Task Description / Name of Task/Job
References (e.g. Council Policies and Procedures, SWPs SOPs
Choose reason for undertaking risk assessment
Have there been know incidents associated with this task/job?
- Eye Protection
- Hard Hat
- Steel Cap Boots
- High Viz Attire
- Welding Helmet & Apron
- Broad Brim Hat and Sunglasses
- Hearing Protection
- Face Shield
DETAILS OF PERSON UNDERTAKING CHECKLIST
DETAILS OF PERSON UNDERTAKING CHECKLIST
Note: if the task is NOT a Manual Task, use "Task Risk Assessment Form".
Use the following prompts to identify the hazards associated with this task. If the prompt is applicable tick "YES" then continue with the risk assessment in the following section. If the prompt is not applicable tick "NO". If the prompt does not apply tick "N/A".
Note: when all prompts have been answered, proceed to "Part C - Risk Rating and Action Plan"
Does the task involve repetitive or sustained movements, postures or forces? As a guide:
*Repetitive means the movement or force is performed more than twice a minute, and
*Sustained means the posture or force is held for for than 30secs at a time
POSTURES AND MOVEMENTS - Place a tick in the YES box each time you observe repetitive or sustained posture.
CODE A - BACK
A1 - Bending or twisting e.g. More than 20 degrees - Forwards
A2 - Bending or twisting e.g. More than 20 degrees - Sideways
A3 - Bending or twisting e.g. More than 20 degrees - Twisting
A4 - Bending e.g. More than 5 degrees - Backwards
CODE B - ARMS and HANDS
B1 - Working with one or both hands above shoulder height?
B2 - Reaching forwards or sideways more than 30cm from the body?
B3 - Reaching behind the body?
B4 - Excessive bending of the wrist?
B5 - Twisting, turning, gripping or wringing actions with fingers, hands or arms
Code C - LEGS
C1 - Squatting, kneeling, crawling, lying, semi-lying or jumping?
C2 - Standing with most of the body's weight on one leg?
Code D - VERY FAST MOVEMENTS
D1 - Very fast movements
FORCES - Place a tick in the YES box each time you observe repetitive or sustained forces.
Code E - FORCES
E1 - Lifting or lowering
E2 - Carrying with one hand or one side of the body
E3 - Exerting force with one hand or one side of the body
E4 - Pushing, pulling or dragging
E5 - Very fast actions
E6 - Working with the fingers close together or wide apart
E7 - Applying uneven, fast or jerky forces
E8 - Holding, supporting or restraining anything (including a person, animal or tool)
Does the task in STEP 1 involve long duration?
Tick YES if the task is done for;
CODE F - DURATION
F1 - More than 2 hours over a whole shift?
F2 - Continually for more than 30 minutes at a time?
If you ticked YES, then the task is a risk and MUST be controlled.
Does the task involve high or sudden force?
FORCES - Place a tick in the YES box if the task involves any of the following high or sudden forces even if the force is applied only once.
CODE G - HIGH OR SUDDEN FORCES
G1 - Lifting, lowering or carrying loads
G2 - Throwing or catching
G3 - Hitting, kicking or jumping
G4 - Applying a sudden or unexpected force including;
* Handling a live person or animal or
* Applying uneven, fast or jerky forces during lifting, carrying, pushing or pulling or
* Pushing or pulling objects that are hard to move or stop
G5 - Exerting force while in a bent, twisted or awkward posture including;
* Supporting items with hands above shoulder height or
* Moving items when legs are in a awkward posture, working with finger pinched together or held wide apart
* Using a finger grip or pinch grip or an open handed grip
G6 - Exerting a force with non-preferred hand
G7 - Needing to use two hands to operate a tool designed for one hand
G8 - The task can only be done for short periods of time
G9 - Lifting, lowering or carrying heavy loads
G10 - To or more people need to be assigned to handle a heavy, awkward or bulky load
G11 - Workers report pain or significant discomfort during or after the task
G12 - Stronger workers assigned to do the task
G13 - Workers say the task is physically strenuous or difficult to do
G14 - Workers think the task should be done by more than one person or seek help to do the task as it requires higher force.
Is there hand, arm or whole body vibration?
Place a tick in the YES box if any of the following environmental factors are present in the task.
CODE H - HAND, ARM OR WHOLE BODY VIBRATION
H1 - Driving for long periods
H2 - Driving on rough roads
H3 - Frequent use of hand powered tools or use for long periods
H4 - Using high grip forces or awkward postures when using power tools
H5 - Use of machines or tools where the manufacturers handbook warns of vibration
H6 - Workers being jolted or continuously jolted
H7 - Use of a vehicle or tool not suitable for the environment or task
Did you answer YES in Step 1 and Step 2?
If Yes the task is a risk. Risk control is required!
Did you answer YES in Step 3?
If Yes then then task is a risk. Risk Control is required!
Did you answer YES in Step 4?
If yes then the task is a risk. Risk Control is required!
To aid prioritisation of timing and resourcing risk controls, you may also need to consider:
* No of ticks or risk factors
* Additional factors such as injuries associated with a task.
These items capture degree and likelihood of harm. You will also need to consider the availability and suitability of risk controls for the task.