Industrial - Ergo - Screening Stanford
Industrial - Ergo - Screening Stanford
Use the checklist below to identify risk factors for work activities with ergonomic concerns and risk-reduction solutions.
Contact the SU Ergonomics Program at 723-0448 for additional assistance.
Task:
Location: Department:
Evaluated By: Date:
DIRECTIONS:
1. Analyze the above task.
2. Mark the check boxes for any of the risk factors listed below.
3. List the ergonomic control measures that mitigate the identified risk factors.
1. Lifting
Risk Risk Control Measures
RISK FACTOR Factor (e.g. mechanical assists, making load smaller, additional help, lifting
Observed technique, postural awareness, microbreaks, work rotation)
REFERENCES:
Modified from State of Washington Department of Labor and Industries Caution Zone Checklist and Hazard Zone Checklist. Retrieved 6/2012 from
http://www.lni.wa.gov/Safety/Topics/Ergonomics/ServicesResources/Tools/default.asp.
Derived from the American Conference of Governmental Industrial Hygienists (2007). Threshold Limit Values for Lifting. TLVs and BEIs.
Oregon OSHA. Retrieved 2/2014 from http://www.orosha.org/interactive/lifting/lift_safety.html.
OHS 14-026
2/2014
2. Awkward Postures
Check if Risk Control Measures
RISK FACTOR (e.g., mechanical assists, adjustable workstations, tools with alternate
Observed handles, stands, larger grips, postural awareness, microbreaks)