Workplace Ergonomics Assessment Checklist — free, no sign-up Download PDF

Workplace Ergonomics Assessment Checklist

A workstation-by-workstation ergonomics assessment covering the three settings most Canadian workplaces need: office and computer work, manual material handling, and repetitive industrial tasks. Each section scores risk so you can rank what to fix first.

How to use it. Complete one assessment per workstation or task, not one per site. Score each risk factor 0–3, total the section, and use the rating band to set your priority. Talk to the worker doing the job — discomfort reported early is the cheapest control you will ever get.
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Workplace Ergonomics Assessment

One per workstation or task · Canadian workplaces
HSE ADVISOR CANADA
hseadvisor.ca
Employer / company:
Workstation or task:
Assessed by:
Worker consulted:
Date:
Review date:
Scoring

Score every risk factor: 0 not present · 1 occasionally or mildly · 2 frequently or moderately · 3 constantly or severely. Total each section and use the band below.

Section totalRisk ratingAction
0 – 5LowMonitor. Reassess on change or on worker report.
6 – 12ModeratePlan controls. Address within the current review cycle.
13 +HighAct now. Interim controls today, engineering control planned.
Section A — Office and computer work
Risk factorWhat to look forScoreNote
Monitor height and distanceTop of screen at or slightly below eye level, about an arm’s length away.
Neck flexion or rotationHead held turned or tilted to see the screen or documents.
Shoulder elevationElbows lifted away from the body; keyboard or desk too high.
Wrist deviation or extensionWrists bent up, down or sideways while typing or using a mouse.
Chair supportNo lumbar support, seat pan too deep, no adjustment available.
Feet unsupportedFeet dangling or on a chair base rather than flat on floor or footrest.
Static posture durationLong periods without changing position or standing.
Laptop used without dockScreen and keyboard cannot both be in the right place at once.
Lighting and glareReflections on screen, or task lighting too dim for paperwork.
Section A total
Section B — Manual material handling
Risk factorWhat to look forScoreNote
Load weightHeavy relative to the worker and the frequency of the lift.
Lifting below knee or above shoulderOrigin or destination outside the power zone.
Horizontal reachLoad held away from the body, increasing spinal load.
Twisting while loadedTurning the torso while carrying rather than moving the feet.
Frequency and durationRepeated lifts with little recovery between them.
Grip qualityNo handles, awkward shape, slippery or unstable load.
Carry distanceLong carries, stairs, ramps or uneven ground.
Push and pull forcesHigh force to start or stop a cart; poor wheels or floor surface.
Mechanical aids unavailableNo hoist, cart, lift table or conveyor where one would fit the task.
Section B total
Section C — Repetitive and industrial tasks
Risk factorWhat to look forScoreNote
Repetition rateSame motion many times per minute with a short cycle time.
Forceful exertionGripping, pinching, pressing or pulling with high force.
Awkward postureOverhead work, kneeling, squatting, sustained bending.
Contact stressBody pressed against a hard edge or tool handle.
VibrationHand-arm vibration from tools, or whole-body from vehicles.
Work height fixedBench or line height not adjustable for different workers.
Pace controlled by machineWorker cannot vary rhythm or take a micro-break.
No task rotationSame task all shift with no variation in muscle groups used.
Cold or PPE interferenceCold reduces grip; gloves force higher grip force.
Section C total
Worker report

Has the worker reported discomfort, pain, numbness or tingling associated with this task?

Body area(s) and description:

When it started and what makes it worse:

A worker report is the earliest and cheapest signal you will get. Treat it as a finding in its own right regardless of the numeric score, and make sure reporting does not depend on an injury having already happened.
Controls — highest to lowest
  • Eliminate the task or the handling entirely — delivery to point of use, gravity feed, redesign.
  • Engineering control — adjustable height, mechanical assist, tool redesign, layout change.
  • Administrative control — task rotation, pacing, team lift, training in technique.
  • Personal equipment — anti-fatigue matting, anti-vibration gloves. Last, never first.

Controls selected for this workstation:

Risk factorControlLevelOwnerDue
Sign-off
Workplace Ergonomics Assessment Checklist · HSE Advisor Canada · Free to use and adapt.
hseadvisor.ca · (647) 620-5278

This resource is general guidance, not legal advice. Confirm every requirement against the current regulation in your jurisdiction before relying on it.