| 1. Are the weights of loads to be lifted judged acceptable by the workforce? |
[ ]yes |
[ ]no |
| 2. Are materials moved over minimum distances? |
[ ]yes |
[ ]no |
| 3. Is the distance between the object load and the body minimized? |
[ ]yes |
[ ]no |
| 4. Are walking surfaces |
|
|
| spacespacelevel? |
[ ]yes |
[ ]no |
| spacespacewide enough? |
[ ]yes |
[ ]no |
| spacespaceclean and dry? |
[ ]yes |
[ ]no |
| 5. Are objects |
|
|
| spacespaceeasy to grasp? |
[ ]yes |
[ ]no |
| spacespacestable? |
[ ]yes |
[ ]no |
| spacespaceable to be held without slipping? |
[ ]yes |
[ ]no |
| 6. Are there handholds on these objects?
|
[ ]yes |
[ ]no |
| 7. When required, do gloves fit properly? |
[ ]yes |
[ ]no |
| 8. Is the proper footwear worn? |
[ ]yes |
[ ]no |
| 9. Is there enough room to maneuver? |
[ ]yes |
[ ]no |
| 10. Are mechanical aids used whenever possible? |
[ ]yes |
[ ]no |
| 11. Are working surfaces adjustable to the best handling heights? |
[ ]yes |
[ ]no |
| 12. Does material handling avoid |
[ ]yes |
[ ]no |
| spacespacemovements below knuckle height
and above shoulder height? |
[ ]yes |
[ ]no |
| spacespacestatic muscle loading? |
[ ]yes |
[ ]no |
| spacespacesudden movements during handling? |
[ ]yes |
[ ]no |
| spacespacetwisting at the waist? |
[ ]yes |
[ ]no |
| spacespaceextended reaching? |
[ ]yes |
[ ]no |
| 13. Is help available for heavy or awkward lifts? |
[ ]yes |
[ ]no |
| 14. Are high rates of repetition avoided by |
|
|
| spacespacejob rotation? |
[ ]yes |
[ ]no |
| spacespaceself-pacing? |
[ ]yes |
[ ]no |
| spacespacesufficient pauses? |
[ ]yes |
[ ]no |
| 15. Are pushing or pulling forces reduced or eliminated? |
[ ]yes |
[ ]no |
| 16. Does the employee have an unobstructed view of handling the task? |
[ ]yes |
[ ]no |
| 17. Is there a preventive maintenance program for equipment? |
[ ]yes |
[ ]no |
| 18. Are workers trained in correct handling and lifting procedures? |
[ ]yes |
[ ]no |
