Information

  • Audit Title

  • Client name

  • Company name

  • Conducted on

  • Prepared by

  • Prepared by

  • Time of audit.

  • Photograph of the workstation area.

General

  • General information

  • Does the worker currently experience any discomfort / injury in back / shoulder / neck?

  • Please comment

  • Has the worker ever experienced any discomfort / injury in back / shoulder / neck in the past?

  • Has the worker been on workers compensation for this discomfort / injury?

  • Please comment

  • Does the worker incorporate stretches / exercises into workday routine?

Working posture

  • Head and neck to be upright (not bent down/back)

  • What seems to be the cause?

  • Head, neck and trunk to face forward (not twisted)

  • What seems to be the cause

  • Trunk to be perpendicular to floor (may lean back into backrest but not forward)

  • What seems to be the cause

  • Shoulders and upper arms to be in line with the torso (not elevated or stretched out)

  • What seems to be the cause?

  • Forearms, wrists and hands to be straight and in-line (fore arm at about 90 degrees to the upper arm)

  • What seems to be the cause?

  • Thighs to be parallel to the floor and the lower legs to be perpendicular to floor (thighs may be slightly elevated above knees)

  • What seems to be the cause?

  • Feet rest flat on the floor or are supported by a stable footrest

  • Flat on floor or stable footrest

Seating

  • The chair is easily adjustable

  • The chair has a five-legged base with good chair casters that roll easily over the floor or carpet

  • What is recommended?

  • The chair swivels 360 degrees is it is easier to access items around the workstation without twisting

  • The backrest provides support for the lower back

  • Seat width and depth accommodate the worker (seat pan not too big or small)

  • Too big or too small

  • Armrests, if used, support both forearms during performing computer tasks and they do not interfere with movement

Keyboard / input device

  • Keyboard cord is long enough to allow the worker to position the keyboard right in front of worker.

  • Keyboard is detached from display screen if it is used for a long duration.

  • Input device (mouse) is located right next to the keyboard so it can be operated without reaching

  • Input device (mouse) is set up properly (not too fast / too slow)

  • Input device cord is long enough to allow the worker to place the input device in a variety of positions

Computer screen

  • Screen angle and tilt are easily adjustable

  • Top of the screen is at or below eye level

  • Too low or too high

  • Computer screen distance allows the worker to read the screen without leaning the head, neck or trunk forward / backwards

  • Computer screen is positioned directly in front of worker so worker does not have to twist head or neck

  • Glare is not reflected on the screen which can cause the worker to assume an awkward posture to clearly see information on the computer screen

Work area / work surface

  • Is the floor area around the workstation area safe from possible trip hazards?

  • Please comment

  • There is sufficient space to place most items directly in front of worker

  • There is sufficient clearance on the work surface so all items can be reached easily

  • Thighs have sufficient clearance space between the top of the thighs and the office desk

  • Legs and feet have sufficient clearance space under the office desk so the worker is able to get close enough to the keyboard / input device

  • The work area is set out to accommodate good use of horizontal work space (eg items used most often are within close reach)

  • The work area us set out to accommodate good use of vertical work space (eg items used mistrial often are located between shoulder and hip height)

  • Is there sufficient light around you to work satisfactory?

  • Is the temperature of the workstation maintained to a satisfactory level?

Accessories

  • Does the worker refer regularly to printed documents while typing

  • Is a document holder provided and located at the same height of the computer screen

  • Does the worker use the telephone regularly?

  • Can the telephone be used with the worker's head upright and shoulders relaxed if doing computer tasks at the same time?

  • Is a head set provided when worker is regularly on prolonged phone calls?

Recommendations

  • Items

Audit required signatures.

  • Employee signature.

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.