University of Minnesota Duluth Home Page
 
Correct Posture Laboratory Task or
workstation Evaluation
Request Form
Correct Posture
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 Disconfort
Other
I am experiencing diconfort 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 Disconfort (please describe your disconfort in few lines)

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Environmental Health and Safety Office     
URL: http://www.d.umn.edu/ehso
13 Darland Administration Building
1049 University Drive
Duluth, MN 55812
218-726-7273
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