Title Page

  • Client / Site

  • Location
  • Conducted on

  • Prepared by

Preliminary

  • Task name

  • Task description (detailed)

  • Load weight

  • Frequency of lift

  • Carry distances (if applicable)

  • Personnel involved

Lifting and Carrying

  • Do the tasks involve:

  • holding loads away from torso?

  • twisting?

  • stooping?

  • reaching upwards?

  • large vertical movement?

  • long carrying distances?

  • strenuous pushing or pulling?

  • unpredictable movement of loads?

  • repetitive handling?

  • insufficient rest or recovery?

  • a work rate imposed by a process?

  • Are the loads:

  • heavy?

  • bulky or unwieldy?

  • difficult to grasp?

  • unstable or unpredictable?

  • intrinsically harmful (eg sharp/hot)?

  • Consider the working environment - Are there:

  • constraints on posture?

  • poor floors?

  • variations in levels?

  • hot/cold/humid conditions?

  • strong air movements?

  • poor lighting conditions?

  • Consider individual capability - Does the job:

  • require unusual capability?

  • pose a risk to those with a health problem or a physical or learning difficulty?

  • pose a risk to those who are pregnant?

  • pose a risk to new workers/young people?

  • require special information/training?

  • Regarding protective clothing

  • Is movement or posture hindered by clothing or personal protective equipment?

  • Is there an absence of the correct/suitable PPE being worn?

  • Work organisation (psychosocial factors)

  • Do workers feel that there has been a lack of consideration given to the planning and scheduling of tasks/rest breaks?

  • Do workers feel that there is poor communication between managers and employees (eg not involved in risk assessments or decisions on changes in workstation design)?

  • Are there sudden changes in workload, or seasonal changes in volume without mechanisms for dealing with the change?

  • Do workers feel they have not been given enough training and information to carry out the task successfully?

Completion

  • Full Name and Signature of Assessor

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