Work From Home Ergonomic Evaluation Checklist

Employee Information

Workstation Setup

Desk height allows forearms to be parallel to the floor Chair provides proper lumbar support Chair height adjustable Feet flat on the floor or on a footrest Adequate leg and knee clearance under desk

Monitor Placement

Monitor approximately arm’s length away Top line of screen at or below eye level Monitor directly in front of you If using multiple monitors, aligned similarly and at same height

Keyboard and Mouse

Keyboard close to body, elbows at sides Mouse next to keyboard Wrists straight, not bent up or down

Lighting and Environment

Sufficient, glare-free lighting Proper ventilation in workspace Noise at a manageable level

Work Habits

Take regular breaks to stand/stretch Vary activities and tasks when possible

Additional Comments