| 1. Does the design of the primary task reduce or eliminate |
|
|
| spacespacebending or twisting of the back
or trunk? |
[ ]yes |
[ ]no |
| spacespacecrouching? |
[ ]yes |
[ ]no |
| spacespacebending or twisting the wrist?
|
[ ]yes |
[ ]no |
| spacespaceextending the arms? |
[ ]yes |
[ ]no |
| spacespaceraised elbows?
|
[ ]yes |
[ ]no |
| spacespacestatic muscle loading?
|
[ ]yes |
[ ]no |
| spacespaceclothes wringing motions?
|
[ ]yes |
[ ]no |
| spacespacefinger pinch grip?
|
[ ]yes |
[ ]no |
| 2. Are mechanical devices used when necessary? |
[ ]yes |
[ ]no |
| 3. Can the task be done with either hand? |
[ ]yes |
[ ]no |
| 4. Can the task be done with two hands? |
[ ]yes |
[ ]no |
| 5. Are pushing or pulling forces kept minimal? |
[ ]yes |
[ ]no |
| 6. Are required forces judged acceptable by the workers? |
[ ]yes |
[ ]no |
| 7. Are the materials |
|
|
| spacespaceable to be held without slipping? |
[ ]yes |
[ ]no |
| spacespaceeasy to grasp?
|
[ ]yes |
[ ]no |
| spacespacefree from sharp edges and corners?
|
[ ]yes |
[ ]no |
| 8. Do containers have good handholds? |
[ ]yes |
[ ]no |
| 9. Are jigs, fixtures, and vises used where needed? |
[ ]yes |
[ ]no |
| 10. As needed, do gloves fit properly and are they made of the proper
fabric? |
[ ]yes |
[ ]no |
| 11. Does the worker avoid contact with sharp edges when performing
the task? |
[ ]yes |
[ ]no |
| 12. When needed, are push buttons designed properly? |
[ ]yes |
[ ]no |
| 13. Do the job tasks allow for ready use of personal equipment that
may be required? |
[ ]yes |
[ ]no |
| 14. Are high rates of repetitive motion avoided by |
|
|
| spacespacejob rotation? |
[ ]yes |
[ ]no |
| spacespaceself-pacing?
|
[ ]yes |
[ ]no |
| spacespacesufficient pauses?
|
[ ]yes |
[ ]no |
| spacespaceadjusting the job skill level
of the worker? |
[ ]yes |
[ ]no |
| 15. Is the employee trained in |
|
|
| spacespaceproper work practices? |
[ ]yes |
[ ]no |
| spacespacewhen and how to make adjustments?
|
[ ]yes |
[ ]no |
| spacespacerecognizing signs and symptoms
of potential problems? |
[ ]yes |
[ ]no |
