Title Page
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Client / Site
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Location
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Conducted on
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Prepared by
Preliminary
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Task name
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Task description (detailed)
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Load weight
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Frequency of lift
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Carry distances (if applicable)
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Personnel involved
Lifting and Carrying
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Do the tasks involve:
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holding loads away from torso?
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twisting?
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stooping?
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reaching upwards?
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large vertical movement?
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long carrying distances?
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strenuous pushing or pulling?
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unpredictable movement of loads?
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repetitive handling?
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insufficient rest or recovery?
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a work rate imposed by a process?
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Are the loads:
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heavy?
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bulky or unwieldy?
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difficult to grasp?
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unstable or unpredictable?
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intrinsically harmful (eg sharp/hot)?
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Consider the working environment - Are there:
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constraints on posture?
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poor floors?
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variations in levels?
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hot/cold/humid conditions?
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strong air movements?
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poor lighting conditions?
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Consider individual capability - Does the job:
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require unusual capability?
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pose a risk to those with a health problem or a physical or learning difficulty?
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pose a risk to those who are pregnant?
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pose a risk to new workers/young people?
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require special information/training?
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Regarding protective clothing
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Is movement or posture hindered by clothing or personal protective equipment?
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Is there an absence of the correct/suitable PPE being worn?
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Work organisation (psychosocial factors)
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Do workers feel that there has been a lack of consideration given to the planning and scheduling of tasks/rest breaks?
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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)?
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Are there sudden changes in workload, or seasonal changes in volume without mechanisms for dealing with the change?
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Do workers feel they have not been given enough training and information to carry out the task successfully?
Completion
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Full Name and Signature of Assessor
