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  • Workstation Ergonomic Assessment

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    chethan626
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    This document contains fields for collecting information about a job including the name, department, tape sequence, date, analysis, and tape time. It also collects information about the work cycle such as shift length, production standard, production mix, rotation, and total exposure. Additionally, it surveys an employee about discomfort or pain they experience in different body parts like hands, wrists, fingers, elbows, shoulders, neck, back, legs, or headaches/eye strain while performing the job. The survey rates the severity of any discomfort from 1-4 and the frequency of discomfort using A, B, or C. Space is also provided for medical information and comments.

    Original Description:

    SURVEY

    Original Title

    Emp Survey

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    This document contains fields for collecting information about a job including the name, department, tape sequence, date, analysis, and tape time. It also collects information about the work cycle such as shift length, production standard, production mix, rotation, and total exposure. Additionally, it surveys an employee about discomfort or pain they experience in different body parts like hands, wrists, fingers, elbows, shoulders, neck, back, legs, or headaches/eye strain while performing the job. The survey rates the severity of any discomfort from 1-4 and the frequency of discomfort using A, B, or C. Space is also provided for medical information and comments.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    4 views1 page

    Workstation Ergonomic Assessment

    Uploaded by

    chethan626
    This document contains fields for collecting information about a job including the name, department, tape sequence, date, analysis, and tape time. It also collects information about the work cycle such as shift length, production standard, production mix, rotation, and total exposure. Additionally, it surveys an employee about discomfort or pain they experience in different body parts like hands, wrists, fingers, elbows, shoulders, neck, back, legs, or headaches/eye strain while performing the job. The survey rates the severity of any discomfort from 1-4 and the frequency of discomfort using A, B, or C. Space is also provided for medical information and comments.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Identification

    Job name: Dept: Tape seq: Date: Analysis: Tape Time:

    Work Cycle
    Shift Length: Production Standard: Production Mix: Rotation? Y N Total Exposure:

    Workstation Name /Number:

    Discomfort Survey
    How long have you worked at this facility? How long have you worked at this particular job? Months Months Years Years

    As a result of doing this job, do you routinely experience discomfort or pain in your:

    Body Part Hands/Wrists/Fingers Elbows Shoulders Neck Back Legs Headache/Eye Strain Other:
    1= Mild 2= Moderate 3= Severe 4= Unbearable

    Severity 1 2 34 1 2 34 1 2 34 1 2 34 1 2 34 1 2 34 1 2 34 1 2 34
    Severity

    Frequency ABC ABC ABC ABC ABC ABC ABC ABC


    Frequency

    Medical

    Comments

    A= Seldom B= Often C= Always

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