| 1. Does the work space allow for full range of movement?
|
[ ]yes |
[ ]no |
| 2. Are mechanical aids and equipment available?
|
[ ]yes |
[ ]no |
| 3. Is the height of the work surface adjustable?
|
[ ]yes |
[ ]no |
| 4. Can the work surface be tilted or angled?
|
[ ]yes |
[ ]no |
| 5. Is the workstation designed to reduce or eliminate
|
|
|
| spacespacebending or twisting at the wrist?
|
[ ]yes |
[ ]no |
| spacespacereaching above the shoulder?
|
[ ]yes |
[ ]no |
| spacespacestatic muscle loading?
|
[ ]yes |
[ ]no |
| spacespacefull extension of the arms?
|
[ ]yes |
[ ]no |
| spacespaceraised elbows?
|
[ ]yes |
[ ]no |
| 6. Are the workers able to vary posture?
|
[ ]yes |
[ ]no |
| 7. Are the hands and arms free from sharp edges on work surfaces?
|
[ ]yes |
[ ]no |
| 8. Is an armrest provided where needed?
|
[ ]yes |
[ ]no |
| 9. Is a footrest provided where needed?
|
[ ]yes |
[ ]no |
| 10. Is the floor surface free of obstacles and flat?
|
[ ]yes |
[ ]no |
| 11. Are cushioned floor mats provided for employees required to stand
for long periods? |
[ ]yes |
[ ]no |
| 12. Are chairs or stools easily adjustable and suited to the task?
|
[ ]yes |
[ ]no |
| 13. Are all task elements visible from comfortable positions?
|
[ ]yes |
[ ]no |
| 14. Is there a preventive maintenance program for mechanical aids,
tools, and other equipment? |
[ ]yes |
[ ]no |
