Title Page

  • Conducted on

  • Prepared by

  • Location

Preparation

  • 1. What is being lifted?

  • 2. Where to and how far?

  • 3. Has a manual handling risk assessment been carried out?

  • 4. Would mechanical means be more practical or appropriate?

  • 5. Is the operation part of a routine? If so, could it be more effectively planned and executed?

  • 6. How many people will be needed to move the load safely?

  • 7. Are they all trained in kinetic lifting and handling?

  • 8. Are proper (kinetic) lifting methods being employed?

  • 9. What methods and equipment will be required?

  • 10. Is the required equipment available?

  • 11. Is the lifting and handling area clear of hazards?

Lifting and handling

  • 12. Is the proper personal protective clothing in use?

  • 13. Is co-ordination satisfactory in dual and team lifting with one person taking charge of the lift?

  • 14. Is the necessary equipment in use or to hand?

  • 15. Are excessively heavy weights being lifted?

  • 16. Are loads being deposited or stacked safely and securely?

  • 17. Is adequate supervision employed where necessary?

After lifting and handling

  • 18. Has there been any past incidents or accidents?

  • 19. Is there anything to be learnt from them to avoid similar incidents happening again?

  • 20. Did anyone receive an injury and does this need to be taken into account for future tasks?

  • 21. Has any damage or loss of equipment been recorded and repaired/replaced?

  • Name

  • Position

  • Signature

  • Date

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.