This worksite assessment report template helps safety consultants and supervisors document employee details, job roles, return to work status, and duty summaries. Capture physical demand percentages for sitting, standing, walking, bending, and lifting. Assess manual task risks across postures and movements including reaching, twisting, pushing or pulling, vibration exposure, and repetitive actions. Specify required PPE such as protective footwear, eye and hearing protection, and hard hats. Log equipment used with weight ranges and record findings, summaries, and recommendations to reduce risk and improve workplace safety.
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