ERGONOMIC ASSESSMENT CHECKLIST

Created by ChecklistGuro (https://checklistguro.com)


--- WORKSTATION SETUP ---
[ ] Work Surface Height (inches)
[ ] Chair Height (inches)
[ ] Distance from monitor to eye (inches)
[ ] Monitor Position (Relative to User) (Directly in front, Slightly to the left, Slightly to the right, Angled, Other (specify))
[ ] Keyboard Placement (Positioned flat and stable, Angled (positive or negative), Requires excessive reach, Other (specify))
[ ] Workstation Accessories Present? (Footrest, Wrist rest, Document holder, Keyboard tray, None)
[ ] Describe any specific workstation layout concerns

--- MATERIAL HANDLING ---
[ ] Maximum Weight Lifted (kg/lbs)
[ ] Average Distance Materials are Moved (meters/feet)
[ ] Method of Material Handling (Check all that apply) (Manual Lifting, Forklift, Cart/Hand Truck, Conveyor System, Other (Specify))
[ ] Describe any assistive devices used for material handling:
[ ] What is the typical frequency of material handling tasks? (Rarely, Occasionally, Frequently, Constantly)
[ ] Are materials stored within easy reach? (Yes, No, Partially)
[ ] Describe any observed awkward postures or movements during material handling:

--- REPETITIVE TASKS ---
[ ] Repetitions per Minute (RPM)
[ ] Cycle Time (seconds)
[ ] Force Level (Low, Medium, High) (Low, Medium, High)
[ ] Detailed Description of Repetitive Task
[ ] Body Parts Involved (check all that apply) (Wrist, Elbow, Shoulder, Back, Neck, Fingers, Hands)
[ ] Task Duration (Approximate) (Less than 15 minutes, 15 - 30 minutes, 30 - 60 minutes, More than 60 minutes)
[ ] Observed Posture During Repetitive Task (describe in detail)

--- POSTURE AND BODY MECHANICS ---
[ ] Typical Static Posture (e.g., bent back, forward head)? (No, Yes - Forward Head, Yes - Bent Back, Yes - Stooped Shoulders, Yes - Other (Specify in Long Text))
[ ] Describe any observed postural deviations or concerns.
[ ] Estimated percentage of time spent in a potentially awkward posture.
[ ] Are lifting techniques being used correctly? (Yes, No, Not Observed)
[ ] Which of the following bending techniques are commonly observed (check all that apply)? (Proper Leg Bend, Rounding of the Back, Twisting While Lifting, Lifting with Arms, Neutral Spine)
[ ] Describe any observed improper lifting or carrying techniques.
[ ] Is employee aware of the risk of repetitive motions and proper techniques? (Yes, No, Unsure)

--- TOOLS AND EQUIPMENT ---
[ ] Are tools adjustable to accommodate different users? (Yes, No, Not Applicable)
[ ] Weight of commonly used tool (in kg/lbs)
[ ] Which grip types are available for frequently used tools? (Padded, Rubberized, Standard, Ergonomic, Other (Specify in LONG_TEXT))
[ ] If 'Other' grip type was selected above, please specify:
[ ] Are power tools equipped with vibration dampening? (Yes, No, Not Applicable)
[ ] Upload a photo of a typical workstation tool setup (for context)
[ ] Force required to operate a specific tool (N/lbs)

--- LIGHTING AND ENVIRONMENT ---
[ ] Ambient Light Level (Lux)
[ ] Glare Assessment (Severity) (None, Mild, Moderate, Severe)
[ ] Uniformity of Illumination (Excellent, Good, Fair, Poor)
[ ] Noise Level (dBA)
[ ] Environmental Hazards Present (Extreme Temperatures, Vibration, Poor Air Quality, Dust/Fumes, None)
[ ] Comments on Lighting & Environment

--- EMPLOYEE TRAINING & AWARENESS ---
[ ] Has the employee received ergonomic training? (Yes, No, Needs Training)
[ ] Date of last ergonomic training
[ ] Brief description of the ergonomic training provided.
[ ] Which ergonomic topics were covered in training? (Proper Lifting Techniques, Workstation Setup, Repetitive Strain Injury (RSI) Awareness, Posture and Body Mechanics, Tool Usage, Reporting Concerns)
[ ] Does the employee understand how to adjust their workstation? (Yes, No, Unsure)
[ ] Employee comments/concerns regarding ergonomic training.

--- WORK ORGANIZATION & SCHEDULING ---
[ ] Average Work Shift Length (hours)
[ ] Number of Breaks per Shift
[ ] Is Job Rotation Implemented? (Yes, No, Not Applicable)
[ ] Describe Job Rotation Schedule (if implemented)
[ ] Are Work Schedules Flexible? (Yes, No, Limited Flexibility)
[ ] Describe any work organization challenges impacting ergonomics
[ ] Date of Last Work Schedule Review

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