Title Page
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Assessment date
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Assessor
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Task
Factors, do they involve:
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1. Holding or manipulating loads at distance from trunk?
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Actions to reduce risk?
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2. Unsatisfactory bodily movement or posture, especially:
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a) Twisting the trunk?
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Actions to reduce risk?
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b) Stooping?
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Actions to reduce risk?
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c) Reaching upwards?
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Actions to reduce risk?
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3. Excessive movement of loads, especially:
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a) Excessive lifting or lowering distances?
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Actions to reduce risk?
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b) Excessive carrying distances?
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Actions to reduce risk?
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c) Excessive pushing or pulling of loads?
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Actions to reduce risk?
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4. Risk of sudden movement of loads?
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Actions to reduce risk?
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5. Frequent or prolonged physical effort?
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Actions to reduce risk?
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6. Insufficient rest or recovery periods?
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Actions to reduce risk?
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7. A rate of work imposed by a process?
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Actions to reduce risk?
Are they:
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8. Heavy?
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Actions to reduce risk?
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9. Bulky or unwieldy?
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Actions to reduce risk?
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10 .Difficult to grasp?
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Actions to reduce risk?
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11. Unstable, or with contents likely to shift?
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Actions to reduce risk?
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12. Sharp, hot or otherwise potentially damaging?
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Actions to reduce risk?
Are there:
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13. Space constraints preventing good posture?
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Actions to reduce risk?
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14. Uneven, slippery or unstable floors?
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Actions to reduce risk?
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15. Variations in level of floors or work surfaces?
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Actions to reduce risk?
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16. Extremes of temperature or humidity?
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Actions to reduce risk?
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17. Conditions causing ventilation problems or gusts of wind?
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Actions to reduce risk?
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18. Poor lighting conditions?
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Actions to reduce risk?
Does the job:
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19. Require unusual strength, height, etc?
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Actions to reduce risk?
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20. Create a hazard to those who might reasonably be considered to be pregnant or to have a health problem?
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Actions to reduce risk?
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21. Require special information or training for its safe performance?
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Actions to reduce risk?
Untitled Page
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Risk Ranking Number of YES answers
Low Less than 2
Medium Between 2 and 4
High Greater than 4
Tasks which have a medium or high risk ranking must have control measures developed to reduce the risk to an acceptable level.