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)
(2)
 Workplace layout (e.g. furniture, location of equipment)?
 Space (e.g. cramped conditions, note taking space, fire and emergency routes)?
(3)
 Other (flooring, covering, fire extinguishers)?
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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)
(2)
 People (e.g. noise in general, shared office, availability of protective equipment)?
 Animals (e.g. noise in general, availability of protective equipment)?
(3)
(4)
 Equipment (e.g. machinery, office equipment, availability of protective equipment)?
 Ventilation (e.g. ventilation systems, availability of protective equipment)?
(5)
 Other noise?
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 vibrations?
(1)
(2)
 No
 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)
(2)
 Incoming daylight (e.g. daylight, glare, reflections)?
 Equipment lighting (e.g. glare, reflections, point lighting, equipment lighting )?
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Physical workplace assessment 2015 questionnaire
AU HR
Rev. 12-08-2015
(3)
(4)
 Room lighting (e.g. daylight, glare, reflections)?
 Other noise?
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 concerned with the indoor climate?
(1)
(2)
 No
 Yes
Are your indoor climate problems caused by
(1)
(2)
 Heat (e.g. temperature, heat generating equipment, heat radiation, humidity, regulation of heat)?
 Cold (e.g. temperature, cold store)?
(3)
(4)
 Draught (e.g. ventilation system, leakage)?
 Smell/odor (e.g. from the drainage, from the ventilation system)?
(5)
 Cleaning (e.g. insufficient cleaning, dust)?
(6)
 Other (e.g. static electricity)?
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.
________________________________________
________________________________________
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
(2)
instruction in work postures)?
 Repetitive work (e.g. frequent repetition of the work operation)?
(3)
(4)
 Lifting (e.g. heavy lifting, push and pull without aid)?
 Other (e.g. shape of tools, operating grip)?
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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.
________________________________________
________________________________________
3. Do you have any problems with CHEMICAL CONDITIONS?
(1)
 No
(2)
(3)
 Yes
 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,
(2)
nickel)?
 Safety precautions (e.g. fume hoods, point exhaust, personal protective equipment, grinding,
(3)
(4)
milling and polishing of metals, acrylic, plaster, need for instruction)?
 Waste (e.g. storage, neutralization, labelling, handling)?
 Fire hazard (e.g. working with chemicals that can ignite spontaneously or chemicals which are
(5)
flammable or explosive)?
 Other (e.g. nanotechnology, isotopes)?
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.
________________________________________
________________________________________
4. Do you have any problems with BIOLOGICAL CONDITIONS?
(1)
 No
(2)
(3)
 Yes
 Not relevant
Are your problems with biological conditions caused by
(1)  Infectious material (e.g. bacteria, viruses, fungi, parasites, infectious persons/materials/animals,
(2)
(3)
soil, sludge, dust, allergenic material, need for instructions)?
 GMO?
 Safety precautions (e.g. to prevent contamination of others, the product and/or you, need for
instructions)?
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Physical workplace assessment 2015 questionnaire
AU HR
Rev. 12-08-2015
(4)
 Handling of animals (e.g. protection against bites, kicks, twisting e.g. in relation to feeding and
(5)
(6)
moving)?
 Waste (e.g. storage, neutralization, labelling, handling)?
 Other noise?
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.
________________________________________
________________________________________
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)
(2)
 No
 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
(2)
bottles, protective equipment, special tools, syringes, scalpel blades, gas cylinders, risk of fire)?
 At the workshop (e.g. machines with emergency stop, placement and handling of machinery,
(3)
protective equipment, gas cylinders, fire hazard)?
 During fieldwork on land?
(4)
(5)
 During fieldwork at sea?
 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)
(2)
 No
 Yes
If you replied ‘Yes’ and you would like to propose a solution, please indicate it here:
________________________________________
________________________________________
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Physical workplace assessment 2015 questionnaire
AU HR
Rev. 12-08-2015
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.
________________________________________
________________________________________
________________________________________
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