Manual Handling Assessment - Team Lift

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Task being performed

• Number of staff involved in team lift

  1 Person

  2 Persons

  3 Persons

  4 Persons

Handling Assessment

• Load dimensions.

• Load Weight

  Select 2 Persons <35kg, 3 Persons <40kg 2 Persons 35-50kg, 3 Persons 40-75kg, 4 Persons 40-100kg 2 Persons 50-85kg, 3 Persons 75-125kg, 4 Persons 100-175kg 2 Persons > 85kg, 3 Persons > 125kg, 4 Persons 170kg

  • 2 Persons <35kg, 3 Persons <40kg
  • 2 Persons 35-50kg, 3 Persons 40-75kg, 4 Persons 40-100kg
  • 2 Persons 50-85kg, 3 Persons 75-125kg, 4 Persons 100-175kg
  • 2 Persons > 85kg, 3 Persons > 125kg, 4 Persons 170kg

• Hand distance from lower back

  Select 1. Close: Upper arms aligned vertically and upright torso. 2. Moderate : Torso bent forward or upper arms angled away from body. 3. Far : Upper arms angled away from body and torso bent forward

  • 1. Close: Upper arms aligned vertically and upright torso.
  • 2. Moderate : Torso bent forward or upper arms angled away from body.
  • 3. Far : Upper arms angled away from body and torso bent forward

• 1. Close: Upper arms aligned vertically and upright torso

  

• 2. Moderate: Torso bent forward or upper arms angled away from body.

  

• 3. Far: Upper arms angled away from body and torso bent forward.

  

• Vertical Lift Region

  Select 1. Above knee AND/OR below elbow height. 2. Below knee AND/OR above elbow height. 3. At head height or above or floor level or below.

  • 1. Above knee AND/OR below elbow height.
  • 2. Below knee AND/OR above elbow height.
  • 3. At head height or above or floor level or below.

• 1. Above knee AND/OR below elbow height.

  

• 2. Below knee AND/OR above elbow height.

  

• 3. At head height or above, or floor level or below.

• Torso twisting and sideways bending.

  Select Little or no torso twisting or sideways bending. Torso twisting OR sideways bending. Torso twisting ANd sideways bending.

  • Little or no torso twisting or sideways bending.
  • Torso twisting OR sideways bending.
  • Torso twisting ANd sideways bending.

• Postural constraints

  Select No posural constraints Limited space with restricted posture Severely limited space and severely restricted posture.

  • No posural constraints
  • Limited space with restricted posture
  • Severely limited space and severely restricted posture.

• Grip

  Select Good grip: Item with well designed handles, fit for purpose, loose parts enabling good grip. Item with poor handles or handholds. Fingers need to be clamped at 90 degrees under the item. Item with poor design, loose parts, irregular objects, bulky or difficult to handle. Non-Rigid sacks or unpredicatable loads.

  • Good grip: Item with well designed handles, fit for purpose, loose parts enabling good grip.
  • Item with poor handles or handholds. Fingers need to be clamped at 90 degrees under the item.
  • Item with poor design, loose parts, irregular objects, bulky or difficult to handle. Non-Rigid sacks or unpredicatable loads.

• Floor surface.

  Select Dry/clean floor in good condition. Dry floor but in poor condition, work or uneven. Contaiminated/wet or steep sloping floor orunstable surface or unsuitable footwear.

  • Dry/clean floor in good condition.
  • Dry floor but in poor condition, work or uneven.
  • Contaiminated/wet or steep sloping floor orunstable surface or unsuitable footwear.

• Other environmental factors: Extremes of temperature (Hot/Cold), strong air movements, extreme lighting (Bright/Dark)

  No factors

  One factor present.

  Two or more factors present.

Team members involved.

• Clearly defined person in charge

  Yes

  No

• Assign a person in charge.

• Who is the person in charge of the lift?

  Sign

• Communication and co-ordination controls.

  Select Good. Team verbally communicating and have understading of the commands. Reasonable. Some communication/or limited understanding of commands. Poor. No communication/or no understanding of commands.

  • Good. Team verbally communicating and have understading of the commands.
  • Reasonable. Some communication/or limited understanding of commands.
  • Poor. No communication/or no understanding of commands.

COMPLETION

• Name and signature of inspector

  Sign