Title Page
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Client / Site
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Date and Time of Inspection
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Inspected by
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Location
General Information
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Number of Employees
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Description of work to be performed
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Take a photo of the work area
Ergonomic
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Have all staff conducted the ELMO Workplace Health and Safety Awareness (EGSC) that includes information on safe working postures?
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Are all staff knowledgeable about ergonomics and ways to mitigate ergonomic risks in the workplace?
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Are staff aware that they need to report ergonomic symptoms?
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Are rotation or rest breaks used to reduce time in awkward postures?
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Does work scheduling minimize excessive overtime that causes fatigue?
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Is there enough staff to do individual workloads?
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Can the work be performed without twisting or overly bending the lower back?
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Are all staff protected against eyestrain or glare in the process of doing their job?
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Are neck and shoulders relaxed when performing tasks?
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Are staff comfortable without experiencing any pressure points on any part of their body (wrists, forearms, back of thighs)?
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Are all pieces of furniture or equipment adjusted, positioned, and arranged to minimize strain on all parts of the body?
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Are all pieces of furniture or equipment in good working order?
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Are workstations set up adequately?
Surfaces for Walking and Working
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Are working and walking surfaces clean and dry?
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Are working surfaces unobstructed?
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Are walking surfaces even?
Materials Handling
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Do materials have handles to help carry loads?
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Are there carts, trollies, or other aids readily available for moving materials?
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Are all materials delivered as close as possible to where they will be used?
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Are all materials stored at waist height?
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Are all loads labeled with their weight?
Seating
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Are the seats well-designed, easy to adjust, and comfortable?
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Do staff have to lean forward to see/do their work when working?
Completion
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Recommendations
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Overall Assessment
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Full Name and Signature