STRAINS & SPRAINS

Construction is a physically demanding job, and the physical demands can place stress on the body. The physical stresses can result in sprains and strains to the muscles and ligaments. Sprains and strains account for about a third of injuries in construction.

STRAIN vs. SPRAIN

A strain is an injury to either a muscle or a tendon, the tissue that connects muscles to bones. Back injuries are the most frequent strains. Depending on the severity of the injury, a strain may be a simple overstretch of the muscle or tendon, or it can result in a partial or complete tear.

A sprain is an injury to a ligament, the tough, fibrous tissue that connects bones to other bones. Sprain injuries involve a stretching or a tearing of the ligament.

MINIMIZING THE CHANCES OF STRAINS AND SPRAINS

  • When you are lifting, maintain a good position. A good position means keeping the item being moved or lifted close to the center of your body (waist and midsection). The farther the item being lift is from the center of the body (above the head and neck or below the knees), the greater the risk of a strain.
  • Don’t be foolish. Know your limit. Get help from another person or a piece of equipment.
  • Avoid twisting. Always turn your whole body when you’re changing direction while carrying a heavy object.

RECOVERY

You have to allow your body to recover from the stress you place on it.

  • Rest – a person needs seven to eight hours of sleep a day for sufficient recovery.
  • Nutrition – your body needs a proper supply of protein to allow for recovery. Poor nutrition can slow down your recovery, and some foods can create additional inflammation.
  • Notice warning signs – pain is your body’s indicator, if you ignore pain, it’s more likely an injury will become worse.
  • Do not self-diagnose – some self-treatment methods like Rest-Ice-Compress-Elevate (RICE) are outdated. See the correct person within your company to direct you to proper medical care.

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Members can download the audio version of this toolbox talk here.

Heat Stress is Serious

Originally published on June 20, 2016

Working in a hot environment, such as a construction site, puts stress on the body’s cooling system. When heat is combined with other work stresses – like hard physical labor, loss of fluids, or fatigue – it may lead to heat-related illness, disability or even death. There are three stages to heat-related illness: heat cramps, heat exhaustion and heat stroke.

Heat cramps are painful, brief muscle cramps that are brought on because the body has lost minerals through sweating. If cramping occurs, move to a cool area at once. Loosen clothing and drink cool water or an electrolyte replacement beverage. Seek medical aid if the cramps are severe, or don’t go away.

Heat exhaustion can occur after you’ve been exposed to high temperatures for several days and have become dehydrated. Symptoms include confusion, dizziness, headache, fatigue and sometimes nausea. Without proper intervention, heat exhaustion can progress to heat stroke. If you experience heat exhaustion, get out of the heat immediately and rest, preferably in an air-conditioned environment. If you can’t get inside, try to find the nearest cool and shady place. Slowly drink fluids. If possible, lie down with your feet and legs slightly elevated.

Heat stroke is the most serious form of heat illness and is a medical emergency. It often occurs after heat cramps or heat exhaustion are not properly cared for. But it can strike even if you have no previous signs of heat illness.

Heat stroke can kill, or cause damage to the brain and other internal organs. Symptoms are similar to heat exhaustion, but the skin is hot and dry and breathing is deep and fast. The victim may collapse. The body is no longer able to sweat, and the body temperature rises dangerously. If you suspect that someone is a victim of heat stroke – also known as sun stroke – call 911 immediately. Move the victim to a cool area and remove excess clothing while waiting on help to arrive. Fan and spray them with cool water. Offer sips of water if the victim is conscious.

There are things you can do to prevent heat-related illnesses.

  • Drink plenty of fluids. Consider beverages that replace electrolytes. Stay away from beverages with caffeine. Caffeine contributes to dehydration.
  • Slow down in hot weather. Your body’s temperature-regulating system faces a much greater workload when the temperature and humidity are high.
  • If possible, get accustomed to the heat gradually.
  • Dress for hot weather. Light colored clothing reflects heat.
  • Get out of the heat occasionally. Take breaks in a cool, shady location.
  • Eat light, cool meals.

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Eye Safety in Construction

Originally published 03/07/2018

Construction is one of the largest and most dangerous industries in the United States. Bodily harm because of misusing equipment or through plain negligence can range anywhere from cuts and scrapes to loss of sight or limbs and even death. Because of all the hazards we encounter in a typical day, injuries occur regularly. Of those injuries, eye injuries, are one of the most common.

Two main reasons for eye injuries on the job are: not wearing eye protection or wearing the wrong kind of eye protection for the job. Not wearing eye protection is dangerous. Most workers don’t realize that wearing the wrong kind of eye protection can be just as hazardous. Unfortunately, construction workers contact with just about every eye hazard known to the safety industry: impact, ultraviolet radiation, liquid splash, and infrared radiation just to name a few, are common exposures in construction. Many construction tasks generate flying debris such as: wood, paint chips, dirt, concrete particles, and even nails.

While working outdoors, UV rays are present in ordinary sunlight and can cause damage to the eyes. Construction often takes workers both indoors and out, not realizing the hazards faced can be a serious problem. Workers also come in contact with highly toxic cleaning chemicals, paints, and adhesives that can cause liquid/chemical splash hazards. Contact from these substances can cause momentary vision loss or even blindness, not to mention burning and discomfort in the eyes.

Lastly is infrared radiation. Torch welding and cutting produces an invisible hazard that can damage the cornea and retina of the eye, and in extreme cases it can cause blindness.

By wearing appropriate eye protection workers should be able to avoid injuries to their eyes however, there is still a possibility that you or those around you might need first aid. Listed below are a few points to remember in case of an eye injury:

  • Wash hands before examining the eye, this will help prevent infection.
  • Avoid rubbing the eye, this may force the particle deeper into the tissue.
  • Do not attempt to remove a particle that is embedded in the eye, you can cause serious damage. Place clean, preferably sterile, patches over both eyes and get to a physician as soon as possible.
  • In case of a chemical burn to the eye, do not close your eyes as it can trap the chemical causing further damage. Rinse the eye for 15-20 minutes with clean water, get medical help as soon as possible.
  • Get periodic eye examinations. This is often the only way people learn that their vision is defective.
  • If you’ve had an eye injury, contact your doctor if you: have changes in your vision, have blurry vision, see flashing spots or lights, have eye pain that becomes worse or pain with the movement of your eye(s).

Clean your safety glasses daily, following the manufacturer’s instructions. Store them in a case when they are not being worn. Replace glasses that are scratched, pitted, broken, bent or ill-fitting.

Use only safety glasses that are manufactured to meet the American National Standards Institute’s standards for Eye and Face Protection Standard.

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Sprains and Strains Prevention

Originally published 02/21/2018

Sprains and strains account for about a third of injuries in construction. A sprain is an injury to a ligament, the tough, fibrous tissue that connects bones and other bones. Sprains involve a stretching or a tearing of the tissue. Ankle, knee, and wrist injuries account for most sprains. A strain is an injury to either a muscle or a tendon, the tissue that connects muscles to bones. Back injuries are the most prevalent regarding strains. Depending on the severity of the injury, a strain may be a simple overstretch of the muscle or tendon, or it can result in a partial or complete tear. Maintaining good physical fitness is essential in avoiding sprains and strains.

To minimize the chances of sprains, observe the following practices:

  • Practice safety measures to help prevent falls such as good housekeeping by keeping work areas clear of clutter.
  • Avoid strenuous activity on the job when tired or in pain.
  • Use extra caution when working on slippery surfaces such as ice or wet floors.
  • Always wear appropriate and proper fitting footwear for your job.
  • Use extra caution when walking across uneven surfaces. These are areas where you could easily turn or twist an ankle or knee.
  • When stepping off ladders, always look where you are placing your feet, before you put your full weight on them.

Follow these helpful tips and you will greatly reduce the chance that you will experience a painful sprain or strain:

  • Whenever possible, arrange your work areas to minimize the amount of heavy lifting required.
  • Before any heavy lifting activity, always warm up, using moderate stretching exercises. Do not stretch aggressively as you may over-stretch and injure yourself.
  • Always plan before lifting. Consider the weight of the object, how far you must carry it, and your route of travel. If the object is too heavy, seek additional help or use a mechanical lifting device such as a forklift, hand truck, or winch.
  • Lift objects in the “power zone”. This is the area between mid-thigh and mid-chest height.
  • Always carry objects close to your body.
  • Always lift slowly and smoothly.
  • Avoid twisting. Always turn the whole body as one unit when changing direction while carrying a heavy object.
  • Move heavy objects by pushing or pulling, whenever possible. Pushing is always preferable.
  • Always stand close to the object that you are lifting and be certain that fingers and toes are clear when setting it down.
  • Always lift with your legs and not your back.

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Carbon Monoxide Hazards

Originally published 11/3/2016

Small gasoline-powered engines and tools used in construction can produce high concentrations of carbon monoxide (CO). CO is a poisonous gas that can cause illness, permanent neurological damage and death. Because it is tasteless, colorless, odorless and non-irritating, CO can overcome exposed persons without warning. There is often little time before they experience symptoms that inhibit their ability to seek safety.

Common signs of overexposure to CO include headache, nausea, weakness, dizziness, visual disturbances, changes in personality and loss of consciousness. Any of these symptoms can occur within minutes.

Prior use of equipment without incident has sometimes given users a false sense of safety. Recommendations for preventing CO poisoning include:

  • Educate workers about the sources and conditions that could result in CO poisoning, as well as the symptoms and control of CO exposure.
  • Conduct a workplace survey to identify all potential sources of CO exposure.
  • Use personal CO monitors where potential sources of CO exist. These monitors should be equipped with audible alarms to warn workers when CO concentrations are too high.
  • Consider the use of tools powered by electricity or compressed air if they are available and can be used safely.
  • When using gasoline-powered engines or tools outside of a building, never place them near air intakes so that engine exhaust is not drawn indoors.
  • Always place the pump and power unit of high-pressure washers outdoors. Run only the high-pressure wash line inside.

Carbon monoxide poisoning is often misdiagnosed as the flu. If you suspect that a worker has symptoms associated with carbon monoxide poisoning, take the following steps:

  • Open the doors and windows.
  • Turn off combustion appliances and have everyone leave the area immediately.
  • Since CO can cause long-term, and even permanent injury and illness, seek medical attention.

A CO detector can be a viable solution to preventing CO-related mishaps. It is a small, easy-to-install gadget that is available at most hardware stores. CO detectors usually cost less than $100, and some even combine the safety features of a smoke alarm with carbon monoxide detection.

Like other jobsite hazards, CO mishaps are preventable. We must all recognize where the hazards exist and put appropriate controls in place to avoid unintentional injuries.

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Horseplay Has No Place on the Jobsite

Originally published on 11/08/2017

Although most of us like to have fun, there is no place for horseplay on a construction site. According to the dictionary, horseplay means rough fun. Fooling around means doing foolish, useless things. Both are the opposite of safe, responsible work, and most employers ban them on the construction site.

Horseplay is generally a friendly, physical way to let off steam, but that kind of fooling around can:

  • Break your work concentration,
  • Cause you to be less likely to notice hazards until it’s too late, or
  • Cause an accident.
    • You may not notice spills or items lying on the floor.
    • You might crash into or push someone else into heavy equipment or moving machine parts.
    • You could knock boxes or materials over or onto a person.
    • You could stab someone with a sharp object.
    • Fooling around with PPE can damage it and expose you or another worker to injury or a hazardous substance.
    • Speeding or stunt driving with a forklift can cause it to tip over or hit people or objects.
    • Pushing, teasing, or otherwise distracting people working with machinery could cause pinch points or other injuries.

Horseplay can be costly to both the company and employees in doctor bills, workers comp claims, increased insurance costs and lost work. There can also be added costs to replace machinery or tools and equipment.

Employers should:

  • Make sure all employees know the rules of behavior on the job site.
  • Inform employees of the disciplinary consequences of engaging in horseplay on the site.
  • Emphasize “zero tolerance” for horseplay and practical jokes on the site.

Workers’ responsibilities include the following:

  • Do not encourage or provide an audience for horseplay or practical jokes.
  • Never initiate or participate in horseplay or practical jokes.
  • Use common sense and act professionally.

Ask yourself, “Is a coworker’s safety worth my entertainment?” Horseplay can cause severe injury and even death. Take your safety, and the safety of your coworkers seriously and wait till after you’ve left work to horse around.

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