................................... 31 to 40 workdays lo s t....................................................................... 41 to 60 workdays lo s t....................................................................... More than 60 workdays lo s t............................................................... 106 255 154 85 30 22 37 20 32 14 12 29 18 10 3 3 4 2 4 2 Number of workdays lost not estimated ............................................ 113 13 14 Average days lost per lost workday case ............................. If you have returned to work: Indicate the number of workdays your job duties were changed or restricted (light duty) due to your back injury. Total .............................................................................................. 629 100 No days of restricted activity.............................................................. 6 to 10 days of restricted activity....................................................... 11 to 15 days of restricted activity .................................................... 16 to 20 days of restricted activity.................................................... 21 to 25 days of restricted activity .................................................... 26 to 30 days of restricted activity .................................................... 31 to 40 days of restricted activity .................................................... 41 to 60 days of restricted activity ..................................................... More than 60 days of restricted activity............................................. 358 115 55 32 12 10 12 4 7 4 57 18 9 5 2 2 2 1 1 1 Employee still on restricted activity .................................................... 20 3 1 Excludes nine workers who retired, were laid off or put on permanent disability. NOTE: Due to rounding, percentages may not add to 100. See appendix A for occupations and types of injuries included in the survey. Because incomplete questionnaires were used, the total number of responses may vary by question, SOURCE: Survey questionnaire, 16 Appendix A. Syrwey Explanatory 1M©S@ The survey was designed to develop information on back injuries incurred by workers injured while lifting objects, materials, and animals. Excluded were workers injured while lifting humans. The scope of the survey included overexertion injuries to the back associated with lifting, placing, lowering, carrying, and holding. Excluded were back cases not usually associated with lifting such as pulling, pushing, throwing, catching, fall ing, etc. The scope of the survey covered injured workers in the following occupations: Shipping, receiv ing, and stock clerks; craft workers; operatives; trans port operatives; and laborers and farm laborers. Ex cluded were workers in white-collar and service occu pations. Although all industries were surveyed except coal and metallic and nonmetallic mining, those in which service and white-collar workers dominate employment were underrepresented in the survey. Cases were ex cluded from the survey if the injury resulted in a fatal ity or if more than 120 days had elapsed between the time of the injury and the beginning of the survey. To identify back injury cases within the scope of the survey, participating State agency staff reviewed em ployers’ reports of injuries required by State workers’ compensation laws and mailed questionnaires to injured workers selected for the study. They requested coop eration on a voluntary basis. During the survey period, November-December 1980, 22 State agencies reviewed injury reports and mailed about 1,900 questionnaires. About one-half of the workers selected as within the scope of the study responded to the mail questionnaire. Although data were aggregated for 22 States, it should be noted that the workers’ compensation cases selected for study reflect differences in State reporting requirements. For example, some participating States require reporting of workers’ compensation cases in volving medical treatment regardless of lost time, while others limit reporting to cases involving lost time rang ing from 1 to 8 days. In addition, no attempt was made to estimate back injuries associated with lifting for the occupations stud ied. Although participating States provided a broad geographical and industrial mix, they were not selected statistically to represent the country as a whole. Moreo ver, data collection was terminated when responses ex ceeded 750 cases. Characteristics of the injury and the person injured were classified and tabulated for all respondents within the scope of the survey based on information furnished by the employer in the workers’ compensation report. Questionnaires returned by the injured worker were reviewed for completeness and reliability. Responses to the question on nature of injury (IA) may not neces sarily be based on medical diagnosis. Also, respondents may have experienced difficulty in recalling precise body positions and movements immediately before they felt back pains. All usable responses of incomplete ques tionnaires were used in the tabulations. Consequently, response rates among questions vary. No attempt was made to adjust the data for nonresponses. Numerical values shown in the tables were actual counts while percentages were rounded to the nearest whole number. 17 Arizona Industrial Commission Michigan Department of Labor Arkansas Department of Labor California Department of Industrial Relations Missouri Department of Labor and Industrial Relations Colorado Department of Labor and Employment Montana Department of Labor and Industry Nebraska Workmen’s Compensation Court Delaware Department of Labor Ohio Industrial Commission Hawaii Department of Labor and Industrial Relations Tennessee Department of Labor Idaho Industrial Commission Utah Industrial Commission Indiana Division of Labor Virginia Department of Labor and Industry Iowa Bureau of Labor Washington Department of Labor and Industries Kentucky Department of Labor Wisconsin Department of Industry, Labor and Human Relations Maine Department of Manpower Affairs Massachusetts Department of Labor and Industries 18 Appsndix G. Surw@y Questionnaire U.S. Department of Labor Bureau of Labor Statistics Work Injury Report Back Injuries Associated With Lifting Form Approved O.M.B. No. 44R-1614 This report is authorized by taw 29 U.S.C. 2 Your voluntary cooperation is needed to make the results o f this survey comprehensive, accurate, and timely. The information collected on this form by the Bureau of Labor Statistics and the State Agencies cooperating in its statistical program will be held*in confidence and will be used for statistical purposes only._________ Date of Accident II. COMPLETE THIS SECTION ONLY IF YOU KNOW THE SPECIFIC OBJECT THAT CAUSED YOUR BACK INJURY. A. Describe the specific object you were handling when you injured your back. A. Indicate the nature of your back injury. (Check all that apply.) 1. □ Muscle strain/sprain 2. D Dislocated or herniated disc (slipped disc) 3. □ Dislocated vertebrae 4. □ Misaligned vertebrae (subluxation) 5. □ Inflammation of joint 6. □ Pinched nerve 7. D Other (Describe)____________________________________ • 8. D Don't know B. What was the approximate weight of the object? (Check one.) 5. □ 80 to 100 pounds □ Less than 20 pounds 6. □ 100 or more pounds 2. □ 20 to 40 pounds 7. □ Don't know 3. □ 40 to 60 pounds 4. □ 60 to 80 pounds B. Did you first feel the pain in your back while you were lifting/holding the object that caused your injury? (Check one.) 1. □ Yes—first felt pain as I was lifting/holding the object 2. □ No—felt pain before lifting/holding 3. □ No—felt pain shortly after lifting/holding 4. □ No—felt pain several hours later 5. □ No—felt pain next day 6. □ Other (Explain) ______________________:____ ;--------------C, C. Estimate the size of the object. 1. Height—____fe e t,____ inches 2. Width— ____fe e t,____ inches .fe e t,____ inches 4. □ 5. □ If you answered "Yes—first felt pain as I was lifting/holding the object," check the position closest to that of your arms, back, and legs at the moment of injury. a. Position of arms at moment of injury. (Check one.) D. Were you holding the object by yourself? 1. □ No—had helpfrom co-worker(s) 2. □ Yes s E. How 1. □ 2. □ 3. □ 4. □ 1. F. How long were you holding or carrying the object? (Check one.) 1. □ Less than 1 minute 3. □ 2 or more minutes 2. □ 1 to 2 minutes 4. □ Don't know G. Check the level the object was on before you attempted to lift it. (Check one.) 1. □ Floor level 6. □ Shoulder height 2. □ Ankle height 7. □ Head height 3. □ Knee height 8. O Overhead 4. □ Waist height ’ 9. □ Other (Explain) _______ 5. □ Chest height Position of back at moment of injury. (Check one.) H. Where did you put the object? (Check one.) 1. □ Dropped object when felt pain 2. □ Dropped object before feeling pain 3. □ Floor level 4. □ Ankle height • 5. □ Knee height 6. □ Waist height 7. □ Chest height 8. □ Shoulder height 9. □ Head height 10. □ Over head 11. □ Other (Explain) __________________________________ ' n 1. □ Straight 2. D Slightly bent 3. D Very bent 4. □ Other (Explain) 5. □ Don't Know c. Position of legs at moment of injury. (Check one.) I. 1. □ Straight 2. □ Slightly bent 3. □ Squatting 7. □ Other (Explain) 8. □ Don't know if lifting/moving eqiupment was available How far apart were your feet at the moment of injury? (Check one.) 1. □ Less than 12 inches apart 2. O 12 or more inches apart 3. D Don't know About how many objects had you lifted before you were injured? (Check one.) 1. □ None 6. □ 50 to 99 2. □ 1 to 4 7. □ 100 or more 3. □ 5 to 9 4. □ 10 to 24 5r □ 25 to 49 IF YOU KNOW THE OBJECT THAT CAUSED YOUR BACK INJURY, COMPLETE SECTION II. IF NOT, CONTINUE WITH SECTION III, ON REVERSE SIDE. BLS 100 (October 1980) Was that where you intended to put the object? 1. □ No 2. □ Yes Was lifting/moving equipment available to help you move the object? If it was, why was it not used? (Check one.) i. □ 2. □ 3. □ 4. □ 5. □ 6. □ 4. □ Other (Explain) 5. D Don't know D. far did you carry the object? (Check one.) Did not carry object any distance Carried object less than 5 feet Carried object 5 to 20 feet Carried object more than 20 feet 5. □ Other (Explain) ____:___________________________ ___ 6. □ Don't know D Extended 2. □ Bent 3. □ Extended 4. □ Extended over head down out at shoulder 5. □ Other (Explain) 6. □ Don't know b. Other (Explain)______ _______________ Don't know CONTINUE ON REVERSE SIDE. 19 100. V. A. What were you doing when you (Check all that apply.) 1. □ Carrying 7. □ 2. □ Catching/throwing 8. □ 3. □ Holding 9. □ 4. □ Lifting 10. □ 5. □ Lowering object 11. □ 6. □ Placing object B. What movements were you (Check all that apply.) 1. □ Bending 2. □ Climbing 3. □ Sitting 4. □ Slipping, tripping or falling 5. □ Squatting 6. □ Standing A. injured your back? 1. 2. 3. 4. 5. 6. Pulling Pushing Shoveling Other (Describe)____ Don't know moment of injury making when you injured your back? 7. 8. 9. 10. 11. 12. □ □ O D □ □ Stretching Suddenly changing body position Twisting/turning Walking or running Other (Describe) _____ ;_______ Don't know B. Is your lifting work usually spread evenly throughout your work hours? 1. □ No 2. □ Yes 3. □ Seldom lift objects C. What is the weight of the heaviest object you normaljy lift in your job without the help of a co-worker or lifting equipment? (Check one.) 1. □ Less than 20 pounds 5. □ 80 to 100 pounds 2. □ 20 to 40 pounds 6. □ 100 or more pounds 3. □ 40 to 60 pounds 7. O Seldom lift objects 4. □ 60 to 80 pounds 8. □ Don't know C. Within 48 hours before your injury, was your activity at work or at home more strenuous than normal? (Check all that apply.) 1. □ Yes—lifting more objects than normal 2. □ Yes—lifting heavier objects than normal 3. □ Yes—involved in strenuous outside activity (sports, work at 4. □ A. When you applied for your job were you required to: (Check all that apply.) 1. □ Take a medical exam 2. □ Have a lower back x-ray 3. □ Provide a medical history 4. □ Take strength of lifting tests, e.g., do situps, lift weights, etc. at home, etc.) (Describe)_____________________________ No D. Check those items which you feel contributed to your injury. (Check all that apply.) 1. □ Object too heavy 2. □ Object too bulky 3. □ Small confined workspace 4. □ Had been doing a lot o f lifting that day 5. □ Had lifted heavy object earlier that day 6. D 7. 8. 9. 10. 11. 12. Q □ □ □ □ □ (Describe)________ ;_________________________________ 5. □ 6. □ Other (Describe)____________________________________ None of the above B ody m ovement o r m o tio n contributed to in ju ry Underestimated weight o f object before lifting Changed usual lifting position Previous back problems Poor physical condition Poor or careless lifting techniques Attempted to lif t or place object while walking or running 13. □ Other (Describe) 14. □ Don't know B. C. __________________________ ______ Was your strength a consideration in the job tasks you were given? 1. □ No 2. □ Yes 3. □ Don't know 1. What is your height? ___ fe e t____ inches 2. !V. A. What information were you given on proper lifting/moving procedures before your injury? (Check all that apply.) 1. □ How to lift to avoid injury 2. □ Use o f equipment to lift/move loads (e.g.. forklift, pulley, ■crane/hoist, rope, lever, hand cart, dolly) 3. □ Use o f wrist or knee braces, work shoes, work gloves 4. □ Combine lifting with rest breaks or light tasks 5. O Maximum weight I should lift 6. □ Benefit of exercise to avoid back injury What is your weight? ___ pounds D. Did you do situps or other exercises which strengthen your stomach before your injury? 1. □ No 2. □ Yes—regularly 3. □ . Yes—sometimes E. How many workdays did you (or do you expect to) lose due to your injury? (NOTE: Do not count the day of injury, days on light duty work, normal days off or holidays.) ____ Workdays 7. □ Other (Describe) ___________________________________ 8. □ No information on lifting/moving provided F. IF YOU CHECKED 1-7 ABOVE, ANSWER B, C, D AND E BELOW. 3. How often do you normally lift in your job? (Check one.) □ Seldom (less than 5 times a day) □ 5 to 9 times a day □ 10 to 24 times a day □ 25 to 49 times a day □ 50 to 99 times a day □ 100 or more times a day If you have returned to work: Indicate the number of workdays your job duties were changed or restricted (light duty) due to your back injury. ____ Workdays Who provided the information on lifting/moving procedures? (Check all that apply.) 1. □ Supervisor 2. □ Safety representative 3. □ Co-worker 4. □ Union representative 5. □ Other (Describe)____________________________________ C. How was the information on lifting/moving procedures provided? (Check all that apply.) 1. □ Lecture 2. □ Demonstration 3. □ Film 4. □ Written material or posters 5. □ On-the-job 6. □ Other (Explain) ____________________________ 1_______ D. When was the last time you received information on how to lift/move? (Check one.) 1. □ Less than 6 months ago 4. □ 2 or more years ago 2. D 6 months to 1 year ago 5. D Don't know 3. □ 1 to 2 years ago G. Have you ever had any back problems before this injury? (Check one.) 1. □ Yes—had previous back problem(s) but did not obtain medical or chiropractic treatment 2. □ Yes—had back problems which were treated by a physician or chiropractor 3. □ No H. What actions, if any, did your employer take after your injury to prevent back injuries from happening to others? (Check all that apply.) 1. □ Conducted training on how to lift/move 2. □ Provided lifting/moving equipment (e.g., pulley, dolly, etc.) 3. □ Required use o f lifting/moving equipment 4. □ Provided exercise program (classes), equipment or facilities 5. □ Mixed lighter work with lifting 6. □ Reduced maximum weights to be lifted 7. □ Other action (Describe) ____________________________ 8. □ Employer took no action 9. □ Don't know E. Do you feel you would have prevented your back injury by using this information? 1. □ No (Explain)_______________________________________ 2. □ Yes 3. □ Don't know__________________________________________ ' ll. Describe in as much detail as possible what you were doing at the time of the injury. If you don't know what caused your injury, then describe the lifting (or other activity) that you did which may have caused your injury. 20 Productivity and the Economy: A Chartbook Productivity. Ew@rybody Salks about it. What does it mean? How does it affect wages and costs? What does it ha^e t® do with employment? iLS regional offices This new chartbook, produced by the staff of the Bureau of Labor Statistics, answers questions in under standable—yet technically accuratecharts and captions. The chartbook explains what productivity is, how it has changed over the years, and what factors have contributed to that change. The 100 page chartbook, priced at $5.50, is available from the Superintendent of Documents, U.S. Government Printing Office, Washington, D.C. 20402, or you may send your order to the BLS regional office nearest you. 1603 JFK Federal Bldg. Boston, Mass. 02203 P.O. Box 13309 Philadelphia, Pa. 19101 911 Walnut St. Kansas City , Mo. 64106 Suite 3400 1515 Broadway New York, N.Y. 10036 1371 Peachtree St., N.E. Atlanta, Ga. 30367 9th Floor Federal Office Bldg. 230 South Dearborn St. Chicago, III. 60604 2nd Floor 555 Griffin Square Bldg. Dallas, Tex. 75202 □ Please send____copies of Productivity and the Economy: A Chartbook, Bulletin 2084, GPO Stock No. 029-001 -02634-0, at $5.50 per copy. 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