close
lumiform
Lumiform Mobile audits & inspections
Get App Get App

Ensure safety with a manual handling risk assessment template

Downloaded 41 times
Audit
General Information
Task Description
Are there indications that the task is high risk?
Select appropriate response
Kindly specify
Load weight and lift/carry frequency
Risk Rating
Note the weight of the load and the repetition rate of the lifting operation.
Lift
Carry
Hand distance from the lower back
Observe the task and examine the horizontal distance between the operative's hands and their lower back.
Lift
Carry
Vertical lift region
Observe the position of the operative’s hands at the start of the lift and as the lift progresses.
Lift
Trunk twisting/sideways bending
Observe the operative's trunk as the load is lifted.
Lift
Asymmetrical trunk/load
Load and hands are symmetrical in front of the trunk.
Carry
Postural constraints
The movements of the operative are unhindered.
Lift
Carry
Grip on the load
• Containers with well-designed handles or handholds, fit for purpose • Loose parts enabling comfortable grip
Lift
Carry
Floor surface
Dry and clean floor in good condition
Lift
Carry
Other environmental factors
Observe the work environment and the lifting operation that takes place: in extremes of temperature; with strong air movements; or in extreme lighting conditions (dark, bright or poor contrast).
Lift
Carry
Carry distance
Observe the task and estimate the total distance that the load is carried.
Carry
Obstacles en route
Observe the route
Carry
Completion
Recommendations
Inspector's Full Name and Signature
Share this template:
Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
This site is registered on wpml.org as a development site. Switch to a production site key to remove this banner.