Quiz-summary
0 of 10 questions completed
Questions:
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
Information
Premium Practice Questions
You have already completed the quiz before. Hence you can not start it again.
Quiz is loading...
You must sign in or sign up to start the quiz.
You have to finish following quiz, to start this quiz:
Results
0 of 10 questions answered correctly
Your time:
Time has elapsed
Categories
- Not categorized 0%
Unlock Your Full Report
You missed {missed_count} questions. Enter your email to see exactly which ones you got wrong and read the detailed explanations.
Submit to instantly unlock detailed explanations for every question.
Success! Your results are now unlocked. You can see the correct answers and detailed explanations below.
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- Answered
- Review
-
Question 1 of 10
1. Question
When addressing a deficiency in Non-Ionizing Radiation Safety Guidelines, what should be done first? A safety professional at a telecommunications facility discovers that the existing Radio Frequency (RF) safety program has not been updated to account for several new high-frequency transmitters recently installed on a shared rooftop environment where multiple vendors operate.
Correct
Correct: In industrial hygiene and safety management, the first step in addressing a suspected hazard deficiency is assessment. Conducting a field survey provides empirical data on the actual power density and field strength in the environment. This is critical because non-ionizing radiation levels in shared environments are cumulative; theoretical data from a single manufacturer may not reflect the actual risk posed by the combination of multiple transmitters. Comparing these measurements to Maximum Permissible Exposure (MPE) limits allows the professional to determine the severity of the hazard and the appropriate level of control required.
Incorrect: Installing barriers and signage is a control measure that should be based on the results of an assessment; doing so first may result in inadequate protection or unnecessary restrictions. Updating the manual with manufacturer specs is an administrative task that does not account for real-world environmental factors or cumulative exposure from other sources. Scheduling training is a vital component of a safety program, but the content of that training must be informed by the specific hazards identified during the initial assessment phase.
Takeaway: The fundamental first step in managing non-ionizing radiation hazards is to quantify the actual exposure levels through field measurement to ensure compliance with established safety standards.
Incorrect
Correct: In industrial hygiene and safety management, the first step in addressing a suspected hazard deficiency is assessment. Conducting a field survey provides empirical data on the actual power density and field strength in the environment. This is critical because non-ionizing radiation levels in shared environments are cumulative; theoretical data from a single manufacturer may not reflect the actual risk posed by the combination of multiple transmitters. Comparing these measurements to Maximum Permissible Exposure (MPE) limits allows the professional to determine the severity of the hazard and the appropriate level of control required.
Incorrect: Installing barriers and signage is a control measure that should be based on the results of an assessment; doing so first may result in inadequate protection or unnecessary restrictions. Updating the manual with manufacturer specs is an administrative task that does not account for real-world environmental factors or cumulative exposure from other sources. Scheduling training is a vital component of a safety program, but the content of that training must be informed by the specific hazards identified during the initial assessment phase.
Takeaway: The fundamental first step in managing non-ionizing radiation hazards is to quantify the actual exposure levels through field measurement to ensure compliance with established safety standards.
-
Question 2 of 10
2. Question
Two proposed approaches to Transportation Safety in Construction conflict. Which approach is more appropriate, and why? A large-scale highway expansion project requires frequent movement of heavy earthmoving equipment across active public intersections and within the confined workspace of the median. The first approach suggests relying on the experience of heavy equipment operators to yield to public traffic and using flaggers only when equipment is actively crossing. The second approach suggests implementing a comprehensive Traffic Control Plan (TCP) that adheres to the Manual on Uniform Traffic Control Devices (MUTCD) standards, utilizing positive barriers to separate workers from traffic and establishing dedicated haul routes.
Correct
Correct: The implementation of a comprehensive Traffic Control Plan (TCP) aligned with MUTCD standards is the most appropriate approach. Under OSHA 1926 Subpart G and the Manual on Uniform Traffic Control Devices (MUTCD), construction projects that interface with public traffic must use standardized signs, signals, and barricades. Engineering controls, such as positive barriers and dedicated haul routes, are higher on the hierarchy of controls than administrative controls like flagging or relying on operator judgment, as they physically separate the hazard from the workers and the public.
Incorrect: Relying on operator experience and intermittent flagging is an administrative control that is highly susceptible to human error and does not meet the rigorous safety standards required for high-volume traffic interfaces. Utilizing high-visibility apparel as a primary control is incorrect because PPE is the last line of defense and cannot replace engineering controls like barriers. While reducing speed is a valid safety measure, a blanket 5 mph limit is often operationally infeasible for heavy equipment and does not address the systemic need for traffic organization and standardized communication with the public.
Takeaway: Effective transportation safety in construction requires a systematic Traffic Control Plan (TCP) that integrates MUTCD standards and physical separation rather than relying on individual operator discretion or administrative controls.
Incorrect
Correct: The implementation of a comprehensive Traffic Control Plan (TCP) aligned with MUTCD standards is the most appropriate approach. Under OSHA 1926 Subpart G and the Manual on Uniform Traffic Control Devices (MUTCD), construction projects that interface with public traffic must use standardized signs, signals, and barricades. Engineering controls, such as positive barriers and dedicated haul routes, are higher on the hierarchy of controls than administrative controls like flagging or relying on operator judgment, as they physically separate the hazard from the workers and the public.
Incorrect: Relying on operator experience and intermittent flagging is an administrative control that is highly susceptible to human error and does not meet the rigorous safety standards required for high-volume traffic interfaces. Utilizing high-visibility apparel as a primary control is incorrect because PPE is the last line of defense and cannot replace engineering controls like barriers. While reducing speed is a valid safety measure, a blanket 5 mph limit is often operationally infeasible for heavy equipment and does not address the systemic need for traffic organization and standardized communication with the public.
Takeaway: Effective transportation safety in construction requires a systematic Traffic Control Plan (TCP) that integrates MUTCD standards and physical separation rather than relying on individual operator discretion or administrative controls.
-
Question 3 of 10
3. Question
Following an alert related to Power Transmission Guarding Methods, what is the proper response when an inspection reveals that a series of horizontal shafts, located six feet above a permanent work platform, are currently exposed and unguarded?
Correct
Correct: According to OSHA 1910.219 and general mechanical safety principles, horizontal shafting located seven feet or less above the floor or working platform must be guarded by a stationary casing that encloses the shafting completely. This physical barrier is necessary because power transmission components present high torque and entanglement hazards that cannot be sufficiently mitigated by administrative controls alone when they are within the reach of employees.
Incorrect: Installing warning signage or designating restricted zones are administrative controls that do not meet the regulatory requirement for physical guarding of shafts located under the seven-foot threshold. Implementing a second observer policy is an administrative measure that fails to provide a positive means of preventing contact with the hazard. Applying friction-reducing coatings is not a recognized guarding method and does not eliminate the mechanical hazard of a rotating shaft.
Takeaway: Mechanical power transmission apparatus, such as shafts located within seven feet of the floor or working level, must be protected by fixed, stationary enclosures to prevent entanglement hazards.
Incorrect
Correct: According to OSHA 1910.219 and general mechanical safety principles, horizontal shafting located seven feet or less above the floor or working platform must be guarded by a stationary casing that encloses the shafting completely. This physical barrier is necessary because power transmission components present high torque and entanglement hazards that cannot be sufficiently mitigated by administrative controls alone when they are within the reach of employees.
Incorrect: Installing warning signage or designating restricted zones are administrative controls that do not meet the regulatory requirement for physical guarding of shafts located under the seven-foot threshold. Implementing a second observer policy is an administrative measure that fails to provide a positive means of preventing contact with the hazard. Applying friction-reducing coatings is not a recognized guarding method and does not eliminate the mechanical hazard of a rotating shaft.
Takeaway: Mechanical power transmission apparatus, such as shafts located within seven feet of the floor or working level, must be protected by fixed, stationary enclosures to prevent entanglement hazards.
-
Question 4 of 10
4. Question
The board of directors at a listed company has asked for a recommendation regarding Operating Procedures Development and Training as part of change management. The background paper states that the facility is transitioning from a manual batch-processing system to a fully automated PLC-controlled chemical reactor over the next 12 months. To ensure the safety of the workforce and the integrity of the new process, the board requires a strategy for developing new Standard Operating Procedures (SOPs). Which of the following approaches provides the highest level of risk reduction and procedural adherence?
Correct
Correct: The most effective way to develop SOPs is through a participative approach. Involving both engineers (who understand the design intent) and operators (who understand the practical application) in a Job Hazard Analysis (JHA) ensures that all hazards are identified and that the procedures are realistic. Field validation—testing the procedures in the actual work environment—is a critical step to ensure the steps are accurate and can be followed as written before they are finalized.
Incorrect: Relying solely on OEM manuals or the Safety Department often results in procedures that are technically accurate but practically difficult to follow or missing site-specific environmental factors. Third-party consultants may lack the deep institutional knowledge of the specific workforce and culture. Simply updating old manual procedures is insufficient for a major technological shift to automation, as the hazard profile changes from physical handling to monitoring, logic errors, and sensor maintenance.
Takeaway: Effective operating procedures must be developed through a collaborative process that combines technical design knowledge with practical operator experience and is verified through field validation.
Incorrect
Correct: The most effective way to develop SOPs is through a participative approach. Involving both engineers (who understand the design intent) and operators (who understand the practical application) in a Job Hazard Analysis (JHA) ensures that all hazards are identified and that the procedures are realistic. Field validation—testing the procedures in the actual work environment—is a critical step to ensure the steps are accurate and can be followed as written before they are finalized.
Incorrect: Relying solely on OEM manuals or the Safety Department often results in procedures that are technically accurate but practically difficult to follow or missing site-specific environmental factors. Third-party consultants may lack the deep institutional knowledge of the specific workforce and culture. Simply updating old manual procedures is insufficient for a major technological shift to automation, as the hazard profile changes from physical handling to monitoring, logic errors, and sensor maintenance.
Takeaway: Effective operating procedures must be developed through a collaborative process that combines technical design knowledge with practical operator experience and is verified through field validation.
-
Question 5 of 10
5. Question
The compliance framework at a fund administrator is being updated to address Personal Protective Equipment (PPE) Selection and Use in Construction as part of regulatory inspection. A challenge arises because the oversight committee has noted inconsistencies in how subcontractors select eye and face protection for tasks involving both high-velocity debris and liquid chemical splashes. During a site visit scheduled for the 180-day review, it was observed that some workers were wearing impact-rated spectacles that did not provide adequate peripheral protection against splashes. Which approach should the safety manager implement to ensure the PPE program meets regulatory requirements and effectively mitigates these dual hazards?
Correct
Correct: According to OSHA standards (1910.132 and 1926.95) and professional safety practice, PPE selection must be based on a formal hazard assessment that identifies all potential exposures. When workers face multiple hazards, such as impact and chemical splashes, the PPE must be rated for both. ANSI Z87.1 provides specific markings for different types of protection, and the safety professional must ensure the selected gear provides comprehensive coverage for the identified risks, often requiring a combination of primary and secondary protection.
Incorrect: Focusing only on the most severe hazard from past logs fails to address the current, multi-faceted risks present in specific tasks and ignores the requirement for a proactive hazard assessment. While comfort is important for compliance, allowing workers to choose their own PPE without ensuring it meets the specific technical requirements of the hazard assessment can lead to inadequate protection levels. Universal standardization across all roles often leads to over-protection in some areas and under-protection in others, failing to address task-specific hazards as required by safety regulations.
Takeaway: PPE selection must be driven by a task-specific hazard assessment that accounts for all simultaneous environmental and mechanical risks to ensure regulatory compliance and worker safety.
Incorrect
Correct: According to OSHA standards (1910.132 and 1926.95) and professional safety practice, PPE selection must be based on a formal hazard assessment that identifies all potential exposures. When workers face multiple hazards, such as impact and chemical splashes, the PPE must be rated for both. ANSI Z87.1 provides specific markings for different types of protection, and the safety professional must ensure the selected gear provides comprehensive coverage for the identified risks, often requiring a combination of primary and secondary protection.
Incorrect: Focusing only on the most severe hazard from past logs fails to address the current, multi-faceted risks present in specific tasks and ignores the requirement for a proactive hazard assessment. While comfort is important for compliance, allowing workers to choose their own PPE without ensuring it meets the specific technical requirements of the hazard assessment can lead to inadequate protection levels. Universal standardization across all roles often leads to over-protection in some areas and under-protection in others, failing to address task-specific hazards as required by safety regulations.
Takeaway: PPE selection must be driven by a task-specific hazard assessment that accounts for all simultaneous environmental and mechanical risks to ensure regulatory compliance and worker safety.
-
Question 6 of 10
6. Question
A regulatory guidance update affects how a broker-dealer must handle Explosives and Blasting Agent Safety in the context of business continuity. The new requirement implies that a safety professional must evaluate the risks associated with nearby construction blasting that could impact the firm’s primary data center over a 90-day project duration. When reviewing the safety plan for the storage of blasting agents at the adjacent site, which factor is most critical for determining the minimum safe distance between an explosive storage magazine and the firm’s facility to mitigate the risk of structural damage or injury?
Correct
Correct: According to industry standards such as NFPA 495 and the American Table of Distances (ATD), the primary factors for determining safe separation distances are the Net Explosive Weight (NEW) of the materials and whether the magazine is barricaded or unbarricaded. Barricades, such as natural hills or engineered mounds, significantly reduce the required distance to inhabited buildings and public highways by absorbing or redirecting blast overpressure.
Incorrect: Chemical volatility and ambient temperature are important for the stability and shelf-life of explosives but do not dictate the regulatory separation distances found in the Table of Distances. The total volume of the magazine and inventory turnover rates are operational and logistical concerns rather than primary safety metrics for blast radius protection. While electrical grounding and proximity to power lines are essential for preventing accidental ignition from static or lightning, they are secondary to the quantity-distance calculations used for site planning.
Takeaway: Safe separation distances for explosive storage are fundamentally based on the quantity of explosives and the presence of physical barricades to protect surrounding structures.
Incorrect
Correct: According to industry standards such as NFPA 495 and the American Table of Distances (ATD), the primary factors for determining safe separation distances are the Net Explosive Weight (NEW) of the materials and whether the magazine is barricaded or unbarricaded. Barricades, such as natural hills or engineered mounds, significantly reduce the required distance to inhabited buildings and public highways by absorbing or redirecting blast overpressure.
Incorrect: Chemical volatility and ambient temperature are important for the stability and shelf-life of explosives but do not dictate the regulatory separation distances found in the Table of Distances. The total volume of the magazine and inventory turnover rates are operational and logistical concerns rather than primary safety metrics for blast radius protection. While electrical grounding and proximity to power lines are essential for preventing accidental ignition from static or lightning, they are secondary to the quantity-distance calculations used for site planning.
Takeaway: Safe separation distances for explosive storage are fundamentally based on the quantity of explosives and the presence of physical barricades to protect surrounding structures.
-
Question 7 of 10
7. Question
If concerns emerge regarding Compressed Gas Cylinder Safety, what is the recommended course of action? A safety professional is conducting a walkthrough of a maintenance facility and observes several oxygen and acetylene cylinders stored together against a wall in a designated storage area. The cylinders are secured with chains, but there is no physical separation between the different gas types. To align with recognized safety standards and regulatory requirements for hazardous materials management, how should the storage configuration be modified?
Correct
Correct: According to OSHA 1910.253(b)(4)(iii) and NFPA 55, oxygen cylinders in storage must be separated from fuel-gas cylinders or combustible materials (especially oil or grease) by a minimum distance of 20 feet (6.1 m) or by a noncombustible barrier at least 5 feet (1.5 m) high having a fire-resistance rating of at least one-half hour. This prevents an oxidizer from accelerating a fire involving fuel gases.
Incorrect: Relocating cylinders to direct sunlight is incorrect because excessive heat can increase internal pressure and lead to the activation of pressure relief devices. Storing cylinders horizontally is generally discouraged for many gases (especially acetylene, which must remain upright to keep the acetone stabilizer in place) and increases the risk of valve damage. While hydrostatic testing is a valid maintenance requirement, the standard interval is typically 5 or 10 years per DOT regulations; increasing it to 24 months does not address the immediate hazard of improper storage separation.
Takeaway: Compressed gas safety requires the strict physical separation of oxidizers and fuel gases by distance or a fire-rated barrier to prevent catastrophic fire escalation.
Incorrect
Correct: According to OSHA 1910.253(b)(4)(iii) and NFPA 55, oxygen cylinders in storage must be separated from fuel-gas cylinders or combustible materials (especially oil or grease) by a minimum distance of 20 feet (6.1 m) or by a noncombustible barrier at least 5 feet (1.5 m) high having a fire-resistance rating of at least one-half hour. This prevents an oxidizer from accelerating a fire involving fuel gases.
Incorrect: Relocating cylinders to direct sunlight is incorrect because excessive heat can increase internal pressure and lead to the activation of pressure relief devices. Storing cylinders horizontally is generally discouraged for many gases (especially acetylene, which must remain upright to keep the acetone stabilizer in place) and increases the risk of valve damage. While hydrostatic testing is a valid maintenance requirement, the standard interval is typically 5 or 10 years per DOT regulations; increasing it to 24 months does not address the immediate hazard of improper storage separation.
Takeaway: Compressed gas safety requires the strict physical separation of oxidizers and fuel gases by distance or a fire-rated barrier to prevent catastrophic fire escalation.
-
Question 8 of 10
8. Question
Serving as product governance lead at an audit firm, you are called to advise on Electrical Safety in Hazardous Locations (Classified Areas) during conflicts of interest. The briefing a transaction monitoring alert highlights that a chemical processing facility recently installed non-explosion-proof sensors in a Class I, Division 1 area, citing a manufacturer’s self-certification document that contradicts local jurisdictional requirements. The facility manager, who is a former partner at your firm, insists the installation meets the intent of the National Electrical Code (NEC) based on a proprietary risk assessment. Given the high probability of flammable vapors being present under normal operating conditions, what is the most appropriate audit recommendation to address the risk of ignition in this classified location?
Correct
Correct: In Class I, Division 1 locations, where ignitable concentrations of flammable gases or vapors are expected to exist under normal operating conditions, the National Electrical Code (NEC) and OSHA standards require that electrical equipment be specifically listed or labeled for that environment by a Nationally Recognized Testing Laboratory (NRTL). Manufacturer self-certification is insufficient for high-hazard classifications where third-party validation is the industry standard for ensuring the equipment can contain an internal explosion or operate at safe temperatures without igniting the surrounding atmosphere.
Incorrect: Accepting a liability waiver is a legal strategy that does not mitigate the physical risk of an explosion or satisfy regulatory safety requirements. Reclassifying an area to Division 2 simply to accommodate existing equipment is a violation of safety standards unless the physical process and presence of flammable materials have fundamentally changed. While continuous monitoring and automatic disconnects provide additional layers of protection, they are not a substitute for the fundamental requirement of using properly rated and NRTL-certified equipment in a Division 1 location.
Takeaway: Electrical equipment in Class I, Division 1 locations must be NRTL-listed or labeled to ensure compliance and prevent ignition in environments where flammable vapors are normally present.
Incorrect
Correct: In Class I, Division 1 locations, where ignitable concentrations of flammable gases or vapors are expected to exist under normal operating conditions, the National Electrical Code (NEC) and OSHA standards require that electrical equipment be specifically listed or labeled for that environment by a Nationally Recognized Testing Laboratory (NRTL). Manufacturer self-certification is insufficient for high-hazard classifications where third-party validation is the industry standard for ensuring the equipment can contain an internal explosion or operate at safe temperatures without igniting the surrounding atmosphere.
Incorrect: Accepting a liability waiver is a legal strategy that does not mitigate the physical risk of an explosion or satisfy regulatory safety requirements. Reclassifying an area to Division 2 simply to accommodate existing equipment is a violation of safety standards unless the physical process and presence of flammable materials have fundamentally changed. While continuous monitoring and automatic disconnects provide additional layers of protection, they are not a substitute for the fundamental requirement of using properly rated and NRTL-certified equipment in a Division 1 location.
Takeaway: Electrical equipment in Class I, Division 1 locations must be NRTL-listed or labeled to ensure compliance and prevent ignition in environments where flammable vapors are normally present.
-
Question 9 of 10
9. Question
What best practice should guide the application of Operating Procedures Development and Training? A safety manager at a large manufacturing facility is tasked with updating the Standard Operating Procedures (SOPs) for a newly installed automated assembly line that involves high-pressure hydraulic systems and robotic interfaces. To ensure the safety program is robust and the training is effective, the manager must decide on the methodology for both creating the documentation and delivering the instruction to the workforce.
Correct
Correct: Involving frontline operators in the development of SOPs is a fundamental principle of safety management because it ensures that the procedures are realistic, reflect actual work practices, and account for site-specific hazards that engineers or manufacturers might overlook. Furthermore, safety training is most effective when it includes a performance-based component (hands-on demonstration) to verify that the worker can safely execute the task in a real-world environment, rather than just understanding the theory.
Incorrect: Relying solely on manufacturer manuals often fails to account for the specific environmental context and integrated risks of the facility. Digital sign-offs and self-paced learning are efficient for knowledge transfer but do not adequately verify physical competency. Engineering-only development lacks the ‘as-performed’ perspective of the end-user, which can lead to procedures that are technically correct but practically ignored. Written exams measure cognitive recall but are insufficient for validating the motor skills and situational awareness required for high-risk tasks.
Takeaway: Effective safety procedures must be developed collaboratively with those who perform the work and validated through hands-on competency assessments rather than just written or digital testing.
Incorrect
Correct: Involving frontline operators in the development of SOPs is a fundamental principle of safety management because it ensures that the procedures are realistic, reflect actual work practices, and account for site-specific hazards that engineers or manufacturers might overlook. Furthermore, safety training is most effective when it includes a performance-based component (hands-on demonstration) to verify that the worker can safely execute the task in a real-world environment, rather than just understanding the theory.
Incorrect: Relying solely on manufacturer manuals often fails to account for the specific environmental context and integrated risks of the facility. Digital sign-offs and self-paced learning are efficient for knowledge transfer but do not adequately verify physical competency. Engineering-only development lacks the ‘as-performed’ perspective of the end-user, which can lead to procedures that are technically correct but practically ignored. Written exams measure cognitive recall but are insufficient for validating the motor skills and situational awareness required for high-risk tasks.
Takeaway: Effective safety procedures must be developed collaboratively with those who perform the work and validated through hands-on competency assessments rather than just written or digital testing.
-
Question 10 of 10
10. Question
Excerpt from a board risk appetite review pack: In work related to Manual Material Handling Techniques and Training as part of whistleblowing at a private bank, it was noted that the records management department experienced a 15% increase in lower back strain reports over the last fiscal year despite 100% compliance with annual lifting safety videos. The internal audit team found that the current training focuses solely on the biomechanics of the squat lift, while the actual work involves reaching into deep storage bins and twisting while carrying files. Which of the following actions represents the most effective ergonomic intervention to address these findings?
Correct
Correct: Participatory ergonomics is a highly effective strategy because it involves the workers directly in identifying the specific stressors of their unique environment—such as the reaching and twisting mentioned in the scenario—and developing practical engineering or administrative solutions. This approach moves beyond generic behavioral training and addresses the root cause of musculoskeletal disorders (MSDs) by modifying the work environment and tasks to fit the human operator.
Incorrect: Increasing the frequency of biomechanical training sessions is often ineffective because training alone does not remove the physical hazards of reaching and twisting. Lumbar support belts are not recognized by NIOSH or OSHA as effective personal protective equipment for preventing back injuries and can provide a false sense of security. While two-person lifts are a useful administrative control, they do not address the ergonomic stressors of reaching into deep bins or the twisting motions that were specifically identified as the primary risk factors in this scenario.
Takeaway: Effective manual material handling programs must prioritize the identification and elimination of specific ergonomic stressors like awkward postures over generic behavioral lifting training.
Incorrect
Correct: Participatory ergonomics is a highly effective strategy because it involves the workers directly in identifying the specific stressors of their unique environment—such as the reaching and twisting mentioned in the scenario—and developing practical engineering or administrative solutions. This approach moves beyond generic behavioral training and addresses the root cause of musculoskeletal disorders (MSDs) by modifying the work environment and tasks to fit the human operator.
Incorrect: Increasing the frequency of biomechanical training sessions is often ineffective because training alone does not remove the physical hazards of reaching and twisting. Lumbar support belts are not recognized by NIOSH or OSHA as effective personal protective equipment for preventing back injuries and can provide a false sense of security. While two-person lifts are a useful administrative control, they do not address the ergonomic stressors of reaching into deep bins or the twisting motions that were specifically identified as the primary risk factors in this scenario.
Takeaway: Effective manual material handling programs must prioritize the identification and elimination of specific ergonomic stressors like awkward postures over generic behavioral lifting training.