Information

  • Audit Title

  • Location

  • Conducted on

  • Prepared by

The Task

  • Is the Load held or manipulated away from the trunk?

  • Is a satisfactory body position being maintained?

  • Are there excessive distances to carry or lift the load?

  • Is there excessive pushing of pulling of the load?

The Individual

  • Does the task require unusual characteristics of the individual, e.g. Strength or Height?

  • Is the individual who might reasonably considered to be pregnant or have a health problem, put at at risk by the task?

The Load

  • Is the load considered as heavy?

  • Is the load bulky or unwieldy?

  • Is the load difficult to grasp?

  • Are the contents of the load likely to shift?

  • Is the load hot, cold or sharp?

The Environment

  • Are there space constraints which could inhibit good posture?

  • Are there slippery, uneven or unstable floors.

  • Are there any variations in floor levels requiring the use of steps or stairs.

  • Are there extremes of temperature and humidity?

  • Is there a lack of ventilation?

  • Are there poor lighting conditions?

Significant Findings

  • Significant Finding 1.

  • Control Measure

  • Timescale

  • Significant Finding 2.

  • Control Measure

  • Timescale

  • Significant Finding 3.

  • Control Measure

  • Timescale

Signatures

  • Assessor's Signature

  • Select date

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.