Manual Handling Safety Assessment
Please complete this form to assess the safety of manual handling tasks.
Task Description
*
Location of Task
*
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Number of People Involved
*
Risk Factors Present (Select all that apply)
Control Measures Implemented
Additional Comments
Assessor's Full Name
*
First Name
Last Name
Assessor's Signature
Submit
Should be Empty: