Get the free ERGONOMICS REFERRAL FORM Employee ID DepartmentFaculty - hr ubc

Human Resources Room 350 2075 Westbrook Mall Vancouver, B.C. Canada V6T 1Z1 Tel: 6048229040 Fax: 6048220572 ERGONOMICS REFERRAL FORM Please email or fax completed forms to: email: ergonomics hr.UBC.ca

How to fill out ergonomics referral form employee

How to fill out ergonomics referral form employee:

1. Start by filling out the employee's personal information, such as their name, employee ID number, and contact details. This information is important for identification and communication purposes.
2. Provide the employee's job title and department. This will help the ergonomics specialist understand the specific requirements and demands of the employee's role.
3. Include a brief description of the employee's job duties and responsibilities. This will give the ergonomics specialist an idea of the tasks the employee performs and the potential ergonomic risks associated with them.
4. Describe any existing physical discomfort or symptoms the employee is experiencing. This will help the specialist identify the areas of concern and develop appropriate solutions.
5. Indicate if the employee has any pre-existing medical conditions or disabilities that may affect their ergonomic needs. This information is crucial for the specialist to understand any additional factors that should be considered.
6. State the reason for the referral. Clearly explain why the employee is being referred to the ergonomics specialist, whether it's due to existing discomfort, a change in job duties, or any other specific circumstances.
7. Provide any additional information or relevant details that may assist the ergonomics specialist in addressing the employee's needs effectively.
8. Remember to sign and date the referral form before submitting it to the appropriate department or individual responsible for coordinating ergonomics evaluations.

Who needs ergonomics referral form employee:

1. Employees who are experiencing physical discomfort or symptoms related to their job duties.
2. Employees who have recently undergone a significant change in their job duties or work environment.
3. Employees who have pre-existing medical conditions or disabilities that may impact their ergonomic needs.
4. Employers who prioritize the health and well-being of their workforce and aim to prevent work-related musculoskeletal disorders.
5. Human resources departments or occupational health and safety teams responsible for coordinating and managing ergonomics evaluations and interventions in the workplace.

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