DEE_EHU-07-2-1_Manual_Handling_Hazard_Management_Form by stariya

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									                                                                                                  Procedure No: DEE EHU 07-2-3
                                                                                                  Authorised By: Manager EHU
Title: Hazardous Manual Handling Risk Management Form
Issue Date: April 2011                       Review Date: April 2013                              Page Number: 1 of 7


   The Hazardous Manual Handling Risk Management Form should be used to evaluate a task or work area in order to assess the potential for a
   manual handling injury to occur. For further information please refer to the Manual Handling Procedure.

                                                                      Assessment Details
    Workplace:                                                              Location of task:
    Description of task:                                                    Assessment date:
    Assessors                                                               Reason for identification (tick):
    Management representative:                                                Existing task                             New task
    Health & safety representative:                                           Change in task, object, tool              New information
    Others:                                                                   MSD incident report                       MSD hazard report

    Describe the task & area (it may be helpful to sketch the task or attach a photograph here)




                                                        THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED
                                                                                                                             Procedure No: DEE EHU 07-2-3
                                                                                                                             Authorised By: Manager EHU
Title: Hazardous Manual Handling Risk Management Form
Issue Date: April 2011                                     Review Date: April 2013                                           Page Number: 2 of 7


Documentation
Relevant Legislation/Standards/Documentation                              Y/N                                                          Comments
Are instruction manuals accessible?                                   Y        N
Is a Safe Work Procedure (SWP) required to be
                                                              Y   N
developed? (complete once risk assessment has been conducted)
Key reference material:         Occupational Health and Safety Act 2004, Occupational Health and safety Regulations 2007, Victorian Code of Practice for Manual Handling 2000,
                                Hazardous Manual Handling Tasks Draft Code of Practice 2010.

Risk Assessment
Step 1a: Does the task involve repetitive movement or                              This action happens when… e.g.                   Source of Risk                                 Duration of
sustained or awkward postures?                                                     picking up chemical containers in the chemical   e.g. chemical containers are stored too low.   task e.g. 5 times
Think about the work area and each stage of the work to be performed.              storeroom from ground level.                                                                    per minute for 3
Does the task involve repetitive (more than twice a minute) movements; or                                                                                                          hours a day
sustained (more than 30 seconds at a time) postures and/or awkward postures?

Bending the back forwards or sideways more than 5 degrees             Yes
Bending the back of head backwards for more than 5 degrees            Yes
Bending the head forwards or sideways more than 20 degrees            Yes
Twisting the back more than 20 degrees                                Yes
Twisting the neck more than 20 degrees                                Yes
Working with one or both hands above shoulder height                  Yes
Reaching forwards or sideways more than 30 cm from the                Yes
body
Reaching behind the body                                              Yes
Squatting, kneeling, crawling, lying, semi-lying or jumping           Yes
Standing with most of the body’s weight on one leg                    Yes
Twisting, turning, grabbing, picking or wringing actions with the     Yes
fingers, hands or arms
Working with the fingers close together or wide apart                 Yes
Very fast movements                                                   Yes
Excessive bending of the wrist                                        Yes


                                                                          THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED
                                                                                                                                  Procedure No: DEE EHU 07-2-3
                                                                                                                                  Authorised By: Manager EHU
Title: Hazardous Manual Handling Risk Management Form
Issue Date: April 2011                                    Review Date: April 2013                                                 Page Number: 3 of 7


Step 1b: Does the task involve any repetitive or sustained                    This action happens when…                                    Source of Risk                         Duration of
forces?                                                                       e.g. loading books on to a trolley                           e.g. trolley is on the ground          task e.g. 5 times
Think about the work area and each stage of the work to be performed.                                                                                                             per minute for 3
Does the task involve:                                                                                                                                                            hours a day
    repetitive (more than twice a minute) movements; or
    Sustained (more than 30 seconds at a time) postures and/or awkward
     postures?
Lifting or lowering                                               Yes
Carrying with one hand or one side of the body                    Yes
Exerting force with one hand or one side of the body              Yes
Pushing, pulling or dragging                                      Yes
Exerting force while in an awkward posture e.g. supporting        Yes
items while arms or shoulders are in awkward posture
Gripping with the fingers pinched together or held wide           Yes
apart
Holding, supporting or restraining any object, person,            Yes
animal or tool


Step 2 – Does the task in step 1a or 1b involve long                             Risk Rating                                                     Risk Control Measures
duration?                                                                     (refer to Risk Matrix:      List the control measures required to eliminate or minimise the risk
                                                                                   Appendix 1)                 Short Term Controls (immediately to within a few weeks)
                                                                           Conseq      Likel’d    Risk         Medium term controls (within a few weeks to a couple of months)
                                                                                                  Level        Long term controls (within several months)
More than 2 hours over a whole shift                      Yes

Continually for more than 30 minutes at a time            Yes




                                                                          THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED
                                                                                                                    Procedure No: DEE EHU 07-2-3
                                                                                                                    Authorised By: Manager EHU
Title: Hazardous Manual Handling Risk Management Form
Issue Date: April 2011                                  Review Date: April 2013                                     Page Number: 4 of 7


Step 3: Does the task involve high or sudden force?             This action happens      Source of Risk                     Risk Rating                        Risk Control Measures
Tick yes if the task involves any of the following high force   when… e.g. Picking up    e.g. Boxes are heavy and         (refer to Risk Matrix:      List the control measures required to eliminate
                                                                                         awkward shape and no                  Appendix 1)            or minimise the risk
actions, even if force is applied only once.                    and putting boxes down
                                                                                         handholds                                                         Short Term Controls (immediately to within
                                                                                                                       Conseq     Likel’d     Risk          a few weeks)
If you tick yes to any box in step 3 the task is a risk and                                                                                   Level        Medium term controls (within a few weeks
risk control is required.                                                                                                                                   to a couple of months)
                                                                                                                                                           Long term controls (within several months)
Lifting lowering or carrying heavy loads                Yes
Applying uneven, fast or jerky forces during lifting,   Yes
carrying, pushing or pulling
Applying sudden or unexpected forces (e.g. when         Yes
handling a person or animal)
Pushing or pulling objects that are hard to move or     Yes
to stop (e.g. a trolley)
Using finger-grip, a pinch-grip or an open-handed       Yes
grip to handle a heavy or large load
Exerting force at the limit of the grip span            Yes
Needing to use two hands to operate a tool              Yes
designed for one hand
Throwing or catching                                    Yes
Hitting or kicking                                      Yes
Holding, supporting or restraining a person, animal     Yes
or heavy object
Jumping while holding a load                            Yes
Exerting force with the non-preferred hand              Yes
Two or more people need to be assigned to handle        Yes
a heavy or bulky load
Exerting high force while in a bent, twisted or         Yes
awkward posture
Workers report pain or significant discomfort during    Yes
or after the task
The task can only be done for short periods             Yes
Stronger workers are assigned to do the task            Yes
Workers think the task should be done by more than      Yes
one person, or seek help to do the task



                                                                  THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED
                                                                                                            Procedure No: DEE EHU 07-2-3
                                                                                                            Authorised By: Manager EHU
Title: Hazardous Manual Handling Risk Management Form
Issue Date: April 2011                                  Review Date: April 2013                             Page Number: 5 of 7


Workers say the task is physically very strenuous or    Yes
difficult to do


Step 4: Are aspects of the work environment                   This action happens    Source of Risk                   Risk Rating               Risk Control Measures
increasing the risk?                                          when… e.g. breaking      e.g. using a jackhammer      (refer to Risk Matrix:      List the control measures required to
                                                              concrete                                                   Appendix 1)            eliminate or minimise the risk
                                                                                                                                                     Short Term Controls (immediately to
Tick yes if any of the following environmental factors are                                                        Conseq    Likel’d     Risk          within a few weeks)
present in the task.                                                                                                                    Level        Medium term controls (within a few
                                                                                                                                                      weeks to a couple of months)
If you tick yes to any box in step 4 risk control is                                                                                                 Long term controls (within several
                                                                                                                                                      months)
required
Hand-arm vibration                                Yes
Whole body vibration                              Yes
High temperatures                                 Yes
Radiant heat                                      Yes

High humidity                                     Yes

Low temperatures                                  Yes

Wearing protective clothing while working in      Yes
hot conditions
Wearing thick clothing while working in cold      Yes
conditions e.g. gloves
Handling very cold or frozen objects              Yes

Workers are working in hot conditions and are     Yes
not used to it




                                                                 THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED
                                                                                                           Procedure No: DEE EHU 07-2-3
                                                                                                           Authorised By: Manager EHU
Title: Hazardous Manual Handling Risk Management Form
Issue Date: April 2011                                   Review Date: April 2013                           Page Number: 6 of 7




Step 5: Are aspects of the way work is organised               This action happens     Source of Risk                 Risk Rating                    Risk Control Measures
increasing the risk?                                           when…                                                (refer to Risk Matrix:         List the control measures required to
Tick yes if any of the following psychosocial factors are                                                                Appendix 1)                   eliminate or minimise the risk
present in the task.                                                                                                                               Short Term Controls (immediately to
                                                                                                                 Conseq     Likel’d    Risk         within a few weeks)
                                                                                                                                       Level       Medium term controls (within a few
If you tick yes to any box in step 5 risk control is                                                                                                weeks to a couple of months)
required                                                                                                                                           Long term controls (within several
                                                                                                                                                    months)

The work rate is set by a machine or team and      Yes
not under worker control
Systems of work, such as a piecework, that         Yes
encourage workers to skip breaks to finish
early, or to procedure more items in the set
Levels of work demand that workers find it         Yes
difficult to keep up with pace
Sustained high levels of attention and             Yes
concentration
Systems of work that offers the worker little or   Yes
no control over the way they do their work
Workers frequently needing to meet tight           Yes
deadlines
Sudden changes of workload or seasonal             Yes
changes in volume without any mechanisms
for dealing with change
Levels of physical work demand that works find     Yes
difficult to maintain effort
Unsuitable equipment and/or insufficient           Yes
staffing levels




    Assessment Conducted by:                                               Signature                                           Date:




                                                                  THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED
Appendix 1: Risk Matrix

Likelihood
 Descriptor      Level    Definition
    Rare           1      The event may occur only in exceptional circumstances.
  Unlikely         2      The event may occur at sometime, say once in 10 years.
  Possible         3      The event should occur at sometime, say once in 3 years.
   Likely          4      The event will probably occur in most circumstances, say once a year.
   Almost          5      The event is expected to occur in most circumstances, say many times a
   Certain                month.


Consequence
 Descriptor Level        Definition
Insignificant      1     No injury
   Minor           2     Injury/ ill health requiring first aid
 Moderate          3     Injury/ill health requiring medical attention
   Major           4     Injury/ill health requiring hospital admission
   Severe          5     Fatality


Risk level
Likelihood        Consequence
                   Insignificant         Minor          Moderate      Major       Severe
Almost Certain         High              High           Extreme      Extreme     Extreme
Likely               Medium              High            High        Extreme     Extreme
Possible               Low              Medium           High        Extreme     Extreme
Unlikely               Low               Low            Medium        High       Extreme
Rare                   Low               Low            Medium        High         High


Key
Extreme:      Notify Workplace Manager and/or Management OHS Nominee immediately.
              Corrective actions should be taken immediately. Cease associated activity.
High:         Notify Workplace Manager and/or Management OHS Nominee immediately.
              Corrective actions should be taken within 48 hours of notification
Medium:       Notify Nominated employee, HSR / OHS Committee. Nominated employee,
              OHS Representative / OHS Committee is to follow up that corrective action is
              taken within 7 days.
Low:          Notify Nominated employee, HSR / OHS Committee. Nominated employee,
              HSR / OHS Committee is to follow up that corrective action is taken within a
              reasonable time.




                            THIS DOCUMENT IS UNCONTROLLED WHEN PRINTED

								
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