BRIEF™ Survey – B ASELINE R ISK I DENTIFICATION OF E RGONOMIC F ACTORS Version 3.

Step 1 Job Name: Site: Station:

Complete Job Date: Dept: Shift: Product:
Information

Step 2 Hands and Wrists Elbows Shoulders Neck Back Legs

Identify Risks  45

▼
2a. Mark Posture and
Force boxes when risk 135 Squat
Flexed > 45° Ulnar Deviation Arm Raised > 45°
factors are observed.  Flexed
 Flexed > 30° Sideways Sideways
▼ Rotated Fully Arm > 20°
2b. For body parts with Forearm Extended Behind
Posture or Force Kneel
Body
marked, mark Duration Extended > 45° Radial Deviation Shoulders Extended
and/or Frequency Shrugged
box(es) when limits are Extended Twisted
exceeded. Left Right Left Right Left Right > 20° Twisted Unsupported Unsupported
2a.
Posture

Pinch Grip or Finger Press > 2 lb > 10 lb > 10 lb > 10 lb > 10 lb Foot Pedal
(0.9 kg), or Power Grip > 10 lb (4.5 kg) > 2 lb (0.9 kg) > 25 lb (11.3 kg)
(4.5 kg) (4.5 kg) (4.5 kg) (4.5 kg) > 10 lb (4.5 kg)
Force

2b. > 30%

> 10 sec. > 10 sec. > 10 sec. > 10 sec. > 10 sec. > 10 sec. > 10 sec. > 10 sec. of day
Duration

> 30/min. > 30/min. > 2/min. > 2/min. > 2/min. > 2/min. > 2/min. > 2/min. > 2/min.
Frequency

Score
Risk Rating H M L H M L H M L H M L H M L H M L H M L H M L H M L

Step 3 In the Score box, write the number of risk factor

Step 4 Mark physical stressors observed:
Determine Risk categories (0-4) checked for each body part. Identify Vibration (V)
Rating Using the table at Physical Use the
right, circle the Score Risk Rating Low Temperatures (L) corresponding
Stressors
corresponding 3 or 4 = High
► 2 = Medium (M)
(H) Soft Tissue Compression (S) ► letters to show ►
Risk Rating for Impact Stress (I) location of
each body part. 0 or 1 = Low (L) Glove Issues (G) stressors.

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