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Ergonomic Evaluation Checklist

Ergonomic Evaluation Checklist

Use this ergonomic evaluation checklist to evaluate the workstation setup and employee’s posture.

Use this template
or download pdf
Ergonomic Evaluation Checklist

Use this ergonomic evaluation checklist to evaluate the workstation setup and employee’s posture.

Use this template
or download pdf

About the Ergonomic Evaluation Checklist

This checklist can be used to evaluate the workstation setup and employee’s posture. Use it to assure your workstation, the keyboard/input device, monitor and features are designed or arranged for doing computer tasks and that your seats are appropriate.

Related categories

  • Health and safety management templates
  • ICT templates
  • Professional services templates
  • Workplace safety templates
Preview of the template
Audit
The WORKSTATION is designed or arranged for doing computer tasks so it allows the employee's...
... head, neck, and trunk to look forward
... forearms, wrists, and hands to be straight and parallel to the floor.
trunk to be about 90 degrees to the floor.
... upper arms and elbows to be near the body.
... head and neck to be upright.
... wrists and hands to be straight.
... computer tasks to be organized in a way that allows the employye to to switch between computer tasks and other work activities, or to take micro-breaks or recovery pauses while they are working at the computer.
... shoulders and upper arms to be about 90 degrees to floor and relaxed.
... thighs to be about parallel to floor and lower legs to be about 90 degrees to the floor.
... feet to rest on the floor or be carried by a stable footrest.
SEATING The Chair's...
... seat has protection and a rounded front edge.
... seat front does not press against the back of the employee's lower legs and knees
... seat width and depth suit employee (not too big or small).
... armrests support both forearms when the employee works on computer tasks and do not hinder any movement.
... backrest supports the employee's lower back (Lumbar Area).
The KEYBOARD/INPUT DEVICE is designed or arranged for doing computer tasks so that...
... wrists and hands are not placed on sharp or hard edge.
... input device is easy to operate and its shape/size suits hand of employee.
... input device (Mouse or trackball) is placed right next to the keyboard so it can be worked with without reaching too far.
... its platform(s) is sufficiently stable and large to carry keyboard and input device.
The WORK AREA is designed or arranged for doing computer tasks so that...
... legs and feet have enough space under computer table so that the employee can get close enough to keyboard/input device.
... thighs have enough space between chair and desk.
The MONITOR is designed or arranged for computer tasks so that...
... monitor distance allows employee to read screen without leaning head, neck, or trunk forward/backward.
... monitor position is right in front of employee, so employee does not have to twist head or neck.
... employees with bifocals/trifocals can read the screen without leaning head, neck, or trunk forward/backward.
... the top line of screen is at or underneath eye level so employee can read it without bending head or neck down/back.
... there is no glare (e.g. from windows, lights) on the screen which might cause the employee to take an awkward posture to read the screen.
ACCESSORIES
If there is a document holder in place, it is stable and big enough for the documents.
The document holder is set at about the same height and range as the monitor screen.
If there is a wrist/palm rest in place, it is stuffed and free of sharp or square ends that come in contact with the wrists.
If there is a wrist/palm rest in place, it supports user to keep his/her forearms, wrists, and hands straight and in-line when using the keyboard/input device. The height of that wrist/palm rest is the same as the front edge of the keyboard.
The phone is placed close to the workplace to prevent excessive reaches.
GENERAL
The workplace and equipment have enough adjustability so that the employee can set an individual safe working posture and occasionally change posture while working on computer tasks.
Computer workplace, equipment, and accessories are sustained in serviceable condition and function appropriate.
Completion
Full name and signature of evaluator:
This template was downloaded 22 times

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This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
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