Yes and no; it depends on which type of pulling is to be performed and how many hooks are used in the pulling. For example, if someone is pulling with hooks in their back, the placement would resemble that of a suicide suspension. The hooks must be placed in a direction so that the hook will not come out during the pulling. Normally this is done with either a locking hook, or with hook placed horizontally, or with hook pierced in an upward direction (ie. the point end of the hook comes out the top hole; the hook is inserted from bottom to top).