MANUAL HANDLING RISK ASSESSMENT

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

DETAILS

• SELECT TASK TO BE ASSESSED

  Clear Void property

  UNLOAD TIPPER
• Address/Location
  Address

PERSONS CARRYING OUT TASK

• RISK ASSESOR

  Sign

• Select date

  Date

• ARE OPERATIVES EXPERIENCED ?

  HIGHLY EXPERIENCED

  MODERATELY EXPRIENCED

  NO EXPERIENCE

• OPERATIVE SIGN

  Sign

• OPERATIVE SIGN

  Sign

• OPERATIVE SIGN

  Sign

• OPERATIVE SIGN

  Sign

PART A: THE WORK PLACE AND WORK ENVIRONMENT

• Is the space sufficient to allow safe lifting techniques?

  Yes

  No

  N/A

• Are there SLIPPING OR TRIPPING hazards present in the workplace?

  Yes

  No

  N/A

• Is the LIGHTING To allow good visibility for the task?

  Yes

  No

  N/A

PART B: THE TASK

• TASK TITLE

• Description of task

• IS THE LIFTING:

• DOES THE LIFTING INVOLVE:

• Change of grip ?

  Yes

  No

  N/A

• Twisting of the trunk ?

  Yes

  No

  N/A

• Stooping ?

  Yes

  No

  N/A

• Jerking or sudden movement ?

  Yes

  No

  N/A

• Frequent or sudden movement ?

  Yes

  No

  N/A

• Prolonged effort ?

  Yes

  No

  N/A

• Reaching away from trunk ?

  Yes

  No

  N/A

PART G: RISK EVALUATION

• RISK ASSESSED AS - SELECT

  LOW

  MEDIUM

  HIGH

PART H: ACTION PROGRAMME

• IS THERE ANY ACTION TO BE FOLLOWED UP ?

  Yes

  No

  N/A

• Identified risks please list

• ADDITIONAL RISK FACTORS

• OTHER RECOMENDATIONS

• SAFE TO CARRY OUT TASK ?

  Safe

  At Risk

  N/A

• SIGNATURE OF ASSESSOR

  Sign

• Checked and signed off

  Date