Moving and Handling Clinical Competency Assessment Tracker

Site Based:______Ward / Department:______

This tracker form is for the eighteen month date period: Start:______End:______

(a new Tracker should be started for each 18 month period)

Each member of staff should be assessed undertaking threedifferent manual handling tasks normally associated with their work duties whilst working with a patient in their normal working environment e.g. in a care of the elderly ward a) using a hoist b) using sliding sheets to move a patient up the bed c) assisting a patient to stand and walk.

This tracker should be sent on a monthly basis when assessments have been undertaken to alternative to this process is to enter the assessments directly into our online recording tool (Link). Assistance with any aspect of the assessments processcan be sought from the moving and handling team.

Employee Details / Date Assessed / Activity Assessed
Bed / Chair / hoist / Mobilise / Risk Score
VH/H/M /L / Reassess Date / Date Self Assessment Returned (M only)
1) / Forename / Surname /
Payroll No. / Band
2) / Forename / Surname /
Payroll No. / Band
3) / Forename / Surname /
Payroll No. / Band
4) / Forename / Surname /
Payroll No. / Band
5) / Forename / Surname /
Payroll No. / Band
6) / Forename / Surname /
Payroll No. / Band
7) / Forename / Surname /
Payroll No. / Band
8) / Forename / Surname /
Payroll No. / Band
Employee Details / Date Assessed / Activity Assessed
Bed / Chair / hoist / Mobilise / Risk Score
VH/H/M /L / Reassess Date / Date Self Assessment Returned (M only)
9) / Forename / Surname /
Payroll No. / Band
10) / Forename / Surname /
Payroll No. / Band
11) / Forename / Surname /
Payroll No. / Band
12) / Forename / Surname /
Payroll No. / Band
13) / Forename / Surname /
Payroll No. / Band
14) / Forename / Surname /
Payroll No. / Band
15) / Forename / Surname /
Payroll No. / Band
16) / Forename / Surname /
Payroll No. / Band
17) / Forename / Surname /
Payroll No. / Band
18) / Forename / Surname /
Payroll No. / Band

Moving and Handling Assessment Tracker (V7) November 2017