REPORT I PTCPWA966/I PREPARATORY TECHNICAL CONFERENCE ON THE MAXIMUM PERMISSIBLE WEIGHT TO BE CARRIED BY ONE WORKER International Labour Office Geneva 1965 51980 PBBPACE The Governing Body of the International labour Office decided, at its 162nd Seasion (May-June,1965), to convene a Preparatory Technical Conference to study the various physiological and socio-economic aspects of the question of the maximum permissible weight, to be carried by one worker, and to adopt conclusions for submission to the International Labour Conference with a view to the adoption, under the singlediscussion procedure, of one or more international instruments relating to this matter. The convening of the Preparatory Technical Conference would constitute the second stage in the examination of this question. The first stage, which was made in accordance with a decision taken by the Governing Body at its 155th Session (May-June,1963), was a Meeting of Experts on the Maximum Permissible Weight to be Carried by One Worker, held from 9 to 17 March, 1964. Various aspects of the question were examined at this meeting, particularly the experiences gained by governments, employers' and workers' organisations, and by factory medical officers. This document, submitted to the Preparatory Technical Conference, consists of four parts: a general introduction to the subject, the report of the Meeting of Experts, an outline of national law and practice, and conclusions and points for discussion. CONTENTS £2S£ Part It INTRODUCTION I. HISTORICAL BACKGROUND II. HEALTH PROBLEMS IN WEIGHT CARRYING - FACTORS AFFECTING FATIGUE AND ACCIDENTS Generalities Physiological Factors Technical and Environmental Factors Vocational Training Medical Supervision Questions pertaining to Women and Children III. TRENDS IN NATIONAL U S AND PRACTICE IV. ACTION TAKEN BY THE INTERNATIONAL LABOUR ORGANISATION Part II: 2 3 3 $ 4. 5 6 6 6 7 Model Code of Safety Regulations and Codes of Practice Meeting of Experts 7 8 Convening of the Preparatory Technical Conference 8 REPORT OF THE MEETING OP EXPERTS 9 REPORT General Discussion Physiological Aspects of Load-Carrying Medical Aspects of Load-Carrying Climate and Environmental Conditions Organisation of the Work Questions of Packaging Vocational Training Medical Supervision Porterage Criteria to be Applied in Determining the Maximum Weight Part III: OUTLINE OF NATIONAL LAW AND PRACTICE I. LAWS AND REGULATIONS General Provisions Provisions concerning Women, Children and Young Persons Provisions concerning Adult Workers II. COLLECTIVE AGREEMENTS AND CODES OF PRACTICE Part IV: 1 CONCLUSIONS AND POINTS PROPOSED FOR DISCUSSION I. CONCLUSIONS II. POINTS PROPOSED FOR DISCUSSION Questionnaire 10 12 13 14 14 15 16 16 16 17 17 20 21 21 22 32 34 37 38 39 39 - 2 - I. HISTORICAL BACKGROUND 1. Without doubt the transport of loads represents one of the oldest and most widespread forms of work. Firstly by individuals, and then collectively and in an organised way, this type of work has always been a common operation involving large sectors of the working population. With the rapid rise of industrialisation, the handling of loads is carried out more and more with the aid of mechanical means; nevertheless, the utilisation of these means ia still rather unevenly distributed. In large sectors of industry and commerce due to local reasons, to reasons of organisation and to other reasons, load carrying is still being done by hand. Workers of all ages, women, girls, adolescents and sometimes even children are still called upon to do this work. The weight of the loads carried manually varies widely. In certain cases the maximum weight is fixed by national laws or regulations. In many other cases the weight is determined by local tradition or by commercial custom in the matter of packing. In many instances it is the method of manufacture or the material breakdown of the goods which determines the weight to be carried. 2. In absolute figures the weight of loads handled in this way is often considerable. That is why, ever since trade union organisations began to gain importance, some of them, especially organisations representing transport workers, dockers and workers in the food and drink trade, have made a point of insisting on a limitation to the weight of loads to be carried. Certain employers' organisations and governments have also studied this question which has also been raised at the international level. It may be worthwhile perhaps, to recall briefly some of these instances. 1 > 3. The question was broached as long ago as 1914 by the International Association for Labour Legislation which asked on behalf of dockworkers that the loads carried by one man should not be allowed to exceed 60 kilograms. In 1924 the International Federation of Food and Drink Workers requested that action be taken to prohibit the carrying by one man of sacks of grain weighing more than 100 kilograms, and in 1925 the French Association of Stevedoring Contractors advocated that the upper weight limit should be set between 50 and 60 kilograms. In the same year the German Government requested that the subject be laid before the International Labour Conference with a view to the adoption of international standards, while the International Transport Workers' Federation asked that the International Labour Conference Bhould set the maximum load which one man could carry at 75 kilograms. In 1927 a Congress organised by the International Transport Workers' Federation and the International Federation of Food and Drink Workers adopted a resolution asking that the loads carried by one man in the transport and milling industries (sacks of wheat, sugar, salt, etc.) should not exceed 75 kilograms and that it should be compulsory to mark the weight on packages of more than 50 kilograms. Subsequently the transport workers' organisations, particularly those in industrial transport and the food and drink industries, reverted to this question on several occasions. 4. The question was also brought up at the International Labour Conference which at its 24th Session (Geneva, 1938) adopted a resolution inviting the Governing Body "to consider the desirability of placing on the agenda of an early session of the Conference the question of the fixing of the maximum weight of loads, packages and sacks to be transported by workers". A similar request was made in the following year by the Second Conference of American States Members of the I.L.O.(Havana,1939). 5. In 1948, the Congress of the International Transport Workers' Federation, following a survey carried out in certain member countries, adopted a resolution in which it requested the I.L.O. to consider this matter with a view to the adoption of an international Convention setting the maximum load which could be carried by one man at 75 kilograms. In 1952 the Congress of the International Federation of Food and Drink Workers in turn adopted a resolution instructing the Managing Committee of the Federation to request the I.L.O. once again to study the possibility of reaching international agreement on a maximum load of 50 kilograms. 6. This issue has also been discussed on several occasions in the I.L.O. Inland Transport Committee. At its Fourth Session (Genoa,1951) the Committee - 3- adopted a resolution (No.47) in which it invited the Governing Body, inter alia. "to recommend that governments, in cases where the use of lifting and carrying appliances is impracticable, study, in consultation with the employers' and workers' organisations concerned, the possibility of determining the maximum limits of loads which may be carried or lifted by one man without the aid of mechanical appliances, taking into account the various circumstances obtaining". At its Fifth Session (Geneva, 1954), the Committee again adopted a resolution (No.63) on this question, among other things, inviting the Governing Body "to consider placing this question on the agenda of the most appropriate session of the International labour Conference". Finally, at its Seventh Session (Geneva, 1961) the Committee adopted a resolution (No.80) in which it again invited the Governing Body "to consider the possibility of placing the question of the limitation of loads carried by one man on the agenda of an early session of the International labour Conference". 7. The foregoing facts show that the item in question is of considerable interest to workers engaged in the loading, unloading and transport of goods, particularly stevedores and workers engaged in delivering foodstuffs and drink. There can also be no doubt that the question is of concern to workers in many other industries, because the manual lifting and carrying of loads are everyday operations even for those not primarily concerned with goods handling as such. II. HEALTH PROBLEMS IN WEIGHT CARRYING FACTORS AFFECTING FATIGUE AND ACCIDENTS Generalities 8. Without entering into a detailed discussion of such matters as the energy balance or other physiological questions which are related to weight carrying, the purpose of this chapter is to outline briefly the functional and physio-pathological modifications which might occur as a result of carrying heavy loads, and to indicate the physical repercussions which this type of work might have. 9. Load carrying is muscular work. In addition to sustaining the basic bodily functions, energy is consumed both in supporting the load and in moving it from one place to another. A muscle transforms into kinetic energy the chemical energy obtained from the body's food intake that is supplied to it by the blood. Fuel from the food intake undergoes combustion in oxygen introduced into the body through the lungs. During physical work the body must oxidise more fuel and will consequently require a larger supply of oxygen. The body must consume more fuel and consequently needs a larger supply of oxygen. This calls for deeper and more rapid breathing together with an increase in the cardiac rate and output. Waste products result from the muscular function and must be eliminated from the body in the form mainly of carbon dioxide. If this elimination doeB not take place quickly enough, the intermediate products of the metabolism accumulate in the body causing fatigue. In addition to fatigue, the transport of loads may lead to disorders related to over-strain and be the cause of accidents. The two main factors which are responsible for these repercussions are: the weight of the load and the conditions in which the transport is effected. 10. As regards the weight of the load, although the energy expenditure needed to lift and carry a given weight is theoretically constant, its effects on the body may vary to a large extent. On the one hand, the individual physical capacities may be different according to the typical biological characteristics of a given population, group or individual; they also vary in the same individual according to his state of health, nutritional status, age, etc. Moreover, unfavourable environmental conditions will reduce the margin of energy which the individual can physiologically place at the disposal of his work. As regards the conditions under which work is performed, particular account must be taken of the technique used for lifting, putting down and carrying loads, the type of package and its dimensions, the nature of the path to be covered, the work-rate, the general climatic and environmental conditions, etc. These different factors, either separately or taken together may add considerably to the total effort required to perform the work and substantially increase the risks of fatigue or accident. These factors will be briefly reviewed in the following pages. -4 - Physiological Factors 11. The fact of holding a load in a standing position necessitates in itself a static effort with repercussions on the locomotor system, namely the skeleton, the musculature and the joints. The vertebral column, the vertebral discs and the spinal muscles are especially called into play. According to the weight of the load, the vertebral discs may be more or less compressed and, when the load is particularly heavy, disorders of these may arise as a result of the compression and wear which are an important predisposing factor in the emergence of arthritic disorders of the vertebral column. 12. Balancing the load while it is being carried may call for compensatory effort in which extra muscle3 and joints come into play and this will increase considerably the necessary expenditure of energy and the resulting fatigue. Moreover, certain joints such as those of the foot, the knee, the hip and the vertebral joints are obliged to work under stress, which tends to additional wear of the joints and predisposes them to arthritic lesions. 13- The risks are obviously greater when it is a question not only of carrying heavy loads but also of lifting them and, where necessary, of putting them down or stacking them. These operations bring into play, in a complex manner, the various sectors of the skeleton, the musculature and the joints, and the dynamic effort that the body has to produce, added to the static effort already required, may attain a high level even for relatively light weights. There are thus many factors which have to be taken into account, among which are the form and manner of packaging the load, the amount of bending or sideways movement necessary to grasp it or put it down and the handling technique. Whether a man raises a load unaided and places it on to his shoulders, or whether he be assisted in this operation, may often entail a very different effort and may, even more than the weight, be a fundamental element of occupational safety. The risks of discal hernia, muscular strain, lumbago and abdominal hernia, all of which may result from using the wrong technique while raising or putting down a load, are well known. 14. In addition to these effects on the locomotor system the effort required in weight carrying may have repercussions elsewhere particularly on the lungs and the circulatory system. As regards the lungs, the expenditure of energy entailed in the work necessitates a higher consumption of oxygen and consequently an increase in the breathing rate and the volume of air inhaled. It should be noted that during the transport and especially during the raising and putting down of the load, the muscles of the thorax, diaphragm and abdomen are in a state of contraction, causing compression of the lungs and a rise in intra-alveolar air pressure that, among other things, may lead to a risk of emphysema. The heart and circulatory system are also affected by the augmented blood flow required for heavy muscular exertion, which results in increased heart rate and cardiac output, raised resistance in the pulmonary circulation and changes in blood pressure. These factors might possibly lead to sclerogenous changes of the arterial walls and to cardiac hypertrophy. Technical and Environmental Factors Shape and Dimensions of the Load 15. The shape and dimensions of the load as well as the nature and characteristics of the packaging also play an important part in the energy expenditure required by the work and in its safe performance. It is clear that there is a great difference in the effort required to carry a load of suitable dimensions, well placed on the shoulders and easy to hold in a good position, and that which is required to transport a load of the same weight whose packaging is loose and whose dimensions are unwieldy, or which is badly .balanced and difficult to maintain in a stable position. Thus not only the form and rigidity of the load and its packaging, but also the provision of handles or other grasping points, are safety factors that can reduce the risk of awkward movements and fatigue. - 5- Nature of the Path to be Covered 16. The nature of the path may represent an important factor in fatigue and may also lead to accidents. Examples of this are found in ship-loading and unloading, in the handling and delivery of food products and drinks, in certain building and civil engineering works, etc. Walkways that are badly laid out or inadequately maintained, uneven ground which calls for extra effort, crossing of narrow and springy planks, ascending or descending into holds or storerooms, etc. may, for the same load, intensify considerably the effort required and cause additional fatigue, both physical and nervous. Organisation of the Work 17. Badly organised work resulting in too fast a rate or sudden and irregular stopping and starting during the carrying, with inadequate or inopportune work breaks can also affect safety or lead to extra fatigue. Similarly incentive payment schemes that are often applied to loading and unloading operations may induce workers to neglect safety practices and exert themselves beyond the normal limits of physiological recuperation. Climatic and Environmental Conditions 18. Climatic conditions such as temperature, ventilation, humidity, etc. also have important repercussions on physiological expenditures and on the amount of fatigue. It may be noted, for example, that work which is considered as normal in a temperate climate may become very strenuous when it is performed in a tropical climate, or if the worker is exposed to high temperatures and humidities. In fact, although the expenditure of energy required for the handling of a given load is the same, the body under such conditions is no longer able to disperse in the normal way the heat produced by the internal bio-chemical combustion processes. This leads to an increase in the heart-rate and the rate of respiration which, when added to the physiological modifications resulting from the expenditure of energy on the work, may approach the limits of physiological performances. The presence of atmospheric pollution such as, for example, the high concentrations of dust that are sometimes found in the holds of ships or in grain stores may become an even greater nuisance or danger because of the increased lung ventilation called for under adverse climatic conditions. Vocational Training 19. The total physical expenditure as well as the type and intensity of the effort to which the various groups of muscles and joints are individually subjected may vary considerably according to the manner in which the load is carried. Thus, for instance, carrying a load on the head or the back in an upright position means, in particular, that the groups of muscles and joints in the vertebral column, the pelvis and the lower limbs are brought into play symmetrically. On the other hand, carrying a load in a more or less bent position, on one shoulder, or under one arm, or supported by both arms, or in one hand, brings particular groups of muscles and joints into play in a complex and asymmetric manner and distributes the effort in an unequal and sometimes dangerous way. Bad carrying practices may cause accidents such as discal hernia and lumbago and may be the underlying cause of cyphotic and scoliotic deformation of the vertebral column or of lesions of the hip or shoulder joints. The vocational training of workers is a most important factor in this respect in order to reduce the effort and, particularly to exert it in such a way as to make the best use of the physiological capabilities of the body. The use of good technique in raising or setting down a load considerably reduces the risks of badly distributed and badly co-ordinated efforts, represents a basic measure for preventing joint sprains, muscular strains, lumbago, discal hernia, etc. and contributes to reducing wear in joints and, indirectly, cardio-vascular and organic decay. / v - 6 - Medical Supervision 20. Appropriate medical supervision for these workers who may be particularlyexposed to accident hazards and physical deterioration would no doubt be of value. Thi3 would, primarily, avoid placing too heavy a task on individuals whose physical constitution or state of health does not allow them to produce, without risk in this respect, the efforts demanded by the transport of loads. Pre-employment medical examination would enable attention to be paid to physical strength, lung capacity, heart and vascular conditions and the state of the joints: it would also disclose any predisposition to abdominal hernia, etc. Medical supervision would also provide an opportunity of keeping a check on the adaptation to work, of revealing in good time any lesions in the locomotor system or any organic disorders which may become aggravated by the efforts demanded in handling operations, and of giving the workers advice on those health matters that might prove useful to them. It would seem in any case that this supervision should be considered essential for both the young and for the older worker. Questions Pertaining to Women and Children 21. The effects of load carrying on the body may be especially important for women: on the one hand, their physical structure is less suitable for this type of work and, on the other hand, their physiological equilibrium is characterised by considerable variations which entail modifications in their efficiency and can expose them more easily to the risks mentioned previously. As regards adolescents and children, it should be noted that their organic structures are in a critical phase of growth and consolidation. The efforts demanded by load carrying may hinder the normal and regular evolution of the body, may have unfavourable repercussions on the process of ossification and lead to skeletal deformities. Furthermore, the degree of organic and muscular development may, during this stage of growth, vary greatly from one individual to another, a fact which requires caution when establishing levels of weight or of effort applicable to the whole of this category of workers. III. TRENDS IN NATIONAL LAW AND PRACTICE 22. It is clear from the outline on law and practice given in Part ITI that the danger-of health to which the carrying of excessive loads may expose the workers has not escaped the attention of governments, which over the years have endeavoured to regulate the matter at the national level by adopting provisions covering at least certain classes of workers, in particular women and young persons. Without at this stage giving details of these provisions, it may be useful to indicate briefly the main lines of existing legislation. 23. The majority of countries have adopted provisions applying to women, children and young persons. These classes of workers are often broken down into age groups, the maximum authorised load being specified for persons in each group. Special provisions are laid down for transport by means of a vehicle, the maximum permissible weight varying according to the type of vehicle used. Thus, different limits are specified for transport by means of barrows, two, three or four wheeled vehicles, tip-trucks on rails, tri-cars and so forth. The type of surface and slope of the ground to be covered are also taken into account in some countries and maximum weights are specified on the basis of these factors. Tn addition, in some countries it is further provided that women and young persons may not be employed on load carrying for more than a specified number of hours per day. Special provisions are also laid down for pregnant women, for instance prohibiting their employment on load carrying from the beginning or after a certain stage of their pregnancy. 24. In contrast to the position as regards women and young workers, very few countries have adopted legislation or regulations applying to adult male workers. In Chile, Costa Rica, Panama, Peru and O.S.S.R. a maximum of 80 kilograms has been set; in Mexico and in India (Madras) the limit is 75 kilograms; and here and there a plus margin of 10 per cent, (as in .Panama) or of 4 to 7 per cent, (as in Chile) is permitted in special cases. Certain countries (the United Kingdom, Ceylon, Guatemala and New Zealand) have adopted general legislation leaving it to the -7 - discretion of the competent authorities to lay down maximum limits either for all workers or for certain classes of workers; these maxima may be fixed at different levels depending on circumstances or on the operations involved, or for such industries or such working processes as the regulations may determine. However, very few regulations seem to have been actually made under legislation of this kind. 25. The scarcity of official regulations limiting the weights which may be carried by an adult worker has led the workers' organisations in certain countries to conclude collective agreements on the subject. Thus, for instance, in Argentina, under a collective agreement of 7 February 1947, the weight limit has been set at 70 kilograms and at 50 kilograms for sacks containing certain specified goods. Certain guides of safe working practice also cover this point. In Turkey, for instance, regulations of 22 July 1948 lay down that the maximum weight to be carried by dockers and men employed in maritime transport is 40 kilograms; in Italy, the Genoa port regulations fix the limit at 100 kilograms. It is clear, however, that although the collective bargaining approach may lead to useful agreements, its practical utility will generally be confined to particular situations or even to special cases. Any attempts to solve this problem at the initiative of one of the parties or at the regional or local level will run into many difficulties of a general nature. The weight of loads often depends on the nature of the goods to be transported, the packaging systems employed, and the particular storage and delivery methods. Having regard to the ever increasing importance of international trade, any weight limit, if it is to have practical effect, must be adopted both by the importing country and by the exporting country, and could be accepted only on the basis of international agreement. IV. ACTION TAKEN BY THE INTERNATIONAL LAB0OR ORGANISATION 26. The question of the maximum permissible weight to be carried by one worker was first studied by the International Labour Office many years ago. It appeared as one of the items on the agenda of the third meeting of the Correspondence Committee on Occupational Health in 1926. The Committee discussed this matter in connection with the wider theme of fatigue, but had to defer more thorough examination because of the many other urgent problems before it at that time. Model Code of Safety Regulations and Codes of Practice 27. A step forward was takeruwhen a tripartite committee adopted the Model Code of Safety Regulations in I960. This contains specific reference to the question of the maximum weight, and although it does not mention any limit in figures, it does clearly lay down certain basic principles which point towards a more precise formulation. As regards the question as a whole, it restates the principle that "no person shall be employed to lift, carry or move any load so heavy as to be likely to cause injury to him" and adds that "the competent authority should make regulations prescribing the maximum weights which may be lifted, carried or moved by persons employed in industrial establishments". 28. As regards young persons, the Code states that the employment of boys and girls under 18 years of age "shall be prohibited in loading, unloading, transport and other processes involving the carrying of heavy loads or objects". As regards women, it prohibits the employment of any female at "loading, unloading and other operations and processes involving frequent lifting and carrying of heavy loads or objects, unless (i) individual suitability iB taken into account in placing workers on such job3; (ii) prior to assignment to such employment the workers have received instruction as to approved methods of lifting and carrying loads; and (iii) maximum weights are fixed for loads to be lifted or carried, taking into account the character of the loads (rigid or non-rigid), the height and distance which they are to be lifted or carried, the frequency of the lifting and carrying Model Code of Safety Regulations for Industrial Establishments for the Guidance of Governments and Industry, I.L.O., Geneva, 1949 - 8 - operations, and any special obstacles or hazards that may be present, such as uneven ground, stairs, ladders, or the like". 29The question of loads is mentioned also in the Code of Practice which deals with safety and health in dock work-*-: paragraph 534 provides that no person "should be employed to lift, carry or move any load so heavy as to be likely to cause injury to him". Meeting of Experts 30. In view of the importance of this question in the protection of the health of workers and the prevention of accidents, the Governing Body of the I.T-.O.decided at its 155th Session (May-June,1963) to convene a meeting of experts on the maximum permissible weight to be carried by one worker. In order to take into account the several aspects of the question, including the relevant experience already gained in various quarters, it decided among other things that the meeting should consist of four experts from government circles, four from employers' circles, four from workers' circles and two industrial physicians. The Meeting was held from 9 to 17 March 1964. Convening of the Preparatory Technical Conference 31. Having taken note of the report of the Meeting of Experts, the Governing Body decided at its 162nd Session (Way—June,1965) to convene a preparatory technical conference to study the various physiological and socio-economic aspects of the question and to formulate conclusions that could be submitted to the International Labour Conference with a view to the adoption through the single discussion procedure of an international instrument or international instruments concerning the maximum permissible weight to be carried by a single worker. In order to facilitate the study of this question and provide the Conference with a suitable basis for its discussions, the International Labour Office has prepared a list of points for discussion, which has been sent to all States Members of the International labour Organisation. The comments of the Governments, the employers' organisations and the workers' organisations will be analysed in a second report to be submitted to the Preparatory Technical Conference. The questionnaire and the explanations relating to it will be found below in part IV. 1 Safety and Health in Dock Work, I.L.O., Geneva, 1958. 2 The text of the report adopted by the Meeting will be found in part III of this paper. It will be noted in particular that in reaching their conclusions the experts worked on the principle that the recommended maximum weight should make it possible to avoid all signs of residual fatigue and that it should be applicable throughout the world. - 10 - MEETING OF EXPERTS ON THE MAXIMUM PERMISSIBLE WEIGHT TO BE CARRIED BY ONE WORKER (Geneva, 9-17 March 1964) REPORT 1. In accordance with the decision taken by the Governing Body of the International Labour Office at its 155th Session in May 1963, a Meeting of Experts on the Maximum Permissible Weight to be carried by One Worker was held in Geneva from 9 to 17 March 1964. As specified in the Governing Body's decision the Meeting was to be attended by four Government experts, four experts designated by the Employers' group and four experts designated by the Workers' group. Two experts, physicians, were appointed by the Director-General. 2. The following personalities attended the Meeting: Dr. A.H. Baynes, Deputy Senior Medical Inspector of Factories, Ministry of Labour, St. James' Square, LONDON S.W.I. (United Kingdom) Dr. L. Brouha, Chief, Physiology Section, The Haskell Laboratory for Toxicology and Industrial Medicine, Du Pont de Nemours, WILMINGTON 98, Delaware. (U.S.A.) Dr. Evio Santos de Bustamante, Chief of the Occupational Safety and Health Division, Ministry of Labour and Social Welfare, RIO DE JANEIRO. (Brazil) Mr. D. Dusiquet, Deputy Secretary and Member of the Executive Committee, Federation of Ports and Docks C.G.T. - F.O., 1 rue Frissard, DIEPPE, Seine Maritime. (France) Mr. M.E. Jallow, General Secretary, Gambia Workers Union, 68 Hagan Street, P.O. Box 454, BATHURST, (Gambia) (West Africa) Prof. Dr. E.A. MUller, Max-Planck-Institut fur Arbeitsphysiologie, Rheinlanddamm 201, DORTMUND. (Federal Republic of Germany) - 11 - Prof. L. Noro, Director, Institute of Occupational Health, Tyoterveyslaitos, Haartmaninkatu, 1, HELSINKI. (Finland) Mr. T. O'Leary, National Secretary of the Dock Group, Transport and General Workers Union, Transport House, Smith Square, Westminster, LONDON, S.W.I. (United Kingdom) Mr. L.A. Suggars, General Manager, Queensland Chamber of Manufactures, Manufactures House, 375 Wickham Terrace, BRISBANE, Queensland. (Australia) Dr. P.V. Thacker, Senior Industrial Health Officer, Tata Services Limited, Department of Industrial Health, Army and Navy Building, FORT BOMBAY 1. (India) Ing. U. Viviani, Chief of the "Industrial Accidents and Occupational Diseases" Section, Socie'te' Montecatini, Largo G. Donegani 1/2, MILAN. (Italy) Dr. G. Zuev, Department of Foreign Relations, Ministry of Public Health, MOSCOW. (U.S.S.R.) Mr. Tschumi (Switzerland), Employer expert and Mr. Gale-Varela (Honduras), Worker expert, were unable to attend the Meeting for health reasons. 3. Mr. W. Yalden-Thomson, Assistant Director-General of the International Labour Office, declared the Meeting open. He wished the Committee to know that this question held special Interest for the I.L.O. and recalled the aims of the Meeting. The question being examined concerned a large number of workers not only in industry but also in agriculture and commerce. It was undoubtedly a complex question in view of the many factors involved, both biological and practical. While it was necessary to consider the workers' physiological capacities, and the differences between those capacities in the various regions of the world, a host of other factors must also be studied, ranging from'vocational training to climatic and environmental conditions, the nature of the packages employed and the organisation of the work. Although the trend in international trade seemed to be towards a progressive reduction in the weight of loads involved in manual handling, the question as a whole had not yet been studied. One could it seemed, learn some lessons from the results of medical research and of practical experience in the different countries which would be of material assistance in fixing a maximum weight. 4. Professor L. Noro was unanimously elected Chairman of the Meeting. Dr. L. Brouha was appointed Rapporteur. 5. The agenda of the Meeting, as approved by the Governing Body was as followsi - 12 - "1. Physiological factors which may affect load-carrying. 2. Working and environmental conditions which may affect the strenuousness of load-carrying. 3. Criteria to be applied in fixing the maximum permissible weight to be carried by one worker. 4. Measures for reducing the health risks involved in the manual handling of loads." General Discussion 6. In the course of the general discussion the participants drew attention to a certain number of factors which should be taken into account when tackling the question of the manual transport of loads. It was emphasised first of all that given an equal weight - the effort required varied according to whether carriage was effected in a cold or temperate climate, or in a tropical or hot and humid climate. It was also pointed out that the worker's constitution and weight could have an important role. The question thus arose whether it was advisable to aim at limits to the weight of loads which would be applicable to the workers of a particular country or region, or whether the problem should be approached as a whole and an attempt be made to arrive at standards valid for all countries. The Meeting observed that the development of international trade made it unrealistic to examine the problem on a narrow basis, and recognised that a common denominator should be sought which would be applicable to all countries. 7. The participants also recognised that with regard to handling operations one should, on the one hand, consider load-carrying in the strict sense and, on the other hand, the question of the lifting and possibly the setting down of loads. It seems clear that if this work requires not only that a load should be carried, but also lifted and possibly set down or stacked, the necessary effort is much greater. It was also recognised that in most cases the handling of loads also involves lifting or at least a certain amount of bending in order to grasp the load. It was thus decided that for the purpose of the discussion the expression "load-carrying" should imply some lifting. 8. It.was also noted that the energy expenditure associated with the transport of loads had, physiologically speaking, a twofold meaning: first, that of the energy expenditure necessary for the displacement of the body weight, and secondly that of the additional energy expenditure Involved in carrying the load itself. Considering the final result of the operation, the reduction in the weight of the load beyond certain limits may prove "uneconomical". The weight of the load ought thus to be determined so as to avoid fatigue and hence make the best use of the physiological resources. 9. Another point to consider is the total weight of loads carried during the working day. While it is true that the weight of the load Is a factor of fundamental Importance it was also observed that because of the speed of working or the length of the shift, the total effort during the working day might exceed the limit which would allow normal recovery of the energy expended, and so would result in fatigue. 10. The Meeting recognised that vocational training played an important part in the manual transport of loads. It was, however, of the opinion that even when the value of appropriate training is taken into account it may be necessary to adapt the weight of the loads in order to avoid early physical deterioration. 11. The participants also noted that both in the international and domestic trades the tendency for some years past has been a progressive reduction in the weight of each unit in which goods are handled. Many examples were mentioned including the weight of sacks of grains, fruit cases, banana stems, cases of bottles, metal Ingots, etc. It was emphasised that this reduction in weight was often made for commercial reasons. The Meeting was unanimous in considering that an effort in this direction should be undertaken so as to arrive at loads suitable for safe manual carrying. - 13 - 12. The participants noted that, although load-carrying was especially performed by certain classes of workers, such as dockers, manual transport was still regularly required in many industries (for example, the construction and textile industry, etc.), and occasionally done in a large number of industrial and commercial activities. It was stressed that in agriculture the lifting and carrying of loads was a normal operation although its extent was generally underestimated. They agreed that they should consider all operations involving lifting and carrying of loads in all branches of economic activity. 13. The participants agreed that women, owing to their physical structure and physiological characteristics, are incapable of the same energy output as men. The effort required by the transport of loads may be particularly dangerous during pregnancy and can lead to miscarriages. 14. The question of the weight of loads carried by young persons was also considered. Attention was drawn to the fact that adolescents undergo a delicate period of development. Their bone structure is in a formative phase. Their muscles are in the process of development as well as the internal organs, in particular the heart and the blood vessels. Therefore, the considerable effort sometimes required by the transport of loads as well as the repeated and often asymmetrical compression produced by loads on certain parts of the body may cause deformities of the skeleton and modifications in the heart and the blood vessels. 15. These factors seem to be especially important as regards girls whose physiological balance is delicate. The repercussions of the effort required by load-carrying may affect the pelvis, the abdominal muscles and the reproductive organs and may lead to modifications and disorders of the mechanism of child-birth. Physiological Aspects of Load-Carrying 16. The assessment of the effort required of an individual by the handling of loads is a very complex problem. The blotypical features must be taken into account together with certain external factors which can modify the physiological cost of such work. Among the individual factors are the weight, size, degree of muscular development, general health status, age, sex and training, etc. The external factors Include the climate, the environmental conditions, the shape and weight of the load, the rate of work, the length of the shift and the frequency of peaks of effort. The Meeting noted that there were some fundamental studies on this question, and examined the results obtained from experiments made on normal subjects in various standardised conditions of climate and load. It considered that the results of these researches could provide a satisfactory basis for establishing standards applicable to the average worker under the usual conditions of load carrying. 17. To perform work, the body must use more fuel and consequently needs a greater supply of oxygen; hence an increase in the respiration processes, in the pulse rate and in the cardiac output. The wastes produced by muscular activity must be eliminated from the body, mostly as carbon dioxide. If this elimination of metabolites is inadequate the resultant accumulation of intermediate products may cause fatigue. 18. The participants noted that, according to the results of physiological experiments, heavy muscular work can be performed without an accumulation of fatigue if the work is broken up by suitable pauses. These enable the circulation to distribute an adequate supply of oxygen to the muscles and to eliminate the waste products. They also noted that experiments had been made to study the level of muscular effort and the optimal work-rate which allow normal recovery. 19. Since it is the muscular apparatus which does the work necessary for loadcarrying, the quantity of work which a person can perform is related to his muscular mass. There is thus a certain connection between the weight of a worker and the weight of the load he can carry. It should be noted, however, that in women the ratio between body weight and muscular mass is less favourable than in men. Experimental research as well as observations and surveys made in several countries show that the maximum capacity for work generally occurs between the ages of 20 and 30 in men and somewhat earlier in women. In determining the maximum permissible weight to be carried by one worker this factor must be taken into account. - 14 - 20. Physiologically speaking static effort, produced by prolonged contraction of the muscles is much more fatiguing than a comparable dynamic effort. It follows that the method of carrying becomes more effective and rational as the load approaches the median vertical line of the body, making possible a symmetrical spread of the load over the body and helping to reduce postural efforts. 21. The participants noted that the methods of research used to measure the effort of carrying included oxygen consumption and modifications of the heart-rate before, during and after work. The first method consists of measuring the amount of oxygen utilised in performing a particular work. Using that method, exact information on the expenditure of energy can be obtained, but for the purpose of measuring the total stress involved in the work the method is valid only when it is performed in a favourable environment (especially as regards temperature and humidity). The second method is based on the measure of the pulse rate, and evaluates the total stress resulting both from the mechanical energy expenditure and from the thermoregulation effort. The study of the pulse rate after work provides information of great value in assessing the effort made during the work which has Just been performed. 22. Other factors come into play. It was noted that acclimatisation and training have a considerable influence on the cardiovascular functions and considerably reduce the total physiological effort. It was also emphasised that these two forms of adaptation are rapidly acquired and lost. Medical Aspects of Load-Carrying 23. Possible ill effects may arise in carrying and lifting of loads. These effects may be divided into acute and chronic. A certain number of accidents in industry are caused by manual handling. They involve injuries to the spine, muscles of the trunk and the limbs, and to the Joints. A rise in intra-abdominal pressure produced by carrying of loads may cause abdominal hernias, ptosis of abdominal organs and prolapse of the uterus. Sharp elevation of blood pressure may result in some cases in haemorrhages of the brain, especially among older people already bearing arteriosclerotic changes. 24. Constant carrying of excessive loads can lead to a number of chronic ill effects. These are distortion of the skeleton, and in particular deformities in the vertebral column, Joint changes and callous formation. Heavy physical work might have some influence in the aetiology of the degenerative processes in the tissues of the locomotor system, which are often already far advanced at the age of 40-50. Pains in the lower back, lumbago and other spinal symptoms are common among workers engaged in heavy physical work. The carrying technique may influence these symptoms, especially the unilateral carrying which might cause deformities in the vertebral column (scolosis, kyphosis). Direct pressure may cause muscular pains, bursitis, and even neuritis in the case of nervous compressions. Carrying heavy weights can'also injure the arch of the foot, and fractures of small metatarsal bones can be found among porters carrying heavy loads continuously. 25. In the case of women additional considerations should be taken into account. The physical constitution of a woman is not as strong as that of a man, and her capacity for sustained muscular effort without undue fatigue is substantially less than that of a man. Heavy carrying may result in a rapid rise of intra-abdominal pressure causing disturbances of the blood circulation in the pelvic organs and in the lower limbs, such as varicose veins. Disorders in the menstrual and generative functions such as excessive bleeding, premature delivery, still-birth, miscarriage and prolapse may result. These disorders are more frequent when women have been engaged in heavy carrying from an early age. Unfavourable effects on the normal formation of pelvic bones resulting in a narrow and flat pelvis have been observed. 26. In adolescents strenuous physical work such as lifting and carrying heavy weights may have ill effects on the growth of the body and especially on the skeleton; it may lead to deformities of the vertebral column, the pelvis and the thorax. Moreover, during adolescence the different organic systems do not grow at an even pace. It may be recalled that the growing of the musculature and the heart and circulatory systems is often unequal, and stress on these systems may have permanent sequelae. Climate and Environmental Conditions 27. The experts noted that both laboratory research and practical experience had clearly demonstrated the importance of the climate and, in particular, the temperature and humidity in relation to the physiological output of work. Thus, in areas with tropical climates and in workplaces where the environmental conditions - 15 - are severe, the physiological cost of carrying loads can be high. Moreover all factors hindering the evaporation of perspiration and the loss of body heat i*i<l to an increase in the pulse rate. This can in itself exceed the increase in the pulse rate required by the mechanical effort involved in handling the load. They noted that the pulse rate can be considered a sensitive index, easily measured, making it possible to assess the total effort produced under various conditions. 28. The participants noted that in these circumstances the amount of work that can be performed is reduced. They were all agreed that all factors affecting the loss of heat such as ventilation, air conditioning, working clothes, protection against radiant heat, consumption of beverages are important elements in assessing the total efforts of the body. The participants emphasised the value of providing these workers with airconditioned rest rooms, making it possible to shorten considerably the periods of recovery. 29. The participants also emphasised the part which could be played by atmospheric pollution, such as dusts and toxic substances. They considered that these factors might prove especially injurious to workers engaged in load-handling because of increased pulmonary ventilation. They considered it imperative to improve and render more healthy any bad environmental conditions. 30. The importance of cold temperatures was also mentioned by some participants. It was generally admitted that the effect of cold temperatures was of less importance than heat as regards load-carrying. It can be counteracted by supplying appropriate food, hot drinks, provision of rest rooms suitably heated and by the wearing of suitable clothes. Organisation of the Work 31. The Meeting emphasised that mechanised transport of loads was the desired objective. It urged that every effort should be made to provide workers with appropriate mechanical aids whenever that is technically possible. The participants noted, moreover, that the present trend in the transport of goods is towards the increased use of bulk transport which eliminates the Intermediate manual handling of goods (fluids generally such as milk, wine and other beverages; industrial liquids and solvents; fruit, grain, sugar, flour, etc.). The use of hoisting and handling appliances (fork lifts, pallets transporters, etc.) is becoming more and more widespread. In the same way many systems are employed to reduce the extent of human intervention, such as various types of vehicles, roller conveyors:, toboggans, slides, mobile loading or unloading platforms, etc. 32. The participants emphasised that the method of tackling a cargo operation was of considerable importance. They mentioned certain methods applied for instance, in the unloading of sacks or crates by "breaking down" the stack, and methods of warehousing. They recommended that work be organised at the time of the handling operation so as to reduce as much as possible the extent and frequency of movements, and to make it easier to grasp loads and stack them. 33. The participants noted that the distance the load was carried was also an important element. The carrying of loads as such involves a static contraction of the musculature of the arms and the trunk and favours the onset of fatigue. 34. The nature and conditions of the ground to be covered may also cause fatigue and sometimes accidents. A slippery or irregular ground requiring extra effort, passages unsuitably placed or inadequately maintained, walks on narrow and springy planks, slopes to be climbed or descended may considerably increase the effort necessary and be the cause of accidents. 35. It was felt that carrying in the arms should be kept at a minimum, especially when the ground to be covered is uneven or difficult. The importance of ensuring that the ground covered should always be kept clear was also stressed. 36. Another point discussed was that of the work-rate. If the work-rate is excessive or irregular so that halts during work becomp necessary, or there Is inadequate distribution of breaks, repercussions on safety and fatigue may ensue. The work should be organised so as to avoid halts in the course of the- Journey. n this is not possible, a platform should be provided on which the worker can temporarily set down his load. These platforms should be placed at the appropriate height so as to render unnecessary lifting and lowering the load. It was also noted - 16 - that the methods of incentive payment often applied in loading and unloading operations may lead workers to neglect the rules of safety and tax themselves beyond the normal limits of physiological recovery. Questions of Packaging 37. The participants examined certain packaging problems involved in the manual transport of loads. During the Journey of the goods from the place where they are manufactured or made up in packages up to their final destination, the load may have to be manually handled many times. It was recognised that an important part is played by the shape and dimensions of the load as well as by the nature and characteristics of the packaging. There is in fact a considerable difference between the effort necessary for carrying a load of suitable dimensions which is easy to grasp and to hold in the right position, and the effort required to carry a load of the same weights but awkward to handle, loosely packed, badly balanced or difficult to hold in the right position. Adjustments to facilitate grasping the load are a safety factor of the first importance and can reduce the risk of clumsy movements and accidents. 38. As regards the manner in which goods are packaged, the "loading unit" and the "handling unit" are increasingly used. The expression "handling unit" refers to the packaging of a load intended for manual transport. The "loading unit" is composed of a larger package containing a number of handling units, and its dimensions and weight are chosen in relation to the means of transport and mechanical handling available. 39. The manual transport of a compact load is less difficult than that of a loose load. Large loads being carried manually should be provided with hand-holds such as ears for sacks, suitable handles for rigid packages, etc. It would also be desirable for the handling units not to be too bulky, in order not to upset the dynamic equilibrium of the worker or to demand too great additional efforts from him. Vocational Training 40. The type and the total amount of physical expenditure as well as the stress to which the muscles and joints are subjected may vary considerably according to the manner in which the load is carried. For instance, carrying a load on the head or the back in an upright position means that the muscles and Joints of the vertebral column, the pelvis and the lower limbs are brought into play symmetrically. On the other hand carrying a load in a bent position, or on one shoulder, or in one hand, distributes the load in an uneven and sometimes dangerous way. 41. In a number of countries vocational training for workers regularly engaged in load-carrying is provided. The way in which this training is organised varies widely, ranging from the teaching of basic techniques and methods for lifting, carrying and stacking to more complete courses concerning physiological, technical and organisational aspects of the work of carrying. A certain amount of lifting is almost always present in the work of carrying and vocational training in lifting techniques is an essential feature in job safety and efficiency. 42. A considerable number of accidents and health impairment occur to workers who are engaged in carrying only occasionally. It is therefore important that these workers also receive an appropriate basic training and be submitted to refresher courses. Medical Supervision 43. The legislation of many countries already provides for pre-employment medical examinations. In many cases the legislation contains detailed provisions on special medical supervision for women and young workers. These examinations must be repeated at regular intervals to check the worker's state of health and to detect any latent disorder. This especially concerns persons employed to perform heavy or harmful work. - 17 - 44. All workers continuously employed on load-carrying work should be subject to regular medical supervision. This would make it possible to discover and reject individuals who because of their physical constitution or state of health are unable without risk to themselves to make the effort demanded by the transport of loads. The pre-employment medical examinations should be designed particularly to check the workers' physical strength, lung capacity, heart and circulation, the state of their Joints, especially the spinal column and to detect any predisposition to abdominal hernia, etc. Medical supervision would also make it possible to keep a check on adaptation to work, to discover in good time any lesions in the locomotor system or any organic disorders likely to become aggravated. Such supervision would also make it possible to give the worker suitable advice on hygiene and health. It would seem in any case that this supervision should be considered essential both for the young and for the older worker. The meeting felt that preemployment medical examination was necessary, and that periodical medical examination should be carried out at least once a year. Porterage 45. With the increasing use of mechanical aids, the carrying of loads over long distances is disappearing. However, it is still to some extent practised in rural areas and in forestry work. The load is generally carried on the head or on the back. The distances travelled varies and largely depends on climatic conditions and the nature of the terrain. In certain cases this distance may range from 12 to 20 km a day. The weight of the loads carried for such distances, is generally between 15 and 20 kg; with short distances of 2 to 3 km it can rise to 40 kg. The participants nevertheless recognised that they did not have sufficient information on the risks to health involved for porters by reason of their work. Criteria to be Applied in Determining the Maximum Weight 46. Having concluded their examination of the most important factors in the carrying of loads, the participants discussed the criteria which should be taken into account in fixing the maximum weight for those loads. 47. They recognised that the length of the Journey made with the load tends everywhere to be reduced to a minimum, mainly for economic reasons. The distances travelled with a load are longer in agriculture and also, generally, in regions where mechanisation is only incipient. In industrialised countries, the manual carriage of loads is often limited to a trip of a few metres from the warehouse to a conveyance or vice-versa. Again they noted that, where the Journey is longer, the actual transport of the load is in one direction only and the worker returns to his starting point without a load. On the contrary, when the journey is short or practically non-existent, the amount of lifting is the important factor. 48. The participants also stressed the Importance of the state of nutrition of the person employed to perform such work. A diet providing a sufficient amount of calories and an adequate balance of other nutrients is essential if the worker was to perform this work without injuring his health. The average food ration varies considerably in the different parts of the world and this inevitably has repercussions on physical efficiency and muscle strength. This factor should be taken into account when fixing a maximum weight applicable to all countries. 49. The physical constitution of men can vary considerably not only from one region to another but also within the same community. This factor should be taken into account in defining a maximum weight applicable internationally. 50. The climatic conditions exert a direct influence on the output of work. It should again be stressed that a hot and humid climate often considerably reduces the amount of work which can be done. 51. The participants also considered whether, over and above the maximum weight of the individual load it would not be advisable to fix the total maximum weight of loads handled and distance covered during the working day. The participants concluded that their task was to define the maximum weight of individual loads In terms of physiological capacities. However, it was also important that the normal handling operations performed during the working day should not have harmful repercussions on the workers' health. If the weight of the - 18 - individual load is fixed at a suitable level the total daily amount of work could be adapted to the environmental conditions, the worker's state of nutrition, his constitution etc., by modifying the number of loads handled during the working period. 52. In fixing a maximum weight the problem does arise of the manual handling of heavier loads consisting of indivisible units. The Committee wondered, therefore, whether it would not be appropriate to provide also for a higher maximum weight in no case to be exceeded. The participants felt first of all that increasing mechnisation would make such an eventuality increasingly rare and, secondly, that they did hot have sufficient information to determine this higher maximum. They decided that they should concentrate on the more usual case of loads handled manually, namely those consisting of products of a divisible type. 53. The participants took into account the physiological factors involved in load-carrying and in particular the level at which fatigue becomes apparent. Professor MUller demonstrated a simplified formula which enabled him to calculate the weight which could be handled without causing an appreciable degree of fatigue. This formula is as follows: P x D = R, where P refers to the weight, T D to the total distance travelled during the carrying process, T to the time taken to perform the work and R to the physiological cost. This formula gives also the total amount of work which is performed. As shown above (see paragraph 51), the total amount of work, R, can be adapted so as to fit with the practical carrying conditions. This can be done by modifying in the appropriate way the distance to be covered, D, or the length of the working time, T. However, the weight of the load, P, should remain that agreed upon. The values obtained in the course of this research for individuals of normal constitution were within the 40-50 kg range. 54. The majority of the participants after due consideration recommended that the maximum weight applicable to adult male workers normally employed in operations requiring lifting and carrying of weights should be 40 kg, for their normal work. A few participants felt however that this maximum could be set at 50 kg. In determining the figure for this maximum weight, the participants took into consideration all the physiological, medical, psychological, social and economic criteria available to them, and endeavoured to avoid any residual fatigue. Bearing in mind that the same packages may have to be handled In different parts of the world and in order that the weight recommended should be capable of being handled by less favoured workers, it has been deliberately chosen in the lower range of reasonable weights. The total daily load can be suitably adjusted to the working and environmental conditions, state of nutrition and physique of the workers, etc., by adjusting the number of packages handled during the working period. 55. The participants recognised that present requirements of trade, commerce and Industry require heavier weights to be carried on occasions by one worker. They therefore feel that at this stage their recommendations should provide a basis for a suitable publication aiming at the reduction of the weight of handling units. 56. The participants considered that the various factors taken into account in the definition of a maximum weight for men must also be applied to women. 57. They also noted that women attain full physical maturity at an earlier age and that considerable individual differences exist. It was regarded as particularly important that a woman should not be required to undertake exertion likely to injure her health and that of her future progeny. 58. The participants noted that in a large number of countries the manual carrying of loads by women is subject to strict regulations fixing the weight, the conditions and nature of the work, its duration and, in some cases, protection during pregnancy and after confinement. 59. All regulations concerning load-carrying which apply to women should take these factors into account. For practical reasons the figure of the maximum weight should be fixed at a level allowing for sharing the weight of the load prescribed for male workers. After a long discussion the participants decided that they were not in a position to recommend a precise figure applicable in all parts of the world. - 19 - They were agreed that the maximum permissible weight that could be carried by a woman should be fixed between 15 and 20 kg. As far as possible regular carrying should not be permitted for women. 60. Adolescence is very important for physical development. The carrying of heavy loads may have harmful effect on the organism of adolescents which can persist throughout their life. As far as possible regular load-carrying should not be permitted for young workers. 61. A large number of countries have adopted detailed legislation on the carrying of loads by adolescents and children. These legislations prescribe standards applicable to boys and girls and define the maximum weight in terms of age groups, mode of transport, hours of work, nature of the Journey, etc. In view of the differences in physical development of children and adolescents it is very difficult to reduce these various factors to a common denominator and to establish an exact weight limit applicable to all countries. The experts were agreed to suggest the following levels! boys aged from 16 to 18 years: from 15 to 20 kg. girls aged from 16 to 18 yearsi from 12 to 15 kg. Below the age of 16 regular load-carrying should be prohibited both for boys and girls. It was however recognised that, in certain regions, because of the special local conditions, occasional load-carrying at an appropriate level may be allowed for the age group of 12 to 15 years. Geneva, 17 March 1964 (Signed) Professor L. Noro Chairman Dr. L. Brouha (Rapporteur) - 21 - I. LAWS AND REGULATIONS 1. Generally speaking, national legislative authorities take one of two approaches to the question of maximum individual loads. Either they provide in general terms that no person shall be required to carry a load so heavy that it may cause him injury; or they fix a limit which is not to be exoeeded and which may apply to all workers, or to certain classes of workers, or to workers acting in certain conditions. General Provisions 2. Of the few provisions in general terms, some apply to all workers without distinction of age or sex. In Ireland, the Factories' Act 1955 provides that no person shall be required to lift, carry or move a load so heavy that it may cause him injury; and adds that the Minister of Industry and Commerce may, after consulting the Minister of Health, fix the maximum weight to be carried by any worker, or several maxima according to the circumstances or the process. In India a similar provision appears in the Factories' Act. 3. In Guatemala, General Regulations on Occupational Hygiene and Safety, dated 28 December 1957, provide that loads transported by workers shall be suited to their physical powers, regard being had to the character, weight and volume of the load and the distance and road to be travelled. 4. In the United Kingdom, the Factory Act, 1961, provides that a person shall not be employed in any factory to lift, carry or move any load so heavy as to be likely to cause injury to him. It also empowers the Minister of labour to make special regulations prescribing the maximum weights which can be carried by persons employed in factories; these regulations may apply to workers generally or to certain categories of workers, to persons employed on a particular process or in a particular class or description of factory. A similar provision appears in the Construction (General Provisions) Regulations, 1961. 5. In some countries, these general provisions apply specifically to women and young workers. That is, for example, the case in the Netherlands, where the law prescribes that these categories of workers cannot be assigned to the work of raising, carrying or moving, etc., of loads of such weight that the effort required of the worker is too great or might injure his health. 6. A similar provision appears in the legislation of the province of Manitoba in Canada. 7. In other countries, provisions of this kind apply especially to children. They provide, in substance, that it is forbidden to cause to be raised, carried or moved by a child objects that might cause him physical injury. In the United Kingdom such provisions are found in the Agriculture (Safety, Health and Welfare) Act, 1956, and apply to children and to young persons under 18 years of age. They also appear in the Children and Young Persons Act, 1933, and concern those aged from 13 to 15 years, employed in any type of work; in Cyprus (Employment of Children and Young Persons Law, 1932), for children under 14 years; British Honduras (Ordinance No.20 of 1931) for children under 12 years of age: Johore(Malaya) (Notification No.580 relating to the Employment of Children, 1932); and Hong Kong (Factories and Workshops Ordinance, No.27 of 1932) for children under 16 years; this last measure also fixes the maximum load for such young workers at 40 catties - about 53 pounds. 8. In Austria the (Federal) Employment of Children Act of 13 July 1935 applying to industry, etc., provides that children under 14 years may not be employed or caused to work save in so far as their health and physical development will suffer no ill effect, and states in particular that such children may not be employed at "lifting, carrying or moving heavy loads"; another Act of the same date extends these provisions to agriculture and forestry. - 22 - Provisions concerning Ifomen. Children and Young Persons 9. Provisions relating to these classes of persons may be found in many countries and are much more precise. As a rule they deal separately with women, children and young persons, specifying the age groups and the maximum weight permissible for each group, having regard to the various means used for transporting the loads. Sometimes the legislation also lays down other criteria, such as the character of the ground, the total change of height and the length of the shift. In some countries these rules apply only to workers in particular industries. 10. In Australia, the South Australian Industrial Code of 1926 provides that "no person employing any girl under the age of 20 years in a factory or shop shall require or knowingly permit such girl while so employed to lift or carry a greater weight than 25 pounds". In New South Wales, the Factories and Shops (Amendment) Act.1927 states that no woman or young person shall be permitted or required to lift or carry by hand a greater weight than the following: Males under 16 years: " " 18 " Females under 16 years: H " " 18 " of more than 18 years: 30 pounds 40 " 20 " 25 " 35 " (14 kgs.) (18 kgs.) ( 9 kgs.) (11 kgs.) (16 kgs.) In the State of Victoria similar provisions to those of New South Wales are in force. 11. In Austria, the (Federal) Maternity Protection Act of 1957 provides that no expectant mother shall be employed in heavy manual work, including "work in which loads exceeding 5 kg. are normally or loads exceeding 10 kg. are occasionally lifted by hand without the assistance of machinery, or work in which loads exceeding 8 kg. are normally, or loads exceeding 15 kg. are occasionally moved or transported by hand without the assistance of machinery". 12. In Belgium, a Royal Order relating to the employment of women and children, dated 3 May 1926, states that "in the retting of hemp, flax and similar textiles, children under 16 years of age and girls and women under 21 years of age shall not be employed in performing heavy tasks such as the filling and emptying of the crates and the transportation of flax in barrows". 13. In Bolivia, regulations for the administration of the Presidential Decree of 21 September 1929, respecting the protection of women and children in industry, lay down the following limits for loads carried: Transport by hand Boys under 16 years Girls under 16 years Women over 16 and under 20 years The following limits for 10 kgs. 5 kgs. 10 kgs. loads drawn or pushed include the weight of the vehicle: Trucks running on rails Boys under 16 years Girls under 16 years Women over 16 and under 20 years 300 kgs. 150 kgs. 300 kgs. Handcarts Boys over 14 and under 16 years 40 kgs. - 23 - Three and four wheeled earts Boys under 16 years Girls under 18 years Women over 18 and under 20 years 35 tgs. 35 legs. 50 kgs. 14. In Brazil. Decree No. 21417 to regulate the employment of women, dated 17 May 1932, contains a general provision as follows: "Women employed in industrial and commercial undertakings shall not lift objects the weight of which is greater than that laid down in regulations issued by public authority". However, the I.L.O. has no knowledge of any regulations giving effect to this provision. Decree No.5452 (consolidation of labour laws) dated 1 May 1943 provides that "an employer shall not employ a woman on work which demands the use of muscular force involving the handling of weights exceeding 20 kgs. in the case of continuous work or 25 kgs. in the case of occasional work". This Decree also states that the prohibition "shall not apply to the moving of articles by pushing or drawing trucks on rails, barrows, handcarts or other suitable mechanical devices". 15. In Bulgaria, the Employment of Women Ordinance No. 53 of 3 July 1959, regulates the transport and carriage of loads by women over 16 years of age. The maximum for carrying by hand on an even surface is 20 kgs. For transport by vehicle, the maximum weights (not including weight of vehicle) are as follows: by one-wheel barrow, 50 kgs. (the barrow must be moved along special boards with a maximum incline not exceeding 0.02); by two-wheel handcarts, 115 kgs. (on even floor surface with maximum incline of 0.02) or 60 kgs. (on uneven rail or paved surface with maximum incline of 0.01); on three or four-wheel handcarts - 100 kgs. (maximum incline of 0.01). The Ordinance also states that "where women carry loads by hand, stretcher-type transporters fitted with legs shall be used in so far as the nature of the goods permits. The combined weight of the goods and the transporter shall not exceed 50 kgs. for the two persons". 16. In Canada, this matter is regulated in a different manner in the various; provinces. The provinces which have specific provisions are as follows: British Columbia - Regulation 195/59 states that women shall not be required by the employer to lift more than 35 pounds (17 kgs.) in the course of their regular work; Alberta - The Alberta Labour Act states that the Board of prohibit that women workers shall be employed to lift and weight limit which the Board may fix. No order has been but the labour inspectors advise in particular cases that exceed 35 to 40 pounds (16 to 18 kgs.); the Ministry of Labour may carry loads exceeding the issued in this respect, this weight should not Manitoba - Regulation 30/60 states that women, children and young persons shall not carry loads weighing more than 25 pounds (12 kgs.) over a distance not exceeding ten feet (3.30 m.). 17. In Cuba. Legislative Decree No. 598 respecting the employment of women in industry, dated 16 October 1934, prohibits the employment of women in dangerous or unhealthy processes, including lifting or moving weights. 18. In Spain, the Women and Young Persons (Dangerous or Unhealthy Work) Decree of 26 July 1957 states that the following shall in general be prohibited for males under the age of 18 years and females of all ages: "employment unsuited to the health of such workers by reason of the excessive physical effort involved or the danger to their persons ^and/ all work in which loads are transported, pushed or pulled and in which the effort is greater than that needed to move the following weights (which include the weight of the vehicle) on level ground". The figures are: - 24 - Transport by hand Males up to 16 years Females up to 18 years Males between 16 and 18 years Females between 18 and 21 years Females of 21 years and over 15 8 20 10 20 kgs. kgs. kgs. kgs. kgs. 300 200 500 400 600 kgs. kgs. kgs. kgs. kgs. Truck on rails Males up to 16 years Females up to 18 years Males between 16 and 18 years Females between 18 and 21 years Females of 21 years and over Wheelbarrows Males up to 16 years Females up to 21 years Females of 21 years and over 40 kgs. Prohibited 40 kgs. Delivery tricycles Males up to 16 years Males between 16 and 18 years Females of all ages 50 kgs. 75 kgs. Prohibited Two-wheeled handcarts Males up to 18 years Females up to 21 years Females of 21 years and over 130 kgs. Prohibited 130 kgs. Three- or four-wheeled vehicles (handcarts, drays,etc.) Males up to 16 years Females up to 18 years Males between 16 and 18 years Females between 18 and 21 years Females of 21 years and over 50 35 60 50 60 kgs. kgs. kgs. kgs. kgs. 19. In the United States, certain states have adopted laws or regulations concerning the carrying of loads by women and children. Maska - The General Safety Code, 1949, states that it is prohibited to employ any woman to lift any weight in excess of 35 per cent, of her body weight. Where sustained or repetitive lifting is required, the absolute maximum is 25 pounds (12 kgs.). California - The 1947 Supplement to the Labour Code prescribes that the maximum permissible weight to be carried by women shall be 50 pounds (23 kgs.). It also provides that no woman should carry loads weighing more than 10 pounds (4.500 kgs.) up or down any stairway raising more than 5 feet (1.50 m.) from its base. Seorgia - Regulation 59 issued by the Commissioner of Labor prescribes that the maximum weight for women shall be 30 pounds (14 kgs.). This limit is also applicable to young persons under 18 years of age. Mai.ie - A decision of the Commissioner of Labor prohibited the carrying of heavy '.oads in the case of young persons under 18 in the following industries: bakeries, food products, clothing, metal, machinery and foundries, moulded rubber products, tanning, oil cloth and textiles industries. - 25 - Maryland - The Safety Code for the Protection of Industrial Workers in Foundries, 194°, prescribes a maximum weight of 25 pounds (11 kgs.) for women employed in foundries. Massachusetts - The limit for the weight is fixed at 75 pounds (35 kgs.), and 25 pounds (11 kgs.) for work in foundries. Michigan - The maximum weight that a woman may carry is fixed at 35 pounds (16 kgs.), and at 20 pounds (9 kgs.) when the journey includes ascending or descending stairs. A regulation also prescribes that for boys of 14 and 15 years the maximum weight is 35 pounds (16 kgs.) and for young persons aged 16 and 17, 50 pounds (23 kgs.). Minnesota - The regulations applicable to foundries fix at 25 pounds (11 kgs.) the maximum permissible weight to be carried by one woman. Hew York - The maximum weight for women is fixed at 25 pounds (11 kgs.). Ohio - The maximum weight for women is fixed at 25 pounds (11 kgs.). Oregon - The maximum weight is 25 pounds (11 kgs.) for women. Utah - The Industrial Commission Welfare Regulations prescribe that a woman shall not be required to lift a load weighing more than 30 pounds (13 kgs.) and shall not carry a load weighing more than 15 pounds (7 kgs.). 20. In Finland, an Act dated 28 March 1930 states that "women under 21 years shall not be employed in loading or unloading vessels ". 21. In France, a Decree of 28 December 1909, amended on 26 October 1912, provides that children under 18 years of age and women of any age employed in establishments shall not carry, pull or push loads heavier than the limits specified in an appended table. These maximum weights for loads carried are as follows: Transport by hand Boys under 14 years Boys of 14 or 15 years Boys of 16 or 17 years 10 kgs. 15 kgs. 20 kgs. Women Women Women Women 5 8 10 25 under of 14 of 16 of 18 14 years or 15 years or 17 years years and over kgs. kgs. kgs. kgs. The maxima for transport by vehicles (including weight of vehicle) are as follows: Trucks on rails Boys under 14 years Boys from 14 to 17 years 300 kgs. 500 kgs. Women under 16 years Women of 16 or 17 years Women of 18 years and over 150 kgs. 300 kgs. 600 kgs. Wheelbarrows Boys under 14 years Boys from 14 to 17 years Prohibited 60 kgs. Women under 18 years Women of 18 years and over Prohibited 40 kgs. - 26 - Three- or four-wheeled vehicles Boys under 14 years Boys from 14 to 17 years 35 kgS. 60 legs. Women under 16 years 35 kgs. Women of 16 years and over 60 kgs. Smaller type of two-wheeled cart and barrows Boys under 14 years Boys from 14 to 17 years Women under 18 years Women of 18 years and over Pedal tricycle carriers Prohibited 130 kgs. Prohibited 130 kgs. Boys under 14 years Boys of 14 or 15 years Boys of 16 or 17 years Prohibited 50 kgs. 75 kgs.' Women of all ages Prohibited Transport by large two-wheel trucks is prohibited for boys under 18 years and for women and girls irrespective of age. The Decree also stated that a woman was not permitted to carry, push or pull any load during the three weeks following confinement. These provisions also apply to Martinique (Decree concerning the Employment of Women and Children dated 20 June 1927). 22. Order No. 5254 respecting the employment of women and pregnant women in the French Establishments of West Africa provided inter alia that "no woman or pregnant woman shall be employed on any work which is beyond her strength". It also fixed the maximum weight which women were permitted to carry (porterage) at 25 kgs. and the maxima which they might pull or push in vehicles (including weight of vehicle) as follows: trucks running on rails, 600 kgs.; wheelbarrows, 40 kgs.; threewheeled or four-wheeled vehicles, 60 kgs.; two-wheeled handcarts, 130 kgs. Similar provisions for French Equatorial Africa were issued in the same year. According to information available to the Office, these or similar provisions appear to be now in force in most of the independent countries formerly constituting French West and Equatorial Africa. 23. In the Gabon, the Decree No. 275 of 5 December 1962, prescribing derogations to the employment of young workers, specifies the following maximum weights: Transport by hand Boys aged 16 to 17 Boys aged 17 to 18 Girls aged 17 to 18 15 kgs. 20 kgs. 10 kgs. Transport by wheelbarrow(vehicle included) Boys aged 16 to 17 Boys aged 17 to 18 Girls aged 17 to 18 35 kgs. 45 kgs. 35 kgs. Transport by three- and four-wheeled vehicles (vehicles included) Boys aged 16 to 17 Boys aged 17 to 18 Girls aged 17 to 18 45 kgs. 50 kgs. 45 kgs. - 27 - Transport by truck on metal rails (vehicles included) Boys aged 16 to 17 Boys aged 17 to 18 Girls aged 16 Girls over 16 400 kgs. 500 kgs. 150 kgs. 300 kgs. The Law also prescribes that young persons under 18 years of age shall not transport any load whatsoever by two-wheeled trolleys, barrows, or similar vehicles. As regards women, Decree No.276 of 5 December 1962 incorporates the quantities already mentioned which are operative in Prench Equatorial Africa. With regard to pregnant women, the same Decree provides that it is unlawful to cause any load whatsoever to be carried, pushed or pulled by pregnant women or by women during the three weeks following their resumption of work after confinement. 24. In Greece, a Decree respecting mines dated 28 October 1929 states that "boys from 12 to 16 years of age shall not carry on their shoulders loads exceeding 10 kgs. and boys from 16 to 18 years of age shall not carry loads exceeding 15 kgs.". A Decree respecting hygiene and safety in factories, etc. dated 14 March 1934 states that "it shall not be lawful for children to carry on their shoulders weights exceeding 5 kgs. or for young persons to ca.rry on their shoulders weights exceeding 10 kgs.; further it shall not be lawful for children and young persons to move weights exceeding 300 kgs. by pushing or pulling them on rails, or weights exceeding 50 kgs., by pushing them on handcarts or barrows". 25. In India, under Section 34 of the Factories' Act, 1948, regulations now in force in all states prescribe the following limits: Male child up to 15 years of age Adolescent male from 15 to 18 years Female child up to 15 years Adolescent female from 15 to 18 years Adult female over 18 years 35 65 30 45 65 lbs. lbs. lbs. lbs. lbs. (16 kgs.) (29.500 kgs.) (13-500 kgs.) (20.500 kgs.) (29.500 kgs.) 26. In Israel, an Order dated 15 January 1954 lays down the following maxima for weights carried by children and young persons: Transport by hand Boys under 16 years Boys under 16 years Boys from 16 to 18 years Boys from 16 to 18 years Women under 16 years Women from 16 to 18 years 10 kgs., if the shift exceeds two hours a day 12.5 kgs., if the shift does not exceed two hours a day 16 kgs., if the shift exceeds two hours a day 20 kgs., if the shift does not exceed two hours a day 8 kgs., shift not to exceed two hours a day 10 kgs., shift not to exceed two hours a day The limit for transport by wheelbarrow, including weight of vehicle, is 50 kgs. (boys from 16 to 18 years only). 27. In Italy, the Act to safeguard the employment of women and children, No. 653 of 26 April 1934, provides that "the weight of the loads which may be handled by children, persons under 17 years of age and women irrespective of age who are employed in carrying and lifting weights, including those entailed by employment in agriculture, shall not exceed the following limits: - 28 - (a) Transport by hand Boys under 15 years Boys from 15 to 17 years 15 kgs. 25 kgs. Girls under 15 years Girls from 15 to. 17 years Women over 17 years 5 kgs. 15 kgs. 20 kgs. (b) Transport by handcarts with three or four wheels on level ground Eight times the weight stated under (a) including the weight of the vehicle. (c) Transport by trucks on rails Twenty times the weight stated under (a) including the weight of the vehicle". Persons in the above classes may not be occupied at transporting loads for more than four hours a day. As regards transport by wheelbarrow or two-wheeled handcart, the circular of 14 August 1940 (No. 2981) of the Ministry of Corporations prescribes the weights for transport by wheelbarrow; these are three times the maximum weight authorisid for transport by hand. For transport by two-wheeled handcarts, the limit is five times the maximum weight authorised for transport by hand. With regard to pregnant women, Law No. 860 of 26 August 1950 on the Protection of Working Mothers states that pregnant women should not be employed in lifting or carrying loads during the whole period of pregnancy and during the three months following confinement or, for nursing mothers, during a period of seven months. 28. In Japan, an Ordinance to regulate the employment of women and children, No. 13 of 19 June 1954, specifies the following weights, the first figure in each case applying to intermittent and the second to continuous work: Boys under 16 years Boys from 16 to 18 years 15 kgs. 30 kgs. 10 kgs. 20 kgs. Girls under 16 years Girls from 16 to 18 years Women over 18 years 12 kgs. 25 kgs. 30 kgs. 8 kgs. 15 kgs. 20 kgs. In special cases the labour inspector may authorise maximum weights of 40 and 30 kilogrammes respectively for women over 18 years of age. 29. In the Malagasy Republic. Decree No. 62/152 to regulate the conditions of work of children, women and expectant mothers, provides that "children of either sex under 18 years of age, women and expectant mothers...shall not be employed at work in excess of their strength". It further states that women and children shall not carry in excess of the following limits in kilogrammes: Transport by hand Boys from 14 to 16 years Boys from 16 to 18 years 15 kgs. 20 kgs. Girls from 14 to 16 years Girls from 16 to 18 years Women over 18 years 8 kgs. 10 kgs. 25 kgs. They shall also not pull or push loads in excess of the following limits in kilogrammes, which include the weight of the vehicle: - 29 - Trucks on ralla Boys from 14 to 17 years 500 kgs. Girls under 16 years Girls of 16 or 17 years 150 kgs. 300 kgs. Women 600 kgs. Wheelbarrows Boys from 14 to 17 years 40 kgs. Women 40 kgs. Three- or four-wheeled vehicles Boys from 14 to 17 years Girls under 16 years 60 kgs. 35 kgs. 60 kgs. Girls over 16 years and women Small barrows 130 kgs. Boys from 14 to 17 years 130 kgs. Women Tricycle carriers Boys of 14 or 15 years Boys of 16 or 17 years 50 kgs. 75 kgs. Transport by wheelbarrow, barrow or tricycle carrier is prohibited for girls. Transport by big two-wheel barrows is prohibited for all women and children. Transport by pedal tricycle carrier is prohibited for women. The Decree also states that "no expectant mother shall be required to carry, push or pull any load". 30. In Malta, the Factories' Regulation Act 1926 provides that in the "unhealthy or dangerous works specified in the annexed schedule, it shall not be lawful to employ children under 16 years of age or women who have not completed 18 years". Among the "works" so specified are "harbour employment - stevedoring work, loading and discharging coal and heavy packages". 31. In Mexico, the Regulations respecting employment of children in dangerous and unhealthy occupations, dated 31 July 1934, provide that "girls of under 16 years of age shall not carry by hand or on their backs loads exceeding 10 kilogrammes in weight and boys of the same age shall not carry loads exceeding 20 kilogrammes". The Regulations also state that children under 16 years may not push or pull loads which require them to make a muscular effort exceeding that necessary to move horizontally the following weights: Trucks on rails (including weight of vehicle) Boys under 14 years Boys from 14 to 16 years 200 kgs. 400 kgs. Girls under 14 years Girls from 14 to 16 years 150 kgs. 250 kgs. -30 - Wheelbarrows Boys from 14 to 16 years 40 kgs. Three- O T four-wheeled vehicles Boys under 14 years Boys from 14 to 16 years 30 kgs. 50 kgs. Girls under 14 years Girls from 14 to 16 years 20 kgs. 40 kgs. Pedal Tricycle carriers Boys from 14 to 16 years 50 kgs. Moreover, "children under the age of 16 years and women shall not be employed for more than four hours during the working day in continuously carrying the weights mentioned above". The Act also states that during the three months following confinement, a woman Fhall not be employed at work requiring a great physical effort such as the transport of heavy loads in any manner. 32. In Portugal. a Decree to regulate the employment of young persons and women, No. 14,498 of 29 October 1927, provides that "young persons, women, expectant mothers and mothers nursing their children shall not be employed otherwise than in light work of short duration...". A further Decree in the same connection, No. 14,535 of 31 October 1927, Btates that expectant mothers shall not be employed on heavy work or work requiring a considerable prolonged effort, particularly the transport of loads on the head. 33. In the U.A.R. (Egypt), Order Ho. 154 of 25 August 1959 states that young persons under 15 years of age shall not be employed on the transport of loads exceeding 10 kgs. for boys and 7 kgs. for girls. If the transport is by truck on rails, the maximum loads are 300 kgs. for boys and 150 kgs. for girls. Transport of loads on wheelbarrows with one or two wheels is prohibited. Furthermore, Order No. 155 of 1959, relating to the employment of young persons, states that persons under 17 years of age shall not be employed on the loading or unloading of goods in docks, on quays, etc., or in warehouses. Order No. 64 of I960 extends the scope of these provisions to adult women. 34. In the United Kingdom, the Woollen and Worsted Textiles (Lifting of Heavy Weights) Regulations 1926 provide the following maximum weights in pounds (the first figure in each case applies where the material is "a reasonably compact or rigid body"; the second figure, where it is not): Transport by hand Hales under 16 years Males over 16 and under 18 years Female8 under 18 years Females of 18 years and over 50 (23 kgs.) 65 (29.5 kgs.) 50 65 40 (18 kgs.) 50 (23 kgs.) 40 50 The Pottery(Health and Welfare) Special Regulations, 1950, prescribe that the maximum permissible load to be lifted or carried by a young person who has not attained 18 years of age shall be 20 lbs (9 kgs.). This maximum can, however, be fixed at a higher level which must be specified by a medical certificate issued by the appointed factory doctor. In particular cases (loading of damp day, clay dust, etc.), this maximum for young persons and women may in no case exceed 40 IDS. - 31 - (18 kgs.) over a distance of 50 yards. The regulations also provide that women Bar not lift or carry saggars the weight of which exceeds 30 lbs. (13.500 kgs.) (or 50 lbs (23 kgs.) if not moved more than six feet), these limits being raised to 50 and 80 lbs respectively where the saggars are lifted by two persons. The Jute(Safety, Health and Welfare) Regulations, 1948, prescribe the following maximal Compact load Load Not Comnact Young persons aged 16 years and under 40 lbs (18 kgs.) 35 lbs (16 kgs.) Hale young persons aged over 16 and under 18 years 65 lbs (30 kgs.) 50 lbs (23 kgs.) Female young persons aged over 16 and under 18 years 50 lbs 40 lbs Females aged 18 years and over 65 lbs 50 lbs When a load is lifted by more than pne person, its weight must not exceed the applicable maximum weight multiplied by. the number of persons participating. 35• In the U.S.S.R., a Decree concerning the maximum permissible loads to be raised or moved by women and young persons, dated 14 March 1921, states that young persons under 18 years of age shall not be permanently employed on the transporting of loads exceeding approximately 9 lbs., and that the maxima which may be moved by persons aged 16-18 years are as follows (approximate weight in lbs.): Male workers Transport Transport Transport Transport Transport by by by by by hand trucks on rails wheelbarrows two-wheeled barrows three-or four-wheeled barrows 36 1,092 108 247 180 (16.4 kgs.) (492 kgs.) (49 kgs.) (ll5 kgs.) (82 kgs.) Female workers Transport Transport Transport Transport Transport by by by by by hand trucks on rails wheelbarrows two-wheeled barrows three- or four-wheeled barrows 22 (10 kgs.) 720 (328 kgs.) Prohibited Prohibited 126 (57 kgs.) Regulations on the conditions of work of persons engaged in loading and unloading, No. 254 of 30 September 1931, provide that young persons under 16 years shall not be employed on such work; among the loading and unloading work which is permissible for young persons aged 16-18 years and for women, the Regulations include goods in bulk, light goods, goods in loose units and saw-mill goods; they also state that "young persons aged not less than 16 nor more than 18 years and women shall not be employed in carrying goods weighing more than 20 kilogrammes, or more than 50 kilogrammes, if the load is carried between two persons". Order No. 145 respecting maximum loads for adult women, dated 14 August 1932, fixes the following limits "exclusive of the weight of the appliances" for "carriage or conveyance"; by hand on a level surface, 20 kgs.; on barrow with one wheel, 50 kgs. (must be on plank runways, maximum gradient not to exceed 0.02); on handtruck with three or four wheels, 100 kgs. (maximum gradient not to exceed 0.01); on handtruck with two wheels, 115 kgs. (on smooth floor, maximum gradient not to exceed 0.02) or 60 kgs. (on uneven surface, maximum gradient not to exceed 0.01); on truck running on rails, 600 kgs. (maximum gradient not to exceed 0.01). - 32 - This Order also states that "in all work where women carry loads by hand, handbarrows shall be used wherever the nature of the work admits thereof. Handbarrows shall be provided with legs. The weight of the load, together with the handbarrow shall not exceed 50 kilogrammes for two persons. 36. In Switzerland a Factory Aot Amendment Order of 17 September 1923 includes among the branches of industry and processes in which young persons under 16 years of age may not be employed, "work consisting of lifting, carrying, or moving heavy loads". 37. In Turkey, a Ministerial Decision relating to the tobacco industry states that loads shall not exceed 20 legs, in the case of children and 60 kgs. in the case of adult women. Provisions concerning Adult Workers 38. As stated in the introduction, there are few provisions applying to adult workers. In some cases they apply to all goods handled; in other cases, to certain types of load, such as sacks, or to particular branches of industry. 39. In Chile. Act. No. 3915 of 9 Pebruary 1923 and Administrative Regulations No. 2494 of 27 August 1923 state that "the weight of sacks containing goods of any kind which are to be carried by manpower shall not exceed 80 kgs." and that "sacks containing foreign goods which weigh more than the legal weight shall not be carried on the shoulder unless the weight is reduced to 80 kgs." (with an exception to this rule in the case of loads "liable to increase in weight owing to damp or for other reasons"). Decree No. 217 "to approve regulations respecting industrial health and safety", dated 30 April 1926, applies to "sacks, cases and goods" and states that when the weight exceeds 80 kgs. "use shall be made of wheelbarrows or stretchers carried by two men". Legislative Decree No. 178 (Labour Code), dated 13 May 1931, confirms the above maximum for sacks. However, it tolerates a margin in the case of nitrate (3 kgs. per sack up to a maximum of 10 per cent, of those in any batch); and sacks of cement or wheat may weigh up to 86 kgs. The Decree also states that sacks weighing more than the prescribed maximum must be transported by mechanical means approved by the competent technical office and that sacks of foreign produce weighing more than the amount specified shall not be placed on a worker's back until the weight has been reduced to 80 kgs. 40. In Costa Rica. Act No. 2 to promulgate the Labour Code dated 27 August 1943, states that "the weight of sacks containing produce or merchandise of any kind which are to be carried by manpower shall not exceed 80 kgs. Nevertheless, sacks weighing 15 per cent, in excess of the above amount may be carried by manpower in special cases to be prescribed by the Regulations". In virtue of this section of the Code, Regulations issued on 20 January 1932 state that sacks containing any agricultural product for the home market, if they are to be carried by manpower, may exceed the limit of 80 kgs. by 15 per cent. - i.e. may weigh 92 kgs. or 200 lbs provided the handling is done by men over 20 years of age; sacks containing other products, if they are to be carried, may in no case exceed 80 kgs.; heavier loads must be transported by mechanical means. 41. In Spain, the Order of 20 May 1952, respecting occupational safety and health regulations for the building trade, prescribes that the maximum load to be handled by one worker must not exceed 80 kgs. Subsequently, the Order of 2 June 1962 extended the application of this provision to ports, jetties, factories, workshops and generally to all workplaces. It states in particular that it is forbidden to use in such places sacks, packs or any other gear for the transport of goods the weight of which, together with the load, exceeds 80 kilogrammes. 42. In the Dnlted States, there are no federal laws or regulations on this point. However, in the enactments of certain states, statutory provisions do exist. Thus the general law of Massachusetts State prescribes that no person employed in a textiles factory and assigned to the maintenance and repair of machines may lift by hand objects weighing more than 325 pounds. On the other hand, the regulations pertaining to conditions of work in foundries, sets this maximum at 100 pounds. - 33 - In the State of Porto Rico, the law prescibes a maximum of 150 lbs for all workers. 43. In Haiti, the Labour Code provides that "the weight of a sack containing any product or material, if it is to be carried by a single person, shall not exceed 80 kgs." and that "objects of greater weight must be transported by mechanical means". 44. In Honduras. Decree No. 189 of 1 June 1959 (Labour Code) states that industrial and commercial establishments shall take action to limit the weight of any sack or package carried by a worker to 50 kgs., with a margin of up to 10 per cent, in special cases specified in regulations; heavier loads must be moved by mechanical means. 45. In India, (State of Madras) the Factories' Regulations 1950, as amended by an Ordinance of 1955, provide that no worker shall lift, carry or move a load weighing more than 165 pounds. 46. In Mexico, the Industrial Safety Regulations of 28 November 1934 state that the maximum weight which may be transported by a worker, by hand or on his back, shall be 75 kgs., including the packing. Regulations for maize milling and manufacture and sale of maize products in the Federal District, dated 3 August 1929, provide that "if dough is carried from the mills to the tortilla shops by manpower, the weight of each load shall not exceed 50 kgs.". 47. In Panama. Act No. 67 to promulgate the Labour Code dated 11 November 1947, states that in industrial and commercial establishments "the weight of sacks or packages to be carried by the employees shall not exceed 80 kgs., subject to authorisation of not more than 10 per cent, in excess of this in special cases to be specified in the Regulations. Heavier weights must be moved by mechanical means". 48. In Peru, the Executive Order of 24 August 1946 prescribes that the maximum weight of sacks that may be transported by one worker, without mechanical aid, must not exceed 80 kilogrammes. 49. In the United Kingdom, the above-mentioned Regulations of 1926 (see paragraph 26) provide that in the wool industry the maximum permissible weight which may be lifted by hand shall be 150 lbs (68 kgs.) if the material is "a reasonably compact or rigid body" or 120 lbs (54 kgs.) if it is not. The Regulations also state that "no person employed shall engage, in conjunction with others, in lifting by hand any material, yarn, cloth, tool or,appliance, if the weight thereof exceeds the lowest weight fixed by the schedule for any of the persons engaged multiplied by the number of persons engaged". The Agriculture (Lifting of Heavy Weights) Regulations, 1959, which will come into operation on 1 July 19"65, prescribe that the maximum weight of any load which may be lifted or carried by a worker, unaided, shall be 180 lbs (82 kgs.). 50. In the U.S.S.R., the Conditions of Employment Loading and Unloading) Regulations, No. 254 of 20 September 1931> state that a single loader shall not carry a load weighing more than 80 kgs.; that if the weight exceeds 50 kgs. the load shall be lifted onto the loader's back and removed from it with the help of others, and shall not be carried by a single loader for more than 60 metres; that if a greater distance is to be covered, relays shall be organised or appliances provided for conveyance of the load; and that, where loads (not exceeding 80 kgs.) are being moved to a higher level, "the height to which the loader must ascend with the load by means of an inclined gangway shall not exceed 3 metres measured vertically", and "the length of the incline shall be at least three times the height of the rise". Furthermore, special regulations for certain industries prescribe particular standards for the transport of loads. Regulations concerning safety in the production of mineral salts and certain acids, dated 10 April 1922, state that "the acids and finished goods shall not be transported by hand save by adults, over distances not exceeding 22 yards, and the weight of the recipient when full shall not exceed 70 lbs. per worker". An Order respecting the construction and - 3* - maintenance of tanneries, dated 30 June 1922, states that "the tranopcrt by hand of the raw materials, partly processed products, finished products and construction material by an adult male shall not exceed 90 lbs"; this limit was reduced to 88 lbs by Order No. 323 of 8 October 1929. Order No. 64/329 respecting the protection of loaders in the transport industry, dated 14 February 1924, states that "in the loading, unloading and shifting of goods, a loader shall not work without assistance if the packages weigh more than 108 lbs; goods must be lifted onto and removed from the loader's back with the assistance of other loaders": 51. In some tropical countries, maximum weights are prescribed for lo".ds carried long distances by the porters. Thus, in the Territory of New guinea (Australian Trusteeship), the Native Labour Ordinance 1935 states that "a labourer engaged in carrying shall not be required to carry a greater load than 50 lbs for any distance exceeding 12 miles in any one day". 52. In what is now the Congo (Leopoldville), Ordinance No. 55/AIMO respecting industrial hygiene and. safety, of 18 June 1930, stated that a porter should not be required to carry a load (including baggage and food) in excess of 25 legs, (or 45 kgs., if to be carried by two porters), or to march more than 15 kilometres a day in hilly or swampy country, or 25 kilometres elsewhere. II. COLLECTIVE AGREEMENTS AND CODES OP PRACTICE 53* It is clear from the above review of laws and regulations that there are many provisions affecting women and children but few which relate to adult men. The slight amount of statutory protection for a class of workers whose employment is often very arduous caused certain abuses to arise in the past. Moreover, the traditionally high maxima for men's loads, which may have been suitable for big, robust workers living in temperate climates and satisfactorily nourished have sometimes proved excessive when applied to men of weaker constitution with insufficient or ill-balanced food, working in arduous climatic conditions or on ill-prepared or otherwise unsuitable ground. It was for these reasons that in some countries the trade unions concerned sought to conclude collective agreements which would fix maximum loads for certain operations or industries. 54. The information now available to the Office indicates that the number of collective agreements covering this subject is not large. Difficulties of many kinds, due mostly to traditional methods of composing and packing loads, have hampered the conclusion of such agreements, and where they exist are mostly at the regional or industrial level or even restricted to certain transport or delivery operations. Moreover, in the developing countries, where regulation of this subject is perhaps even more necessary than elsewhere, the trade unions often have not sufficient authority to deal with the matter by collective agreement. Accordingly, practice as regards the maximum weight differs considerably from one country to another and even between the industries of a given country. 55. For this reason, apart from the action taken at the national level by the particular trade unions, the international organisations of these unions, particularly the Transport Workers' Federation (I.T.F.) and the Federation of Food and Drink Workers' Unions have called on governments and on the I.L.O. to establish maxima for loads to be carried by hand. The figures proposed have varied somewhat, ranging from the 75 kgs. suggested by the I.T.F. in 1925 to the 50 kgs. suggested at the Congress of the International Federation of Food and Drink Workers in 1952. The collective agreements known to the Office place the figures, as a rule, at some point between the two extremes indicated above, according to the industry and the conditions in which the work is done. 56. In Argentina, a collective agreement dated 7 February 1947 stipulated that the maximum weight to be lifted or carried by one man should not exceed 70 kgs. in the case of specified kinds of goods and 50 kgs. in all other cases. 57. In Austria, a collective agreement concluded between the pottery industry and the workers' organisations fixed at 10 kilogrammes the maximum weight of loads that may be transported by women. - 35 - 58. In Canada, collective agreements concluded by a shipping company with several locals of a nation-wide union provide as follows: two men should not be required to pile 100-pound bags to a height exceeding 7 ft.; sacks exceeaing 140 pounds must be handled by four men; the maximum height of stacking varies with the weight; if workers are carrying long iron or steel or pipes on their shoulders, two other men must be kept at the pile where it is being picked up. Another agreement states that a man may not pile freight exceeding 80 pounds above 4 ft. 6 ins. without assistance. 59In the united States, certain collective agreements regardi'^; wrsi.time workers, dock workers, workers in the printing trade, etc. prescribe limits to the weight for certain operations. For example, the agreement between the Maritime Association of Chicago and the International Longshoremen's Association prescribes the limits of weight for loads to be piled by two workers. These limits vary between 100 and 200 pounds according to the height up to which the loads ere to be piled. Another agreement, between the Industry Area Newsdealers Companies of New York and the Newspapers and Mail Deliverers' Union, New York, prescribes a maximum weight of 50 pounds. 60. In Israel, by an agreement concluded between the Israel Salt Company and the workers' organisations, the weight of the sacks of salt which was previously 100 kilogrammes was reduced, as from 1 January 1962, to 60 kilogrammes 500. 61. In Portugal, a collective agreement dating from 1957 between the Fish Canneries Association, Setubal, and the National Onion of Cannery Workers of the same region provides that women shall not carry individual loads exceeding 21 kgs. Another agreement in the same industry, for the Oporto district, fixes the maximum permissible load for women at 23 kgs. A collective agreement of 1952 between the employers' and workers' organisations in the pottery industry states that workers under 18 years and women shall not handle pieces exceeding 6 kgs. or carry loads exceeding 10 kgs. by hand or 20 kgs. on the head or shoulders. 62. In the United Kingdom, a collective agreement concluded by the General Post Office prescribes the following maxima for postment: Postmen on foot Postmen on bicycle Postmen on tricycle 35 lbs (17 kgs.) 50 lbs (23 kgs.) 70 lbs (32 kgs.) For young persons and women, the quantities approved for the carrying of loads on foot and on bicycle are, respectively, as follows; On Foot Young persons under 15 years of age Young persons under 16 years of age Young persons under 17 years of age Women 15 20 28 28 lbs lbs lbs lbs On Bicycle 20 lbs 26 lbs 35-40 lbs 40 lbs As regards the other post office handling operations, the maximum weight for young persons between the ages of 16 and 18 is 60 lbs. in the case of intermittent work and 45 lbs. in the case of continuous work. 63. In other cases, collective agreements are recognised by the public authorities and incorporated in semi-official regulations. This is sometimes the procedure with dockers' agreements, which have been approved and incorporated in port regulations. 64. Thus, in Italy, the regulations for the port of Genoa fix the maximum permissible weight which may be moved by hand at 100 kgs. When coal is unloaded in skips their capacity is to correspond to a weight of 100 kgs.; but when coal is loaded into a vessel for use on board, the skips must have a capacity not exceeding 40 kgs. Similar rules apply in the other ports of Italy, but at Catania the capacity of skips used for unloading coal may not exceed 60 kgs. -36 - 65. In Turkey, regulations dated 1948 prohibit dockers and other workers concerned with transport by sea from carrying loads in excess of 40 kgs. For transport by vehicle, the maximum permissible weights are: by bicycle or other small vehicle, 50 kgs.; by wheelbarrow, 100 kgs.j by tip truck on rails (gradient not to exceed 10 per cent.), 300 kgs. - 38 - I. COSCIiUSIOHS 1. The information given in the preceding chapters brings out the size, scope and complexity of the problem. The observations of a general nature have been made, the conclusions reached by the Meeting of Experts and the outline of national law and practice, while they take into account the difficulties involved in the adoption of a solution applicable to all workers engaged in the lifting and carrying of loads, do make it possible to define a number of points. 2. As regards adult male workers, it appears possible to reach agreement on a permissible maximum for moving loads by hand. Although there are few statutory provisions on this subject, the limits laid down in the countries where such action has been taken fall within a narrow range. The occupational organisations concerned have sought to obtain lower maxima in certain circumstances: this method would enable two major difficulties to be overcome - the position of persons with different physical strength, and the big additional physiological strain which may be caused by climatic or other background conditions. Furthermore, it would be appropriate for the limits indicated by the Conference to be applicable without distinction to all operations of lifting and carrying. In fact, if a limitation of the maximum weight of the load were to be established, it would no doubt have repercussions on the methodB of packaging. Thus it would seem to be undesirable to make provision for different categories of workers, and hence for different limits of weights, in order to avoid practical difficulties that may arise in different phases of handling operations. It should be noted that the conclusions reached by the Meeting of Experts provide both an objective basis and a number of practical suggestions for the evaluation of the various factors to be taken into account.. 3. As regards women and children, there should be no particular difficulty. Many countries have thought it necessary to fix limits; most of the figures are fairly close together; and classifications by age are also based on similar criteria. It should, however, be observed that the I.L.O. Model Code for Safety Regulations provides for the exclusion of young persons under 18 from work involving regular employment in the lifting and carrying of loads and that it subjects the employment of women in this work to a number of guarantees and restrictions. It will no doubt have been noted in the outline of law and practice that certain countries have also considered it advisable to establish comparatively high minimum ages for young people, particularly girls, and to reduce the hours of work. With regard to women, restrictions are sometimes imposed on account of the nature of the path to be covered, the condition of pregnancy, etc. The Meeting of Experts has recommended prohibiting in principle the allocation of young persons and women to the regular carrying of loads, and for practical reasons has suggested maximum weights for young persons of both sexes aged from 16 to 18 and for women. 4. One point which seems important, and figures explicitly in the Model Code, is training. There is no need to describe in detail the risks of accident involved in use of unsuitable techniques for lifting, moving and setting down very heavy loads. Suffice it to say that vocational schools, safety institutions and employers are seeking more and more to teach safe methods of doing these things to workers whose job it is to do them. Appropriate training in this field is increasingly regarded as an indispensable means of reducing the accident risk and an important factor in increasing efficiency; it would appear extremely useful to give such training systematically. It should cover not only appropriate methods of lifting and carrying to be used for the most common types of goods or of packaging, but also safe practices for stacking and stowing of loads. 5. There appears no longer any doubt that medical supervision of these matters is also useful. It seems to be increasingly applied in practice. Such supervision prevents an excessive strain from being imposed on individuals whose physical powers or state of health do not permit them either to make a big systematic effort without risk or to compensate in a normal manner the energy necessarily expended in carrying loads. Medical supervision also makes it possible to check on a worker's job adjustment, to diagnose in good time any injuries to the locomotor system and any organic disturbances likely to be aggravated by the effort involved in carrying loads, to discover chronic fatigue or physical deterioration and to give the workers such advice On health and hygiene as they may require. - 39 6. Another element whose importance is generally recognised in practice and which might perhaps be taken into account in the conclusions of the Conference is the method of packaging of the goods. It is obvious that the effort required to transport loads of the same weight may vary largely with the form, the dimensions, and the rigidity of the packaging. The type of material used for packing as well as the provision of handles or other arrangements to facilitate grasping the load and to avoid discomfort caused by the shape of the load may diminish fatigue and the risk' of accidents. In the same connection, it should perhaps be recommended that every technical device likely to facilitate the lifting and putting down of the load should be made available to workers engaged in the manual transport of loads. II. POINTS PROPOSED POR DISCUSSION 7. The Governing Body, when it referred the question to the Preparatory Technical Conference, requested the latter to formulate conclusions that could be submitted to a session of the International Labour Conference with a view to the adoption by the single-discussion procedure of one or more instruments concerning the maximum permissible weight to be carried by one worker. 8. In order to facilitate the discussion of the question and to provide a working basis for the formulation by the Conference of its conclusions, the I.L.O. has prepared a questionnaire, which it has sent to all States Members, requesting them to furnish their observations. This questionnaire, which is reproduced below, takes into account the main aspects of the problem that the Conference will have to deal with in the light both of the common elements derived from the study of existing legislation on the subject and of the conclusions reached by the Meeting of Experts. 9. Report II, which will also be submitted to the Conference, will give an analysis of the replies and comments, which are to reach the I.L.O. by 15 October 1965 at the latest, and will include a revised text of the points proposed for discussion based on this analysis. Questionnaire 1.(1) Do you consider it desirable that the Preparatory Technical Conference should recommend the International Labour Conference to adopt an international instrument or international instruments concerning the maximum permissible weight to be carried by one worker? (2) If so, do you consider that this instrument or these instruments should take the form of a Convention or that of a Recommendation? (3) Should conclusions of a different nature be considered, at least in respect of some of the points proposed for discussion? Definition 2. Do you consider that for the purpose of the texts in question the expression "manual transport of loads" should also cover the lifting and putting down of loads? Scope 3.(1) Do you consider that the texts in question should apply to commercial, industrial and agricultural activities and, in general, to all forms of remunerated activity? (2) If you consider the scope referred to under (1) to be too wide, to what activities do you propose that the texts in question should be applied? 4.(1) Do you consider that, in the framework of the agreed activities, exemptions should be authorised in connection with the performance of certain work? - 40 - (2) If so, what exemptions would you propose? 5. Do you consider that, in the framework of the agreed activities, the texts in question should apply: (a) only to workers engaged in regular load-carrying? (b) to all workers engaged in load-carrying, whether regularly or casually? 6. If you reply to question 5(b) in the negative, do you consider that the texts in question should include a definition of the expression "regular load-carrying"? 7. If so, do you consider that the expression "regular load-carrying" should apply: (a) to activities continuously or principally devoted to the carrying of loads? (b) to activities normally including the carrying of loads, oven intermittently (that of the driver-deliveryman, for example)? (c) have you any other suggestions? Definition of Maximum Weight General Provision 8. Do you consider that the texts in question Bhould specify that no worker should be instructed to carry a load of a weight likely to affect his health? (a) Men 9.(1) Do you consider that the texts in question should specify the maximum permissible weight to be carried by one adult male worker? (2) If so, what weight would you propose for adult male workers? (b) Women 10.(1) Do you consider that it should be permissible to allocate women to the regular manual transport of loads? (2) If so, do you consider that reotrictions should be adopted in rsspent. of: (a) pregnant women? (b) hours of work spent in load-carrying? (c) have you any other suggestions? 11.(1) Do you consider that the texts in question should specify the maximum permissible weight to be carried by women? (2) If so, what weight would you propose for women? (o) Young Workers 12.(1) Do you consider that it should be permissible to allocate young workers of both sexes to the regular manual transport of loads? (2) (a) If so: do you consider that the texts in question should specify the minimum age at which young workers of each sex may be- allocated to the manual transport of loads? - 41 - (b) what minimum age would you propose: (i) for boys? (ii) for girls? . 13.(1) Bo you consider that, in the application of maximum weight limits, age groups between the minimum age and adult age should be established for boys and girls? (2) If so, what age groups would you propose: (i) for boys? (ii) for girls? 14.(1) Do you oonsider that the texts in question should specify the maximum permissible weights to be carried by young workers? (2) If so, what figures, taking into account each of the age groups indicated under 13(2),.would you propose for: (i) boys? (ii) girls? 15.(1) Do you consider that the texts in question should specify the hours of work that young workers may spend in load-carrying? (2) If so, would you kindly suggest, taking into account each of the age groups indicated under 13(2), the hours of work that might be spent in loadcarrying: (i) by boys? (ii) by girls? 16. Have you any other suggestions concerning the allocation of young workers to the regular manual transport of loads? Technical Devices and Packaging 17. Do you consider it desirable to recommend the use, as frequently as possible, of suitable technical devices to facilitate the lifting and putting down of manually transported loads? 18. Do you oonsider it desirable to recommend that the packages of loads that may be transported manually should be provided as far as possible with devices for holding, such as ears on sacks and handles or hollows for the hand on rigid packages? 19. Have you any other suggestions on this subject? Yooational Training 20. Do you oonsider that workers regularly employed in the manual transport of loads should, before being allocated to it, receive adequate vocational training? 21. Do you oonsider it desirable to provide all workers liable to be allocated occasionally to the manual transport of loads with basic training on the methods of lifting and carrying loads? 22. Do you consider that this vocational training should be given by persons or Institutions approved by the competent authorities? - *2 - Medical Supervision 23.(1) Do you consider that no worker should be allocated to the regular manual transport of loads unless he has been passed as fit for this work by a thorough medloal examination? (2) should: If so, do you consider that the medical examination referred to (a) be carried out by a qualified physician approved by the competent authorities? (b) be oarried out in accordance with conditions prescribed by the oompetent authorities? (o) be reoorded in a medical certificate or in an entry on the work permit or work book? 24.(1) So you consider that the fitness of workers engaged in the regular manual transport of loads should be subject to periodical medical checks? (2) If so, do you consider that these medical checks should be carried out: (a) at intervals not exceeding one year? (b) at intervals not exceeding some other period that you may wish to specify? 25.(1) Do you consider that young workers engaged in the regular manual transport of loads should be the subject of special provisions regarding medical supervision? (2) If so, do you consider that there should be provision for supplying young workers whose fitness for work is not clearly established with: (a) temporary medical certificates valid for a limited period at the end of which the young worker shall be required to undergo another examination? (b) certificates Imposing special conditions of work? (c) have you any other suggestions? General Provisions 26. Do you consider that the vocational training and medical examination that may be provided for in the texts In question should involve no expense on the part of the worker or his legal guardian? 27. Do you consider that the national legislation should specify the authority responsible for supervising the application of the above provisions and lay down detailed instructions for the drawing up and issuing of the documents mentioned in paragraphs 23(2)(c) and 25(2)? 28. Do you consider that the national legislation should lay down that the authority responsible for supervising the application of the above provisions should be able at all times to carry out a check of the health conditions of workers engaged in the regular manual transport of loads or to call exceptionally for further medical examinations?
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