Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Group A

  • Trunk

  • Neck

  • Legs

  • Once you have these three scores find the score from the table below

    Table A
  • Score Table A:

Left Arm - Group B

  • Left Upper Arm

  • Left Lower Arm

  • Left Wrist

Right Arm -- Group B

  • Right Upper Arm

  • Right Lower Arm

  • Right Wrist

  • Find Score for each arm from Table B below

    Table B
  • Score Table B: (left arm, right arm)

Load / Force

  • Load Force

Coupling

  • Coupling

Activity Score

  • Activity Score

  • Tabulate Score from Group A (Documented Above) & Load Force
    Tabulate Score from Group B (Documented Above) & Coupling Score
    Use these two scores to look up REBA Score from Score C Table
    Add Score C & Activity Score = REBA Score

    Table C
  • Total REBA Score

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.