Manual Handling Lifting Calculator Information

• Document No: QFA: 024

• Audit Title: Manual Handling Assessment

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Human Component

Assessment Details

• Assessor

• Date:

  Date

• Company:

• Site:

• Take Area:

• Task:

• Employee:

Human Component

• Sex (Male / Female)

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Age:

• Exposure History:

• Body Weight

• Height:

Task Component

• Reach (cm):

• Reach Description:

  Drawing

• Vertical Displacement: (cm)

• Vertical Displacement Description

  Drawing

• Horizontal Displacement (cm):

• Horizontal Displacement Description

  Drawing

• Frequency (Rep/min):

• Average Heart Rate (b/min):

• Weight of load lifted (kg):

• Static hold (min):

• Twisting (Angle):

• Twisting Description

  Drawing

• Handles:

• Working on knees / crouching (min):

• Environmental temperature (deg)

• Picture of task

  Media