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Use this Laboratory Evaluation Form to initiate an on-site, virtual, or forensic ergonomic assessment with ErgonomicWorks. Please provide details about the workplace, the employee, or the claim; and attach photos of the workstation if available. We respond to every inquiry within 24 business hours, and completed evaluations include a written report delivered in 3 to 5 business days.
If possible, please attach two photos of the employee working at the workstation — one side view showing posture and one showing the full setup (desk, chair, monitor, keyboard). These images will assist us in completing the evaluation questionnaire before our arrival. Please do not attach any medical records or diagnoses; only include work restrictions if relevant.
Use this Laboratory Evaluation Form to initiate an on-site, virtual, or forensic ergonomic assessment with ErgonomicWorks. Please provide details about the workplace, the employee, or the claim; and attach photos of the workstation if available. We respond to every inquiry within 24 business hours, and completed evaluations include a written report delivered in 3 to 5 business days.
If possible, please attach two photos of the employee working at the workstation — one side view showing posture and one showing the full setup (desk, chair, monitor, keyboard). These images will assist us in completing the evaluation questionnaire before our arrival. Please do not attach any medical records or diagnoses; only include work restrictions if relevant.
Use this Laboratory Evaluation Form to initiate an on-site, virtual, or forensic ergonomic assessment with ErgonomicWorks. Please provide details about the workplace, the employee, or the claim; and attach photos of the workstation if available. We respond to every inquiry within 24 business hours, and completed evaluations include a written report delivered in 3 to 5 business days.
If possible, please attach two photos of the employee working at the workstation — one side view showing posture and one showing the full setup (desk, chair, monitor, keyboard). These images will assist us in completing the evaluation questionnaire before our arrival. Please do not attach any medical records or diagnoses; only include work restrictions if relevant.
Use this Laboratory Evaluation Form to initiate an on-site, virtual, or forensic ergonomic assessment with ErgonomicWorks. Please provide details about the workplace, the employee, or the claim; and attach photos of the workstation if available. We respond to every inquiry within 24 business hours, and completed evaluations include a written report delivered in 3 to 5 business days.
If possible, please attach two photos of the employee working at the workstation — one side view showing posture and one showing the full setup (desk, chair, monitor, keyboard). These images will assist us in completing the evaluation questionnaire before our arrival. Please do not attach any medical records or diagnoses; only include work restrictions if relevant.
Need a printable hard copy? (pdf)
DownloadNeed a printable hard copy of the Ergonomic Assessment? Download the PDF Form of the Evaluation Questionnaire and Laboratory Evaluation Form here.
Laboratory Evaluation Questionnair (pdf)
DownloadNeed a printable hard copy of the Ergonomic Assessment? Download the PDF Form of the Evaluation Questionnaire and Laboratory Evaluation Form here.
ErgonomicWorks
1410 S Santa Fe Ave, Los Angeles, CA 90021
(323) 510-5450
California Certified Small Business (SB-Micro ID: 2049116) | Small Business for Public Works (SB-PW ID: 2031140) | Woman-Owned Business (WOSB)
Monday–Friday 8:00am–7:00pm, Saturday–Sunday Closed
Copyright © 2026 ErgonomicWorks - All Rights Reserved.
ErgonomicWorks operates as an independent professional practice providing objective, vendor-neutral consulting. We do not sell office furniture, ergonomic hardware, or equipment.
Los Angeles County
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Anaheim | Costa Mesa | Fullerton | Huntington Beach | Irvine | Newport Beach | Ontario | Orange County | Riverside | Santa Ana
Northern California & Bay Area
Sacramento | San Francisco | San Mateo | San Jose | Pleasanton
ErgonomicWorks provides professional ergonomic evaluations, biomechanical assessments, and regulatory compliance documentation, not legal advice.
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