Manual Handling Risk Assessment Template

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MANUAL HANDLING RISK ASSESSMENT
(
Adapted from the Worksafe Australia & WorkCover NSW Manual Handling Risk Assessment Checklist)
This checklist is provided to assist the assessment of manual handling risks. It should be used as a guide when
assessing a manual handling task, and is to be used by volunteers under supervision by Club/Zone Executive
and/or Safety Officers.
Place a tick in either the "Yes" or "No" boxes for each and every question. "No” includes “not
applicable".
Answering "Yes" to any of the following questions indicates an increased manual handling risk.
"Suggested control options" should only be seen as a preliminary brainstorming activity, prior to the
process of Risk Control.
Where possible, the supervisor may be able to take appropriate action to follow-up recommendations
arising from this assessment.
Description of Work Location:
Description of Task:
Date:
Assessed by:
Volunteers consulted:
A
ACTIONS & MOVEMENTS
1.
Is the load shared unevenly between both hands, or lifted by one hand only?
[ ]
Yes
[ ] No
2.
Is the object pushed or pulled across the front of the body?
[ ]
Yes
[ ] No
3.
Is there frequent or prolonged sideways backward or forward bending of the
[ ]
Yes
[ ] No
neck or back?
4.
Is there frequent or prolonged twisting or neck and back to lift an object or to
[ ]
Yes
[ ] No
exert force?
5.
Are two back movements performed at the same time?
[ ]
Yes
[ ] No
6.
Are several tasks performed in the one position, where some are best done in
[ ]
Yes
[ ] No
a seated position and the other are best done in a standing position?
Suggested Control Options:
………………………………………………………………………………………....
………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………
B
WORKPLACE AND WORKSTATION LAYOUT
7.
Is the layout inappropriate for the manual handling task and the physical
[ ]
Yes
[ ] No
dimensions of the employees performing the task?
8.
Is there inadequate space for all movements involved in the manual handling
[ ]
Yes
[ ] No
task?
9.
Is there an absence of appropriate mechanical handling aids for the task?
[ ]
Yes
[ ] No
Pony Club Association NSW
Page 1

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