The aim of this study was to examine current practices within the Lothian Health Board area in relation to reporting of occupationally induced musculoskeletal injuries, training in moving and handling, and use of mechanical aids. A sample of 5,184 nurses working throughout the health board was given a questionnaire containing both open and closed questions. The results showed a significant proportion of nurses had time off work due to musculoskeletal injury and that this was related to grade and specialty. There was also a significant proportion of the respondents who did not report injuries and/or who experienced pain/discomfort, but did not take time off work. Present moving and handling training appears to be inadequate and too infrequent for the needs of staff. These findings emphasise the need for a review of both accident reporting systems and training, in particular in the use of mechanical aids.