Audit

DAILY COMPUTER USAGE

High Usage (5 to 8 hours a day)

Moderate Usage (2 to 4 hours a day)

Low Usage (Less that 2 hours a day)

Is this workstation assigned to only one user?

Does the employee work in a cubicle?

Does the employee work in a private office?

CHAIR

Executive type

Standard Office chair

Other

Chair is adjustable from a seated position?

Chair has adjustable or removable arm rests?

Chair has adjustable seat pan with waterfall edge?

Chair has swivel base with casters?

If chair is utilized on carpet is a chair mat provided for ease of movement?

Does chair back support lower back?

SITTING POSTURE

Employees head is in a neutral position while performing work / tasks?

Employees elbows are in close to their body while performing work / tasks?

Employees forearms parallel to the floor while performing work / tasks?

Is the height of the desk is at the proper height?

Enter the proper height to have work surface adjusted to (In inches)

Employees wrists are neutral and straight while performing work / tasks?

Employees spine is in a neutral posture and has natural curve while performing work / tasks?

Employees hips are between 90-115 degree angle while performing work / tasks?

Employees knees are between 90-110 degree angle while performing work / tasks?

Employees feet are flat on the floor while performing work / tasks?

Is an adjustable foot rest available and utilized when needed?

DESK

Standard Office Desk

System Furniture (Modular)

Computer Table

Does the work station have sharp edges?

Does the workstation have rounded edges?

Is the work station adjustable for both the keyboard and monitor(s)?

Does the work station have sufficient knee and leg room?

KEYBOARD / MOUSE

Keyboard is on top of desk.

Keyboard is on articulating arm.

Keyboard is located on sit / stand device.

Keyboard is in front of employee?

Keyboard is flat? (If "No" lower the feet on the back of the keyboard)

Are keyboard and mouse wrist rests available and utilized?

If wrist rests are used do they keep the employees wrists in a neutral position?

Is the mouse the same height as the keyboard?

The employee is not currently suffering from any wrist, hand or elbow pain in either arm?

MONITOR(S)

One monitor

Two monitors.

More than two monitors.

Are monitor(s) in front of the employee?

Are monitor(s) 18" to 24" away from the employees eyes?

Are monitor(s) adjustable?

Are the monitors adjusted so the employees eyes are in line with the top 1/3 of the monitor?

COMPUTER LOCATION

Located under the monitor(s).

Located somewhere on the desk.

Located on the floor to the side.

Are all computer cables secured and not creating a trip hazard?

WORK SURFACE

Is the work stations work surface the appropriate height?

Is the employees work stations work surface free from clutter?

Are items that are frequently used within easy reach of an extended arm?

TELEPHONE

Telephone located on the desk to the left of the employee.

Telephone located on the desk to the right of the employee.

Is headset available and utilized?

VISUAL COMFORT

Does the employee wear eye glasses or contacts?

Employee wears eye glasses (Distance only).

Employee wears eye glasses (Reading Only).

Employee wears eye glasses (Bifocals).

Employee wears eye glasses (Trifocals).

Employee wears contacts.

There is currently no glare on the monitor(s)

What is the employees dominant hand?

What is the employees dominant eye?

If needed is a document holder available?

If a document holder is utilized is it on the dominant eye side and is the same height as the monitor(s)?

NOTES / GENERAL RECOMMENDATIONS

Is this ergonomic assessment free from recommendations?

Signature Of Employee Receiving Ergonomic Assessment
Signature Of Person Performing Ergonomic Assessment