Manual Handling Assessment Form Template for New Zealand

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Manual Handling Assessment Form

"I need a Manual Handling Assessment Form for our new warehouse operation in Auckland, focusing specifically on the loading dock area where workers are regularly lifting boxes weighing up to 25kg; we need to implement this urgently due to recent near-miss incidents."

Document background

The Manual Handling Assessment Form is a essential workplace health and safety document required under New Zealand's health and safety regulatory framework. It should be used whenever new manual handling tasks are introduced, existing processes are modified, or as part of regular risk assessment reviews. The form helps organizations comply with their obligations under the Health and Safety at Work Act 2015 and associated regulations by documenting the systematic assessment of manual handling risks. It includes detailed evaluation of task characteristics, load properties, environmental factors, and control measures, serving as evidence of the organization's commitment to maintaining a safe workplace. The document is particularly crucial in industries where workers regularly engage in lifting, carrying, pushing, pulling, or moving objects, and helps prevent musculoskeletal disorders and other manual handling-related injuries.

Suggested Sections

1. Assessment Details: Basic information including date, assessor name, location, and department being assessed

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

3. Load Characteristics: Information about the weight, size, and nature of loads being handled

4. Environmental Factors: Assessment of workplace conditions including space, floor surfaces, lighting, and temperature

5. Task Risk Factors: Evaluation of specific risk factors such as twisting, stretching, bending, and repetitive movements

6. Current Control Measures: Documentation of existing measures to control manual handling risks

7. Risk Assessment Matrix: Systematic evaluation of likelihood and consequence of injury

8. Recommended Actions: Specific recommendations for risk control measures, listed in priority order

9. Implementation Timeline: Proposed schedule for implementing recommended control measures

10. Review Requirements: Specification of review frequency and triggers for reassessment

Optional Sections

1. Equipment Assessment: Evaluation of manual handling equipment and aids, used when mechanical assistance is part of the task

2. Worker Consultation: Documentation of worker feedback and concerns, recommended when multiple workers perform the task

3. Training Requirements: Specific training needs identified during assessment, included when new procedures or equipment are recommended

4. Cost-Benefit Analysis: Economic evaluation of proposed control measures, useful for significant workplace changes

5. Previous Incident History: Summary of related manual handling incidents, included when there is relevant history

Suggested Schedules

1. Risk Assessment Matrix Guide: Detailed guide explaining how to use the risk assessment matrix

2. Manual Handling Techniques: Illustrated guide of correct manual handling techniques and postures

3. Equipment Specifications: Technical specifications for recommended manual handling equipment

4. Legislative Requirements: Summary of relevant legislative requirements and guidelines

5. Body Force Limits: Tables showing recommended weight limits and force requirements for different tasks

Authors

Alex Denne

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

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Assessment Details
Task Identification
Load Characteristics
Risk Assessment
Control Measures
Environmental Conditions
Equipment Requirements
Worker Consultation
Health and Safety
Implementation
Review and Monitoring
Compliance
Documentation
Training Requirements
Emergency Procedures

Relevant Industries

Manufacturing

Construction

Warehousing and Distribution

Healthcare

Retail

Agriculture

Mining

Transportation and Logistics

Hospitality

Education

Waste Management

Facilities Management

Relevant Teams

Health and Safety

Operations

Warehouse

Production

Facilities Management

Risk Assessment

Occupational Health

Manufacturing

Logistics

Construction

Compliance

Human Resources

Quality Assurance

Relevant Roles

Health and Safety Manager

Operations Manager

Warehouse Supervisor

Production Line Manager

Facilities Manager

Risk Assessment Officer

Occupational Health Nurse

Safety Coordinator

Manufacturing Supervisor

Logistics Manager

Construction Site Manager

Compliance Officer

Human Resources Manager

Quality Assurance Manager

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Authors

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