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Wheelchair & Passenger Handling Best Practices for Drivers

Wheelchair & Passenger Handling Best Practices for Drivers

This white paper was co-authored by the experts at Driverge Vehicle Innovations, National Interstate Insurance, and Vanliner Insurance. Through our collaboration, we hope you learn some best practices to enhance your operation's safety culture.

 

Overview

In the NEMT & Paratransit industry, injuries frequently occur due while boarding or unloading passengers as well as improper securement. Fortunately, as a professional driver, there are things you can do to significantly reduce the likelihood of such incidents.

This white paper will cover best practices and key considerations for drivers when transporting passengers who use a wheelchair or mobility device.

 

WHEELCHAIR HANDLING

Best Practices Before Moving Passengers

First, check the handles by giving them a twist. Determine if they are loose or tight. As wheelchairs age, there is a higher chance that the handles will become loose, which can pose a risk especially when navigating ramps or hills. To prevent losing control, ensure to hold onto the metal part in front of the handles if they feel loose.

Next, inspect the wheel locks/brakes for proper functionality. Knowing whether they work correctly is essential because reliable wheel locks help keep the wheelchair stationary. If the brakes are not working well or need repair, always keep a hand on the wheelchair to maintain control or use wheel chocks or another object to prevent it from rolling.

 

Handling situations when the wheelchair stops or gets stuck:

Understand that it does not take much to stop a wheelchair; small obstacles like cracks, rocks, or edges can cause a sudden halt. If the wheelchair gets stuck, avoid continuing to push as this may tip the wheelchair forward due to the higher pushing point above the center of gravity.

To get the wheelchair unstuck, place your foot on one of the pegs coming out from the frame behind the wheelchair, press down, and slowly pull back on the handles to lift the front wheels slightly off the ground. Then, push forward until the front wheels clear the obstacle.

 

Ramp Guidance

Maintain Stability and Control and always face the direction you’re pushing the wheelchair. 

When ascending or descending a ramp, keep your knees slightly bent and maintain one foot behind the other. This posture enhances stability and control, reducing the risk of tipping. A staggered stance improves your balance and maneuverability.

 

Avoid Forcing Wheelchairs onto the Ramp

If the wheelchair does not fit perfectly on the ramp or scrapes its sides, do not force it. This action can damage the wheelchair, cause it and the passenger to get stuck, or even eject the passenger. Prioritize safety over expedience. Follow your company’s policy for handling situations where a wheelchair is too large for the ramp. It is also a good practice to confirm the size of the wheelchair before picking up the passenger.

PASSENGER HANDLING

Assisting Passengers in Manual Wheelchairs

When assisting passengers in manual wheelchairs with rear-access ramp vehicles, focus on their comfort and safety. Position yourself sideways to the passenger when unlocking the wheel locks. This ensures the passenger's back rests against the broader part of your leg, minimizing discomfort and potential injuries. Standing face-forward may press your knee into the passenger's back, causing discomfort or pain.

 

Communication Tips

Communication throughout the entire process is critical – from first greeting your passenger, through the drive, to the offboarding.

  • Understand you are behind them often so speak clearly and loud enough for them to hear you.
  • Before you begin pushing your passenger, or before operating the power lift, make sure the passenger is ready.  Even using a countdown may be helpful in keeping your passenger calm.
  • When pushing your passenger, your head will most likely be above theirs.  Be sure you are not talking over them, but talk down so they can hear.
  • When in a conversation that lasts more than a few seconds, get down to the eye level of your passenger.  Either crouch down or get down on one knee and give them good eye contact.  This tells them you care without you ever having to say so.  This also can lessen any anxiety the passenger may have.
  • Speak clearly and to the point.  Some passengers may not understand when you are being silly or sarcastic.
  • Clearly explain what you are doing any time you are getting close to the passenger, and especially when you have to touch, lean on, or rub against. You want to avoid the passenger getting upset or surprised because they weren’t expecting what you were doing.  Remember the way you secure a passenger may be different than other drivers your passenger may have encountered.
  • When driving over speed bumps, railroad tracks, potholes or extra bumpy roads, alert your passengers beforehand – as much as possible.  When we as drivers go over those types of bumps, we are sitting on several inches of padding on our driver seat.  However, our passengers in manual wheelchairs may be sitting on a very thin seat which can be very uncomfortable.  Also, they may be experiencing chronic pain or have recently had surgery and those bumps can be painful.
  • If you have to take a different route to your destination due to a road closure, traffic or detour, please alert your passenger as soon as possible.  If they are familiar with a typical route and you take a turn they weren’t expecting, that can cause anxiety or panic.

 

ADA Responsibilities

The Americans with Disabilities Act (ADA) is the law in the US which protects those with disabilities, giving them equal access to things like transportation. 

  • If your company has a policy that requires all passengers to use seat belts and secure mobility devices, and your vehicle has compliant securement systems in accordance with the ADA, securement of the mobility device (such as a wheelchair or scooter) and the passenger can be required. The requirements must be consistent for all passengers. For instance, if non-ADA passengers (ambulatory) are only required to wear a lap belt, then ADA passengers are only required to wear a lap belt. However, for the passenger’s safety, we encourage the wearing of both the lap and shoulder belt in every case. If a passenger refuses to comply with the securement requirement, you are permitted to decline service.
  • Service cannot be refused due to a mobility device being challenging to secure. The ADA requires operators to use their best efforts to secure the device, consulting with the owner of the mobility device as needed. It is also recommended to contact your employer for additional guidance.

Although NEMT & Paratransit vehicles and equipment were designed to keep passengers safe, how the driver uses the equipment and how they treat the passengers are ultimately most important! As a professional driver, you should be able to demonstrate proper handling, onboarding and securement of passengers using mobility devices at any given time.  If you ever feel unsure or are not confident about your ability to properly onboard or secure passengers, seek out or ask your employer for additional training.

 

 

Driverge Vehicle Innovations Logo

About Driverge Vehicle Innovations

Driverge Vehicle Innovations is one of the country’s leading builders of commercial accessible vans, shuttles, transporters, vocational and work vehicles. With their commitment to safety, the Driverge Training Team also boasts certified professional trainers who have trained 1000’s of drivers across the US and Canada. With manufacturing facilities in Ohio, Kansas, South Carolina and California, Driverge provides vehicle conversions to numerous industries and government agencies, including healthcare, wheelchair transport services, fleet management, hospitality, rideshare and other vocational markets. Driverge is a Ford Pro Upfitter, Mercedes-Benz eXpertSOLUTIONS Upfitter and Ram Commercial Q-Pro supplier. Driverge acquired commercial equipment upfit company U.S. Upfitters in 2022, which operates facilities in Illinois, Wisconsin, Maryland and Colorado. Driverge Vehicle Innovations and MobilityWorks together make up WMK, LLC, established in 1997 and recognized on the Inc. 500|5000 list of Inc. Magazine’s fastest-growing privately held companies, as well as Newsweek’s list of America’s Greatest Workplaces.

 

The information presented in this publication is intended to provide guidance and is not intended as a legal interpretation of any federal, state or local laws, rules or regulations applicable to your business.  The loss prevention information provided is intended only to assist policyholders in the management of potential loss producing conditions involving their premises and/or operations based on generally accepted safe practices.  In providing such information, National Interstate Insurance Company does not warrant that all potential hazards or conditions have been evaluated or can be controlled.  It is not intended as an offer to write insurance for such conditions or exposures. If you have any questions or issues of a specific nature, you should consult appropriate legal or regulatory counsel to review the specific circumstances involved. The liability of National Interstate Insurance Company and its affiliated insurers is limited to the terms, limits and conditions of the insurance policies underwritten by any of them. National Interstate Insurance Company, 3250 Interstate Drive, Richfield, OH 44286.  5147-NIS-157 (07/25)

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