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

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.