Michael is a 52-year-old maintenance technician in a manufacturing plant. His work involves manual handling of components, awkward postures, and twisting movements in confined spaces.
Three months ago, he developed low back pain following a lifting and twisting task at work. The pain has persisted and he has reduced his activity at work and taken intermittent sickness absence. He believes that continuing to work will worsen his condition and is now requesting extended sick leave.
Michael’s line manager is concerned about productivity, staffing pressures, and the risk of further injury. You are the organisation’s Health and Safety Officer and have been asked to advise on managing this situation and preventing similar problems in the future.
a) Explain why back pain should be considered a significant occupational health and safety issue in workplaces such as this.
b) Identify the key manual handling, organisational and other risk factors in Michael’s job that may have contributed to his back pain.
Using the Hierarchy of Control, outline how Michael’s employer could reduce the risk of back pain associated with manual handling.
Your answer should:
a) From a Health and Safety Officer’s perspective, explain how Michael’s fitness for work should be considered when deciding whether he should remain at work or return following absence.
b) Propose reasonable workplace adjustments and return-to-work measures that would allow Michael to work safely while reducing the risk of further back problems.
(Note: Focus on safe systems of work, proportional decision-making, and organisational responsibilities rather than medical assessment.)
| Section | Focus | Marks |
| A | Risk awareness and contributing factors | 30 |
| B | Application of hierarchy of control | 40 |
| C | Fitness for work and return-to-work planning | 30 |
| Total | 100 |
| Exam Section | IOSH Descriptor Alignment |
| Section A | Hazard Identification & Risk Awareness – understanding MSDs as occupational risks and recognising organisational impact |
| Section B | Risk Control & Prevention – application of the hierarchy of control; prioritisation of higher-order controls |
| Section C | Operational Risk Management – safe systems of work, worker engagement, and sustainable return-to-work planning |
This paper does not test clinical competence, which is consistent with IOSH’s emphasis on management of risk rather than diagnosis.
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