SF - 43 Ergonomics Checklist
SF - 43 Ergonomics Checklist
ERGONOMICS CHECKLIST
Date :
Plant / Area :
3. Action required :
ERGONOMICS CHECKLIST
No ITEM Y N ACTION
2. SEATED WORK
Adequate Number
Adequate Height
Footrest Required
Comfortable
4. PERCEPTION /LIGHTING
ERGONOMICS CHECKLIST
No ITEM Y N ACTION
5. VIGILANCE / CONCENTRATION
6. INDOOR CLIMATE
Have the Employees Been Declared Medically Fit for Hot Work Conditions
Are Dust, Fumes, Gases or Vapours in the Air Detectable by Sight or Smell
Can Job Rotation be Done to Decrease Boredom and Prevent Loss of Concentration
SAFETY FORMS
ERGONOMICS CHECKLIST
FOLLOW-UP ACTION
ACKNOWLEDGED