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Correct Posture 
Laboratory Task, or workstation Evaluation Request Form


Personal Information (Please fill out completely)
 Full Name
 Email
 Phone Number
 Job Title
 Department
 Lab. room or Office Address
Reason for Request  (Answer Yes or No where appropriate)
New employee
New Workstation/or equipment
Experiencing Discomfort
Other
I am experiencing discomfort when performing the following tasks: (Answer Yes or No where appropriate)
Pippeting
Microscopy
AT the workbench using a computer or other instrument
When using the Biosafety cabinet/fume hood
Other  (describe)
Type of Discomfort (please describe your disconfort in few lines)

 
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