The 3 most common types of manual handling injuries

Warehouses are bustling environments with a complex array of equipment, stacks of products and a workforce labouring around the clock. This dynamic setting significantly heightens the risk of manual handling injuries.
Editor's Note: This article was originally published on 15/05/2024. It was updated on 07/07/2026 to become a more detailed guide on manual handling injuries.
Work-related injuries are a concern around the world. Many countries have an internal organisation that oversees workers’ health and safety, like HSE in the UK, and there are some global groups, such as the International Labour Organization (ILO).
Accidents at work hurt the employee(s) involved and the company. Severe injuries lead to time off work, which leads to available less labour and the potential for slowdowns in operations. Let’s explore some statistics.
The European Union’s Eurostats (2023) reported on the chance of a non-fatal accident happening at a person’s workstation area.
- Manufacturing industry was 80.9% (of all non-fatal accidents across industries)
- Transportation and storage industry was 38.3%
When looking at EU working environments, the highest amount of non-fatal accidents that happened at industrial sites was 32%.
In this article, we'll explore:
- Where do most accidents occur in a warehouse?
- Three common types of injuries
- Understanding manual handling injuries in the workplace
- Steps to improve safety & prevent injuries
Where do most accidents occur in a warehouse?
The top five are docks, forklifts, conveyors, materials storage, and manual lifting and handling.
Benchmark statistics detail out the specifics of non-fatal occupational injuries and illnesses which involved days away from work in the transportation and warehousing sector:
Case Characteristic Number of Cases
Nature of Injury or Illness
Sprains, strains, tears 42,280
Soreness, pain 15,630
Bruises, contusions 10,370
Fractures 7,790
Cuts, lacerations 3,900
Part of the Body Affected
Back 16,910
Shoulder 9,840
Knee 9,370
Multiple body parts 8,540
Hand 8,030
Event or Exposure Leading to Injury or Illness
Struck by object or equipment 12,100
Overexertion in lifting or lowering 11,950
Fall on the same level 10,940
Fall to a lower level 6,750
Roadway incidents involving motorised land vehicles 6,430
U.S Bureau of Labor Statistics, Transportation and Warehousing, 2016 - 2020.
These statistics reveal the tangible risks faced by workers in this sector, with an alarming 206,900 cases of nonfatal occupational injuries and illnesses.
Three Common Types of Injuries
The top three events leading to injury are being struck by an object or equipment, overexertion in lifting or lowering and falling on the same level. The top three impacts on workers are sprains, strains, tears, soreness, pain, and bruises, contusions, particularly affecting the back, shoulder and knees.
Common manual handling injuries include:
- Musculoskeletal disorders.
- Strains and sprains, or other soft tissue injuries.
- Hand injuries, such as broken fingers or other broken bones in the hand.
- Back injuries, spinal damage or slipped discs.
- Shoulder injuries.
- Cuts and lacerations.
- Ankle and foot injuries.
However, they can be divided into three main categories:
- Being Struck by Object or Equipment: This cause accounts for almost a third of these types of injuries, with a significant portion of workers being hit by trucks. Research has found that every year, one in five workplace fatalities and over 12,000 injuries are caused by forklifts and other industrial vehicles. These statistics underscore the importance of regular forklift training for employees. However, accidents are not solely caused by forklifts. Incorrectly stacked items can lead to them tumbling, falling and hitting employees. Staff should be well-trained in safe loading and unloading of pallets, safe stacking heights and weights, and the importance of not climbing, leaning or walking on pallets.
- Overexertion in Lifting or Lowering: Manual handling accounts for over a third of all workplace injuries, including strains, sprains, back injuries, cuts, bruises and broken bones. Although there might be occasions when your staff must handle heavy materials, such tasks should be avoided as much as possible.
- Falls on the Same Level: Falls on the same level are a common cause of workplace accidents that result in injury, these typically include slips and trips on the floor you’re working on. To prevent accidents like these, adequate training and robust processes are needed to ensure that staff know how to secure and move objects stored at height safely. Personal Protective Equipment (PPE) like hard hats is often necessary, as well as warning signs in areas of potential hazard.
Common causes can also include lack of training which can lead to an employee suffering from a back injury from incorrectly lifting a heavy load, using their back rather than their legs.
Also, a lack of clear weight and handling details on packages can exacerbate issues. An example could be that an employee attempts to lift a load but soon realises it is too heavy, dropping it on their foot, causing metatarsal fractures.

Understanding Manual Handling Injuries in the Workplace
Once you understand potential injuries and common risks, there is other important information to understand.
Q3 Who’s Accountable? Labour Laws and Regulations
Workplace safety is a shared responsibility that involves everyone - employers, employees, clients and even visitors. Each individual who enters a workplace has a part to play in ensuring their safety and the safety of others.
However, from a legal perspective, the level of responsibility varies. The main share of the responsibility falls on the employer, whilst employees also have a legal obligation towards health and safety. Also, injuries can be very expensive and costs businesses billions per year.
Learn more about lifting regulations in the UK and how they are enforced.
Consider Weight Limits
One way to prevent manual handling injuries is to establish weight limits. If a load is over a certain weight, then a worker needs assistance from another person, or they should use equipment to lift it.
But each person is different. Their individual fitness level can affect how much they can safely lift without overexerting themselves.
Are you aware of the maximum weight limits people can lift at work? Explore weight limits and ergonomic factors.
Assess Risk
Employers are required to conduct a risk assessment, evaluating all the risks their employees are exposed to. Preventative and protective measures must be put in place, such as ensuring that each worker has received the necessary health and safety information and training. Sometimes, additional measures might be taken, for example, preventing dangerous situations from occurring and providing training.
While there are no EU rules that describe exactly how you should conduct risk assessments, in some countries, national rules may include more detailed requirements concerning the content and form of risk assessments.
Here are certain actions to take while conducting a risk assessment:
- Identify the possible hazards
- Assess the risks arising from the hazards (for example, estimate the probability and severity of the consequences and decide whether the risk can be tolerated)
- Plan actions to eliminate or reduce risks
- Document the risk assessment
Discover how to conduct a risk assessment.
Steps to Improve Safety & Prevent Injuries
Even though risk assessments are conducted, they merely identify the risk instead of alleviating it. The next step is to take action.
Redesign Processes
It’s important to design a system, so people aren’t put in a situation where there is a high risk of injuries. People shouldn’t lift items that are too heavy for them or lift items for a long time with no break.
Redesigning the layout can make lifting safer. Work areas can be moved, so loads are transported shorter distances. Also, loads can be placed at waist or chest height to reduce bending over or lifting above shoulder height.
Little changes can have a huge impact on safety. Explore safe lifting techniques and how to design a safer workplace.
Add Lift Assists
How can you prevent injuries from happening? One solution is removing manual handling from your process.
Implement semi-automation or automation for material handling, so workers don’t physically lift the weight of a load. The right tool, such as a vacuum lifter, can enhance safety, productivity, and work retention.
Understand how to prevent work-related injuries.
Conclusion
Understanding these common types of manual handling injuries and implementing preventive measures can significantly reduce the risk of workplace injuries, ensuring a safer and more productive environment for your workforce.
Want to minimise injuries whilst bolstering business performance? Why not read our guide: "The Complete guide to improving efficiency within warehousing logistics".