• Document No.

  • Client / Site

  • Behavior Observed?

  • Conducted on

  • Prepared by

  • Avoid excessive reaching?

  • Get help to lift heavy awkward loads?

  • Active use of carts or dollies for heavy moving

  • Wearing proper footwear?

  • Practicing good housekeeping?

  • Push a load instead of pulling?

  • Floor and walking surfaces are clear and dry?

  • Supports team lifts?

  • Employees do not bend over to lift?

  • Does not twist when lifting and lowering materials (Turn their whole body instead)?

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.