While sprain and strain injuries has always been the most significant category of injuries – both in terms of claims and costs – many safety professionals report that there has been no innovation in this space. It’s almost as if we are willing to accept these injuries as part of life. Safety practitioners must be willing to confront old thinking and seek innovation in continuing to attack this issue. Often the execution of higher order controls associated with design, environment and work practice has a negative impact on the physical wellbeing of employees. Further, the administrative (training) control has, with a couple of notable exceptions, not evolved beyond the standard ‘risk-based’ approach via PowerPoint and videos. Leading organisations have long abandoned these tools in adult learning and are applying practical programs that will be outlined in this presentation.