Self Assessment and Ergonomic Equipment Request Form - OHCOW 2026

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The document is a Self Assessment and Ergonomic Equipment Request Form for LUFA members at Laurentian University. It guides users through assessing their seated body posture, office deskchair, keyboard tray, and wrist rest to ensure ergonomic safety while working. Members can request ergonomic equipment by completing the form and submitting it to relevant authorities for review and approval.

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Begin with Part A – Self Assessment. Carefully evaluate your seated body posture while keyboarding, answering each question with 'YES' or 'NO'. Ensure you adjust your chair for optimal posture as described.
Next, assess your office deskchair by checking the relevant features. Mark 'YES' or 'NO' based on whether your chair meets ergonomic standards.
Proceed to evaluate the keyboard tray and wrist rest sections, ensuring all criteria are met for a comfortable typing experience.
In Part B – Equipment Request, check all items you wish to request. Fill in your personal details including name, office room number, extension, email, and department.
Finally, review the recommendations section in Part C before submitting the form via email to your Faculty Dean and other designated recipients.

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