Self Assessment and Ergonomic Equipment Request Form - OHCOW 2025

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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 are instructed to submit the completed form to their Faculty Dean and other relevant parties for review and approval of requested ergonomic equipment.

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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 indicated.
Next, assess your office deskchair by checking the relevant features. Mark 'YES' or 'NO' based on your chair's specifications, ensuring comfort and support.
Proceed to the keyboard tray section. Again, answer each question regarding its adjustability and stability.
In Part B – Equipment Request, select any items you wish to request by checking the appropriate boxes. Fill in your personal details including name, office room number, extension, email, and department.
Finally, review all sections for accuracy before submitting. Once completed, send an email or hardcopy of the form to your Faculty Dean and other specified recipients.

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