Audit

Details

Task being assessed

Date of assessment
Assessor
1. TASK

Rating if at risk?

1.1 Task performed Standing?

Comments/Action

By Whom

Risk after action

1.2 Task Performed seated?

Rating if at risk?

Comments/Action

By Whom

Risk after action

1.3 Task Performed kneeling?

Rating if at risk?

Comments/Action

By Whom

Risk after action

1.4 Is Load held from trunk?

Rating if at risk?

Comments/Action

By Whom

Risk after action

1.5 Does task involve poor posture?

Rating if at risk?

Comments/Action

By Whom

Risk after action

1.6 Is twisting of the trunk involved?

Rating if at risk?

Comments/Action

By Whom

Risk after action

1.7 Is stooping involved?

Rating if at risk?

Comments/Action

By Whom

Risk after action

1.9 is lifting/lowering involved?

Rating if at risk?

Comments/Action

By Whom

Risk after action

1.10 Is carrying the loads involved?

Rating if at risk?

Comments/Action

By Whom

Risk after action

1.11 is pushing or pulling involved?

Rating if at risk?

Comments/Action

By Whom

Risk after action

Rating if at risk?

1.12 is there sudden movement of the load?

Comments/Action

By Whom

Risk after action

Rating if at risk?

1.13 is there sufficient rest or recovery time?

Comments/Action

By Whom

Risk after action

1.14 is the rate of work set by the job ?

Rating if at risk?

Comments/Action

By Whom

Risk after action

1.15 is the task carried out by a team?

Rating if at risk?

Comments/Action

By Whom

Risk after action

1.16 is the task carried out frequently?

Rating if at risk?

Comments/Action

By Whom

Risk after action

2. LOAD

Rating if at risk?

Comments/Action

By Whom

Risk after action

2.2 Are loads difficult to grip or grasp?

Rating if at risk?

Comments/Action

By Whom

Risk after action

2.3 Are the loads bulky?

Rating if at risk?

Comments/Action

By Whom

Risk after action

2.6 Is the load harmful?

Rating if at risk?

Comments/Action

By Whom

Risk after action

2.7 Is the centre of gravity offset/unbalanced?

Rating if at risk?

Comments/Action

By Whom

Risk after action

2.1 Are the loads heavy?

3. WORK AREA

3.1 Is there restricted work space?

Rating if at risk?

Comments/Action

By Whom

Risk after action

3.2 is the floor area obstructed or slippery?

Rating if at risk?

Comments/Action

By Whom

Risk after action

3.3 Are there stairs or ramps?

Rating if at risk?

Comments/Action

By Whom

Risk after action

3.4 Are there extremes of temperature?

Rating if at risk?

Comments/Action

By Whom

Risk after action

3.5 Are there strong air movements?

Rating if at risk?

Comments/Action

By Whom

Risk after action

3.6 Is the lighting poor?

Rating if at risk?

Comments/Action

By Whom

Risk after action

4. EMPLOYEE (INDIVIDUAL)

4.1 Does the job require above average strength?

Rating if at risk?

Comments/Action

By Whom

Risk after action

4.2 Is the job a hazard to those who are pregnant?

Rating if at risk?

Comments/Action

By Whom

Risk after action

4.3 Does the work require special training?

Rating if at risk?

Comments/Action

By Whom

Risk after action

4.4 Is personal protective equipment required?

Rating if at risk?

Comments/Action

By Whom

Risk after action

OVERALL ASSESSMENT OF RISK

Overall risk level?

Is there a significant risk of injury?

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.