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Ergonomics Assessment

As your employer, the University of San Francisco is committed to providing you a safe and healthful workplace.  Because most employees spend a majority of the work day sitting at a desk in front of a computer, it is imperative that your equipment supports you appropriately.  Therefore, the university offers a comprehensive ergonomics assessment of your workspace.  Please complete the form below to submit your ergonomics assessment request.

Ergonomics Assessment Request Form


 
Employee First Name:                    Office Location: 

Employee Last Name:                    Hire Date (MM/DD/YY):  

USF ID/CWID*:                                                      Extension:          

USF Email Address:                       Supervisor's Name:     

Application is not complete until you have clicked "Submit Form" and received the confirmation message.


Please note the following information regarding the ergonomics assessment process:

  • The ergonomics assessment is designed to assess your current work station, chair and equipment. New chairs and equipment are ordered only if the existing items are not functional. 
  • Expect 1-4 weeks before your appointment is scheduled once you submit your form.
  • Expect 6-8 weeks before receiving any equipment that you have ordered. Departments can order any equipment from their own budget if this timing is not convenient.
  • If you are experiencing serious discomfort and need to expedite an appointment and equipment order, please contact benefits@usfca.edu immediately.

*If you don’t know your USF ID number, please follow these steps:

  1. Go to site http://connect.usfca.edu
  2. At the bottom of the green box on the top left, click on "Look-up username or USF ID".
  3. Look to the bottom of the text and click on "USF ID Number Lookup".
  4. Input USF username and password to have your ID listed.

If you require assistance with this form, please contact benefits@usfca.edu.