Slips, Trips, Falls, Ladders and Steps for Residential Care Staff

Preventing everyday floor, stair, access and low-height work injuries in adult social care

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Ladders, stepladders and safe low-level access

Working at height covers any task where a fall could cause injury. In care settings this includes putting up decorations, reaching high shelves, checking curtains, moving light items in stores, accessing loft spaces, cleaning high surfaces and using stepladders for routine maintenance.

HSE guidance does not ban ladders and stepladders. They may be acceptable for low-risk, short-duration tasks if a risk assessment shows they are suitable. Short duration alone does not make an unsafe task acceptable; the specific task and environment must be safe for that equipment.

Never improvise access

  • Do not stand on furniture: chairs, beds, tables, counters, wheelchairs, commodes, trolleys and boxes are not access equipment.
  • Do not climb shelving: shelves are for storage, not climbing.
  • Do not use damaged equipment: report missing feet, loose steps, bent parts, broken locks or visible defects.
  • Do not overreach: move the equipment instead of leaning sideways.
  • Do not carry awkward loads: ask for help or use another method if the item affects balance or grip.
  • Do not use steps in unsafe areas: wet floors, uneven ground, doorways, busy routes or poor lighting may make the task unsafe.

Safer use of stepladders and steps

Before using steps or a stepladder, confirm you are authorised and competent, the equipment is suitable, all feet sit on a level surface and locking devices engage. Clear the area and make sure you can work without overreaching or side loading. Keep secure contact with the ladder and stop if conditions change or you feel unstable.

Scenario

A care worker wants to reach spare continence products stored on a high shelf. The stepladder is in the locked maintenance cupboard, so they pull over a dining chair and say, "It will only take ten seconds."

What should happen next?

 

If you need height, use the right equipment and the right person for the task. "Only for a second" is not a safety plan.

Ask Dr. Aiden


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