Manual handling is the movement of items by human energy. It includes lifting, holding, pushing, pulling, shifting and lowering, and any form of human exertion - with or without the use of mechanical aids. Manual handling contributes directly to a significant percentage of work related accidents and injuries. This program covers a detailed description of manual handling, the problems and how injuries are caused, what types of injuries, the steps to prevent injuries with manual handling including a series of questions called "hierarchy of control measures."