What this is
What is an ergonomic equipment request?
What is an ergonomic equipment request?
It is the approval record for a specific piece of equipment provided to reduce a physical risk to a named person or task: a chair, screen riser, keyboard, alternative mouse, footrest, sit stand desk, document holder, headset, lifting aid or matting. It carries the problem being solved, evidence that the existing setup was adjusted first, a suitability judgement, the approval, and a later check that the item is actually in use. It is a control record, not a purchase order.
Does an equipment request need an assessment behind it?
Not legally in every case, but practically yes. The template records the source of the request as an assessment recommendation, occupational health advice, a medical restriction or a worker request, and scores the first three above the last. A worker request with no assessment is still worth acting on, but it should trigger an assessment rather than an order, because the request names the item the person has heard of rather than the item the task needs.
Who approves an ergonomic equipment request?
The line manager holds the budget and the approval, with ergonomics or occupational health input on suitability. That split matters: managers approve or decline on cost and precedent, and the technical question of whether the item fits the task and the person is not theirs to answer. Where the request follows a medical restriction, the decision also engages a reasonable adjustment duty and should not be treated as a discretionary spend.
Scope
When is an ergonomic equipment request required?
This record sits between an assessment and a setup. It is the wrong instrument for identifying the need, for assessing the workstation, and for proving the fix worked at task level, all of which have their own templates in the ergonomics programme.
Use this template when
- An assessment, screening or occupational health referral has recommended a specific item for a named person or workstation
- A medical restriction or return to work plan requires equipment before the person can resume the task
- Adjusting the existing setup has been tried and has not resolved the problem
- A lifting aid, matting or handling aid is being bought to reduce a manual handling risk already assessed
- A trial item needs an approval and a cost record before it is converted to a purchase
Do not use it for
- Identifying whether there is a problem at all, which belongs in the Office Workstation Self Assessment or the Display Screen Assessment
- Assessing the workstation as a whole, which the Display Screen Assessment does across screen, chair, input devices, lighting and layout rather than one item at a time
- Recording the fit and adjustment after delivery, which is the Workstation Setup Record and is the step most often skipped
- Fixing the task itself, which belongs in the Task Redesign Record and is the higher control the request should have to argue against
- Building the financial argument for a programme of equipment, which is the Ergonomic Cost Benefit Record rather than a per item cost field
Compliance mapping
Which ISO 45001 cl.8.1 requirements does this satisfy?
No standard requires an equipment request form. What the standards require is that a control identified as necessary is provided, is suitable for the work and the person, is used correctly, and is checked for effectiveness. The request record is where all four of those obligations become traceable to a single item and a single person.
| Clause | Requirement | Where it lands |
|---|---|---|
| ISO 45001 cl.8.1.2 | Risk reduced following the hierarchy of controls, with elimination and task change considered before equipment is added | Justification |
| ISO 45001 cl.6.1.2.1 | Hazard identification proactive and ongoing, so the need traces to an assessment rather than to a preference | Justification |
| HSE DSE Regulations 1992 reg.3 and Schedule | Workstations to meet the specified requirements, including an adjustable chair and a footrest on request where needed | Suitability |
| ISO 45001 cl.5.4 | Consultation and participation of workers in decisions on controls that affect them | Suitability |
| ISO 22000 cl.8.2 | Prerequisite programmes covering the suitability, construction and cleanability of equipment introduced to a production area | Suitability |
| ISO 45001 cl.8.1.4 | Procurement controlled so that purchased equipment conforms to the OH and S requirements set for it | Decision |
| HSE DSE Regulations 1992 reg.6 | Provision of adequate health and safety training in the use of any workstation the person is to work at | Effectiveness |
| ISO 45001 cl.9.1.1 | Monitoring and measurement of the effectiveness of controls, and evaluation of whether the intended outcome was achieved | Effectiveness |
What it does not cover
- The display screen equipment assessment, which must analyse the workstation as a whole against the Schedule to the DSE Regulations, not the single item being purchased.
- The manual handling assessment, which needs a quantified method such as MAC, RAPP or the revised NIOSH equation before a lifting aid can be shown to reduce the risk rather than move it.
- The reasonable adjustment decision, which is an employment law judgement about the person's role and requires a documented consideration of alternatives if the item is refused.
- Training in the use of the equipment, which is a named duty for display screen work and belongs in the training record, since a demonstration at the desk leaves no evidence.
- The task redesign, which is where reach distances, working heights, dual screen layouts and handling frequencies actually change, and which equipment provision routinely postpones.
Global
Ergonomic Equipment Request requirements by country
Very few regimes name equipment provision directly. What they name is a duty to adapt the work to the individual, and in several jurisdictions a separate duty to make adjustments for a disabled worker, which is the route by which a declined chair becomes a legal question rather than a budget one.
OSH Act Section 5(a)(1); ANSI/HFES 100; ADA Title I
No federal ergonomics standard. Recognised MSD hazards are addressed through the General Duty Clause, with consensus standards defining what good looks like.
The enforceable hook is often the accommodation duty rather than safety law, and a request generated by a medical restriction should be routed accordingly.
DSE Regulations 1992; Manual Handling Operations Regulations 1992; Equality Act 2010
Workstations must meet the Schedule requirements, handling risk must be reduced so far as reasonably practicable, and adjustments must be made for disabled workers.
A footrest requested by a display screen user and refused is a specific regulatory failure, not a matter of local discretion.
Framework Directive 89/391/EEC art.6; Directive 90/270/EEC on display screen equipment
General prevention principles include adapting the work to the individual, with minimum requirements set for display screen workstations.
Member state transpositions carry the detail, and several set explicit furniture and provision requirements rather than leaving them to guidance.
CSA Z412 office ergonomics; CSA Z1004 workplace ergonomics; provincial MSI regulations
Provincial regimes require MSI risk identification, assessment and control, with CSA standards providing the application detail.
Where an MSI regulation applies, the employer must show the control chosen followed an assessment, which makes the linked assessment reference the load bearing field.
Model WHS Regulations reg.60; Code of Practice on hazardous manual tasks
Duty to manage risks from hazardous manual tasks so far as reasonably practicable, applying the hierarchy of control.
Providing equipment without first considering changing the task, the load or the environment is a hierarchy failure the regulator does look for.
ISO 45001 cl.8.1; ISO 9241-5; ISO 11228 series
Management system control of operations and procurement, with technical standards for workstation layout, posture and handling limits.
Certification auditors trace a sample of equipment from the assessment that recommended it to evidence that it is in use.
How to complete it
How to complete an ergonomic equipment request, step by step
The form is short and almost every field is answerable in under a minute. The parts that decide whether the record is worth anything are the four it can be filled in without engaging with at all.
Equipment is rarely the top of the hierarchy. A monitor arm makes a bad screen position adjustable; moving the screen makes it right. Record what was tried by adjustment and what task change was rejected and why, because that reasoning is what distinguishes a control decision from a shopping decision, and it is the first thing asked after a claim.
The task question and the person question have different answers. Seat height range, seat depth, armrest travel and screen height all have to accommodate a specific body, and the mid range of a standard chair fits neither the fifth nor the ninety fifth percentile user. Where the item is expensive or the person unusual in size, the trial before purchase field is the cheapest control on the form.
Order placed, delivery date and a signature look like completion, and they are the point at which most requests stop. The item at that moment is a box next to a desk. Linking to the setup record, so that fitting, adjustment and a demonstration are captured against the same request, is what converts a purchase into a control.
Declined requests are where the risk concentrates, particularly where the source was occupational health advice or a medical restriction. Not in this budget year is not a reason, it is a date. Record what alternative was offered, what the residual exposure is, and who accepted it, and route the case to occupational health rather than closing it.
What auditors find
Most common ergonomic equipment request findings
The record almost always exists, because someone had to authorise a spend. The findings concern what happened either side of the approval.
| Finding | Clause | What fixes it |
|---|---|---|
| Equipment delivered but never fitted or adjusted to the person; no setup record exists. | HSE DSE Regulations 1992 reg.6 | Make the setup record the closing step of the request, with the fitting date and who demonstrated it. |
| In use after 30 days never answered, so no request in the sample can be shown to have worked. | ISO 45001 cl.9.1.1 | Schedule the check when the delivery date is entered, not when someone remembers. |
| Adjustment of existing equipment recorded as No, and the request approved anyway. | ISO 45001 cl.8.1.2 | Return the request for an adjustment attempt before approval; it resolves a large share at no cost. |
| Source of request is worker request with no assessment or referral reference behind it. | ISO 45001 cl.6.1.2.1 | Raise the assessment first and let it name the item, then link its reference to the request. |
| Equipment provided instead of the task change the assessment actually recommended. | ISO 45001 cl.8.1.2 | Record the higher control considered and the reason it was rejected, in the request itself. |
| Item taken into a production area is not cleanable or has loose parts. | ISO 22000 cl.8.2 | Require the food area compatibility and cleanability answers before the order, not after delivery. |
| Request following a medical restriction declined on cost, with no alternative considered. | Equality Act 2010 s.20 (GB) | Document the alternatives considered and refer the case back to occupational health. |
| Approver is the requester, or the approval carries no signature. | ISO 45001 cl.5.3 | Enforce separate requester and approver, with the second signature held as documented information. |
| Chair or desk provided with a regular maintenance requirement and no maintenance plan. | ISO 45001 cl.8.1.1 | Raise the asset on the maintenance register at the point the order is placed. |
| Sit stand desk in use permanently seated; no guidance on alternation given. | HSE DSE Regulations 1992 reg.6 | Provide use guidance as part of the fitting and record it against the training record. |
Case in point
Case in point: twenty two chairs and one shoulder
A food business ran display screen assessments across its site offices after a cluster of discomfort reports from the planning and technical teams. The assessments were competent. For one planner they recommended a monitor arm, a reduction in the reach to a second screen used for label proofing, and a chair with adjustable seat depth, in that order. Procurement consolidated the recommendations across the site, and twenty two chairs were ordered as a single line because the volume discount was material. The chairs arrived during a floor reconfiguration, were distributed by the facilities contractor, and the requests were closed on the delivery date.
Fourteen months later the planner went off with a shoulder problem and returned on restricted duties. The occupational health referral found she had been working with the second screen at the same reach as before, on a chair still set to its delivered height with the seat depth untouched, because nobody had shown her that it adjusted. Of the twenty two requests, none had an in use check recorded and two had already gone to a different owner as people moved desks. The monitor arm had never been ordered; it sat below the chair on the consolidated line and was dropped when the total came in over budget.
The failure was not the assessment and not the chair. It was that the request record ended at delivery, that consolidation stripped the ordering out of a recommendation where the order was the point, and that no field ever asked whether the problem had been resolved. The corrective action was to keep requests per person, close them on a setup record rather than a delivery date, and make the 30-day check a scheduled task on the requester rather than a hope.
The template
The template, field by field
The form exactly as it installs. Every field, option, score and conditional rule is editable, and the links to other templates come with it.
5 sections
- Reference
- ERG-018
- Archetype
- Record
- Record ID
- EER-2026-000
- Scoring
- Not scored
- Direction
- n/a
- Singleton
- No
- Basis
- ISO 45001 cl.8.1
- Links
- Links Assessment, Worker
- Tags
- Ergonomics, Office
- Sections
- 5
- Fields
- 39
- Follow up fields
- 1
- Repeating sections
- 0
- Links out
- 5
Header
13 fieldsRequest ID*
Auto sequence. Format EER-2026-000.
The record's own ID. Other templates point at this value.
Status*
Drives who this goes to next.
- Planned2 pts
- In progress2 pts
- Complete3 pts
- Deferred0 pts
- Open0 pts
- Closed3 pts
- Overdue0 pts
Date and Time*
Completed By*
Site*
Site ID*
Format SITE-000.
Links to FDN-001 Site ID
Area
The area within the site.
Exact Location
Drop a pin for anything hard to find.
Worker*
Person ID*
Format PER-0000.
Links to FDN-003 Person ID
Equipment Requested*
Specific Item
Estimated Cost
Justification
7 fieldsSource Of Request*
Assessment recommendation, occupational health advice, medical restriction or worker request.
- Assessment recommendation3 pts
- Occupational health advice3 pts
- Medical restriction3 pts
- Worker request2 pts
Assessment ID
Links to ERG-016 Assessment ID
Referral ID
Links to HLT-013 Referral ID
Problem Being Solved*
Adjustment Of Existing Equipment Tried*
Most requests are solved by adjusting what is already there. Try that first, it is free.
- Yes3 pts
- No0 pts
Alternative Solutions Considered*
- Yes3 pts
- No1 pt
Trial Possible Before Purchase*
- Yes3 pts
- No1 pt
Suitability
6 fieldsSuits The Task*
- Yes3 pts
- Partly1 pt
- No0 pts
Suits The Individual*
- Yes3 pts
- Partly1 pt
- No0 pts
Compatible With Existing Setup*
- Yes3 pts
- Partly1 pt
- No0 pts
Food Area Compatible
Anything going into production must be cleanable and free of loose parts.
- Yes3 pts
- Not applicable3 pts
- No0 pts
Cleanable
- Yes3 pts
- Partly1 pt
- No0 pts
Maintenance Requirement
Decision
6 fieldsDecision*
Approved By
Reason If Declined
Order Placed
Delivery Date
Setup Record ID
Links to ERG-019 Record ID
Effectiveness
7 fieldsIn Use After 30 Days
Equipment bought and never used is the most common failure in office ergonomics.
- Yes3 pts
- Sometimes1 pt
- No0 pts
Problem Resolved
- Yes3 pts
- Partly1 pt
- No0 pts
Would Recommend For Others
- Yes3 pts
- Maybe1 pt
- No0 pts
Requester*
Signature*
Approver*
Second Signature*
ERG-018 · record IDs look like EER-2026-000 · Links Assessment, Worker
Open in KnowellaRun it with agents
From a document you fill in to a programme that runs itself
The form is not what fails. What fails is the gap between approval and use: the order that dropped a line, the delivery nobody fitted, the check nobody owned, and the assessment that recommended something else.
Holds each request against the assessment that generated it, and refuses to treat a request as closed on a delivery date without a setup record behind it.
Carries the occupational health referral and any medical restriction into the request, so a decline is visible to the people who advised the need.
Turns the fitting into a training record, so use guidance for a sit stand desk or an alternative input device is evidenced rather than demonstrated and forgotten.

Schedules the 30-day in use check when the delivery date is entered, and surfaces requests where the item arrived but the problem did not resolve.
This template lives in KnowErgo — ergonomics. Task assessment, video posture analysis, rotation and workstation redesign.
Meet KnowErgo→Glossary
Ergonomic Equipment Request definitions and key terms
- Anthropometric fit
- Whether the adjustment range of an item accommodates a specific person's body dimensions, rather than a population average, which is what most catalogue specifications describe.
- Reasonable adjustment
- A change an employer must make so a disabled worker is not placed at a substantial disadvantage, including provision of equipment, judged on effectiveness and cost in the round rather than against a departmental budget.
- Hierarchy of controls
- The ranked sequence of elimination, substitution, engineering control, administrative control and personal protective equipment, in which most ergonomic equipment sits at the engineering or administrative level.
- Display screen equipment user
- A person who habitually uses display screen equipment as a significant part of normal work, which is the status that triggers workstation assessment, training and provision duties.
- Trial before purchase
- Use of a loan or sample item at the actual workstation before committing spend, which is the only reliable test of compatibility with the existing setup and the individual.
- Workstation setup record
- The record of fitting and adjusting equipment to the person, including seat height, screen height and input device position, which is what makes provision a control rather than a delivery.
- Musculoskeletal disorder
- Injury or condition affecting muscles, nerves, tendons, joints or supporting structures, usually developing over time from posture, force, repetition or duration rather than a single event.
- Residual problem
- The exposure that remains after the equipment is in use, which is what the effectiveness section is for and what determines whether a second request or a task redesign is needed.
FAQ
Frequently asked questions about ergonomic equipment request
Do we have to provide equipment a worker asks for?+
No, but you do have to answer the request properly. Where the person is a display screen user, specific items such as a footrest carry a provision duty once a need is identified. Where the request follows a medical restriction, refusing it engages an adjustment duty. Where it is a preference, the correct answer is an assessment, not an order and not a decline.
Should the request come before or after the assessment?+
After. The assessment names the problem and the control; the request authorises the control. Requests raised first tend to name a product, and a programme built on product requests spends its budget on the items with the best marketing rather than the tasks with the worst exposure.
Is a sit stand desk a control?+
Only if the alternation actually happens. The evidence for sit stand working depends on people changing posture through the day, and a desk used permanently seated is a fixed desk that cost four times as much. Provide it with guidance on alternation, then check at 30 days whether the person is using it standing at all.
Who pays, the department or the safety budget?+
Operationally it rarely matters; evidentially it does. Where the department pays, declines cluster at the end of the financial year and the reason recorded is a date rather than a judgement. Whichever budget holds it, the decline reason must be a reasoned one, because that is the sentence read back after a claim.
How long should we wait before checking effectiveness?+
Thirty days is the right order of magnitude: long enough for novelty to wear off, short enough that the item can still be exchanged. Check two things separately, whether it is in use and whether the problem resolved, because equipment in daily use that has not helped is a different finding from equipment in a cupboard.
What if the same request keeps coming from the same area?+
Then it is not an equipment problem. Repeated requests for the same item from one area are a design signal, and the right response is an area screening or a workstation design review rather than a twelfth chair. Recording the estimated cost against each request is what makes that argument financially rather than anecdotally.
Keep going
Related templates and programmes
Industries this is written for
Programmes this belongs to
Used together in Ergonomics and MSD Prevention
Discomfort Report
Lets a worker report aches, pain or discomfort early, before it becomes an injury
Body Part Symptom Survey
Maps where in the body workers are experiencing discomfort, across a team or area
MSD Injury Report
Records a diagnosed musculoskeletal injury, including affected body part and suspected task
Early Intervention Record
Records the actions taken when discomfort is reported, before it becomes an injury
MSD Trend Review
Reviews discomfort reports and MSD injuries across areas and tasks
Task Ergonomic Assessment
Assesses a work task using video, applying the methods you configure such as RULA, REBA or WISHA
More in Office Ergo
Office Workstation Self Assessment
Lets an office worker assess their own desk setup using guided questions and reference images
Display Screen Assessment
Assesses screen height, distance, glare and eye comfort for computer based work
Remote Work Assessment
Assesses a home or remote work setup using photographs supplied by the worker
Workstation Setup Record
Records how a workstation was adjusted and set up for a specific person
Office Ergo Follow Up
Checks whether office ergonomic changes actually helped, some weeks after they were made

Written and reviewed by
Siddarth Singh
Founder & Chief Executive Officer, Knowella
Certified Safety Professional and industrial and systems engineer with more than a decade inside food supply chain, freight and manufacturing operations. This page was written against the current text of the standards it cites, not against secondary summaries of them.
- Certified Safety Professional (CSP), Board of Certified Safety Professionals
- MBA, University of Chicago Booth School of Business
- MS and BS, The Ohio State University, Industrial and Systems Engineering
- Six Sigma Black Belt
Sources and last review. Reviewed 16 August 2026 against:
- ISO 45001:2018 clauses 8.1, 8.1.2, 8.1.4, 9.1.1 and 5.4
- Health and Safety (Display Screen Equipment) Regulations 1992, regulations 2, 3 and 6 and the Schedule (GB)
- Manual Handling Operations Regulations 1992, regulation 4 (GB)
- Council Directive 90/270/EEC on the minimum safety and health requirements for work with display screen equipment
- Equality Act 2010, sections 20 and 21, duty to make reasonable adjustments (GB)
- CSA Z412 Office ergonomics and CSA Z1004 Workplace ergonomics (Canada)
- Safe Work Australia Code of Practice: Hazardous manual tasks, and model WHS Regulations regulation 60
This page is general guidance, not legal advice. Confirm requirements with your jurisdiction’s regulator.