Free Cleaning Services Workplace Ergonomics Assessment Template
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
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Name: |
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Job Title: |
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Department: |
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Assessment Date: |
Workspace Evaluation
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Aspect |
Questions |
Yes |
No |
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Lighting |
Is the lighting in your workspace adequate? |
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Work Surfaces |
Are work surfaces at an appropriate height? |
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Chairs |
Do you have access to ergonomic chairs? |
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Equipment Placement |
Are cleaning tools and equipment easily accessible? |
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Posture |
Is your workspace comfortable enough to maintain good posture? |
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Breaks |
Are regular breaks provided to prevent fatigue? |
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Flooring |
Is the flooring in good condition? |
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Ventilation |
Is the workspace adequately ventilated? |
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Noise Levels |
Are noise levels in the workspace controlled? |
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Storage |
Is there sufficient storage space for equipment? |
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Feedback
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Question |
Response |
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Do you experience any discomfort or pain at work? |
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Do you have any suggestions for improving ergonomics? |
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Are there any tasks you find challenging ergonomically? |
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