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

• Employee workstation:

Questions

• Is the seating suitable and in good condition?

  Yes

  No

  N/A

• Add media

  Media

• Is the workstation at a suitable height?

• Monitor?

  Yes

  No

  N/A

• Chair?

  Yes

  No

  N/A

• Is the workers body positioned properly?

• Neck?

  Yes

  No

  N/A

• Back?

  Yes

  No

  N/A

• Wrists?

  Yes

  No

  N/A

• Elbows?

  Yes

  No

  N/A

• Feet?

  Yes

  No

  N/A

• Is there sufficient workspace?

  Yes

  No

  N/A

• Add media

  Media

• Are working materials positioned correctly to minimize over reaching and or twisting?

  Yes

  No

  N/A

• Add media

  Media

• Is the floor area around the workstation area free of clutter and safe from possible trip hazards?

  Yes

  No

  N/A

• Add media

  Media

• Is there sufficient light around you to work satisfactory?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

Work Practices

• Posture:

• Add media

  Media

• Keyboard & Mouse use:

• Add media

  Media

• Workstation accessories (document holder, wrist rest, foot rest, telephone head set, lighting glare, etc.)

• Add media

  Media

Recommendations

• Additional employee comments and or concerns.

• Recommendations and actions required.