Title Page

  • Site conducted

  • Site

  • Date and Time of Inspection

  • Auditor

Ergonomic

  • Are all workers trained on safe working postures?

  • Are all workers trained on safe lifting techniques, uses, and carrying devices?

  • REFERENCE: This is a sample training on safe lifting techniques.

    lifting reference.PNG
  • Are all workers knowledgeable about ergonomics policies and procedures?

  • Do workers feel free to report ergonomic symptoms?

  • Are rotation or rest breaks used to reduce time in awkward postures?

  • Does work scheduling minimize excessive overtime that causes fatigue?

  • Are there enough workers to do individual workloads?

  • Are all workers instructed to get someone’s help when lifting heavy materials?

  • Can the work be performed without twisting or overly bending the lower back?

  • Are all employees protected against eyestrain or glare in the process of doing their job?

  • Are neck and shoulders relaxed when performing tasks?

  • Are workers comfortable without experiencing any pressure points on any part of their body (wrists, forearms, back of thighs)?

  • Are all pieces of furniture or equipment adjusted, positioned, and arranged to minimize strain on all parts of the body?

  • Are workstations set up properly?

Surfaces for Walking and Working

  • Are working and walking surfaces clean and dry?

  • Are working surfaces unobstructed?

  • Are walking surfaces even?

Materials Handling

  • Do materials have handles to help carry loads?

  • Are there trolley's, or other aids readily available for moving materials?

  • Is the site clear enough to permit the use of trolley's?

  • Are all materials delivered as close as possible to where they will be used?

  • Are all materials stored at waist height?

  • Are all loads labeled with their weight?

Tools and Equipment

  • Are all tools sharp and in good condition?

  • Are all tools light weight and well balanced?

  • Is there minimal vibration when using tools and equipment?

  • Do all tools have right handle design?

  • Is there anti-fatigue matting to be used when a worker is required to stand all day?

Seating

  • Do workers have to lean forward to see/do their work when working on heavy equipment?

  • Is the vibration minimal on the seating of any heavy equipment?

Completion

  • Recommendations

  • Overall Assessment

  • Full Name and Signature of the Auditor.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.