Video Display Terminal and Office Ergonomics Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Organization of Work Area

Space

• Work Surface and work area large enough to hold materials and equipment and perform required tasks

  Safe

  At Risk

  N/A

• Storage space adequate for copies, handbooks, documents, and notebooks

  Safe

  At Risk

  N/A

• Area under desk free of obstructions

  Safe

  At Risk

  N/A

• Area under work surface provides sufficient depth, height, and width for legs to move about freely

  Safe

  At Risk

  N/A

Job Aids and Equipment Positioning

• Job aids, tools and materials placement allows efficient flow of work

  Safe

  At Risk

  N/A

• Items used frequently (telephone, calculators, etc) within easy reach without extensive body movement

  Safe

  At Risk

  N/A

• Document holder available and positioned to avoid frequent eye and head movement

  Safe

  At Risk

  N/A

• Cables and cords positioned to prevent tripping

  Safe

  At Risk

  N/A

• Headset available for high volume telephone use

  Safe

  At Risk

  N/A

Body Posture for Seated Position

• Lower back support

  Safe

  At Risk

  N/A

• Thighs approximately horizontal

  Safe

  At Risk

  N/A

• Lower part of leg approximately vertical

  Safe

  At Risk

  N/A

• Keyboard height allows forearms and wrists to be in a neutral (straight) position

  Safe

  At Risk

  N/A

• Monitor at least 12-18" away from worker

  Safe

  At Risk

  N/A

• Top of monitor screen approximately eye level

  Safe

  At Risk

  N/A

• Mouse positioned to allow forearm and wrists to be in a neutral position

  Safe

  At Risk

  N/A

• Feet rest flat on floor, or footrest provided, when needed

  Safe

  At Risk

  N/A

• No prolonged forward bending

  Safe

  At Risk

  N/A

• Minimum amount (or infrequent) bending or twisting of the back, head or neck

  Safe

  At Risk

  N/A

Chair

Chair Features

• Stable with five point base (safe from tipping over)

  Safe

  At Risk

  N/A

• Castors appropriate for safe mobility on floor surface

  Safe

  At Risk

  N/A

• Swivels

  Safe

  At Risk

  N/A

• Are seat dimensions: Seat Pan 15" - 19" deep and a minimum of 18.2" wide

  Safe

  At Risk

  N/A

• Has armrests that are a good fit for user

  Safe

  At Risk

  N/A

• Clearance under work surface for arm rests

  Safe

  At Risk

  N/A

• Rounded front edge to avoid thigh pressure

  Safe

  At Risk

  N/A

• Padded Seat

  Safe

  At Risk

  N/A

• Lumbar support in backrest

  Safe

  At Risk

  N/A

• Guidance / Training for users describing how to make adjustents

  Safe

  At Risk

  N/A

Chair Adjustability

• Chair allows user to assume different postures

  Safe

  At Risk

  N/A

• Seat height adjusts between 16" - 20.5"

  Safe

  At Risk

  N/A

• Adjustable armrests

  Safe

  At Risk

  N/A

• Adjustable height of backrest

  Safe

  At Risk

  N/A

• Backrest adjustable forward / backward

  Safe

  At Risk

  N/A

• Adjustments easily made from seated position

  Safe

  At Risk

  N/A

Environment

• Lighting adequate for tasks

  Safe

  At Risk

  N/A

• Display screen free of glare and reflections

  Safe

  At Risk

  N/A

• Screen at right angle to windows

  Safe

  At Risk

  N/A

• Screen character brightness at a comfortable level

  Safe

  At Risk

  N/A

• Room temperature constant between 70F and 73F

  Safe

  At Risk

  N/A

• Noise level less than 55 dBA in task areas requiring intense concentration

  Safe

  At Risk

  N/A

• Noise level less than 65 dBA in routine task areas

  Safe

  At Risk

  N/A

• Environment free from distracting high noise levels (from printers, copiers, etc)

  Safe

  At Risk

  N/A

• Environment free of hot or cold areas under desks, in corners, etc

  Safe

  At Risk

  N/A

Workstation Photographs

• Work station before adjustments

  Media

• Workstation after adjustments

  Media

User educational information / Adjustments made

• "Computer Ergonomics" handout provided

  Yes

  No

  N/A

• Adjusted Monitor

• Adjusted Chair

• Adjusted keyboard tray

• Discussed behavior modification techniques and reminders

Recommendations

• Add foot rest to work station

• Add keyboard tray to workstation

• Add document holder

• Comments:

Follow up

• Date and Time

  Date

• Work station after trial period

  Media

• Comments:

Follow up

• Date and Time

  Date

• Work station after trial period

  Media

• Comments:

Follow up

• Date and Time

  Date

• Work station after trial period

  Media

• Comments:

Comments

• Comments:

• Diagrams:

  Drawing