City of Philadelphia

Office Workstation Ergonomics Assessment ChecklistThis checklist can help create a safe and comfortable computer workstation. It is intended for safety officers or trained ergonomic assessors to use as an aid in the office workstation assessment.

Department:       Date: click here to enter a date.Assessment completed by:      Supervisor:      Assessed for:      Job Title:      Building:      Floor:       Room #:      Hours/day at this workstation:      Percentage of time by function: (total of 7 options = 100%)      % Data entry       % Word processing       % Using Mouse       % Writing       % Telephone       % Filing       % Other

Section I: Check “Yes” or “No “for each item. A”NO” response indicates that an improvement may be necessary. You may provide additional detail and recommendations in the Section II.

WORKING POSTURESThe workstation is designed or arranged for doing computer tasks so it allows the

employee’s…

YES NO N/A

Neutral Body Position

1. Head and neck are about upright (not bent down/back).2. Head, neck, and trunk facing forward (not twisted).3. Trunk is about perpendicular to floor (may lean back into backrest but not forward).4. Shoulders and upper arms are about perpendicular to floor (not stretched forward) and relaxed (not elevated/shrugging).5. Upper arms and elbows are close to body (not extended outward).6. Forearms, wrists, and hands are straight and parallel to the floor.7. Wrists and hands are straight/horizontal (not bent up/down or sideways towards little finger).8. Thighs are parallel to floor and the lower legs are between 90 degrees to thighs.9. Feet rest flat on floor or are supported by a stable

Rev. 8/2016

Forearm

footrest.

SEATINGConsidering these points when evaluating the chair…

YES NO N/A

10. Chair Backrest provides adequate support for employee’s lower back (lumbar area).11. Seat width and depth accommodate employee’s size and stature (seat pan not too big/small).12. Seat front does not press against the back of employee’s knees and lower legs (seat pan not too long).13. Seat has cushioning and is rounded/has “waterfall” front (no hard edge on seat pan).14. Armrests, if used, support both forearms while employee perform computer tasks and do not interfere with movement.

KEYBOARD/MOUSEThe keyboard/mouse is designed or arranged for doing computer tasks so the…

YES NO N/A

Adjust the keyboard tray

Keyboard/Mouse Position

15. Keyboard tray, if provided, is stable and large enough to hold keyboard and mouse.16. Keyboard tray, if provided, has proper adjustable features (i.e. height adjustment, tilt adjustment).17. Keyboard is placed directly in front of employee and at elbow height so it could be used with shoulder relaxed and elbow close to body. 18. Mouse is located next to keyboard so it can be operated without reaching or over extending the arm.19. Mouse is easy to activate and the shape/size fits the hand of employee (not too big/small)20. Wrists and hands do not rest on hard/sharp edges.

MONITORThe monitor is designed or arranged for doing computer tasks so the…

YES NO N/A

21. Top line of screen is at or below eye level so employee is able to read it without bending head or neck down/back. 22. Employee with bifocals/trifocals is able to read screen without bending head or neck backward.23. Monitor distance allows employee to read screen without leaning head, neck or trunk forward/backward.24. Monitor position is directly in front of employee so employee does not have to twist head or neck.25. Glare (e.g., from windows, lights) is not reflected on the screen which might cause employees to assume

Rev. 8/ 2016

Sitting with support ofback rest

2-3 fingers width between seat front and knee

Monitor Height

Monitor Distance

an awkward posture to read screen.

WORK AREAThe work area is designed or arranged for doing compute tasks so the…

YES NO N/A

26. Thighs have sufficient clearance space between the top of the thighs and computer workstation/keyboard tray (thighs are not trapped).27. Legs and feet have sufficient clearance space under workstation so employee is able to get close enough to keyboard and mouse.

ACCESSORIESCheck to see if the…

YES NO N/A

Document Holder Placement

28. Document holder, if provided, is stable and large enough to hold documents.29. Document holder, if provided, is placed at the same height and distance as monitor screen so there is little head movement when employee looks from document to screen.

Neutral Wrist Posture

30. Wrist/palm rest, if provided, is padded and free of hard and square edges.31. Wrist/palm rest, if provided, allows employee to rest forearms, wrists and hands when pausing in between keyboarding.

32. Telephone can be used with head upright (not bent) and shoulders relaxed (not elevated) if employees does computer tasks at the same time.33. Telephone is placed close to employee to reduce repetitive reaching.34. Headset/cradle, if provided, is used for frequent or extended phone usage to keep head upright and shoulders relaxed.

GENERAL YES NO N/A35. Workstation and equipment have sufficient adjustability so the employee is in a neutral working posture and can make occasional changes in posture while performing computer tasks.36. Computer Workstation, equipment and accessories are maintained in good condition and functions properly.37. Computer tasks are organized in a way that allows employee to vary tasks with other

Rev. 8/ 2016

Place monitor in front

Under desk work space clear

work activities, or to take micro-breaks while at the computer workstation.38. Other:39. Other:40. Other:Section II: If you check “No” to any item in Section I, please use the following table to provide more details.

Item #s Observations: Recommendations:                                                                                                                                                                                                                                                                                                                                                                                      Comments:               

Recommendation Summary:                    

Upon completion, please send a copy of this completed form to department’s Safety Officer and employee’s supervisor for implementation of recommendation.

Rev. 8/ 2016

Target Date for implementation:      c lihre to enter . Follow up date: cli     k here to enter a date.

Source: this checklist can be downloaded from Risk Management’s web site: http://www.phila.gov/risk

Rev. 8/ 2016