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Manual Handling Assessment Form Template for United States

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Key Requirements PROMPT example:

Manual Handling Assessment Form

"I need a Manual Handling Assessment Form for our warehouse operation that handles heavy machinery parts, with specific focus on team lifting procedures and mechanical aid usage, compliant with OSHA regulations and suitable for implementation by March 2025."

Document background
The Manual Handling Assessment Form is a crucial workplace safety document used to evaluate and document the risks associated with manual handling activities in accordance with U.S. federal regulations. This form is required whenever employees engage in tasks involving lifting, lowering, pushing, pulling, or carrying objects that could pose potential risks to their health and safety. The document complies with OSHA standards and NIOSH guidelines, incorporating essential elements such as task evaluation, risk assessment, control measures, and periodic review requirements. It serves as both a legal record of compliance and a practical tool for implementing effective risk management strategies in the workplace. The form should be completed by qualified assessors and reviewed regularly, particularly when there are changes to the task, equipment, or working environment.
Suggested Sections

1. Assessment Details: Basic information including date, assessor name, department, and location of assessment

2. Task Description: Detailed description of the manual handling operation being assessed, including frequency and duration

3. Load Characteristics: Information about the object being handled including weight, size, stability, and grip conditions

4. Environment Assessment: Evaluation of the working environment including space constraints, floor conditions, and temperature

5. Individual Capability: Assessment of worker characteristics including training, physical capability, and any health considerations

6. Risk Factors Identification: Checklist of potential risk factors related to the task, load, environment, and individual

7. Risk Level Determination: Overall risk rating based on identified hazards and their severity

8. Control Measures: Existing and recommended control measures to reduce identified risks

9. Action Plan: Specific actions required, including timeline and responsible persons

10. Review and Sign-off: Signatures of assessor, supervisor, and date for next review

Optional Sections

1. Equipment Assessment: Detailed evaluation of any mechanical aids or equipment used in the handling task - include when mechanical assistance is part of the operation

2. Team Handling Assessment: Additional assessment factors for tasks requiring multiple persons - include when team lifting is involved

3. PPE Requirements: Specific personal protective equipment needed for the task - include when specialized protective equipment is necessary

4. Worker Consultation: Record of employee feedback and concerns - include when gathering worker input is part of the assessment process

5. Task Frequency Analysis: Detailed breakdown of task frequency and duration - include for high-frequency or repetitive tasks

Suggested Schedules

1. NIOSH Lifting Equation Calculations: Detailed calculations using the NIOSH lifting equation for complex lifting tasks

2. Risk Matrix: Standard risk assessment matrix for determining risk levels

3. Body Position Diagrams: Illustrations of correct lifting postures and techniques

4. Control Measures Hierarchy: Reference guide showing hierarchy of control measures

5. Employee Training Record: Documentation of manual handling training completed by affected employees

Authors

Alex Denne

Head of Growth (Open Source Law) @ ¶¶Òõ¶ÌÊÓÆµ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions






























Clauses




















Relevant Industries

Manufacturing

Warehousing and Logistics

Construction

Healthcare

Retail

Agriculture

Mining

Food Processing

Hospitality

Waste Management

Transportation

Facilities Management

Relevant Teams

Health and Safety

Operations

Human Resources

Occupational Health

Production

Logistics

Quality Assurance

Facilities Management

Risk Management

Compliance

Relevant Roles

Health and Safety Manager

Risk Assessment Officer

Occupational Health Specialist

Operations Manager

Warehouse Supervisor

Production Manager

Facilities Manager

Safety Coordinator

Ergonomics Specialist

Human Resources Manager

Industrial Hygienist

Quality Control Manager

Line Supervisor

Safety Compliance Officer

Industries






Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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