Checklist - Ergonomics
About this form
The ergonomics checklist is designed to help employers evaluate their workplace conditions and job demands in relation to the capabilities of their employees. Unlike other legal forms, this checklist provides specific guidelines to identify and mitigate ergonomics-related risks that may lead to musculoskeletal disorders (MSDs). Employers can use it to create a safer working environment tailored to their industry or task-specific requirements.
Main sections of this form
- Organization of Work: Examines work shifts, hours, and meal breaks.
- Environmental Load: Assesses factors such as noise levels, air quality, and exposure to hazards.
- Work Method - Physical Demands: Evaluates the muscular load and ergonomics of tasks.
- The Workplace - Physical Demands: Reviews workspace adequacy and posture considerations.
- Workplace Sensory Demands: Analyzes visual and auditory requirements for tasks.
When this form is needed
This checklist is useful for employers who want to enhance workplace safety by identifying ergonomic risks. Use this form during workplace assessments, job redesigns, or when establishing new safety protocols. It can also be beneficial during regular safety audits or when injuries related to ergonomics are reported.
Who can use this document
- Employers looking to improve workplace ergonomics.
- Health and safety officers responsible for workplace assessments.
- Managers involved in job design and employee welfare.
- Safety committees conducting regular inspections.
- Human resource professionals overseeing employee wellbeing initiatives.
How to complete this form
- Assess the organization of work by determining work shifts and overtime practices.
- Evaluate the environmental load by measuring noise levels, air quality, and potential hazards.
- Review physical demands of work methods to ensure they align with ergonomic principles.
- Inspect the workplace layout for adequate space, posture support, and access to tools.
- Analyze sensory demands to ensure proper lighting and auditory signals are in place.
Does this document require notarization?
Notarization is not commonly needed for this form. However, certain documents or local rules may make it necessary. Our notarization service, powered by Notarize, allows you to finalize it securely online anytime, day or night.
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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.
Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.
Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.
If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.
We protect your documents and personal data by following strict security and privacy standards.
Avoid these common issues
- Neglecting to involve employees in the assessment process.
- Overlooking the importance of environmental conditions, like lighting and noise.
- Failing to update the checklist regularly based on changing workplace conditions.
- Not following through on recommendations made during the assessment.
Benefits of using this form online
- Immediate access to the checklist for quick evaluations.
- Easy editing allows customization to specific workplace conditions.
- Reliable source of ergonomics guidance, drafted by licensed professionals.
Legal use & context
- Using this checklist can help employers reduce liability regarding worker safety.
- It provides a framework to meet health and safety regulations effectively.
- The diligence shown by completing this checklist may protect against claims of negligence.
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FAQ
Ergonomics is the science of designing the workstation to fit within the capabilities and limitations of the worker. The goal of office ergonomics is to design your office work station so that it fits you and allows for a comfortable working environment for maximum productivity and efficiency.
Ergonomics looks at efficiently tailoring your personal work environment for your comfort and safety while you perform your job. Things you may consider could include: Your posture when operating your computer. The height of your chair, as well as the seat and back adjustment.
Chair. Ideally, use a swivel chair that has 5 feet. Monitor. The monitor should be roughly an arm's length away. Desk. Keyboard. Wrist rests. Mouse. Phone. Laptop computers and notebooks.
Review any Existing Data. The first step to any ergonomics assessment is to take a workplace history and ensure that you understand your baseline. Choose your Tools. Gather Subjective Data. Gather Objective Data. Analyze All Data and Prioritize Risk.
There are five aspects of ergonomics: safety, comfort, ease of use, productivity/performance, and aesthetics. Based on these aspects of ergonomics, examples are given of how products or systems could benefit from redesign based on ergonomic principles.
Ergonomic conditions are disorders of the soft tissues, specifically of the muscles, nerves, tendons, ligaments, joints, cartilage, blood vessels and spinal discs.
Step 1: Assess Risk Factors. Step 2: Control Risk Factors. Step 3: Get the Right Equipment. Step 4: Apply Design Principles.
An ergonomic assessment, also referred to as a workstation assessment, analyzes a person's workstation to ensure it is designed to minimize injury and maximize productivity. The assessments are conducted by occupational therapists and assess a number of key factors that can impact your ability to work comfortably.
Ergonomics can roughly be defined as the study of people in their working environment. More specifically, an ergonomist (pronounced like economist) designs or modifies the work to fit the worker, not the other way around. The goal is to eliminate discomfort and risk of injury due to work.