Information

  • Conducted on

  • Prepared by

  • Location
  • The Task

  • PPE

  • Lotto

  • Equipment in good working order, & not modified?.

  • Hand distance from lower back

  • Vertical lift region

  • Torso twisting and side ways bending

  • Postural constraints

  • Grip on load

  • Floor surface & distance carried

  • Other environmental factors

  • Individual Capability, self assessment before commencing the task.

  • The wright position of the load

  • Stooping

  • Handling whilst seated

  • The work routine

  • Insufficient rest of recovery

  • The nature of the load

  • Risk reduction techniques

  • 1. Convey Positive Intent.

  • 2. Describe behaviors and actions observed.

  • 4. Ask associate to respond.

  • 5. Focus discussion on solution.

  • Author: Signature:

  • Mandatory sign off required by site manager.

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.