1) Manual material handling (MMH) tasks like lifting pose health risks like back injuries, costing over $1 billion annually in compensation costs.
2) Maximum recommended limits for energy expenditure during physical work are less than 35% of maximum aerobic power and 5.0 kcal/min for men or 3.35 kcal/min for women.
3) Job design approaches to reducing risks of MMH overexertion include decreasing weight of objects handled, using multiple workers for heavy loads, pushing rather than carrying, and minimizing lifting heights and distances.