WORKSTATION ASSESSMENT FORM
Employee Details
Name: | [Your Name] |
Employee ID: | |
Department: | |
Date of Assessment: | |
Workstation Overview
A. Workstation Configuration
Provide details about the employee's workstation configuration.
Component | Details |
Operating System: | Intel 7i 4th Generation |
Processor: | |
RAM: | |
Storage: | |
Monitor(s): | |
Graphics Card: | |
Other Peripherals: | |
B. Software Installed
List all software installed on the workstation.
Software | Version |
Microsoft Office | 2020 |
| |
| |
| |
| |
| |
| |
Ergonomic Assessment
A. Desk and Chair
Evaluate the ergonomic setup of the desk and chair.
Aspect | Assessment |
Desk Height: | Comfortable and Adjustable |
Chair Comfort: | |
Monitor Placement: | |
Keyboard Position: | |
Mouse Placement: | |
B. Lighting
Assess the lighting conditions around the workstation.
Aspect | Assessment |
Natural Light: | Adequate |
Artificial Light: | |
Glare on Monitor: | |
Health and Safety
A. Electrical Safety
Ensure the safety of electrical connections.
Aspect | Assessment |
Power Strip Usage: | Properly Used |
Cable Management: | |
Fire Hazards: | |
B. Comfort Breaks
Encourage the employee to take regular breaks.
Aspect | Assessment |
Break Frequency: | Encourage Regular Breaks |
Stretching Exercises: | |
Additional Comments
Provide any additional comments or recommendations.
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