Environmental Health and Safety

Ergonomic Assessment Registration Form

To request an ergonomic assessment of your workspace, please enter your information into the fields provided.

Please include building, floor, and room number as applicable.

Please indicate when you would like your assessment.
Be sure to select both the date and time you are available.

Please choose an alternate appointment time.
Be sure to select both the date and time you are available.

Provide a description of your discomfort and/or what you hope to gain from your assessment.