DEPARTMENT OF OCCUPATIONAL SAFETY AND HEALTH

MINISTRY OF HUMAN RESOURCES

ERGONOMIC CHECKPOINTS
CHECKLIST AND IMPROVEMENTS RECORD

A. Company Particulars
Name :

Address :

Contact Person :
Telephone No. : Fax No. :
Email :

Commencement of
Operation :
DOSH Reg. No. :
Type of Industry :
No. of Workers : ( Male : ; Female : )

B. Assessment Particulars

Enabler Team
Name Contact No.
1.

2.

3.

4.

Assessment
1st (M1) 2nd (M2) 3rd (M4) 4th (M6)
Date of Assessment

Level Achieved (E)

Level Confirmation (V)
5th (M9) 6th (M12)
 Ergonomic Checkpoints

Check point Date of

reference no. Description Evidence (Photos or documents) Remark Standard Activity
Implementation
A. Level 1 (Entry)
E1 Commitment from Management to Implement Letter of aggreement from management to Yes – Letter of Agreement (LOA) from employer to participate
Programme. participate in programme the programme. LOA must be prepared by employer.
Yes No
No - No LOA from employer

Notes: In order to participate the programme employer must

prepare the LOA

E2 Appointment of Person-in-Charge (PIC) to Implement Letter of appoinment for PIC issued/endorsed Yes – Employer appoints the PIC by issuing a letter of
Programme by management appointment

No – PIC not appointed

Yes No
Notes: The company should appoint a person to be in-charge
to implement the SoHELP programme. Appointment should be
formally evident by a letter of PIC appointment specifically for
the programme.

Notes : To proceed to the next level employer must full fill all the checkpoint in this level.
LEVEL ACHIEVED : LEVEL ……..
B. Level 2 (Basic)
E3 Person in Charge (PIC) Attended Ergonomic Risk Proof of attendance (certificate) Yes – PIC must attend training as listed below conducted by
Assessment Training DOSH or other training providers and obtained a certificate of
attendance
Yes No Initial ERA Module
1. Introduction to physical ergonomics.
2. Health effect due to exposure to ergonomics risk factor.
3. Sign and symptoms of ergonomics-related injuries and
musculoskeletal Disorders
4. Correctly fill in and manage all ergonomics risk assessment
form
5. Ergonomics risk factor
6. Ergonomics Risk measures, improvement and management
program
7. Report Writing of Ergonomics Risk Assessment

No – PIC did not attend the listed training

Notes :
1.There might be a need for PIC to attend Advanced ERA
module to complete E7, E11 and E15.
2. If the PIC did not attend Advanced ERA module, employer
has a choice to hire a Trained Person to complete E7, E11 and
E15.

E4 Person in Charge (PIC) - to conduct Screening of Proof of Result Screening Yes – PIC must conduct Screening of Ergonomics Risk
Ergonomics Risk Assessment to ALL employees by Assessment to ALL employees by using either:
using either : 1. Self- assessment by employee - using Self-Assessment
Musculoskeletal Pain/Discomfort Survey Form(Appendix 1).
2. Walkthrough inspection
Yes No
3. Review of records - HIRARC, Job safety Analysis (JSA) or
Health Risk Assessment (HRA)

No – PIC did not conduct Screening of Ergonomics Risk

Assessment

Notes :
From screening results, PIC can prioritize the work area with
the highest ergonomic risks to the lowest before starting Initial
Ergonomics Risk Assessment.
 Ergonomic Checkpoints

Check point Date of

reference no. Description Evidence (Photos or documents) Remark Standard Activity
Implementation
E5 Person in Charge (PIC) - to conduct Musculoskeletal Proof of Result MSD Assessment Yes – PIC must conduct Musculoskeletal Assessment to ALL
Assessment to ALL employees by using Cornell employees by using Cornell Musculoskeletal Assessment
Musculoskeletal Assessment Forms (Appendix 3) Forms

No – PIC did not conduct Musculoskeletal Assessment to ALL

Yes No
employees

Notes : To proceed to the next level employer must full fill all the checkpoint in this level.
LEVEL ACHIEVED : LEVEL ……..
C. Level 3 (Intermediate)
E6 Person in charge (PIC) - Conduct Initial Ergonomics Proof of Result Initial ERA Yes – PIC must conduct Initial Ergonomics Risk Assessment
Risk Assessment at one third (1/3) of work area at one third (1/3) of work area

No – PIC did not conduct Initial Ergonomics Risk Assessment

at one third (1/3) of work area
Yes No
Notes :
Initial ERA need to be conducted at one third of the work area
identified through screening of Ergonomic Risk Assessment
(Step E4).
Refer Ergonomics Risk Assessment forms and Guidelines on
Ergonomics Risk Assesment from DOSH

E7 Person in charge (PIC)/Hired Trained Person - Proof Result Advanced ERA Yes – PIC must conduct Advanced Ergonomics Risk
Conduct Advanced Ergonomics Risk Assessment at Assessment at one third (1/3) of work area as same as E6, if
one third (1/3) of work area as same as E6. results of Initial ERA from E6 required to do so.
Yes No N/A
No – PIC did not conduct Advanced Ergonomics Risk
Assessment at one third (1/3) of work area as same as E6.

NA - Results of Initial ERA from E6 do not require Advanced

Ergonomics Risk Assessment

Notes :
1. If results of Initial ERA from E6 do not require Advanced
Ergonomics Risk Assessment , proceed to E8.
2. If results of Initial ERA from E6 requires an Advanced
Ergonomics Risk Assessment, PIC/Hired Trained Person must
conduct Advanced ERA. PIC/Hired Trained Person must have
attended Advanced ERA Module (where needed) which
covers the topics below:
Advanced Ergonomic Risk Assessment Method
i. Postural
ii. Manual handling
iii. Repetitive motion
iv. Vibration
v. Environmental ergonomics
3. PIC/Hired Trained Person must enclosed Training Certificate
and Module.

E8 Person in charge (PIC) - Conduct Ergonomics Control Proof/Picture of Ergonomics Control Measures Yes – PIC must Ergonomics Control Measure at similar work
Measure at similar work area as assessed in E6 area as assessed in E6.

Yes No N/A No – PIC did not conduct Ergonomics Control Measure at

similar work area as assessed in E6

NA - Not required Ergonomics Control Measure at similar work

area as assessed in E6. Please provide existing control
measure (if any)

E9 Person in charge (PIC) - Conduct Ergonomics Training Proof of record training - attendance Yes – PIC must conduct Ergonomics Training to Employee
to Employee i. Latihan Berkaitan Manual Handling
ii. Standing at work
Yes No iii. Lighting
iv. Work related MSD

No – PIC did not conduct Ergonomics Training to Employee

Notes : To proceed to the next level employer must full fill all the checkpoint in this level.
LEVEL ACHIEVED : LEVEL ……..
 Ergonomic Checkpoints

Check point Date of

reference no. Description Evidence (Photos or documents) Remark Standard Activity
Implementation
D. Level 4 (Advance)
E10 Person in charge (PIC) - Conduct Initial Ergonomics Proof of Result Initial ERA Yes – PIC must conduct Initial Ergonomics Risk Assessment
Risk Assessment at two third (2/3) of work area. at two third (2/3) of work area

No – PIC did not conduct Initial Ergonomics Risk Assessment

at two third (2/3) of work area
Yes No
Notes :
PIC needs to conduct initial ERA to two third of work area to
fulfill this checkpoint. This two third is including one third
achieved in Checkpoint E6.

E11 Person in charge (PIC)/Hired Trained Person - (Result Advanced ERA) Yes – PIC must conduct Advanced Ergonomics Risk
Conduct Advanced Ergonomics Risk Assessment at Assessment at one third (1/3) of work area as same as E10, if
one third (1/3) of work area as same as E10. results Initial ERA from E10 required to do so.
Yes No N/A
No – PIC did not conduct Advanced Ergonomics Risk
Assessment at one third (1/3) of work area as same as E10.

NA - Results of Initial ERA from E10 do not require Advanced

Ergonomics Risk Assessment

Notes :
1. If results of Initial ERA from E10 do not require Advanced
Ergonomics Risk Assessment , proceed to E12.
2. If results of Initial ERA from E10 requires an Advanced
Ergonomics Risk Assessment, PIC/Hired Trained Person must
conduct Advanced ERA. PIC/Hired Trained Person must have
attended Advanced ERA Module (where needed) which
covers the topics below:
Advanced Ergonomic Risk Assessment Method
i. Postural
ii. Manual handling
iii. Repetitive motion
iv. Vibration
v. Environmental ergonomics
3. PIC/Hired Trained Person must enclosed Training Certificate
and Module.

E12 Person in charge (PIC) - Conduct Ergonomics Control (Proof/Picture of Ergonomics Control Measures) Yes – PIC must Ergonomics Control Measure at similar work
Measure at similar work area as assessed in E10. area as assessed in E10.

No – PIC did not conduct Ergonomics Control Measure at

similar work area as assessed in E10
Yes No N/A
NA - Not required Ergonomics Control Measure at similar work
area as assessed in E10. Please provide existing control
measure (if any)

E13 Person in charge (PIC) - To notify Work related Yes – PIC must notify Work related Musculoskeletal Diseases
Musculoskletal Diseases (WRMSD) to DOSH. (WRMSD) to DOSH

Yes No N/A No – PIC did not notify Work related Musculoskeletal Diseases
(WRMSD) to DOSH

NA - Initial/MSD assessment does not indicate presence of

Work related Musculoskeletal Diseases (WRMSD) to be
notified DOSH

Notes:
If there is any Work related Musculoskeletal Diseases
(WRMSD) identified, the PIC must notify to DOSH. Diseases
notifications can be done by either using the JKKP 7 manual
form or through the online platform of eJKKP7 accessible at
http://ejkkp7.dosh.gov.my/ejkkp7

Notes : To proceed to the next level employer must full fill all the checkpoint in this level.
LEVEL ACHIEVED : LEVEL ……..
E. Level 5 (Excellent)
E14 Person in charge (PIC) - Conduct Initial Ergonomics (Result Initial ERA) Yes – PIC must conduct Initial Ergonomics Risk Assessment
Risk Assessment at ALL work area (3/3 of work area) at ALL work area (3/3 of work area)

No – PIC did not conduct Initial Ergonomics Risk Assessment

at ALL work area (3/3 of work area)
Yes No
Notes :
The PIC need to conduct initial ERA to all work area to fulfill
this checkpoint. This three third work area is including two third
achieved in through Checkpoint E6 and E10.

E15 Person in charge (PIC)/Hired Trained Person - (Result Advanced ERA) Yes – PIC must conduct Advanced Ergonomics Risk
Conduct Advanced Ergonomics Risk Assessment at Assessment at one third (1/3) of work area as same as E14, if
one third (1/3) of work area as same as E14. results Initial ERA from E14 required to do so.

No – PIC did not conduct Advanced Ergonomics Risk

Yes No N/A Assessment at one third (1/3) of work area as same as E14.

NA - Results of Initial ERA from E14 do not require Advanced

Ergonomics Risk Assessment

Notes :
1. If results of Initial ERA from E14 do not require Advanced
Ergonomics Risk Assessment , proceed to E16.
2. If results of Initial ERA from E14 require an Advanced
Ergonomics Risk Assessment, PIC/Hired Trained Person must
conduct Advanced ERA. PIC/Hired Trained Person must have
attended Advanced ERA Module (where needed) which
covers the topics below:
Advanced Ergonomic Risk Assessment Method
i. Postural
ii. Manual handling
iii. Repetitive motion
iv. Vibration
v. Environmental ergonomics
3. PIC/Hired Trained Person must enclosed Training Certificate
and Module.
 Ergonomic Checkpoints

Check point Date of

reference no. Description Evidence (Photos or documents) Remark Standard Activity
Implementation
E16 Person in charge (PIC) - Conduct Ergonomics Control (Proof/Picture of Ergonomics Control Measures) Yes – PIC must implement Ergonomics Control Measure at
Measure at similar work area as assessed in E14. similar work area as assessed in E14.

No – PIC did not implement Ergonomics Control Measure at

similar work area as assessed in E14
Yes No N/A
NA - If assessment at similar work area as in E14 does not
require implementation of Ergonomics Control Measure.
Please provide existing control measure (if any)

E17 Implement ergonomic promotional activity Yes – PIC must Implement ergonomic promotional activity

Yes No No – PIC did not Implement ergonomic promotional activity

Notes:
Ergonomic promotional activities need to be carried out to
achieve checkpoint E17. Some examples of ergonomic
promotional activities are brochure, pamphlet, poster, and
workshop specifically done for the purpose of promoting better
ergonomics at workplace

E18 Review policy, budget and planning on OSH Yes – PIC must Review policy, budget and planning on OSH

Yes No No – PIC did not Review policy, budget and planning on OSH

Notes:
In order to achieve checkpoint E18, the employer need to
review the company’s policies, budget and plan activities with
regards to OSH. This policies, activities and budget should
include matters pertaining to ergonomic issues at the
workplace.

LEVEL COMPLETE
LEVEL ACHIEVED : LEVEL ……..

Assessed By (SOHELP Enabler): Update

Monday, December 03, 2018

Assessment
Date:
Level
Achieved:
Remarks (Enabler):

Remarks (Verifier):