Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Work Activity

  • What is the assessment number and issue

  • Where is the work located

  • What staff are affected

  • What is the nature of the work to be carried out

The Load

  • Is the load heavy

  • Is the load large / bulky

  • Is the load unwieldy / difficult to grasp

  • Are the contents unstable / likely to shift

  • Does the load show it's weight clearly marked

  • Is the weight of the load less than 20kgs

The individual / workforce

  • Are the staff adequately trained

  • Is the person too short

  • Is the person too tall

  • Is the person of small stature

  • Does the person have existing back condition

  • Does the person have any other medical issues

  • Is the person pregnant

  • Does the task require more than one person to lift the load

  • Are there too few staff to conduct the task

  • Is the staffing mix poor in terms of height and strength

  • Are staff unable to call for assistance

  • Can mechanical equipment be used instead of a manual lift

  • Are there any other issues that may give rise to risks when conducting the task

Task & Equipment

  • Does the task require stretching

  • Does the task require reaching

  • Does the task require bending

  • Does the task require twisting

  • Is the task repetitive

  • Is there a lack of mechanical handling aids

  • Are there any other issues that may cause problems when conducting the task

Working Environment

  • Is there a lack of space

  • Are the floors uneven

  • Are there any trip hazards

  • Are there any slip hazards

  • Are there variations in floor surface levels

  • Are there any stairs to contend with

  • Is the lighting level adequate

  • Are there any blind corners on the route to be taken

  • Is there a likelihood of pedestrian interaction along the route

  • Is there a likelihood of traffic interaction along the route

  • Are walkways clear of obstacles

Overall Assessment of Risk

  • Is there a HIGH risk of injury in short term and or a large number of staff affected

  • Is there a MEDIUM risk of injury in the short term

  • Is there a LOW risk of injury in the short term

  • Current arrangements are likely to ensure that NO INJURY occurs

Management Actions

  • Are there any actions required such as measures of control, training, equipment etc

  • Has an action plan been generated and agreed

  • Is there any other information to support the risk assessment

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.