Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Work Activity
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What is the assessment number and issue
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Where is the work located
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What staff are affected
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What is the nature of the work to be carried out
The Load
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Is the load heavy
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Is the load large / bulky
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Is the load unwieldy / difficult to grasp
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Are the contents unstable / likely to shift
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Does the load show it's weight clearly marked
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Is the weight of the load less than 20kgs
The individual / workforce
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Are the staff adequately trained
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Is the person too short
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Is the person too tall
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Is the person of small stature
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Does the person have existing back condition
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Does the person have any other medical issues
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Is the person pregnant
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Does the task require more than one person to lift the load
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Are there too few staff to conduct the task
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Is the staffing mix poor in terms of height and strength
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Are staff unable to call for assistance
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Can mechanical equipment be used instead of a manual lift
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Are there any other issues that may give rise to risks when conducting the task
Task & Equipment
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Does the task require stretching
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Does the task require reaching
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Does the task require bending
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Does the task require twisting
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Is the task repetitive
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Is there a lack of mechanical handling aids
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Are there any other issues that may cause problems when conducting the task
Working Environment
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Is there a lack of space
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Are the floors uneven
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Are there any trip hazards
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Are there any slip hazards
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Are there variations in floor surface levels
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Are there any stairs to contend with
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Is the lighting level adequate
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Are there any blind corners on the route to be taken
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Is there a likelihood of pedestrian interaction along the route
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Is there a likelihood of traffic interaction along the route
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Are walkways clear of obstacles
Overall Assessment of Risk
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Is there a HIGH risk of injury in short term and or a large number of staff affected
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Is there a MEDIUM risk of injury in the short term
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Is there a LOW risk of injury in the short term
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Current arrangements are likely to ensure that NO INJURY occurs
Management Actions
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Are there any actions required such as measures of control, training, equipment etc
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Has an action plan been generated and agreed
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Is there any other information to support the risk assessment