Team Workbook-Your Guide To Developing An Ergonomics Process

Alison Heller-Ono

• Publisher: CRC Press
• Year: 2020
• Print ISBN: 9781138424746
• eBook ISBN: 9781000673715
• Edition: 1
• Topic: Tecnología e ingeniería
• Subtopic: Ingeniería civil

This workbook is designed to be used as part of the Developing an Ergonomics Process system. It can be used as a tool, helping the reader to implement strategies effectively, as the process of reducing workplace injuries and illnesses is outlined and effected.

IV

FORMS

Ergonomics Evaluation Form

DATE: ______________________

SECTION I: General Information

To be completed by Ergonomics Surveyor _________________________

Employee Name: _____________________ Soc. Sec. or ID# ____________________

Job Location: ________________________

Job Title: ___________________________

This form is completed in response to a:

1. Employee concern	□	With physical discomfort	□
2. New/Old Equipment	□
3. New/Revised Work Process	□
4. New Employee	□
5. Safety Concern	□
Work Hours:		Breaks:

Task Description: Briefly describe the purpose of the job and its primary tasks. Define the amount of cumulative time the tasks are performed over an 8 hour day or amount of repetition or productivity levels required, ie., < 1 hour, 1–2 hours, >4 hours. Sample tasks. Data Entry: 4 hours, Mousing : 2 hrs; Desk reading: 1 hour.

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

SECTION II: Employee Information

(Circle as indicated or fill in the blank.)

Employee Height:
Males:	64.4"	(5% or less)	68.7"	(50%) 73.0"	(95% or greater) Actual: ______________
Females:	59.9"	(5% or less)	63.8"	(50%) 67.7"	(95% or greater) Actual: ______________
Employee Weight (lbs):
Males:	128.8	(5% or less)	183.4	(50%) 238.0	(95% or greater) Actual: ______________
Females:	95.8	(5% or less)	146.3	(50%) 196.8	(95% or greater) Actual: ______________
H...

Table of contents

• Cover
• Title Page
• Copyright Page
• Table of Contents
• Section I Overhead Summary
• Section II Flow Charts
• Section III Guidelines, Roles, and Responsibilities
• Section IV Forms
• Appendix A Handouts
• Appendix B References and Additional Reading List