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1. Assessment Information: Basic details including date, assessor name, location, department, and employee details
2. Workstation Equipment Inventory: Checklist of all equipment present at the workstation including computer, peripherals, and furniture
3. Display Screen Assessment: Evaluation of monitor position, height, distance, glare, and screen quality
4. Input Devices Assessment: Assessment of keyboard and mouse positioning, condition, and usage
5. Furniture Assessment: Evaluation of chair adjustability, desk height, and general furniture conditions
6. Environmental Factors: Assessment of lighting, noise, temperature, ventilation, and space requirements
7. Posture and Ergonomics: Evaluation of working posture, repetitive movements, and ergonomic concerns
8. Risk Identification: Documentation of identified hazards and potential risks
9. Risk Rating: Assessment of risk levels using standard risk matrix
10. Immediate Actions Required: Urgent measures needed to address high-risk issues
11. Recommendations: Detailed recommendations for improvements and controls
1. Special Equipment Assessment: Used when workplace includes specialized equipment like multiple monitors, drafting tools, or specialized input devices
2. Disability Accommodations: Include when assessment is for a worker with specific physical needs or disabilities
3. Remote Work Considerations: Add for employees who split time between office and remote work locations
4. Previous Assessment Review: Include when this is a follow-up assessment to track changes and improvements
5. Work Pattern Analysis: Add for roles involving unusual work patterns or extended hours
1. Appendix A: Risk Matrix: Standard risk assessment matrix for determining risk levels
2. Appendix B: Ergonomic Setup Guide: Visual guide for proper workstation setup and posture
3. Appendix C: Equipment Standards: Reference guide for minimum standards of workstation equipment
4. Appendix D: Exercise Guide: Recommended stretches and exercises for workplace health
5. Appendix E: Control Measures Checklist: Standard control measures for common workstation risks
6. Schedule 1: Assessment Review Timeline: Schedule for follow-up assessments based on risk levels
Information Technology
Banking and Finance
Business Process Outsourcing
Professional Services
Government and Public Sector
Healthcare Administration
Education
Telecommunications
Insurance
Legal Services
Media and Publishing
Real Estate
Manufacturing (Office Staff)
Retail (Administrative)
Non-profit Organizations
Occupational Health and Safety
Human Resources
Facilities Management
Operations
Administrative Services
Employee Relations
Risk Management
Compliance
Environmental Health and Safety
Workplace Services
Health and Safety Manager
Occupational Health Specialist
Facilities Coordinator
HR Manager
Office Manager
Ergonomics Consultant
Safety Compliance Officer
Risk Assessment Specialist
Workplace Safety Inspector
Environmental Health Officer
Corporate Safety Director
Employee Relations Manager
Operations Manager
Administrative Services Manager
Workspace Planning Coordinator
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