manual handling hazard identification worksheet

7/30/2019 Manual Handling Hazard Identification Worksheet

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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):


Responsible

Completion

Date

Review

Date

Action

Completed

Long-term (within several months):


Responsible

Completion

Date

Review

Date

Action

Completed

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