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Ergonomic Risk Assessment

Employee ID
Employee Name
Submitted Date
SKY1808
TAN YI HERNG
02/04/2026
SNC1479
NUR ATHIRAH BINTI MOHAMAD SHUKRI
02/04/2026
300109
COLIN NG MUNG CHUN
01/04/2026
SNC1458
MIA MD ABDUL AZIZ
01/04/2026
SNC1463
TAN SUE'LYN
01/04/2026
SKY1728
KHEW SHIN YI
01/04/2026
SKY1611
NAJWA NABILA BINTI MOHAMMAD HARUN
01/04/2026
SKY1568
AMALINA BINTI MOHD HASNI
01/04/2026
QUESTIONS

Work Area

ANSWERS
Responses

Office

count / total (percentage)

Production

count / total (percentage)

QUESTIONS

Age Group

ANSWERS
Responses

Below 25

count / total (percentage)

25-35

count / total (percentage)

Above 35

count / total (percentage)

QUESTIONS

Working Hours per Day

ANSWERS
Responses

Less than 4 hours

count / total (percentage)

4–8 hours

count / total (percentage)

More than 8 hours

count / total (percentage)

QUESTIONS

How long have you been in this job?

ANSWERS
Responses

Less than 6 months

count / total (percentage)

6 months – 2 years

count / total (percentage)

2 – 5 years

count / total (percentage)

More than 5 years

count / total (percentage)

QUESTIONS

Your job involves mostly

ANSWERS
Responses

Sitting

count / total (percentage)

Standing

count / total (percentage)

Manual handling

count / total (percentage)

Mixed tasks

count / total (percentage)

QUESTIONS

Do you sit for long periods without breaks?

ANSWERS
Responses

Yes

count / total (percentage)

No

count / total (percentage)

QUESTIONS

Does your chair provide proper lower back support?

ANSWERS
Responses

Yes

count / total (percentage)

No

count / total (percentage)

QUESTIONS

Are your feet flat on the floor when seated?

ANSWERS
Responses

Always

count / total (percentage)

Sometimes

count / total (percentage)

Never

count / total (percentage)

QUESTIONS

Is your monitor positioned at eye level?

ANSWERS
Responses

Yes

count / total (percentage)

No

count / total (percentage)

QUESTIONS

Do you often lean forward to see the screen?

ANSWERS
Responses

Yes

count / total (percentage)

No

count / total (percentage)

QUESTIONS

Are your elbows at 90° when typing?

ANSWERS
Responses

Yes

count / total (percentage)

No

count / total (percentage)

QUESTIONS

Do you experience wrist/hand strain from keyboard or mouse use?

ANSWERS
Responses

Never

count / total (percentage)

Sometimes

count / total (percentage)

Often

count / total (percentage)

Maybe

count / total (percentage)

QUESTIONS

Do you use a laptop without external mouse/keyboard?

ANSWERS
Responses

Yes

count / total (percentage)

No

count / total (percentage)

QUESTIONS

Do you take stretching breaks during office work?

ANSWERS
Responses

Always

count / total (percentage)

Sometimes

count / total (percentage)

Never

count / total (percentage)

QUESTIONS

Do you stand continuously for long periods?

ANSWERS
Responses

Yes

count / total (percentage)

No

count / total (percentage)

QUESTIONS

Does your work require repetitive movements?

ANSWERS
Responses

Yes

count / total (percentage)

No

count / total (percentage)

QUESTIONS

Do you frequently bend, twist, or reach awkwardly?

ANSWERS
Responses

Always

count / total (percentage)

Sometimes

count / total (percentage)

Never

count / total (percentage)

QUESTIONS

Do you lift loads heavier than 10kg regularly?

ANSWERS
Responses

Yes

count / total (percentage)

No

count / total (percentage)

QUESTIONS

Are lifting aids (trolley/hoist) available when needed?

ANSWERS
Responses

Always

count / total (percentage)

Sometimes

count / total (percentage)

Never

count / total (percentage)

QUESTIONS

Is your workstation height suitable for your task?

ANSWERS
Responses

Yes

count / total (percentage)

No

count / total (percentage)

Not sure

count / total (percentage)

QUESTIONS

Do you rotate tasks or do the same task all day?

ANSWERS
Responses

Rotate task

count / total (percentage)

Same task mostly

count / total (percentage)

QUESTIONS

Have you experienced pain or discomfort in these areas?

ANSWERS
Average Score

Neck

average / 4

Shoulder

average / 4

Upper Back

average / 4

Lower Back

average / 4

Wrist

average / 4

Hips

average / 4

Knees

average / 4

QUESTIONS

Does discomfort affect your work performance?

ANSWERS
Responses

Yes

count / total (percentage)

No

count / total (percentage)

QUESTIONS

Have you ever taken MC due to body pain/discomfort?

ANSWERS
Responses

Yes

count / total (percentage)

No

count / total (percentage)

QUESTIONS

Do you know what ergonomics means?

ANSWERS
Responses

Yes

count / total (percentage)

No

count / total (percentage)

QUESTIONS

Would you like ergonomic training in the company?

ANSWERS
Responses

Yes

count / total (percentage)

No

count / total (percentage)

QUESTIONS

Do you practice stretching during work?

ANSWERS
Responses

Daily

count / total (percentage)

Sometimes

count / total (percentage)

Never

count / total (percentage)

QUESTIONS

What ergonomic issues do you notice in your work area?

RESPONSES

responses...

QUESTIONS

What improvements would you suggest?

RESPONSES

responses...

Ergonomic Risk Assessment Form

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