Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Observe the movements of the arms and select the category that is most appropriate.

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  • Left arm movements.

  • Right arm movements.

  • Observe the movement of the arm and hand (not fingers) and count the number of times the same or similar pattern of motion is repeated over a minute.

  • Left arm

  • Right arm

  • Using the guide and ask the operative to establish the level of force required to complete the task. If a very strong force is required then changes are required before continuing the assessment.

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  • Level of force.

  • How frequently is the force used.

  • How frequently is the force used.

  • Determine the amount of time that the worker spends in the postures described below. This includes the time spent moving to a bent or twisted position repetitively and the time spent holding a bent or twisted position.

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  • The head or neck is:

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  • The back is:

  • The arm is considered to adopt an awkward posture if the elbow is raised to around chest height and the arm is unsupported (eg not resting on a workbench).

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  • The left elbow is:

  • The right elbow is:

  • The wrist is considered to be bent or deviated if an obvious wrist angle can be observed.

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  • The left wrist is:

  • The right wrist is:

  • Hand/finger grip

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  • The left hand is a:

  • The right hand is a:

  • Determine the maximum amount of time that individuals perform the repetitive task without a break. Breaks are significant changes or pauses (eg of at least 5-10 minutes) in arm or hand activity. They include structured breaks such as meal breaks. They also include time spent performing other tasks that do not involve similar repetitive arm movements (eg a visual inspection task).

  • The worker performs the task continuously, without a break, for:

  • Speak to the workers about any difficulties they might have keeping up with the work. Select the most appropriate category.

  • Work pace:

  • Identify any other factors that are present in the task. For example.
    - gloves affect grip and make handling the task more difficult.
    - a tool (eg hammer, pick) is used to strike two or more times a minute.
    - the hand is used as a tool (eg hammer) and struck ten or more times per hour.
    - the tools, workpiece or workstation cause compression of the skin.
    - the tools or workpiece cause discomfort or cramping of the hand or fingers.
    - the hand/arm is exposed to vibration.
    - the task requires fine precise movements of the hand or fingers.
    - operators are exposed to cold drafts or grip cold tools.
    - lighting levels are inadequate.

  • Other factors affecting left arm

  • Other factors affecting right arm

  • Psychosocial factors are not given a score. However, they should be considered through discussion with workers and if present in the workplace be recorded below. They include things such as:
    - little control over how the work is done.
    - incentives to skip breaks or finish early.
    - monotonous work.
    - high levels of attention and concentration.
    - frequent tight deadlines.
    - lack of support from supervisors or co-workers.
    - excessive work demands.
    - insufficient training to do the job successfully.

  • Enter psychosocial factors here.

  • Preview the assessment report to ascertain the total score I.e 15/248, apply the duration multiplier shown in the table and enter the result below.

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  • Score after applying duration multiplier.

  • Take a photo of the task.

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