MANUAL HANDLING INSPECTION CHECKLIST

Doc Ref: TEP-930-PRC-HS-BP4-0001 TANGGUH EXPANSION – PROJECT DEFINE Form no :FORM-TEP-HSSE-122

Date: LNG EPC Revision: 0

DATE : DAY SHIFT : YES NO NIGHT SHIFT YES NO

WEATHER: CLEAR CLOUDY RAIN

MAIN ACTIVITIES

LOCATION :

Level of Risk
ITEM Yes Low Med Heigh Remarks / Comment

1 Holding loads away from the trunk?

2 Do they involve Twisting activities ?

3 Do they involve Stooping activities ?

4 Reaching upwards?

5 Large vertical movement?

6 Long carrying distances?

7 Strenuous pushing or pulling?

8 Unpredictable movement of loads?

10 Repetitive handling?

11 Insufficient rest or recovery?

A work rate imposed by a

12
process?

13 Heavy?

14 Bulky/unwieldy?

15 Unstable/unpredictable?

Intrinsically harmful e.g.

16
sharp/hot?

17 Constraints on posture?

18 Poor floors?

19 Variations in levels?

20 Is clothing restricting movement?

NO FOTO FINDING RECOMMENDATION / FOLLOW UP

Remarks / Keterangan : Inspected by,

C Conform
NC = Not Conform
NR = Not Required
Name : Position SIGN :

Additional Info :