Information
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Audit Title
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Location
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Conducted on
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Prepared by
The Task
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Is the Load held or manipulated away from the trunk?
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Is a satisfactory body position being maintained?
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Are there excessive distances to carry or lift the load?
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Is there excessive pushing of pulling of the load?
The Individual
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Does the task require unusual characteristics of the individual, e.g. Strength or Height?
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Is the individual who might reasonably considered to be pregnant or have a health problem, put at at risk by the task?
The Load
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Is the load considered as heavy?
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Is the load bulky or unwieldy?
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Is the load difficult to grasp?
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Are the contents of the load likely to shift?
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Is the load hot, cold or sharp?
The Environment
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Are there space constraints which could inhibit good posture?
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Are there slippery, uneven or unstable floors.
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Are there any variations in floor levels requiring the use of steps or stairs.
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Are there extremes of temperature and humidity?
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Is there a lack of ventilation?
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Are there poor lighting conditions?
Significant Findings
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Significant Finding 1.
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Control Measure
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Timescale
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Significant Finding 2.
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Control Measure
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Timescale
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Significant Finding 3.
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Control Measure
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Timescale
Signatures
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Assessor's Signature
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Select date