Ergonomic Workstation Audit

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Time of audit.

  Date

• Photograph of the workstation area.

  Media

Questions

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

  Yes

  No

  N/A

Working Postures

• Is head and shoulders inline with torso?

  Yes

  No

  N/A

• Are wrists and hands in line with forearm when at the keyboard?

  Yes

  No

  N/A

• Are elbows close to body and supported by chair arm rests?

  Yes

  No

  N/A

Seating

• Is chair in good condition?

  Yes

  No

  N/A

• Is the lower back supported?

  Yes

  No

  N/A

• Are the feet flat on the floor? If not, is a foot rest needed, lower chair, or lower workstation?

  Yes

  No

  N/A

• Are armrest in good condition and at proper height?

  Yes

  No

  N/A

Keyboard

• Is keyboard stable?

  Yes

  No

  N/A

• Is any part of the arm resting on sharp or hard work surfaces? Are armrests or pads around keyboard needed?

  Yes

  No

  N/A

• Input device ( mouse or trackball located in a position that it can be orated without reaching?

  Yes

  No

  N/A

Monitor

• Is top of monitor parallel with eyes?

  Yes

  No

  N/A

• User with bifocals/trifocals can <br>Read screen without bending the head or neck backward?

  Yes

  No

  N/A

• Is screen large enough for adequate visibility?

  Yes

  No

  N/A

Desk and Work Surfaces

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

  Yes

  No

  N/A

• Are working materials positioned correctly to minimise stretching?

  Yes

  No

  N/A

• Is the workstation at a suitable height?

  Yes

  No

  N/A

• Is there adequate lighting? No glare that would cause awkward positioning?

  Yes

  No

  N/A

Document Holders

• Is document holder in a stable but easy to adjust for height, position, distance, and viewing angle?

  Yes

  No

  N/A

Recommendations

• Recommendations and actions required.

• Note:

  Yes

  No

  N/A

• Note:

  Yes

  No

  N/A

Audit required signatures.

• Health and safety representative signature.

  Sign

REV: Initial DATE: 11/25/2013 Location: J:company Data/Forms & Logos/Safety Approved: Dean Riley