Free Workplace Manual Handling Assessment Form

Date of Assessment:

[ January 21, 2050]

Assessor:

Department/Area: 

Location:

Task Name: 

Stock Replenishment

Description of Task:

Frequency of Task:

Task Overview

Provide a general overview of the task and its relevance to the workplace. Mention the potential risks associated with manual handling.

The Stock Replenishment task involves manually handling boxes of varying weights to restock display shelves.

Task Steps

Break down the task into individual steps. Include details on lifting, carrying, pushing, and pulling.

Step

Description

Weight (if applicable)

Distance

Risk Level

1

Retrieve box from storage

20 kg

5 meters

Medium

Existing Controls

Outline any existing controls in place to mitigate risks associated with the task.

Use of mechanical aids: 

Yes

Team lifting: 

Training provided: 

Identify Hazards

List potential hazards related to the task, such as heavy loads, awkward postures, or repetitive movements.

Heavy lifting

Risk Evaluation

Assess the severity and likelihood of each hazard. Use a risk matrix if necessary.

Hazard

Severity (1-5)

Likelihood (1-5)

Risk Level (S x L)

Heavy lifting

4

3

12

Control Measures

Propose control measures for each identified hazard. Specify responsibilities and timelines.

Hazard

Control Measures

Responsibility

Timeline

Heavy lifting

Provide additional trolleys for transporting heavier loads

Warehouse Manager

Within 2 weeks

Review Date: 

[February 12, 2050]

Review Frequency:

Monitoring Process: