Physical Workplace Assessment 2015 Questionnaire

Physical workplace assessment 2015 questionnaire AU HR Rev. 12-08-2015

Dear Aarhus University employee,

Welcome to the survey of the physical work environment at Aarhus University.

Even if you do not experience any problems with your physical work environment, please fill in the questionnaire. The survey of the physical work environment is, unlike the survey of the psychological work environment, not anonymous, as the occupational health and safety group must be able to contact employees who indicate that they experience specific problems with their physical work environment. It is important that you consider all of your work functions when you fill in the questionnaire such that your answers apply to your office, computer room, classroom, lecture rooms, laboratories, workshops etc., as well as fieldwork where applicable.

Moreover, it is important that you state the locality in which you experience a concrete problem. If necessary, you can state more localities under each question. Please focus on concrete problems and describe the issue under the most relevant heading.

If there are issues that you do not wish to describe in the survey, please contact your occupational health and safety group.

Your answers will be saved continuously, and you may interrupt the questionnaire process and resume later on by using the link in the mail that you have received.

1. Do you have any problems with PHYSICAL CONDITIONS? (1)  No (2)  Yes

Are your problems with physical conditions related to your workplace layout? (1)  No (2)  Yes

Are your workplace layout problems related to your (1)  Workplace layout (e.g. furniture, location of equipment)? (2)  Space (e.g. cramped conditions, note taking space, fire and emergency routes)? (3)  Other (flooring, covering, fire extinguishers)?

1 Physical workplace assessment 2015 questionnaire AU HR Rev. 12-08-2015

Please indicate the specific building, room, laboratory, conference room, outdoor area, fieldwork location or the like and describe the problem(s) you experience. Suggest possible solutions if desired. ______

Are your problems with physical conditions related to noise? (1)  No (2)  Yes

Are your noise problems caused by (1)  People (e.g. noise in general, shared office, availability of protective equipment)? (2)  Animals (e.g. noise in general, availability of protective equipment)? (3)  Equipment (e.g. machinery, office equipment, availability of protective equipment)? (4)  Ventilation (e.g. ventilation systems, availability of protective equipment)? (5)  Other noise?

Are your problems with physical conditions related to vibrations? (1)  No (2)  Yes (e.g. hand or whole-body vibrations)

If you answered ‘Yes’, please indicate the specific building, room, laboratory, conference room, outdoor area, fieldwork location or the like and describe the problem(s) you experience. Suggest possible solutions if desired. ______

Are your problems with physical conditions related to lighting? (1)  No (2)  Yes

Are your lighting problems caused by (1)  Incoming daylight (e.g. daylight, glare, reflections)? (2)  Equipment lighting (e.g. glare, reflections, point lighting, equipment lighting )?

(3)  Room lighting (e.g. daylight, glare, reflections)? (4)  Other noise?

Are your problems with physical conditions concerned with the indoor climate? (1)  No (2)  Yes

Are your indoor climate problems caused by (1)  Heat (e.g. temperature, heat generating equipment, heat radiation, humidity, regulation of heat)? (2)  Cold (e.g. temperature, cold store)? (3)  Draught (e.g. ventilation system, leakage)? (4)  Smell/odor (e.g. from the drainage, from the ventilation system)? (5)  Cleaning (e.g. insufficient cleaning, dust)? (6)  Other (e.g. static electricity)?

2. Do you have any problems with ERGONOMIC CONDITIONS? (1)  No (2)  Yes

Are your ergonomic problems caused by (1)  Work posture (e.g. screenwork, mouse-related work, twisting the back, work heights, need for instruction in work postures)? (2)  Repetitive work (e.g. frequent repetition of the work operation)? (3)  Lifting (e.g. heavy lifting, push and pull without aid)? (4)  Other (e.g. shape of tools, operating grip)?

3. Do you have any problems with CHEMICAL CONDITIONS? (1)  No (2)  Yes (3)  Not relevant

Are your problems with chemical conditions caused by (1)  Substances and materials hazardous to health (e.g. conduct of weighing, packaging, storage of substances, materials and medicine/drugs, dust, allergenic substances, enzymes, chromium, nickel)? (2)  Safety precautions (e.g. fume hoods, point exhaust, personal protective equipment, grinding, milling and polishing of metals, acrylic, plaster, need for instruction)? (3)  Waste (e.g. storage, neutralization, labelling, handling)? (4)  Fire hazard (e.g. working with chemicals that can ignite spontaneously or chemicals which are flammable or explosive)? (5)  Other (e.g. nanotechnology, isotopes)?

4. Do you have any problems with BIOLOGICAL CONDITIONS? (1)  No (2)  Yes (3)  Not relevant

Are your problems with biological conditions caused by (1)  Infectious material (e.g. bacteria, viruses, fungi, parasites, infectious persons/materials/animals, soil, sludge, dust, allergenic material, need for instructions)? (2)  GMO? (3)  Safety precautions (e.g. to prevent contamination of others, the product and/or you, need for instructions)?

(4)  Handling of animals (e.g. protection against bites, kicks, twisting e.g. in relation to feeding and moving)? (5)  Waste (e.g. storage, neutralization, labelling, handling)? (6)  Other noise?

5. Can you identify conditions in your job or at your workplace that can be changed such that the RISK OF WORK RELATED ACCIDENTS can be reduced? (1)  No (2)  Yes

Where can you identify conditions that can be changed such that the RISK OF WORK RELATED ACCIDENTS can be reduced? (1)  In the laboratory (location of materials, safeguarding equipment/machinery, floors, eye rinse bottles, protective equipment, special tools, syringes, scalpel blades, gas cylinders, risk of fire)? (2)  At the workshop (e.g. machines with emergency stop, placement and handling of machinery, protective equipment, gas cylinders, fire hazard)? (3)  During fieldwork on land? (4)  During fieldwork at sea? (5)  During fieldwork in the air? (6)  In outdoor areas? (7)  Other places?

Please state the loacality and describe the experienced problems and suggested solutions ______

6. Have you been ABSENT DUE TO ILLNESS resulting from problems in your physical workplace in the past three years? (1)  No (2)  Yes

If you replied ‘Yes’ and you would like to propose a solution, please indicate it here: ______

Thank you for your response If you indicated that you experience any problems in your physical work environment, you will be contacted by your working environment group. The working environment group will explore how the problems can be solved.

In urgent matters please contact your working environment group immediately.

If you have any comments to your physical work environment or to the questionnaire, please state these below.

To save your answers, click on the cross in the lower right corner. ______