Information
-
Audit Title
-
Client / Site
-
Conducted on
-
Prepared by
-
Location
-
Personnel
Working Conditions
-
Are head and neck about upright (not bent down or back)?
-
Do head, neck, and trunk face forward?
-
Is trunk perpendicular to the floor?
-
Are shoulders and upper arms about perpendicular to the floor and relaxed? (Not stretched forward or elevated.)
-
Are upper arms and elbows close to the body?
-
Are forearms, wrists and hands straight and parallel to the floor?
-
Are thighs close to parallel to the floor and lower legs close to perpendicular to the floor?
-
Do feet rest flat on floor?
-
Are tasks organized in a way that allows employee to vary tasks with other activities or take micro breaks or recovery pauses while at workstation?
-
A passing score for this section requires a Yes for all questions. All no responses require an action.
Seating
-
Does the backrest provide support to the employee's lower back?
-
Does the seat pan width and depth accommodate the specific employee?
-
Does the seat front NOT press against the back of the employee's knees and lower legs?
-
Do the armrests support both forearms while employee works and not interfere with movement?
-
Does the seat have adequate cushioning and a rounded or waterfall front?
Keyboard and Input Device
-
Is the keyboard and input device platform stable and large enough to hold both?
-
Is the input device located right next to the keyboard so it can be operated without reaching?
-
Is the input device easy to operate and does the size and shape fit the specific employee? (Not too big or small)
-
Do the wrists and hands NOT rest on sharp or hard edges?
Monitor
-
Is the top line of the screen at or just below eye level, so employee is able to read without bending head or neck down or back?
-
Does the monitor distance allow employee to read screen without leaning head, neck or truck forward or backward?
-
Is the monitor positioned directly in front of the employee so employee does not have to twist head or neck?
-
Is there NO glare from lights or windows present on the screen which may cause the employee to assume an awkward position?
Work Area
-
Do thighs have clearance between chair and table?
-
Do the legs and feet have space under the desk so employee is able to get close enough to keyboard and input device?
Accessories
-
Is the document holder stable and large enough to hold documents that are used?
-
Is the document holder at or about the same height as monitor, so there is little head movement when employee looks from document to screen?
-
Is wrist rest padded and free from sharp edges?
-
Does wrist rest allow employee to keep forearms, wrists and hands straight and parallel to the ground when using keyboard/input device?
-
Can telephone be used with head upright and not bent and are shoulders relaxed if employee performs VDT tasks at the same time?
General
-
Does the workstation and equipment have sufficient adjustability so that the employee is able to be in a safe working posture and make occasional changes in posture while performing tasks?
-
Are all VDT equipment and accessories maintained in a serviceable condition and function properly?
Overall Assessment
-
Employee Signature
-
Auditor Signature
-
Select date