Title Page
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Site conducted
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Site
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Date and Time of Inspection
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Auditor
Ergonomic
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Are all workers trained on safe working postures?
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Are all workers trained on safe lifting techniques, uses, and carrying devices?
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REFERENCE: This is a sample training on safe lifting techniques.
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Are all workers knowledgeable about ergonomics policies and procedures?
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Do workers feel free 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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Are there enough workers to do individual workloads?
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Are all workers instructed to get someone’s help when lifting heavy materials?
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Can the work be performed without twisting or overly bending the lower back?
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Are all employees 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 workers 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 workstations set up properly?
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 trolley's, or other aids readily available for moving materials?
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Is the site clear enough to permit the use of trolley's?
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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?
Tools and Equipment
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Are all tools sharp and in good condition?
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Are all tools light weight and well balanced?
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Is there minimal vibration when using tools and equipment?
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Do all tools have right handle design?
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Is there anti-fatigue matting to be used when a worker is required to stand all day?
Seating
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Do workers have to lean forward to see/do their work when working on heavy equipment?
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Is the vibration minimal on the seating of any heavy equipment?
Completion
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Recommendations
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Overall Assessment
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Full Name and Signature of the Auditor.