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TRADES AND SERVICES

Health, Safety, Environmental & Quality


Management System

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ISO 45001:2018 ISO 14001:2016 ISO 9001:2016


{company_name}
Company Address:

ABN/NZBN:

Table of Contents
Section 1 INTRODUCTION ............................................................................................ 4
1.1 Scope ................................................................................................................................................... 4
1.2 Exclusions ............................................................................................................................................ 4
1.3 References and Applicable Documents ............................................................................................... 5
1.3.1 References ...................................................................................................................................... 5
1.3.2 Standards and Guidelines ............................................................................................................... 5
1.4 Revision and Distribution Control ......................................................................................................... 5
1.4.1 Distribution Record Register ............................................................................................................ 5
1.4.2 Amendment Record Register .......................................................................................................... 5
1.5 Terminology ......................................................................................................................................... 6
1.5.1 Abbreviations and Acronyms ........................................................................................................... 6
1.5.2 Definitions ........................................................................................................................................ 6

Section 2 HSEQ MANAGEMENT FRAMEWORK .......................................................... 9


2.1 General Outline .................................................................................................................................... 9
2.2 Awareness ......................................................................................................................................... 10

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Section 3 LEADERSHIP AND WORKER PARTICIPATION ......................................... 11
3.1 HSEQ Leadership and Commitment .................................................................................................. 11
3.2 Occupational Health and Safety (OHS) Policy ................................................................................... 12
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3.3 Environmental Policy.......................................................................................................................... 13
3.4 Quality Policy ..................................................................................................................................... 14
3.5 Organisational Roles, Responsibilities, Accountabilities and Authorities ........................................... 15
3.6 Consultation and Participation ........................................................................................................... 16
3.7 OHS Issue Resolution ........................................................................................................................ 18
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Section 4 PLANNING.................................................................................................... 20
4.1 Products and Services Requirements ................................................................................................ 20
4.2 Design and Development of Products and Services .......................................................................... 21
4.3 Procurement....................................................................................................................................... 23
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4.4 Hazard and Risk Management........................................................................................................... 25


4.5 Legal Compliance .............................................................................................................................. 27
4.6 Objectives and Targets ...................................................................................................................... 28
4.7 Change Management......................................................................................................................... 30

Section 5 SUPPORT..................................................................................................... 32
5.1 Plant, Equipment and Infrastructure................................................................................................... 33
5.2 Health and Welfare ............................................................................................................................ 35
5.2.1 Fitness for Work ............................................................................................................................. 35
5.2.2 Drugs and Alcohol ......................................................................................................................... 37
5.2.3 Fatigue Management ..................................................................................................................... 40
5.2.4 Workplace Bullying ........................................................................................................................ 42
5.2.5 COVID-19 Safety ........................................................................................................................... 45
5.2.6 Return to Work Management ......................................................................................................... 47
5.3 General Workplace Management ...................................................................................................... 50
5.3.1 Training and Competency.............................................................................................................. 50
5.3.2 Document Control .......................................................................................................................... 53
5.3.3 Records Management ................................................................................................................... 56
5.3.4 Health Surveillance ........................................................................................................................ 57
5.3.5 Facilities Management ................................................................................................................... 58

Section 6 OPERATION ................................................................................................. 60


6.1 Operational Planning and Control ...................................................................................................... 60
6.2 Safe/Standard Operating Procedures (SOP) ..................................................................................... 63

Document Title: HSEQMS Manual Document #:


Authorised by Version #: 1 Issue Date: Revision Date: Page 2 of 121
© SafetyCulture All Rights Reserved
{company_name}
Company Address:

ABN/NZBN:

6.3 Hazardous Substances/Chemicals .................................................................................................... 65


6.4 Asbestos Management ...................................................................................................................... 67
6.5 Plant Lock-out/Tag-out ....................................................................................................................... 69
6.6 Personal Protective Equipment .......................................................................................................... 71
6.7 High-Risk Construction Work ............................................................................................................. 73
6.8 High-Risk Work Licensing .................................................................................................................. 74
6.8.1 Safe Work Method Statements ...................................................................................................... 75
6.9 Hazardous Work ................................................................................................................................ 76
6.9.1 Hearing Protection and Audiometric Testing ................................................................................. 76
6.9.2 Hazardous Manual Tasks – Manual Handling ............................................................................... 78
6.9.3 Falls Prevention and Falling Objects ............................................................................................. 81
6.9.4 Electrical Safety ............................................................................................................................. 83
6.10 Incident Reporting .............................................................................................................................. 86
6.10.1 Incident Investigation ................................................................................................................. 89
6.11 Government Authorities ..................................................................................................................... 92
6.12 OHS Permit Holders........................................................................................................................... 92
6.13 Production and Service Provision ...................................................................................................... 92

Section 7 ENVIRONMENTAL MANAGEMENT ............................................................ 95

Section 8 EMERGENCY MANAGEMENT .................................................................... 96

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8.1 First Aid .............................................................................................................................................. 98
8.2 Remote and Isolated Work................................................................................................................. 99
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Section 9 QUALITY EVALUATION ............................................................................. 101
9.1 Monitoring, Measurement and Evaluation........................................................................................ 101
9.2 Inspection and Testing ..................................................................................................................... 102
9.3 Calibration Process .......................................................................................................................... 102
9.4 Evaluation of Compliance ................................................................................................................ 102
9.5 Customer Satisfaction ...................................................................................................................... 103
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Section 10 AUDITING ................................................................................................... 104


10.1 External Audits ................................................................................................................................. 105
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Section 11 MANAGEMENT REVIEW ........................................................................... 107

Section 12 IMPROVEMENT ......................................................................................... 109


12.1 Nonconformity and Corrective Actions Process ............................................................................... 109

INDEX OF SUPPORT DOCUMENTS .............................................................................. 112

Disclaimer: This document contains material to assist in addressing OHS, Environmental and Quality
obligations. Although every effort is made to ensure the accuracy of this information at the time of publication,
it is provided as guidance only and does not provide legal advice.

Document Title: HSEQMS Manual Document #:


Authorised by Version #: 1 Issue Date: Revision Date: Page 3 of 121
© SafetyCulture All Rights Reserved
{company_name}
Company Address:

ABN/NZBN:

6.7 High-Risk Construction Work


{company_name} is obligated under current OHS Regulations to protect workers and others from the risk of
serious injury or death from the conduct of defined High-Risk Construction Work.
POLICY
We recognise its obligation under OHS Regulations to protect workers and others from the risk of severe injury
or death from the conduct of High-Risk Construction Work.
Risk assessments and SWMS will be developed and implemented for all High-Risk Construction Work tasks
performed. We will implement comprehensive risk management procedures to identify and manage high-risk
hazards and the associated risks arising from those hazards. We will provide relevant documentation and
consultation if High-Risk Construction Work is carried out during this contract. SWMS will be prepared for all
High-Risk construction tasks before the work commences. The following high-risk tasks apply to this
construction contract.
High-Risk Construction Tasks involve:
a. Falls risk of 2m or more; and
b. Work on telecommunication towers; and
c. Demolition; and
d. Confined space; and
e. Asbestos disturbance or removal; and

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f. Structural alterations that require temporary support to prevent collapse; and
g. Excavation to depths 1.5m or more; and
h. Tunnel construction; and
i. Explosives; and
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j. Working on or near gas mains/pipework under pressure; and
k. Work on or near chemical, fuel or refrigerant lines; and
l. On or near energised electrical equipment or installations/services; and
m. Contaminated or flammable atmosphere; and
n. Tilt-up/Precast concrete; and
o. Working on or near roads, railways, shipping lanes or other traffic corridors; and
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p. Powered Mobile plant on site; and


q. Extremes of temperature created by artificial means; and
r. Work in, over or near water (or other liquids); and
s. Construction-related diving work.
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Document Title: HSEQMS Manual Document #:


Authorised by Version #: 1 Issue Date: Revision Date: Page 73 of 121
© SafetyCulture All Rights Reserved
{company_name}
Company Address:

ABN/NZBN:

6.8 High-Risk Work Licensing


POLICY
{company_name} actively works towards eliminating or reducing the number and severity of High-Risk Work
incidents by identifying and managing high-risk hazards arising from those hazards.
High-Risk Work can be, but is not limited to:
Ÿ Personnel and materials hoist operation; and
Ÿ Forklift operation; and
Ÿ Reach stacker; and
Ÿ Boom type elevating work platform; and
Ÿ Non-slewing mobile crane; and
Ÿ Boiler operation.
In consultation with relevant workers and other Organisations on-site, we will identify all High-Risk Work tasks
before work commences. Risk assessments and SWMS will be developed and implemented for all High-Risk
Work tasks.
We will implement, record, monitor and review induction, training, licensing and competency requirements for
supervisors/managers and workers who undertake High-Risk tasks as required.

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RESPONSIBILITIES
The OHS Manager is responsible for implementing regulatory requirements relating to High-Risk Work. They
will adopt appropriate support strategies, policies, procedures and tools for the identification, assessment,
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elimination and control of risks arising from the conduct of High-Risk work
Individual workers and others are responsible for cooperating with their Manager/Supervisor and our policies
and procedures concerning any High-Risk Work.
Workers are expected to contribute to the process of hazard identification, risk assessment and consultation,
and they must support compliance with the legislation.
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Workers are responsible for ensuring they have appropriate and current licences, permits and competencies
required to perform the specific tasks involved with their job.
LICENCE
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A high-risk work licence is required for specific work types, including scaffolding, dogging and rigging, crane
operation, hoists, boom-type Elevated Work Platform (EWP), reach stackers, forklifts, concrete booms,
pressure equipment, including boilers and steam turbines.
Workers need to be trained and assessed by RTOs listed on the National Register of Vocational Education
and Training (VET). Workers carrying out high-risk work hold the appropriately High-Risk Work licence or are
otherwise permitted under a regulation to carry out the High-Risk Work. They must provide written evidence
that they have the relevant high-risk work licence for that work.
Records of High-Risk Work licenses, permissions and competencies will be maintained.
High-Risk Licence Checklist

Document Title: HSEQMS Manual Document #:


Authorised by Version #: 1 Issue Date: Revision Date: Page 74 of 121
© SafetyCulture All Rights Reserved
{company_name}
Company Address:

ABN/NZBN:

INDEX OF SUPPORT DOCUMENTS


Annual Audit Schedule, 104 Isolation Permit to Work, 70
AS/NZS ISO 14001-2016 Internal Audit Checklist, 105 LOTO Standard Operating Procedure Template, 70
AS/NZS ISO 45001-2018 Internal Audit Checklist, 105 Management Review Meeting Report, 108
AS/NZS ISO 9001-2016 Internal Audit Checklist, 105 Manual Handling Risk Assessment Form, 80
Asbestos Management Plan, 68 Measuring and Calibration Register, 102
Asbestos Register, 59 Meeting/Toolbox Record, 17
Audiometric Testing Records, 76 Monitoring and Measurement Schedule, 101
Change Request Form, 30, 97 Monitoring Register, 101
Chemical and SDS Register, 60, 66 Monitoring/Measurement Equipment Register, 101
Chemical Risk Assessment Form, 66 Non-conformance Form, 94, 102, 105, 109, 110
Compliance Evaluation Report, 103 Objectives and Targets Register, 28
Compliance Requirements Register, 27 Objectives Summary Form, 28
Corrective/Preventative Actions Form, 24, 94, 97, 101, Operational Control Development Worksheet, 60
105, 107, 110 Operational Control Register, 61, 62
Corrective/Preventative Actions Register, 22, 30, 31, Operations/Processes Identification Form, 60
101, 103, 105

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Organisation Chart, 15
COVID 19 Safety Plan, 46
Outsourced Process Register, 62
Disaster Recovery Plan Template, 97
Plant and Equipment Register, 34, 100
Disaster Recovery Response Register, 97
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PPE Register, 71
discomfort surveys, 78
Pre-purchase Checklist, 23
Document Register, 53, 54, 56, 61, 64, 75
Product Approval Checklist, 94
Electrical Equipment Register, 84
Products/Processes - Identification and Material
Emergency Drill Report, 96 Traceability, 93
Emergency Response Plan, 96 Project Acceptance Criteria, 22
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Emergency Response Register, 96 Purchasing Record, 24


Environmental Control Plan, 95 Quality Design Plan Template, 21
Environmental Incident and Corrective Action Report Quarterly Objectives and Targets Report, 28
Form, 86, 87
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Remote and Isolated Work Plan, 99, 100


Falls Emergency Rescue Plan, 82
RETURN TO WORK PLAN, 49
Falls Prevention Checklist, 81
Risk Assessment Form, 24, 26, 30, 60, 96, 97
Fatigue Management Plan, 40
Risk Register, 26, 81
First Aid Worker Register, 51, 98
Roles and Responsibilities Schedule, 51
Hazard Report Form, 18, 87
Roles, Responsibilities, Accountabilities and Authorities
Hazardous Manual Handling Tasks Register, 79, 80 Register, 15
Health Surveillance Record, 57 SOP Template, 64
High-Risk Licence Checklist, 74 SWMS Template, 75
Incident Report Form, Investigation Checklist and Test Protocols, 92
Action Report Form, 43, 86, 87, 89
Training Needs Register, 51, 52, 61
Incident/Near Miss/Hazard Report Register, 47, 87, 89
Training Skills Responsibilities Register, 102
Induction Checklist, 51
Work Groups Register, 16
Infrastructure Responsibilities Register, 33
Worker Training Record, 52
Injuries/Illness Register 30042, 98
Worker Training, Competency and Induction Register,
Inspection Test Plan, 102 51
Interested Parties Register, 10 Working Alone Communication Log, 100
Internal Audit Plan, 104 Workplace Inspection Checklist, 58
Internal Audit Reports, 105

Document Title: HSEQMS Manual Document #:


Authorised by Version #: 1 Issue Date: Revision Date: Page 112 of 121
© SafetyCulture All Rights Reserved
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THIS IS THE END OF THE SYSTEM MANUAL SAMPLE.

THE MANUAL IS 112 PAGES LONG AND COMES WITH ALL


THE SUPPORT DOCUMENTS LISTED ABOVE.
THE SWMS SAMPLE WILL START NOW.
{company_name}
Company Address:
ABN/NZBN:

Manual Handling Safe Work Method Statement (SWMS)


Business Contact: Phone #: Principal Contractor (PC):

Responsible person (for monitoring SWMS and work): PC Address:

Signature: Date: PC Phone #: Date SWMS provided to PC:

Contact Phone #: Job Site Address:

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If yes – This SWMS must align with requirements of the Site
SITE MANAGEMENT PLAN Is the work associated with a Construction Project? Yes No Management Plan in place for the Construction Project.

THIS WORK ACTIVITY INVOLVES THE FOLLOWING “HIGH-RISK CONSTRUCTION WORK” (HRCW - IDENTIFIED IN THE JOB TASK COLUMN)

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Confined spaces Mobile plant movement Demolition of a load-bearing structure Asbestos disturbance
Using explosives Diving work Artificial extremes of temperature Tilt-up or pre-cast concrete
Pressurised gas distribution mains or piping chemical, fuel or refrigerant lines energised electrical installations or services

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Structures or buildings involving structural alterations or repairs that require temporary support to prevent collapse
Involves a risk of a person falling from 2m or more, including work on telecommunications towers Work in a ceiling space (W.A. Only)
Working at depths greater than 1.5 metres, including tunnels or mines Work in an area that may have a contaminated or flammable atmosphere
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Work carried out adjacent to a road, railway or shipping lane, traffic corridor In or near water or other liquid that involves the risk of drowning
WORKING WITH A RISK OF A FALL OVER 2 METRES. Select the fall from height 'hierarchy of control level' considered when establishing controls:
L 1: Work on the ground or solid construction L 4: Use a fall arrest system e.g., safety harness, catch platforms
L 2: Use a passive fall restraint system e.g., guard rails, scaffolding, EWP L 5: Implement administrative controls e.g., signage, or instruction
L 3: Use a work positioning system e.g., travel restraint, rope access Other?
More than one of these measures to reduce risk can be used. For example, engineering controls like edge protection can be implemented with administrative controls
like training and use of this SWMS, while wearing PPE (non-slip shoes). Please describe why it is not reasonably practicable to use higher-order control measures.
E.g. The job is less than 5 minutes on a ladder.
{company_name}
Company Address:
ABN/NZBN:

Personal Protective Equipment (PPE)


FOOT HEARING HIGH HEAD EYE FACE HAND PROTECTIVE BREATHING SUN SAFETY Do not wear rings,
PROTECTION PROTECTION VISIBILITY PROTECTION PROTECTION PROTECTION PROTECTION CLOTHING PROTECTION PROTECTION HARNESS watches or
jewellery that may
become
entangled. Long
and loose hair
must be tied back.

CONTROL MEASURES RESPONSIBLE


JOB TASK HAZARDS IR INHERENT RISK-RATING (IR) BEFORE CONTROLS - RESIDUAL RISK-RATING (RR) AFTER CONTROLS
RR
PERSON

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1. Preparation Ÿ MSD injuries 3H Ÿ Plan travel pathway - flat, even floor surface, shortest travel distance possible with no 2M Supervisor
Ÿ Slips obstructions and workers
Ÿ Trips Ÿ Weight of an object is known, avoid lifting loads more than 16 – 20kg. to follow

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Ÿ Falls Ÿ Determine if a lifting aid is required control
Ÿ Sufficient lighting measures
Ÿ Suitable weather conditions (for example large cement sheeting can be unsafe to lift in high
winds)
Ÿ Objects to be lifted are in suitable condition (dry, stable, even distribution of weight, handles
where possible, allows a good grip, will not block vision, no sharp edges, containers sealed,

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no chemical or other waste residues on the object,)
Ÿ The object can be held close to body (this excludes large/bulky items that are difficult to grasp,
or hot/cold objects that cannot be held against the body)
Ÿ Maintain good housekeeping. Remove waste or other items that could cause tripping hazards
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or awkward postures
Ÿ Ensure materials/equipment is as close to the workstation as possible
Ÿ Arrange work system to reduce double handling.
{company_name}
Company Address:
ABN/NZBN:

CONTROL MEASURES RESPONSIBLE


JOB TASK HAZARDS IR INHERENT RISK-RATING (IR) BEFORE CONTROLS - RESIDUAL RISK-RATING (RR) AFTER CONTROLS
RR
PERSON
2. Team lifts MSD injuries 3H Ÿ Where team handling is required (as a last resort). Ensure: 2M Supervisor
o All members of team-lift are matched in size, skills, capabilities and workers
o Number of people proportionate to the weight of load and level of difficulty to follow
o Lifts are planned and rehearsed control
o The person allocated to plan and oversee lift – all others to know their roles measures
o Use aids where possible (e.g. lifting bars, handles)

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3. Non- MSD injuries 3H Ÿ Use mechanical aids wherever possible 2M Supervisor
powered Ÿ Pre-inspect and use following manufacturer’s and workers
lifting aid instructions to follow
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use Ÿ When using a lifting aid, ensure: control
o Push rather than pull the aid measures
o Do not pull large loads towards yourself
o Do not jerk to get the aid moving
o Seek assistance if the load is too heavy or
break down the load to make it lighter
o Never try to move or push a loaded aid or
skid by hand
o Use proper lifting techniques when loading
and unloading
o When going down an incline push, do not
pull.
Ensure regular maintenance and service
of equipment and tools can reduce the
force required to operate them.
{company_name}
Company Address:
ABN/NZBN:

OVERALL RISK RATING AFTER CONTROLS 1 - LOW 2 - MODERATE 3 - HIGH 4 - ACUTE


Not applicable Hot Work Confined Space Local council Excavation Lift (crane)
PERMITS
Working at height Restricted access Asbestos remediation Other? Other? Other?
PLANT & EQUIPMENT HAZARDOUS SUBSTANCES SUPERVISORY ARRANGEMENTS
Electrical tools and leads Tested and tagged quarterly List hazardous substances taken on-site Audits
and have the SDS on-site. Spot Checks
Hand tools - Meet AS/NZS Regular visual inspection 1. Reporting systems
Ladders - Meet AS/NZS Inspected and tagged out if damaged 2. Suitably qualified supervisors for job

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3. Direct on-site supervision
Mobile plant-specify Inspected and tagged out if damaged 4.
Remote site: communication
? 5.
systems/schedule

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? Other?

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?
?

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This SWMS developed in consultation and cooperation with workers and relevant organisation representatives. I have read the above SWMS, and
SWMS SIGN-OFF I understand its contents. I confirm that I have the skills and training, including relevant certification, to conduct the task as described.
I agree to comply with safety requirements within this SWMS, including risk control measures, safe work instructions, and PPE described.
JOB ROLE / POSITION LICENCES, COMPETENCIES & QUALIFICATIONS (add as applicable)
WORKERS’ NAME DATE SIGNATURE
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E.G. SUPERVISOR, WORKER, TRAINEE TYPE / DESCRIPTION CLASS NUMBER
Construction Card

Construction Card

Construction Card

Construction Card

Construction Card
{company_name}
Company Address:
ABN/NZBN:

MOST LEAST
HIERARCHY OF CONTROLS EFFECTIVE EFFECTIVE

RISK MATRIX
STEP 1: DETERMINE LIKELIHOOD: What is the possibility that the effect will occur? STEP 2: DETERMINE CONSEQUENCE: What will be the expected effect?
CRITERIA DESCRIPTION LEVEL OF EFFECT EXAMPLE OF EACH LEVEL
ALMOST
Expected in most circumstances. The effect is a common result. INSIGNIFICANT No effect – or so minor that effect is acceptable.
CERTAIN
Will probably occur in most The effect is known to have Minor first aid treatment,minimal business
LIKELY MINOR

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circumstances. occurred previously. disruption, minimal environmental effect.
The effect could occur. I’ve heard Serious injuries, medium business interruption,
POSSIBLE Could possibly occur at some time. MODERATE
of it happening before. medium environmental impact.

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The effect could occur, but I have Extensive injuries/fatality, significant business
UNLIKELY Unlikely but possible. MAJOR
not heard of it happening before. interruption, environmental harm, prosecution.
Multiple permanent disability/fatalities, business
RARE Highly unlikely to occur. The effect is practically impossible. CATASTROPHIC failure, substantial environmental harm,
prosecution/imprisonment.

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STEP 3: DETERMINE THE RISK SCORE: STEP 4: RECORD RISK
EFFECT
INSIGNIFICANT MINOR MODERATE MAJOR CATASTROPHIC SCORE ACTION
LIKELIHOOD
4A: ACUTE DO NOT PROCEED until risk level is reduced;
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ALMOST
2 MOD. 2 MOD. 3 HIGH 4 ACUTE 4 ACUTE immediately introduce high-level controls.
CERTAIN
Re-assess before proceeding.
LIKELY 2 MOD. 2 MOD. 3 HIGH 4 ACUTE 4 ACUTE Review before commencing work. Introduce new
3H: HIGH
controls and/or maintain high-level controls to
lower the risk level. Controls are to be monitored
POSSIBLE 1 LOW 2 MOD. 2 MOD. 3 HIGH 4 ACUTE frequently.

2M: MOD. Maintain control measures. Be cautious when


UNLIKELY 1 LOW 1 LOW 2 MOD. 3 HIGH 4 ACUTE working. Monitor and review regularly.

1L: LOW Record and monitor. Proceed with work.


RARE 1 LOW 1 LOW 2 MOD. 2 MOD. 3 HIGH
Regularly review risks.
THIS IS THE END OF THE SWMS SAMPLE.
THE MANUAL HANDLING SWMS IS 16 PAGES
LONG.

THE SOP SAMPLE WILL START NOW.


THE SOP IS MADE UP OF A 6-PAGE PROCEDURE
AND RISK ASSESSMENT FORM FOLLOWED BY A
1-PAGE QUIZ
{company_name}
Company Address:
ABN/NZBN:

MANUAL HANDLING SOP


USE MECHANICAL AIDS WHEREVER POSSIBLE
MANUAL TASKS
o Manual tasks can lead to “musculoskeletal Ensure all
disorders” (MSD) employees have
o MSD injuries affect: undertaken training
§ Muscles, ligaments, nerves, and for manual handling.

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tendons in the wrists, arms, shoulders,
neck or legs, or discs in the back PRECAUTIONS
§ These injuries can be sudden or occur

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o Implement controls as appropriate for the source of the risk. Options:
gradually over time
§ Alter workplace and layout
o Muscular Stress – sprains, strains,
§ Alter environmental conditions
temporary soft tissue injuries
§ Alter system of work or how work is done
o Indirect Injuries – cuts/lacerations
§ Modify items used in the task
o Repetitive strain injuries.

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o Minimise risks by providing adequate resources and controls:
HAZARDS - What can cause harm? § Sufficient workers and time for the task
p Awkward, twisting, bending positions § Adequate rest breaks and recovery time
p Lifting, carrying or putting down objects § Job rotation to ensure task variety
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p Prolonged sitting § Suitable transport vehicles with hydraulic tailgate
p Pushing, pulling, throwing, pressing objects § Ergonomically designed mechanical aids
p Repetitive/sustained force § Lifting aids and equipment (cranes, vacuum lifters)
p Overreaching § Specialized equipment includes spring/scissor trucks, adjustable conveyors, anti-
p Static positions kickback devices on power tools, height-adjustable pallet lifters with a turntable, etc.
p Contact with cold/cold objects § Smaller-sized bags/containers of materials
p Contact with sharp objects § Team-lifts
p Handling/lifting people or animals § Seek advice from competent persons (Ergonomist) on task-specific risk controls where
p Vibration. required.
{company_name}
Company Address:
ABN/NZBN:

MANUAL HANDLING RISK ASSESSMENT FORM Location:


Location of Task: Description of manual handling:

Date of assessment: Workers, others (consultants, etc.):


Reason for Identification:
Existing task New task Change in task, object or tool New information Report of MSD
Does the task involve repetitive or sustained movements, postures, and forces?

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As a guide;
Ÿ Repetitive means the movement or force is performed more than twice a minute and
Ÿ Sustained means the posture or force is held for more than 30 seconds at a time.

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Postures and Movements If any boxes are ticked,
Because... (Describe why)
(place a tick in the “yes” column each time you This action happens what are possible
Yes This is the source of the
observe repetitive movement or sustained when... controls to reduce the
risk
posture) risk
BACK

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Forwards
Bending or twisting
Sideways
E.g., more than 20 degrees
Twisting
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Bending
Backward
E.g., more than 5 degrees
NECK OR HEAD
Forwards
Bending or twisting
Sideways
E.g., more than 20 degrees
Twisting
Bending
Backward
E.g., more than 5 degrees

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