Information

  • Document No.

  • Portfolio

  • Building & Room #

  • Workstation Ergonomic Assessment for:

  • Conducted on

  • Prepared by

  • Location
  • Employee name:

  • Employee concerns/symptoms:

  • Date & Time of audit.

  • Photograph of the workstation #1

  • Photograph of workstation #2

  • Photograph of workstation #3

  • Photograph of workstation #4

Chair

  • Feet cannot rest flat on the floor.

  • Raise / lower chair to allow feet to rest comfortably on th floor

  • Use footrest if keyboard/ desk height requires an elevated chair.

  • Unable to sit with thighs parallel to the floor, or with a slight downwards angle.

  • Adjust chair heights so that feet remain flat on floor or footrest.

  • Front edge of seatpan presses into back of knee.

  • Choose a chair with 2-3 fingers width between front edge of chair and back of knee.

  • Attach removable back support cushion.

  • Choose a chair with curved front edge.

  • Replace seatpan

  • Space exists between spine and back rest.

  • Arrange workstation to allow proper back support.

  • Remove or lower arm rests.

  • Replace seatpan.

  • Armrest provide inadequate forearm support when keying or mousing

  • Armrest are too low or too high

  • Add padding

  • Only use armrest for short period

  • Replce with adjustable armrest.

  • Armrest are too wide

  • Adjust closer

  • Replace with narrow seatpan

  • Replace with width adjustable armrest.

  • Notes:

Keyboard and mouse

  • Wrist is not flat , forearm not parallel with floor.

  • Place on keyboard tray

  • Support arms on armrest.

  • Adjust seat height

  • Retract keyboard feet

  • Adjust work surface

  • Wrist is deviated when using keyboard, mouse or input device.

  • Ensure adequate space for input device.

  • Use appropriately sized keyboard.

  • Reaching to side or front when using mouse or other devices.

  • Place mouse appropriatly

  • Use mouse on left side

  • Use keyboard with numeric pad

  • Ensure adequate space available for devices.

  • Notes:

Monitor and Workstation

  • Head titlted up and down

  • Raise or lower monitor

  • Place document holder

  • Head turn side to side

  • Position monitor in front

  • Place document holder between worker and monitor.

  • Neck tilted to the side

  • Maintain one hand on phone

  • Use hand free system

  • Head not directly over spine

  • Arrange workstation for proper posture.

  • Hard / sharp objects press into skin.

  • Move devices

  • Use palm rest

  • Raise chair so devices are below elbow height

  • Pad sharp edge with foam

  • Replace with rounded edge devices

  • Install keyboard tray

  • Twisting of torso

  • Arranges accessories on the strong hand side

  • Locate phone on the opposite side

  • Determine mostly used devices

  • Encourage standing up for retreiving items

  • Inadequate space under desk for legs.

  • Raise desktop surface

  • Remove marerials under the desk.

  • Install keyboard tray.

  • Repeated or prolonged trunk bending

  • Adjust to get neutral back posture.

  • Notes:

Environemental

  • Adequate lighting

  • No Glare on monitor

  • Room temperature is adequate?

Recommendations

  • Recommendations:

Audit required signatures.

  • Employee

  • Supervisor

  • Health and Safety Representative Signature

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.