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Industrial - Ergo - Screening Stanford

This document provides an ergonomics screening tool to help identify risk factors and solutions for work activities. It includes a checklist to mark risk factors observed for tasks like lifting, awkward postures, forceful movements, and other issues. Directions are given to analyze a task, mark applicable risk factors, and list ergonomic control measures to address the risks. Contact information is provided for additional ergonomics assistance.
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0% found this document useful (0 votes)
37 views2 pages

Industrial - Ergo - Screening Stanford

This document provides an ergonomics screening tool to help identify risk factors and solutions for work activities. It includes a checklist to mark risk factors observed for tasks like lifting, awkward postures, forceful movements, and other issues. Directions are given to analyze a task, mark applicable risk factors, and list ergonomic control measures to address the risks. Contact information is provided for additional ergonomics assistance.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Ergonomics Screening Tool

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)

Lifting more than 50 lbs. 

Lifting objects above shoulder level or


below the knees. 

Lifting objects with the hands more


than 12 inches horizontally from the
body.

Frequent lifts (>2 hours/day with >12


lifts/hour -OR- < 2 hours/day with >60
lifts/hour)

NOTE: If one or more of the above check boxes are marked (for lifting), efforts should be made to minimize one or more of the
following: the load weight, load distance, and/or the lifting frequency. For recommended weight limits, refer to the Lifting Calculator
at http://www.orosha.org/interactive/lifting/lift_safety.html

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)

Overhead work - Hands above the


head, elbows above the shoulders.
Cumulative duration >2 hrs/day.

Neck or back is bent >30°, little
ability to vary posture. Cumulative
duration >2 hrs/day.

Squatting or kneeling. Cumulative
duration >2 hrs/day. 
Bent wrists. Cumulative duration >2
hrs/day. 
3. Forceful Hand Movements
Check if Risk Control Measures
RISK FACTOR (e.g. mechanical assists, tools with alternate handles, stands, larger
Observed grips, clamps, making load smaller)
Pinching to hold unsupported
objects ≥2 lbs per hand (using pinch
force equivalent to holding half a
ream of paper). Cumulative duration

>2 hrs/day.
Gripping ≥10 lbs per hand to hold
unsupported objects (using gripping
force equivalent to squeezing car
jumper cables). Cumulative duration

>2 hrs/day.
4. Other (Body Movements, Vibration, Slip/Trip/Fall)
Check if Risk Control Measures
RISK FACTOR (e.g. automated processes, gloves/grip handles, barriers, proper tool
Observed maintenance, microbreaks, work rotation, proper housekeeping)
Repeating the same movement with little or no
variation (≥5 times/min). Cumulative duration >2
hrs/day.

Work involving sudden movements (e.g. starting a
chainsaw) 
Vibration from high-vibration tools (e.g. chain saws,
jackhammers, impact wrenches) >30 minute per day
OR from moderate-vibration tools (e.g. saws, sanders) 
>2 hours per day.
Work around potential slip/trip/fall hazards (e.g.
loading docks, stairs, wet/greasy surfaces) 
CONTACT THE SU ERGONOMICS PROGRAM AT 723-0448 FOR ADDITIONAL ASSISTANCE
OHS 14-026
2/2014

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