Manual handling is an important issue for the industrial gases sector (including all areas such as medical, food etc.). Many activities of the industrial gases industry involve manual effort which have the potential to cause harm if not properly managed. Manual handling related injuries are a major cause of lost workdays. This publication covers the ergonomics and occupational health of manual handling activities in the industrial and medical gas sector. Included specifically are ergonomic principles that can be adopted to reduce likelihood of musculoskeletal issues.