Industrial Ergonomics Program Generator

Prior to creating a program, it is recommended that you view the following training modules:

• Ergonomics in the Workplace: Part 1
• Ergonomics in the Workplace: Part 2
• Ergonomics in the Workplace: Part 3

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General Information More Information

Hidden input field used for tracking revision dates

Name of organization:

Insurance company:

Who will be in charge of the industrial ergonomics control program? More Information

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Tasks With Ergonomic Risk Factors More Information

Task	Area	Excessive Force	Vibration Hazards	Awkward Postures	Contact Stress	Repetitive Motions	Environmental Stressors
		-- Yes No	-- Yes No	-- Yes No	-- Yes No	-- Yes No	-- Yes No	#stIEJTAdder Remove

#stIEJobTable

Add Task#stIEJobTable

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Workstation Evaluations More Information

How soon after an employee starts work do you complete workstation evaluation?

How soon after an ergonomics complaint do you complete a workstation evaluation?

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Medical Management Information More Information

Organization's medical provider name:

Medical provider's street address:

City:

State:

ZIP code:

Medical provider phone:

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Records Retention

How many years do you retain records related to this program? More Information

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