Ergonomic Hazards for Computer Station

• Workstation Ergonomic Assessment for:

• Conducted on

  Date

• Employee concerns/symptoms:

• Non-work activities that may contribute

• Notes

• Photograph of the workstation area.

  Media

Chair adjustment

• Legs are not parallel and feet flat or steady on floor

  Yes

  No

• Raise chair height

• Lower chair height

• Add footstool

• Adjust so employee sitting back in chair

• Adjust back support

Keyboard and mouse

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

  Select Yes No

  • Yes
  • No

• 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.

  Select Yes No

  • Yes
  • No

• Ensure adequate space for input device.

• Use appropriately sized keyboard.

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

  Select Yes No

  • Yes
  • No

• 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

  Select Yes No

  • Yes
  • No

• Raise or lower monitor

• Place document holder

• Head turn side to side

  Select Yes No

  • Yes
  • No

• Position monitor in front

• Place document holder between worker and monitor.

• Neck tilted to the side

  Select Yes No

  • Yes
  • No

• Maintain one hand on phone

• Use hand free system

• Head not directly over spine

  Select Yes No

  • Yes
  • No

• Arrange workstation for proper posture.

• Hard / sharp objects press into skin.

  Select Yes No

  • Yes
  • No

• 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

  Select Yes No

  • Yes
  • No

• 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.

  Select Yes No

  • Yes
  • No

• Raise desktop surface

• Remove marerials under the desk.

• Install keyboard tray.

• Repeated or prolonged trunk bending

  Select Yes No

  • Yes
  • No

• Adjust to get neutral back posture.

• Notes:

Environmental

• Adequate lighting

  Yes

  No

  N/A

• No Glare on monitor

  Yes

  No

  N/A

• Room temperature is adequate?

  Yes

  No

  N/A

• Notes:

Recommendations

• Recommendations:

Audit required signatures.

• Health and Safety Representative Signature

  Sign