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manual handling assessment form

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					                                      MANUAL HANDLING ASSESSMENT TOOL
                                                     Company/Site:

Project:                                                            Date:

Site Supervisor:

Signature:                                                          Submitted to:

                                          Work Area and Description of Task:

                                                   Reason for Analysis:

                                                     Task Duration:

                                                 Tools/Equipment used:

                                                   PPE Required (List):

              This tool is used to assess the manual handling components of a particular task

Exertion                                                                                  Whole Body

                                          3                               5
1             No
                       2            Moderate force         4        Maximum force
     Effort                           & Speed                          & speed

Awkward Posture

1            All                         3                                 5
    Postures           2             Moderately            4              Very
     Neutral                        uncomfortable                     Uncomfortable

Vibration


       1                                 3                                   5
                       2                                   4
      None                            Moderate                            Extreme

Duration


1             < 2              10       3            4             1 5                >
     10 min         - 30 min        30min - 1 hr         - 2 hrs           2hrs

Repetition                                                                                  Score

                                         3                                   5             HIGH     16 - 25
1            No
                       2             Cycle time            4             Cycle time        MEDIUM   7 - 15
    repetition
                                       <30s                                <10 s
                                                                                           LOW      1-6

				
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Tags: safety
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posted:7/10/2010
language:English
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