Worksite International Ergonomics Process Readiness Survey

Instructions:

Your Information

Take this quick, discovery survey to see how your program compares to a lean, participatory, best practice approach to ergonomics process design and management. Answer the question as it applies to your workplace. If you have a component, but it is only partially implemented or not effective in its current state, select "no". If you are unsure whether you have the component, select unsure/don't know. Submit your response. I'll score your survey so we can then discuss your results.

1.

Your Name: *

2.

Your Job Title: *

3.

Your email *

4.

Company Name *

5.

Best Phone Number *

6.

Are you the person responsible for the ergonomics program at your organization? *

Yes
No
If not you, then who? Please indicate. If not you, then who? Please indicate.

7.

Describe your current ergonomics program or process. What components do you have in place? *

8.

Are you able to make financial decisions and investments in your ergonomics program? Select the best response that depicts how financial decisions are made. *

Yes, I have a budget and make decisions on spending associated with our ergonomics program.
No, I must report to my manager and convince him of the required investment.
Our CFO decides on how we invest in ergonomics.
Human Resources decides how we invest in ergonomics.
If none of the above apply, please explain: If none of the above apply, please explain:

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