Name: Date:
Job Title: Department: Ext.
Estimated hours per day at computer: Supervisor:
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Monitor |
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1. Is the monitor screen directly in front of you? |
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2. Is the screen approximately an arm distance? (18-30 inches) |
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3. Can your elbows swing freely without obstacles? |
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4. Are your eyes even level with the top of the screen or 2-3 inches below the top of the monitor? (Lower is better for bifocals) |
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5. Do you find yourself raising or lowering your chin to view the screen? |
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6. Is your monitor slightly tilted upward? |
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7. Do you use a document holder next to your monitor rather than laying papers flat? |
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8. Do you have any reflections from windows or light that may cause you to squint? |
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9. Is there sufficient light for reading without straining your eyes? |
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10. Is the brightness on your monitor equal to the area behind it? |
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11. Do you take 20 second breaks every 20 minutes and look at least 20 feet away? |
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Keyboards |
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1. Do you use and adjustable under-the counter keyboard/mouse tray? |
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2. Are the home row keys on your keyboard positioned directly in center of your trunk? |
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3. Is the keyboard located just above the level of your lap? |
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4. Is the keyboard tilted slightly downward? (negative keyboard tilt) |
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5. Is the mouse located on the same level as your keyboard? |
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6. Are your wrists in a neutral position? |
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7. Do you feel any strain or pull in the wrist area? |
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8. Are your shoulders relaxed? |
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9. Do you feel a strain or pull in the neck or shoulder area? |
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10. Are your elbows at a 90-110 degree angle and close to your sides? |
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11. Are your wrists pressing down on a hard surface or pads while typing? |
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12. Are you holding the mouse loosely with your hand and fingers in a relaxed position when moving the pointer around the screen? |
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Chair |
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1. Is the height of your chair adjusted so that your feet are positioned flat on the floor or on a footrest? Hips and legs at a 90-degree angle? |
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2. Are you sitting with your hips and legs touching the back of your chair? |
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3. Is the chair backrest height adjusted to provide maximum support for your back? |
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4. Do your legs dangle when you sit? |
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5. Do you feel pressure on the back of your thighs? |
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6. Do you have/or need a footrest to adjust for height? |
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7. If you have armrest, do they allow you to rest your arms comfortably? |
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8. Is the size of your seat long and wide enough to support your hips and thighs? |
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9. Is your chair comfortable and are you sitting in a relaxed position? |
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General Techniques |
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1. Do you take brief stretch breaks from keying during the day? |
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2. Do you avoid cradling the telephone between your head and shoulder when talking or listening to others? |
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Immediate Needs: |
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Future Considerations: |
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