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Worker: Date:
Company: Department:
Job Description:
Knees at 90° (1) Too low- Knee Angle Too High - Knee
Angle > 90° (2)
No foot contact on 3 6 Additional Considerations
Additional Considerations
Approximately 3 inches of space Too Long - Too Short - > 3" of
between knee and edge of seat. (1) < 3" of space (2) space (2)
Seat Pan Depth + Score A &Additional
B Score Considerations
Duration Chair Score
Hard/Damaged
Elbows Supported in line with Too Low (Arms Unsupported) Too High (Shoulders Too Wide (+1) surface (+1)
Non- Adjustable (+1)
shoulders, shoulders relaxed (1) (2) Shrugged) (2)
Additional Considerations
Adequate Lumbar No Lumbar Support OR Work Surface Too
3 5 1 6
Angled Too Far Angled Too Far No Back Support Bac
Support- Chair reclined Lumbar Support Not in Back (Greater High, Shoulders Non-A
Forward (Less (ie Stool OR
between 95° and 110° (1) Small of Back (2) Additional
than 110°) (2) than 95°) (2) Worker Leaning Considerations Shrugged
Forward)
Glare (2)
on Screen (+1)
Arm's Length Distance Too Low (below 30°) Too Far (+1) Neck Twist Greater Documents - No
(40-75cm) / Screen at (2) (+1) than 30° (+1) Holder (+1)
0 No Hands-Free Option (+1)
Eye Level (1) Additional Considerations
Headset / One Hand on Phone Armrests Too Far of Reach Score Section B Score Neck and Shoulder Hold (+2)
& Neutral Neck Posture (1) (outside of 30 cm) (2)
Deviation While
2 4 Keyboard Too High - Reaching to Overhead Platform
(+1)
Keyboard on Positive
Shoulders Relaxed Angle (>15° Wrist Typing (+1) Shoulders Shrugged (+1) Items (+1) Non-Adjustable (+1)
Section B
ROSA
2 Grand Score
4 1 6
Too High (3)
Section C
1 1 4
1 1 4
Section D
3 1 4
Reference: Sonne, Michael, Dino L. Villalta, and David M. Andrews. "Development and evaluation of an office ergonomic risk checklist: ROSA- Rapid office strain assessment." Applied Ergonomics. 43 (2012): 98-108. Print.
IT AGENTE AREA
Movimientos
Posturas Uso de Pantalla de Levantamiento Empuje /Jalado
repetitivos de alta
forzadas Visualización de Datos Manual de cargas manual de cargas
frecuencia
x x
x x
x x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
x x
Duration:
+1 if ≥ 1 hr/day consecutively or ≥ 4 hrs/day intermittently
ROSA REFERENCE SHEET 0 if 30 min - 1 hr/day consecutively or 1-4 hrs/day intermittently
-1 if < 30 min/day consecutively or < 1 hr/day intermittently
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
immediately.
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