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Ergonomic Evaluation Request

EHS can conduct ergonomic evaluations to identify workstation design or working conditions that may contribute to discomfort or injury. Evaluations may result in recommendations for corrective actions or equipment. Please complete the information below and submit to request an evaluation.

Are you experiencing any specific discomfort that you would like to see addressed by this evaluation?
Name:
Lab Group or Department:
Building and Room:
Job title (or student):
E-Mail Address:
Phone Number: