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  • Safety Observation Report Sample

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    Mahmoud Mahdy
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    This document identifies lifting as a risk factor and provides a checklist to evaluate specific areas for improvement when lifting, including body positioning, grip method, use of assistance equipment, and body mechanics. It indicates that corrective actions may include retraining, assigning a safety mentor, increasing safety observations, addressing unsafe conditions, or presenting the issue at a team meeting. The document is from an ergonomic risk assessment toolkit and aims to reduce lifting injuries by identifying risks and planning corrective actions.

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    This document identifies lifting as a risk factor and provides a checklist to evaluate specific areas for improvement when lifting, including body positioning, grip method, use of assistance equipment, and body mechanics. It indicates that corrective actions may include retraining, assigning a safety mentor, increasing safety observations, addressing unsafe conditions, or presenting the issue at a team meeting. The document is from an ergonomic risk assessment toolkit and aims to reduce lifting injuries by identifying risks and planning corrective actions.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    14 views1 page

    Safety Observation Report Sample

    Uploaded by

    Mahmoud Mahdy
    This document identifies lifting as a risk factor and provides a checklist to evaluate specific areas for improvement when lifting, including body positioning, grip method, use of assistance equipment, and body mechanics. It indicates that corrective actions may include retraining, assigning a safety mentor, increasing safety observations, addressing unsafe conditions, or presenting the issue at a team meeting. The document is from an ergonomic risk assessment toolkit and aims to reduce lifting injuries by identifying risks and planning corrective actions.

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    © All Rights Reserved
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    Safety Observation: Lifting

    Ergo Zone Toolkit



    SPECIFIC RISK FACTOR(S) IDENTIFIED

    Please check the items below where improvement is possible in order to address the risk factor:

    LIFTING
    NEEDS FOCUS RISK FACTOR IDENTIFIED CORRECTIVE ACTION APPROACH

    1 2 3 4 5
    Body positioning
    Gripping surface
    Grip method
    Use of lift assist equipment (dollies,
    hand trucks, forklifts, scissor lifts, etc.)
    Body mechanics: Twisting
    Body mechanics: Use of lower back
    Weight limits
    Two or more person lift
    Stretching program
    Strengthening program
    Other (specify):
    Other (specify):
    Other (specify):
    1 = Retraining
    2 = Assignment to work with safety mentor
    3 = Increased frequency of safety observations
    4 = Unsafe condition or “non-enabled task” that needs to be addressed
    5 = Present at team meeting

    Corrective action to be completed (Indicate who is responsible and corrective action date):

    Provided by ICW Group Workers’ Compensation, Risk Management Services V1

    Insurance Company of the West | Explorer Insurance Company | VerTerra Insurance Company
    www.icwgroup.com | 800.877.1111

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