Manual Handling Safety Training Form
Record your participation and complete the assessment for manual handling safety training.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Department/Team
*
Job Title
Training Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Trainer’s Name
How would you rate your knowledge of manual handling safety BEFORE this training?
*
No knowledge
1
2
3
4
Expert
5
1 is No knowledge, 5 is Expert
Assessment: Please answer the following about safe manual handling
*
Rows
Correct
Incorrect
Not Sure
Lift with your back bent and legs straight
1
2
3
Plan the route before moving a load
4
5
6
Keep the load close to your body
7
8
9
Twist your body while carrying heavy items
10
11
12
Ask for help if the load is too heavy
13
14
15
After this training, how confident do you feel in applying safe manual handling techniques?
*
Not confident
1
2
3
4
Very confident
5
1 is Not confident, 5 is Very confident
What are the most important things you learned from this training?
Do you have any suggestions to improve this training?
Please sign to confirm your attendance and completion of this training.
*
Submit Training Form
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