Manual handling accounts for 49% of all injuries in the nursery industry. Any activity that involves lifting, lowering, pushing, pulling, carrying, moving, restraining, sustained awkward posture or repetitive movement can result in musculo-skeletal injuries to workers. Many injuries in the nursery industry can be avoided if employees know how to look after their backs and their bodies. The most effective way of preventing injury is to design a process so the need for manual handling is eliminated or improved with mechanical aids. 9 minutes.