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The safety industry has come to question whether back belts provide real reduction in back pain or injuries. The need and hope for a solution to the serious and expensive issue of back pain and injury in the workplace remains. The Back-A-Line belt design is quite different from the conventional elastic, girdle-type back belts used in previous studies. In this experience report, we document the results of real-world experience monitoring back pain relief and injury prevention using the Back-A-Line. In 58 separate work site evaluations with over 2000 participants in a broad cross-section of industrial environments including the US Army, large retailers, and airline baggage handlers, 71% of subjects had less back pain and fatigue at the end of the day when using a Back-A-Line belt.