Workplace Manual Handling Assessment Form
General Information:
Date of Assessment: | [ January 21, 2050] |
Assessor: | |
Department/Area: | |
Location: | |
Task Details
Task Name: | Stock Replenishment |
Description of Task: |
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Frequency of Task: | |
Task Analysis
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.
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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 |
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Existing Controls Outline any existing controls in place to mitigate risks associated with the task. |
Use of mechanical aids: | Yes |
Team lifting: | |
Training provided: | |
Risk Assessment
Identify Hazards List potential hazards related to the task, such as heavy loads, awkward postures, or repetitive movements. |
Heavy lifting
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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 |
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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 |
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Review and Monitoring
Review Date: | [February 12, 2050] |
Review Frequency: | |
Monitoring Process: | |
[Employee/Task Performer]
[Date]
[Supervisor/Manager]
[Date]
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