Desk Ergonomic Assessment

Computer Workstation Assessment

Worker Details & Assessment Setup

Complete the worker and assessment information below. These details carry through to all sections and the final report.

Worker Name

Assessor

Assessment Date

Company / Location

Department

Job Title

Assessment Notes

General Observations

Work Pattern

Workstation Photos

Upload photos of the workstation, chair, screen setup, and any areas of concern. These are included in the downloaded report.

Worker Participation

Worker participation is a legal and practical requirement. Complete these questions with the worker before beginning the physical assessment.

Worker Question	Yes / No / NA	Suggested Actions	Notes

Desk / Workstation

Assess the physical condition, size and setup of the workstation surface. Minimum standard: 1600 mm × 800 mm.

Identification Checklist0 / 0 answered

Identification	Yes/No/NA	Actions	Notes / Observations

Chair

Assess condition, adjustability and setup. Chair should have 5-star base, wheels, adjustable lumbar, height, tilt and removable armrests.

Identification Checklist0 / 0 answered

Identification	Yes/No/NA	Actions	Notes / Observations

Screen(s)

Screen at arm's length, directly in front, top of screen at or slightly below eye height. Glare sources should be identified and addressed.

Identification Checklist0 / 0 answered

Identification	Yes/No/NA	Actions	Notes / Observations

Keyboard & Mouse

Keyboard and mouse at elbow height, wrists in neutral position. Space for ⅓ of forearm to rest on desk.

Identification Checklist0 / 0 answered

Identification	Yes/No/NA	Actions	Notes / Observations

Environment & Organisation

Assess lighting, temperature (20–24°C ideal), airflow, noise and general cleanliness of the workplace.

Identification Checklist0 / 0 answered

Identification	Yes/No/NA	Actions	Notes / Observations

Work From Home (if applicable)

Complete this section only if the worker performs computer work from a home environment. Skip to Summary if not applicable.

Identification Checklist0 / 0 answered

Identification	Yes/No/NA	Actions	Notes / Observations

Assessment Overview

Items Requiring Action

All items answered No are listed below with the actions selected during the assessment.

Section	Recommended Actions

Recommendations & Follow-Up Actions

Recommended Actions

Responsible Person & Review Date

Detailed Assessment Summary

Section	✓ Yes	✗ No	— N/A	Risk Level