BODY POSTURE STUDIES

We are final year student from Faculty of Mechanical Engineering in UiTM Shah Alam and would like

to conduct a research on workers operating in Central Sterile Services Department (CSSD) at Pusat

Perubatan Universiti Malaya(PPUM). We are doing reseearch on body posture for ergonomic

subjects. We hope you can provide us full cooperation. All of your information and identity will be

kept confidentially. Thank you for your participation.

Section A : Personal Details

Please answer the following question

1. Gender: ( ) Male ( ) Female

2. Height: cm

3. Weight: kg

4. Job title:

5. How long have you been working here?

years

6. Do you have any problems with physical conditions?

( )Yes ( )No

7. If yes please state your physical conditions problems below:

Section B : Working Condition

8. Are your problems with physical conditions concerned with your workplace environment?

( ) Yes ( ) No

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Date No of Respondent

9. Does your workplace involve expose on chemical substance?

( )Yes ( ) No

10. If yes are what are the chemical involve :

( ) Substances and materials hazardous to health

( ) Biohazard Materials

( ) Waste

( ) Others , Please stated here :

11. How long do you rest?

12. What is your position when working?

( )Sitting

( )Standing

( ) Other, please stated here:

13. What do you feel about the ventilation system of your working space ?

14. Are your workplace environment problems concerned with your

( ) Workplace layout?

( ) Space?

( ) Other? please stated here :

15. Do you have any problems with ergonomic conditions?

( )Yes ( )No

16. Are your ergonomic problems caused by :

( ) Working posture

( ) Repetitive work

( ) Other please stated here :

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Section C : Body Posture

Please tick (√) the relevant boxes to show your level of discomfort. You may tick more than one part of body.

Front View

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18. Left Shoulder

1 2 3 4 5

24. Right Hand

1 2 3 4 5

22. Right Wrist

1 2 3 4 5

17. Right Shoulder

1 2 3 4 5

20. Right Elbow

1 2 3 4 5

19. Left Elbow

1 2 3 4 5

21. Left Wrist

1 2 3 4 5

23. Left Hand

1 2 3 4 5

26. Right Knee

1 2 3 4 5

25. Left Knee

1 2 3 4 5

27. Left Foot

1 2 3 4 5

28. Right Foot

1 2 3 4 5

Highly comfort

Comfort AverageDiscomfor

t Highly

discomfort

1 2 3 4 5

29. Does your company ever do briefly notes on ergonomic and safety before you work here?

( )Yes ( )No

Section D : Additional information

30. Leave your suggestions or comments that you want to share or that we miss regarding the questionnaires above. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________

Thank you very much from us for spending your time to complete this questionnaire.

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