Workplace Health & Safety
Ergonomic Workstation Assessment
Individual workstation assessment to identify ergonomic risk factors and recommend adjustments, in line with Safe Work Australia guidance on office-based work.
32 checklist items
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Checklist Items
| Item | Pass / Yes | Fail / No |
|---|---|---|
| EMPLOYEE AND WORKSTATION DETAILS | ||
| Employee Name | ___________________________ | |
| Job Title / Department | ___________________________ | |
| Assessment Date | ___________________________ | |
| Assessor Name | ___________________________ | |
| Workstation Location | ___________________________ | |
| Hours per day at workstation | ___________________________ | |
| Does the employee have any existing musculoskeletal conditions? | Yes ☐ | No ☐ |
| Details of existing conditions (if yes) | ___________________________ | |
| CHAIR | ||
| Chair height adjusted so feet are flat on floor (or footrest used) | Pass ☐ | Fail ☐ |
| Seat depth adequate (2-4 finger widths behind knees) | Pass ☐ | Fail ☐ |
| Lumbar support positioned at lower back curve | Pass ☐ | Fail ☐ |
| Armrests at elbow height, not causing shoulder elevation | Pass ☐ | Fail ☐ |
| Chair is stable and castors are functional | Pass ☐ | Fail ☐ |
| DESK AND WORK SURFACE | ||
| Desk height allows forearms to be approximately horizontal | Pass ☐ | Fail ☐ |
| Adequate knee clearance under desk | Pass ☐ | Fail ☐ |
| Work surface is uncluttered with sufficient space | Pass ☐ | Fail ☐ |
| Sit-stand desk available or requested | Yes ☐ | No ☐ |
| MONITOR(S) | ||
| Top of monitor at or slightly below eye level | Pass ☐ | Fail ☐ |
| Monitor distance approximately arm length (50-70cm) | Pass ☐ | Fail ☐ |
| Monitor is centred to the primary work | Pass ☐ | Fail ☐ |
| No significant glare or reflection on screen | Pass ☐ | Fail ☐ |
| KEYBOARD AND MOUSE | ||
| Keyboard positioned to allow neutral wrist posture | Pass ☐ | Fail ☐ |
| Mouse is close to keyboard and on same surface level | Pass ☐ | Fail ☐ |
| Wrist rest used correctly (during rest, not typing) | Yes ☐ | No ☐ |
| WORK HABITS | ||
| Employee takes regular micro-breaks (every 30-45 min) | Yes ☐ | No ☐ |
| Employee is aware of posture and adjustment techniques | Yes ☐ | No ☐ |
| RECOMMENDATIONS | ||
| Adjustments made during assessment | ___________________________ | |
| Further equipment / training recommended | ___________________________ | |
| Follow-up required? | Yes ☐ | No ☐ |
| Follow-up date | ___________________________ | |
| Employee Signature | ___________________________ | |
| Assessor Signature | ___________________________ | |