Information
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Audit Title
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Document No.
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Client / Site
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Address:
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Location
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Conducted on
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Client Supervisor / Contact Name:
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Prepared by
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Describe task to be undertaken by candidates:
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How many candidates will undertake this task? (List below)
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What is the estimated duration of this task? (Days / Hours ETC)
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What is the heaviest weight being Manual handled on this task? (Please list below)
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What is the average weight handled during this task?
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Will the task require frequent or prolonged bending below mid thigh height?
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Will the task require frequent reaching above the head?
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Will the task require loads to be moved over long distances? (More than 30 metres) - If yes please use slider below to indicate distance
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Are mechanical aids available (Such as trolleys pallets jacks) available to help undertake task?
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Will the task require large pushing or pulling forces?
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Is area where manual handling occurring clean, clear and free from trip hazards?
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Is there sufficient lighting to undertake task?
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Will the candidate (s) be required to work in isolation? (If yes please list procedures in place to monitor or contact host employer in case of emergency)
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Are candidates trained in correct lifting / manual handling procedures?
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Is there a First Aid kit located close (Within 50m) to work area (s)? (If yes please list location below)
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Is there a person trained in First Aid onsite? (If Yes Please list name & location below)
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Is there clean chilled drinking water available to Candidates? (If Yes list location (s) below)
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Are regular breaks (Lunch / Tea ETC) given during the task? (If yes please list below)
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Please list area's of concerns if any below that may need to be changed or put in place to undertake this role in a safe manner?
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Signatures
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Client / Host Representative:
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Person Whom Completed This Inspection:
