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Manual HandlingHazard Identi fication WorksheetTo be completed in conjunction with the Manual Handling Code of Practice.
Management rep:_______________________________________________ Health and Safety rep:_____________________________
Branch / Office: _______________________________________ _________ Date: __________________________________________
Reason for Identification
Existing task Change in task, object or tool New task New informationReport of musculoskeletal disorder
How to use this worksheet
Follow the worksheet step by step and refer to the Manual Handling Code of Practice for your state to:
Assess tasks in the workplace involving hazardous manual handling List appropriate risk control measures Implement those measures.
Does the task invol ve hazardous manual handling? (tick any of the foll owing th at apply)
Task Repetitive orsustainedapplication
of force
Repetitive orsustainedawkwardposture
Repetitive orsustainedmovement
Applicationof highforce
Exposure tosustainedvibration
Handlinglive peopleor animals
Handling loads thatare unbalanced,
unstable or difficult tograsp or hold
____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________
If you have ticked one or more boxes for a particular task, you must do a risk assessment of that task.
Hazardous manual handling must be identified for all existing and proposed tasks in your workplace. You must also identify hazardousmanual handling whenever changes occur in the workplace or new information or report of MSD are bought to you attention.
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Risk Assessment Worksheet
Task: __________________________________ ______________________ Date:_____ ______________________________________
Management rep:_______________________________________________ Health and Safety rep:_____________________________
Step 1a Does the task invo lve repetitive or sustained postures, movements or forces?Tick yes if the task requires any of the followi ng actions to be done more than twice a minute or for more than 30 seconds at a time
Yes Comments
Bending the back forwards or sideways more than 20 degrees ___________________________Twisting the back more than 20 degrees ___________________________Backward bending of the back more than 5 degrees ___________________________Bending the head forwards or sideways more than 20 degrees ___________________________
Twisting the neck more than 20 degrees ___________________________Bending the head backwards more than 5 degrees ___________________________Working with one or both hands above shoulder height ___________________________Reaching forwards or sideways more than 30 cm from the body ___________________________Reaching behind the body ___________________________Squatting, kneeling, crawling, lying, semi-lying or jumping ___________________________Standing with most of the bodys weight on one leg ___________________________
Twisting, turning, grabbing, picking or wringing actions with the fingers,
hands or arms ___________________________
Working with the fingers close together or wide apart ___________________________Very fast movements ___________________________Excessive bending of the wrist ___________________________Lifting or lowering ___________________________Carrying with one hand or one side of the body ___________________________Exerting force with one hand or one side of the body ___________________________Pushing, pulling or dragging ___________________________Gripping with the fingers pinched together or held wide apart ___________________________Exerting force while in an awkward posture ___________________________
Holding, supporting or restraining any object, person, animal or tool ___________________________
Step 1b Does the task involve long duration?
Tick yes if the task is done for more than 2 hours over a whole shif t or conti nually for more than 30 minutes at a time
Yes Comments
_________________________________________________________________________________________________________________________________________________________________________________
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Step 2 Does the task involve high force?
Tick yes if the task involves any of the following high force actions
Yes Comments
Lifting, lowering or carrying heavy loads ___________________________Applying uneven, fast or jerky forces during lifting, carrying, ___________________________pushing or pulling
Applying sudden or unexpected forces (e.g. when handling ___________________________a person or animal)
Pushing or pulling objects that are hard to move or to stop ___________________________(e.g. a trolley)
Using a finger-grip, a pinch-grip or an open-handed grip to ___________________________handle a heavy or large loadExerting force at the limit of the grip span ___________________________Needing to use two hands to operate a tool designed for one hand ___________________________
Throwing or catching ___________________________Hitting or kicking ___________________________Holding, supporting or restraining a person, animal or heavy object ___________________________
J umping while holding a load ___________________________Exerting force with the non-preferred hand ___________________________
Two or more people need to be assigned to handle a heavy ___________________________or bulky load
Exerting high force while in an awkward posture ___________________________
Tick yes if your employees report any of the following about the task
Yes Comments
Pain or significant discomfort during or after the task ___________________________The task can only be done for short periods ___________________________Stronger employees are assigned to do the task ___________________________Employees think the task should be done by more than one ___________________________person, or seek help to do the task
Employees say the task is physically very strenuous or ___________________________difficult to do
Step 3 Is there a risk?Yes Comments
Does the task involve repetitive or sustained postures, movements or ___________________________forces, and long duration? (Did you tick yes in step 1a and step 1b?)
If yes, the task is a risk. Risk control is r equired. ___________________________
Does the task involve high force? ___________________________(Did you tick yes in step 2?)
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If yes, the task is a risk. Risk control is r equired. ___________________________
Step 4 Are environmental factors increasing the risk?
Tick yes if any of the follow ing environmental factors are present in the task
Yes Comments
Vibration (hand-arm or whole-body) ___________________________High temperatures ___________________________Radiant heat ___________________________High humidity ___________________________
Low temperatures ___________________________Wearing protective clothing while working in hot conditions ___________________________Wearing thick clothing while working in cold conditions (e.g. gloves) ___________________________Handling very cold or frozen objects ___________________________Employees are working in hot conditions and are not used to it ___________________________
Sketch the task or attach a photograph, if helpful
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Risk Control Worksheet
Task:______________________ _________ __________________________ Date: __________________________________________
Management rep:_______________________________________________ Health and Safety rep: ____________________________
What are the sources of risk? _______________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
How?
_______________________________________________
Yes _______________________________________________
_______________________________________________
_______________________________________________
No How?
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
Yes _______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
No
How can you reduce the risk with in formation, instruct ion and training? ___________________________________
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
Can you eliminate all orpart of the task?
Is it practicable to eliminateor reduce the risk by: altering the workplace altering the environmentalconditions
altering the systems of work changing the objects usedin the task, or
using mechanical aids?
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________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
Implementing Risk Controls
Short-term (immediately to within a few days):
Action RequiredPerson
Responsible
Completion
Date
Review
Date
Action
Completed
Medium-term (within a few weeks to a couple of months):
Action RequiredPerson
Responsible
Completion
Date
Review
Date
Action
Completed
Long-term (within several months):
Action RequiredPerson
Responsible
Completion
Date
Review
Date
Action
Completed