Title Page
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Conducted on
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Document Reference
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Location
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Area
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Prepared by
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Task
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Take photo of the area
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Description of the task
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Guide line for completed audit score.
20% and below Green
20% to 65% Amber ( Resolve all issues)
65% to 100% Red ( implement immediate actions before continuing with the task)
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what category of manual handling is the task
- Lifting Task
- carrying task
- Team task
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Are there indications that the task is high risk
- Task has a history of manual handling incidents
- task is known to be hard work
- Employees doing the work are showing signs that they are finding it hard
- other
- None
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Please comment on the task.
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A . LOAD WEIGHT.
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A .What is the Load weight and lift/carry frequency score
Suggested action
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B . What is the hand distance from lower back score
Suggested action
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CARRY
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C .What is the Vertical lift region score
Suggested action
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D . Torso twisting/ sideways bending Asymmetrical torso/load carrying
Suggested action
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E . Postural constraints
Suggested action
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F . Grip on load
Suggested action
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G . Floor surface
Suggested action
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H . Other environmental factors
Suggested action
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H . ( CARRY ONLY)carry distance
Suggested action
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I . Obstacles en route (carrying only)
Suggested action
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J . Communication and co ordination (team handling only)
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Please comment on the issues with communication and co ordination
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Any further comments
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When the assessment was completed
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Assessment completed by