Please complete this form to submit your ergonomics idea. We will contact you if more information is required. Submitted ideas are evaluated by L&I ergonomists and other L&I staff. Submit one idea per submission only.  Ideas are included at the sole discretion of the department. 

Required Information (all fields required marked with*):

Name of Idea*:

Description (What does it do?  How does it work? What problem(s) does it solve?)*:

Your Name*: 

Your E-mail*:

Helpful Information (if known):

Source:

Web Address:

Where Can You Find it?

Benefits: (Reduced hazards, risk factors and injuries, increased productivity, etc.)