Template

AWC Ergonomics Assessment Form

This ergonomics assessment form helps teams evaluate workstations and tasks to reduce strain and injury risks. Capture basic job and location details, select the reason for assessment such as new onset discomfort or post engineering project, and list major tasks. Record behaviors observed including elbows out, shoulder too high or low, horizontal reach, sit versus stand, vibration, contact stress, and other issues. Add comments, brainstorm corrective actions, prioritize the top three improvements, and set a follow up date for sign off and review.

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With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

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Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions .

Template

Workstation Assessment DSE Checklist

Conduct a thorough workstation assessment focusing on display screen equipment and office ergonomics. This checklist guides reviewers through keyboard and monitor setup, chair adjustment and posture, desk layout and reach, glare control and lighting, air quality and temperature, noise and distractions, and required breaks. Record issues and recommendations, prioritize urgent health and safety actions, and identify equipment improvements to reduce discomfort and risk.

by Adrian Custard, from the Community

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Template

COVID-19 Home Office Self-Assessment

Use this COVID-19 home office self-assessment to evaluate remote work conditions and reduce risk. The checklist covers personal health and hygiene screening, workspace setup, ergonomics, display positioning, fire and electrical safety, stress and welfare, slips, trips and falls, lone working protocols, and basic security. Capture photos, note improvements, and sign off to document compliance and follow-up actions.

by Elishia Mackay, from the Community

300+

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Template

Requested Assessment

This Requested Assessment template supports council and environmental health inspections for businesses in Mansfield Shire. It captures key audit details including site, date and time, officers present, and the reason for assessment such as scheduled, follow up, complaint, transfer, routine, or registration. Inspectors can add comments and observations, list required actions, set inspection outcomes, and schedule a reinspection date if needed. The form includes signature fields for the proprietor or staff and the Environmental Health Officer to verify that the information is true and correct.

by Kelly Mahoney, from the Community

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Template

Office Ergonomics Client Assessment

Use this comprehensive office ergonomics client assessment to evaluate computer workstation setup, posture, and work habits. The template guides data intake for employee details and injury history, assesses seating, torso, shoulder, arm, hand and wrist postures, and documents work pace and break frequency. Capture measurements for desk, chair, keyboard, mouse, and monitor placement, with options for in person, telephonic, or video assessments and photo documentation. Apply step by step workstation modifications, record recommendations for posture, equipment adjustments, stretching, hydration, and follow up. Log observations, measurements, photos, and corrective actions to reduce discomfort, improve safety, and support return to work and accommodation decisions.

by Elizabeth Velky, from the Community

10+

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Template

Comprehensive Office Ergonomic Assessment

This comprehensive office ergonomic assessment checklist helps evaluate and optimize workstation setup to reduce musculoskeletal discomfort and improve comfort and productivity. It covers screening for recent aches and pains, chair features and fit, desk height and layout, monitor height, distance and alignment (including multi-monitor use), keyboard and mouse placement and technique, and telephone use with headset recommendations. It also addresses reach zones, storage and cable management, paperwork areas, lighting, document holders, sit-stand options, and education prompts. Includes pre- and post-assessment photos, equipment recommendations, and agreement/sign-off fields.

by Ed Bodiford, from the Community

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Template

Kaizen Template for 5S, Ergonomics and Motion

This Kaizen template helps teams document continuous improvement activities across 5S, ergonomics, and motion. Record primary and secondary findings, describe problems and solutions, and attach before and after photos to show results. Sections cover common issues such as items being too low or high, out of reach, bending and twisting, overload, clutter, disorganization, dirt, and lapses in standards. Ideal for manufacturing and operations teams practicing lean and 5S, this template supports structured observations, corrective actions, and measurable improvements.

by Turner Palmer, from the Community

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AWC Ergonomics Assessment Form

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Workstation Assessment DSE Checklist

COVID-19 Home Office Self-Assessment

Requested Assessment

Office Ergonomics Client Assessment

Comprehensive Office Ergonomic Assessment

Kaizen Template for 5S, Ergonomics and Motion

You might also like

Workstation Assessment DSE Checklist

COVID-19 Home Office Self-Assessment

Requested Assessment

Office Ergonomics Client Assessment

Comprehensive Office Ergonomic Assessment

Kaizen Template for 5S, Ergonomics and Motion