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