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Display Screen Equipment Work Station Assessment Checklist

(The following assessment should be carried out jointly between Line Manager and Employee)
Department Work Station Identification Date of Assessment
1. Employee
Employee Name.
Is the workstation used habitually as a significant part of normal work?
Yes No
If YES, what percentage of his/her working time is spent operating
%
the DSE (if intermittent give estimated average)
2. Equipment
1. Monitor Make and Model Remarks
Swivel/tilt available?
Yes No
Remarks
2. Screen Stable Image? Yes No
Adjustable brightness? Yes No
Glare/reflection free? Yes No
3. Keyboard Make and Model Remarks
Separate from monitor? Yes No
Tiltable? Yes No
Matt surface? Yes No
Legible keys? Yes No
4. Work Desk/Surface Remarks
Adequate Strength/stability Yes No
Area adequate size?
(inc. space for the processing of
any involved paperwork)
Yes No
Matt surface? Yes No
Copyright 2012 Agora Business Publications LLP. This material may only be used in the furtherance of the subscriber's business and may not be sold, hired, copied or used for
any other commercial purpose etc. without the prior written consent of Agora Business Publications LLP. Every effort has been made by Agora Business Publications LLP to ensure that
the information given is accurate and not misleading, but Agora Business Publications LLP cannot accept responsibility for any loss or liability perceived to have arisen from the use of
any such information.
Adequate space for worker to
gain a comfortable posture during
any combined work/paperwork?
Yes No
Surface non-reflective? Yes No
5. Work Chair Remarks
Is chair adjustable? Yes No
Seat height adjustable? Yes No
Back height/tilt adjustable? Yes No
6. Ancillary Equipment (If required!) Remarks
Document holder available? No Yes
Footrest available? No Yes
Suitable task light available? No Yes
3. Environment
7. Space Requirements Remarks
Adequate for postural changes? Yes No
8. Lighting Remarks
Adequate lighting levels? Yes No
Glare/reflections present? No Yes
9. Noise Remarks
Causing distractions?
No
Yes
Disturbs speech? No Yes
10. Thermal Comfort Remarks
Background temp' satisfactory? Yes No
Humidity adequate? Yes No
Ventilation adequate? Yes No
4. User/Computer Interface
11. Software Remarks
Is software adequate for tasks? Yes No
12. General Safety Remarks
Electrical hazards?
No Yes
Trip hazards
No Yes
Is equipment positioned safely?
Yes No
Adequate space to allow easy
Access/egress?
Yes No
5. Remedial Action Required
Copyright 2012 Agora Business Publications LLP. This material may only be used in the furtherance of the subscriber's business and may not be sold, hired, copied or used for
any other commercial purpose etc. without the prior written consent of Agora Business Publications LLP. Every effort has been made by Agora Business Publications LLP to ensure that
the information given is accurate and not misleading, but Agora Business Publications LLP cannot accept responsibility for any loss or liability perceived to have arisen from the use of
any such information.
6. What Is The Most Reasonably Practical Solution?
7. Confirmation
Signature of Assessor Signature of Employee
Print Name Print Name
Review Date (where applicable)
Copyright 2012 Agora Business Publications LLP. This material may only be used in the furtherance of the subscriber's business and may not be sold, hired, copied or used for
any other commercial purpose etc. without the prior written consent of Agora Business Publications LLP. Every effort has been made by Agora Business Publications LLP to ensure that
the information given is accurate and not misleading, but Agora Business Publications LLP cannot accept responsibility for any loss or liability perceived to have arisen from the use of
any such information.
Copyright 2012 Agora Business Publications LLP. This material may only be used in the furtherance of the subscriber's business and may not be sold, hired, copied or used for
any other commercial purpose etc. without the prior written consent of Agora Business Publications LLP. Every effort has been made by Agora Business Publications LLP to ensure that
the information given is accurate and not misleading, but Agora Business Publications LLP cannot accept responsibility for any loss or liability perceived to have arisen from the use of
any such information.
Guidance for DSE Workstation Assessment Checklist
1.
MONITOR
Swivel and tilt as required.
7.
SPACE REQUIREMENTS
Allow for postural changes at the
workstation, and legroom.
2.
SCREEN
Readable and stable
image, flicker free, no disturbing
glare or reflections.
8.
LIGHTING
No direct or indirect glare or
reflections, window blinds, task
lighting.
3.
KEYBOARD
Separate, usable, readable,
adjustable.
9.
NOISE
Minimise any distracting
noise.
4.
WORK DESK/SURFACE
Sufficient desktop space,
wrist/forearm support, no
reflections.
10.
THERMAL COMFORT
Background temperature, excessive
heat from equipment, humidity,
ventilation.
5.
WORK CHAIR
Comfortable, stable, adjustable for
both height and lumbar support.
11.
SOFTWARE
Minimise obstacles to the user.
6.
ANCILLARY EQUIPMENT
Document holder, task light,
footrest, as appropriate.
12.
GENERAL SAFETY
Electrical, trip hazards, safe positioning
of equipment, access/egress.
Copyright 2012 Agora Business Publications LLP. This material may only be used in the furtherance of the subscriber's business and may not be sold, hired, copied or used for
any other commercial purpose etc. without the prior written consent of Agora Business Publications LLP. Every effort has been made by Agora Business Publications LLP to ensure that
the information given is accurate and not misleading, but Agora Business Publications LLP cannot accept responsibility for any loss or liability perceived to have arisen from the use of
any such information.


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