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Rosa Excel
Rosa Excel
Evaluator: Date:
Insufficient Space
Under Desk - Ability Non-Adjustable
YES YES
Elbows Supported in Too Low (Arms Too High N
Too Wide (+1)
Hard/Damaged 0
line with shoulders, Unsupported) (2) (Shoulders Non- Adjustable (+1)
NO YES
surface (+1)
NO
shoulders relaxed (1) Shrugged) (2)
O
(+1 (+1 (+1)
Section B
Back Support
)(0 )(0) Additional Considerations (0) + Score NOTES:
)
YES ROSA
Adequate Lumbar
Support- Chair No Lumbar Support OR
reclined between 95°Lumbar Support
Angled Too Far
Not in Small Back (Greater
Angled Too Far
Forward (Less
No Back Support (ie
Stool OR Worker
Work Surface Too High,
Shoulders Shrugged
Back Rest Non-
Adjustable (+1) 0 Grand Score
and 110 ° (1) of Back (2) than 110°) (2) than 95°) (2) Leaning Forward) (2) YES
(+1)
NO NO
(+1) (+1
Monitor Additional Considerations(0) )(0) Score Duration
Duration:
+1 if ≥ 1 hr/day consecutively or ≥ 4 hrs/day intermittently
0 if 30 min - 1 hr/day consecutively or 1-4 hrs/day intermittently
Arm's Length Distance Too Low (below Too High (3) Too Far (+1) Glare on
Screen (+1)
Neck Twist Greater Documents - No
Holder (+1)
0 -1 if < 30 min/day consecutively or < 1 hr/day intermittently
(40-75cm) / Screen at
Eye Level (1)
30°) (2)
YES
NO YES YES
than 30° (+1)
YES
NO
(+1) NO
(+1) NO
(+1) (+1)
Section C
(0) (0)
Telephone (0) Additional Considerations (0) Score Duration Section C Score
No Hands-Free Option
Headset / One Hand on Too Far of Reach Neck and Shoulder
(+1)
0
Phone & Neutral Neck
Posture (1)
(outside of 30 cm) (2)
YES
Hold (+2)
YES
NO
NO
(+2) (+1)
(0) Peripherals Score
Mouse Additional Considerations (0) Score Duration
Keyboard
)(0) Additional Considerations
) Score Duration Section D Score
Data Table I: Section A & B Score Section A: Chair Height & Seat Pan Depth
2 3 4 5 6 7 8 9
Arm Rest & Back
2 2 2 3 4 5 6 7 8
3 2 2 3 4 5 6 7 8
Section B:
Support
4 3 3 3 4 5 6 7 8
5 4 4 4 4 5 6 7 8
6 5 5 5 5 6 7 8 9
7 6 6 6 7 7 8 8 9
8 7 7 7 8 8 9 9 9
0 1 1 1 2 3 4 5 6
1 1 1 2 2 3 4 5 6
2 1 2 2 3 3 4 6 7
3 2 2 3 3 4 5 6 8
4 3 3 4 4 5 6 7 8
5 4 4 5 5 6 7 8 9
6 5 5 6 7 8 8 9 9
0 1 1 1 2 3 4 5 6
1 1 1 2 3 4 5 6 7
2 1 2 2 3 4 5 6 7
3 2 3 3 3 5 6 7 8
4 3 4 4 5 5 6 7 8
5 4 5 5 6 6 7 8 9
6 5 6 6 7 7 8 8 9
7 6 7 7 8 8 9 9 9
2 2 2 3 4 5 6 7 8 9
3 3 3 3 4 5 6 7 8 9
Telephone
4 4 4 4 4 5 6 7 8 9
5 5 5 5 5 5 6 7 8 9
6 6 6 6 6 6 6 7 8 9
7 7 7 7 7 7 7 7 8 9
8 8 8 8 8 8 8 8 8 9
9 9 9 9 9 9 9 9 9 9
5 5 5 5 5 5 6 7 8 9 10
6 6 6 6 6 6 6 7 8 9 10
7 7 7 7 7 7 7 7 8 9 10
8 8 8 8 8 8 8 8 8 9 10
9 9 9 9 9 9 9 9 9 9 10
10 10 10 10 10 10 10 10 10 10 10
Data Table VI
Score = 1-5: Further assessment not immediately
Grand required.
Score > 5: The office workstation requires further
Score assessment; changes should be considered
Grand
Score assessment; changes should be considered
immediately.