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Strain, Sprain or Overexertion

Musculoskeletal disorders (MSDs) are strain, sprain or overexertion injuries to muscles, tendons and joints. These injuries can occur suddenly from an incident like a fall or over time from repetitive motions such as jumping from the cab.


Some examples of MSDs include rotator cuff injuries, carpal tunnel syndrome, back strain and tendonitis.


Using proper techniques to complete work can reduce the risk of developing these injuries.


Below are safety materials that you can use in your trainings to address these issues.


SHARP Program | Department of Labor & Industries | PO Box 44330 | Olympia, Washington 98504-4330

Phone: 1-888-667-4277 | Contact web developer at TIRES@Lni.wa.gov

Click here for a guide on how to prevent sprain, strain and repetitive motion

injuries at your company



Early Reporting Equals Better Outcomes

The sooner you report and deal with an injury, the better your health outcome....

(poster printable on letter size or 11x17 paper)




Work Safe, Home Safe

Save your back for the good things in life - poster ....Can be printed on 8.5x11 or 11x17 paper

Would your son mind if you couldn't shoot a few hoops? -.....Can be printed on 8.5x11 or 11x17 paper  | En Español




Why You Need to Have and Follow Company Policy Regarding Lifting

Truckers are tough, but seriously?



Protect Your Ability to Work

Give fifth wheel snags the hook

Do the Tandem Slide

Proper Posture is Less Stress

Is safety your Achilles' heel?

Cowboy up? .... (printable on letter size or 11x17 paper)

Your back bone's connected to your shoulder bone...... Can be printed on 8.5x11 or 11x14 paper

Prevent back/shoulder sprain .... (printable on letter size or 11x17 paper)

Recurring pain can lead to disabling injuries - tip sheet

What a trucker needs to know about CTS - dollars & sense

Making the connection




Load/Unloading Securement

Yard tractors and harm factors

These trucks carry big risks

Secured freight is stacked straight

Load smart - your driver will thank you

Levelling Dock Plate Injuries

Is that pallet safe to move?

Abate the weight

Lever vs. Ratchet





Truckers are tough, but seriously? true story

Guess my weight? (Can be printed on letter or 11x17 paper)

Take one for the team? - true story

Can a rotten day get worse...you bet! - true story

Get help with heavy or awkward loads - tip sheet

Line truck driver hurts shoulder lifting converter gear - true story

If you have to move it manually - organize and store heavy objects at a comfortable height - tip sheet

80-pound box leads to 8 days off work - true story




Cab/Trailer Entry/Exit

Consider the length of your career...(cab) (poster printable on letter size or 11x17 paper)

Consider the length of your career...(flatbed)(poster printable on letter size or 11x17 paper)

Consider the length of your career...(trailer)(poster printable on letter size or 11x17 paper)

Want to be a pro? Trailer exit strategies (poster printable on letter size or 11x17 paper)

High mileage and rough treatment can wear out your truck and your knees (poster printable on letter size or 11x17 paper)




Be Prepared for Severe Weather

Snowed in true story

Snowed in poster (printable on letter size or 11x17 paper)





The right equipment could have kept this driver out of a tight spot


A 40-year-old less-than-truckload driver was delivering a 450 lb. cooler. When he arrived at the customer site, he realized that the truck did not have the lift-gate necessary for delivery. Additionally, the cooler was sitting on a damaged crate.


The customer had paid for a truck with a lift-gate and wanted the cooler delivered as promised. The driver called his manager and was told to “get it done,” so he tried to unload the cooler by himself.


When he manually lifted the cooler off the truck, the damaged crate caused it to fall forward. The cooler landed on his shoulder, pinning him to the ground in the squat position. He managed to gently slide the cooler off of himself so that it wasn’t damaged, but his back was hurt.


The driver continued to work for 5 days after the injury until the pain in his back was so intense that he could not move. When he finally went to the doctor, he was diagnosed with 2 ruptured discs and 1 that was torn. He’s been off of work for 6 months and his workers’ comp claim has cost more than $20,000. Good planning and the right equipment could have saved him and his company a lot of pain and expense.


How-to-guide back to top


Preventing injuries to muscles, tendons and joints


Low-cost and simple solutions do exist that can help reduce the number of strain and sprain injuries in your company. Hundreds of companies have shown that investments in injury reduction are paid back in less than a year. Here are several steps that can be followed to tackle these injuries:


Step 1: Evaluate the Problem

Look at past injuries and determine where the most common and most serious strain and sprain injuries are occurring. Compare the types of injuries — are more of the injuries in the back, shoulder or hands/wrists?

Evaluate jobs to identify the most demanding tasks. Highlight the tasks requiring the most frequent and extreme amount of demand, and those in jobs where injuries have been occurring.

Talk with workers and supervisors about the parts of jobs they feel are the most physically demanding and most likely to cause a strain or sprain.


Step 2: Prioritize the Risks

Rank the identified tasks based on the following:

1. History of injuries

2. Amount of physical effort

3. Number of workers

4. Identification by workers and supervisors


Step 3: Develop Solutions

Brainstorm ideas to reduce the stress in tasks in order of priority. Involve workers and supervisors in brainstorming and initially don’t rule out any option. All ideas can lead to solutions.

Develop solutions for the top tasks, focusing first on those that can be done quickly and at low cost. Use the creativity of people in your company — many things can be made in-house, whether it is fabricated or made of foam and duct tape.

Investigate longer-term, more expensive solutions that need an investment of capital. These ideas can often produce large gains in both productivity as well as reduction in injuries. Again focus on the ideas that have the largest potential to reduce the most injuries and improve the work process.


Step 4: Implement Solutions

Quickly implement the easiest and lowest-cost ideas— it is important to show that some action is being taken.

Work with the people affected to implement changes; sometimes it takes a couple of trials to get it right. Involving the people who do the work will make it more likely they will adopt the changes.

Ask vendors to let you test equipment or products on a trial basis. Evaluate with the workers whether the equipment or products improve or reduce productivity.


Step 5: Evaluate and Improve

Improving your company’s safety process is an ongoing activity. Evaluate whether the changes have worked. If so, can they be further improved or expanded to other operations?

Once the biggest problems are addressed, keep working down the list of priorities.

Evaluate the jobs again. Has anything gotten better or worse, are there new operations that need improvement? Document and quantify the changes in terms of dollars and reduction in risk to demonstrate effectiveness to management.


These are the basic steps to address strain and sprain injuries in your company. The strategies can vary and should be tailored to what works best for you. The TIRES (Trucking Injury Reduction Emphasis) Project staff in the SHARP Program are available to help you work on these issues. Additionally, your industry association or third-party administrator may be able to provide resources and ideas.