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1/Vith tralnlng and experience,physiotherapists can ut‖ se
the r sk s tO help preventlniuries from occurring The
process for doing this is best gulded by t、

ハ/o key codes Of
practice focused on hazardous manualtasks and ho、 ハ/tomanage Ⅵ/ork health and safety risks
The Occupat onal Health 9roup Leve1l course focuses onthese codes Some keytakea、 ハ/ays includei
make sure you a‖ ocate tlrne to get access to the、ハ/orkplace and wearthe correct clothing― ―somet mes
there are lnductions you have to dO and safety ciothing

you may need to wear
you wil be the expert on what can cause an iniury but
they are the experts on theiriOb lf you listen、ハ/e‖ tothe workers and ask the rlght questlons they、 ハ/1‖ not
only te‖you what's hard or hazardous,but how to flx las well― ―luSt ike a subleCtVe examinat onへ、/e love to thlnk businesses、 ハ/1‖ ̀do the rlght thing'but ultimately it rea‖ y needs to make a difference totheir bottom linel so report on hO、 ハノyOur Suggestedchanges w‖ glve then∩ return on investment
make sure any ne、 ハ/equipmentis communicated we‖、ハ/ith the workforce so they kno、 ハ/how and、 Ⅳhen

to use the nelA/equipment safely Also check you
have notintroduced any ne、 ハ/hazards into the area
as a result

llVhen done、ハ/e‖ ,this sort ofiniury prevent on canbe very valuable for、 ハ/orkplaces and su tably trained

physiOtherapists are in a great position to provide thisadvlcel Guidelines
l HaZardOusヽ Иanual Tasksi cOde of Practice Safeヽl Australia 201 6,visl lnyu‖

A/ork

com/y7Mv5r8

1 HOW tO managework heaに h and safety nsks,cOde Of
l PraCJCe safeWorkAustrana2011,Msに inyじ 4 cOm/yasfru8

inmotion octOber 2018 45瘍筆籟鰻量農膠Υ
申 輔菫鉱 魏難ゑ饂響鐵 鬱聰Y鰺 ‡鰊 鬱慮響鐵ゑ響警

Asslsung an niured WOrker backto sutabe duies atwork s notiuStthe end― resut of 9ood management,

此ls a cruclal palt ofthe rnanagement Perhaps themostlmpottant parl

Recoveν outcomes are nots mpッ deinedtheabsence of symptomsithey are closely nked to theime ness and susta nab‖ v Ofreturn ng to mean ngfulヽぃ/ork as soon as possible

Employers are more commttted than everto invesung∩efect時e niUν managementstrdeg es Atthe samelme,compensable bodies and schemes are providlng
Pre― employmentfunctional capac tゾ evalLlations are belng used by rnore employers ever/year

creasingly greaterincent ves to encourage

physlotheraplsts to take on an acJve role ln

Many phys otherap sts wi be asked to be nvo ved n pre― emp oyment assessments(PEAl
Be aⅥ /are thatthese need to be NA/el deslgned andi∩Ⅵ/el matched to the role,orヽ M l be lneffect ve

ear y lnten/ention

Eary niuⅣ

Here are some key rules ofthumbl

managementも aboutreducatlng the iniured

person aboutthe r lnlutt reassunng them abouttheOpartlcular y those tりOnatura h storNy Ofthe niUり ,and emphas s ng theatthough standardlsed,easy to― adm nister c nlcal assessments are attractve to employers,
ing to coordlnate assessments across mu tiple regions orlocat ons,only

despite the

CtOnan wOrkcoverAuthonw 2012)eva uatons that are matched to accuratelob demands have demonstrated eff cacy

可Uヴ「

PEA are deslgned based on functional capac ty evaluat ons Ensure this process has

AIl physiotherapists contttbute to this lmportantfuncJon/th the relevant people ln theヽ Ⅳorkplace
been adequately done in close consu tat onヽ ハi∩Лth provldlng a prompta∩ umber ofvyays Th s stansヽ ハ

evldence― based assessment,diagnosis,treatment andratherthan a'close enough ls 9ood enOugh'cookle cutter approachornpottance of eary paniclpat on

lnteⅣ enlon to workers as soon as an iniuγ

oCCurs,,ork
to de ver hlgh― value PEA to employers,a physiotheraplst needs to understandヽ ハ

elheronste or d a c n c nearbb/Many phy●otherap sts

level def n tions including physical demand levels and work frequencies,have accessaso work n an advisoν capaCW iO educate andto accurateiob anaツ Stt nfOrmat on(Or ha/ethe ab v to measurelob dema∩ ds d rectし￨inforrn c ents such as employers or compensablebodies on the opJmal management and lnten/enlon

and implementtestng specfc to nd v dua lobs

OflniUttes and i‖ nessesetis rnportantthat the process ls clear and safe forthe participant
By targeting lniunes dunng the eary stages ofthe r° 9iVen the lmportance forthe particlpant,clearlnstruct ons andヽ

ハ
/el organised test n9

development,ヽ7́orkers are afforded the opportuntゾ/ork and actvitles of da‖ y‖ ving earierin
to resume、 ハ

procedures are cruclal

a safe and contro‖ ed mannen Thlsis benefcia nい/hen conducted appropr ately,pre― employmentfunct onal capac ty evaluat ons have bee∩m nlm s ng unnecessav productvv oss and theshown to reduce niury rates and reduce the costs of niur es,benentng bOth emp Oyers

lke hood of ong term actvlw mttatOns,restr ct ons

and employees

and persiste∩ t pain

Cuidelines
Reference
Harb n C eta(2005),Post―of′oυ ma′
Offeri Pre― P acement TЭ sj∩ g n industry,ハ me″ caρ 」

イρdL/s̀″ a′ ん
ed'c71e 471296‑307

46 physiotherapy asn au

Clnica Frarrework forthe De very of
HeatthServices,Victor anい /orkcover Authorty 201 2
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ョ■ 一
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趣琴

鞣 翡

Aetta shot of QAL.one ofthe argest a um na rennenes∩

As a physlotherapist,9olng tOヽ

Austra aハ/ork each day ln an alumina refineryas ha、 ln3´ 11三 二:[ =1 1´ aciors onsne The bulk ofthe employees
are shli― ●こ.=3´ 0し UCe approxrnately 3 8 mi ion tonnes per

start v・・ork before 6 30 am,and NA/ear hlgh― visib ty clothing Ⅵ/ith steeト

year of,0´s―capped boots lA/hen irn out onste, tls mandatoⅣ to be fU‖ y kitted

makeSI E

ゴ 3̲― na,wh ch makes onetonne ofa um n um)/orklng ln a hospttal or c nlcal practice l/hat dlfferent toヽ ハ
ls someヽ ハ=[er grade alum na(fourtOnnes of bauxle

up ln addlional personal protective equlpment,such as Tonogog91esI
The pla∩ 131=

hard hat,91oves and hearing protect on And llove tl￨[ares and there are mu tiple levels/stories

to access al=3 platforrns,ship unloaders,conveyors」
こ「i ´ S ̲3Cated on the Gladstone Harboun Ⅵ/e haVe´ ■ 3 ∩g and storage facilit es Shlps of bauxtte

Лth is somewhat d fferenttoo l am
The type of vtlork rm invOlvedヽ ハand the tcこemp oyed by Queens and A um na LlmtteO(QALl n G adstone,Centra/∩ 1 ^=メ [´our oヽ ハ

Queensland,and 1/vorkin the onste occupaJonal heath centre in a

trat/el frò｀munldiscipl nary team thatincludes an occupatlonal physlcian andln a fou「 st=〔 ][´ハ/o occupato∩ al heath nurses

and disscl ^01‑=s^ a red pebbles of bauxite,before a senes Oftヽ^ .,=1三〕‐3´
steps,lnc´ こ

lam occupled with some hands on nluⅣmanagement,but mostly「m nvolved with niUⅣ prevenJon,return to― work pro9rams,healh
sun/ei ance,funct onal capacty evaluat ons and er9ononη

30● e and the bauxte ls processed lnto aluna na=´

二:=SS ta ed the Bayer process tthis lnvolves gttndl∩ gc reviews

steam turns[ Iこ

.´

0■

=̲￢

'th Caust c soda and applylng heat and∩a,a ine,whte powder Movement of

the produc[^^ =S3=treS)through the plantfrom tank to tankーー3 310千 plpeヽ ″ork And a‖ these pipes have valves,c´ イ
ls vla plpe、 ■l aise da‖ y with other ser ce teams onste,lncludin9 occupat onal

flanges.∩ uts a´ 3 33tsthat need to be rnoved or changed on a re9ular

ノe‖ as havlng cont nualhygiene,safety and human resources,asヽ ハ

basls Opera1 3‐ a and mal∩ tenance teamsヽ Mγ k around the clock on acontact with team members a∩d leaders from a‖ overthe ste l use apartlcipatory approach in er9ono∩/s,andn C revleヽ ハ

any recommended

rotaing rOster[■ 3「= S alot of mantlal hand ing lnvolved!asヽハ/e‖ as manyother heatth co∩ s ceratonschanges requ re consutat on、 ″此h a key stakeholders

The fn shed product(aum na)s then ether moved to an adiaCent
T09iVe you an idea ofthe size ofthe place,QALis one ofthe largest
alunヽ na refineries ln Austra a,employing some 860 people,as、

70 physiotherapy asn auハ/elalum nlunl smeter at Boyne lsland via conveyor,or shipped to/orldother customers l∩ Austra a and around the、 ハ

Safety s a va ue he d by alour workers a∩ douram stobea∩

niury―freeヽ ハ/orkplace even/day To achleve thls,we fo olv the Rlo Tinto HeaLh

and Safety Standards,9iven we are 80 per cent olA/∩ ed by Rlo Tinto(and 20%by Rusa、 a Russ an company)We measure monttor andunderstand our heath and safety exposures ln the NA/Orkplace and arecont nua‖ yⅥ/orklng tOⅥ/ards improving、 ″ork pract ces,loolsl systems
and processes to e rr nate or mlnln∩

se any hazards 1/Ve e∩eary reportin9 of concerns orlniur eSI and ru∩

courageannual hea‖ h revie/1yS

of employees to detect any anoma es,as prevenlon is betterthan cureThe other area thatls ven/drferentfor me as a physlotheraplstls ln thenumber of hats'い ″ear As a company employee,lam a∩ advocate
forthe businessi as a hea th professlonal,l am an advocate forlmy
patents So l can lnfuence and guide both theヽ ハ/ork tasks and theindivlduals Finding the balanceヽ ハ/th these advocacles comes、 ハ/thexperience ln industv and ls vew rewardi∩ g

Di Staats,APAM
Readyto gol DI Staas

Phys10therapist and E「 9ononn cs Advisor.QAL

To reglster and flnd out more,

vlsl vvww.physiotherapy,asn.au/events

Octobe「 201871