That's an EXCELLENT question!
I do find many people strap screw shy and I certainly was one of them! Even renting centers can be.
Anyway, I tightened them in "stages." Reasons are... not too overheat the plastic, wait for the pad to compress.
So, be sure the screw is lining up correctly with insert hole. Go slow. Then, tighten until it becomes hard and stop. At that point your grip will have moved to under hand. Come back and continue tightening with an underhand.
I use a nice and wide handle screwdriver and a piece of inner tube to get good torque.
Finally, you might want to measure depth to make sure you won't go through the insert and pop it.
May be helpful to others...