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NIOSH Scoring Sheet Date: Task: Company: Supervisor: Dept: Evaluator: Actual MeasurementsObject Weight: Origin MeasurementDestinationMultiplier(H) Horizontal Distance (in) (V) Vertical Location (in).

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How to fill out the NIOSH Scoring Sheet online

The NIOSH Scoring Sheet is an essential tool for assessing lifting tasks in various work environments. This guide provides clear instructions on how to accurately complete the form online, ensuring that users have a comprehensive understanding of each section and its components.

Follow the steps to efficiently fill out the NIOSH Scoring Sheet online:

  1. Press the ‘Get Form’ button to access the NIOSH Scoring Sheet and open it in your preferred online editor.
  2. Begin by entering the date of the assessment in the designated field.
  3. Input the task being evaluated in the Task section.
  4. Fill in the Company name to associate the assessment with the corresponding organization.
  5. Provide the Supervisor's name overseeing the task in the Supervisor field.
  6. Enter the department related to the lifting task in the Dept section.
  7. Input the Evaluator's name who is completing the assessment in the Evaluator field.
  8. In the Actual Measurements section, record the Object Weight.
  9. Complete the Origin Measurement fields by entering the Horizontal Distance (H), Vertical Location (V), and calculating the Distance Multiplier.
  10. If the measurements for the destination are the same as the origin, select 'SAME AS ORIGIN'.
  11. Assess the Asymmetry (A) in degrees and the Duration of Lifting Period (short, moderate, long), recording the Frequency (F) of lifts per minute.
  12. Evaluate the Coupling based on how the worker handles the load, selecting from the options: Good, Fair, or Poor.
  13. Analyze the Results section to determine the Recommended Weight Limit (RWL) and Lift Index (LI), noting the implications of your findings based on the LI values.
  14. Identify and double circle the worst-case multiplier and single circle the second worst-case multiplier for further analysis.
  15. Once all sections are completed, you can save changes to the form, download it, print a hard copy, or share it as needed.

Complete your NIOSH Scoring Sheet online today and ensure safe lifting practices in your workplace.

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Distance Multiplier. The Distance Multiplier (DM) is (. 82 + (1.8/D)) for D measured in inches, and DM is (. 82 + (4.5/D)) for D measured in centimeters.

RWL = LC x HM x VM x DM x FM x AM x CM Calculating the RWL using this formula helps you determine which of the six components of the task contribute most to the risk. The multiplier factors have a value between 0 and 1. The lower the multiplier, the higher the risk, and therefore the lower the RWL to prevent injuries.

The NIOSH Lifting Equation always uses a load constant (LC) of 51 pounds, which represents the maximum recommended load weight to be lifted under ideal conditions.

Vertical Multiplier (VM): The vertical distance (V, in cm) of the hands from the ground at the start of the lift. Distance Multiplier (DM): The vertical distance (D, in cm) that the load travels. Asymmetric Multiplier (AM): The twisting angle (A) of the body while lifting, measured in degrees.

RWL = LC x HM x VM x DM x FM x AM x CM Calculating the RWL using this formula helps you determine which of the six components of the task contribute most to the risk. The multiplier factors have a value between 0 and 1. The lower the multiplier, the higher the risk, and therefore the lower the RWL to prevent injuries.

NIOSH Lifting Equation The maximum weight to be lifted with two hands, under ideal conditions, is 51 pounds. The RWL is based on six variables that reduce the maximum weight to be lifted to less than 51 pounds.

The number of lifts observed is divided by 15 to determine the average lifts per minute. Duration is measured using the following categories: Short (Less than one hour); Moderate (1 to 2 hours); Long (2 to 8 hours).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232