This pro-forma is in two sections:
- Section 1 – Risk Assessment Form
- Section 2 – Summary of Assessment and Risk Reduction Action Plan
Instructions
In completing this assessment:
- Make a RISK ASSESSMENT, with respect to manual handling injury, of each HAZARD identified.
- Summarise the RISK ASSESSMENT for each of the four factors.
- Conclude the overall RISK ASSESSMENT.
- Propose RISK REDUCTION measures.
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Section 1: Risk Assessment Form
Manual Handling Operation: ___________________________
Department: ___________________________________________
Part 1: Describe the manual handling operation in detail
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Weight of Load in kg _________ No. staff involved ________
Handling aids used _________________________________________________
Work Area __________________________________________________________
Assessed by ________________ _________________
Date ___________
(Print name ) (Signature)
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1. The Task |
Hazard Present |
Risk Assessment |
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1. Does the Task Involve: |
Yes |
No |
High |
Med |
Low |
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a) stooping over? |
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b) twisting the waist? |
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c) bending the body sideways? |
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d) long periods of static effort? |
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e) reaching above the shoulder? |
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f) excessive lifting or lowering distances? |
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g) generally having to make awkward movements? |
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h) team handling? |
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i) frequent physical effort? |
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j) prolonged physical effort? |
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2. Is the load handled, or the force applied, at a distance from the body? |
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3. Is the load handled in such a way that it is necessary to: |
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a) change grip? |
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b) use jerky actions? |
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c) apply high force levels? |
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d) use one hand only? |
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4. Could the load move unexpectedly? |
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5. Could the feet slip? |
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6. If pushing or pulling: |
Yes |
No |
High |
Med |
Low |
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a) is the item being handled above shoulder height or below the waist? |
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b) is the distance of push or pull excessive? |
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7. If carrying: |
Yes |
No |
High |
Med |
Low |
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a) is the distance excessive? |
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b) does the load have to be handled up steps or slopes? |
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8. Is the handling: |
Yes |
No |
High |
Med |
Low |
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a) repetitive? |
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b) carried out more frequently than once per minute for heavy loads? |
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9. Are there insufficient rest/recovery periods or changes of activity? |
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10. Is the person(s) working under time constraints? (e.g. production targets, machine pacing) |
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1. OVERALL TASK ASSESSMENT |
Yes |
No |
High |
Med |
Low |
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It may help to consider the following questions in your risk assessment:
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Has this manual handling operation resulted in: |
YES |
NO |
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noticeable trends in sickness absence related to manual handling? |
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manual handling accidents? |
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claims of injury? |
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2. The Load |
Hazard Present |
Risk Assessment |
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11. Is the Load: |
Yes |
No |
High |
Med |
Low |
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a) heavy? |
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b) bulky and unwieldy? |
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c) difficult to grip firmly? |
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d) unstable? |
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e) likely to shift its centre of gravity? |
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f) too hot? |
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g) too cold? |
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h) likely to resist movement by friction? |
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i) likely to obscure the handler’s vision? |
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12. Does it have: |
Yes |
No |
High |
Med |
Low |
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a) sharp edges etc.? |
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b) any other potentially damaging factors? |
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c) an offset centre of gravity? |
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13. Is the load moving? |
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14. Are handling instructions unclear? |
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2. OVERALL LOAD ASSESSMENT |
Yes |
No |
High |
Med |
Low |
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3. The Working Environment |
Hazard Present |
Risk Assessment |
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Yes |
No |
High |
Med |
Low |
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15. Are there space constraints preventing good posture? |
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16. Is it necessary to reach round or over obstacles? |
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17. Are there: |
Yes |
No |
High |
Med |
Low |
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a) steps, slopes or uneven surfaces? |
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b) spillages? |
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c) rubbish and clutter? |
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d) obstacles in the route you will be taking? |
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18. Is the working environment: |
Yes |
No |
High |
Med |
Low |
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a) too hot or too cold? |
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b) too humid? |
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c) poorly lit? |
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d) dusty, or similar, obscuring visibility? |
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e) too noisy? |
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f) vibrating? |
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g) dirty? |
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h) wet or windy? |
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3. OVERALL WORKING ENVIRONMENT ASSESSMENT |
Yes |
No |
High |
Med |
Low |
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4. Individual |
Hazard Present |
Risk Assessment |
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19. Are workers who might carry out the operation: |
Yes |
No |
High |
Med |
Low |
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a) less than 18 years? |
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b) greater than 55 years ? |
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20. Could the operation be harmful to those: |
Yes |
No |
High |
Med |
Low |
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a) who are, or have recently been, pregnant? |
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b) with health problems that could affect their handling capability? |
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21. Does the operation require unusual strength, height etc.? |
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22. Is protective clothing or equipment poorly fitted? |
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23. Is posture or movement hindered by: |
Yes |
No |
High |
Med |
Low |
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a) protective clothing and/or equipment? |
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b) clothing? |
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24. Is the state of adaptation due to shiftwork causing a risk of manual handling injury? |
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25. Does the operation require special knowledge or training for its safe completion? |
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4. OVERALL INDIVIDUAL
CAPABILITY ASSESSMENT |
Yes |
No |
High |
Med |
Low |
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Section 2: Assessment Summary & Risk Reduction
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OVERALL RISK ASSESSMENT
(This is an average of the four ‘overall’ assessments shown above) |
High |
Med |
Low |
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Risk Reduction Proposals
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Proposed actions to avoid or reduce identified risk: |
Review Date |
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1. Immediate action
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2. Longer term action
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Signed ______________________ Date ______________
(Responsible Person)