Title Page
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Document No.
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Conducted on
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Names of persons carrying out the assessment.
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Location of task being assessed I.e. Factory/department.
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Description of task
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Activity/load weight (kg)
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Weight of load.
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Weight of load.
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Weight of load.
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Posture assessment.
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Hand grip
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Work pattern
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Travel distance
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Floor surface
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Obstacles along the route
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Other factors.
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Take a photo of the task.