Ergonomics Prioritization Tool

Analysis Date:
Analyst:
Location:

Employee
Direct Measures Indirect Measures Observed Risk
Input
Total
Ergonomic Ergonomic Recordable Physical
Lost Work Absenteeism/ Ergonomics Screening (without
Job Title First Aid Recordable Severity
Days Modifier Turnover
Production Quality
Tool Total Body Score
Demands
Observed
Cases Cases Modifier Response
Risk)

SCORING KEY

Frequency
Frequency (No. of Severity
Lost Work Physical
(No. of ergonomic Modifiers
Day Modifiers Absenteeism/ Observed Risk Demands
Level of Concern ergonomic first recordable (worst
(worst lost Turnover
Production Quality
(Screening Tool) Response
Total
aid cases in injuries/ recordable
work day case) (1-10)
given year) illnesses in case)
given year)

Low 0 First Aid Cases No Restricted < 5 Lost Work 1 - 3 (0)

(0) 0 recordables (0) Duty (0) Days (0)

Moderate <10 First Aid 1 Recordable Restricted Duty 5-10 Lost Work Subjective ratings based on supervisory subjective Total Body Priority Sum 4 - 7 (+2) Sum across
Cases (+2) (+2) (+2) Days (+2) interview; Each item rated Low (0), Moderate from Ergonomics Screening categories for
(+2) or High (+4). Tool each job.
High >10 First Aid >1 Recordables Lost Workdays > 10 Lost Work 8 - 10 (+4)
Cases (+4) (+4) (+4) Days (+4)

© 06/2009 The Ergonomics Center of North Carolina

 Formulario de Trabajo Ergonómico Detallado

INFORMACION BASICA DIAGRAMA/FOTO DEL TRABAJO

Fecha de análisis:
Analista:
Localización:
Descripción del Trabajo:

TAREAS/PROCESOS DEL TRABAJO

Tiempo
Descripción del Trabajo (seg)
Tarea 1:

Tarea 2:

Tarea 3:

Tarea 4:
ESTACION DE TRABAJO / AMBIENTE NOTAS
Tarea 5: Altura de trabajo: pulgadas
Altura de trabajo ajustable: Sí No N/A
Tarea 6: Rango de Ajustabilidad: pulgadas a pulgadas
Herramienta ajustable: Sí No N/A
Tarea 7: Alcance horiz. max.: pulgadas
Alcance vertical más bajo: pulgadas
Tarea 8: Alcance vertical más alto: pulgadas
Descansapiés disponible: Sí No N/A
Tarea 9: Buena iluminación: Sí No
Preocupación por ruido: Sí No
Tarea 10: Preocupación temperatura: Sí No
Preocupación de estrés: Sí No
Uso de guantes: Sí No
PROGRAMACION Levantar/ Bajar/ Cargar:
Tiempo(s) de ciclo total: segundos Peso: lbs
Ciclos/ Turnos: Dimensiones: pulg X pulg X pulg
Duración del turno: hrs
Rotación: Sí No HERRAMIENTAS / MATERIALES
Duración de rotación: minutos Herramienta(s):
Horario de rotación: Peso herramienta: lbs
Pieza(s)/ Objecto(s):
Horario de pausas: Peso de Pieza / Objecto: lbs
Dimensiones Pieza/Objecto : pulg X pulg X pulg
© 06/2009 The Ergonomics Center of North Carolina
© 06/2009 The Ergonomics Center of North Carolina
 Herramienta de Investigación Ergonómica
Página de Resumen del Trabajo
INFORMACION DEL TRABAJO
Fecha de análisis:
Analista:
Localización:
Descripción:

TAREAS/PROCESOS DEL TRABAJO

Tarea 1: AAA MAA BAA
Tarea 2: AAM MAM BAM
Tarea 3: AAB MMA BMA
Tarea 4: AMA MAB BAB
Tarea 5: AMM MMM BMM
Tarea 6: ABA MBA BBA
Tarea 7: AMB MMB BMB
Tarea 8: ABM MBM BBM
Tarea 9: ABB MBB BBB
Tarea 10: A = Alto
Tarea 11: M = Moderado
Tarea 12: B = Bajo
Tarea 13:
Tarea 14:
Tarea 15:

PRIORIDADES DEL CUERPO

Clasificación Clasificación Clasificación Peor

Movimiento Fuerza Postura Prioridad Tarea(s)
Cuello B
Espalda L
Hombro Derecho L
Hombro Izquierdo L
Brazo/Codo Derecho L
Brazo/Codo Izquierdo L
Mano/Muñeca Derecha L
Mano/Muñeca Izquierda L
Pierna Derecha L
Pierna Izquierda L

PRIORIDAD TOTAL DEL CUERPO

Riesgo
Riesgo Bajo
Moderado
Riesgo Alto COMENTARIOS:

Partes del cuerpo con puntuación

en cada nivel de riesgo.

x1 x2 x4
0 0 0
Puntuación Total del Trabajo:
0

Nivel de Prioridad
del Trabajo:
0
Bajo Moderado Alto

≤ 16 17-24 ≥ 25

© 06/2009 The Ergonomics Center of North Carolina

 Ergonomics Screening Tool
Job Summary Page
JOB INFORMATION
Analysis Date:
Analyst:
Location:
Job Description:
Place picture here.
JOB TASKS/ PROCESS
Task 1:
Task 2:
Task 3:
Task 4:
Task 5:
Task 6:
Task 7:
Task 8:
Task 9:
Task 10:
Task 11:
Task 12:
Task 13:
Task 14:
Task 15:

BODY PRIORITIES

Motion Force Posture Worst

Rating Rating Rating Priority Task (s)
Neck L
Back L
R. Shoulder L
L. Shoulder L
R. Arm/ Elbow L
L. Arm/ Elbow L
R. Hand/ Wrist L
L. Hand/ Wrist L
R. Leg L
L. Leg L

TOTAL BODY PRIORITY

Moderate
Low Risk
Risk
High Risk COMMENTS:

Body Parts with Scores in

each risk level. 0 0 0
x1 x2 x4
0 0 0
Total Job Score: 0
Job Priority
Level:

© 06/2009 The Ergonomics Center of North Carolina

Brainstorming Solutions Tracking Form

BASIC INFORMATION
Analysis Date:
Analyst:
Location:
Job Description:

Business Impact Ease of Implementation Shorterm /

Brainstormed Solutions Priority
Low Moderate High Low Moderate High Longterm

© 06/2009 The Ergonomics Center of North Carolina

© 06/2009 The Ergonomics Center of North Carolina
 Ergonomics Issue Resolution Tracking Form
BASIC INFORMATION
Analysis Date:
Analyst:
Location:
Job Description:

RESOLUTION/ CONTROLS

ENGINEERING CONTROLS CONTROL NEEDED ACTION PLAN PRIORITY PERSON RESPONSIBLE DUE DATE

Workstation/ Equipment Layout Yes No N/A

Workstation/ Equipment Adjustment Yes No N/A

Equipment Design Yes No N/A

Tool Design Yes No N/A

Product Design Yes No N/A

Process Design Yes No N/A

Work Conditions Yes No N/A

ADMINISTRATIVE CONTROLS CONTROL NEEDED ACTION PLAN PRIORITY PERSON RESPONSIBLE DUE DATE

Work Methods Yes No N/A

Training Yes No N/A

Job Rotation Yes No N/A

Job Enlargement Yes No N/A

Workpace Yes No N/A

© 06/2009 The Ergonomics Center of North Carolina

 Ergonomics Cost Justification Form

PROBLEM DESCRIPTION
Location:
Problem Identified: Describe the problem that was identified, including ergonomic issues, analysis results, etc.

Place a picture of the issue here.

COST OF PROBLEM INCURRED COSTS NOTES

Ergonomic Risk
Place a picture of the cost here.

Safety (lost time, worker's comp costs, etc.)

Productivity

Quality

Waste

Page 9 of 12 © 06/2009 The Ergonomics Center of North Carolina

 Ergonomics Cost Justification Form

RESOLUTION/ CONTROLS

POTENTIAL SOLUTIONS ESTIMATED COST DESCRIPTION BENEFITS OF SOLUTION

Stay the same $ -

Low cost $ -

Higher cost $ -

$ -

$ -

RECOMMENDATIONS
RETURN ON
INVESTMENT (ROI)
RECOMMENDED SOLUTION(S) ESTIMATED COST INCURRED COSTS PERIOD (YEARS)
Place a picture of the preferred
solution here.
$ -

$ -

Page 10 of 12 © 06/2009 The Ergonomics Center of North Carolina

 Industrial Ergonomics Screening Tool
References

References
Borg, G., Ottoson, D. (1986) Perception of Exertion in Physical Work. Proceedings of an International Symposium, Stockholm.
Sports Documentation Monthly Bulletin, MacMillan, London. P 346+.
Borg, G. (1990) Psychophysical Scaling with Applications in Physical Work and the Perception of Exertion. Scandonavian Journal
of Work, Environment & Health. (16): 55-58.
Borg, G. (1998) Borg's Perceived Exertion and Pain Scales. Human Kinetics, Champaign, Illinois. pp 104+.
Latko et al. (1997). Development and evaluation of an observational method for assessing repetition in hand tasks. American
Indusrial Hygiene Association Journal, 58: 278-285.
McAtamney, L., and Corlett, N. (1993). RULA: a survey method for the investigation of work-related upper limb disorders. Applied
Ergonomics, 24, (2), 91-99.
Moore, JS and Garg, A. (1995). The Strain Index: A proposed method to analyse jobs for risk of distal upper extremity disorders.
Journal of the American Industrial Hygiene Association, (56), 457-458.

Rohmert, W. (1973) Problems in determining rest allowances. Applied Ergonomics, 4(2), 91-95.
Rohmert, W. (1973) Problems in determining rest allowances, Part 2: Determining rest allowances in different human tasks.
Applied Ergonomics, 4(2), 158-162.
Rodgers, Suzanne H. (1992) A functional job evaluation technique, Ergonomics, Occupational Medicine: State of the Art Reviews.
7(4):679-711.
Rodgers, Suzanne H.(1988) Job evaluation in worker fitness determination. Occupational Medicine: State of the Art Reviews. 3(2):
219-239.

© 10/06 The Ergonomics Center of North Carolina

Industrial Ergonomics Screening Tool
References

© 10/06 The Ergonomics Center of North Carolina