Ergonomic Evaluation Form

Use the Ergonomic Evaluation Form to assess workplace ergonomics, identify potential issues, and promote a comfortable and safe working environment.

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Ergonomic Evaluation Form



General Information

1. Number of Employees


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2. Description of work to be performed


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3. Take a photo of the work area




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Ergonomic

1. Are all workers trained on safe working postures?


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2. Are all workers trained on safe lifting techniques, uses, and carrying devices?


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3. Are all workers knowledgeable about ergonomics policies and procedures?


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4. Do workers feel free to report ergonomic symptoms?


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5. Are rotation or rest breaks used to reduce time in awkward postures?


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6. Does work scheduling minimize excessive overtime that causes fatigue?


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7. Are there enough workers to do individual workloads?


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8. Are all workers instructed to get someone’s help when lifting heavy materials?


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9. Can the work be performed without twisting or overly bending the lower back?


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10. Are all employees protected against eyestrain or glare in the process of doing their job?


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11. Are neck and shoulders relaxed when performing tasks?


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12. Are workers comfortable without experiencing any pressure points on any part of their body (wrists, forearms, back of thighs)?


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13. Are all pieces of furniture or equipment adjusted, positioned, and arranged to minimize strain on all parts of the body?


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14. Are workstations set up properly?


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Surfaces For Walking And Working

1. Are working and walking surfaces clean and dry?


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2. Are working surfaces unobstructed?


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3. Are walking surfaces even?


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Materials Handling

1. Do materials have handles to help carry loads?


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2. Are there carts, dollies, or other aids readily available for moving materials?


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3. Is the site clear enough to permit the use of carts?


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4. Are all materials delivered as close as possible to where they will be used?


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5. Are all materials stored at waist height?


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6. Are all loads labeled with their weight?


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Tools And Equipment

1. Are all tools sharp and in good condition?


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2. Are all tools light weight and well balanced?


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3. Is there minimal vibration when using tools and equipment?


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4. Do all tools have right handle design?


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5. Are there scaffolds, platforms, or other equipment available to reduce the need to work overhead?


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6. Are knee pads or cushions available when working at floor level?


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7. Is there any equipment that can be used to reduce kneeling?


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8. Is there anti-fatigue matting to be used when a worker is required to stand all day


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9. Is it possible to use adjustable stools to allow workers to rest?


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Seating

1. Are the seats well-designed, easy to adjust, and comfortable?


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2. Do workers have to lean forward to see/do their work when working on heavy equipment?


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3. Is the vibration minimal on the seating of any heavy equipment?


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Is this sample what you are looking for?
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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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