Moving & Handling Risk Assessment

"*" indicates required fields

Please select an office/region:*

Date of completion:*

DD slash MM slash YYYY

Client name:*

Build including weight

Obese

Large

Average

Light

Height

Tall

Average

Short

Level of client understanding

Fully understanding

Partially understanding

Cannot understand

General mobility

Good

Fair

Poor

Immobile

Chair bound

Bed bound

Is there sufficient room to carry out the task?

Yes

Sufficient room comments:

Is the equipment provided appropriate to your needs?

Yes

Appropriate equipment not provided - Please comment:

What equipment has been provided for the task?

Stand aid (Including Re-turn / Sara steady / ETAC etc.)

Yes

No but required

Not required

Stand aid comments:

Standard hoist:

Yes

No but required

Not required

Standard hoist comments:

Fixed hoist:

Yes

No but required

Not required

Fixed hoist comments:

Ceiling hoist:

Yes

No but required

Not required

Ceiling hoist comments:

Standing hoist:

Yes

No but required

Not required

Standing hoist comments:

Specialist hoist:

Yes

No but required

Not required

Specialist hoist comments:

Hospital bed:

Yes

No but required

Not required

Hospital bed in good working order?

Hospital bed date serviced

DD slash MM slash YYYY

Does the hospital bed have bed rails or sides?*

Yes

Who has provided the bed rails or sides and is there a risk assessment in place?*

Hospital bed comments:

Any other comments not mentioned above?

Standing and weight bearing:

Independent

Help of 1 carer

Help of 2 carers

Use hoist

Standing and weight bearing comments:

Walking:

Independent

Help of 1 carer

Help of 2 carers

Use hoist

Walking comments:

Toileting:

Independent

Help of 1 carer

Help of 2 carers

Use hoist

Toileting comments:

Movement when in bed:

Independent

Help of 1 carer

Help of 2 carers

Use hoist

Movement when in bed comments:

Transfer to and from chair:

Independent

Help of 1 carer

Help of 2 carers

Use hoist

Transfer to and from chair comments:

Getting into and out of bed:

Independent

Help of 1 carer

Help of 2 carers

Use hoist

Getting into and out of bed comments:

Bathing and showering:

Independent

Help of 1 carer

Help of 2 carers

Use hoist

Bathing and showering comments:

Washing:

Independent

Help of 1 carer

Help of 2 carers

Use hoist

Washing comments:

Putting shoes on:

Independent

Help of 1 carer

Help of 2 carers

Use hoist

Putting shoes on comments:

Dressing and undressing:

Independent

Help of 1 carer

Help of 2 carers

Use hoist

Dressing and undressing comments:

Further moving and handling comments/directions:

Risk Indicator - Hoists

Is there a hoist in place?

Yes

Is the hoist in good working order?

Yes

Is the hoist appropriate to your needs?

Yes

Are hoist safety devices employed?

Yes

Are hoist safety devices working?

Yes

Were hoist safety devices tested at the time of this assessment?

Yes

Has the hoist been serviced?

Yes

Hoist last service date:

DD slash MM slash YYYY

Hoist comments:

Risk Indicator - Standing Hoist

Is there a standing hoist in place?

Yes

Is the standing hoist in good working order?

Yes

Is the standing hoist appropriate for your needs?

Yes

Are standing hoist safety devices employed?

Yes

Are standing hoist safety devices working?

Yes

Were standing hoist safety devices tested at the time of this assessment?

Yes

Has the standing hoist been serviced?

Yes

Standing hoist last service date:

DD slash MM slash YYYY

Standing hoist comments/directions:

Risk Indicator - Slings & Attachments

Are slings in place?

Yes

Are slings in good repair?

Yes

Are the slings appropriate for your needs?

Yes

Types of slings

General purpose sling?

Yes

Toileting sling?

Yes

Bathing sling?

Yes

Specialist sling?

Yes

Specialist sling - state purpose:

Sling comments/directions:

Risk Indicator - Transfer Belts

Are transfer belts in place?

Yes

Are the transfer belts in good repair?

Yes

Are the transfer belts appropriate for your needs?

Yes

Transfer belt comments/directions:

Risk Indicator - Transfer Boards

Are transfer boards in place?

Yes

Are transfer boards in good repair?

Yes

Are the transfer boards appropriate for your needs?

Yes

Transfer boards comments/directions:

Risk Indicator - Stand Aid (Including Re-turn / Sara steady / ETAC etc.)

Is a stand aid in place?

Yes

Is the stand aid in good repair?

Yes

Is the stand aid appropriate for your needs?

Yes

Stand aid comments/directions:

Risk Indicator - Hand/Grab Rails

Are hand/grab rails in place?

Yes

Are hand/grab rails in good repair?

Yes

Are hand/grab rails securely fixed?

Yes

Location of Hand/Grab Rails

Outside front door:

Yes

Outside back door:

Yes

Living room:

Yes

Bedroom:

Yes

Kitchen:

Yes

Bathroom:

Yes

Attached to ramps:

Yes

Hall:

Yes

Stairs:

Yes

Hand/grab rails comments/directions:

Risk Indicator - Ramps

Are ramps in place?

Yes

Are ramps in good repair?

Yes

Ramps comments/locations:

Risk Indicator - Stair Lift

Is there a stair lift in place?

Yes

Is the stair lift in good repair?

Yes

Is the stair lift securely fixed?

Yes

Has the stair lift been serviced?

Yes

Stair lift last service date:

DD slash MM slash YYYY

List the names and contact numbers of organisations responsible for providing any equipment:

Number of care staff at each visit:

Do you use any of the following equipment to support you with your mobility? Please select all that apply:

Slide sheet

Rise and recline chair

Wheelchair

Commode

Walking stick

Walking frame

Scooter

Toilet frame

Pressure mattress

Pressure cushion

Air flow mattress

Scooter in good working order?

Scooter date serviced

DD slash MM slash YYYY

Air flow mattress in good working order?

Air flow matress date serviced

DD slash MM slash YYYY

Please leave any additional comments: