Workplace Manual Handling Assessment Form
Workplace Manual Handling Assessment Form
General Information:
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Date of Assessment: |
[ January 21, 2050] |
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Assessor: |
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Department/Area: |
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Location: |
Task Details
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Task Name: |
Stock Replenishment |
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Description of Task: |
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Frequency of Task: |
Task Analysis
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Task Overview Provide a general overview of the task and its relevance to the workplace. Mention the potential risks associated with manual handling. |
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The Stock Replenishment task involves manually handling boxes of varying weights to restock display shelves. |
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Task Steps Break down the task into individual steps. Include details on lifting, carrying, pushing, and pulling. |
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Step |
Description |
Weight (if applicable) |
Distance |
Risk Level |
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1 |
Retrieve box from storage |
20 kg |
5 meters |
Medium |
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Existing Controls Outline any existing controls in place to mitigate risks associated with the task. |
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Use of mechanical aids: |
Yes |
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Team lifting: |
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Training provided: |
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Risk Assessment
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Identify Hazards List potential hazards related to the task, such as heavy loads, awkward postures, or repetitive movements. |
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Heavy lifting |
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Risk Evaluation Assess the severity and likelihood of each hazard. Use a risk matrix if necessary. |
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Hazard |
Severity (1-5) |
Likelihood (1-5) |
Risk Level (S x L) |
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Heavy lifting |
4 |
3 |
12 |
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Control Measures Propose control measures for each identified hazard. Specify responsibilities and timelines. |
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Hazard |
Control Measures |
Responsibility |
Timeline |
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Heavy lifting |
Provide additional trolleys for transporting heavier loads |
Warehouse Manager |
Within 2 weeks |
Review and Monitoring
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Review Date: |
[February 12, 2050] |
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Review Frequency: |
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Monitoring Process: |
[Employee/Task Performer]
[Date]
[Supervisor/Manager]
[Date]
