The reason this mobility screening is being completed
Other reasons (if required, please enter in the box below)
Conduct Physical Screens to determine the client’s mobility level RIGHT NOW (as compared to their care plan). Click the tests that the client passes
Level 1 - Supervison Equipment Availability: Check the client’s mobility level determined by the Physical Screens. From the relevant category, select your equipment.
Other equipment (if required, please enter in the box below)
Level 2 - Physical assisted ambulant person Equipment Availability: Check the client’s mobility level determined by the Physical Screens. From the relevant category, select your equipment.
Other equipment (if required, please enter in the box below)
Level 3 - Standing lifter Equipment Availability: Check the client’s mobility level determined by the Physical Screens. From the relevant category, select your equipment.
Other equipment (if required, please enter in the box below)
Level 4 - Full lifter Equipment Availability: Check the client’s mobility level determined by the Physical Screens. From the relevant category, select your equipment.
Level 1 - Supervision Check the client’s mobility level which may now be further modified by the equipment available. From the relevant category, select your people handling technique/s.
Level 2 - Physical assisted ambulant person Check the client’s mobility level which may now be further modified by the equipment available. From the relevant category, select your people handling technique/s.
Level 3 - Standing lifter Check the client’s mobility level which may now be further modified by the equipment available. From the relevant category, select your people handling technique/s.
Level 4 - Full lifter Check the client’s mobility level which may now be further modified by the equipment available. From the relevant category, select your people handling technique/s.
Considering the people handling tasks you intend to complete today, please tick and report any environmental risk factors that increase your exposure to force, awkward postures or repetitive movements
Describe the problem (if required, please enter in the box below)
Considering any variance in mobility status and any environmental hazards identified, tick the steps you will take to manage the risk/s
Other steps you have taken: