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.

How many employees work for your organization (includes full time, part time, onsite, hybrid, and remote) *

7.

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.

8.

About how many ergo evals do you do annually? *

9.

Describe your current ergonomics program or process. What components do you have in place? Be specific to all aspects. *

10.

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/her 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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