Safety Engineering

JOB ANALYSIS WORKSHEET

Department:

Job Description:

Job Title:

Analyst Name:

Date: XX/XX/XXXX

Measure and Record Task Variables

Object Weight

Hand Location

Vertical Distance

Asymmetric Angle (Degrees)

Frequency Rate (lifts/min)

Duration (hrs)

Object Coupling

L (Avg)

L (Max)

Origin

Dest.

Origin

Dest.

Determine the Multipliers and Compute the RWLs

LC

x

HM

x

VM

x

DM

x

AM

x

FM

x

CM

=

RWL

Origin:

51

lbs

Destination:

Compute the Lifting Index

Origin:

Desination: