Manual Handling Assessment Checklist MANUAL HANDLING OF LOADS Assessment Checklist SUMMARY OF ASSESSMENT Overall priority for remedial action: ( Nil / Low / Med / High) Operations covered by this assessment: Remedial action to be taken: Locations: Date by which action is to be taken: Personnel involved: Date for reassessment: Date of assessment: Assessors name: Signature: Section A - Preliminary: Q1 Do the operations involve a significant risk of injury? Yes/No to Q2. If the assessment need to go no further. If ‘Yes’ go ‘No’ If in doubt answer ‘Yes’. Q2 Can the operations be Yes/No avoided/mechanised “automated at reasonable cost? If go to Q3. If proceed and then check that the result is satisfactory. ‘No’ ‘Yes’ Q3 Are the operations clearly within the guidelines in Appendix 2? Yes/No If go to Section B. If you may go straight to Section C if you wish. ‘No’ ‘Yes’ Section C - Overall assessment of risk: Q What is your overall assessment of the risk of injury? Insignificant / Low / Med / High If go to Section D. If the assessment need go no further. not ‘Insignificant’ ‘Insignificant’ Section D - Remedial Action: Q What remedial steps should be taken, in order of priority? 1 2 3 4 5 6
Manual Handling Assessment Checklist MANUAL HANDLING OF LOADS Assessment Checklist SUMMARY OF ASSESSMENT Operations covered by this assessment: Locations: Personnel involved: Date of assessment: Overall priority for remedial action: ( Nil / Low / Med / High) Remedial action to be taken: Date by which action is to be taken: Date for reassessment: Assessors name: Signature: Section A - Preliminary: Q1 Q2 Q3 Do the operations involve a significant risk of injury? If ‘Yes’ go to Q2. If ‘No’ the assessment need to go no further. If in doubt answer ‘Yes’. Can the operations be avoided/mechanised “automated at reasonable cost? If ‘No’ go to Q3. If ‘Yes’ proceed and then check that the result is satisfactory. Are the operations clearly within the guidelines in Appendix 2? If ‘No’ go to Section B. If ‘Yes’ you may go straight to Section C if you wish. Yes/No Yes/No Yes/No Section C - Overall assessment of risk: Q What is your overall assessment of the risk of injury? Insignificant / Low / Med / High If not ‘Insignificant’ go to Section D. If ‘Insignificant’ the assessment need go no further. Section D - Remedial Action: Q What remedial steps should be taken, in order of priority? 1 2 3 4 5 6