Office ergonomics workstation assessment

Template

The Office Ergonomics Workstation Assessment Template will help determine whether the workstation is a good fit for the employee. It will provide basic questions and tips to set up and maintain a healthy workspace in the office.

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Template structure

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  1. Name
  2. Department
  3. Email
  4. Phone
  5. Date

Backlog

  1. Auditor

Workspace

  1. Does the work surface height allow you to position your upper body (shoulders, arms, and hands) in neutral position to use keyboard, mouse, pens, etc.?
    • Yes
    • No
  2. Is there enough space for legs/feet under the work surface?
    • Yes
    • No
  3. Are frequently used items within easy reach of a seated user?
    • Yes
    • No
  4. Is there adequate storage space for your files, supplies, reference materials, and personal items?
    • Yes
    • No
  5. Is the workspace easily adjustable?
    • Yes
    • No
  6. Action plan

Chair

  1. Are chair casters suitable for the floor type?
    • Yes
    • No
  2. Is the seat pan height adjustable?
    • Yes
    • No
  3. Does the seat support the user’s body weight and size?
    • Yes
    • No
  4. Is the seat tension properly set for the user’s body weight?
    • Yes
    • No
  5. Is there a 2 to 3-inch gap between the seat pan and the back of the user’s knees?
    • Yes
    • No
  6. Does the seat pan have a waterfall front design?
    • Yes
    • No
  7. Is the seat back adjusted to support the spine in neutral posture?
    • Yes
    • No
  8. Do armrests provide forearm support?
    • Yes
    • No
  9. Is the chair functioning properly (no maintenance problems)?
    • Yes
    • No
  10. Action plan

Computer

  1. Is the monitor positioned directly in front of the user?
    • Yes
    • No
  2. Is the monitor height (top of screen) at or slightly lower than eye level?
    • Yes
    • No
  3. Is the monitor distant enough to allow optimal clarity?
    • Yes
    • No
  4. Is the monitor free of glare?
    • Yes
    • No
  5. Are documents properly placed to allow neutral neck/head position?
    • Yes
    • No
  6. Does the keyboard allow neutral shoulder, arm, and hand position?
    • Yes
    • No
  7. Does the mouse allow neutral shoulder, arm, and hand position?
    • Yes
    • No
  8. Does the keyboard/mouse tray provide a stable platform within easy reach?
    • Yes
    • No
  9. Action plan

Office equipment

  1. Is the computer functioning properly (no maintenance problems)?
    • Yes
    • No
  2. Does telephone use allow neutral shoulder, head and neck position?
    • Yes
    • No
  3. Does other frequently used office equipment allow neutral body postures?
    • Yes
    • No
  4. Action plan

Work environment

  1. Is the workstation lighting suitable for the work being performed?
    • Yes
    • No
  2. Are noise levels conducive for the workspace?
    • Yes
    • No
  3. Is the workstation temperature comfortable enough for the work being performed?
    • Yes
    • No
  4. Action plan

Done

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