Manual handling monthly checklist

• Audit Title

• Conducted on

  Date

• Prepared by

• Location
  Address

Twisting

• Are feet staggered providing "power stance"

  Yes

  No

  N/A

• Is twisting kept to a minimum?

  Yes

  No

  N/A

Reaching

• Is there excessive reaching above shoulder height?

  Yes

  No

  N/A

• Is there reaching forwards or sideways more then 30cm from body?

  Yes

  No

  N/A

Bending

• Personnel avoid getting into awkward position or posture?

  Yes

  No

  N/A

• Avoids bending while holding weight?

  Yes

  No

  N/A

Lifting

• Lifting with the legs (not bending the back)

  Yes

  No

  N/A

• Lifting is is done steadily (no fast or jerky movements)

  Yes

  No

  N/A

• Back is kept straight under load (no twisting/bending once something has been picked up

  Yes

  No

  N/A

• Employee signature

  Sign

• Supervisor signature

  Sign