OSH Project : Material and guidance

This dedicated section presents documents (guidance, handbooks, training material etc…) on musculoskeletal disorders and on psychosocial risks and stress at work. Please note that this is work in progress and that this is only an indicative list which does not necessarily reflect the latest regulations and techniques.  



ArjoHuntleigh – Technical Committee ISO/TC 159 – Ergonomics
Manual Handling of People in the Healthcare Sector, An edited summary of ISO Technical Report 12296

European Agency for Safety and Health at Work (EU-OSHA)
Risk assessment in health care (in EN)
Patient handling techniques to prevent MSDs in health care  (in EN, DE)
European Survey of Enterprises on New and Emerging Risks-ESENER-2 (in 25 languages)
Webportal on musculoskeletal disorders (in EN)

Managing musculoskeletal disorders, 2007
Working conditions and social dialogue, 2009, p83 – 91.

European Union
Council Directive 90/269/EEC of 29 May 1990 on the minimum health and safety requirements for the manual handling of loads where there is a risk particularly of back injury to workers (fourth individual Directive within the meaning of Article 16 (1) of Directive 89/391/EEC) (in BG, ES, CS,DA,DE, ET, EL, EN, FR, HR, IT, LV, LT,HU, MT, NL, PL, PT, RO, SK, SL, FI, SV)

European Commission-DG EMPL Social Affairs and Inclusion
Occupational health and safety risks in the healthcare sector – Guide to prevention and good practice (in 22 languages)


ArbeitnehmerInnenschutzgesetz (in DE)

a) National Research Centre for the Working Environment (NRCWE):
Low back injury risk during repositioning of patients in bed: the influence of handling technique, patient weight and disability, (EN summary) 2008
Webportal “Job and body campaign” (in ENG) with good practices section (in DK)
b) Danish Working Environment Authority (Arbejdstilsynet):
Fremtidens arbejdsmiljø 2020 (in DK), 2010
c) BrancheArbejdsmiljøRådet Social & Sundhed (BAR) -Danish Trade Unions and Employers Association :
Forflytningsguide – Til ansatte på sygehuse og elever og studerende på sundhedsuddannelserne (in DK), 2011
Nye veje til den gode forflytning i hjemmeplejen (in DK), 2008
Forflytningspyramiden – Brug mest af det i bunden og mindst af det i toppen (in DK)
Webportal on manual handling of patients (in DK)
d) Det Nationale Forskningscenter for Arbejdsmiljø (NFA):
Hvidbog om sygefravær og tilbagevenden til arbejde ved muskel- og skeletbesvær Årsager og handlemuligheder (in DK), 2008
Hvidbog om risikofaktorer knyttet til fysisk tungt arbejde Resume og hovedkonklusioner (in DK), 2009
Forflytning i et bredere perspektiv, 2005
Webportal with research on musculoskeletal disorder (in DK)

a) Ministry of Social Affairs and Health, Department of Occupational Health and Safety
A method for evaluating the load of patient transfers, Occupational safety and health publications 83, 2007 (in EN)
b) Finnish Institute of Occupational Health
A Management Model for Physical Risks in the Care Work, 2010 (in EN)

a) Institut national de recherche et de sécurité pour la prévention des accidents du travail et des maladies professionnelles (INRS):
Webportal with resources on  MSD and back pain (in FR)
Dossier médico-technique : Travailleurs lombalgiques. Bases scientifiques des programmes de “retour au travail”  (in FR), 2005
Troubles musculosquelettiques et lombalgies : des maux à traiter sans improvisation, Revue Travail et Sécurité, n° 730, 08/2012, pp. 19-34 (in FR)
Analyse coût-bénéfice des actions de prévention : exemple du risque de manutention pour le personnel soignant, Revue Hygiène et sécurité du travail – Note Documentaire, n° 215, 06/2009, pp. 29-34 (in FR)
Personnels soignants en milieu hospitalier : des performances sous perfusion, Revue Travail et Sécurité, n° 693, 03/2009, pp. 25-39 (in FR)
b) Agence Nationale pour l’Amélioration des Conditions de Travail (ANACT)
L’approche économique des TMS… Intégrer la prévention à la performance, 2007 (in FR)
c) Association Régionale pour l’Amélioration des Conditions de Travail (ARACT) Haute Normandie; Agence Régionale de Santé Haute-Normandie (ARS)
Prévenir durablement les troubles musculo-squelettiques dans les établissements de santé : outils et méthodes pour réduire l’absentéisme et favoriser le maintien dans l’emploi, (in FR) 2013
d) Association Régionale pour l’Amélioration des Conditions de Travail (ARACT) Île-de-France
Aide à l’évaluation des risques professionnels en milieux de soins, 2012 (in FR)
e) Direction de la recherche, des études, de l’évaluation et des statistiques (DREES)
L’organisation du travail à l’hôpital : évolutions récentes, Études et résultats N° 709, 2009 (in FR)
f) Scientific Journal “Perspectives interdisciplinaires sur le travail et la santé (PISTES)”
Comprendre la manutention de patient pour la valoriser : une voie de construction de la santé des soignants, Revue Pistes, n° 1, 05/2012 (in FR, Abstract in EN, ES)
Instruments de manutention des malades, usage du corps et appropriation des gestes collectifs des soignants, PISTES, n° 2, 11/2009 (in FR, Abstract in EN, ES)
g) Ecole Nationale de la Santé Publique (ENSP)
La gestion des risques professionnels liés aux troubles musculosquelettiques : quelle stratégie pour le directeur des soins ? 2007 (in FR)
Manutentions des patients : ergonomie des équipements, systèmes d’aide à la manutention, 2010 (in FR)

a)Legal aspects:
Lastenhandhabungsverordnung – LasthandhabV (in DE) (in EN)
Arbeitsschutzgesetz  “Occupational Safety and Health Law” (in DE, in EN)
b) Deutsche Gesetzliche Unfallversicherung e.V. (DGUV):
Bewegen von Menschen im Gesundheitsdienst und in der Wohlfahrtspflege (in DE) 2014

a) Health and Safety Executive for Northern Ireland (HSENI)/Health and Safety Authority (HSA)
Guidance on the Prevention and Management of Musculoskeletal Disorders (MSDs) in the Workplace, 2013 (in EN)
Guidance on the Management of Manual Handling in Healthcare (in EN)
b) Health Service Executive (HSE)
Manual Handling and People Handling Policy (in EN)

I disturbi muscoloscheletrici lavorativi. La causa, l’insorgenza, la prevenzione, la tutela assicurativa, 2012 (in IT)
b) Societa italiana di medicina del lavoro e igiene industriale
LINEE GUIDA per la prevenzio ne delle patologi e correlate alla movimentazione manuale dei pazienti (in IT)

a) Institute of Occupational Medicine
 Profilaktyka chorób układu ruchu i obwodowego układu nerwowego wywołanych sposobem wykonywania pracy. Poradnik dla lekarzy ( Prevention of musculoskeletal disorder. A guide for doctors), 2010 (in PL)
b) Center for Postgraduate Medical Education in Warsaw
 Medycyna i higiena pracy (A guide for OSH specialists), 2011
c) The Work Foundation, Fit for work Europe, CEESTAHC
 Musculoskeletal disorder and Poland’s labour market, (in EN, PL) 2011

a) Instituto Nacional de Seguridad e Higiene en el Trabajo (INSHT):
A portal for prevention of musculoskeletal disorders with documents about manual handling of people (in ES)
A good practice manual about Musculoskeletal disorders prevention in the healthcare sector (in ES), 2011
b) Galician Institute for health and safety at work (ISSGA):
“Prevention Sheet for MHP”(in ES)
c) Vasquian Institute for health and safety at work (OSALAN):
Manual handling of patients in nursing homes (in ES)
d) Institute of Labour and Public Health:
Web portal for socio-sanitary sector on ergonomics and psychosocial risks (in ES)
Prevention Program for Ergonomic and Psychosocial Risks in Social Health Sector – Final Report, 2009-2012

United Kingdom
a)  NHS Employers:
Rapid access to treatment and rehabilitation for NHS staff, 2012
Evaluating health & wellbeing interventions for healthcare staff : key findings, 2014

b)  NHS Employers/Health, Safety and Wellbeing Partnership Group (HSWPG):

Back in Work ‘Back pack’, 2014 :
Part 1 of 6: Introduction and key messages
Part 2 of 6: The staff guide 
Part 3 of 6: The line managers guide
Part 4 of 6: The safety representatives guide  
Part 5 of 6: Workplace and individual assessment tool
Part 6 of 6: Further information and quick links

Lone worker guidance:
A guide for lone workers, 2013
A guide for managers, 2013

Guidance on prevention and management of stress at work, 2014
The importance of effective partnership working on health, safety & wellbeing, 2014
Guidelines on prevention and management of sickness absence, 2013
Workplace Health and Safety Standards, 2013
Health and wellbeing in healthcare settings, 2012
Implementing the sharps Directive: Advice from POSHH
Welsh Manual Handling passport scheme, 2003


European Agency for Safety and Health at Work (EU-OSHA)
Campaign Guide. Managing stress and psychosocial risks at work, 2013 (in EN)
Managing stress and psychosocial risks e-guide (all languages)
Risk assessment in health care – Section 3.2 and 4.2, (in EN)
Mental health promotion in the healthcare sector – Section 2 & 3 (in EN)
Calculating the cost of work-related stress and psychosocial risks – Literature Review, 2014 (in EN)
European Survey of Enterprises on New and Emerging Risks-ESENER-2 (in 25 languages)
Webportal on psycho-social risks and stress at work (in EN)

Eurofound European Agency for Safety and Health at Work (EU-OSHA)
Psychosocial risks in Europe Prevalence and strategies for prevention, 2014 (in EN)

European Commission-DG EMPL Social Affairs and Inclusion
Occupational health and safety risks in the healthcare sector – Guide to prevention and good practice (in 22 languages)

International Labour Office (ILO)
Stress prevention at work checkpoints. Practical improvements for stress prevention in the workplace, 2012 (in EN, FR, ES)


a) Institut national de recherche et de sécurité pour la prévention des accidents du travail et des maladies professionnelles (INRS):
Dépister les risques psychosociaux. Des indicateurs pour vous guider, 2010 (in FR)
Le point des connaissances sur le stress au travail, 2013 (in FR)
Évaluer les facteurs de risques psychosociaux : l’outil RPS-DU, 213 (in FR)
b) Association Régionale pour l’Amélioration des Conditions de Travail (ARACT) Île-de-France
Aide à l’évaluation des risques professionnels en milieux de soins, 2012 (in FR)
c) Avis du Conseil économique, social et environnemental (CESE), Journal Officiel (JO)
La prévention des risques psychosociaux, 2013 (in FR)
d) Direction de la recherche, des études, de l’évaluation et des statistiques (DREES)
Le panorama des établissements de santé, p11-30, 2014 (in FR)
e) Groupe Pasteur Mutualité
Agir sur les risques psychosociaux des professionnels de santé, Madeleine Estryn-Behar (in FR)


  • Note: Additional resources are also available on the EPSU website.

*** Back to main project page ***

This project has received funding from the European Commission

EU-OSHA Healthy Workplaces Campaign

HOSPEEM is an official campaign partner  of the Managing stress and psychological risks at work – Healthy Workplaces Campaign 2014-2015 of the European Agency for Safety and Health at Work (EU-OSHA). The Europe-wide campaign aims to raise awareness of the problem and show employers and workers that stress and psychosocial risks can be successfully managed and prevented.

“Promoting occupational safety and health is a major priority for HOSPEEM, a priority that is even reflected in our 2014-2016 work programme. HOSPEEM is therefore strongly committed to making the Healthy Workplaces campaign a success. Together with the European Federation of Public Service Unions (EPSU), HOSPEEM is currently running a joint EU project aiming to assess the impact in the hospital sector of health and safety hazards, giving special attention to psychosocial risks and stress at work.

Being the second most frequently reported occupational hazard across the EU, psychosocial risks and stress at work negatively impact the health and well-being of workers and healthcare institutions. Ensuring safer and healthier working conditions is therefore a major challenge for the healthcare sector. For HOSPEEM, the Healthy Workplaces Manage Stress campaign is an opportunity to exchange information and knowledge and to identify existing good practice in this field.” says Tjitte Alkema, Secretary General of the European Hospital and Healthcare Employers’ Association (HOSPEEM).

How to get involved? There are a number of activities and events, find out more information on the Healthy Workplaces Campaign website. For you can watch the “Healthy Workplaces Manage Stress” video  or find useful tools and resources.


HOSPEEM Study Visit to Ireland in April 2014

Following the study visit to members’ organizations in the Baltic States, HOSPEEM visited its Irish member, the Irish Health Service – HSE on 17 April 2014.

During a meeting at the Irish Department of Health, the ongoing reform of the Irish health system was discussed. A deep reform of the system which is based on the 4 key interdependent pillars of health and wellbeing, service reform, structural reform and financial reform and that will change many aspects of the health service leading Ireland to a single-tier health service, supported by Universal Health Insurance (UHI) foreseen to be adopted in 2016.

At the HSE Corporate Employee Relations Services, Mr John Delamere, head of the Corporate Employee Relations (CERS) and representative of HSE within HOSPEEM, and the managers of CERS discussed with HOSPEEM their respective priorities. The focus was put in particular on the areas of common interest in the industrial relations and occupational health and safety fields, where CERS and HOSPEEM are closely working together and will further strengthen their cooperation.

The day was concluded by a visit to the Beaumont Hospital, one of the largest hospitals in Ireland with 3,500 employees, 800 beds, with specialisation in neurosurgery, renal medicine and cancer care. HOSPEEM had the opportunity to meet the managing board of the hospital and to appreciate how, even when financial resources are limited innovative management measures and good cooperation with staff can help to maintain high standards of service delivered to patients.

HOSPEEM thanks John Delamere, Norah Mason and HSE CERS, as well as the Beaumont Hospital for the warm welcome and the fruitful exchange.

For more information:

The Dutch solution to the legal transposition of medical sharps

The development of Health and Safety Catalogues [arbocatalogus] is relatively new in the Netherlands. Dutch legislators have decided to give employers and employees at sector level a significant degree of responsability for health and safety policy. Centralised policy rules and regulations give way to sector-specific customisation. For example The Health and Safety catalogue for the hospital sector has been developed for all members of the Dutch Hospital Association (HOSPEEM Member NVZ- Nederlandse Vereniging van Ziekenhuizen) and organisations covered by the collective agreement of the hospital sector in the Netherlands. This Health and Safety catalogue also covers the use of medical sharps.

In the Netherlands the Dutch Working Conditions Act (Arbeidsomstandighedenwet) determines target requirements for safety and health at work and serves as a guideline. But the Health and Safety catalogue at sector level provides a description of the means and methods agreed upon by employers and employees to meet the target requirements of the Working Conditions Act. In the Health and Safety catalogue employers’ organisations and trade unions describe, on their own initiative, how they will meet the target requirements, including the use of medical sharps for the hospital sector. It is also possible to link a collective agreement with a Health and Safety catalogue and this emphasises the official nature of the Health and Safety catalogue.

To read more about the position of the Dutch Health and Safety catalogue in the Dutch Health and Safety legislation, download the summary.

To find out  what is a Health and Safety catalogue in the Netherlands, download the leaflet of the Dutch Labour Foundation (2007).


HOSPEEM-EPSU Joint Work Programme 2014-2016 for the European Sectoral Social Dialogue in the Hospital Sector

At the last meeting of the Sectoral Social Dialogue Committee for the Hospital Sector in 2014, HOSPEEM and EPSU reached a final agreement of the Joint Work-Programme 2014-2016. The two broad thematic priorities that will lead the joint work of HOSPEEM and EPSU in the three years to come are occupational health and safety, and recruitment and retention of healthcare workforce.

Each theme is developed into specific objectives with clear deliverables and timeline. The planned activities and projects laid down in this document are also guided by transversal priorities agreed by HOSPEEM and EPSU so far. The final version of the HOSPEEM-EPSU Joint Work Programme 2014-2016 is now available.

Download the document – EN
Download the document – FR
Download the document – DE
Download the document – ES
Download the document – SV



Joint Statement of HOSPEEM and EPSU on the new EU Occupational Safety and Health Policy Framework

On 31 May 2013, the European Commission launched a public consultation further to results of the evaluation of the European Strategy on Safety and Health at Work 2007-2012. This was aimed at gathering contributions from the public for the new EU policy framework. Welcoming this initiative, HOSPEEM and EPSU responded to the consultation (see HOSPEEM response).

At the Plenary meeting of the sectoral social dialogue for the hospital sector held on 11 December 2013 HOSPEEM and EPSU approved a joint statement. With this document, HOSPEEM and EPSU aim to highlight common priorities and views for the new EU policy framework on occupational safety and health at work.

Download the Joint Statement

Sectoral Social Dialogue Committee for the Hospital and Healthcare Sector: Main activities and outcomes in 2013

In this document you can find the highlights of the work of the HOSPEEM-EPSU Sectoral Social Dialogue Committee for the Hospital and Healthcare Sector.

In 2013 the Sectoral Social Dialogue Committee for the Hospital and Healthcare Sector dealt with a range of topics, carried out project-related activities and agreed on several documents.

Download the document

Report Final Conference Barcelona 20 June 2013

Brussels, 26 June 2013/18 September 2013

Joint EPSU-HOSPEEM Project “Promotion and support of the implementation of Directive 2010/32/EU on the prevention of sharps injuries in the hospital and health care sector”

Final Conference – Barcelona, 20 June 2013

The final conference with about 95 participants from 24 out of 28 EU Member States (including Croatia to adhere to the EU as of 1 July 2013) took place on 20 June 2013 in Barcelona. It was hosted by EPSU affiliate Federación de Servicios Públicos Unión General de Trabajadores (FSP UGT) and organised by EPSU and HOSPEEM.

Please read the Joint HOSPEEM-EPSU Press Release.
PDF - 304.4 ko Joint Press Release

DRAFT programme (as of 24 May 2013) – in EN only

PDF - 365.6 ko Final Conference Barcelona DRAFT Programme (as of 24 May 2013)
N.B. : Event with simultaneous interpretation from and into the following five languages : English, French, German, Italian and Spanish

Please have a look into the final project report (comprising information on the three regional seminars, the final conference and the various EU countries covered, drafted by ICF GHK (Dr. Tina Weber)

Final Report Project + Final Conference – EN
Final Report Project + Final Conference – FR
Final Report Project + Final Conference – ES
Final Report Project + Final Conference – PL
Final Report Project + Final Conference – DE

Please have a look at photos taken at the event.


We have uploaded below the slide sets used by the speakers for their presentations (in the original language and when this was not in English also translated into EN).

Implementation of Directive 2010/32/EU on prevention of sharps injuries in the hospital and health care sector :
Presentation to Project Closing Conference 20th June 2013, Barcelona (Dr. Tina Weber, ICF GHK)
PDF - 918.7 ko Presentation Weber

Nadelstichverordnung : Umsetzung und praktische Erfahrungen / Needlestick directive : Implementation and practical experience
Renate Waclawiczek, Head of the Department for Occupational Medicine, Salzburg Regional Hospitals (SALK), Salzburg
PDF - 204 ko Presentation Austria (Renate Waclawiczek) – DE
PDF - 187.6 ko Presentation Austria (Renate Waclawiczek) – EN

Mise en application de la directive 2010/32/UE “Prévention des blessures par objets tranchants dans le secteur hospitalier et sanitaire” en Bulgarie / Implementation of Directive 2010/32/EU on the prevention of sharps injuries in the hospital and healthcare sector in Bulgaria
Slava Zlatanova, Vice-President, Federation of Trade Unions-Health Services – CITUB, Sofia
PDF - 470.6 ko Presentation Bulgaria (Slava Zlatanova) – EN

PDF - 472.5 ko Presentation Bulgaria (Slava Zlatanova) – FR

Richtlinie 2010/32/EU zur Vermeidung von Verletzungen mit spitzen und scharfen Gegenständen : Prozeß der Umsetzung in Deutschland / Directive 2010/32/EU on the prevention of sharps injuries in the hospital and health care sector : Process of transposition of directive in Germany & Die Rolle von ver.di bei der Implementierung der EU Richtlinie 2010/32/EU in Deutschland / The role of ver.di in implementing -EU Directive 2010/32/EU in Germany
Sabine Niemeyer, Federal Ministry of Labour and Social Affairs (BMAS), Bonn & Herbert Beck, ver.di, Head of Staff Council/Employee Committee of the University Clinic Heidelberg, Heidelberg
PDF - 157 ko Presentation Germany Part 1 (Sabine Niemeyer) – EN

PDF - 158.3 ko Presentation Germany Part 1 (Sabine Niemeyer) – DE

PDF - 596.9 ko Presentation Germany Part 2 (Herbert Beck) – EN

PDF - 588 ko Presentation Germany Part 2 (Herbert Beck) – DE

Implementation of Good Practice in a Dublin Hospital
Dr. Blanaid Hayes, Consultant Occupational Physician, Beaumont Hospital, Dublin
PDF - 926.2 ko Presentation Ireland (Blanaid Hayes) – EN

The Netherlands
Effect of Directive 2010/32/EC, its impact at workplace level. How does it decrease the number of NSI’s in Dutch hospitals ?
Dr. Gerard Frijstein, Occupational Physician, Academic Medical Centre University of Amsterdam, Amsterdam

PDF - 637.3 ko Presentation The Netherlands (Gerard Frijstein) – EN

Presentation on situation in Norway
Bjørn Henriksen, Special Advisor, Employers’ Association SPEKTER
PDF - 160 ko Presentation Norway (Björn Henriksen) – EN

The use of guidance developed by FSP UGT when informing and training health workers and their representatives
Pilar Navarro Barrios, Head of Sector “Public Health Care”, FSP UGT
N.B. : No slide set available, oral presentation delivered by Pilar Navarro Barrios, FSP UGT. You can have a look to the user manual elaborated on page “Guidance (Guidelines, Handbooks, Tool Kits, Films)”

A strategy and a toolkit to reduce sharp injuries in health care and medical services
Prof. Dr. Ann-Beth Antonsson (with contributions from Lisa Schmidt and Gabriella Östlund), Swedish Environmental Research Institute, Stockholm
PDF - 295.7 ko Presentation Sweden (Ann-Beth Antonsson) – EN

United Kingdom
Good Practice : guidance, handbooks and toolkits. The UK Partnership Guidelines – from theory to practice
Kim Sunley, Royal College of Nursing (RCN), London, & Dr. Ann Stansfield, Peterborough City Hospital / NHS Foundation Trust, Peterborough
PDF - 1 Mo Presentation United Kingdom (Kim Sunley & Ann Stansfield) – EN

Prevention of injuries with medical sharps :
Experiences and expectations from the perspective of nurses and doctors. The role of occupational safety and health (OSH) strategies, policies and measures
Dr. Paulo Cristiano do Nascimento Simões, General Surgery Consultant Hospital Santa Cruz-CHLO, Lisbon / Sindicato Independente dos Medicos (SIM), Portuguese member of European Federation Of Salaried Doctors (FEMS))

PDF - 1.5 Mo Presentation do Nascimento Simões (FEMS)

The file below contains a short presentation of HOSPEEM and EPSU as well as a summary of the activities and outcomes of the sectoral social dialogue committee in the hospital/health care sector in 2012.
PDF - 341.8 ko Presentation HOSPEEM & EPSU + Activities & Outcomes 2012 SSDC HS

This project has received funding from the European Commission

HOSPEEM replies to the EC public consultation on occupational health & safety

HOSPEEM has replied to the public consultation launched by the European Commission further to the results of the evaluation of the European Strategy on Safety and Health at Work 2007-2012 (http://ec.europa.eu/social/main.jsp?langId=en&catId=699&consultId=13&furtherConsult=yes).

The aim of the consultation is to identify current and future challenges in the occupational safety and health area and instruments to tackle these challenges.

In its reply HOSPEEM supported the approach to define common general objectives for the future health and safety policies at European level. However, the organisation stated that actions in this field have to be targeted on each national situation, legislation, organisation and practice. HOSPEEM emphasised also the importance of social partners’ involvement in the future health and safety-related initiatives.

HOSPEEM_reply_EC_public consultation_on_OSH