ERGONOMICS

EXIT ASSESSMENT

BY
PRIYANKA MURALIDHAR
 EXIT
ASSESSMENT
DEFINITION : An exit assessment documents the health status of
an individual at the time of exiting employment, Prior to an
employee leaving the company.

-This is the way of verifying that the persons health does

not been adversely affected by their employment.

-This protects the employer and resources the employee

that their health has not been compromised during
their employment.
▶ Reason for leaving
▶ Most enjoyable event
▶ Least enjoyable event
▶ Skills
▶ Did you encounter any MSD health issues
▶ Complaint
▶ Any modification
 Exit assessment help to prove that the employee was not
ill or injured when leaving the company. It also help to
manage any clients if an employee is injured prior to leaving
this protect the employer and reassure the employee that there
health has not been compromised during employment.
EXIT ASSESSMENT QUESTIONNAIRE :

1. What did you enjoy the most about working in

the department?

2. What did you enjoy the least & why?

3. What suggestion or feedback can you share that would make

our organization stronger & more successful?

4. Did we handle your complaint in an appropriate and timely

way?
5. Is there anything else you would like to share as your
final comment?

6. What was the driving factor in your decision to leave?

7. Do you think your skills were well used?

ASSESSMENT

1. Name :
2. Job title :
3. Last working date :
4. Briefly explain your reason for leaving :
5. Which of the following were influencing your
decision to leave?
- Job duties
- Working condition
- No advancement opportunity
- Carrier change
 - Salary
- Health issues
- Moving
- Retirement
- Family circumstances
- Others
6. Did you encounter any health issues / MSD in
your current position?
7. What suggestion would you make for improving
the following
- Working condition
- Employee relation
- Supervision
- Productivity
- Equipment
- Safety
- Policies & procedure
- Management
- Training
- Communication
 - Physical working condition
- Job safety
- Adequacy of equipment
8. What challenge did you have in your job?
9. Describe the strength of department?
10. What changes would you have to be made
the workplace better
- Better work setting, supplies, equipment, tools
- Salary
- Work schedule
- Work load
 - Adequate training
- Changes in policies & procedures

- Others

11. Are there any other areas you are not covered that
you like to discuss?

Date : Signature :