Information
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Document No.
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Conducted on
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Personnel
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Location
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Supervisor
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Ergo Contact
Reason For Visit
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- New onset - Discomfort
- Follow up - Adjustments
- Follow up - Aggravated Injury
- Follow up - Ongoing
- Specialist Requested
- Monitor Needed
- Awkward posture
- Poor lighting
- Broken equipment
- Repetetive motion
- Inadequate support
- Inadequet Breaks
- Improper height
- Not sized properly
- Poor body mechanics
- Personal Issue
- Pregnancy
- Excessive use
- Glare
- Corrective lenses
- Other (see narrative)
Observation Of Workstation
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Add media
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Chair
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- New onset - Discomfort
- Follow up - Adjustments
- Follow up - Aggravated Injury
- Follow up - Ongoing
- Specialist Requested
- Monitor Needed
- Awkward posture
- Poor lighting
- Broken equipment
- Repetetive motion
- Inadequate support
- Inadequet Breaks
- Improper height
- Not sized properly
- Poor body mechanics
- Personal Issue
- Pregnancy
- Excessive use
- Glare
- Corrective lenses
- Other (see narrative)
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Desk
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- New onset - Discomfort
- Follow up - Adjustments
- Follow up - Aggravated Injury
- Follow up - Ongoing
- Specialist Requested
- Monitor Needed
- Awkward posture
- Poor lighting
- Broken equipment
- Repetetive motion
- Inadequate support
- Inadequet Breaks
- Improper height
- Not sized properly
- Poor body mechanics
- Personal Issue
- Pregnancy
- Excessive use
- Glare
- Corrective lenses
- Other (see narrative)
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Mouse
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- New onset - Discomfort
- Follow up - Adjustments
- Follow up - Aggravated Injury
- Follow up - Ongoing
- Specialist Requested
- Monitor Needed
- Awkward posture
- Poor lighting
- Broken equipment
- Repetetive motion
- Inadequate support
- Inadequet Breaks
- Improper height
- Not sized properly
- Poor body mechanics
- Personal Issue
- Pregnancy
- Excessive use
- Glare
- Corrective lenses
- Other (see narrative)
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Keyboard
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- New onset - Discomfort
- Follow up - Adjustments
- Follow up - Aggravated Injury
- Follow up - Ongoing
- Specialist Requested
- Monitor Needed
- Awkward posture
- Poor lighting
- Broken equipment
- Repetetive motion
- Inadequate support
- Inadequet Breaks
- Improper height
- Not sized properly
- Poor body mechanics
- Personal Issue
- Pregnancy
- Excessive use
- Glare
- Corrective lenses
- Other (see narrative)
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Monitor
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- New onset - Discomfort
- Follow up - Adjustments
- Follow up - Aggravated Injury
- Follow up - Ongoing
- Specialist Requested
- Monitor Needed
- Awkward posture
- Poor lighting
- Broken equipment
- Repetetive motion
- Inadequate support
- Inadequet Breaks
- Improper height
- Not sized properly
- Poor body mechanics
- Personal Issue
- Pregnancy
- Excessive use
- Glare
- Corrective lenses
- Other (see narrative)
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Other
Recommendation
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Carla Jean Wilkinson Ergonomic Specialist BH 3, 125 carla.j.wilkinson@exxonmobil.com 832-683-2357
