Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Task / Activity Description
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Persons Involved
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Are correct lifting techniques being followed when manually handling objects?
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Has the risk of overhead frames or equipment above head been identified?
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Is the person working in the power/comfort zone between mid-chest and mid-thigh? (Avoid uncomfortable position and overextending one’s reach)
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Are tools or other resources used to prevent overextension?
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Does the person(s) understand the hazards of the manual task BEFORE execution step is conducted? (Risk of weight/speed/tension/heights)
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Have frequent breaks been taken when conducting repetitive manual work?
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Is there signage to alert people to overhead structures when working underneath frames or equipment?
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Was an ergonomic risk assessment conducted the past 24 months?
