"Manual Handling Risk Assessment Checklist Template - Pony Club Association Nsw"

ADVERTISEMENT
ADVERTISEMENT

Download "Manual Handling Risk Assessment Checklist Template - Pony Club Association Nsw"

386 times
Rate (4.7 / 5) 22 votes
MANUAL HANDLING RISK ASSESSMENT
(
Adapted from the Worksafe Australia & WorkCover NSW Manual Handling Risk Assessment Checklist)
This checklist is provided to assist the assessment of manual handling risks. It should be used as a guide when
assessing a manual handling task, and is to be used by volunteers under supervision by Club/Zone Executive
and/or Safety Officers.
Place a tick in either the "Yes" or "No" boxes for each and every question. "No” includes “not
applicable".
Answering "Yes" to any of the following questions indicates an increased manual handling risk.
"Suggested control options" should only be seen as a preliminary brainstorming activity, prior to the
process of Risk Control.
Where possible, the supervisor may be able to take appropriate action to follow-up recommendations
arising from this assessment.
Description of Work Location:
Description of Task:
Date:
Assessed by:
Volunteers consulted:
A
ACTIONS & MOVEMENTS
1.
Is the load shared unevenly between both hands, or lifted by one hand only?
[ ]
Yes
[ ] No
2.
Is the object pushed or pulled across the front of the body?
[ ]
Yes
[ ] No
3.
Is there frequent or prolonged sideways backward or forward bending of the
[ ]
Yes
[ ] No
neck or back?
4.
Is there frequent or prolonged twisting or neck and back to lift an object or to
[ ]
Yes
[ ] No
exert force?
5.
Are two back movements performed at the same time?
[ ]
Yes
[ ] No
6.
Are several tasks performed in the one position, where some are best done in
[ ]
Yes
[ ] No
a seated position and the other are best done in a standing position?
Suggested Control Options:
………………………………………………………………………………………....
………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………
B
WORKPLACE AND WORKSTATION LAYOUT
7.
Is the layout inappropriate for the manual handling task and the physical
[ ]
Yes
[ ] No
dimensions of the employees performing the task?
8.
Is there inadequate space for all movements involved in the manual handling
[ ]
Yes
[ ] No
task?
9.
Is there an absence of appropriate mechanical handling aids for the task?
[ ]
Yes
[ ] No
Pony Club Association NSW
Page 1
MANUAL HANDLING RISK ASSESSMENT
(
Adapted from the Worksafe Australia & WorkCover NSW Manual Handling Risk Assessment Checklist)
This checklist is provided to assist the assessment of manual handling risks. It should be used as a guide when
assessing a manual handling task, and is to be used by volunteers under supervision by Club/Zone Executive
and/or Safety Officers.
Place a tick in either the "Yes" or "No" boxes for each and every question. "No” includes “not
applicable".
Answering "Yes" to any of the following questions indicates an increased manual handling risk.
"Suggested control options" should only be seen as a preliminary brainstorming activity, prior to the
process of Risk Control.
Where possible, the supervisor may be able to take appropriate action to follow-up recommendations
arising from this assessment.
Description of Work Location:
Description of Task:
Date:
Assessed by:
Volunteers consulted:
A
ACTIONS & MOVEMENTS
1.
Is the load shared unevenly between both hands, or lifted by one hand only?
[ ]
Yes
[ ] No
2.
Is the object pushed or pulled across the front of the body?
[ ]
Yes
[ ] No
3.
Is there frequent or prolonged sideways backward or forward bending of the
[ ]
Yes
[ ] No
neck or back?
4.
Is there frequent or prolonged twisting or neck and back to lift an object or to
[ ]
Yes
[ ] No
exert force?
5.
Are two back movements performed at the same time?
[ ]
Yes
[ ] No
6.
Are several tasks performed in the one position, where some are best done in
[ ]
Yes
[ ] No
a seated position and the other are best done in a standing position?
Suggested Control Options:
………………………………………………………………………………………....
………………………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………………………
B
WORKPLACE AND WORKSTATION LAYOUT
7.
Is the layout inappropriate for the manual handling task and the physical
[ ]
Yes
[ ] No
dimensions of the employees performing the task?
8.
Is there inadequate space for all movements involved in the manual handling
[ ]
Yes
[ ] No
task?
9.
Is there an absence of appropriate mechanical handling aids for the task?
[ ]
Yes
[ ] No
Pony Club Association NSW
Page 1
Manual Handling Risk Assessment
10.
Having regard to the various heights of the employees concerned, are the
[ ]
Yes
[ ] No
working heights involved inflexible?
11.
Is there inadequate clear space for moving legs and feet?
[ ]
Yes
[ ] No
12.
Do the different manual handling tasks performed by one person involve
[ ]
Yes
[ ] No
excessive movement?
Suggested Control Options:
………………………………………………………………………………………...
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
C
WORKING POSTURE AND POSITION
13.
Is the object presented to the employee in a position which makes it difficult
[ ]
Yes
[ ] No
to reach or grasp?
14.
When sitting is the task performed:
[ ]
Yes
[ ] No
a) Below elbow level or above chest height?
b) For prolonged periods?
[ ]
Yes
[ ] No
15.
When standing is the task performed:
a) Below waist level or above shoulder height?
[ ]
Yes
[ ] No
b) For prolonged periods?
[ ]
Yes
[ ] No
16.
Is the employee working:
[ ]
Yes
[ ] No
a) In an awkward position? (bent or cramped position)
b) For prolonged periods?
[ ]
Yes
[ ] No
17.
Does the employee maintain a fixed position when working?
[ ]
Yes
[ ] No
e.g. sitting at a keyboard
18.
Is a chair required for the task? If yes:
[ ]
Yes
[ ] No
a) Is the seat uncomfortable?
b) Is the seat height fixed?
[ ]
Yes
[ ] No
c) Is the back rest fixed?
[ ]
Yes
[ ] No
d) Is there insufficient leg room?
[ ]
Yes
[ ] No
19.
Does the employee stand to perform the job? If yes:
[ ]
Yes
[ ] No
a) Does the employee work without a footrest?
b) Is the floor surface unsafe? (i.e. wet, uneven)
[ ]
Yes
[ ] No
Suggested Control Options:
………………………………………………………………………………………...
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
D
WEIGHTS AND FORCES
20.
When sliding, pulling or pushing an object, is the object difficult to move?
[ ]
Yes
[ ] No
21.
If the task is performed whilst seated, does it involve lifts greater than 4.5 kg?
[ ]
Yes
[ ] No
22.
Is one-handed lifting/carrying of more than 4.5kg required?
[ ]
Yes
[ ] No
23.
Does the task involve an individual employee lifting, lowering or carrying
[ ]
Yes
[ ] No
loads exceeding 55kgs?
24.
Is the employee required to push/pull while seated without having good
[ ]
Yes
[ ] No
seating and solid foot support?
Pony Club Association NSW
Page 2
Manual Handling Risk Assessment
25.
Is the employee who is required to lift or carry more than 16kgs, under 18
[ ]
Yes
[ ] No
years of age?
Suggested Control Options:
………………………………………………………………………………………...
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
E
CHARACTERISTICS OF LOAD AND EQUIPMENT
26.
Where the "object" concerned is a person:
a) Might the person need to be moved in a special way to ensure their health
[
]
Yes
[
]
No
& safety?
b) Might the person be disturbed, excited or be moving vigorously?
[
]
Yes
[
]
No
27.
Is the object an awkward shape to carry in a balanced posture?
[ ]
Yes
[ ] No
28.
Is the object difficult to grasp or hold safely?
[ ]
Yes
[ ] No
29.
Is the object unstable or unbalanced, or does it have contents that may move
[ ]
Yes
[ ] No
suddenly?
30.
Is the object smooth, slippery, greasy or wet?
[ ]
Yes
[ ] No
31.
Does the object have sharp edges or protrusions?
[ ]
Yes
[ ] No
32.
Is the object very hot or cold?
[ ]
Yes
[ ] No
33.
Does the object block the view of the employee while being handled?
[ ]
Yes
[ ] No
34.
Does one person handle sheet material or other large sized loads without
[ ]
Yes
[ ] No
straps, special holders or a second person to assist?
35.
Is the object more than 50cm wide (measured in direction across the body)?
[ ]
Yes
[ ] No
36.
Is the object difficult to lift or carry close to the body?
[ ]
Yes
[ ] No
Suggested Control Options:
………………………………………………………………………………………...
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
F
WORK ORGANISATION
37.
Do bottlenecks, or sudden changes or delays to flow of materials affect the
[ ]
Yes
[ ] No
work frequency?
38.
Is the work affected by the unavailability of people to complete tasks within a
[ ]
Yes
[ ] No
deadline?
39.
Is team handling not provided and/or safely organised when required?
[ ]
Yes
[ ] No
40.
Are there insufficient numbers of employees to carry out the work including
[ ]
Yes
[ ] No
where peak workloads occur?
41.
Is there lack of an effective maintenance program for tools, plant and
[ ]
Yes
[ ] No
equipment used for manual handling?
42.
Are procedures for reporting and fixing unsafe equipment or environmental
[ ]
Yes
[ ] No
conditions inadequate?
43.
Is the workflow not smooth and even?
[ ]
Yes
[ ] No
Pony Club Association NSW
Page 3
Manual Handling Risk Assessment
44.
Is there a lack of effective selection/purchasing, instruction and maintenance
[ ]
Yes
[ ] No
programs for loads, equipment and mechanical handling devices?
Suggested Control Options:
………………………………………………………………………………………...
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
G
WORK ENVIRONMENT
45.
Are the floors and surfaces underfoot uneven or slippery?
[ ]
Yes
[ ] No
46.
Are there different floor levels in the workplace?
[ ]
Yes
[ ] No
47.
Is the workplace untidy with a lack of attention to housekeeping details?
[ ]
Yes
[ ] No
48.
Are there extremes of heat, cold, wind or humidity?
[ ]
Yes
[ ] No
49.
Are there high levels of fumes, dusts, gases or vapours?
[ ]
Yes
[ ] No
50.
Is there excessive vibration?
[ ]
Yes
[ ] No
51.
Is the task performed in a confined space?
[ ]
Yes
[ ] No
52.
Is the lighting considered inadequate for safe manual handling activity?
[ ]
Yes
[ ] No
53.
Are stairs, ladders, steps poorly maintained, e.g. difficult access to cabins,
[ ]
Yes
[ ] No
storage areas?
Suggested Control Options:
………………………………………………………………………………………...
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
H
SKILLS AND EXPERIENCE
54.
Are the demands of the task beyond the physical capacity of the employee?
[ ]
Yes
[ ] No
55.
For heavy manual handling tasks, does the employee lack experience with
[ ]
Yes
[ ] No
manual handling?
56.
Is the employee inexperienced and or untrained in:
a) recognising manual handling risks &/or
[ ]
Yes
[ ] No
b) in applying safe manual handling techniques?
[ ]
Yes
[ ] No
57.
Is the employee's awareness of general safe job practices inadequate?
[ ]
Yes
[ ] No
58.
Where team handling is required, is it made unsafe by employees being of
[ ]
Yes
[ ] No
different heights, sizes or lifting capabilities?
Suggested Control Options:
………………………………………………………………………………………...
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
I
DURATION AND FREQUENCY OF MANUAL HANDLING
59.
Is the task performed quickly and for prolonged periods?
[ ]
Yes
[ ] No
Suggested Control Options:
………………………………………………………………………………………..
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
Pony Club Association NSW
Page 4
Manual Handling Risk Assessment
J
LOCATION OF LOADS AND DISTANCES MOVED
60.
Is the load required to be carried more than 5 metres?
[ ]
Yes
[ ] No
61.
Is the load picked up or put down:
[ ]
Yes
[ ] No
a) above shoulder height
b) below mid-thigh height
[ ]
Yes
[ ] No
Suggested Control Options:
………………………………………………………………………………………...
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
K
CLOTHING
62.
If protective clothing is worn, does it interfere with safe manual handling? E.g.
[ ]
Yes
[ ] No
gloves too big, goggles distorting vision, heavy apparel/apparatus.
Does the employee's work clothing interfere with optimal manual handling
63.
[ ]
Yes
[ ] No
techniques?
Suggested Control Options:
………………………………………………………………………………………...
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
L
AGE
64.
Are the ages of employees involved in this task, a factor to be taken into
[ ]
Yes
[ ] No
consideration in assessing risks?
Suggested Control Options:
………………………………………………………………………………………...
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
M
SPECIAL NEEDS
65.
Has the employee had a previous condition/injury/illness which affects their
[ ]
Yes
[ ] No
work capacity?
66.
Is the employee:
a) New to the task?
[
]
Yes
[
]
No
b) Returning from leave?
[
]
Yes
[
]
No
67.
Are the demands of the task beyond the physical capacity of the employee?
i.e.
[ ]
Yes
[ ] No
a) Lifting capacity?
[ ]
Yes
[ ] No
b) Heart and lung capacity?
[ ]
Yes
[ ] No
c) Body size/physical?
Suggested Control Options:
………………………………………………………………………………………...
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
N
OTHER RELEVANT FACTORS
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
Pony Club Association NSW
Page 5
………………………………………………………………………………………………………………………………