Stanford University

Computer Self-Evaluation Form

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Last updated: December 12, 2019
Tool TypeForm
FormatSurvey

How to Use

Use this form to self-evaluate your computer workstation and check that your chair, monitor, keyboard, and mouse are properly adjusted. If you identify a risk factor, tell your supervisor and create an action plan to control the risk. Once you complete the form, click the “Download PDF” button in the top right corner to retain a copy for your files. A copy of the results will also be emailed to you. Please contact Stanford University Ergonomics at 6-4392 for additional help.

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