Manual Handling Risk Assessment Template (Page 5 of 6) in pdf

Manual Handling Risk Assessment

LOCATION OF LOADS AND DISTANCES MOVED

60.

Is the load required to be carried more than 5 metres?

[ ]

Yes

[ ] No

61.

Is the load picked up or put down:

[ ]

Yes

[ ] No

a) above shoulder height

b) below mid-thigh height

[ ]

Yes

[ ] No

Suggested Control Options:

………………………………………………………………………………………...

………………………………………………………………………………………………………………………………

CLOTHING

62.

If protective clothing is worn, does it interfere with safe manual handling? E.g.

[ ]

Yes

[ ] No

gloves too big, goggles distorting vision, heavy apparel/apparatus.

Does the employee's work clothing interfere with optimal manual handling

63.

[ ]

Yes

[ ] No

techniques?

Suggested Control Options:

………………………………………………………………………………………...

………………………………………………………………………………………………………………………………

AGE

64.

Are the ages of employees involved in this task, a factor to be taken into

[ ]

Yes

[ ] No

consideration in assessing risks?

Suggested Control Options:

………………………………………………………………………………………...

………………………………………………………………………………………………………………………………

SPECIAL NEEDS

65.

Has the employee had a previous condition/injury/illness which affects their

[ ]

Yes

[ ] No

work capacity?

66.

Is the employee:

a) New to the task?

[

]

Yes

[

]

b) Returning from leave?

[

]

Yes

[

]

67.

Are the demands of the task beyond the physical capacity of the employee?

i.e.

[ ]

Yes

[ ] No

a) Lifting capacity?

[ ]

Yes

[ ] No

b) Heart and lung capacity?

[ ]

Yes

[ ] No

c) Body size/physical?

Suggested Control Options:

………………………………………………………………………………………...

………………………………………………………………………………………………………………………………

OTHER RELEVANT FACTORS

………………………………………………………………………………………………………………………………

Pony Club Association NSW

Page 5

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Manual Handling Risk Assessment Template Page 5

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