IEP Ergonomic Hazards for Computer Station

• Document No.

• Portfolio

• Building & Room #

• Workstation Ergonomic Assessment for:

• Conducted on

  Date

• Prepared by

• Location
  Address

• Employee name:

• Employee concerns/symptoms:

• Date & Time of audit.

  Date

• Photograph of the workstation area.

  Media

Chair

• Feet cannot rest flat on the floor.

  Select Yes No

  • Yes
  • No

• Raise / lower chair to allow feet to rest comfortably on th floor

• Use footrest if keyboard/ desk height requires an elevated chair.

• Unable to sit with thighs parallel to the floor, or with a slight downwards angle.

  Select Yes No

  • Yes
  • No

• Adjust chair heights so that feet remain flat on floor or footrest.

• Front edge of seatpan presses into back of knee.

  Select Yes No

  • Yes
  • No

• Choose a chair with 2-3 fingers width between front edge of chair and back of knee.

• Attach removable back support cushion.

• Choose a chair with curved front edge.

• Replace seatpan

• Space exists between spine and back rest.

  Select Yes No

  • Yes
  • No

• Arrange workstation to allow proper back support.

• Remove or lower arm rests.

• Replace seatpan.

• Armrest provide inadequate forearm support when keying or mousing

  Select Yes No

  • Yes
  • No

• Armrest are too low or too high

  Select Yes No

  • Yes
  • No

• Add padding

• Only use armrest for short period

• Replce with adjustable armrest.

• Armrest are too wide

  Select Yes No

  • Yes
  • No

• Adjust closer

• Replace with narrow seatpan

• Replace with width adjustable armrest.

• Notes:

Keyboard and mouse

• Wrist is not flat , forearm not parallel with floor.

  Select Yes No

  • Yes
  • No

• Place on keyboard tray

• Support arms on armrest.

• Adjust seat height

• Retract keyboard feet

• Adjust work surface

• Wrist is deviated when using keyboard, mouse or input device.

  Select Yes No

  • Yes
  • No

• Ensure adequate space for input device.

• Use appropriately sized keyboard.

• Reaching to side or front when using mouse or other devices.

  Select Yes No

  • Yes
  • No

• Place mouse appropriatly

• Use mouse on left side

• Use keyboard with numeric pad

• Ensure adequate space available for devices.

• Notes:

Monitor and Workstation

• Head titlted up and down

  Select Yes No

  • Yes
  • No

• Raise or lower monitor

• Place document holder

• Head turn side to side

  Select Yes No

  • Yes
  • No

• Position monitor in front

• Place document holder between worker and monitor.

• Neck tilted to the side

  Select Yes No

  • Yes
  • No

• Maintain one hand on phone

• Use hand free system

• Head not directly over spine

  Select Yes No

  • Yes
  • No

• Arrange workstation for proper posture.

• Hard / sharp objects press into skin.

  Select Yes No

  • Yes
  • No

• Move devices

• Use palm rest

• Raise chair so devices are below elbow height

• Pad sharp edge with foam

• Replace with rounded edge devices

• Install keyboard tray

• Twisting of torso

  Select Yes No

  • Yes
  • No

• Arranges accessories on the strong hand side

• Locate phone on the opposite side

• Determine mostly used devices

• Encourage standing up for retreiving items

• Inadequate space under desk for legs.

  Select Yes No

  • Yes
  • No

• Raise desktop surface

• Remove marerials under the desk.

• Install keyboard tray.

• Repeated or prolonged trunk bending

  Select Yes No

  • Yes
  • No

• Adjust to get neutral back posture.

• Notes:

Environemental

• Adequate lighting

  Yes

  No

  N/A

• No Glare on monitor

  Yes

  No

  N/A

• Room temperature is adequate?

  Yes

  No

  N/A

Recommendations

• Recommendations:

Audit required signatures.

• Employee

  Sign

• Supervisor

  Sign

• Health and Safety Representative Signature

  Sign