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MOVING AND LIFTING CHECKLIST

RESCUER NO. 1

No CRITERIA OBSERVED NOT OBSERVED


LIFTING UP
1 Back is straight and not arched
2 Feet are firmly planted on ground and with proper distance between each foot
3 Patient/victim is near the body (line and center of gravity)
4 Used power lift (legs were used to do majority of the lift)
5 Performed proper sequence of movements
LAYING DOWN
1 Back is straight and not arched
2 Feet are firmly planted on ground and with proper distance between each foot
3 Patient/victim is near the body (line and center of gravity)
4 Legs were used to lay down the victim
5 Performed proper sequence of movements

RESCUER NO. 2

No CRITERIA OBSERVED NOT OBSERVED


LIFTING UP
1 Back is straight and not arched
2 Feet are firmly planted on ground and with proper distance between each foot
3 Patient/victim is near the body (line and center of gravity)
4 Used power lift (legs were used to do majority of the lift)
5 Performed proper sequence of movements
LAYING DOWN
1 Back is straight and not arched
2 Feet are firmly planted on ground and with proper distance between each foot
3 Patient/victim is near the body (line and center of gravity)
4 Legs were used to lay down the victim
5 Performed proper sequence of movements

RESCUER NO. 3

No CRITERIA OBSERVED NOT OBSERVED


LIFTING UP
1 Back is straight and not arched
2 Feet are firmly planted on ground and with proper distance between each foot
3 Patient/victim is near the body (line and center of gravity)
4 Used power lift (legs were used to do majority of the lift)
5 Performed proper sequence of movements
LAYING DOWN
1 Back is straight and not arched
2 Feet are firmly planted on ground and with proper distance between each foot
3 Patient/victim is near the body (line and center of gravity)
4 Legs were used to lay down the victim
5 Performed proper sequence of movements

RESCUER NO. 4

No CRITERIA OBSERVED NOT OBSERVED


LIFTING UP
1 Back is straight and not arched
2 Feet are firmly planted on ground and with proper distance between each foot
3 Patient/victim is near the body (line and center of gravity)
4 Used power lift (legs were used to do majority of the lift)
5 Performed proper sequence of movements
LAYING DOWN
1 Back is straight and not arched
2 Feet are firmly planted on ground and with proper distance between each foot
3 Patient/victim is near the body (line and center of gravity)
4 Legs were used to lay down the victim
5 Performed proper sequence of movements
RESCUER NO. 5

No CRITERIA OBSERVED NOT OBSERVED


LIFTING UP
1 Back is straight and not arched
2 Feet are firmly planted on ground and with proper distance between each foot
3 Patient/victim is near the body (line and center of gravity)
4 Used power lift (legs were used to do majority of the lift)
5 Performed proper sequence of movements
LAYING DOWN
1 Back is straight and not arched
2 Feet are firmly planted on ground and with proper distance between each foot
3 Patient/victim is near the body (line and center of gravity)
4 Legs were used to lay down the victim
5 Performed proper sequence of movements

RESCUER NO. 6

No CRITERIA OBSERVED NOT OBSERVED


LIFTING UP
1 Back is straight and not arched
2 Feet are firmly planted on ground and with proper distance between each foot
3 Patient/victim is near the body (line and center of gravity)
4 Used power lift (legs were used to do majority of the lift)
5 Performed proper sequence of movements
LAYING DOWN
1 Back is straight and not arched
2 Feet are firmly planted on ground and with proper distance between each foot
3 Patient/victim is near the body (line and center of gravity)
4 Legs were used to lay down the victim
5 Performed proper sequence of movements

________________________
SIGNATURE OF VALIDATOR

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