Free Cleaning Services Workplace Ergonomics Assessment

This assessment aims to evaluate the ergonomic conditions of your workspace to ensure a safe and healthy environment for all employees. Please carefully review each section of the assessment and provide honest responses based on your observations and experiences. For items requiring a response, select either "Yes" or "No" by clicking the appropriate checkbox.
Personal Information
Name: | |
Job Title: | |
Department: | |
Assessment Date: |
Workspace Evaluation
Aspect | Questions | Yes | No |
|---|---|---|---|
Lighting | Is the lighting in your workspace adequate? | ||
Work Surfaces | Are work surfaces at an appropriate height? | ||
Chairs | Do you have access to ergonomic chairs? | ||
Equipment Placement | Are cleaning tools and equipment easily accessible? | ||
Posture | Is your workspace comfortable enough to maintain good posture? | ||
Breaks | Are regular breaks provided to prevent fatigue? | ||
Flooring | Is the flooring in good condition? | ||
Ventilation | Is the workspace adequately ventilated? | ||
Noise Levels | Are noise levels in the workspace controlled? | ||
Storage | Is there sufficient storage space for equipment? |
Feedback
Question | Response |
|---|---|
Do you experience any discomfort or pain at work? |
|
Do you have any suggestions for improving ergonomics? |
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Are there any tasks you find challenging ergonomically? |
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