Recovre Home Based WHS & Ergonomic Self Assessment

• Recovre Home Based WHS & Ergonomic Self Assessment

• Document Number 3.6.6.1

• Employee Name:

• Location
  Address

• Conducted on

  Date

• Manager for Office Location:

WORKSTATION SET-UP

• Lumbar support is adequate and positioned in lower back curve?

  Yes

  No

  N/A

• Chair adjusted to optimise posture. Shoulders are positioned slightly behind hips and knees level with hips?

  Yes

  No

  N/A

• Armrests not stopping chair from accessing desk?

  Yes

  No

  N/A

• Desk height adjusted to ensure shoulders are relaxed, elbows bent and forearms supported on desk?

  Yes

  No

  N/A

• Feet supported (i.e. feet flat on the floor or consider footrest to ensure knees are level with hips)?

  Yes

  No

  N/A

• Monitor height and angle appropriate for to maintain neutral neck position?

  Yes

  No

  N/A

• Monitor at suitable distance to view easily (i.e. approx. arms length away)?

  Yes

  No

  N/A

• Shoulders relaxed when key boarding, key board legs on lowest setting to avoid extension of the wrists?

  Yes

  No

  N/A

• Mouse is used without stretching/overreaching (i.e. positioned close to keyboard)?

  Yes

  No

  N/A

• If regularly transcribing from documents, documents positioned between the monitor and keyboard to avoid repetitive neck rotation?

  Yes

  No

  N/A

• Frequency of telephone use determined. If computing required when on telephone, consider provision of a headset or using phone on speaker?

  Yes

  No

  N/A

• Commonly used items (i.e. telephone, documents) are within easy reach on desk? <br>

  Yes

  No

  N/A

• Removal of desk clutter. Set-up desk to allow position for computing and position for writing/reading?

  Yes

  No

  N/A

• Work is organised to enable varying work posture and activity at least once every hour.

  Yes

  No

  N/A

• Workstation ergonomics flyer is displayed in the home office?

  

• <br>

  Yes

  No

  N/A

• FOLLOW-UP REQUIRED?

  Yes

  No

  N/A

• Insert photo of Workstation set-up:

  Media

FLOORS, WALKWAYS, STAIRS AND CEILINGS

• Are floor surfaces even, free of slips/trips/falls hazards and in good condition?

  Yes

  No

  N/A

• Are office floors, walkways, storerooms and stairways clear of obstacles?

  Yes

  No

  N/A

• Are stairs fitted with a handrail?

  Yes

  No

  N/A

• Area walkways kept clear of open drawers and cupboard doors?

  Yes

  No

  N/A

• Are walkways free of electrical, telephone and computer cables?

  Yes

  No

  N/A

• FOLLOW-UP REQUIRED?

  Yes

  No

  N/A

• Provide details:

ENVIRONMENT

• Is the ventilation adequate (i.e. no draughts, or extremes or temperature)?

  Yes

  No

  N/A

• Is lighting adequate for work being performed (i.e. not to dull, no flickering or shadows)?

  Yes

  No

  N/A

• Are light fittings, light bulbs and fluorescent tubes clean and in good working order?

  Yes

  No

  N/A

• Are distracting or disruptive noises in the work area minimised (e.g. photocopiers not to close to workstations)? <br>

  Yes

  No

  N/A

• Is there sufficient space for tasks to be safely carried out?

  Yes

  No

  N/A

• Are the kitchen and bathroom amenities clean and tidy?

  Yes

  No

  N/A

• FOLLOW-UP REQUIRED?

  Yes

  No

  N/A

• Provide details:

STORAGE AREAS

• Are storage areas kept clean and tidy?

  Yes

  No

  N/A

• Are any items stored higher than 1800mm?

  Yes

  No

  N/A

• Are items stored securely and not in danger of falling?

  Yes

  No

  N/A

• Are heavy or regularly used items stored between mid thigh & shoulder height?

  Yes

  No

  N/A

• Is there sufficient storage space in the work area?

  Yes

  No

  N/A

• Are filing cabinets stable when ore than one draw is open?

  Yes

  No

  N/A

• Is there sufficient space around storage areas for easy and safe access?

  Yes

  No

  N/A

• Are drawers and cupboards closed when not in use?

  Yes

  No

  N/A

• Are you aware of correct manual handling techniques?

  Yes

  No

  N/A

• FOLLOW-UP REQUIRED?

  Yes

  No

  N/A

• Provide details:

ELECTRICAL

• Is the wiring of electrical appliances in good order (e.g. no damaged, discoloured cords or exposed wires etc.)

  Yes

  No

  N/A

• Are plugs and switches in good working condition?

  Yes

  No

  N/A

• All power sockets and computer connections easily accessible and being used in a safe manner?

  Yes

  No

  N/A

• Are power boards (with surge protector for computer) being used?

  Yes

  No

  N/A

• FOLLOW-UP REQUIRED?

  Yes

  No

  N/A

• Provide details:

EMERGENCY MANAGEMENT

• Is there a functional and appropriately stocked first aid kit in the home?

  Yes

  No

  N/A

• Insert photo:

  Media

• Does the home have a functioning smoke detector in place?

  Yes

  No

  N/A

• Does the home have a fire blanket?

  Yes

  No

  N/A

• Insert photo:

  Media

• Are all access and exit points readily accessible and free from obstructions?

  Yes

  No

  N/A

• Is there an Emergency Evacuation Procedure and Emergency Contacts displayed in the home office?

  Yes

  No

  N/A

• Insert photo

  Media

• FOLLOW-UP REQUIRED?

  Yes

  No

  N/A

• Provide details:

GENERAL

• Are you aware of the WHS Team Member for your office?

  Yes

  No

  N/A

• FOLLOW-UP REQUIRED?

  Yes

  No

  N/A

• Provide details:

SIGNATURE

• Signature

  Sign