General InformationNumber of EmployeesDescription of work to be performedTake a photo of the work areaحداکثر اندازه فایل: 128 MB. Ergonomic?Are all workers trained on safe working postures YES NO N/A Are all workers trained on safe lifting techniques, uses, and carrying devices YES NO N/A Are all workers knowledgeable about ergonomics policies and procedures YES NO N/A ?Do workers feel free to report ergonomic symptoms YES NO N/A Are rotation or rest breaks used to reduce time in awkward postures YES NO N/A Does work scheduling minimize excessive overtime that causes fatigue YES NO N/A ?there enough workers to do individual workloads YES NO N/A Are all workers instructed to get someone’s help when lifting heavy materials YES NO N/A Can the work be performed without twisting or overly bending the lower back YES NO N/A Are all employees protected against eyestrain or glare in the process of doing their job YES NO N/A ?Are neck and shoulders relaxed when performing tasks YES NO N/A Are workers comfortable without experiencing any pressure points on any part of their body (wrists, forearms, back of thighs) YES NO N/A Are all pieces of furniture or equipment adjusted, positioned, and arranged to minimize strain on all parts of the body YES NO N/A ?Are workstations set up properly YES NO N/A Surfaces For Walking And Working?Are working and walking surfaces clean and dry YES NO N/A ?Are working surfaces unobstructed YES NO N/A ?Are walking surfaces even YES NO N/A Materials Handling?Do materials have handles to help carry loads YES NO N/A Are there carts, dollies, or other aids readily available for moving materials YES NO N/A ?Is the site clear enough to permit the use of carts YES NO N/A Are all materials delivered as close as possible to where they will be used YES NO N/A ?Are all materials stored at waist height YES NO N/A ?Are all loads labeled with their weight YES NO N/A Tools And Equipment? Are all tools sharp and in good condition YES NO N/A ?Are all tools light weight and well balanced YES NO N/A ?Is there minimal vibration when using tools and equipment YES NO N/A ?Do all tools have right handle design YES NO N/A Are there scaffolds, platforms, or other equipment available to reduce the need to work overhead YES NO N/A Are knee pads or cushions available when working at floor level YES NO N/A ?Is there any equipment that can be used to reduce kneeling YES NO N/A Is there anti-fatigue matting to be used when a worker is required to stand all day YES NO N/A Is it possible to use adjustable stools to allow workers to rest YES NO N/A Seating?Are the seats well-designed, easy to adjust, and comfortable YES NO N/A Do workers have to lean forward to see/do their work when working on heavy equipment YES NO N/A Is the vibration minimal on the seating of any heavy equipment YES NO N/A
