MCPS Employee Ergonomic Evaluation

• Employee Name

• Supervisor Name

• Conducted on

  Date

• Prepared by

WORKING POSTURES

• The workstation is designed or arranged for doing computer tasks so it allows your...

• Head and neck are upright, or in-line with the torso (not bent down/back).

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

• Head, neck and trunk are facing forward and not twisted.

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

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

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

• Shoulders and upper arms are in-line with the torso, generally about perpendicular to the floor and relaxed (not elevated or stretched forward). Elbows are close to the body and bent between 90 and 120 degrees.

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

• Upper arms and elbows are close to the body (not extended outward).

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

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

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

• Wrists and hands to be straight (not bent up/down or sideways toward the little finger).

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

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

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

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

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

SEATING

• Consider these points when evaluating the chair...

• Backrest provides support for your lower back (lumbar area).

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

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

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

• Seat front does not press against the back of your knees and lower legs (seat pan not too long).

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

• Seat has cushioning and is rounded with a "waterfall" front (no sharp edge).

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

• Armrests, if used, support both forearms while you perform computer tasks and they do not interfere with movement.

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

KEYBOARD/MOUSE

• Consider these points when evaluating the keyboard or pointing device. The keyboard and input device is designed or arranged for doing computer tasks so the...

• Keyboard/mouse platform is stable and large enough to hold a keyboard and mouse.

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

• Mouse (or trackball) is located right next to your keyboard so it can be operated without reaching.

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

• Mouse (or trackball) is easy to use and the shape/size fits your hand (not too big or small).

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

• Wrists and hands do not rest on sharp or hard edges.

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

MONITOR

• Consider these points when evaluating the monitor. The monitor is designed or arranged for computer tasks so the...

• Monitor position is directly in front of you so you don't have to twist your head or neck.

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

• Monitor distance allows you to read the screen without leaning your head, neck or trunk forward/backward.

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

• Top of the screen is at or below eye level so you can read it without bending your head or next down/back.

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

• Glare, from windows or lights, is not reflecting on your screen which can cause you to assume an awkward posture to clearly see information on your screen.

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

WORK AREA

• Consider these points when evaluating the desk and workstation. The work area is designed or arranged for doing computer tasks so the...

• Thighs have sufficient clearance space between the top of the thighs and your computer table/keyboard platform (thighs are not trapped).

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

• Legs and feet have sufficient clearance space under the work surface so you are able to get close enough to the keyboard/mouse.

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

ACCESSORIES

• Check to see if...

• Document holder, if provided, is stable and large enough to hold documents.

  Yes

  No

  N/A

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

• Document holder, if provided, is placed at about the same height and distance as the monitor screen so there is little head movement, or need to re-focus, when you look from the document to the screen.

  Yes

  No

  N/A

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

• Wrist/palm rest, if provided, is padded and free of sharp or square edges that push on your wrists.

  Yes

  No

  N/A

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

• Wrist/palm rest, if provided, allows you to keep your forearms, wrist, and hands straight and in-line when using the keyboard/mouse.

  Yes

  No

  N/A

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

• Telephone can be used with your head upright (not bent) and your shoulders relaxed (not elevated) if you do computer tasks at the same time.

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

GENERAL

• Workstation and equipment have sufficient adjustability so you are in a safe working posture and can make occasional changes in posture while performing computer tasks.

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

• Computer workstation, components and accessories are maintained in serviceable condition and functioning properly.

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

• Computer tasks are organized in a way that allows you to vary tasks with other work activities, or to take micro-breaks or recovery pauses while at the computer workstation.

  Yes

  No

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

• How many hours per day are you at your desk?

• How many days per week do you work at your desk?

• Has the employee or employee's supervisor submitted a claim to CorVel?

  Yes

  No

  N/A

• CORRECTIVE ACTIONS AND RECOMMENDATIONS.

RESOURCES

COMPONENTS

• Desks
  https://www.osha.gov/SLTC/etools/computerworkstations/components_desk.html

• Chairs
  https://www.osha.gov/SLTC/etools/computerworkstations/components_chair.html

• Document Holders
  https://www.osha.gov/SLTC/etools/computerworkstations/components_doc_holders.html

• Keyboards
  https://www.osha.gov/SLTC/etools/computerworkstations/components_keyboards.html

• Monitors
  https://www.osha.gov/SLTC/etools/computerworkstations/components_monitors.html

• Pointer/Mouse
  https://www.osha.gov/SLTC/etools/computerworkstations/components_pointers.html

• Telephones
  https://www.osha.gov/SLTC/etools/computerworkstations/components_telephone.html

• Wrist/Palm Supports
  https://www.osha.gov/SLTC/etools/computerworkstations/components_wrist_rests.html

GOOD WORKING POSITIONS

• Good Working Positions
  https://www.osha.gov/SLTC/etools/computerworkstations/positions.html

PURCHASING GUIDE

• Purchasing Guide
  https://www.osha.gov/SLTC/etools/computerworkstations/checklist_purchasing_guide.html