Title Page
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Conducted on
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Version
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Amend Date
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Prepared by
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Activity
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Overview
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Description of Activity
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Load Weight
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Frequency of Movement
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Carry Distance (If Applicable)
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Additional Manual Handling Required? Detail.
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Can Manual Handling be Removed/Avoided?
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Is an Assessment Required? If the answer is NO, stop at this section.
Assessment
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Operations Covered by this Assessment
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Photo's of the Task
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Questions to Consider
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Holding Loads Away From the Front?
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Is twisting involved?
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Is stooping necessary?
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Does it require reaching upward?
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Are there large vertical movements?
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Are there long carry distances?
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Is there strenuous pushing and pulling?
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Is there a chance of the load moving while being handled?
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Does the work rate increase difficulty performing the task?
Are the loads..............
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Heavy?
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Bulky/Unwieldy?
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Difficult to Grasp?
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Unstable/Unpredictable?
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Intrinsically Harmful. (Sharp/Hot/Hazardous etc)
In the Working Environment are There.............................
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Poor Floors?
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Variations in Levels?
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Poor Lighting?
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Constraints on Posture?
Individual Capability. Does the Job..................
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Require Unusual Capability?
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Pose a Hazard to Those with Specific Health Problems?
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Pose a Risk to Those That are Pregnant?
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Require Special Training?
Questions to Consider
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PPE Required?
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What PPE is Required?
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Is Movement or Posture Hindered by Clothing or PPE
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Please Detail.
Recommendations/Actions
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Remedial Steps to be Taken
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When was the task completed?
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Remedial Steps to be Taken
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When was the task completed?
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Remedial Steps to be Taken
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When was the task completed?
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Remedial Steps to be Taken
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When was the task completed?
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Remedial Steps to be Taken
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When was the task completed?
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Remedial Steps to be Taken
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When was the task completed?
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Remedial Steps to be Taken
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When was the task completed?
Acknowledgements - In signing this, I acknowledge I have read and understood this risk assessment.
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