Membership Application

Registered Consultancy

Section 1: Consultancy details

Name of the Consultancy
Type of organisation
(e.g. Ltd Co., sole trader, etc)
Parent company name (if applicable)
In which year did your consultancy's ergonomics service commence?
Marketingstatement up to a maximum of 100 words.
(This will appear in the Register entry and must therefore give an accurate and clear impression of the ergonomics activities carried out by the Consultancy)
Website address
The full address of the consultancy
(please give the address of the principal office providing ergonomics services. If there is more than one office,this should normally be the contact address for the Principal Contact)
The full registered address of the consultancy
(this should be the Registered Office if applicable)
Company registration no.
(if applicable)
Telephone no.
Email address
Fax no.
Does the Consultancy maintain professional indemnity cover? / Personal/Individual:Company/consultancy:Other:
Is your consultancy accredited under BS EN ISO 9001:2000 or equivalent? / YesNoIf no, please attach evidence of any formal quality assurance procedures followed by your Consultancy.
Is ergonomics the only service offered by your consultancy? / YesNoIf no, please briefly describe the other activities.

Section 2: Details of the Principal Contact

To be eligible as a Principal Contact, you must be

(i)a permanent employee of the consultancy,

(ii)a Registered Member or Fellow of the CIEHF, and

(iii)a senior person that is responsible for the quality of the Consultancy’s ergonomics work.

Full name of Principal Contact
Grade of Membership of CIEHF
(please check one box) / Registered MemberFellow
Job title / position within the consultancy
Please briefly describe your role and responsibilities
Your work for the Consultancy is on what basis? / Full-time basisPart-time basis
Please give details of a second point of contact (if available) / Name / Job title / position / Telephone & email
Your full postal address at the Consultancy
Your direct telephone no.
Your email address

Section 3: Consultancy resources

Summary of staff numbers
Total staff in the organisation
(including the parent company, if applicable)
Total staff within the Consultancy itself
(if different from above)
Please list the ergonomists/HF specialistsemployed within your organisation that deliver ergonomics/HF services:(Please reproduce lines as required)
Name of ergonomist/HF specialist / Full or part time employee / Member of the CIEHF
Full-timePart-time / YesNo?
Full-timePart-time / YesNo?

Section 4: Claimed areas of ergonomics competence

Please tick areas in which your Consultancy claims particular expertise and experience.

For each Area of Competence claimed, you need to provide evidence drawn from at leastthree of yourprojects to substantiate your claims (see Section 5).

Please indicate which project examples provide supporting evidence:
Ref no. / Areas of Competence claimed
(See Appendix A for a description of each competence area) / tick / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10
1 / Accidents, health and safety
2 / Anatomy & anthropometry in human activities
3 / Cognitive ergonomics, complex tasks
4 / Computer software ergonomics
5 / Computer terminals - design and layout
6 / Design and layout of displays and controls
7 / Design of control rooms
8 / Environmental ergonomics
9 / Expert witnesses - various work situations
10 / Human-computer interface design and assessment
11 / Human reliability
12 / Industrial design applications
13 / Industrial/commercial workplace design
14 / Management and ergonomics
15 / Manual handling of loads - safety and training
16 / Office ergonomics and design
17 / Physiological aspects and medical ergonomics
18 / Product design and consumer ergonomics
19 / Risk assessments - various work situations
20 / Sociotechnical systems and ergonomics
21 / Systems analysis
22 / Task analysis
23 / Training for management and staff
24 / User requirements and guidance
25 / Usability assessment
26 / Work-related musculoskeletal problems
27 / Vehicle and transport ergonomics
28 / Other ergonomics applications (please specify)

Section 5: Project Evidence of competence

Please provide a minimum of threeand maximum of ten project examples.

(Please reproduce this page as required)

*Mark thetwo Client Referees that you have selected by marking ‘X’ in the box.

N.B.Client References form part of the Registered Consultancy application, therefore before assessment is complete both references need to have been received by us.

Project example number: of:
Project title
Client organisation
Description of ergonomics elements of the project
Consider:
What was the client need/why did the client want this work doing?
What did you do/what approach/methods did you apply?
What happened as a consequence?
(approx 300 words please)
Approx number of ergonomist person/days / Total project person/days
Start date / Finish date
Client Referee*
(Name contact details)
Please list the Areas of Competence for which this project provides evidence
Area ref. no.
(from Section 4) / Justification(approximately 50 words per area please)

Please list any additional information which you consider is relevant to your application.

Please list any material which is attached or enclosed with the application form.

Section 6: Warranties

The following warranties are true and correct to the best of the knowledge, information and belief of the undersigned:

  • The consultancy is currently trading solvently and there has been no material adverse change in the position and prospects of the consultancy which might cause this warranty to cease to be true and correct and no such changes are anticipated.
  • Having made careful enquiry of all key staff, there are no litigation or arbitration proceedings or official investigations or inquiries in process, pending or threatened which might affect the consultancy or any member ofthe key staff in a professional capacity, and there are no facts or circumstances which might give rise to any of the above. (Should there be any of the above, please disclose the details on a separate sheet).
  • All ergonomics work undertaken by the consultancy is, either undertaken by a Registered Member or Fellow of the CIEHF, or supervised and signed-off by a Registered Member or Fellow (the latter need not necessarily be the senior person responsible for ergonomics work).

Section 7: Undertaking

To be signed by the senior person responsible for ergonomics within the consultancy

The undersigned undertakes that the senior person responsible for ergonomics within the consultancy will promptly inform the CIEHF of any change in the details given in this application form(including changes in key staff) and any matters which would affect the accuracy of the Warranties given herein.

I have read the Institute's Code of Professional Conduct for Registered Consultancies and agree to abide by it.

Full Name:

Signed:

(or emailed from the senior person’s email address)

Date:

At each renewal the senior person responsible for ergonomics within the consultancy will be asked to

re-affirm the entry or to update it where necessary.

Section 8: Fees

I will pay the application fee and subsequent subscription if my application is successful as invoiced to me by the Institute.

Please email the completed form

Appendix A - Areas of competence

Competence / Includes such areas as:
1 / Accidents, Health and Safety at Work /
  • Accidents and Safety
  • Accident Investigations
  • Accident Reconstruction
  • Health and Safety
  • Health and Safety at Work
  • Healthcare Ergonomics
  • Accidents and Accident Investigation
  • Ergonomics and Health and Safety Legislation
  • Industrial Work Stress
/
  • Safety Management and Safety Culture
  • Personal Injuries Hazard Analysis
  • Safety
  • Safety Culture Evaluation and Improvement
  • Machine Guarding
  • Stress
  • Organisation and Change
  • Alarms and Warnings Technology
  • Probabilistic Safety Analysis

2 / Anatomy and Anthropometry in Human Activities /
  • Anatomy and Anthropometry
  • Anthropometry
  • Anthropometry/workplace design
  • Biomechanics,
  • Slips, Trips and Falls
  • Design for the Physically
/
  • Disabled
  • Postural and Biomechanical Loading
  • Posture
  • Back Pain
  • Disabled Access Audits

3 / Cognitive Ergonomics, Complex Tasks /
  • Cognitive Skills and Decision Making
  • Forensic Human Factors
/
  • Team Work and Groups
  • Procedure Development

4 / Computer Software Ergonomics /
  • Software Design
  • Software Development
  • Software Ergonomics
/
  • Software Implementation
  • Software Usability

5 / Computer Terminals - Design and Layout /
  • Computer Products and Peripherals
  • Computer Terminal Workstations
  • Display Screen Assessments
  • Display Screen Equipment
/
  • Display Screen Equipment Regulations
  • Display Screen health/Safety
  • DSE & Manual Handling
  • Compliance Surveys
  • DES Ergonomics assessments
  • VDUs and Offices

6 / Design & Layout of Displays - Controls /
  • Control & Displays
  • Information Display

7 / Design of Control Rooms /
  • Console and Control Room Layout and Design
  • Control Room Ergonomics
/
  • Control Rooms
  • Control Room Design

8 / Environmental Ergonomics /
  • Environmental Conditions
  • Environmental Factors
  • Noise Surveys
  • Hearing Loss at work
/
  • Thermal Environments
  • Visibility/Lighting
  • Working Environment Ergonomics
  • Vibrations

9 / Expert Witnesses - Various Work Situations /
  • Expert witness
  • Expert witness investigations
  • Expert witness upper limb disorders
  • Expert witness-forensic ergonomics
/
  • Industrial compensation claims
  • Injury litigation
  • Injury causation
  • Litigation support

10 / Human-Computer Interface Design & Assessment /
  • Human-Computer Interaction
  • Human-Computer Interface Design
  • Human-Computer Interface Development
  • Human-Computer Interface style guides
/
  • Human-Machine Interface
  • Knowledge based systems
  • HCI/MMI prototyping
  • Prototyping (GUI)
  • Style Guides

11 / Human Reliability /
  • Human Error
  • Human error analysis
  • Human error & reliability
  • Human factors audits
/
  • Human factors integration
  • Human factors integration, Manprint
  • Human reliability assessment

12 / Industrial Design Applications /
  • Information design
  • Market/user research
  • Medical Equipment
  • Seat Comfort
/
  • Seat Design
  • Seating
  • Seating Design & Specifications
  • Furniture Specification & Selection

13 / Industrial/Commercial Workplace Design /
  • Industrial workplace design
  • Industrial Ergonomics
  • Job Design and Work Organisation
  • Anthropometry/workplace design
/
  • Workstation & workplace design
  • Work & workstation design
  • Work Design
  • Work Organisation & job design
  • Warnings, labels & instructions
  • Workload analysis

14 / Management and Ergonomics /
  • Change Management
  • Cost-Benefit Analysis
  • Emergency Response
  • Ergonomics Management Programmes
  • Operator Performance
/
  • Operator Workload Analysis Standardisation and Standards
  • Human Resource Management
  • Management/Human Factors
  • Work Programmes
  • Ergonomics Policy & Practice

15 / Manual Handling of Loads - Safety & Training /
  • Manual Handling
  • Manual Handling Assessment & Training
/
  • Manual Handling Assessments
  • Manual Handling and Lifting
  • Manual Handling of Loads

16 / Office Ergonomics & Design /
  • Office Automation
  • Office and Office Equipment Design
/
  • Office Design Ergonomics
  • Office Ergonomics
  • Office Ergonomics (DSE)

17 / Physiological Aspects & Medical Ergonomics /
  • Physiology
  • Physical capabilities
  • Physical/physiological Ergonomics
  • Medical Ergonomics
/
  • Medical Equipment
  • Psychophysiology
  • Behavioural Expectations
  • Standards of reasonable conduct

18 / Product Design & Consumer Ergonomics /
  • Product Design
  • Product design & testing
  • Product Development
  • Product Ergonomics
  • Product liability and safety
/
  • Product Defects
  • Product of Education Material
  • Personal Protective Clothing
  • Ergonomics Sales & Marketing

19 / Risk Assessments - Various Work Situations /
  • Risk and Cost-benefit analysis
  • Risk Assessment
  • Risk Assessment and Risk Management
/
  • Risk Perception
  • General Musculoskeletal risk

20 / Socio-technical Systems and Ergonomics /
  • Organisational Behaviour
  • Organisational Change
  • Organisational Psychology
  • Participative Ergonomics
/
  • Ergonomics Strategies
  • Socio-technical Systems
  • Violations Assessment
  • Motivation

21 / Systems Analysis /
  • System Integration
  • Systems Requirements capture
  • Systems Analysis and Design
  • Telecommunications Systems and Products
  • Human Machine Systems
  • Manprint
/
  • Manprint and HFIP
  • Manning Studies
  • 3-D Man-Modeling
  • Experimental Design
  • System Design Standards & Specifications
  • Communication Analysis

22 / Task Analysis /
  • Task Analysis
  • Task Analysis & Job Design
/
  • Task Analysis & Synthesis
  • Team Work & Groups

23 / Training - for Managements & Staffs /
  • Ergonomics Training
  • General Training
  • Cognitive Skills/Decision Taking
  • Training
/
  • Training Engineers
  • Training in STUDIO
  • Training Modules
  • Training Needs Analysis Education

24 / User Requirements & Guidance /
  • User Requirements Analysis
  • User Requirements Capture
  • User Requirements Specification
  • User Documentation
  • User Guidance
  • User Manuals/Instructions
  • User Interface Design
/
  • User Interface Prototyping
  • User Interface Style Guides & Standards
  • User Testing
  • User Trials
  • Mock-ups and Prototypes

25 / Usability Assessments /
  • Usability Assessment & Testing
  • Usability Audits
  • Usability Engineering
  • Usability Evaluation
  • Usability Specification and Testing
/
  • Usability Training
  • Usability Trials
  • Usability Trials & Verifications
  • Simulation & Trials
  • Simulation Development
  • Simulation & Prototyping

26 / Work Related Musculoskeletal Problems /
  • Work-Related Upper Limb Disorders
  • Repetitive Strain Injury
  • Repetitive Work
  • RSI/WRULDS
/
  • Musculoskeletal Disorders
  • Musculoskeletal Troubles
  • Management of Work-Related Musculoskeletal Problems
  • Upper Limb Disorders

27 / Vehicle & Transport Ergonomics /
  • Aviation
  • Helicopter Ergonomics
  • Helmet Displays
  • Passenger Environments
  • Rail Vehicles & Systems
  • Transport
/
  • Transport Design
  • Transportation
  • Vehicle Design
  • Vehicle Ergonomics
  • Vehicle Safety

28 / Specific Ergonomics Applications /
  • Nuclear Power
  • Military Ergonomics
  • Military Systems
  • Process Containment
/
  • Process Control
  • Literature Surveys
  • Survey & Research Methods
  • Automatic Speech Recognition

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