Ergonomic Assessment

• Site conducted

  Select

• Work center / task being inspected

• Conducted on

  Date

• Prepared by

• Co-Auditor, if applicable

• Description of work to be performed.

• Number of affected teammates.

• Are rotation or rest breaks provided throughout the workday?

  Yes

  No

• Does work scheduling minimize excessive overtime that causes fatigue?

  Yes

  No

Workstation - Design and Layout

• Are teammates able to change postures while working?

  Yes

  No

  N/A

• Are teammates able to reach comfortably?

  Yes

  No

  N/A

• What is the distance that teammates must reach FREQUENTLY while working to reach tools, parts or the workstation?

• Frequent reaches should be limited to a maximum of 14.25 inches.

• What is the distance that teammates must reach INFREQUENTLY while working to reach tools, parts or the workstation?

• Infrequent reaches should be limited to a maximum of 20 inches.

• What is the distance that teammates must reach OCCASIONALLY while working to reach tools, parts or the workstation?

• Occasional reaches should be limited to a maximum of 28 inches.

• Height of the workstation or the work surface from the floor.

• PRECISE work should be 1 1/2 to 2 1/4 inches ABOVE elbow height. LIGHT work should be 2 to 4 inches BELOW elbow height. HEAVY work should be 8 to 16 inches BELOW elbow height.

• While working, do teammates have raised shoulders, a rounded back, or a strained neck?

  Yes

  No

  N/A

• Are teammates standing or seated while working?

  Standing

  Seated

• Does the chair have a back support?

  Yes

  No

• Does it have lumbar support?

  Yes

  No

• Does the chair have armrest?

  Yes

  No

• Are they able to be adjusted in height by the teammate

  Yes

  No

• Is the chair's height able to be adjusted by the teammate?

  Yes

  No

• Are the teammates feet able to be supported on either the floor or a foot support?

  Yes

  No

• Does the chair have a cushion for the teammate to sit on?

  Yes

  No

• Is anti-fatigue matting available for teammates to stand on?

  Yes

  No

  N/A

• Are walking and working surfaces clean and dry?

  Yes

  No

  N/A

• Are working surfaces unobstructed?

  Yes

  No

  N/A

• Are walking/standing/seated surfaces even?

  Yes

  No

  N/A

• The repetition referred to means doing the same motions or using the same muscles repeatedly with minimal opportunity for rest and recovery. The appropiate work rest cycle should be based on the speed of the work, variety of the task, force required to work, posture while working, and the body region being used to perform the task(s).

• Do teammates have to twist their torso to perform their work?

  Yes

  No

  N/A

• How often do teammates need to twist their torso to perform work per hour?

• What is the activity level involved?

  Select Low - consistent, conspicuous long pauses, or very slow motions Medium - slow steady motion or exertion, frequent brief pauses High - rapid steady motions or exertions, no regular pauses

  • Low - consistent, conspicuous long pauses, or very slow motions
  • Medium - slow steady motion or exertion, frequent brief pauses
  • High - rapid steady motions or exertions, no regular pauses

• Do teammates need to rotate, bend forward (flex), or tilt back (extend) their neck to perform their work?

  Yes

  No

  N/A

• How often do teammates need to rotate, bend forward (flex), or tilt back (extend) their neck to perform their work per hour?

• What is the activity level involved?

  Select Low - consistent, conspicuous long pauses, or very slow motions Medium - slow steady motion or exertion, frequent brief pauses High - rapid steady motions or exertions, no regular pauses

  • Low - consistent, conspicuous long pauses, or very slow motions
  • Medium - slow steady motion or exertion, frequent brief pauses
  • High - rapid steady motions or exertions, no regular pauses

• Are teammates’ shoulders in a non-neutral position (rotated or raised) repeatedly or for a prolonged period?

  Yes

  No

  N/A

• How often are teammates’ shoulders in a non-neutral position (rotated or raised) repeatedly or for a prolonged period per hour?

• What is the activity level involved?

  Select Low - consistent, conspicuous long pauses, or very slow motions Medium - slow steady motion or exertion, frequent brief pauses High - rapid steady motions or exertions, no regular pauses

  • Low - consistent, conspicuous long pauses, or very slow motions
  • Medium - slow steady motion or exertion, frequent brief pauses
  • High - rapid steady motions or exertions, no regular pauses

• Do teammates need to bend their back forward, backward, or side to side repeatedly or for prolonged periods to perform their work?

  Yes

  No

  N/A

• How often do teammates need to bend their back forward, backward, or side to side repeatedly or for prolonged periods to perform their work per hour?

• What is the activity level involved?

  Select Low - consistent, conspicuous long pauses, or very slow motions Medium - slow steady motion or exertion, frequent brief pauses High - rapid steady motions or exertions, no regular pauses

  • Low - consistent, conspicuous long pauses, or very slow motions
  • Medium - slow steady motion or exertion, frequent brief pauses
  • High - rapid steady motions or exertions, no regular pauses

• Are teammates’ elbows or forearms pressed against a surface or sharp edge in the workstation?

  Yes

  No

  N/A

• Do teammates need to rotate their forearms repeatedly or for prolonged periods to perform their work?

  Yes

  No

  N/A

• How often do teammates need to rotate their forearms repeatedly or for prolonged periods to perform their work per hour?

• What is the activity level involved?

  Select Low - consistent, conspicuous long pauses, or very slow motions Medium - slow steady motion or exertion, frequent brief pauses High - rapid steady motions or exertions, no regular pauses

  • Low - consistent, conspicuous long pauses, or very slow motions
  • Medium - slow steady motion or exertion, frequent brief pauses
  • High - rapid steady motions or exertions, no regular pauses

• Are teammates' hands or wrists in an awkward posture (not in a neutral position) repeatedly or for prolonged periods while performing their work?

  Yes

  No

  N/A

• How often are teammates' hands or wrists in an awkward posture (not in a neutral position) repeatedly or for prolonged periods while performing their work per hour?

• What is the activity level involved?

  Select Low - consistent, conspicuous long pauses, or very slow motions Medium - slow steady motion or exertion, frequent brief pauses High - rapid steady motions or exertions, no regular pauses

  • Low - consistent, conspicuous long pauses, or very slow motions
  • Medium - slow steady motion or exertion, frequent brief pauses
  • High - rapid steady motions or exertions, no regular pauses

Displays and Equipment

• Do teammates need to stare at monitors or displays for long lengths of time?

  Yes

  No

  N/A

• Are the monitors or displays located directly in front of the teammate and between 0 and 35 degrees lower than their horizontal line of sight?

  Yes

  No

• Optimal monitor placement to avoid eye strain.

  

• Are the controls designed or located to be used by both right- and left-handed teammates?

  Yes

  No

  N/A

• Are the controls designed or positioned to be easy to operate without causing stress to the fingers, hands, or wrists?

  Yes

  No

  N/A
Tools (complete for each tool used)

• Type or name of the tool being used.

• Approximate weight of the tool.

• Do teammates need to overreach for the tool(s) repeatedly or for prolonged periods?

  Yes

  No

• Is the tool designed to be used by both left-handed and right-handed teammates?

  Yes

  No

• Are the handles of the tool shaped so the wrist remains straight where possible (e.g., pistol shaped, or in-line handle)?

  Yes

  No

• Does the tool fit well in the hand and not dig into the palm?

  Yes

  No

• Does the tool handle have a smooth, non-slip surface?

  Yes

  No

• Does the tool handle allow for safe use without slipping, cutting, or applying pressure (pressure points) to the hand(s)?

  Yes

  No

• Is the tool being used away from the body or above shoulder height?

  Yes

  No

• The tool weight should be less than 5 pounds.

• Is the tool being used overhead?

  Yes

  No

• The tool should be supported if it weighs more than 5 pounds.

• Is the tool being used for precision work?

  Yes

  No

• The tool should weigh less than 1 pound.

• Does the tool require sustained gripping force to hold the weight of the tool?

  Yes

  No

• Is the tool unbalanced when holding (i.e. tool motor causes the tool to want to rotate or tip forward when being held by the hand).?

  Yes

  No

• Types of grip.

  

• What type of grip does the tool require? (refer to the diagram above).

  Select Key Three-finger Two-finger Power (thumb and fingers wrapping around the gripped surface) Hook (curled four-finger effort)

  • Key
  • Three-finger
  • Two-finger
  • Power (thumb and fingers wrapping around the gripped surface)
  • Hook (curled four-finger effort)

• Does the tool require frequent use of a single finger?

  Yes

  No

• Does the tool vibrate?

  Yes

  No

• Type of vibration caused?

  Hand/Arm vibration

  Whole body

• How many hours per day does the teammate use the tool?

• Duration.

  Select Low - consistent, conspicuous long pauses, or very slow motions Medium - slow steady motion or exertion, frequent brief pauses High - rapid steady motions or exertions, no regular pauses

  • Low - consistent, conspicuous long pauses, or very slow motions
  • Medium - slow steady motion or exertion, frequent brief pauses
  • High - rapid steady motions or exertions, no regular pauses

Work environment - Temperature

• Is the work area climate controlled?

  Yes

  No

• The idea working temperature is 68 to 76 degrees F.

• If work takes place where thermal stress is an issue, teammates can experience over exposure to heat or to cold. Teammates could experience increased or decreased blood flow, less strength capability (which results in greater muscle demand), less coordination, discomfort, fatigue, slippery hands (from excess sweating), dry mucus membranes, static electricity, muscle contractions, neuralgia, or chills.

Work environment - Lighting

• Is the lighting adequate for the task(s) being performed?

  Yes

  No

• Does the lighting create reflections or glare on work surfaces, monitors, gauges, or other objects that could adversely affect teammates?

  Yes

  No

• Recommended Lx (Lux) range

  

Work environment - Effects of noise on performance

• Is the work environment over 85 dBA for an 8-hour time weighted average?

  Yes

  No

• Do teammates have to raise their voices or shout to communicate to one another?

  Yes

  No

• Are all audible warning signals able to be clearly heard?

  Yes

  No

• Ability to understand speech.

  

• Noise can cause fatigue and a loss of concentration that affects efficiency (a decrease in work output) and performance (an increase in the number of work errors). Work involving learning is more susceptible to disruption from noise than routine work.

Material Handling - Carrying

• Do teammates need carry objects to perform their work?

  Yes

  No

• What item(s) must be carried?

• What is the approximate weight of the item?

• How far do teammates have to carry the item?

• How do teammates carry the item?

  One-Handed

  Two-Handed

  Team Carry

  Mechanized Transport Equipment

  Other

• Please explain.

• How often do teammates carry the item per hour?

• Is them item large or awkward to carry?

  Yes

  No

• Does the item have sharp, rigid or cutting edges?

  Yes

  No
Material Handling - Pushing/Pulling

• Do teammates have to push or pull items?

  Yes

  No

• What item(s) must be pushed or pulled?

• What is the approximate weight of the item being pushed or pulled?

• How far do teammates have to push/pull the item?

• How often do teammates have to push/pull the item per hour?

• How do teammates push/pull the item?

  Select Manually (sliding/or scooting) - one handed Manually (sliding/or scooting) - two handed Manually (sliding/or scooting) - team Conveyor Motorized cart (powered pallet jacks etc.) Manual pallet jack Cart Table with casters or rollers Other

  • Manually (sliding/or scooting) - one handed
  • Manually (sliding/or scooting) - two handed
  • Manually (sliding/or scooting) - team
  • Conveyor
  • Motorized cart (powered pallet jacks etc.)
  • Manual pallet jack
  • Cart
  • Table with casters or rollers
  • Other

• Please explain.

• Which type of grip is required for teammates to push/pull the item?

  Select Key Three-finger Two-finger Power (thumb and fingers wrapping around the gripped surface) Hook (curled four-finger effort)

  • Key
  • Three-finger
  • Two-finger
  • Power (thumb and fingers wrapping around the gripped surface)
  • Hook (curled four-finger effort)

• Types of grips.

  

• Are items stored at waist height?

  Yes

  No

• Are items delivered or stored as close as possible to the work area?

  Yes

  No

Completion

• Recommendations

• Overall assessment

  Pass

  Fail