Title Page

  • Contract number

  • Location
  • Prepared by

  • Date of assessment

  • Personnel involved

  • Task assessed

  • Date for reassessment

Task

  • Does it involve holding loads away from the trunk?

  • Does it involve twisting?

  • Does it involve stooping?

  • Does it involve reaching up?

  • Does it involve large vertical movements?

  • Does it involve strenuous pushing / pulling?

  • Does it involve repetitive handling?

  • Could the load suddenly move?

  • Is the load shared unevenly between both hands or lifted by one hand only?

  • Is the operative forced to alter their grasp while supporting the load?

  • Could the feet slip?

If Pushing or Pulling:

  • Are the hands positioned on the item being handled above shoulder height?

  • Are the hands positioned on the item being handled below the waist?

  • Is the distance of push / pull excessive?

If carrying:

  • Is the distance excessive?

  • Does the load have to be handled up steps or slopes?

Handling Frequency:

  • Does the handling require in excess of 12 handling actions per minute?

  • Does the handling frequency require handling of heavy loads in excess of one per minute?

  • Are there sufficient rest / recovery periods or changes of activities?

  • Is the person(s) working under time constraints?

  • Is there any part of the handling event performed while seated?

  • Are any mechanical aids involved in the handling event?

  • Does the handling event involve team movement technique?

Individual Capability

  • Does the job require unusual capability?

  • Does the job present a hazard to those with health problems?

  • Does the job present a hazard to those who are pregnant?

  • Do individuals wear protective clothing or equipment that may increase the risk of performing manual handling operations?

  • Is manual handling undertaken by individuals who have not received Health & Safety training?

The Load

  • Is the object heavy and does it weight more than 5kg and handled from a sitting position?

  • Is the object heavy and does it weight more than 16kg and handled in a working posture other than seated?

  • More than 55kg?

  • Is it bulky / unwieldy?

  • Are slippery materials or objects being handled?

  • Is an awkward grip involved?

  • Is it difficult to grasp?

  • Does it have sharp or abrasive edges?

  • Does it contain hot or cold materials?

  • Can it shift during handling?

  • Are persons being moved?

The Work Environment

  • Are there space constraints preventing good posture?

  • Is it necessary to reach over or around obstacles?

  • Are there steps?

  • Slopes?

  • Uneven surfaces?

  • Rubbish piles or clutter?

  • Housekeeping hazards?

Is the working environment:

  • Too hot? °C

  • Too cold? °C

  • Too humid? Relative humidity %

  • Poorly lit? Light Level Lux

  • Dusty or otherwise obscuring visibility?

  • Noisy? Noise level dBA

  • Vibrating?

  • Dirty?

  • Odorous?

  • Windy?

Report Summary

  • Hazards identified

  • Breaches of Legal Compliance

  • Risks

Recommendations to Eliminate / Reduce Risks

  • Short Term

  • Medium Term

  • Long Term

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.