Respondent No.

TITLE: ERGONOMIC DESIGN FOR SITTING OPERATOR We are the students of Ergonomic Design UiTM Shah Alam. We are conducting a research on the Ergonomic Design for Sitting Operator and want to observe on the sitting postures of the operator. Your responses and identity will be kept confidential and will be used for the purpose of this research only. Thank you for your time answering this questionnaire.
Please tick (/) your answer in the provided box.

SECTION A : PERSONAL DETAILS 1) 2) 3) 4) 5) Gender Age Weight Height Educational Qualification : 6) Job Title : _______________________ _______________________ : : : : Male Years kg cm Female

SECTION B : WORK EXPERIENCE 7) 8) 9) How many hours you work per day? How many days you work per week? How many shifts do you have per day? Hours Day(s) Shifts

10) How many breaks do you have per day?

11) How long is each of your breaks on average? 12) Have you ever work in other sector? 13) How many years and months have you been doing your present type of work at this department?

_________________ Yes Years No Months

Weeks (If less than a month)

SECTION C : WORK CONDITIONS

Strongly Disagree Disagree Neutral Agree Strongly Agree

14) Working place spacious enough for me 15) Ventilation of my working place is good 16) Sufficient lighting in my working place 17) Sitting comfortably during working 18) I am satisfied with my working layout

SECTION D : MUSCULOSKELETAL DISORDERS 19) Do you feel uncomfortable after you work? 20) Do you feel pain at your body after work? (If YES proceed to Question 21, If NO proceed to question 30) 21) Where do you feel discomfort after work? (Please answer by ticking [/] in the first box and state your level of pain according to the reference below in the second box and also continue answering the following question regarding the selected discomfort area). Yes Yes No No

No Pain 1

Mild 2

Moderate 3

Severe 4

Very Severe 5

22)

Have you ever hurt in an accident involve of: (If NO proceed to Question 23)
Yes No Yes No

Neck Shoulder Elbow Low back

Wrist / Hand Hip / Thigh Knee Ankle / Feet

23) Have you ever hurt because of job duty in :

Yes No Yes No

Neck Shoulder Elbow Low back

Wrist / Hand Hip / Thigh Knee Ankle / Feet

24) Do you have any critical medical problem of :

Yes No Yes No

Neck Shoulder Elbow Low back

Wrist / Hand Hip / Thigh Knee Ankle / Feet

25) During the last 3 days have you have pain in :

Yes No Yes No

Neck Shoulder Elbow Low back

Wrist / Hand Hip / Thigh Knee Ankle / Feet

26) How often do you have: Neck pain Shoulder pain Elbow pain Low back pain Wrist / Hand pain Hip / Thigh pain Knee pain Ankle / Feet pain

Daily

Once/ Twice a week

Once / Twice a month

Other (please state)

27) Does the pain cause you to reduce your activity?

Yes No Yes No

Neck Shoulder Elbow Low back

Wrist / Hand Hip / Thigh Knee Ankle / Feet

28) Have you ever absent from work because of pain in:
Yes No Yes No

Neck Shoulder Elbow Low back

Wrist / Hand Hip / Thigh Knee Ankle / Feet

29)

Have you seen a doctor, physiotherapist or other expertise to checkup in:

Yes No Yes No

Neck Shoulder Elbow Low back

Wrist / Hand Hip / Thigh Knee Ankle / Feet

SECTION E : ADDITIONAL INFORMATION

30) Kindly give additional suggestions or recommendations with regards to this study _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ ______________________________________________________________________

~ Thank You ~